12773 (RPL)i
• P.O. BOX 1504 No. 12773
Building 78-590 Carnes Circle 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Valorani
Mailing
Address Sarre
City Zip Tel.
La Quanta, CA 92253
,on
tra�rotl t, Poo,S
BUILDING: TYPE CONST. OCC. GRP.:
P. Number
5082- 1Legal Description
Address Sox 31206
City Zip Tela
Palm Desert, 1 92250 345-5070
State Lia C 53 476807 Lic. # 130
& Classif. `"
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I 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.
_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,Business and Professions Code: Any city or county which requires a
permit to construct, alter, 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 bast
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).
❑ 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, 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 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 affirm 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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
1 certify that in the performance of thg 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
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shalt be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a 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
ateMailing Address
City, State, Zip
Project Description
Pooh.
ZONE: BY:
Minimum Setback Distances: )
Front Setback from Center Line
\A
Rear'Setback from Rear Prop. Line
Side Street'Setback from Center Line
Side Setback fr��m Prop���n�e�_`
FINAL DATE r �r1SPE-AOR
Issued by: Date' f'.r-r, -Permit I I
U
Validated by: 1994
—J 9
Validation:
Sq. Ft.
Size
No. N'o. Dw.
Stories Units
New ❑ Add.❑ Alter ❑ Repair ❑
Demolition ❑
F rear
yard setback approved
per
Setback
Adjustment 94-226
1
Estimated Valuation $10,000..00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
76.05
Const.
117.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
.S.M.I.
Grading
Driveway Enc.
Infrastructure
i
TOTAL
29.05
REMARKS
ZONE: BY:
Minimum Setback Distances: )
Front Setback from Center Line
\A
Rear'Setback from Rear Prop. Line
Side Street'Setback from Center Line
Side Setback fr��m Prop���n�e�_`
FINAL DATE r �r1SPE-AOR
Issued by: Date' f'.r-r, -Permit I I
U
Validated by: 1994
—J 9
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ FT ®
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM " FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOj(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FINISH GRADING
SQ.FT.GAR ® 3/ac
HOUSE SEWER
Im
FINAL INSPECTION
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
1,4
666
/
/ U
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
Im
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
a
4
78-495. CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619). 777-7101
January 31, 1994
Mr. Steve Fischer
F & F Pools
P.O. Box 11206
Palm Desert, CA 92255
Dear Mr. Fischer:
t
SETBACK ADJUSTMENT: 94-226
LOCATION: 78-590 CARNES
This letter is to report approval of your recent application for a setback adjustment,
pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations.
The following setback adjustment has been approved subject to conditions and in
accordance with attached Exhibit A.
SETBACK ADJUSTMENT:
Reduction of rear yard setback from 5 -feet to 3 -feet.
FOR: Swimming Pool.
CONDITIONS:
1.. Obtain a building permit from the Building Department.
2. The fencing requirements of the S -R Zone shall be met.
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 to the property, including such
factors as size, shape, topography, location or surroundings that justify
approval of the adjustment. These special circumstances are: small size of
yard.
3. This adjustment will not be detrimental to the health, safety, and general
welfare of the community or be detrimental to property in the vicinity of the .
parcel for which the adjustment is requested.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ��-J�
LTRGT.180 k
N
If you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING AND DEVELOPMENT DIRECTOR
GREG TROUSDELL
Associate Planner
GT : kaf
Attachment: Exhibit A
cc: Building & Safety Department..
LTRGT.180
Rea,' P. L .
U/ HE" f
SECTION THROUGH POOL
CASE N0.
GNED FOR MR/MRS W C K V a L 0 i A N i _ ADDRESS 2k' S 70 CG ✓' /V PS'. L O
Pool Size 14 'b :�x 3 D
Spa Size
Total Perimeter_
gs-
EXCAVATION
Concrete Removal s:
Trash Loads
Stump Removal
STEEL -
Deck Tike Yes No
PLUMBING
Gas Una_
Number of Returns.,,_
Number of Jett
AntlSyphon Va�
Fill Line Footage, h
Stub to Auto Cleaner Yes No
Type
Other
GUNITE
seats or Ledges
Deep End Walk Out Yes No
Raised Bond Beam sq ft
TILE
Type
Brick Work
Other
DECKS
Finish
Total sq ft -So n
Drains
blastic
Steps
POOL EUIP
Fllter C
Pump ✓ �"
Auto Cleaner
Heater
Jet Pura
Maintenance Kit
Diving Board
Slide
Additional ftemes
118' - 1 Foot.