12789 (RPL)# ��'.y y t s • �� .
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12789 �.
' P.O. BOX 1504 No. '
Building 54-955 Ave. Juarez e 78-105 CALLE ESTADO,
Address LA QUINTA, CALIFORNIA 92253
Owner
Roger L. Kringen
Mailing
Address
P. Number.
Legal Description
Project Description Pool
3074 Sq. Ft.
Size
6 1 New ❑
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
❑ 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 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
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 sof this city to enter the above--
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No.. No. Dw.
Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $81000.00
PERMIT
AMOUNT
Plan Chk. Dep. '
Plan Chk. Bal.
64.35
Const.
99.00
Mech.
.2 4..00
Electrical
45.00
Plumbing "'
27.08
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 7rope4y Line
FINAL DATE IN / TO
Issued by: Date �> Pefmit
Validated by: >� r AR 1 0 on
Validation: SVI
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES '
UNDERGROUND
r
IST FL. SO. FT. ® $
UNITS
n
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
STORAGE TANK
FORMS
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
HEATING (FINAL)
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
TEMP. POLE
WATER PIPING
NOTE --Not to be used as property tax valuation
GROUT
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
W. ASHER(AUTO)(DISH)
APPLIANCE --DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ -plus-x$_=$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIREPLACE
SQ.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
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 APPJEOUIP.
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
REMARKS:
VENTILATION
FIRE ZONE ROOFING
e
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
°� �Quinfw
78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
March 14, 1994
Mr. David Walls
NOMAD Construction
54-970 Avenida Madero
La Quinta, CA 92253
Dear Mr. Walls:
SETBACK ADJUSTMENT: 94-234_
LOCATION: 54-955 JUAREZ
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:
A. Reduction of rear yard setback from 5 -feet to 3 -feet.
B . Reduction of side yard setback from 5 -feet to 3 -feet.
FOR: Swimming pool.
CONDITIONS:
1. Obtain a building permit from the Building Department. .
2. The requirements of the S -R Zone shall be met for fencing.
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 lot size.
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 OUINTA, CALIFORNIA 92253
LTRGP.182
e
M
,
If you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING AND DEVELOPMENT DIRECTOR
67f_'e'� ��'
LTSLIE MOURIQUAND-CHERRY
Associate Planner
LC: kaf
Attachment: Exhibit A
cc:<::B�'ulding Safety Department
Roger Kringer
LTRGT.182
ADDRESS: 54-955 JUAREZ STREET
LAQUINTA CA. 92253
EXHIBIT
LOT #11 BLOCK #275 C A S E N 0.
ARROVED BY UivISION