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14884 (RPL)1 Building 48-'230 Dasa Tiemp©. Lane T.-;. Desert Development mailing P.C. Bop 1715 Address City Zip Tel. La Quintae C 92253 Contractor Caiformia Pools & Spas AddrWis-910 BfScs%dCtTc'Rlk A-3 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 _ ..Palm Desert -'CA 92250 ----340-9000 State Lic.C53 65.6128 City 355 &Classif. Lic. # Arcn., tngr., _ Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION A 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 effect. F -Is SIGNATURE= DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13ushress and Professions Code: Any city or county which requires a. permit to construct, after, hnprove, 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 appy 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 andProfessions Code: The Contractor's License Law . does not apply to an owner of propertywhobuilds or improves thereon, and who contracts for such projects with a contractors) Pcensed 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`a`ffirrn 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.) Polio py Company is filed with the city, ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATIOW 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 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: If, after making this Certificate of Exemption you should become sub%aci 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, 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 No. 14884 BUILDING- TYPE CONST. OCC: GRP..- Number RP._ Number Legal Description Project Description' Pool and Spa - Rear yard setback; reduction to 311 approved _per SBA 95--238 Sq. Ft. - No. No. Dw. Size Stories Units. New ❑ Add ❑ Alter ❑ ' Repair O Demolition ❑ 3timated Valuation $12,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 87.75 Const. 135.00 Mech. 24.00 Electrical 45.00 Plumbing 27.00 S. M.I. Grading Driveway Enc. Infrastructure d ; TOTAL 318.75 tf REMARKS ZONE: BY: Minimum Setback Distances. Front Setback f o en Line Rear Setback-, RearLine Side Street/,m�cIk from to ine Side Setback fro rtf e Line n FINAL D1 Issued by Validated Validatiol CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. p POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM OTHER APPJEOUIP. 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 WATER SYSTEM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER FINAL INSP. ROOFING 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. 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 SIGNATURESIINITIALS GARDEN WALL FINAL ha w MEMORANDUM CASE r{S- _9R Locations) : _'�P 0150 -T( -,,Po Request (s) : -CL.. 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. rdinance: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: Thank you for r -cooperation.. Sinc ly, i Co WAt evelop ent Depar went Attachme s - c: Building and Safety Department. • i ' ' �:+ 1.; ��•• �' ]' i� SAY= .1--•' ' 7{j°r�,�- .� i7F'�. ��',:. •-� _rte. i . �- ''Ci 'p •'i.- ti � J ie , �•� � ,�. , ( r� �� rte,' �,' . � ' Q I . •c_ _ ��. -i',r -irk{ � Wi •� �.y: rbc ..... oo r � Ic ' � � r"� ', • .�°.];. ` �� ` �=�:`` '>'.:l : • ice., w N,.l t, .ter •� r � ,h r �'� <'. I==• } _•:^a '. •, Y n N t. .CASE NO: /112 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: �Awr::�)uhpr 1 rs AAZ C 5 DATE�S- CONTACT PERSON (IF DIFFERENT) PHONE 340-9600 MAILING ADDRESS:- /11WO 61,01s r- eA 9.2,;241 (Address) (City) (State) (Zip OWNER'S NAME: -(j PHONE MAILING.ADDRESS: ss) (.City) (State) (Zip STREET ADDRESS OF PROPERTY: gC2?0 P, , LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: REASON FOR REQUEST.: i� 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, topograpay, 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.01.3/CS r w0 rr `' ��'�iJ vital �7T= WTI� env Of MIT wMv —a — Omni VIN) 1r;i VVIIPI 6YVNO ;//*T� NIWA N,,rw') �I Urrq- r t, m } zt, 7 F� I.J foot 111 wT9 _ -T Ix�fil�� j v FAMILY ROOM I (MM L Evo I W== J Arch - Eng Suppiv Co. 357-9591 ' f --_M OF ' F W1 I'U p/kfi �A ' OF MtD t NMS Wt � L 64a Pa • I J1 1 LIVING ROOM D ;- KITCHEN 3 1 j t ,rt MASTER o BEDROOM ' +I =, t+' ' a I II II DINING ROOM WET BAR I I t O WARDROBE (j i i BEDROOM #2 $0 ENTRY t limp MASTERATH 1 HALL - 01 y� IN -,-N f,�i)�PRq Ft] BEDROOM #1 Tp LAUNf—Y j�l � ..