14885 (RPL)%GI�If1,IGV
i
44Q
P.O. BOX 1504
Building q l= 78-495 CALLE TAMPICO
Address 48-210 Paso Tiempo ane LA QUINTA, CALIFORNIA 92253
Owner
ii.D. Desert- Development
Mailing
Address P.O. Bok 1716
. City ip Tel. '
La .Quinta.,. CK 92253
Contractor
CAlif6rnia ao1 , & Spas
AddWSS Boardwalk A-3
City
Palm Desert r zi A 3226€1 Tel -340-9000
No. .14885.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Pool nd "spa
tear yard setback reduction to 3
per SBA, , 95.299
State Lic.C53 S5I2�
& Classif.
city 3S5
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories- Units
Arch., Engr.; ' ,
Designer
New ❑ Add ❑
Alter ❑ - Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
-Lic. #
LICENSED CONTRACTOR'S DECLARATION
Q 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 fulbforce,and,
ffect+
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I 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, atter, 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 five hundred dollars ($500).
O 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 sale. (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.)
❑ 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 contractor(s) licensed pursuant to the Contractor's License Law.)
O.1 am exempt under Sec B. & P.C. for this reason
Estimated Valuation
-
�, �jU� a 00
PERMIT
-
-AMOUNT
Plan Chk.,Dep.
-
-
Plan Chk. Bal.
87.75
COrISt.��
��
Mech.
- 24.00
Electrical
' ¢, ��
Plumbing
27.00
S.M.I.
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION '
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'_sttompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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. ff, 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 a building permit when properly filled out, sighed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certifythat 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
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Re Prop..Line
Side Street Setbac &enter Line
Side Setback froIrr erty. L e
FINAL DATE NSPf�_CTORa
Issued by: D� /`4J Permit
Validated by: 7
Validation: `�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING. FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. 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
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.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL - FLOOR SUSPENDED
OTHER APPJEOUIP.
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
i
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. 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
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
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
i
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 SIONATURESJINITIALS
•
GARDEN WALL FINAL
Titv/ 09WO
MEMORANDUM
SB Pr
CASE: Location(s' :
Request (s) : (?e'P x_40 -'A %PcsS 40
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 =o the property,
including such factors as size, shape, topography, location or
surroundings that justify approval of the adjustment. These
circumstances are: �-
Thank you fo our cooperation.
Sincely,
Commun este opment Department
Attachments
c: Building and Safety Department
CASE NO: -
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 . - i
• PLEASE PRINT.OR TYPE
APPLICANT/CONTRACTOR: DATE 3�
CONTACT PERSON (IF DIFFERENT) PHONE
MAILING ADDRESS: �l�9�D //9t.K Iii
(Address) (City) (State) .(Zip)
OWNER'S NAME: k iqv PHONE
MAILING ADDRESS:'
(Address)
(City) (State) (Zip
STREET ADDRESS OF
PROPERTY:
old
G ///YRj
LEGAL DESCRIPTION
OF PROPERTY:
LOT #
- 33 TRACT
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:
REASON FOR REQUEST:
By
JUSTIFICATION: No request for a Setback Adjustment sha1v 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 adjustment is'requested.
**************************************************************************
FORM.013/CS
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%., SPECIFICATION�I r ° •
Type "rfA.J ---
Size -_Z_ �� x
�
Surface Area Pool AM
Perimeter _IV_ _
Depths Min. _ Max
SPA SPECIFICATIONS
ELECTBICAL
Size �_- x __),j_Sq Ft. "_ ---_.�
By _Pt-te��Length ���
Spa Dam Wall Width 61 _
Time Clock _kNPP.yAt --Sub Pan ' _-__-
No. of Jets q
eI t
No of Lights in Pool __ �_ ___-�_L•n'-____._
Light � Booster Pump -_
Outside G F I Lights _ GFI Outlet *4
Calif Aqua Air -Bar & Blower ._
Extra Switch for Spa Light - ------ --- -----
Blower Only - ~ —_
Raised Spillways
Blank Plugs
Motor !!if_.
Spa /�_
Special Notes 1� ��*S! -
- Booster
Blower 00.
