05-1729 (RPL)P.O. Box 1504 •44
,tyoo,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
P. .. 5 . t. .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Application NumbeDate:
Applicant:
Applicant's Mailing Address:
1\,(1`eAC,7 0AC
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hef eby 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
�6de, and my License is in full force and effect. /^
w icense Class C License No.
to Contractors/ 1J�C� •�2. �1 �1 S "
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the -following 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 a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, 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 (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 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, however, the building 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 Mie 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.).
L) 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 self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
y of the work for which this permit is issued.
—XI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�' I is ued wo ers' com ensation insurance carney�nd�olicy number are:
amer }�A ^i( p Policy Numbe T/
_ I certify that, in the performance of the work for which this permit is issued,'I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, 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.
i�ate � Z r�i APPlican ��_��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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
Lenders 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 Quinta, 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to ent r upon the above-mentioned property for inspection purposes.
Zte ���� Signature (Applicant or Agent):
' Application Number .
-------------------------------------------------------------
------------
. . 05-00001729
-
--------------
--------------
Permit'. . . . . .
BLD&POOL PERMIT
Additional desc
Permit Fee . . .
252.00 Plan Check Fee
163.80
Issue Date
Valuation . . .
. 25000
Expiration Date
11/01/05
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
-----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit . . . .
MECH POOL
Additional desc
Permit Fee.
26.00 Plan Check Fee
6.50
Issue Date
Valuation . .
. 0
Expiration Date,
11/01/05
. Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11:.00
Permit . . . . . .
ELEC POOL PERMIT -RES
Additional desc '.
Permit Fee . . . .
45.00 'Plan Check Fee
11.25
Issue Date
Valuation
0
Expiration Date
11/01/05
Qty Unit Charge
Per
Extension
BASE FEE
15:00
1.00 30.0000
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit ... . . . .
PLUMBING
Additional desc
Permit Fee
33.00 Plan Check Fee
8.25
Issue Date . . .
Valuation
0
Expiration. Date ..
11/01/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/ALT./REP
3.00'-
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------
Special Notes and Comments
POOL & SPA ONLY. GAS
STUB ONLY.FOR
FUTURE APPLIANCES (BY
SEPARATE PERMIT).
ALARMS/BARRIERS SHALL
BE IN PLACE'PRIOR
TO PRE=PLASTER INSPECTION.. EQUIPMENT
ENCLOSURE NOT INCLUDED IN PERMIT.
Fee summary Charged Paid Credited
Due
Permit Fee Total
356.00 .00 ..00
356.00
.Plan Check Total
.189.80 .00 .00
189..80
Grand Total
e
545:80 .00 .00
545.8.0
05/04/2005 15:06 7602009521 OLAALITYMGW PAGE 02
ESPLANADE COMMUNITY ASSOCIATION
C/O QUALITY MANAGEMENT OF THE DESERT, INC.
42-335 Washington St., Ste #F-427
Palm Desert, CA 92211
(760) 200--9520 FAX (760) 200-9521
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May 4, 2005
Mr. Tigran Martinkyan
79-718 Parkway Esplanade North
La Quinta, CA 92253
RE: 79-718 Parkway Esplanade North
Account # 140
Dear Mr. Martinkyan:
Your architectural request to install a pool & spa in your back yard and add rear yard
landscape has been approved by the Architectural Committee under the following
conditions:
1. The finish lot grading and drainage are constructed on this lot in
accordance with the requirements of the governmental agenciesm this
jurisdiction. For your own protection, please be sure that landscaping,
walls, patios and other improvements installed provide for positi•te
drainage away from the foundation of your home (2% minimum) and
away from your neighbor's property. You will be responsible fordamage
to your home or lot or to your neighbor's home or lot due to improper
modification of the finish lot grading and/or drainage. Please also refer
to Section 4.7 of your Declaration of Covenants, Conditions and
Restrictions entitled "Drainage" for more details.
NOTE: Extra precautions should be taken with planter areas ncx: to the
foundation, where trapped water can lead to damage to the foundation'.
Since the finished grade should be maintained 6 inches below the house
slab, any installed concrete work should not trap water against the
foundation. In addition, planters should not be allowed to fill above the
required grade.
2. Trees should be planted far enough from existing fences so as to prevent
damage to the fences and existing foundations as they mature.
3. You must comply with all City ordinances.
4. You must furnish the Architectural Committee with a copy of your pool
and spa City permits for our files before work commences on these
structures.
S. It is understood that the pool equipment will be located next to the A/C
condensers and will be shielded from view from the common area.
05/04/2005 15:06 7602009521 QLIALITYMGKr PAGE 03
Mr. Martikyan
May 4, 2005
Page 2
we trust that only licensed, insured contractors will be performing the work and that
any required permits will be obtained. Please be reminded that any damage to the
common area due to the construction in your rear yard should be repaired in a timely
manner.
Thank you for your cooperation in filing for Architectural approval. If you have any
questions or need further assistance, please feel free to contact me.
Sincerely,
Quality Management of the Desert, Inc.
ESPLANADE COMMUNITY ASSOCIATION
BOARD OF DIRECTORS
Martha Osborne Larby
Property Manager
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