RPL (0007-234)49040 Marimba Ct
0007-234
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that] 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 # K,+it. Lic. Class Exp. Date
Kms,_3, l f n C53 31121,
Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors ;to construct the project (Sec. 7044, Business & Professionals
Code).
O I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Carrier STAT r3 .t I D Policy No.M.
-Gt1 AA19334
(This section need not be completed if the permit valuation is for $100.00 or less).
() 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 shalf forthwith comply with those p visions.
Date: // Applican`tZ / I
( '
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on 'his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of. La Quinta, its officers, agents and employees.
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 rthis application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for i spection purposes.
Signature (Owner/Agent)dg- Date
BUILDING PERMIT PERMIT
DATE
VALUATION LOT TRACT
1 i3O'd?tlAO t
JOB SITE
ADDRESS ' 49--M MARIUM, , CC>'ET.i''W
APN
OWNER
CONTRACTOR/ DESIGNER/ EN INEER
MM s
TiAf,, HAMPTON &a VA C'. KWINT .F1CiC,JU
49-04 .0 MAMMA COURT
9522 DOYTAr DSONMI
L.A Qt1`-4TA CA 92753
WCT `! -N . VAI. EY CA. 92356
(909)248x6045 C.BW 11335
USE OF PERMIT
1001,NNDO SCA
S
POOL &SPA UNt,Y-.ALAP_ iS1B.A:l;~RftUti' StW L BIX IN K.&tE AT i -'RE,
PI,1l,SUR INSPECTION,P001,9QUIPMEN T I`NCLO.—URE 13 NOT YNCLUDE
114 'I'WS IaPr?RMIT.
POO1,AN]WO-P SPA, 1UNIN 1Z
::KSMA liMD COQ' 01r CONSMU ::I1rOi
ltiiUC .i3D
PiS:(sMIT Fix Slt1bi'.t33 y ,
PLN CHECK pv 101.000.439x318 S10130
CONSTRUCTION FEE 101-000.418-000 $162.00
MEMWICA.1. We -- Pool, 101.000.421.000 5240
ELECTRICAL FEE - POOL 101•COQ*120-000 649.fJU
P1,UMBR441ri -: POOL 101=400 419.000
WD7 -` O AL COMM1TC TION AND PLAN CFjF Ci"!..
$363.30
SSS. 't k FSMPAl[7 f
$0,00
RECEIPT
DATE
B f,/ !
i%
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Form&& Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof -Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
°
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Set Backs
steel
Electric Bond
POOLS - SPAS
Footing's j
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
!sY PC
Gas Piping
Gas Test
Appliances
Final
p
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
0
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a Rf-MSPECTIOR at or $so -
mitt BE CHARGED If M APHO W
PM AND JOB CARD ARE iN 00
THE SM FOR A SCHEMUR
MSPECTIOIL ..
O
C) 40 A
VACATION POOLS & SPAS
Aa -
9522 Donaldson Road
Lucerne Valley, CA 92356
(760) 248-6045
(760) 248-2919
Lic. #C-53-351673
TA44
CF oFp y 78-105 CALLE ESTADO — LA QUINTA; CALIFORNIA 92253 (619) 564=2246 .
FAX (619) 564-5611
May 23, 1991
s. { .. Subject:
Setback -Adjustment: 91-060
Ms. Vera Rackley Location_:.,,_Parc La Quinta
49-040'Marimba 49-040 Marimba
La_ Quinta, CA'92253 APN:
• Legal: - . Lot 42 TR 21555-1 `
' Dear Ms.`Rackley: k ,
This lettere is to report approval of your recent. -application-.
for a setback adjustment, pursuant to Chapter 9.188 of the City
-o , f La, Quinta Planning & Zoningk,-, Regulations . , . The following.
stback- adjustment I has;' -been` approved subject to -conditions _ and
„in accordance with attached':Exhibit A.,,`
SETBACK:ADJUSTMENT: l `-
Rear yard ,10 foot setback -reduced 'to 8 feet.
FOR: Patio Cover
'
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 appiicable to the
property, including such.'factors assize, shape,
"topography, location or surroundings that justify
approval of the adjustment._ These special'.
circumstances are:, this is -ari" irregular. shaped lot' ,
with a narrow average depth.
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 Ifor which the .adjustment is
-requested.
J s
LTRGL.l'98l JgNG ADDRESS = P.O. BOX 1504LA.QUINTA, CALIFORNIA 92253
i , v
4
u 1,iCV
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 49-040 Hatimba LA QUINTA, CALIFORNIA 92253
Cyan De.nelotament _
Mailing
Address
City
Contractor - I
Sate
Address
State Lic. City
8, Classif. 337077 Lic. # 1219
Arch., Engr.,
Designer
Address Tel
City IZip I State
Lic. If
LICENSED"CONTRACTOR'S DECLARATION
1 hereby affirm that 1 amlicensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
SIGNATUREA
r `NTE
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busiress and Professions ODde: Any city or county which requires a
permit to construct, after, reprove, 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
the provisions of the Contractor's License taw, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or Mat. he 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 riot more than five hundred dog= ($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. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or bnproves thereon ands who aloes such work himself or through his ownemployees,
provided that such improvements are not intended or offered for sale. H, however, the building
or improvement is sold within one year of completion, the owner -budder will have the burden
of proving that he did not build or bnprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
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 reproves thereon, and who contracts for
such projects I. with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. 8 P.C. for this reason
Date Owner
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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed lf the permit is for one hundred dollars (S 100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: f, after mabV Mfs Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this pemtit shag be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name---
Lenders
ame
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, zip'
No.
BUILDING: TYPE CONST. OCC: GRP.
04936
A.P. Number !aMrg La
Legal Description
Project Description -Plan 1904 " Lot 42
4
REMARKS
S 1r 1.r15':Y ro' 35 169" A 2_219—aa
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback frorn Property Line
FINAL DATE INSPECTOR
12/19/88
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 1804
Size
No. No. Dw.
Stories Units"
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation
93.604
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$ 347.24
Const.
415.00
Mech.
33.00
Electrical
75.04
Plumbing
94.00
0
S.M.L.
6.55
Grading
Driveway Enc.
Infrastructure
2,106.09
TOTAL
$3,076.92
REMARKS
S 1r 1.r15':Y ro' 35 169" A 2_219—aa
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback frorn Property Line
FINAL DATE INSPECTOR
12/19/88
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
RADE3i`O i
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SQ. FT.
MP. POLE
WALL SQ. FT. ®
DRINKING FOUNTAIN
SQ FT ®
SERVICE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
!
FLOOR DRAIN
MECHANICAL FEES
-$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ V4c
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
S BACK
ND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
RADE3i`O i
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REI F.
GAS (ROUGH) 9/q"* 1. R LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. EL
GAS (FINAL) 1013
MP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
!
GRADING
cu. yd.
$ plus x$
-$
LUMBER GR. FINAL INSP. 1 A
111
FRAMING P VCIFINAL INSP.
(
ROOFING ,
VENTILATION
FIRE ZONE ROOFING
FIREPLACEdv
SPARK ARRESTOR
GAR. FIREWALL
LATHING 2(
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
ccurc nuwi
P
REMARKS.,
'%
SIGNATURES/INITIALS
GARDEN WALL FINAL