15045 (PAT)414 Q.
P.O. BOX 1504
Building_ 78-495 CALLE TAMPICO
Address 48-6.11 Nista Tierra LA QUINTA, CALIFORNIA 92253
Owner
No. 15045
jazz Crawxord
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address Saute .
City
La Quinta, Chi.
Contractor
Address
Zip
92253
City Zip
State Lic:
& Classif:
Arch., Engr.,-
Designer
Address
Tel. - - •
771-9805,."
Tel::
A.P. Number
Legal Description
Project Description Patio Cover
Rear yard - setback redaction to-- 8' , arid.
side yard setha ok -reduction to 115"
approved 'per SBA 95-309
City
Lic. # Sq. Ft. No. No. Dw.
Size -Stories ...Units
Tel.
New ❑
Add ❑ •• Alter ❑ Repair ❑
Demolition ❑
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION...
I hereby affirm that i am.licensed under provisions of Chapter 9 (commencing with Section,
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effec'
t.
SIGNATURE DATE
OWNER -BUILDER DECLARATION'
Estimated Valuation @ r
$
I hereby sffirm that I am exempt from the Contractor's License Law for the following
. U73s0
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 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 basisfor the
Any Section 7031.5 by 'any for
Plan Chk. Dep. - -
alleged exemption. violation of applicant a Permit
subjectg,the applicant to a civil penalty of not more than five hundred dollars (5500).. .f '
Plan Chk. Bal. 35.10 -'
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
Const.��%
GMach.
Professions Code: The Contractor's License Law, does not apply to an owner of property who
.i
or Improves thereon and who does'such work himself or through his own employees,
- -
provided that such improvements are not intended or offered for sale. .1f, however,. the building
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical- -
or proving that he did not build or hnprove for the purpose of sale.) .
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing :
struct 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
' such projects wfth'a contractors) (lcensed pursuant tothe Contractor's License Law.)
S.M.I.
Grading
❑ I am exempt under Sec B. 8 P.C. for this reason
Driveway Enc.
y6 yr '1.t'XI
Date Owner rar1�
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 89.60
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE -
(This section need not be completed if the permit is for one hundred dollars (S100) valuation
-
"orless.)
I certify that in the performance of thg work for which )hls permit is issued, I shell not
employ any person in any manner. so as,;to become subject'to the. Workers' Compensation
p Laws°af California'
Date i �P� �� Owner .............. "J
!l hUOTICE TO APPLICANT: ff, after making' (his 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 or this permit shall be deemed revoked.
'Minimum Setback Distances: - - -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.
'
�r
FINAL DATE INSPECTOR
This is a building permit when properly filled out,.sigried 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. '
Issued by: Date f3err7alt
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: above-..
I I Q
mentioned property for inspection purposes.
Validated by:
Signature of applicant { Date
i
Mailing Address
Validation: A n n
City, State, Zip
H (� l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APP.IEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
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 SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/4c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE LPLL..CK!.FEECONST.
FEE !ELECIT.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 APP.IEOUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
TC, P. L
Pep- U P;, G 5�Crtotd y70
see 6mofiel MOce soler
Saftor Size t t eci l( Sp.cift {oeflns t Sh.61 .."t at C*ee Lattice
6t0 pitch�_ e
�Cmtlm.
we Ledger
2-,x Ip °R �� /
Size q)k 10 Y wt 11461e strap
,• sd'sl'slh' tltl
41-16 d aaflo N Colt
N ►1r III ( t
Seller SpotZ� — �SIA f2 ) Viet epacta6 �r
Y
I I —
s*.Tsll IRSLw
u ! ,
tis. 41•:4" rote
200 09tiJ
6tia. Wall.
loetls= 12'
3/8"23- log sere•$ fate otwfs at Is' •.e. below Grale
�Cmtieaw 1NseT � ^�
Provide 1"
learanc
ost To K
Joist tsater or sells Slocu:6 Concret
Toil Rafter to 119c21r4•.
/'c�� 41 • is s Milt or 6w1t �J
70
!tom 1 m"mm xjnDm lobed sobers 1r' L exec.
suz
V 4
J 46J .!
IW7= SPAN
44
we ,S
(toot a inNat) F4S• �`S �•b t-� �.'�
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• kt�v/Q5' /h� .
6 -strep or
itatl4
toe -earn« i:.-
plata
- Mesio`
bolts
i" eo
ntl�alb ,
2x4
16' c.c.
