09235 (SFD) Contractor Change' Building
Address 53-650 Juarez
Owner
William P. P.itzgeri
Mailing
Address 299 San RE= I
City Zip
PRIM De -sect 9221
Contractor
73 _ R+yt �-� c? :?�►tsFr 1 ea,n�n+�
Address
Tel.
Tela
State Lic. City
& Classif. 997564 16 Lic. #
Arch., Engr., '
Designer Patrick Fitzgerald
Address I Tel.
P.O. BOX 1504 NO. U W ,2;, b
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 774-111-009
Legal Description
Project Description q. BP. 7.
28165 Front St #212 226-5816
City Zip State
TP,Tq(.%.t-mlI Lic. #
yy LICENSED CONTRACTOR'S DECLARATION
7000)rofD vision 3 of rm that I am,licensed under lie Business and Piofessioos#C6deh antd my license is in full fowith rection
ce and
effect. 11 Y�li
SIGNATURE r r,"' .C� i T.% /il•.•�// - 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 fL
-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).
O'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.)
O 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 or 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
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
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: 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
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.)
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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Sq. Ft.
Size 1962
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Miall included in permit - Pool
not
included in
permit - Retaining
wall
oermit to be
nulled aebarately
Validation:
Estimated Valuation
107„ 665.6a
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
227.27
Const.
667.50
Mech.
62.00
Electrical
140,17
Plumbing
66 A{#
S.M.I.
6
Grading
Driveway Enc.
20.00
Infrastructure
23fl9. 989
Y3" ' n Vnbl i
25.111111
TOTAL
3997.49
3647-49
REMARKS
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO., r.,` PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA i
2ND FL. SQ. FT.
`ROUGH PLUMB.
mcc
YARD SPKLR SYSTEM
POR. SO. FT.®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING i
WALL SO. FT. ®'
GAS (ROUGH)
DRINKING FOUNTAIN.
SO. FT.
HEATING (FINAL)
URINAL '
ESTIMATED CONSTRUCTION VALUATION $ •
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN., ;
— MECHANICAL FEES.
WATER HEATER
WATER SOFTENER '
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH) • _
APPLIANCE DRYER
-
GARBAGE DISPOSAL
FURNACE UNIT WALL = FLOOR SUSPENDED,.
GRADING
Cu. yd.
plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP. �� ��
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
I
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SPARK ARRESTOR
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING t'
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
Y
r
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
* SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING &'AIR COND. SOLAR'
SETBACK L s/Ilk
GROUND PLUMB] N3 /
UNDERGROUND
A.C. UNIT:
COLL. AREA i
SLAB GRADE Z 9
`ROUGH PLUMB.
mcc
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS •
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
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 �. 9/
<
FINAL IN 1112_ 9/ r
ROOFING/% /� /
//IAe // '0—
�// / /*
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ¢ /
MESH
INSULATION/SOUNjD— -
FINISH GRADING
FINAL INSPECTIO
CERT. OCC.
K ,.
FENCE FINAL
{
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
a
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
March 25, 1991
Mr. Pat Fitzgerald Subject:
78-365 Highway 111, #185 Setback Adjustment: 91-042
La Quinta, CA 92253 Location: Cove
31- 60 .Juarez
APN: 774-111-008
Legal: Lot 17 Bkl 192
Dear Mr. Fitzgerald:
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:..
Front setback from 20' to 181.
FOR:
Dwelling Unit
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
circumstance is: this is a small lot.
MAILING ADDRESS - P.O. BOX 1504
LTRGL.164/CS
LA QUINTA, CALIFO%g 25Y '
f`p
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.
If you have any questions, please contact the undersigned.
Very truly yours,.
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
q "Je-U-Ak S
Glenda M. Lainis
Assistant Planner
GML:ccs
cc: Building & Safety Department
William Fitzgerald; Property Owner
LTRGL.164/CS -2-
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 2/22191 1 Type of Permit I La uinta
No. 110435 Permit #
Owner Name William F. Fitzgerald Log #
No. 53660 street Juarez Avenue
city La Quinta zip 92253 Study Area 111
APN # 774-111-008 1 Tract # I ILot # Square Footage 11962
Type of Development IrRingle Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X 11.962 or $ 3,099.96 have been paid to D.&U S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By P. Burke Development, Inc. Telephone 2265816
Name on the check
Ln
Richard M. Beck
Director, Facilities Planning & Development
Fee collected /exempted by Shelley D. Bennett
Signature
Collector. Attach a copy of county or city plan check application form to distriit'oopy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
1
.
1
Pay ent;f}&e.cei-ved
r
w
�'�' cre-k N 1902
Collector. Attach a copy of county or city plan check application form to distriit'oopy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
OFFICE OF
AGRICULTURAL COMMISSIONER
AND
WEIGI ITS &MEASURES CALVIN C. KAMIIJSKAS
4080 LEMON SIREEI. ROOM 19
ASO'.100 co°v°1ssi
JAMES O. WALLACE CLEMEMI NT BENVENISNISIE
Apdcullwot Commlfllonnf RIVERSIDE. CALIFORNIA 92501. sealef
DUector of we101119 Q Meatus 01 (714) 787.2561
83-612 Ave..45, Suite 7
'Indio', CA 92201
( 619) 342-8291
DA'Z'E Z - L CASE NO. / 1
2— .,"n r c e,nntta
Ur vrjLNrr i% v .....�. -
ADDrzEss: a� (vg��Z J - V-)
11ELEPHONE: (619
Dear Developers
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ fran plant material listed, this office nfust be notified
inn ediately.
111ank you for protecting and preserving the Coachella Valley's pest -free ellvirofuftellt.
Agr cult 1 Conmissioner's Offic
ccl Indio and Riverside Office
I