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15103 (RPL)QUM& • �� �' � P.O. BOX 1504 No. 5103 Building 78-495 CALLE TAMPICO Address 47-995 Via Firenze LA QUINTA, CALIFORNIA 92253 fCt; Owner , Salnatcy BUILDING` e Coastarce.xzi Mailing .' TYPE CONST. • OCC: GRP. Address 4'7--995 Via Firenze . A.P. Number Tel: City Zip La ainta' 9.2253 360-7064 Legal Description Contractor Project Description' Poor fi .Spa Dodson Pools Address 6$4805 A Perez Rd E9- city.Zip Tel.: Catherdral City 92234 324-1.232 State Lic. City &C 5743.27 Lic. # 1044 Sq. Ft. No. No. DW. Arch:, Engr.; Size Stories Units ,• ' " R Designer New ❑ 'Add O . Alter D. Repair O . 'Demolition ❑ Address TeL ' City " Zip State" ' Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed undeyprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professions Code, and and my license is in -full force and 'effect. LL--�.� (5M1,- ,.,--41 ,.y¢ SIGNATURE A' - DATE OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License law for the following Estimated Valuation $16.000.00 - reason: (Sec. 7031.5,Sustness 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 rile a signed statement that he' is licensed pursuant to PERMIT. AMOUNT - 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 • ' Plan Chk: Dep. subjects the applicant to a civil penally of not more than rive hundred•dollars ($500)" -- Plan Chk. Bal. p 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 COr1St. 12.'00 ' 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, Mech. X24., (j . provided that such improvements are not intended or offered for sale. If, however,. the burlding or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or Improve for the purpose or sale.) • v O'I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing $27.00' struel the project.- (Sec. 7044, Business and .Professions Code: The Contractor's License Law does notapply to an•owner of propertywhobuilds or improves thereon, and, who contracts for such projects with a contractors) pcensed pursuant to the Contractor's License Law.) . Grading ❑ F am exempt under Sec - B. 8'P.C. for this reason 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 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. TOTAL C 5 CERTIFICATE OF EXEMPTION FROM REMARKS'7i WORKERS' COMPENSATION INSURANCE (This section need "not be completed it the permit is for one. hundred dollars ($100) valuation f4- 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., ff, 'after making ,this Certificate or 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. - - ZONE: " BY: Minimum Setback Distances:. Front Setback from,C r Line Rear Setback fr ` ar Pro e. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street S back fronrT Cente Ine 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 ffgm Propee6t DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND Ine y ATTORNEY'S FEES. / f This is a building g permit when'properly filled out, signed and validated; and is subject to expiration if work thereunder is suspended for 160 days. V FINAL DATE PECTOR r iyQ • I certify that I have read this application and state that the above information•is correct: j ISSued.by: Date f PerrrFjr 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 r .•above•: mentioned property for inspection purposes . - Validated by- Signature of applicant Datey Mailing Address Validation: City, State, Zip ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET 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. BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (FINAL) TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB FRAMING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 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 STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING S, g UNDERGROUND9� 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/�� 9s METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING �/ � 7/g f REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL u s. 440 of MEMORANDUM ,y n+� CASE: 95= 319 Locations) . «7� ��`i5,�.f iti :.ran'/�dl<< L.• C"� Request(s): Your setback adjustment application is hereby -approved subject to the following conditions: 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: h�••,��n sal-b�,�1c. sl.� . 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: rY Yeo,r- .Thank you your cooperation. sirke _ y=chments Comm it CommDevelopment•Department A , c: Building and Safety Department ' U_ OUT INTMA, 2 & i) T �'.,OP':+F2.'T DEP .3 r i'P?rNT �PPL,1, X11"ON. POR. SETMP%M� A:J�;s�MrN� ,%sE FSE: 5100.00 �.� i5 � T* ..r►: a�`u;::�l'1 t7'formLrl�h two COD;e5 f a scared -i-e ^_Lilcri, =raw:: to adequately depica .the nature of _he reuuast. narxefuna:.ie fee cf 1=00 is requi. ed chen the kpp'_ caticn is Sul-, T 't -ted. Check be make parable to the "Cts° 'of La k,uin If the Applicant is not. the Darer of the rC,;�~-y jet-,Ze.r �+._ s +-. surxr-: =L the c ne. aut'hlor 1Z_ng the i pU; icart to exe. }? ~ �t 1 c •. _ r. ':_ aeha �l rr•l,}.*Y.•***XY'7�'k*1kY:71'M*7ty:/•tievy,'71'ir 7l w�Yf!•!lti•rxy Ysaw+r,•tkil'ttxy,'7k yir f•tirsw•*�7t xit Di'11tM *�tl�x :Y tk tt ttw Y�rr+. • ikddress) s?p rA � —__ TL i.. : �) Mate :,.: f PH IN i�:t►d LT�I �/iw's : — Lj')- VIA F-IfLFJq} LX 0�d r�.ap 1 r i.�.6ty) .State) Lj: i STREET' hDiF SS or PROPER.—Ln LI) - 9Ci5yiq Fr.2F..� 1 �P� aAk�e Ce F LEGAL DESCRIPTION OF PROPERTY: LC:' ASSESSOR'S Pei RCEL h'UILYMER: Ar-T.U.C2.71=4T U REQESTED: CK ) A Ac)ST--n Th -�^ r, S �'VI i ,✓i w. M S F �'ki _ A l Cp...) ' - SDA L --i SN OZ,4[L 91vCi L—A It REAjON FOR REQUEST: avA 2R� i.� Mc r- **.* **.*************************•************x****'**x***********ri.71 ***K******9*** ,T'JSTIFICATION: No request for a Setback Adjust' mert shill be granted unless it is determined that it is consistent with the int:and and purpose of this orainan.ce; that -here are,speciai circumstances applicable to .the property, including suc:: factors as size, shape, tonography, location or sur-roundings that justify the approval of the adjustment of the setback requirement, and that the. adjustment wsll not be detrimental to the health, safety, and general welfare of the community or be detr{mertGI to property in'the- P.rea of the parcel for which 'the adjus`merit is requested. rOptN. 013/CS ^;�--ti :.r, L,r � • �-, *,- -- , gym+) _ F LA Mb J E F PH011,ZR. • ikddress) s?p rA � —__ TL i.. : �) Mate :,.: f PH IN i�:t►d LT�I �/iw's : — Lj')- VIA F-IfLFJq} LX 0�d r�.ap 1 r i.�.6ty) .State) Lj: i STREET' hDiF SS or PROPER.—Ln LI) - 9Ci5yiq Fr.2F..� 1 �P� aAk�e Ce F LEGAL DESCRIPTION OF PROPERTY: LC:' ASSESSOR'S Pei RCEL h'UILYMER: Ar-T.U.C2.71=4T U REQESTED: CK ) A Ac)ST--n Th -�^ r, S �'VI i ,✓i w. M S F �'ki _ A l Cp...) ' - SDA L --i SN OZ,4[L 91vCi L—A It REAjON FOR REQUEST: avA 2R� i.� Mc r- **.* **.*************************•************x****'**x***********ri.71 ***K******9*** ,T'JSTIFICATION: No request for a Setback Adjust' mert shill be granted unless it is determined that it is consistent with the int:and and purpose of this orainan.ce; that -here are,speciai circumstances applicable to .the property, including suc:: factors as size, shape, tonography, location or sur-roundings that justify the approval of the adjustment of the setback requirement, and that the. adjustment wsll not be detrimental to the health, safety, and general welfare of the community or be detr{mertGI to property in'the- P.rea of the parcel for which 'the adjus`merit is requested. rOptN. 013/CS