9605-060 (RPL)49100 Marimba Ct
9605-060
06627
LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
Date ^ ' r 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).
( ) 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:
Cartier SAE Ii'U u Policy No. 1470.31395
(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 s II fo hw'th comply with those, ro isions.
Date: %f P Applicant , P,';
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 this 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' s ectio_ urp' es!l /
Signature (Owner/Agent) Date
PERMIT # °°NTR°`#
BUILDING PERMIT 3329
DATE V I V96 VALUATION S 14-511110.0 LOT TRACT
JOB SITE 44}.-1011I Oi i ' 1I t!
APN
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
K.0 W"J S::)N
kit, ,Itrf'YUP Sv001, S S-1 tiPAS
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4630j. ROUFAL L i ANE
IA (AliN TA
I[ A QI.I.JNTA. t_'A 922'x.1
ffit >htrf7.ii2f (NUA 1945
USE OF PERMIT
j/t xa1. ANI.t/Qlt NPA.
POAA, ANO SPA, 5115(90POOL DUO PROR TO I`02.NUT IWAjANCE- IN1rf STI.OATICIN I fiii
P001. t1Nf.)AX4, SPA 1.8
I NMT U, 1) WIVII, OF COIN STR U CIT 1,01N
14,500-00
P.f'RMiT T'F E SUMMr1,RY
1111,AN0IFMX FT ? 11Ji. (3t ?'° 3a_3i£ Stf1 i(t
MNSTRUMON F LF 101,000-118.000 S1621.00
AOC11KNI ✓'Af, !:Els --MOL 101 -Oil A21-000 $24.00
1
EL EC 11UCAt. FIX, --1atXA. 101-000-420-IXIO 545.0
rn
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SU0TCYr,1,L C,ONSIRUC" ON AND PIAN CHECK
$525310
,ESS PRE -PAID FES
$0,00
'd OTA 1, VE,R I T FEES DUE NOW.
$525.30
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
a'
co
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & 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 Wali Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test 71
Final
Gas Piping
PLUMBING APPROVALS
Gas Test 6
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
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
TAtyl
78-495 CALLE TAMPICO —" LA QUINTA, CALIFORNIA .92253 - (619) 777-7000
OF O 1
FAX . (619) 777-7101
May. 17, 1996
{ Mike McIntyre ;
McIntyre Pools
P O Box 1791
La Quinta,, California 92253 -
SUBJECT:- SETBACK ADJUSTMENT 96-413•
LOCATION: 49-100 MARIMBA COURT (K. C. WILSON)
Dear Mr. McIntyre:
,This letter is to report approval of the setback adjustment application pursuant to Chapter 9.188 of
the City of La Quinta Planning and Zoning regulations, subject to conditions and according to the
attached exhibits.
SETBACK ADJUSTMENT • REQUEST: To reduce the side yard setback.from 5 -feet to 3 -feet for.
a private swimming pool. '
CONDITIONS:
a. Obtain a building permit from the Building & Safety Department, and
b.. Install perimeter five-foot high fencing with self-closing pedestrian access gates.
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 as
-size, shape, topography, location or surroundings. that justify approval of the
adjustment.
These specialcircumstancesare (a) a'.small rear yard, and (b) desire for increased'
separation of the pool to the home.
Itrss.411
MAILING. ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 (
r-
3. This adjustment will not be detrimental to the health, safety, and .general welfare of.
the community because"the back yard swimming pool will be privately maintained and
fenced to prohibit access to the improvements unless by the owner's permission. The
applicant shall meet all other Zoning Code provisions of the R-1 Zone District.
If you have any questions, please contact me at 619-777-7064.
Very truly yours,
JERRY BERMAN
COMMUNITY DEVELOPMENT DIRECTOR
,-STAN B. SAWA
Principal Planner
SBS:cw
Att
c: Xe4 Tropple, Building & Safety Department
CASE NO: (p - Y/ 3
,' CITY OF LA QUINTA FEE: $100.00-
PLANNING
100.00PLANNING & DEVELOPMENT DEPARTMENT
APPLICATION FOR SETBACK ADJUSTMENT
APPLICANT: Submit this form with two copies of a scaled site plan,
drawn to adequately depict the nature of the request. A nonrefundable
fee of $100.is required when the Application is submitted.. Check must be
make payable to the "City of La Quinta".
If. the Applicant is not the owner of the property, a letter must be
submitted by the owner authorizing the Applicant to execute this document
in his . behalf .
PLEASE PRINTT OR TYPE
APPLICANT/ CONTRACTOR: ►-OU DATE /S
CONTACT PERSON (IF DIFFERENT) . PHONE
MAILING ADDRESS : (/, ( , Y /ig to, h 4. fc-
(Address)
(City)
(State)
(Zip)
OWNER'S NAME: / , /, 5
PHONE
MAILING ADDRESS: i-%/i0 % % .!/
m f CJU4
4,i
Cl 'c 22,23
(Address)
(Zip)
STREET ADDRESS OF PROPERTY:
/(city)
/(State)
LEGAL DESCRIPTION OF PROPERTY: LOT #
TRACT
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:.
REASON FOR REQUEST: ( // %i'I /i% `✓fG)
O
i
JUSTIFICATION:. No request for .a Setback Adjustment shall be granted
unless it is' determined that -it is consistent with the intend and purpose
of this Ordinance; that there are special circumstances applicable to the
property, including such factors as size, shape, topography, location or
surroundings that justify the .approval of the adjustment of the setback
requirement, -and that the adjustment will not be detrimental to the
health, safety, and general welfare of the community or be detrimental to
property in the area of the parcel for which the adjustment is requested.'
FORM.013/CS
'INT.
MU A,
CITY OFLA
Y
BUILDING & SA 'FE
FEDEPARTMEW
TS.
CON M&ALLY
ACCEPTED FOUGNSTRUCT
ALLATI -A' R
SUBJECT To INST
AND ALL AP U COD.
DATE'— BY
A
APPROVED BY-PLANNING-.&_Dr.VELOPMENID,EPARTMENT.
BY DATE
EXHIBIT F
CASE NO.
EXHIBIT
;:-5CASE NO.
k ou i yi +ct