12698 (RPL)P.O. BOX 1504
Building 78--749 Sagebrush 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Bob Grimes
Mailing 78-605 Sagebrush
Address
Cita Quinta, U Z'p92253 I
Tel.
Coln 2 teok/Builder
Address
State Lic.I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address
CityI Zip I State
#
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, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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).
❑ 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 p ovfng that he did not build or improve for the purpose of sale.)
as owner of the property, am exclusively contracting with licensed contractors to con-
stru t 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 contrac(ors) licensed pursuant to the Contractor's License Law.)
❑ Lam exempt under Sec. ~!B. & P.C. for this reason
.� 1 R
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 i1 the permit is for one hundred dollars ($100) valuation
or less.)
I 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 shall 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 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
ILDING: TYPE CONST
P. Number
No.
OCC. GRP.
„
Legal Description
Project Description Pool and Spa
5' rear yard setback adjustment approved
93-208
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$11,000.09
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
87.75
Const.
126.€30
Mech.
_
24.00
Electrical
45.00
Plumbing
27. 00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
309.75
REMARKS
ZONE: 1 • BY:
Minimum:Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line �~
Side Setback from Property Line
FINAL DATE INSPECTOR F1
Issued by: Date = f
1
Validated by: I
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
FOR. SO. FT. ®
GAS (ROUGH),4,O
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SQ. FT.
FINAL INSP.
WALL SO. FT. @
WATER SYSTEM
DRINKING FOUNTAIN.
SQ. FT. ®
=$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Va c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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 PLUM BIN04,1-Gjy
UNDERGROUN p e-�ClG
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),4,O
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
INSULATIONISOUND
FINISH GRADING
.FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
0
•
•
Fa .
poo l-
WALK A i
....
tASTEil"BA
;
iNLA S7TR;r
S'!I
1
S --r
Tq
P4
Z
m
. . . . . . . . . . . . .
............ ......
l
..
I .
•
•
Fa .
poo l-
WALK A i
....
tASTEil"BA
;
iNLA S7TR;r
S'!I
1
S --r
Tq
P4
Z
m
. . . . . . . . . . . . .
............ ......
l
..
I .
. . . . . . . . . . . . . . . . . .
l_
. . . . . . . . . . . . . . . . .
��
.
II
. BEDROOM Q2
!r A
C
. . . . . . .
it
!c.
C
;!#.�1C
L\
... . . . . .
11'
c
RESIDENCE', :,
:.
T
�CA
... .. . .
BATH n
...... .... ...
. . . .
.. Dih1C3
CC
3EDWOM k3
Q
C.
i�----
.
. .
. . . . . . ..
I y
!
•9
Bob Grimes job address' 78
'749,Sagebrus-h
Ave.
La
Quinta
LIST -'OF SUB CONTRACTORS.
Palm Springs, Gunite
Lic
# 4,60554
Buss
#
OK
WC'#
OK
A & F Grading
Lic
# 611320 .
, . Buss
#
110
WC
V
OK
Gary Cattuco, -Pl-umbing
Lic
- #. •`672850
Buss:..,
#
816. exp
WC
#
OK
Rummell Pool Construction ."Lic
#-460554_
Buss
#2054 exp
WC
#
OK
A Ram Concrete
Lzc
# 445758
Buss
,#
1.295
WC
#
0677579
T4ht 4 a "
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
September 29, 1993
Mr. Bob Grimes
78-605 Sagebrush Avenue
La Quinta, CA 92253
Dear Mr. Grimes:
SETBACK ADJUSTMENT: 93-208
LOCATION: 78-749 Sagebrush Avenue
APN:.617-381-025
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 `10=feet` to `5 -feet for the rear yard
FOR: Pool equipment'and'air conditioner compressor
CONDITIONS:
1. Obtain a building permit from the Building Department.
2. The mechanical equipment shall be screened by fencing as noted in Exhibit A.
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 the
lot and limited space for the mechanical equipment.
3. ' `' This adjustmentwill 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
• w.
.•
If you have any questions, please contact the undersigned.
Very truly yours,
J Y ER AN
P NNI G & DEVELOPMENT DIRECTOR
w
TROUSDELL
A SOCIATE PLANNER
GT: ccs
Attachment: Exhibit A
cc: Building & Safety Department
2