06-2379 (RPL)'S P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002379
Property Address: 80836 VIA PUERTA AZUL
APN: 762-240-003-9 -300962-
Application description: POOL RESIDENTIAL
Property Zoning: MEDIUM DENSITY RES
Application valuation: 18000
Tiht 4 4 Qum&
Applicant: Architect or Engineer:
o� �1A
�fio
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury at I am licens under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Susi ss and Profess nals Code, and my License is in full force and effect.
License Cl s: !C'53 License No.: 866518
Date, Gni Contracto
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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 Contractor's 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).:
1 _ 1 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 (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 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.).
(_) 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.).
1 _ 1 I am exempt under Sec. , B:&P.C. for this reason
Date:
Owner:
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:
LQPERMIT
Owner:
CHERYL MENKEN
80-836 VIA PUERTA AZUL
LA QUINTA, CA 92253
Contractor:
GARY & SONS
65-931 AVENIDA PICO
DESERT HOT SPRINGS, CA 9224
(760)251-8945
Lic. No.: 866518
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/14/06
F,n
till
JU�j 14
CITY OF LA QUINTA
FINAMCE DEPT.
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I 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 of the work for which this permit is
issued.
I 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1837911-06
_ 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 bj ct to the workers' compensation laws of California,
and agree that, if I sho become su t the workers' compensation provisions of Section
)�/1 0 of the Labor Cod
I shall fort w th amply with those Provisions.
Date: ! 0� Applicant:
WARNING: FAILURE TO SECURE WORKERS' AMPENSAT,ON 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.
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 i , orrect. I agree to comply with all
city and co my o dinances and state laws relating to buildi construction a hereby authorize representatives
of this cou n, to nter upon the above-mentioned prope y or inspection u ses.
Date: ignature (Applicant or Agent):
Application Number . . . . . 06-00002379
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
189.00 Plan Check
Fee
122.85
Issue Date . . . .
Valuation
. . .
. 18000
Expiration Date . .
12/11/06
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date ..
12/11//--6
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 . .
12/11/06
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 . . . .
27.00 Plan Check
Fee
6.75
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
12/11/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
SPA ALARMS/BARRIERS SHALL BE IN PLACE
LQPERMIT
• Application Number . . . 06-00002379
----------------------------------------------------------------------------
Special Notes and Comments
AT PRE -PLASTER INSPECTION EQUIPMENT
ENCLOSURES NOT INCLUDED.
Fee summary Charged
----------------- ----------
Permit Fee Total 287.00
Plan Check Total 147.35
Grand Total 434.35
LQPERMIT
Paid Credited
00 .00
00 .00
00 .00
Due
287.00
147.35.
434.35
Bin #
City of. La Quinta
Building'& Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit #
UwBuilding
Project Address:' go-S24v v ALI`,
Owner's Name: G r 141e
A P. Number:
Address: O .. A ,
Legal Description:
Contractor:
City' ST, Zip:
Telephone:
Address: 3 e� (,LCA
Project -Description:
0
City; ST, Zip: (tA11 .'MOE
Telephone -i ^ _ SlYN
State Lic. # .: �. City!Lic. #:
Arch., Engn, Designer:
Address: .
City, ST, Zip:
Telephone:
Construction. Type: Occupancy:
State Lic. #:
Projecttype (circle one): New Add'n Alter Repair Demo
Name of Contact Person:(2-
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Persbn:
Estimated Value of Projec UOQ �—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG
PERMIT FEES
2
. Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for correction
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked.up :
Construction
Flood plain plan .
.Plans resubmitted
Mechanical'
Grading plan
'20 Review, ready for �correctionsrssue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionsfissue
Developer Impact Fee.
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees" "
Puerta Azul HOA
c/o The Monarch Group
June 13, 2006
Cheryl Menken
12526 HIGHBLUFF DRIVE #300
SAN DIEGO CA 92310
Re: Architectural Request; 80-836 VIA PUERTA AZUL
Dear Mr. & Mrs. Holmes:
The Architectural/Landscape Committee of the Puerta Azul Homeowners'
Association have reviewed the plans for your improvements per the received
application. The committee is pleased to inform you that it has approved the
plans as submitted with conditions. .
• The spa must be in compliance with the city's code requirements with
regards to the"placement of. the spa.
Thank you .for your patience and understanding during this approval process. If
there are any questions please contact me at (760) 776-5100 ext. 324.
Sincerely,
FOR THE BOARD OF DIRECTORS
Puerta Azul
..kt,f
IIII ' II I
y.�L....i.IW.;.
i ._..�
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT 0
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
.. CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
• i oA�.����OIP
ys
SCALE: �// APPROVED BY: DRAWN 8jt5,,qe
GATE' r%G/ REVISED
DRAWING NUMBER