13367 (RPL)uu�,rc�
P.O. BOX 1504 N o .
Building 54-511 Ave, Juarez 78-105 CALLE ESTADO �
Address LA QUINTA, CALIFORNIA 92253
Mailing same
Address
City Zip
.,a Q'<ainta,, CA 92253
I ont jr L cern P001s
P«U. Sox' 1047
City Zip Tela
1ndio,r . CA 92201 347-5959
State Lia C53 348768 City 1151
& Classif. Lic. #
Arch., Engr.,
Designer
i
Address Tel.
City (Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm thatttTalnzlicensed,under pfovisions of Chapter 9 (commencing with Section
e000) of Oiviisioon To-ffte Businorss aQW6fessions Code, and my license is in full force` d
ffect.
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 file a signed statement that he is licensed pursuant to
the provisions or 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 penally of not more than five hundred dollars ($500).
❑ 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.)
❑ 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.) ..
0 1 am exempt under Sec. B. 6 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.Diol.` Company
❑'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 one hundred dollars ($100) valuation
or less.)
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.
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
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 Date
Mailing Address
City, State, Zip
13367
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
,Legal Description
Project Description Pool
Sq. Ft. :No.
Size = `^ Stories
No. Dw.
Units.
New ❑ 2 J<Add ❑; ,".—Alter ❑ ' Repair Q Demolition ❑
Estimated Valuation $9,800.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
76.05
Const.
117.00
Mech.
24.00
Electrical
45.00
Plumbing r
27.00
.S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
289.05
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
i -
Side Street Setback from Center Line
Side Setback from,Property Line ,
FINAL DATE INS FCTOR'W\
I' 1 �~
Issued by: Date lU •,AP, ' /N
1 s •Permit f
Validated by: -
Validation:
}
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
r
BONDING
YARD SPKLR SYSTEM ' w
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKINGFOUNTAIN.
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tail valuation
FRAMING
FLOOR DRAIN
MECHANICAL FEES
1
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Clip
WATER SOFTENER
VENT SYSTEM FAN - EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE' 'DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
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 .(r.G�t
UNDERGROUND Y t/S �y
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. Ste! -� �!
GRADING
cu. yd.
$ Plus—X$—=$
LUMBER GR.
FRAMING
FINAL INSP.5--01�-j ly
C ll�
ROOFING
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
p
FINAL INSPECTIONS /
/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
78-495 CALLE TAMPICO - F LA OUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
April 12, 1994
Mr. & Mrs. Scott Sharp
54-511 Avenida Juarez
La Quinta, CA 92253
SETBACK ADJUSTMENT: 94-242
LOCATION: 54-511 Avenida Juarez
Dear Mr. Sharp:
i 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:
Reduction of side yard setback from 5 -feet to 3 -feet.
FOR: Pool.
CONDITIONS:
1. Obtain a building permit from the Building Department.
2. . The'fencing requirements of the S -R Zone shall be met.
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: small size of
side yard and proximity to the existing home.
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. '
MAILING ADDRESS - P.O. BOX 1504 LA 'QUINTA, CALIFORNIA 92253
1,TRGT.179
If you have any questions, please contact the undersigned.
Very truly yours,
UiaIte
AN
ND DEVELOPMENT DIRECTOR
DELL
nner
GT:kaf
Attachment: Exhibit A
cc: Building& Safety_Department
LTRGT.179
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ALL GATES
TO BE
ND SELF -LATCHING.
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