9793 (BLCK)Building
Address 5220 Obregon.
Owner
Mailing
Address same
City Zip
La Quinta 92253
Contractor
W. R. Rocrers
Address
City Zip
State Lic.
& Classif. $ 291728
Arch., Engr.,
Designer
Address
4
P.O. BOX 1504 No. 9793,
r, -
7&105 CALLE ESTADO +
LA QUINTA, CALIFORNIA 92253 ( ij
BUILDING: TYPE CONSTA . OCC: GRP.
A.P. Number
Tel.
568-2643 Legal Description
Project Description 230 If of 61 hi block wall
Pool, and ' Spa '
Tel.:
City .
Lic. # 1954
Tel.
City ( Zip ( State
C. #
LICENSED CONTRACTOR'S DECLARATION
`Uh ereby affirm that I am licensed under provisions `of'Chapter 9 (commencing with Section
7060) of Division 3 of the Business and Professions,Code, and my license is in full force and
effect.
SIGNATURE _ -•""r / I DATE
OWNPR-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
-reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑• Repair ❑ Demolition ❑
Estimated Valuation
13,250.00
.-,.•permit to construct, after, Improve, demolish, or repair any structure, prior to Its issuance also
- {;requires the applicant for such permit to file a signed statement that he is licensed pursuant, to
,- PERMIT
AMOUNT -Y•
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
'
_.-t Division 3'of the Business and Professions Code, or that. he Is exempt therefrom,, and the basis • i-
for Any Section 7031.5 'any
Plan.Chk. Dep.
+ -
.the alleged exemption. violation of by applicant fora permit
. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
•Plan Chk. Bal.
tSe4
- 7 '�
' •� • O 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, Buisness and
COConst.-%•
-
- - - yy w 3�1 r
fit 4
• Professions Code: The Contractor's License Law does not apply to an owner of property who
- •
y . V
builds or Improves thereon and who does such work himself or through his own employees,
Mech.
2 (}ti
provided that such Improvements are not intended or offered for safe. If, however, the building •
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
dd
- �3 +,� {}
of proving that he did not build or Improve for the purpose of sale.)
_'
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
27.00
• struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
-does not apply to an owner of property who builds or Improves thereon, and who contracts for
S.M.I..
_
-1.40 -
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.),
_
Grading
_
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
.
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
. Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
_
Policy No. Company
ffCopy is filed with the city. O Certified copy is hereby furnished-' ,
1-
-TOTAL
CERTIFICATE OF EXEMPTION FROM ,.. ,, �,
REMARKS
'
WORKERS' COMPENSATION INSURANCE
• (This section need not be completed if the permit is . for one hundred dollars ($100) valuation
-
s
;
' or less.)
;- 1 certify that In the performance of the work for which this permit is issued, I shall not
,. ,,, ,,, , n �f
;4Ys.,r xty LL tr �. V e _. V �.�?�, a 1.j .
.. i}. • : #� { ° ? `PIL A' i k5
employ any person in any manner so as to become subject to the Workers' Compensation
n
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate 'of Exemption you- should become
ZONE: •
BY: '
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
.Minimum Setback Distances: t. -
_
Front Setback from Center Line
Rear -Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued: (Sec. 3097, Civil Code.) •,
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
INSPECTOR
This Is a building permit when properly filled out, signed and validated, and is subject to" •.
expirationit work thereunder is suspended for 180 days.
_
I certify that I have read this application and state that the above information is correct: ?
Issued by:
Date Permit -
I agree to comply with all city and county ordinances and state laws relating to building
t '
construction, and hereby authorize representatives -of this city to enter the above•.
mentioned property for inspection purposes.,
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLIIMBING F'eerzS
1ST FL. SO. FT. ® $
2ND FL. SD. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. @
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
BOND BEAM
SQ.FT.GAR @ 3Yic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
�A 0
///
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/
_ �/
REMARKS:
VENTILATIONFIRE
ZONE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Tity/ 4
a" ,
78-105 CALLE ESTADO — LA _QUINTA, CALIFORNIA 92253 - (619) 5642246
FAX (619) 5645617
June 24, 1991.
Mr. William Riley
PO Box 2121
Palm Desert, CA 92260
Dear Mr. Riley:
Subject:
Setback Adjustment: 91-064
Location: Cove
54-220 Obregon
APN: 774-204-010
Legal: Lot 11 BLK'252
This letter is - to report approval of your recent application
for a setback adjustment, pursuant to Chapter 9.188 of the City
of La Quinta Planning & Zoning Regulations. The following
setback adjustment has been approved subject to conditions and
in accordance with attached Exhibit A.
SETBACK ADJUSTMENT:
Side setback reduced from 5 -feet to 3 -feet for pool.
Rear setback reduced from 10 -feet to 7..5 -feet for air
conditioning and pool equipment.'
FOR: Swimming pool, air conditioner -and pool equipment.
CONDITIONS:
1. Ensure pool is reinforced to Building Code
requirements.
After review it was determined that:
1. This adjustment is consistent with the intent and
purpose of the zoning ordinance.
2. There are special circumstances applicable to the
property, including such factors assize, shape,
topography, location or surroundings that justify
approval of the adjustment. These special
circumstances are: this is a small lot with a
limited rear yard.
CITY OF LA QUANTA
MAILING ADDRESS P.O. BOX 1504.- LA QUINTA, CALIFORNIA 92253
LTRGL.207./CS -1-
3. This adjustment will not be detrimental .to the health,
safety, and general welfare of the community . or be
detrimental to property in the.vicinity of the parcel for
which the adjustment is requested.
If you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
Glenda M. Lainis
Associate Planner
GML:ccs
Attachment: Exhibit A
cc: Building &_-_Safe.ty Department
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CASE NO.Polvy LL