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15076 (PAT)P.D. BOX 1504 No. 15076 Building 78-495 CALLE TAMPICO . Addres 48-607 Pa P-0 Tarazo LA QUINTA, CALIFORNIA 92253 Owner - L Yolanda Gondolio mailing Address SaMe CityZip s, La QuintCA 92253 Contractor Russell Austin Coast. Address 42 '335 Washin ton St. cit zip ?him Desert, VA 92213 State Lic. & Classif. . Ivrcn., tngr., Designer Address BUILDING: TYPE CONST. OCC: GRP.: A.P. Number 564-2549 Legal -,Description Project Description Patio Cover Side yeard - setback reduction to 3' P-340 60-2513 approved per SBA 95-x314 Lic. # 11,,. r 1 �0 Sq. Ft. Size 236 New ❑ Add ❑ Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affinn:that I am licensed under provisions of Chapter 9 (commencing with Section jf 7000) of Division 3 of the Business and Professions Code, and my; license.is in;full .force -and ffec;. Fye. �LGNATURE' r•� DATE OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following 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 file a signed statement that 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). ❑ 1, 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 Professions 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 of .completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 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 improves thereon, and who contracts for such projects with a contractors) (licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby ajJifm 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 Cf.dopy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed H the permit is for one .hundred dollars ($100) valuation, or less.) ' I certify that in the performance of the work for which this permit is issued,.l 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:, N, 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 WORKERS' 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 i building permit when properly filled out, signed and validated, and -is subject to expiration it 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. No. Dw. Units Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $3tL39. '0 PER Plan Chk. Dep. Plan Chk. Bal. Const. - Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 40.95 63.00 ZONE: BY: Minimum Setback Distances: Front Setback from Ce ine Rear Setback from R op. e Side Street Setbac Cent Side Setbackfroerty Lin Q FINAL DATE ! 1IVSPECTO " {+ Issued by: tDate Peij7 Validated by: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIN3\i FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN 'EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE DISPOSAL V, SQ.FT.GAR ® V4c HOUSE SEWER REMARKS: 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 SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) 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. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL c' c� CITY OF LA QUINTA PLANNING & DEVELOPMENT DEPARTMENT APPLICATION-FOR•SETBACK ADJUSTMENT CASE NO:� FEE: $100.00 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 PRINT OR TYPE APPLICANT/ CONTRACTOR: Si/Al (0 DATE DATE y-ZG�JS CONTACT PERSON ( IF DIFFERENT) ./%,55 4,y57/1/ PHONE .3(_-o-,,)51.3 MAILING ADDRESS: %. (Address) (City) OWNER'S' NAME: MAILING ADDRESS: 70t�'- C-,07 i/�. _Z? fZ� (City ss STREET' ADDRESS OF PROPERTY: (State) (Zip) PHONE (State) (Zip) LEGAL, DESCRIPTION OF PROPERTY: LOT V TRACT ASSESSOR'S PARCEL NUMBER: i ADJUSTMENT REQUESTED: 3 REASON FOR REQUEST: 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 adjustmen= is -requested. FORM.013/CS q 3 ry c,h r • v -� 1 rtF t i. ., Sundae ent co8� turdsy a �.. ,�ndaY *. cut cc - � 2�,. F ',' � f .i• - a li .. i '9 it y C Y.4 .':. :y y : T - . I.... ♦ o lo. .. lVit`Q Ll IF -���.`'""..e_-�'�,;,�*s�-•- � �'^ ���° 'a�' � • r,.� r , �;� •'��y..�}•��'..-.�``:`.:.r -.. <..- f '�'• .. . ,° y •s��':� "' ...�''�. E;t2,-�+�J'Z •.: •1Y' :tea 2 •.. •i •iT T'.Z f��•'-'�.. - ..y Y� .- LAGUNA 1)E I.A PA 7. ARCHITECTURAL VARIANCE REQUEST Unit • Date 4-9-95 Street Address 48-607 Paseo Tarazo La Quinta, Ca. Local.'Phone 564=2549 Other Phone (310) 839-2179 To the Architectural Committee: we,.the undersigned owners, request your approval of the modifications proposed -on the reverse side of this form. Attached are drawings of the, work to be dcne; types of material to be used are indicated on the drawings. we understand that building perm its for home inprovements are ,required by the City of La Quinaand that the cost of the permits and responsibility of 'obtaining permits and subsequent inspections will be borne by 'us. we ackowledoe that all approved changes it the original design will be at our expense; that any damage to or relocation of existing sprinkler systems, underground utilities, building structure and exterior landscaping or other damage resulting from construction of these permitted improvements will be at our expense; and that maintenance of the permitted improvements will be at our expense. Signature of all owners: l 0 Please provide as much detail as possible so that the Committee may consider approval without delays Build a 2316" x 10' patio cover using 4x4'pos.ts with (2) 2x6 plant ons, 4x10 beams, 2x6 -joists and :5-x2 lattice. All wood to be rough sawn. Paint patio cover to match house. See attached plan for more detail.' The above proposal has been reviewed by the A:critectural Committee and has been: APPROVED REZECTEO O PENDING FURTHER INFORMATION O Comments / GATE: G i Committee Committee Committe Member .4emder Memoer �/f i LAGUNA 1) E I _ A 1' / + 7 ARCHITECTURAL VARIANCE REQUEST Unit -d Date 4-9-95 Street Address 48-607 Paseo Tarazo La.Quinta, Ca. Local Phone 564=2549 Other Phone (310)839-2179 To the Architectural Committee: W,e, the undersigned owners, -request your appirov.a'l of the modifications proposed on the reverse side of this form. Attached are drawings of the work to be done; types of material to beused a.re indicated on the drawings. we understand that building permits for 'home improvements are required by the City of 10a Quinta and that the cost of the permits and responsibil..i.ty of obtaining permits itnd subsequent inspections will be borne by'us. we ackowledoe that all app'roved.cKanges 1n the original design will be a.t our expense; that any damage to or relocation .of existing sprinkler systems, underground utilities, building structure and exterior landscaping or other damage resulting from construction of these permitted Improvements will be at our expense; and that maintenance of the permitted. improvements.will be at our expense.- Signature. of all owners: * 1 Please przvide as much detail as possible so that the Committee may consider approval without.de'_ay! Build a 23'6" x 10' patio cover using 4x4 posts with (2) 2x6 plant ons, 4x10 beams, 2x6 -joists and 2x2 lattice. All wood to be rough sawn. Paint patio cover to match house. See attached plan for more detail. The above proposal has been reviewed by the Architectural Committee and las been: APPROVEO RE:ECTEOO PENDING FURTHER O INFORMATION Comments: _ —1 _ L I G— - Spy-►© F`Jl�1C AT ? �- �, .�. XLI o3�aS r ,r ,� e, CC,.rj dttE " C'H`ILI 3 �dNo lAxq So„ n lit _____ r�.,._.-. --.�s _^ - ._ f .--.._ _ ��_ .. � _._.. _.__.�— �°---�----'�•: w `gyp` v.__ __ .._ .. __���T+ .,� .. ... � . I+\ - •�% .gyp t�. �..._ ___. _..... _._.._.. � t S • s r i A/7.33 '