11-2
10-67-2i
4AM
6-3
6-6
�'-
24"
9-0
s -s'
6-5
6-9
5-2.
2r612"
c.c.
17-20
17-5
3-0
13-7
10-0
y. w
16•
16-3
15-1
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11-9
H
Ir
2/•
13-3
12-4
1-2
97
1-1
32•
10-10
9.11
W
16• G.C.
21-5
i 19-10
11-10
154
11-0
24'
17-0
16-3
12-1
32-8
f-41
l2•
16-5
1134
104
10-2
7-4
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IU
�u- X75 `. 57ru5T titFAr Q5-3(
• kt�v/Q5' /h� .
6 -strep or
itatl4
toe -earn« i:.-
plata
- Mesio`
bolts
i" eo
ltaeirq rete
a- ttbod shakes 4nz etch (3/12 tri -a. pitc!) %mth, 301
felt trderlay) CIMS A
L- fid, evlcsitier.. a`_Nles 6.12 pitch 13/12 sin.
pitch vzth 151 tt:t tsdc: Ly) - Class A
e. &-it t, rolled roc! s!cpe to dra_..
d- loci roo! 3/12 ama.:_zr+ patch.
1 1mm pATrQ =R
VA
ntl�alb ,
ii: 64ari
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41a/. S'
•s
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41xlo.L4
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is
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eta
t1
6x20.....16'
b t to
Ir
ltaeirq rete
a- ttbod shakes 4nz etch (3/12 tri -a. pitc!) %mth, 301
felt trderlay) CIMS A
L- fid, evlcsitier.. a`_Nles 6.12 pitch 13/12 sin.
pitch vzth 151 tt:t tsdc: Ly) - Class A
e. &-it t, rolled roc! s!cpe to dra_..
d- loci roo! 3/12 ama.:_zr+ patch.
1 1mm pATrQ =R
VA
o -.
C •Y S�pUJ '�8
4 �• S
�,. �/ �.. � .-:�..^ �' •cif -v'
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1
MEMORANDUM
�1
CASE: Location(s) :. Ui - ro-�
5 � 'fir 1eV1
Request (s) :� ���,r . tiro s�A-1J,�-��--�vs�.. lo`
'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 tvo working days'
notice.
4. -Additional Conditions:
After review it was determined that:
1. This adjustment is consistent with 'the intelt 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:Sn�� hw�kc� 4.6
Thank you for your -cooperation.
SiL��Fez„; 1�_--
er�, ��
c: Building and Safety Department
CASE NO:
CITY OF LA QUINTA .
PLANNING.& DEVELOPMENT DEPARTMENT
APPLICATION FOR .SETBACK ADJUSTMENT
FEE: .$100.00
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 Quintal.
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
APPLICANT/CONTRACTOR: JEFFC o Ami-yK7� DATE-
CONTACT PERSON ( IF DIFFERENT) PHONE 77
MAILING.. ADDRESS-: 70- V1574 72- A Ld (uv It) 7 A -C A % _7: S 3
ss)
(City
State) (Z
OWNER'S NAME: PHONE 77/
MAILING ADDRESS: As ,)36
(Address)
STREET -ADDRESS OF PROPERTY:
LEGAL DESCRIPTION OF PROPERTY:
ASSESSOR'S'PARCEL NUMBER:
a
ADJUSTMENT REQUESTED:
City) (State
REASON FOR REQUEST: L o C �7iy N o r fro vS E O �✓ �QJ��2 7/
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 a-pplicable 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
77
LAGUNA
I) E A. A .11 n
_ ARCHITECTURAL VARIANCE 'REQUEST
Unit •.: Date
Street Address TO K// VI S M Efi�/i
Local Phone 7 %/ — �7 S Other Phone
To the Architectural Committee:.0
we, the undersigned owners, request your ,approval of the
modifications proposed on the reverse side cf thi.s form.
Att__hed ,,r. .,.=...±r.�_ * the "cri, to be done typesf
material to be used are indicated on the drawings. we,
understand tnat building permits for home improvements are
required by the City Of :,,a Quina and that the cost of Lhe
Permits and responsibility of obtaining permits and
subsequent inspections will be borne by. 'us.
we ackorledge that all approved changes' In •:he original
design will be at our expense; that any damage'to or
relocation of existing sprinkler systems, underground
Utilities, building str'-.scture and exterior landscaping or
other damage resulting from construction of these permitted
improvements will be at our expense; and that maintenance'of
the permitted improvements will be at our expense.
Signature' -of all owners: ` a
r