9605-076 (RPL)Cl)k
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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
`574127 .A ! o WIM
ri
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 ssutief9.1W lf°w10Ners' compensation insurance cafrriAN'f'policy no. are:
Carrier Policy No.
(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 shall forthwith comply with those"pro Iv si ns.
Date: /'/,•a�7!!I!rApplicant•—
,...
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 persori 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 f�ooriiiii
spection purposes..
`s
Signature (Owner/Agent)-%=*-'" :." ,, Date
• PERMIT # CONTROL #
BUILDING PERMIT 960.E076 3330
DATE 5/11:5/96 VALUATION $15,00.00 LOT TRACT
JOB SITE O AMALA)
715-26} CAM(NO KI L
APN
ADDRESS
OWNER
CONTRACTOR/ DESIGNER IEENGINEER
1E J_/J(iC01.K9.5rP1Vl}(ry
1'Y
1533 SO 1) S;VREET
68805A PEREZ R -D, 001
SAN 1111KNAD1140 CA 92408
CAD Ir-,l'►1-AL C1IT' CA 922-U
fc�i��)3Zd•1 i2 C13G# 104!1
USE OF PERMIT
i'UtX, AND )k SIVA
k'cXX AND SPA C_>NLY
1"".�'i'iS;i,,1►TM) CN.'31IN ' OF CONSTRUCTION
#S.(ili;wo
�
14, AN c'££lsCK n4i 101 -WO -439-1 19 � � $105.30 .
(XIM11IRVICIC ICON YM 101 -000-1 IR -000
fv£isk;;lit0:1+3t�"�U.I�it�i--4'��+�1, I(4l-G(1>3-a12i-GGA} �'✓>.Clu
IiIA1,,C'1'R1C*AI, F.FI, — PcAm, 101-101.41210-4)(10
PI.lM-MIN0F(3E--PC!X 101.000.419-(lp() S27.0
r
SUB-TUFAL COrl9MUMOI•(AND PUN CFMICK
SM3.30
I..tiSS PK ,1_PA 0 FEE)!
$0M
`!'O1'ekL PE,>)tIM'3' lr.EFN OVE NONY
ri:3f>3,3t!
L P
REC
BY
D INAL D
INSPECTOR
/"-o
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 6 Controls
Party Wall Insulation
Condensate Lines
Party Wall 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 b 40,07
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 III RA �4
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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
4 4(v
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78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
May 24, 1996
Jeff Lamb
UTY OF LA
QUINTA
BUILDING & SAFETY DEPARTMENT
CONDITIONALLY
AV` EPTED FOR.00NSTRUCTION
:IaJECT TO INSTALLATION AS PER
AND ALL 6 IC,�pL.p GAO
1 DACE
SUBJECT: SETBACK=ADJU- STWNT-96-414--
LOCATION: 79-260 CAMINO AMARILLO
Dear Mr. Lamb:
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 rear yard setback from 5 -feet to
3 -feet fora private spa.
A. Obtain a building permit from the Building & Safety Department, and
B. Install perimeter five-foot high fencing with self-closing gates.
After review it was determined that:
1. This adjustment is consistent with the intent and purpose of the Zoning
Ordinance to allow development of single family houses and swimming
pools/spas in an R-1 District.
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 in that the private rear yard area is . small, and
LTRGT.407
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ���
greater separation is needed between the house and swimming pool and spa to
provide adequate walking surfaces around the pool/spa for the occupants
and/or guests.
3. This adjustment will not be detrimental to the health, safety, and general
welfare of the community because the back yard improvements will be
privately maintained and fenced to prohibit access to the improvements unless
by the owner's permission.
If you have any question, please contact me at' 619-777-7067.
s Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
STAN B. SAWA .
Principal Planner
SBS:cw
Attachments
c: Kelly Tropple, Building & Safety Department
W.,"...
Ej
PL.
T SPA -
+6" RAISED
ApPROVEU By PLANNING & DEVELDPN
e!��!IprA DATE
B�
EXHIBIT L
CASE NO•.
' P.L. TO WATERLINE
4
N
BOBCAT
ACCESS
(remove &
replace 2'
of wall &.
W.I.gate)
SPA SPECS. GENERAL SPECIFICATIONS
SIZE A 23P X 39S SIZE 14' X 30' AREA 313
RAISED +6" " DEPTH .31 TO -5'
LITE 100 WATTS SHAPECUST PERIMETER 80. -
TRI LEVEL SEATS yES TILE SIZE 3 X 3
22" 24" 27" TILE COLOR M 368
DAMWALL WIDTH 6" X 10' RAISE BEAM 17' OF +6"
SPILLWAY SIZE 12" X COPING CANT. 84'
OPEN XX CLOSED POOL CAPACITY 10,800 GALS
4 PUMP CAPACITY 90 GPM
JETS.# MOTOR HPSTA MAX 2 HP 1.5
FILTER SYSTEM 3 300SQ FT
FILTER RATE 100 GPM
TURNOVER 2 HRS
RETURN LINES. YES "
45' PLUMBING "
MAIN DRAIN YES
SKIMMER MODEL DUAL PORT
CHECK VALVE FOR SPA
HEATER LAARS SIZE 250 00 BTU
GASLINE BY S.D.C. 45'
POOL LIGHT40OW
SPA LIGHT 100W
CLOCK 24HR 220V
ELECTRIC BY S.D. 52'
ELECTRICAL BONDING BY: S.D.C.
TILE AND COPING S.D.C.
6' OF +6" DECKING BY S.D.C. 554 S FT
STANDARD VESTGOLDRODW/ SALT
STEPS CONTRACTOR cannot assume
responsibility for damage to
curbs, sidewalks, driveways,
cement stabs, sewers,
lawns ,trees, fences, retaining
walls, sprinklers, telephone lines
or shrubs. When access is made
through a neighbor's property it is
understood that you, the owner,
DATE i have that neighbor's permission
-14-96 and assume full responsibility. .
lot#52
Name- CENTURY HOMES
A=asa:79260 CAMINO AMARILLC
Cit)t-.I "A QUINTA, CA. „RANCHO
M—Nomoomftmoo—wft I= TI ".
wula'li0i%Oi
1W . POO/W
SHOW ROOM
73011 COUNTRY CLUB DR.#F-4,
PALM DESERT, CA. 92260
PHONE (619}-3464032
LIC # A-574127 jelllamb
.L.
7' SPA
P L. +6" RA]
t
30'+
IN
-5'
w 'IS 1 hb FA/C]
W
PLANT AREA
�3�
D�D�KC J17N
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
CONDMONALLY
AC',tiMTED FOR MRMUMN
SUaj=GT To RS j XjA
' P.L. TO WATERUINI E
TEP 1
I
i
'ankle jet j
1,
7 \ lfi �
' -3' �$ 15'+
I
I
1'10"R bench � � P.L.
HARVEST GOLDENROD
6 W/ SALT I,�
1�
S (: on
[KC]
�!
i
POOL & SPA lid
LIGHT SWITCHES ('� 5'+
POOL'
EQUIP.
,, 250
CAI 38'
Y --N142'
1
E
BOBCAT
ACCESS
(remove &
replace 2'
of wall &
W.I.gaie)
SPA SPECS.
SIZE TDIA. 23P A 39S(tli"k'
RAISED +6",,
LITE 100 WATTS
TRI LEVEL SEATS YES
22" 24" 27"
DAMWALL WIDTH 6" X -
SPILLWAY SIZE 12" X
OPEN XX CLOSED
JETS.#_5_______
6' OF +6"
STANDAN._F
STEPS
CiJNERAL SPECIFICATIONS
14' X 30' AREA 313
i -H -3' TO -G'
.-5:HAPECUST PERIMETER 80
i-i'.i' SIZE 3 X 3
i'N.;_ COLOR M 368
_R.AISE BEAM 17' OF +6" .-.---�
CANT. 84 '
i'O0L CAPACITY 10.800 (3A!.S —
A 'UMP CAPACfTY 51(; C., .i–
J NiOTOR HP STA AMAX 2 HP 1.5
!l1.1 -ER SYSTEM 3 30 fSO Fr
IL FE RATE 100 C :4\4
t URNOVER
RF.TURN LINES. YES
45' PLUMBING
P`.^,IN DRAIN YES
KINIMER MODEL DUAL POR_'C
CHECK VALVE FOR SPA _
i-I'-ATER LAARS SIZE 250,01M �3 i -U
13 SLINE BY S.D.C. 45'
[POOL LIGHT40OW
:'PA LIGHT 10OW
.'-"C•K 24HR 220V - - -- a
:—C: TRIC BY S.D.C. 152---' --
-!-E_c:TRICAL BONDING BY: -S-
AND COPING S.D.C. --- —
:CKING BY S.D.C.
=3: I ----Z ESTGOLDROD��'I S L,a_..I F
'.)NITRACTOR cannot assU n
' )nsibility for damage to
:1!i:1.s, sidewalks, driveways,
.:.,nent slabs, sewers,
trees, fences, retaining
•;;r:ii, sprinklers, telephone lines
r,,>hr-ubs. When access is mad�;
through a neighbor's property iic. is
r understood that you, the owm .:,r
' i i�ve that neighbor's permissic,,
:;;.d _assume full responsibility.
"URY HOMES
Y'-'- 0 "'AMINO AMARIDE-,L O
'XJ�'��1. CA.
io
'RANCHO
',QUNTRY CLUB DR.#F-4,
CA. 92260
;'i 9) 346-4032
Notice:
Document Cannot Be Duplicated
Date 12/22/95
No. 13978
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Owner Name Century Homes Communities
No. 79-260
Cit, La Quinta
Tract #
Street Camino Amarillo
Lot #
Type of Development Single Family Residence
Comments
APN # 604-192-020
Jurisdiction La Quinta
zip 92253
Permit # -
Log #
Study Area 233
Square Footage 2466
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports,
covered patios/walkways, residential additions under 500 square feet, detached accessory structures or
replacement mobilehomes. It has been determined the above-named owner is exempt from paying
school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 2,466 or $ 4,241.52
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Century Homes
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Ellen Patino
Signature
Telepli`one ^(19-360-7464
y
Payment Received $4,241.52
Check No. 0924
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting