9907-167 (GRES)LICENSED CONTRACTOR DECLARATION i
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force anis effect. '
License # Lic. Class Exp. Date
eilii:i9+ Ci0 8 02/29120i
De Signature of Contractor /// . =" 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation', as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
'( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
idsii�•CM,'.�'�i L1f;� x i�;�, 1� i�}°a�.s�3;� i `
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of t 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 Calif d! �; and agree that if I should become
subject to the workers' compensatio" rovisions of Section 3700 of the Labor
Code, I hall ort 7th comply with t O e�p�visions.---
If
//Daie: `" % Applicant
/Warning:. Failure to secure Worrs' Compensation coverage is unlawful and
shall subject an employer to crim nal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if'
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this applic tion and state that the above information'is
correct. I agree to comply with �I`City, and State laws relating to the building
construction, and hereby autho I representatives of this City to enter upon
the above mentioned propert f r inspection purposes.
/i6nature '(Owner/Agent)ate
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 9,W)7-167 TRACT
JOB SITE APN
ADDRESS 51-525 AVE JUAREZ —
OWNER CONTRACTOR / DESIGNER / ENGINEER
RICK E MOitWS
.
I USE OF PERMIT
14
(,AR.AGE OR CARPORT
!4330 u1. GARAGEADDITION
A & M CONSTRU0110N
78-070 CAL.LE CADIZ
LA QU3.N` A CA. 92253
(760)564-4R {2 C.B1,10 626
Z 330A 0 S
;fit i}3.".['CiTAL C C1.W,;UJJKVCTION AND PLAN CHECK $ 72?.20
.ESS PRE-PAMFEES $0.00
"i'<1 AL I<'Mt19t9T`$f'F," 0�7�N.1' NOW $727.20
f ,
RECEIPT= x DATE BY DAcT i MOD
INSPECTOR
(f _ -
Oa0.AAs'UiL�D CONT (DWCJnYLTCY.101"I
.
AylgAfFESFyNIkRY
PLAN C'ffF�'K1•a
52,52.53
;
ELEC 'RR"'A. FIX
101400-420-000
$61.60
^ r
-
ffll )NO MOTION FM
M RESM 101.OW241-000
$4.5+7
1GRAr`y:ilVG FEE
:101-M-14234)00
$20100
t..
+�
O�`
;fit i}3.".['CiTAL C C1.W,;UJJKVCTION AND PLAN CHECK $ 72?.20
.ESS PRE-PAMFEES $0.00
"i'<1 AL I<'Mt19t9T`$f'F," 0�7�N.1' NOW $727.20
f ,
RECEIPT= x DATE BY DAcT i MOD
INSPECTOR
(f _ -
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck q -,go - rj 7
Exhaust Fans
O.K to Wrap57-
•y
F.A.U.
Framing /5llCompressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWAI I A ROVALS
Steel
POOLS - SPAS
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approial to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
TGA, �E 7S F�1�'°`/
�' �/�Q�f 1; • S7
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
June 23, 1999 AV v
. . . . . . . . . .
Mr. Rick Morris
Subject: Minor Adjustment 99-472
Dear Mr. Morris:
M
(760) 777-7000
(TDD) (760) 777-1227
The Community Development Department has reviewed your request to allow a one
foot adjustment in the rear setback from ten feet to nine feet for a 35 foot portion of
the setback (Attachment) per Section 9.210.040 (Minor Adjustments) of the Zoning
Ordinance to allow conversion of a two car garage to a five vehicle garage. We find
that we can approve the request provided a building permit is obtained from the
Building & Safety Department. Otherwise, this approval shall expire and be of no use
unless extended by this Department.
After review it was determined that:
1. No impact to the City's General Plan will occur with this adjustment request
because the Land Use Element designates the site for residential purposes.
This minor adjustment is consistent with the intent and purpose of the Zoning
Code because two parking spaces are provided, the minimum required for your
single family house.
2. The project is exempt from the provisions of the California Environmental
Quality Act (CEQA) under Section 15303(e) which allows the conversion of
small accessory structures for parking purposes.
3. There are special circumstances applicable to the property, including factors
such as size, shape, location or surroundings that justify approval of the
adjustment. The special circumstance is the existing garage placement.
Converting the garage to a five vehicle garage limits the amount of turning
movement to access the south facing new garage entrance because of the
MA 99-472
No,
ra
placement and size of the existing garage. With the maximum allowable side
yard setback, the maximum allowable the building setback, and the minimum
turning movement radius needed to gain access to the this potion of the garage
a one foot adjustment to the backyard setback is required.
4. This minor adjustment will not be detrimental to the health, safety, and general
welfare of this area of the City because
Please feel free to contact meat 760-777-7065, should you have any questions.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
3"� F
Fred Baker, AICP
Principal Planner
Enc.
c: Community Development Director
Building and Safety Manager
Greg Butler, Counter Technician
MA 99-472