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9432 (RPL)�j P.O. BOX 1504 \ ; C a'' N o . 9432 Building 54-700 AVENIDA JUAREZ LA QUINOTAC Address CALIFORNIA 92253 Owner 00L AND PETER SUAREZ BUILDING: TYPE CONST. SPA OCC: GRP. Mailing Address SAME A.P. Number City Zip Tel. LA QUINTA,CA 92253 Contractor CHAMPION POOLS Address 73-750 ALESSANDRO City Zip Tel.: PALM DESERT 92260 340-0724 State Lic. City & Classif. 450392 Lic. # Arch., Engr., Designer BACKER Address Tel. SUNNY DUNES 327-4565 yity Zip State •. SALK SPRING. 93262 Lic. # RCE 14614 pp _ I ' LICENSED CONTRACTOR'S DECLARATION lV hereby affirm that I am licensed under provisions of 'Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE 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, atter, improve, demolish, or repair any structure, prior todts issuance also requires the applicant for such permit to rile 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 applicantto 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 thatsuch 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.) 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 Wo rkerls Clor� a�sation Insurance, or a eit:t aed. co`1%hS d , &Jag2, Labor Code.) Policy Flo. Company 0 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 parson in any manner so as'Tto become subject to ;the Workers' ompensation Laws of California./ `-�'- NOTICE TO APPLICANT: If, after making thls Ceitificate of Exemption you should become subject to the Workers' Compensation provision's 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.)f Lender's Name /�?L^' ✓ 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 thatIthe 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•ourposes., .�_J Signature of applicant! / C �-�_ LJ �rDate Mailing Address "7 City, state, Zip %r7�r• .7y-'Ees.7"' �.r7�i'.>-tel Legal Description Project Description POOL AND SPA 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: Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation $10,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $76105 Const. 117.00 Mech. 74.00 Electrical $ . u Plumbing 27..00 S.M.I. 970 Grading Driveway Enc. Infrastructure TOTAL $259.75 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 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. Q. FT. WALL SQ. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET a f YARD SPKLR SYSTEM BAR SINK ` ROOF DRAINS ' DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® V4c HOUSE SEWER FRAMING FINAL INSP. 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. ROOFING n /f („,o lot l �J REMARKS: VENTILATION FIRE ZONE ROOFING, FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESANITUILS' GARDEN WALL FINAL tse CITY OF LA QUINTA PLANNING AND DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT SECTION 9.1880 L.Q.M.C. ;APPLICANT: Submit this fora with three copies of a scaled site plan, .drawn to adequately depict the nature of the request. A nonrefundable fee of $100 is required when the Application is submitted. Check must be made payable to the "City of La Quinta". 'If the Applicant is not the owner of the property, a letter must be submitted by the owner authorising the Applicant to execute this document in his behalf. www-------------------------------------------------------------------- Please Print or Type Applicant's Name c S AEF S(_cH- Date Mailing Address 7 3-_)5c, Aft 5S fi/-0/Z L Phone 3V0 -o2,3 -V_ City State CA, Zip %i i 6 - Owner I a Owner's Name Mailing Address City L 611,x - State Cry Zip Street Address of Property Legal Description of Property (may be attached): Tract Lot 7/ Tract Name Assessor's Parcel Number Mjustment requested Reason for request Spy c� /Yo tZoor� go -or --•--------mm --- —•----------------------------•---------------------- JUSTIFICATION: No request for a Setback Adjustment shall be granted unless it is determined that the adjustment is consistent with the ,,Intent and purpose of this ordinances that there are special - circumstances applicable to the property, including such factors as faze, ..shape, topography *—location .or surroundings that -.justify the approval of the adjustment of the setback requirement, and that the adjustment will be not 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. ------------------- ------------ ------------ ---------- ------------------ s�t�t�t�ss*a*:*��*��*��t�**��►�*at�t*��t�t***�t��t�t�*��t�t*��st�st�stst��stit�a#�t:��t**sr ----------------------------------------------------------------------- STAFF USE ONLY Case No.: Existing Zoning: Related Case(s) Date of Decision: Assigned to: BJ/FORM.122 File Closed: