14530 (RPL)P.O. BOX 1504 No. 14530,
Building; 44-640 Blazing Star area^'. 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Snellenberger A hiss-ocia3'r es
Mailing
]BUILDING: TYPE CONST: OCC: GRP.
Address 55 695 'Pebbl a Beach
Cit Zip
...Qui 't a., CA • Zip 92253 T
Contractor
Tian Gilbert ir:c.
tdgV&S5 St --.'Michael Puttee.
$`Vim Desert;. C.�g
State Lic.
& Classif.. A 617723
Arch.- Engr.;
Designer
Address
City Z
A.P. Number
777-7766 Legal Description
Project Description Pool and Spa
II Side..and rear yard setback adjustment
1 92260 TJ' 60-140 . 3
City
iLic.#
el.
approved 95-2'81
Sq. Ft. No. No. Dw.
Size Stories Units
I New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need 'not be completed If the permit is for one hundred dollars ($100) valuation
'or less.)
1 certify that in the performance of the work for which this permit is issued; I shall not
=Cal
person in any manner so as to become subject to the Workers'. Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: It, after making this 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 permit shall be deemed revoked. '
WARNING: FAILURE TO SECURE WORK_ ERS' 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.
'This is a building permit when pioperly: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 Dater
Mailing Address
City, State, Zip
REMARKS.
$8 000.00
AMOUNT
64.35
99.60
24./00
45.00
27.00
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center.Line
Rear Setback from Rear Prop. Line
` Side Street Setback from,Cen�ter Line
Side Setback from Propert�Line\
FINAL DATE IN
-Issued
Validated t
.Validation:
4
•r
Lic. #
,e LICENSED CONTRACTOR'S DECLARATION
I heriib affirm that I aim liceps'�edrunder provisions of Chapter 9 (commencing with Segtion
7000) df rv�islon 3 of the. usme $ an rProfessions Code, and my license is in ful force•and'• '
Jeffecto !• �; ���
i.
1. f DATE
` OWNER -BUILDER DECLARATION
I hereby affiryn that I am exempt from the Contractors License Law for the following
I reason:.. (Sec.. 7031.5, Business. and. Professions Code: Any city or. county, which .• requires a
I permit to construct, atter, Improve, demolish, or repair any structure,. prior to itsissuance also
requires the applicant for such permit to rile a signed statement Yhat he is licensed pursuant to
- the provisions of the Contractor's License law, Chapter -9 (commencing with Section 7000) of.
Division 3 of the Business and Professions Code, or that. 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 not more than rive hundred dollars ($500). -
O 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 sate. (Sec. 7044, Buisness and
Code: The Contractor's License law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
- provided that such improvements are not Intended or offered for sale. If, however,. the building
or Improvement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not bulkd or improve for the purpose of sale.)
_ O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struet the project. (Sec. 7044, Business andProfessions- Code: The Contractor's License Law'
does not apply to an owner or property who bullds or improves thereon, and. who contracts for
. such projects with a contractors) pcensed pursuant totheContractor's License Law.)
O I am exempt under Sec. B. & P.C: for this reason
Estimated Valuation
-
PERMIT
Plan Chk. Dep.
Plan Chk. Bal:
Const.
Mech. _
-Electrical
Plumbing
$.M.I. •' '
Grading '
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION '
1 hereby affirm that I have a' certificate of consent to self -insure, or a certificate of
Worker's �-mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) '
Policy 4b. Company
Vcopy is filed with the city, ❑ Certified copy is hereby furnished.
I
^
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need 'not be completed If the permit is for one hundred dollars ($100) valuation
'or less.)
1 certify that in the performance of the work for which this permit is issued; I shall not
=Cal
person in any manner so as to become subject to the Workers'. Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: It, after making this 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 permit shall be deemed revoked. '
WARNING: FAILURE TO SECURE WORK_ ERS' 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.
'This is a building permit when pioperly: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 Dater
Mailing Address
City, State, Zip
REMARKS.
$8 000.00
AMOUNT
64.35
99.60
24./00
45.00
27.00
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center.Line
Rear Setback from Rear Prop. Line
` Side Street Setback from,Cen�ter Line
Side Setback from Propert�Line\
FINAL DATE IN
-Issued
Validated t
.Validation:
4
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIVU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. S0. FT.
A
l
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. S0. FT.
TEMP. POLE
WALL SO. FT. ®
GROUT
DRINKING FOUNTAIN
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FRAMING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 34c
HOUSE SEWER
INSULATION/SOUND
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 d ELECTRICAL ^ HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. �vblBONDING
A
l
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI NK
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
FINAL INSP.
s
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
�D
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING\11�
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
POOL AREA TO BE ENCLOSED BY
MINIMUM 5 FT. HIGH FENCE.
ALS. TEES TO BE SELF-CLOSING
. CITY OF L.A QUINTA
BUILDING & SAFETY DEPARTMENT
CONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CO
DATE
BY
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MEMORANDUM
CASE—) Location(s):�
Request(s): eda-c- £ rc4r- =�e�
5Ssem----
Your setback adjustment application is hereby approved, subject to
the following.conditions:
conditions:
1. Obtain a building permit from the Building and Safety
Department.
2. The other Zoning Code provisions.shall be met.
3. If ground excavation is required, please contact Underground
Service Alert (USA) at 1-800-422-4133. The service is free of
charge provided USA is given at least two working days'
notice.
4. Additional Conditions:
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
circumstances .are: e� sine. Z41/9(LD 5 .
;Att
n you f our cooperation.
c ely `
it evelopment Department
chments
c: Building and Safety Department
fy Pull��':NUIG Lo"VISION
B U A T E
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