04425 (RPL)4
P.O. BOX 1504
BuildinALLE
Address Saguaro LA QUINOTACCAL FORNpIA 92253
Linda Karol Kir}
Mailing
Address P. , 0. -rmx 574
City Zip Tel.
La Ouinta 922.53 . ,
Contractor
Owner/Builder
Address
City lZip
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 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 thathe 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 (8500).
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.)
O 1, 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
Dale -'` / .fOwner :i'�':.;.1�..,-.•�,,1w. i�:Vr'%,•,.
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
O Copy is filed with the city. O 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.)
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, alter 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 beldeemed revoked.
4,
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
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 617-383-008
Legal Description
Project Description Pool Spa
0,4 .�;rf
Sq. Ft. No. No Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
(F
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. *50
Mech.
Electrical
Plumbing
S.M.I. ASO
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
���'s�a{`3.2�� 4�'�t�x�F'�.`?� `•i'� gSt2 �'3. � t',l ��
ZONE: 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
Issued by: Date 89/$8 Permit
Validated by:
Validation:
WHITE - FINANCE, PINK t. APPLICANT, GREEN BUILDING, GOLDENROD -ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1S7 FL SO F1 (a $
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING -
MOBILEHOME SVC.
BAR SINK
POR SO FT. at
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. Or
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. C
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
D
WALL SO. Ff. (a
=$
LUMBER GR. -
FINAL INSP.
FRAMING
URINAL
SO. FT. g
19GA
s/b �Z6
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
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(AUTONDISHI
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR -
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
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.
SO. FT. ® c
BATH TUB
FINISH GRADING
SO. FT. c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID g 1'A c
SEWAGE DISPOSAL
SO.FT.GAR (g tic
HOUSE SEWER
GAS PIPING
PERMIT FEE
INSPECTOR'S SIGNATURESlINITIALS
PERMIT FEE
PERMIT FEE
DBL
T07AL FEES
MICRO FEE
MECH.FEE PL.CK.GEE
ELECT. FEE
=
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACKPLUMBINGZ
1), e--
f� !/
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 APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
b plus xE
=$
LUMBER GR. -
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
19GA
s/b �Z6
�T/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR -
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
'
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
4
78-105 CALLE ESTADO -LA QUINTA, CALIFORNIA 922531- (619) 5642246
October 30, 1'990
Karen Kirk
PO Box 574Setback Adj-us-tment—#90- 032
La Quinta, CA 92253L-ocation:—Cove
APN:78-58'57Saguaro �1
6617 3-83=008
Legal: Lot 108
Dear Ms. Kirk:
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: Swimming pool equipment on rear
and side property boundary.
FOR: Swimming pool equipment.
CONDITIONS: 1. The.pool equipment.shall be enclosed in
a masonry block noise -attenuating enclosure.
2. The equipment shall be located in the rear
corner of the yard no more than 10 -feet away
from the rear.property
boundary.
3. The Applicant shall comply with the
requirements of GTE, letter attached.
After review and the attachment of, conditions `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: this is a small lot with ,limited
rear yard space.
MAILING ADDRESS - P.O. BOX 1504 - LA_(?UINTA, CALIFORNIA 92253
LTRGL.111/CS 1
3. This.,adjustment will ,not_ be; detrimental to the -
health, safety,'and general welfare, -of the community
or be- detrimental toproperty in the vicinity of
the parcel for which.the adjustment is requested.
Should you have any questions_, please -contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR.
Mk
Glenda M..Lainis
Assistant ,Planner
GML:ccs
Attachment: Exhibit A
Letter from GTE
cc: Building & Safety°Department
n
LTRGL.111/CS -2'-
N/A r a N 0 t S�� 0 W ek q
/ 1� Q lack 5Tv c c o (,✓gll
7� i S 5%deo
lePRAle-
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ANd.WAI� �,ot�4fiO.N.� i L pE�S S��t/e
)oe ST4Cco wAlk
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EXHIBIT
_CASE NO. a :Q3Q
APPROVED BY PLANNING DIVISION
81 . DATE�o�.�o �o
GTE California
Incorporated
1500 ,.Crafton°,Avenue - Box 1-18
Ment6ne, CA,92369
In•Reply Refer To
October 26, 1990 Desert Club Manor
Tr.. No. 1 M&•22/53
Lot ,108, APN,.617-383-008
Ms. Glenda Lainis
City of La Quinta
Planning Department
P.O. Box 1504 OCT 2'
La Quints, CA 92253 MY OF LAU�
Dear Ms. Lainis : PLANNING & D F NTA
�PMFNT DfPI.
SUBJECT: ENMACfMENTP WITHIN 5.00 FOOT: -PUBLIC UTILITy
EASEMENT AS .PROVIDED By DESERP` CLUB MANOR, TRACT- NO. i, MB 22/53
Our company has no objection to the placement of the pool equipment and the
accompanying block wall, within the Southwest corner'of Lot 108'.`We realize that
this is within the area of;sthe 5.00 foot.PUE, `along the'Southerly line of the
parcel.
We request that- the footings for Cement block. walls,' and other- permanent
structures within the- easemP,n_t.area, not extend -lower than 30 inches, as we
have facilities in this area.
Should you have any questions regarding this matter, 'please call. me in Menton,
Area Code 714 at,794-8220.
Very ly yours
act
PA MILLER
Right of Way Agent