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14886 (RPL)t ' 3G P.O. BOX 1504 No. 14$86 Building ! ` , 78-495 CALLE TAMPICO Address 48--S aSo Tiempo Late LA QUINTA, CALIFORNIA 92253 Owner . 'i'D" .Desert Development BUILDING: TYPE CONST.• OCC: GRP. Mailirig ' Address F. �?. Box17 �6 A.P. Number City Zip Tel. La Quinta, ri 92253 Legal Description Contractor Project Description Pool and Spa California Pools a Spa -s Rear yard setback reduction to 3 Add res=s_91fl €3oardalk A-°3 approved per SDAs. 95-300 CityZi16A 922.60 TeI..340-'r300J0- Palm Desert, State Lic. C53 656128 City 355 & Classif. Lic. # Sq. Ft. No. No. Dw. Arch.; Engr., Size • - Stories .Units � . Designer. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. T 3 City Zip State ' Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section P7000) of Division 3 of the Business and Professions Code, and my license is-in.full•force and effect. - SIGNATURE DATE OWNER -BUILDER DECLARATION a /� I hereby affirm that I am exempt from the ContractorEstimated Valuation s License Law for the following $1210.00.00 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 .PERMIT AMOUNT 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. thebasis - for the alleged exemption. Any violation of Section 7031.5 by -any applicant for a permit Plan Chk. Dep. subjects the applicant to a crvfl penalty of not more than rive hundred dollars (8500). Plan ChkBBI ❑ I, as owner of the property, or m . .87.75y employees.with wages as their sole compensation, will 7 6G do the work, and the structure is not.intended or offered for sale. (Sec. 7044, Buisness and Const.. 135.00 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, Mech.. provided that such improvements are not intended or offered for sale. If, however, the building 24.00 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical- 45.00of 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.I. such projects with a contractors) rrcensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Com tion Insurance, or a certified copy thereof. (Sec. 3800,. Labor Code.) Pol'cy N Company Copy is filed with the city, ❑ Certified copy is hereby furnished. TOTAL 3 10. 75 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE'. (This -section need not be completed N the permit is for one hundred dollars ($100) valuation or less.) - - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner _NOTICE TO APPLICANT. It, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Coimpensa8on provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked: Minimum Setback Distances: Front Setback from Center Line • Rear Setback from Re$ r .Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback/ Cent Line - SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO .ONE JJ HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback fro perty. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND. p ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE / INSPIAfi expiration it work thereunder is suspended for 180 days. /r' I certify that I have read this application and state Ahat the above information is correct. • . • Issued by: Da a mlit I agree to comply with all city and county ordinances and state laws relating to building - A construction, and hereby authorize representatives -of .this city to enter the above-. V mentioned property for inspection purposes. Validated by: 'g Signature of applicant -Date- Mailing ateMailing Address . Validation: City, State, Zip - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. GAR. SO. FT. ® CAR P. I SQ. FT. WALL SQ. FT.. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK A ROOF DRAINS DRAINAGE PIPING I 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.COOL HOOD SIGN WASHER(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,TEMIPERM 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 @ 1 Va c SEWAGE DISPOSAL SQ.FT.GAR ® 3/<c 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 71 CASE: CIS Location (s)�- i1 Request(s): 3 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 me_.. 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 interYt 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: SM Au_ \f-cAjry &-a Thank you for our cooperation. Sin ely, C MmInAt� ve opment Department. Attachments c: Building and Safety Department , ' c • -��- -.i-: s3 v sem: '� _.. ' JJCC'- - - L•:�:�> �11�`�_�.� ''• L,:yt" ;'. J" r}�.•�i`'�al�:f>a:�'� �, '„>J�. (i�:�(i..� •r' � 1 *t >T Vii_ Y �_ i•(•. � ' Lam'"3t .� q �'a•_ ��, �� �f� cl Ri Y R •� e• ;Al - ��000a� CASE NO: —a CITY OF LA QUINTA FEE,: $100.00 PLANNING & 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.PRINT OR TYPE APPLICANT/CONTRACTOR: L��OAMI 4 P /47Vb <1g DATE 3-_23 CONTACT PERSON ( IF DIFFERENT) PHONE .3'(Q -Q000 MAILING ADDRESS: yi!F/Q AgwwAw� A? o q2 -q? (Address) (City) (State) (Zip OWNER'S NAME: PHONE MAILING ADDRESS: PQ.Rae 17 (Address) (City.) (State) {Zip) STREET ADDRESS OF PROPERTY: 4140 P1�0 TIEi`JJ Lam' LEGAL DESCRIPTION OF PROPERTY: LOT,# TRACT*, ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: REASON FOR REQUEST: a JUSTIFICATION: No request for -a Setback Adjustment shall be granted unless it is determined that it is consistent with the intand 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 ft,�q��tWf�`� 1 Arch - Eng. Supply Co. 957-8691 I I i I r r -i-i DINING ROOM I I I �_1_u ET BA _ _ ,, _ HL t° ti HALLTic 101 ��Y CH. RM. ) .i LA NDRY >-H BEDROOM #2 i . •• tt ---r GARDEN BEDROOM Oaj� L4 at��w Cf tw1 CITY OF L UINTA BUILDING & 0AFT- T YE-PARTME-INIT AND ALL APPLICABLE CODES DAVE n SPECIFICATION Type (�uN ATE --- - - --- Size Surface Area Pool ----- Perimeter -_ OZ --- Depths Min. Max SPA SPFCIFICTIONS j x9 Byf Length -- Spa Dam Wall Width Time Clock -1�V,Pf-Sub Panel �F No. of Lights in Pool .... Light _��.__ Booster Pump .___ .... Outside G.F.I. Lights GFI Outlet"_'______ Calif. Aqua Air - Bar & Blower _.-__ Oaj� L4 at��w Cf tw1 CITY OF L UINTA BUILDING & 0AFT- T YE-PARTME-INIT AND ALL APPLICABLE CODES DAVE n SPECIFICATION Type (�uN ATE --- - - --- Size Surface Area Pool ----- Perimeter -_ OZ --- Depths Min. Max SPA SPFCIFICTIONS ELECT ICA Size xSq. Ft. __._----___-- Byf Length -- Spa Dam Wall Width Time Clock -1�V,Pf-Sub Panel No. of Jets .-__-_____.._- ___ No. of Lights in Pool .... Light _��.__ Booster Pump .___ .... Outside G.F.I. Lights GFI Outlet"_'______ Calif. Aqua Air - Bar & Blower _.-__ Extra Switch for Spa Light Blower Only __ _. _ _ _ t--_____ Ys Raised Spa ���,,,• Spillwa � " Blank Plugs aA Motor ,F-. Booster-_--__ - Special Notes Lk;.e e_ - ___ Blower -_ Cleaner Misc. EXCA ATION u -------- Type � _ Access From _--_- _-___-_._----.-_I COPING & TILE Elevation r Coping White Deep End Ramp �� _-__ ___ _-__ __- Coping Special Q r _La._ Fence Removed By _.r'i.r �tS._ ___ _____—_-; Tile Type_ - Fence Type _- i`� i Tile Trim i ?4 Mastic Trash Removal _. 