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08751 (PAT): o 3 9�64) P.O. BOX 1504 N o . 08T51 7&1 Building / 05 CALLE ESTADO Address A3-9§0 Orion S+ ay • LA QUINTA, CALIFORNIA 92253 St ri i rr t- 4'Ss1s 9b V_ ` Mailing Address P.O. -Box 329 City Zip Tel. La ciui ita 921253. 564--2228 -- Contractor BUILDING: TYPE CONST.', OCC: GRP. A.P. Number Legal Description Project Description PATIO COVER P.O. Box 329 City Zip Tel. La Quinta 92253 564--2228 State Lia City & Classif.3��L� . Lic. #� Sq. Ft. Size 240 No. No. Dw. Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition O• Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm -gat I am licen4clInder provisions of Chapter 9 (commencing with Section 7000) of Divisloonti3 of the Busines and Professions Code, and my license is in full force and effect. U, 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 me 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). 0, 1, as owner. of the property, or my employees with wages as their sole compensation, will Estimated Valuation ' PERMIT - AMOUNT ' Plan Chk.. Dep. Plan Chk:.'Bal. Const. - �} 35olo 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 M@CFI. 54.00 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 . Electrical 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.) Plumbing ❑ 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 S.M.I. .21 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. 8 P.C. for this reason 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'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.' TOTAL 89.31 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS _ _ (This section need not be. completed if the permit is for one hundred dollars ($100) valuation or less.)R! 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. __ Y d r3,� 1t 1A rk*-. i-InAi q9 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. ZONE: BY: ' Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name FINAL DATE ; INSPECTOR 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. Issued by: Validated by: Date Permit Signature of applicant Date - Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NC: ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® FOR. SQ. FT. ® GAR. SO. FT. ® CAR P. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FRAMING FINAL INSP. 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 ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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' ( V w Po REMARKS: VENTILATIONFIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 14. FSF�, 7&105 CALLE ESTADO - LA QUINT A, CALIFORNIA 92253 - (619) 564-2246 OF ' October 29, 1990 Starlight Dunes PO Box 329, Setback Adjustment 0'90-030 La Quinta, CA 92253 Location: Starlight Dunes E40-900 Orio W y Legal: Lot 34, Tr 2377-3 Dear Sir: 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 APPROVED: 9 -feet 5 -inches from rear property boundary FOR: Rear yard patio.cover 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 lot has°a small rear yard. A 6" reduction in the rear setback of 10 -feet for a patio is a small amount and should'havB no affect on the quality of life of surrounding neighbors. LTRGL.10M&ING ADDRESS - P.O. BOX 1504. LA QUINTA, CALIFORNIA. 92253 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,tre parcel for which the adjustment is requested. Should you have any questions, please contact the undersigned. Very truly yours, JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR Glenda M. Lainis Assistant Planner GML:ccs Attachment: Exhibit A cc.:Buiadng-&-ySafety Department LTRGL.108/CS -2- MA 77-1_do . Co 1 1