11280 (RPL)r;
i Ovl�
j tluilding
Address
Owner
T4ht 4 4 Q"
P.O. BOX 1504
78-740 BGiTLEBRUSH 7&105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address p O BOX 3709
CityZip Tel.
PALM DESERT 92261
OWNER BUILDER
SS
No. 11280
BUILDING: TYPE CONST. OCC: GRP. -
Number
Legal Description
Project Description SWIMMING POOL/SPA
SAME v}i«
City
Zip
Tel.:.., t
lwt. t
State Lic.
City
& Classif.
Lic. #
Sq. Ft.
No. No. Dw.
Size
Stories Units
Arch.; Engr.,
Designer
New ❑ 'Add ❑
Alter ❑ Repair ❑. Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed 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
1
effect.
_
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
i I hereby affirm that I am exempt from the Contractor's Lirense Law for the following
$8,000
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he Is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
-
i Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 'any for
;plan Chk. De p
alleged exemption. violation of by applicant a permit
ubjects the applicant to a civil penalty of not more than five hundred dollars ($500).
plan Chk. Bal.
$64.35
, 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
"who
i'ipnSt.
99 QQ
Professions Code: The Contractor's License Law does not apply to an owner of property
•
builds or improves thereon and who does such work himself or through his own employees,
Mech.
24.00
! provided that such improvements are not Intended or offered for sale. I/, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
45.00
j o/ 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. 1.
$o
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
•
❑ 1 am exempt under Sec. B. & P.C. for this reason
�vr I" C I
Driveway Enc.
t(f Date ^!" Owner J '�s / .4 .,..� •; . ,_-
w �
Infrastructure
I
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
i Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
"it11(J `3iil t.i7 ?sem' {'t41/r lv Y1t?.LJ '+`i
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
4 2 U • 15
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.)
I certify that in the performance of,thg work for which this permit is issued, I shall'not
employ any person in anymanner,so as to become subject to the Workers' Compensation'
Laws of California
./-Date1? Ir %111, Owner :n. _ t i ..I..+ r •-
NOTICE TO `APPLICANT: If, after making this Certificate
Exemption 'you should become
subject to the Workers' 'Compensation provisions o/ "the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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
Lender's Address
This is a building permit when properly 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
REMARKS `
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date t Perm
Validated by:
Validation:
l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES y
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
WALL SQ. FT.
LUMBER GR.
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP. 3
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FINAL INSPECTION
SQ.FT.GAR ® 3/4c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING ` NDERGROUND
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) l(a METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. 3
ROOFING
!
7�o
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
'
T H E C 1 T Y 0 F
c° V
La Quinta
1982- 1992 Ten Carat Decade
August 6, 1992
<:
Mr. Charles E. Slusser Subject:
PO Box 3709 Setback Adjustment: 92-128
Palm Desert,- CA 92261 Location: 78-740 Bottlebrush Dr.
APN: 617-381-027
i
Dear Mr. Slusser:
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:
Five foot setback reduced to a minimum of three feet (side
yard)
FOR: Swimming pool & spa
CONDITIONS•
<
1. The applicant shall comply with Municipal Code Fencing
f
requirements for pools.
t.
2. Ensure pool is reinforced to Building Code requirements.
3. This setback adjustment does not apply to mechanical pool
equipment.
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
special circumstances are: this lot has limited space for a,,,/-'
pool in the side yard and the recreational facilities will not.,
affect any of the existing public utility easements.
City of La Quinta
Post Office Box 1504 ♦ 78-105 Calle Estado
La Quinta, California 92253
LTRGT . 13 9 / CS Phone (619) 564-2246, Fax (6" 564-5617
Design 8 Production: Mark Palmer Design, 619.346.0772
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 HEA
PLANING &.,.'DEVELOPMENT DIRECTOR
Greg--` 'r
g�, 6"usdell
Associate Planner
GT: ccs
Attachment: Exhibit A
cc: Building & Safety Department
LTRGT.139/CS
-2-