✓/J � � H. R GARAGE El - OFA WDX) CITY -!IT BUILDING & !3A7, ANI.. * LL A PPL.IC.ABLE —C ----D- FS DAT_, SPECIFICATION �� �T Typey Size x Surface Area Pool Perimeter "$ ` Depths Min. _ Max S _ SPA SPECIFICATIONS ELEC RICAL Size =O x-7 �(�" Sq Ft.y+,� By-------'�«�-- Length Spa Dam Wall Width (,2" Time Clock t rt Sub Panel No of Jets No. of Lights in Pool 1- j-- Light --A-- I OC->— Booster Pump -- Outside G.F.I. Lights GFI Outlet Calif Aqua Air -Bar & Blower Extra Switch for Spa Light Blower Only —__ Blank Plugs Raised Spa P Spillways 1- rf�v.� _ ---Booster Motor —_ f' Special Notes 6a2jg e ef_ir _ F�,� ____ .. Blower --�+ Cleaner EXCAVATION Misc. Type— Access From __P1 P t­�t­l COPING & TILS Elevation Coping White Deep End Ramp Coping Speci 1' 1 Fence Removed By C- P, — Tile Typer`+'jl Fence Type _ Tile Trim �fi�" Mastic Trash Removal (� Loads 6" R.B B. W12" R.B.B. _' 18" R.B B. _' Concrete Removal ._ Loads Misc. Tree Removal By Stump Removal By Dirt Pad_ Ft,DECK``"-` — G By 'Y'=,�`� Up To ✓ Sq. Ft. 6" R.B.B.�.__ 12" R.B.B. =' 18" R.B.B. =• WalkouVMisc �-- Finish �r1$' �-hA'�� Color Rock Pack --- Expansion Joints e — Mastic — f'� Footing STEEL Steps Type Expansive Soil "�- _—_ Cantilever 6" R.B.B.6�L-& 12" R.B.B. — ' 18" R.B.B." _ Deck Drains - * _' Curb Core _ Surcharge -'"'" Deep End Ramp ""' Loveseat Inside ' Decco Drain Diving Board Jig _ Ike Outside _. - Patio Straps & Footing Spa Wall Widths Other = --No Slide Installation Wan Dowel/Misc, - MASONRY T -Bars �" Deck Dowels - --- Coping Type i'L._- --- -- - Planter Wall PLUMBING x -- -- --- Type Filter-----�}+t:R : t — Sizer — -- Capf Back Up Wall —_- Pool Pump L£ Y}. -_ Size �t�' _ Heater ► � ' '11 Footings R B B. Facing -- --__ _�—,__ Size _ . Firepit Type —Size Booster Pump Size —�" Equip. Wall Type x Skimmer Type Fencing Caretaker No of Heads Misc.Other Cleaner __ Stub Only ____ moi*'' r+„�l.;�tr+ ,.�s�`?+•('� Fill Line _ A+TSlide Line PLASTER P- Trap Back Wash to �" f� Lights Pool Spa f)00 Gas Line _ -_' Stubs ���' Fountains/ S ra heads,, _1� -- Rope Rings "" Eye4alis Required Color 4 Lights in Pool _A_ in Spa �� _-64'i.0Name Tile _ —. _ ... Hydrostatic Valve _: . Caretaker •--____ Aqua Air Bar __.. ---------- - StuJ Set Equipment _ ` SPECIAL EQU!PFAEN'T - Solar Run _. Diving Board Size - Sawcut __. _ Auger _ Model _ Color_ Misc _� q ilii h� v+. Slide __ —_ Size - GUNITE Model "' Color = — ------ Gunite Inspection Required Yes No Pool Cover Solar Heating Yes-, No - .�_._ -___ Rope Rings -- _ Grab Rails r_ �- y _- Misc. _..,—. B - __, Deep End Rpmp _�' __- j FENCING _ 6" R.B BY 12"RBB _-- 18' R.B B To Meet All Local Code Requirements By Buyer Prior to Loveseat ._ i�' ____ Extended 2nd Ste Step - Preplaster Inspection -- Notch Bond Beam %__ J OTHER Coping - Cantilever _2 ' Notched Spa Dam Wall _ I --- Spa Dam Wall Width 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. (31 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 t5) See that all fencing, gates, and garage doors meet local codes for a pool enclosure prior to preplaster inspection (6i 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 wntten permission of California Pools. Inc is prohibited by law Owner approves Plan, Pool, and Equipment Locations and has read the Responsibilities and NOTICES above Signed Date SWIMMING POOL PLAN FOR: NAME LOT 32 STREET JOB ADDRESS ✓�'-; �� r ., r - --- - l C_ T CITY --- - PHONE OFFICE RES LOT TRACT '_ 1i`+r_ PAGE BOOK MAP BOOK PAGE NO. MAIL ADDRESS - - - - - CITY - -- 1 - CONSTRUCTION OFFICE PHONE NO. --- - S___ -I - --- - --- - ------ '.-�------ T- ------ - ____ - --- 1 SCALE DATE DRAWN BY /tf}j SOLD BY �r� i CHECKED BY r�� C n"WO"all"I 17 CALIFORNIA CONTRACTOR'S LIC NO. 185102