9433 (RPL)Building
Address 5i -700 JUAREZ
ner
PEDRO ROJAS
mailing
Address 53-700 JUAREZ
City Zip
LA QUINTAtCAII
92253
•44 _**tVUJ
P.O. BOX 1504 No. 9433
7&105 CALL ESTADO
LA QUINTA, CALIFORNIA 92253 POOL ARID
h
191 SPA
UILDING: TYPE CONST. OCC: GRP.
Tel.
CityZip Tel.:
PALM DESERT 92260 346-0724
State Lic. City
& Classif.450 392 Lic. #
Arch., Engr.,
Designer ... 'HACKER
Address Tel.
SUNNY DUKES 327-4565
city i Zip State
PALM .SPRINGS 92262 Lic. # REC 14614
t LICENSED CONTRACTOR'S DECLARATION
I heieby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
_7of Division 3 of the Business and Professions Code, and my license is in full force and
'� effect.
SIGNATURE DATE
� OWNEWBUILDER DECLARATION -
ti1i 1 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 the,
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 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). -
p 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.)
❑ 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 C,ompens tion Insurance, or a certifi p ereQf�(�ec. 3800; Labor Code.)
Policy NIZ 4 93 J Company LfV U •
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for o e hundred�ld
or less.) Fit.ollars ($100) valuation
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 s to become -subject to:tfie Workers' Co neon'
Laws of California. Via. '✓/a �i y
Date 1- / ' trOwner �—, i ./r i?st
NOTICE- TO APPLICANT: If, after making this./CeSli%ate dffExempton 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-��--Y %` Date
Mailing Address
City, State, Zip Y/..il '?f t-••.L.,rte ry L d./ y
A.P. Number
Legal Description
Project Description POOL AND -SPA
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$10,000.00
PERMIT.
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$76.05
Const.
117.00
Mech.
34.00
Electrical
45.00
Plumbing
27.00
S.M.I.
170
Grading
Driveway Enc.
Infrastructure
TOTAL
$289 .
5 '.
REMARKS
�.�u.�aA�!'.4a"'i'�'RT�y' ?;`�y •''���.,7¢a fit
L 1 .r
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. PLWBING FEEV
IST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
&
j
f viCc,P ` L rte% Ict G�
SQ.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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
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
FINAL INSP.
ROOFINGREMARKS:
&
j
f viCc,P ` L rte% Ict G�
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESRNITIALS
GARDEN WALL FINAL
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
April 10, 1991
Mr. Larry Scott
Champion Pools
73-750 Alessandro
Palm Desert, CA 92260
Dear Mr. Scott:
Subject:
Setback Adjustment: 91-052
Location: Cove
53-700 Juarez
Legal: Lot 15 Blk 199
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:
FOR:
Front yard 5 foot setback reduced to 3 feet.
Pool
CONDITIONS•
1. Comply with Municipal Code Fencing requirements for
Pools.
2. Ensure pool is reinforced to building code
requirements.
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: this is a small lot.
PiECEJVJ�' L'
APR 1 �- r,
MAILING .ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 Ci
LTRGL.174/CS -1- �OMmbv rytiApUINIAP
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
" Gigs
Glenda M. Lainis
Assistant Planner
GML:ccs
cc: FBu lding4:S_&f-ety- Departure t�
Pedro Rojas; Property Owner
LTRGL.174/CS -2-
e
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