11755 (RPL),� •
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YF
44
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-100 Juarez LA QUINTA, CALIFORNIA 92253
Owner
biumbil, Inc.
Mailing
Address P.O. Box $555
City Zip Tel.
LaOdin',a, CA 9 253 5;6-�-33 8
Contractor
Sams
Address
ty jZip j Tela
State Lic. U-53-7333 City 25,26
& Classif. Lic. #
-- Arch., Engr.,` --
Designer
Address Tel.
City(Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirrrthat I am li ensed under provisions of Chapter 9 (commencing with Section
of Divisi n.3 of the 86siness anil'Professs�ionss Code, and my license Win ful force.and
effect. �AI��in"'�-, . i ^,�,,,�.w f . ( Gf
�7'02'
LGNATUgE T DATE
OWNER -BUILDER DECLARATION '
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Coder Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I 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).
❑ 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 or 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 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
Wolcer's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poll No. Company
/Q Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WO R KERS' 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 lhp 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No.
BUILDING: TYPE CONST. OCC: GRP.;
A.P. Number
Legal Description
Project Description Pooh'
Sq. Ft. No.
Size Stories
New ❑ Add ❑ Alter ❑
11 • 55
No. Dw.
Units
Repair ❑
-Demolition ❑
ZONE:
BY:
i 1 -
Front Setback from Center Line
Estimated Valuation
*61000.01)
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
•
Const.
rs $ •
Mech.
24.00,
Electrical
• U
Plumbing
Z /. UU
.S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
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. PLUMBING FEES
�a
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
w
2ND FL. SQ. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SQ. FT. p
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
SEWER OR SEPTIC TANK
DRAINAGE PIPING
CAR P. S0. FT. ®
ROCK STORAGE
FOUND. REINF.
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
S0 FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
TEMP. POLE
FLOOR DRAIN
MECHANICAL FEES
GROUT
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
WATER SYSTEM
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GRADING
cu. yd.
$ plus x$
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
BATHTUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FIREPLACE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE LPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
MESH
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
�?j
UNDERGROUNDS !(�
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.
_
ROOFING
P
!r'/mow L l
//REMARKS:
4 �cl
li
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION Ci
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
s:.
January -6, 1993
Mr. Bill Howard
Mumbil, Inc.
PO Box 15.55
La Quinta, CA 92253
T H E C I T Y
AL
�a 0uinta
19S2 - 1992 Ten Carat Decade
N=
SUBJECT: SETBACK ADJUSTMENT 93-155
54-100 AVENIDA JUAREZ APN: 774-194-005
Dear Mr. Howard:
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:
Five foot setback reduced to three feet (side yard) .
FOR: Swimming Pool
CONDITIONS:
1. The applicant shall comply with Municipal Code Fencing requirements for
pools.
2. Ensure the pool is reinforced to. Building Code requirements.
3. This setback adjustment does not apply to mechanical pool equipment.
4. A three-inA PVC condu' ,schedule 40 o better, must b placed wi n the
Basemen rea. This uld facilitate r accessing t area int future,
should a need to r lace our facil' es arise. This onduit is be capped
off w' hin five fe of the side p perty lines, d should be placed at a
mini_ um depth of thirty -inches.
After review it was determined that:
1. This adjustment is consistent with the intent and purpose of the Zoning
Ordinance.
LTRGT . 036. 1
City of La Quinta
Post Office Boz 1504 • 78-105 Calle Estado
La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617
Design & Ptoducton: Mark Palmer Design. 619.346-0772
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
limited space for a pool in the side yard, and the recreational facilities will not
affect any of the existing public utility easements as conditioned.
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,
JY HE MAN
P �N N & DEVELOPMENT DIRECTOR
v
1� -11-�
re usdell
Asso ate Planner
GT: ccs
Attachment: Exhibit A
cc: Building & Safety Department
LTRGT . 036
E