_ __ Cleaner -
EXCAVA�IO_ N
Misc -------
___Type
Type
Access From - t\c_
COPING & TIL
Elevation _--_•• I
Coping White_
Deep End Ramp
Coping Special
Fence Removed By t' y�
Tile Type
Fence Type 5T' _ t'1 1rfF
Tile Trim a•t''i V Mastic
Trash Removal Loads
6" R B.Brf_1C1_' 12" R.B B -_ 18" RBB
Concrete Removal " -_----_--_ Loads
Misc -
------___--
Tree Removal B
----_-_- --- __-
Stump Removal By - - - --- --I
- - - ----- - - - ------ --------
- - -Dirt
DirtPad _---' _— Ft
DECKING �g
6" R.B.B 12' R.B.B 18' R B B
•,� --- --
n,. �-+ i
By-_L.:z'L1�- Up TO ---�=- Sq F
Walkout Misc - --------- --
w
Finish ++'.. _Color
Rock Pack---------- ------- ---__,r�`.r•_._
-
Expansion Joints -
--------- - -----�
Mastic J41i[i� Footing
STEEL
Steps ,i' Type Snh� f"'3_
Expansive Soil --___- i
Cantilever
6" R.B.Bi� ' 12" R.B B 18" R.B B. __.' ''i
Deck Drains -�' Curb Core
Surcharge 1 Deep End Ramp _
Decco Drain Diving Board Jig
Loveseat Inside Outside __- '
Patio Straps & Footing _- No
- - -� - --
Spa Wall Width -__- Other - _-
Slide Installation --______
Wall Dowel/Misc.
..
MASONRY
T -Bars -- Deck Dowels
-
Coping Type At?
--------
Planter Wall
PLUMBING
Type _ x
Filter P�th Size 4'
Cap Back Up Wall
Pool Pump+> Size _•? lu.
Footings - R.B.B Facing -
Heater _- _ � _ �Size Z=.f
Firepit Type ._ _Size _ _
Booster Pump -_ _�• Size _
Equip. Wall Type
_I
Skimmer Type �?' +Lr
Fencing _ - ----- ----
Caretaker ... No of Heads
Misc
Other Cleaner �" _ Stub Only " - -
RAiV' it -
Fill Line IU Slide Line '""
PLASTER
P -Trap _ ^^ Back Wash to
.�
Lights Pool ._ Spa
Gas Line " Stubs
Fountains Sprayheads ._. n-,4 . �,°P �� T
" "
Rope Rings Eyeballs Required
___
Color Name Tile
\
Lights in Pool in Spa
, .
-A! _ -
Caretaker _= Aqua A:r Bar
Hydrostatic Valve__. _
st, h '�Pt Fc;iii°ment -`
SPE "'IAL EQUIPMENT
ar i~.,
Sawcut --__- . . - Au er
Model Color
Misc
Slide ---- S1Ze --- --
GUNITE
Model -- Color
___
Pool Cover Solar Heating Yes _ _ No
Gunite Inspection Required Yes No -
Misc - B
Rope Rings Grab Rails
Deep End Ramp _,-____________
FENCING
6" R.B.B. 12" R.B B _' 18" R B B
To Meet All Local Code Requirements By Buyer Prior to
Loveseat -4 - Extended 2nd Step
Preplaster Inspection
Notch Bond Beam �'
Coping f_tv Cantilever
OTHER Z
--- - y���!%"
+ -
Notched Spa Dam Wall
Spa Dam Wall Widtht -
- -- - ---- ------ -- -
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.
wrier approves Plan, Pool, and Equipment Locations and
has read the Responsibilities and NOTICES above
Signed
Date
SWIMMING POOL PLAN FOR:
\ME R.L.Q. LOT 33
REET
B ADDRESS t.i•> CITY ii 00 0'*-r�
PHONE OFFICE -1 -1 RES
LOT TRACT PAGE BOOK
MAP BOOK PAGE NO.
MAIL ADDRESS _ CITY
CONSTRUCTION OFFICE PHONE NO.
SCALGAT DRAWN BY�11�1!/1 1 I SOLD BY q-{- CHECKED BY
1fe- =
CAMFU N"IA FUIPBS &A SPAS
CALIFORNIA CONTRACTOR'S LIC NO. 185102