4 _____--- Loads _ 6" R.B.B. _-_' 12" R.B.B ._--_ 18" R.B.B,!. -?, Concrete Removal -_` ____-___ Loads Misc. Tree Removal By ____ -y_-_-----------.--- ------------------ Stump Removal By Dirt Pad. ____.___ Ft 6" R. B B _' 12"RBB ____._ 18'RBB. r DECKING' n,�,# By _--j,�,,__ Up To Cc4 LD Sq. F -2� Walkout Misc Finish _-%�Gt�r Color (+ r"w'.4�t ` Rock Pack__ Expansion Joints PR - - Mastic '(i' Footing - - --- STEEL Steps ' Type-,-Pt-Pep'p Ex ansive Soil Cantilever �- 6" R.B B _-_' 12" R B.B 18" R B.B. Deck Drains �(1-' Curb Core Surcharge .__ �' Deep End Ramp Decco Drain Diving Board Jig Loveseat Inside G Outside '` ' - Patio Straps & Footing _ _______ No Spa Wall Width IT Other �___ Slide Installation Wall Dowel; Misc. _ �"-------.- MASONRY T -Bars _ _ Deck Dowels (� Coping Type __kwr Planter Wall PLUMBING Type x Filter Sizes __ Cap Back Up Wall Pool Pump � ;_ Size � ' _ Footings - R.B.B. Facing f, Heater -__�h' �i�%?�._- SizeFirepit Type 41111111111" Size Booster Pump - '- - - Size '" -- ------ Equip. Wall Type Ki.y lt_ �)A%i Skimmer Type _-�_____ _-- _ Fencing Caretaker ____ --___ No. of Heads _ Misc. i __.`_r.► «t,.r -- Other Cleaner Stub Only - Fill Line Slide Slide Line fi. P -Trap Back Wash to Lights Pool 7 Itr '*��`� Spa I w1{ Gas Line Stubs ___-___ Rope Rings - Eyeballs Required Fountains/Sprayheads+,� -------- Color Name Tile Lights in Poolt 0 1-' ' in Spa I _� Caretaker --- Aqua Air Bar Hydrostatic Valve-_ h_ Stub Set Equipment_-.__-" - SPECIAL EQUIPMENT Solar Run _ _._._ _-_ ____._ Diving Board_^ Size Sawcut Auger "" Model - _ Color Misc. Slide ...^ Size Model �' Color -- GUNITE Pool Cover - Solar Heating Yes _ No - Gunite Inspection Required Yes No _ Misc. __ By Rope Rings ^`- Grab Rails Deep End Ramp--•�,_._ FENCING 6" R.B.B _-' 12" R B. B. _' 18" R.B.B.Sii' To Meet All Local Code Requirements By Buyer Prior to Loveseat e"'. Extended 2nd Step _ Preplaster Inspection Notch B Id Beam Coping >p1 Cantilevers_ OTHER Notched Spa Dam Wall - Spa Dam Wall Width t1 OWNER RESPONSIBILITIES Owner To: (1) Determine the approximate elevation of pool or spa at layout on Day of Excavation. (2) Take notice that Pool and Equipment location is subject to acceptance of local Building Depart- ment at time of issuance of permit. (3) Wet down concrete shell at least twice daily for seven (7) days after day shell is installed (4) Take Notice that California Pools IS NOT RESPONSIBLE for: Underground conditions or objects, and any Damage to curbs, sidewalks, driveways, lawns, or other items in access area. (5) See that all fencing, gates, and garage doors meet local codes for a pool enclosure prior to preplaster inspection. (6) Fill pool immediately after plastar. (Follow Instructions, Do not use Rubber Hose) (7) Take Notice that this drawing is the sole property of California Pools and any use without written permission of California Pools, Inc. is prohibited by law. y Owner approves Plan, Pool, and Equipment Locations and has read the Responsibilities and NOTICES above. Signed Date R.L.Q. SWIMMING POOL PLAN FOR: R NAME . L. Q . LOT 34 STREET JOB ADDRESS_CITY _ PHONE OFFICE RES LOT TRACT PAGE - BOOK -_ MAP BOOK PAGE NO._ _ MAIL ADDRESS CITY CONSTRUCTION OFFICE PHONE NO. SCAL�DATE DRAWN BY 11+J�{ SOLD BYCKED BY ^AT = t1 r SPAS IXO 1000 a.- I—so 11 CALIFORNIA CONTRACTOR'S LIC NO. 185102