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14737 (GRES)Ti4 " P.O. BOX 1504 No. 14737' Building Address r. 79-720' • k� �1=. 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - r,Onst.3.} ' Owner JiM S 3elleFiberg r Plumbing -000, ' O'I, as owner of the property, am exclusively contracting with licensed contractors to con- strucl 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 - suchprojects with'a contractors) (kensed pursuant to the -Contractor's License Law.)' 0 1 am exempt under Sec. ' B. & P.0 for this reason S•M•I, • • -'2 ° . 3. Mailing Driveway Enc. Date owner BUILDING: TYPE CONST: = OCC: GRP.' R3 WORKERS' COMPENSATION DECLARATION. ' Address a I hereby affirm that' I have a certificate of consent to self•insure, or -a: certificate of v Worker's Compensation Insurance, or a certified copy thereof:'(Sec.-3800, Labor Code.) ... Policy filo?", Company. - •j opy.is filed with the city. ❑ Certified copy is hereby furnished.,. •; A.P. Number - . City ""' Zip Tel. _ - *'ot ZONE: - BY: ' Minimum Setback Distances -- La. Qta.n . � 92253. Rear.Setback.from Rear Prop. Line Side Street.Setback from; Center Line .:HUNDRED THOUSAND DOLLARS ($100,000); IN ADDITION TO THE COST -OF COMPENSATION, • . DAMAGES AS PROVIDED FORAWSECTION 3706 OF THE LABOR CODE, INTEREST, AND Legal Description ATTORNEY'S FEES. This'ls a building permit when properly filled out, signed and validated, and is -subject to. expiration if work thereunder.is suspended for 180 days... Contractor 'Sfi63• I certify that I have read this, application and state that the above information is.correcl - I agree to comply with all cityand countyordinances and state laws relating to building construction, and hereby authorize representatives: -of • this city 10 'enterthe above- mentloned property for inspection purposes. Issued by: Date Perm n Validated by: Project Description '. DataC'� P.d9er adrger & .Assoc. Address 4,L _ 55 ' 90a ' rdildalk 9" Ste':212 CiPalm Dever , �p 9221 Tel 922117� State Lia �+� 4 Cit R. 4982 y assv ' . Sq. Ft. No & Clif.. Lic. # g Arch' Engr Size66 Stories No. Dw. Units "Designer �. ' " �1:C rd E3ullecK New ❑ Add ❑ Alter ❑ Repair Demolition'O Ws Tel. t.- a '. City State _. tic. # LICENSED'CONT1jACTOR'S, DECLARATION'.. ' eI hereby I jrm that:1 am iicensed under/provislons'of Cliapter9(commencing with Section" 71)00) of Divisiggrf-3 of the Business-.4Professions C,ode,:and•my license is in full forceand ffect. E s •'i1! :.pis "L?� vr'' -_0" l' GN TU 0 ' DATE / '.`OWNER•BUILDE ECLARATION ereby affirm that I am attempt from the Contractors License law for the following . reasor�:r'(Sec. 7031. S,Buslness and. Professions Code: ,Anycftyor counry,•whlchrequires a �rpe to construct, , after, Improve, demolish, or repair any structure, poor to its issuance also •Te ulres the applicant /or such permft tb file a• signed. statement that. he is licensed pursuant to heprovlslons of the'Contracror's-License Law, Chapter 9 (commencing with 'Section 7000).0/ slon 3 0/ the Business and Pro/essbns Code, or that. Ae !s .exempt therefrom, and the basis orthe alleged- exemption: •Any violatbn o/' Section 7031.5 Dy:any applicant for a. permit sub)ects'the applicant to a ilvfl penalty o/not.more than ftve hundred dollars.(5500)...• •. ' ❑ 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.'J044, 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, prodded that such Improvements are not intended or .offered for sale. ll, 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 onprove for the purpose o/ sale:) - Estimated V81U8tlOn ft',054.00 . . JL . - - ' PERMIT - - -AMOUNT - Plan•Chk. Dep. , .g1�9,.'� Plan Chk: Bal. g 44146 - r,Onst.3.} �Mech..," • .00 Electrical' • 28..32 Plumbing -000, ' O'I, as owner of the property, am exclusively contracting with licensed contractors to con- strucl 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 - suchprojects with'a contractors) (kensed pursuant to the -Contractor's License Law.)' 0 1 am exempt under Sec. ' B. & P.0 for this reason S•M•I, • • -'2 ° . 3. Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION. ' I hereby affirm that' I have a certificate of consent to self•insure, or -a: certificate of v Worker's Compensation Insurance, or a certified copy thereof:'(Sec.-3800, Labor Code.) ... Policy filo?", Company. - •j opy.is filed with the city. ❑ Certified copy is hereby furnished.,. •; TOTAL'.. 23.08 . CERTIFICATE OF EXEMPTION FROM - " WORKERS' COMPENSATION INSURANCE - REMARKS (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 anyparson in:any manner so as to become subject to the Workers' Compensation ' Laws of California Date Owner NOTICE, TO APPLICANT:,B:,after making this. Certificate of Exemption' youshould, become • sub%act o the Werkeis' Compensation provisions of the Labor Code. you. must forthwith iCode.. comply with such provisions or this permit shall be deemed revoked. - -•.