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04-3359 (CONR)21ooa ffZ 78-495. CALLS TAMPIco ` LA,QUINTA,, CAZ:IEORNiA'.92253 r - ;BUILDING°& S-AFETY,DEPARTMENT (760) 777-7012 FAX (760) 777.7017 INSPECTI'ON:REQUESTS (760.)'777-7153 BUILD -"PERMIT Application Number 04-00003359_,_.x: ;... Date, 4/09/04 Property Address. . . . :57325 PA$EO-DEL LAGO APN: 762-240-603-4'5 -30`0961- Application 'descri•ption :. NEW COMML�-,- OTHER NON=RESIDENTIAL Application valuation.. Owner Contractor. PUERTA AZUL PARTNERS DAMS/.REED CONSTRUCTION INC 17700.*SW UPPER BOONES FERRY RD 169 SAXONY,.ROAD ST #105 SUITE 100. "ENCINITAS CA 92024 PORTLAND - OR --972-247. (7 6 0) . • 6 3 4- 2 350 s ... WCC STATE`. 'FUND -9WC88 06/T2/042 . CSLB: 8.13480: 10/31/04 _. s. .. CCC:, - B HIC -- Structure Information RECREATION BUILDING ----- Construction Type TYPE V - 1. HR .Occupancy Type ASSY_BLDG <300.N0 STAGE Flood.Zone .. . ... . . NON -AO FLOOD...�ZONE Other struct -info CODE EDITION - 2001 FIRE..SPRINKLERS Y` MIXED-USE.00CUPANCY.' A3/R3;/Sl/:U1 OCCUPANT LOAD .. ° .. 162'00 PATIO. SQ:.•FTG:.,, ;.. 3282':.00 FTRST. FLOOR SQ.`FTG'• 43481:00 `SECOND` FLOOR S.Q FTG u 924--. 0.0 Permit . . . . . .BUILDING PERMIT Additional desc Permit' Fee 1633'.50 Plan.✓ -Check Fee . 1422.67 Issue -Date Valuation38391.2 Qty Unit Charge- Per Extension -BASE FEE.... -1633.50 Permit . . . . ELEC-NEW COMMERCIAL Additional desc s. Permit Fee 207.06 Plan Check Fee 51.77 Issue Date : Valuation 0 Qty . Unit Charge _ Per;; .>. Extension BASE FEE `.r 207.06 ,f } P.O. Box 1504 UW4 VOICE (760) 777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS:(760) 7.77-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04-- 33 5q Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is' full force and effect /, d se Gass f� - / nse No. 's I = I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the foilowing reason. (Sec. 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for apermit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): (-.) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Seo. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howeyer, the budding or improvement is sold within one year of.completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintainworkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is f ue . MY woliXs' compe sation insura 'er and policy numbe arm; artier Number oa 3 _ I certify that, in the performance of the work for which this pemhit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cafifomia, and agree that, If I should become'subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERSZ'i3liifPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there Is a.construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit Issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit 2. Any permit issued as a result of this application becomes null and void If work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter a ed p party for Inspection purposes. �BSte_� 9 nature (Applicant or Agent): Page 2 Application"Number `04-00003359' Date 4/09/04 Permit MECHANICAL Additional desc Permit Fee 1.61.00 Pl,an.Check Fee 134.00 Issue Date . . . . Valuation . . . . 0 Qty Unit,Charge Per. Extension BASE FEE 161.00 Permit . . . . . PLUMBING Additional desc ; Permit Fee 282.00 Plan Check Fee 51.00 Issue Date . . Valuation;, 0 Qty Unit Charge Per Extension BASE FEE 282.00 Permit . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Phan Check Fee .00 Issue Date Valuation 0 Qty Urifit.Charge Per Extension BASE FEE 15:00 -------------------- ------------'-=--=--=------------------------------------- Special Notes and Comments: COMMERCIAL"- 5305 SQ.., RECREATION BUILDING . @ PUERTA- AZUL. .'TRACT'.' 3,6169'6 -1. A3 /R3 / S 1 /U1 MIXED` ,OCCUPANCY_,.. TYPE V .1HR .: y. CONSTRUCTION, _ 3.62. OCCUPANT.-LOAD. 2.001 CODES-. PERMIT'E DOES NOT INCLUDE `BLOCK WALLS, LIGHT^STANDARDS;• POOL.OR SPA. Other Fees ART INPUBLIC `P.LACES.-COM 1899.56 DIF,COMMUNITY CENTERS-RES 97.00 DIF.:CIVI.0 ,CENTER - •RES 366.00 DIF.,CIVIC`-CENTER - COMM 416.19 ENERGY � R�EVI•EW FEE 2.01 DIF FIRE PROTECTION-RES 97.00 6' D,IF FIRE :PRO'T'ECTION-COMM <.:.. 140.19 ' DIF. LIBRARIES' - RES 225.00 ,- • i...• DIF PARK :'MAI NT 'FAC:, - RES .5.00 DIF': PARKS'/REC - RES 502.00. :...STRONG MOTION (SMI) .-.COM 80 ._62 ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS 1800 E. 16TH ST. - SANTA ANA, CA 92701 - (714)835-2800 FAX(714)835-2819 STRUCTURAL OBSERVATION REPORT FORM PAGE 1 of PROJECT NAME ESI/FME JOB NO. STRUCT. OBSERVER BLDG. TYPE PHASE PLAN/UNIT # ELEV. LOT # PUERTA AZUL ` 402-3113 KEN SADLER NA OWNER/DEVELOPER ESI/FME FILE NO. PROJECT LOCATION FIELD REP. REPORT NO. DATE OF OBSERV. �U$ PgA^L,,j PACIFIC LAND MANAGEMEN 3113- LA QUINTA CA. MARK ALEXANDER f310 /6'5 1 OBSERVED STRUCTURAL ELEMENTS I FOUNDATION D SHEAR WALL ASSEMBLY WALL FRAMING OX SHEAR TRANSFER OX DRAG TIES/STRUTS, HARDWARE CONNECTIONS CHORDS & THEIR O FLOOR FRAMING � ROOF FRAMING � STEEL FRAME/COL. CONNECTIONS & ASSOCIATES, INC. Professional Teams.for Complex Projects April 20, 2005 Engineering, Planning, Environmental Sciences and Management Services Mr. Tom Hartung, Building Official Building and Safety Department City of La Quinta Post Office Box 1504 La Quinta, California 92253 75-150 Sheryl Avenue Suite C Palm Desert, California 92211 760.341.6660 Fax 760.346.6118 Subject: Form Certification: LTract'30096-1, Puerta Azul; Greathouse Lot.45 Dear Mr. Hartung: #2923-50 The form and pad elevations for the subject building were verified on April 20, 2005, and found to be in substantial conformance with the City of La Quinta approved Precise Grading Plan. ADDRESS: x`57-325`PASEO DEL LAGO PER APPROVED PLANS AS -BUILT Main Building Pad Elevation 461.3 462.6 FF Elevation 463.1 463.10 Bathrooms Pad Elevation 461.6 462.6 FF Elevation 463.1 463.40 Garage & Pool Maintenance Pad Elevation --- 461.1 FF Elevation 461.6 463.11 * Raised per Design Change. * * Top of stem wall forms. Very truly yours, Dudek & Associates, Inc. J. J. oneji, P.E. Principal JJS:km QPpFE5Sl0/��\``\ a No. 24069 x \ \\ * '•, EXP. 12-31-05 CI V l� i "1-4'i . 1 9 8 CeCekatiltg ?-) `Years o f Serrulce 2 0 0 5 Certificate of Occupancy 0 ot TM OF Building& Safet Department Y x xf This Certificate is issued pursuant to the requirements of Section 109 of the California Bufiding to Code, certifying that, at thetime of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 57-325 PASEO DEL LAGO Use classification: COMM. REC. BUILDING Building Permit No.: 04-3359 ii Occupancy Group: A/3,R31S1/U1 Type of Construction: V -N Land Use Zone: R -M Owner of Building: PUERTA AZUL PARTNERS, LLC Address: 8905 SW NIMBUS AVE. STE. 4 City, ST, ZIP: BEAVERTON, OR 97008 By: GARY HARTMAN Z Le--%� Date: APRIL 26, 200*6 Building Official 4 POST IN A CONSPICUOUS PLACE 012875 S �� Iadden , Engineering ;. 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Date `/- j S -OX ,Job No. 075/ FIELD MEMO .. .. . Project Name�,�r- Client: Site Address Job Phone Work Done _ V Test Summary / Footings Inspected Test No. Location Elev. Dry Density Moist % % Relative Compaction Ref. Max. pcf Moist % r ..� (Z Comments �S Ue CJ llouf.)�J� V11 Field Tech. Super. or Agent ' , 24 hour notice requested to schedule Field Tech nician..Thank you for the opportunity to be of service. 04/14•/2005 14:33 714-835-2819 ESYME STRUCTURALENG STRUCTURAL ENGINEERS /& CONSULTANTS PROJ,E.CT MEMO PROJECT: "Puerta Azul" DATE: * 04-12-05 Pacific Land Management PROJECT NO: 402-3913 La Q4inta, Calftmia CLIENT NO: Fil-E No: 3113-32 SHEET Na_ 1 Of 1 SUBJECT: pROVIDE STEM WALL DETAIL Please refer to the detail below regarding,the 18" max. height stem wall. (a) # 4- Q TOP �a ie I MAX,F N DF -T41- o„hbt f0tL fCEPE`ti`►T7 � 2t+#i7P•f 1 PT►ot1 . PAGE 01/02 pproved Sy: Copies To: ASUFME Inc. (3) Pacific L.aindWanagement sou, SRMH STRUCTURAL ENGINEERS - ATTN.: Mark Rockwd / U _ .a, Kenneth W. 1600 F. Yfith Strut. Santa Ana. CA 92701 • (714)636-28N Fax (714) 536.2819 Z0/Z0 39Gd 1SNOO Q33NSIAVC LSOTLLL09L Eb:ET 900Z/VT/t,0