05-4292 (RPL)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.Application Number: '05-00004292% Owner:
Property Address: 80908 VIA PUERTA AZUL PUERTA AZUL PARTNERS
APN: 762-240-003-11 -300961- 17700 SW UPPER BOONES FERRY RD
Application description: POOL - RESIDENTIAL SUITE 100
Property Zoning: MEDIUM DENSITY RES PORTLAND, OR 97224
Application valuation: 18000
DContractor:
Applicant: Architect or Engineer: a CALIFORNIA POOLS & SPAS
SE
p ty WCC: SEABRIGHT INS
rr 2 / 1005 WC: BS1050510 01/01/06
CSLB: 656128 10/31/06
OF Vq Quin
------------------
LICENSED CONTRACTOR'S DECLARATION
I 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 in full force and effect.
License Class: if 523 License No.: Y mit I t
ate Z �`� Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 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.).
(_ 1 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 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
Date: 9/23/05
--------------------------------------7--------
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.
K I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
f Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - --
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 Labor7e, I shabforthwith comply with those provisions.
e: {Applicant:'
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..
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 ielated 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. 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 enter upon the above-mentionedpr erty for i specti n purposes.
Dati2� Signature (Applicant or Agent):
Application Number . . . . . 05-00004292
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
189.00
Plan Check
Fee
122.85
Issue Date
Valuation
17697
Expiration Date
3/22/06
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 . .
3/22/06
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
3/22/06
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 . . . .
33.00
Plan Check
Fee
8.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
3/22/06
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
OAS PIPE 1-4 OUTLETS
-----------------------
3.00
Permit . . . . . .
WALL/FENCE
PERMIT
LQPERMIT
Application Number . . . . . 05-00004292
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 303
Expiration Date 3/22/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL & SPA ONLY. 14 L.F. 51.EQUIPMENT
BLOCK WALL, CITY STANDARD.
ALARMS/BARRIERS SHALL BE IN PLACE PRIOR
TO PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 308.00 .00
.00
308.00
Plan Check Total 148.85 .00
.00
148.85
Grand Total 456.85 .00
.00
456.85
LQPERMIT
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P.O. Box f 504, 78-495 Caiie Tampico
Permit #
-La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking. Sheet
Project Address:!� VesZCO's Nam:
A. P. Number: _y
Address:
Legal Description:
City, ST, Zip:
EN
��r:�iC.:�}:i �l�ib.�r i'!�'.%r
Contractor: Cr^ll. • ( �oLs �' Telephone: ,.;:?::.:.::r.,�f,-,x::::
Address: c)j9c)�( +• C(,(�
ProjectD}e�cription:
City, ST, Zip: 6w cA ed La
Telephone:
State Lie. # :
City Lic. #:
Arch., Engr., Designer:
/� .rp
�'�LF (� LoLkuJALL- i ✓rP
Address:
City., ST, Zip:
-
Telephone:
° •°�''� •
' Construction Type: Occupancy:
State Lic..::.
' z £ Project type (circle onNee): Add'n Alter Repair Demo
�;,
Name of Contact Person: D•
�` s Sq. Ft.: #Stories: #Units:
Telephone # bf Contact Person:
s 41& re>A7 Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Recd TRACKING PEW&T FEES
Ylan Sets
Plan Check submitted Cl Z 3 Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan. Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Calcs. ,
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"" Review, ready for correctionsrssue Electrical '
Subcontactor List
Called ContactPerson Plumbing
Grant Deed
Plans picked up S.M.L
al
Plans re submitted Grading
'`d Review, ready for corrections/issue Developer Impact Feeoval
Called Contact Person A.I.P.P.r
Elani.n
Date of ptyznit issue
v
- 'TotalPesmit'Fees
PUERTA AZUL
HOMEOWNERS ASSOCIATION
C/O THE MONARCH GROUP
P.O. BOX 13710
PALM DESERT, CA 92255
September 22, 2005
Mr. & Mrs. Roger Greenberg
2398 Oak Vista Ct.
Castle Rock, CO 80104
Re: Architectural Request
80-908 Via Puerta Azul
Dear Mr. & Mrs. Greenberg:
The Architectural/Landscape Committee of Puerta Azul Homeowners' Association
has reviewed the plans you submitted for landscaping for your back yard. The
committee is pleased to inform you that it has approved the plans.
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 or my
assistant, Diana Brown at ext. 344.
Sincerely,
FOR THE BOARD OF DIRECTORS
PUERTA AZUL HOMEOWNERS ASSOCIATION
Grace VonSeggen, CLAM �t G—
Association Manager
CC: Board of Directors
Unit File
GV/jr