14669 (ELEC)z. `
V,_.Y.
s�'Building
Address .53. 940 AVGE3ida V
Owner
mark katzman
Mailing
Address p • Q• gpx 1813
.City Zip
iia i eta 92253
Contractor
P.O. BOX 1504 No. 34669
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
564-6530 Legal Description
Project Description gleCirical • ¢0i SpA
Tel.:
State Lic. City
& Classif... Lic. #
Arch., Engr.;
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9.(commencing with Section '
7000) t. of Division 3'of the Business and Professions Code, and my license is in full force and
• effec-
SIGNATURE - DATE
OWNEWBUILDER DECLARATION I
I hereby affirm that I am exempt from the Contractors License Law for the following
,reason:
.(Sec. 7031.5,8usiness and Professions.,ODde: Any city or county which requires a
• permit to construct, after, mipmve, demolish, or repair any. structure, prior to its issuance .also
„ . requires the applicant for such permit to rile a signed statement that he is licensed' pursuant 4o
the provisions' of the Contractor's License law, Chapter • 9 (commencing with Section 7000) of
Division'3 of the Buslnass 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 rive 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 hnproves 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 completlon; the owner -builder will have the burden
of proving that he did not build or'reprove for the purpose of sale.)
'b 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 ana
•owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) Qcensed pursuant to the Contractor's License Law.)
• O 1 am exempt under Sec B. & P.C. for this reason
Date Owner
Y '1
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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, '.O Certified copy is hereby furnished...
CERTIFICATE OF EXEMPTION FROM
-y WORKERS' COMPENSATION INSURANCE
(This section need 'not be completed if the - permit is for one. hundred dollars ($100) valuation
'or less) - -
Sq. Ft. No.'
Size Stories
No. Dw
-Units
New ❑ Add ❑': 'Alter ❑ . Repair ❑
stimated Valuation -200-- °60
• PERMIT AMOUNT'• -•
Plan.Chk. Dep. ,.
Plan Chk. Bal.
Const.
Mech.
ElectricalV.
'
Plumbing ..
S.M.I. .
Grading
Driveway Enc.
Infrastructure
TOTAL •
REMARKS •
I certity 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 v
NOTICE TO APPLICANT: tt, after making this Certificate of Exemption you. should become - - ZONE: - BY: '
subject to the Workers' .Compensation provisions of. -the Labor Code, you must forthwith . •
comply with such Provisions orthis Permit shall bedeemed revoked. - Minimum Setback Distances:
Front Setback from Center Line '
Rear Setback from'Rear Prop. Linea .
' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND • Side Street, Setback from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from, Property -Line
DAMAGES AS PROVIDED FOR IN SECTION '3706' OF THE. LABOR CODE,' INTEREST, AND
ATTORNEY'S FEES.
This is a buildjng permit when properly filled out; signed and. validated, and issubject 'to FINAL DATE INSPECTOR
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: Issued by- Date Permit
I agree to comply with all city and county ordinances and'state laws relating to building . • --
construction, and hereby authorize representatives yof this city to enter the above-. i.
mentioned properly for inspection purposes. Validated by: I 1 If11
Signature of applicant Date (u
Mailing Address Validation: utL
City, State, zip f t b' u Zqy
lyy " M
,
Z
.4M
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN\i FEES
•^
1ST FL. SO. FT. ® $
UNITS
~
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO, FT. @
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APP./EOUIP.
DRAINAGE PIPING
CARP. SO. FT.
TEMP. POLE
WALL SD. FT. ®.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
,
=$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.,
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
'
GARBAGE DISPOSAL
FURNACE UNIT WALL' FLOOR SUSPENDED
'
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.
SO. FT. ® c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. 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
STRUCTUREPLUMBING ELECTRICAL HEATING & AIR GOND. 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 APP./EOUIP.
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 '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
AT.W
Titv", 478-105 CALLE ESTADO - LA QUINTA, CALIFORNIA. 92253 - (619) 564-2246
August 14, 1990
Tim Langston
F & F Pools
80-975 Indio Blvd.
Indio, CA 92201
Dear Mr. Langston:
Subject:
Setback Adjustment #90-024
Location: Come
53-94-0 XVelasco
APN: 774-165-011
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: 3 feet from.side property boundary
FOR: Swimming pool.
CONDITIONS:
1. Comply with Municipal Code Fencing
requirements for pools.
2. Ensure pool is reinforced to building code
requirements.
After review and the attachment of conditions 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: this is a small lot with limited
space for a pool.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
F0RMGL.0n7/CS -1-
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.'
Should you have any questions, please contact the, undersigned.
Very truly yours,
JERRY HERMAN
PLANNING &:DEVELOPMENT DIRECTOR
Glenda M. Lainis
Assistant Planner
GML:ccs
Attachment: Exhibit'A
cc: Building ;& Safety Department