9541 (RPL)r
Building 78-820 'SONESTA
Address
4
P.O. BOX 1504
78-105 CALLE ESTADO f
LA QUINTA, CALIFORNIA 92253
- - TOM PAOUFFE
Mailing
Address 78-820SOAiESTA
Zip
Tel.
)City
LA QUINTA
92253
Contractor
BLUE DOLPHIN POOLS
Address _
68-805 C PEREZ RD.
City
Zip
Tel.:
CATHEDRAL C
TY
321-2296
State Lic.
City
&Classif. 522042
Lic.# 1361
Arch., Engr.,
Designer
Address
I Tel.
City I Zip I State
Lic. #
LICENSED CONTRACTOR'S.DECLARATION
I hereby m t
affirhat• I am licensed under provisions of Chapfei 9 (commencing with Section
7000) of Division, off the Buslriess and,Professions Code; and my licanse.is i_ _ n full force and
SIGNATURE `""'- DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any ,city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that hes licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (cormmenceug with Section 7000) of
Division 3 of the Business and Professions Code, or that. he rs 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 rive hundred da0ars.(S500):
O 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 appy 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 safe. h however, the building
or improvement is sold within one year of completion, the owner4hAider will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors 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'ss Coplp ngation I. suranca, or a certified copy t ereof. (Sec 3g f, labor Code.)
Policy Nogeln £lyi4 Company Ut?S.7tLSfiY L�lx ,L,
❑ Copy is filed with the city. 0 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 Cade, 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.)
Lenders 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 laves 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: TYPECONST. POOL/SPtCC: GRP.:
P. Number
Legal Description
Project Description P001, ANT) SPA
9541
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 ❑ Demoliticn ❑
Estimated Valuation
$12000 X00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$87.75
Const.
135.00
Mech.
24.00
Electrical
45.00
Plumbing
27.00
S.M.I.
1,20
Grading
Driveway Enc.
w
Infrastructure
TOTAL
X315.$
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. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
GAS (FINAL) TEMP. POLE
URINAL <
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
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 - 4 (�� [
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) S 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. lG C((
ROOFING
LL
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
TAh
Cv u�t,�Gv
F 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
May 9, 1991
Mr. Edwards
Blue Dolphin Pools
68-805 Perez Road
Cathedral City, CA 92236
Subject:
Setback Adjustment: 91-057
Location: La Quinta Highlands
78-820 Sonesta
Legal: Lot 28, Tract 23269
Dear Mr. Edwards:
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:
Rear setback reduced from 5 feet to 3 feet.
FOR: Swimming Pool
CONDITIONS:
1. Ensure pool is reinforced to Building`Code requirements.
2. This setback does not apply to mechanical pool equipment.
After review it was determined that:
I. 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 lot backs up to Fred Waring<Drive.
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
FORM.SBA/BJ - 1 -