• _ - *'ot ZONE: - BY: ' Minimum Setback Distances -- _ Front Setback from Center Line WARNING: FAILURE TO SECURE.WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Rear.Setback.from Rear Prop. Line Side Street.Setback from; Center Line .:HUNDRED THOUSAND DOLLARS ($100,000); IN ADDITION TO THE COST -OF COMPENSATION, • . DAMAGES AS PROVIDED FORAWSECTION 3706 OF THE LABOR CODE, INTEREST, AND Side:Setback from Property -Line" - - ATTORNEY'S FEES. This'ls a building permit when properly filled out, signed and validated, and is -subject to. expiration if work thereunder.is suspended for 180 days... j FINAL DATE INSPECTOR =°•' . I certify that I have read this, application and state that the above information is.correcl - I agree to comply with all cityand countyordinances and state laws relating to building construction, and hereby authorize representatives: -of • this city 10 'enterthe above- mentloned property for inspection purposes. Issued by: Date Perm n Validated by: Signature of applicant Date Mailing Address Validation: F F Q4 i City,' State, Zip I It CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW,FEES 1ST FL. SO. FT. $ UNITS • 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK (� POR. SO. FT. ® DUCT WORK y GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. S0. FT. OTHER APP./EQUIP. ' DRAINAGE PIPING WALL SO. FT. TEMP. POLE DRINKING FOUNTAIN. SO. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM • FLOOR DRAIN MECHANICAL FEES =$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED J ��3v 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 S0. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c ISEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER MESH INSULATIONISOUND 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 GOND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK .FORMS S SEWER OR SEPTIC TANK ROUGH. WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. ' REINF. STEEL GAS (FINAL). TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM • GRADING 7 cu. yd. $, plus x$ =$ LUMBER GR. FINAL INSP. FRAMING / FINAL INSP. ROOFING VENTILATION O�� r✓V J ��3v REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING Q MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL °� �WQui«tw MEMORANDUM "2 - CASE: 9.5"-.28' Location (a) : %- % AZ /S Cc o w— Request(s): G( "c,E �e�ba�,� ��r-► %�o79 Your setback adjustment application is hereby approved, subject to the following conditions: r. Conditions: 1. Obtain a building permit from the Building and Safety Department. 2. The other'Zoning Code provisions shall be met. 3. If ground excavation is required, please contact Underground Service Alert (USA) at 1-800-422-4133. The service is free of charge provided USA is given at least two working days" notice.' 4. Additional Conditions:. 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 circumstances are: Thank yoW-TRr your cooperation. Si"relk, evelopment Department . Attachments c: Building and Safety Department C� I�r� I �� J\ GARAGE ADDITION FOR: - JIM SNELLENBERGER. 79720 IRIS COURT. s, Z --,CASE NO: -� CITY OF LA QUINTA --� FEE: $100.00 PLANNING & DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT APPLICANT: Submit this form with two 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 make 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 authorizing the -Applicant to execute this document in his behalf. ************************************************************************** PLEASE PRINT OR TYPE � Stvc--L.L:r�o)-t 2 e-4 45scc �Nc•/ APPLICANT/CONTRACTOR: 2 p K , Z �,"C, DATE CONTACT PERSON ( IF DIFFERENT) PHONE (� iq� 7'7'7-7-7 6. b MAILING ADDRESS:y 1�(0� 130l(Ze>WA�KZ12, PAU-t'�- �(?�-I► (Address) (City) (State) (zip) OWNER'S NAME: �� B C9 PHONE (( ) MAILING ADDRESS: y )3(os ss) (City) (State STREET ADDRESS OF PROPERTY: %c3'72 -n "F2+� ( fili2T i_A Q , � LEGAL DESCRIPTION OF.PROPERTY: LOT # TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: REASON FOR REQUEST: �qpAcy_ t-1�1E-ov W 4 % Ct4 ki CT__ r— TN`s A -L_,_6 uj AA PACO w ,'TH-0 u'T- 2r7_ JUSTIFICATION: No. request for a Setback Adjustment shall be granted unless, it is determined that it is consistent with the intend and purpose of this Ordinance; that there are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify the approval of the .adjustment of the setback requirement, and that the adjustment will not be detrimental to the health,,' safety, and general welfare of the community or be detrimental to property in the area of the parcel for which the adjustment is requested. FORM.013/CS