15120 (PAT)', 78-
Blmding 48-621 Vista Tierra LA QUI
Address
Owner
Ca'iu-s . acid Irene St. George
Mailing
Address 48-621 Vista Tierra
City. Zip Tel.
i; 92253 791-082
Contractor' , .
- owner/buildet
Address'
City; " IZip ITel.:
P.O. BOX 1504
495 CALLE TAMPICO
NTA, CALIFORNIA 92253
No. 15120
JILDING: TYPE CONST. OCC: GRP.
P. Number
,gal Description
oject Description T.A+JJ j*P Aa>r i e? •('��t•Aw
State Lic.
City
& Classif.. ' =
Lic. #
Sq. Ft.
No. No. Dw.
,,
Size . • 3.22''
Stories Units
Arch., Engr.,' . . —
"Designer
New ❑ Add ❑
_ • Alter ❑ Repair ❑ Demolition.❑ "
Address
Tel.
City "
Zip
State
Lic. #
y� LICENSED CONTRACTOR'S DECLARATION
:affirm that I am licensed under provisions of Chapter 9 (commencing with Section .
Wision the
,76;I••�h�ereb
) of 3 of Bus,i/n�ess and Professions. Code, and my license is. in full forcefand -
-
effect I f t j� l . t 1� .. 14.4 V
SIGNATURE --r ../ DATE
OWNER -BUILDER DECLARATION'
Estimated Valuation'
I hereby affirm that I am exempt from the Contractor's License Law for the following
aR f 28-3.00
$4
reason: (Sec. 7031.5,Bust7ess and Professions Code: Any city or county which requires a
y
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 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 theme
Any Section 7031.5 by Any for
Plan Chk. Dep:
alleged. exemption. violation of applicant a. perms .
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
-
ffl, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
. $Q
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.
72.00
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,i
Mech.
provided that such improvements are. not Intended or offered for sale. If, however, the' building
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 knprove for the purpose of sale.) -
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to torr
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
S.M.I.
3
such projects with contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec B. & P.C. for this reason
/
Driveway Enc.
44P, //,
Dated6AIA ` t7j Owner t (4.414) <3 b' �i fr, i.-
Infrastructure
..r
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
0 Copy is filed with the city. - 0 Certified copy is hereby furnished.
TOTAL
119.23
' CERTIFICATE OF EXEMPTION FROM
REMARKS
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.. U, after making this Certificate of 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
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,.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This Is a building permit when'propedy 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.
1 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-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center '
Rear Setback from Rear PF ne
Side Street Setback fro / ter L'
Side Setback from Property lane -
FINAL DATE INSPRCTOR
,Issued by: Date Permit /A \
Validated by: �f
Valirlatinn- '
0
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. S0. FT. ®
`
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
";
YARD SPKLR SYSTEM
BAR SINK `t;
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR, SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
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
REMARKS:
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
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 APPJEQUIP.
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 SIONATURESlINITIALS
GARDEN WALL FINAL
Master bedroom Living Room
SEXIONE
- ,
' s —'�
Y Existing covered patio ~{ _ . , Kitchen
12 16"
+All.material select Douglas fir to be
r BBQ
- stained to match existing residenceI F7
u tt _ it
-318
Opeh-r�afte'rs 2X6
i- Z�4"o%
vr�, „ 9 Footings 12''x12" x12"
Existing r �� owith a 24.,over�hang covered ,
2 Beams 2x �i � with'2'�zJ2" with 2' �o%, - 2,OOOpsi concrete
Clarden wall r0#v't:>.
1;10�lv AS
o�r� •l � �- Proposed patio cover at the St.George,residence,
���C�` ^ 4 621 Vista Tierra, Laguna de la Paz..
ProigI ie .wail 13'6" from rafters
kends ""
/// ;
E ,a 3/g��`�/j�(/� Vv yo Sw cerk
Tots yl
i L
•
IFB CITY OF L BUILDING & SAO iry
iA
ENr
1 1 I i.. D r'0�t ! �i�ax'rt7 y�f1 3 t ON
• •i .�• s � c: ��. 1_ i n � 1 -.
�. ut..(:_% p ,Z
1'.
1 N' LLf1 1.jrq - .�
concm
AND ALL AP'
Llv
U
DATE
BY' rix 4'
• ' - • • .. .. y • • • ' 1. • .-�f,...
12'3 _ e 13'5
f
p r w o
U-1 r//
Yy L � d
_ )l
cF' o f DEPAP-7 `u•
AASN
F-CT TO
its TALLATi .C1 . to
00
AND ALL A
PPLICn'�
Lr CC?UES-
U E' GfS-= s , , .. - Posts bolted to existing saddles
F3Y G� `��Zfi embedded in concrete patio,
Front view of proposed overhead r + . Existing patio ;
_ - Ialtir.P P
at S#. Cnrr�P residence
48621 Vista Tierra. = r.
IZIZ_
-
q
.. ., .a vet.. • , �•� * � . "„ ,� .��. � t� .. � .- , •. '
_F. Z
c&t
OF MEMORANDUM
CASE: Ok5- -5(8 Location(s).- J48-
Request (s) :�� s��•-uao S\o� iKo•-,
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:
r,
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:
Than ,you for yo r cooperation:
Sin ely
Co i y D velopment Department
Attachments
c: Building and Safety.Department
o CASE NO: �� 3 g
-- OF LA QUINTA FEE: $100.00
R
L ING &DEVELOPMENT DEPARTMENT
Of�� APPLICATION FOR SETBACK ' ADJUSTMENT
APPLICANT: -'Submit this form with two copies- of a sca-ed site plan,
drawn to adequately depict the nature of the request. A nonrefundable
fee of $l00 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
APPLICANT/CONTRACTOR: ['�A c� S �( C,i�t 0 '' C�� DATE 11-0
F
CONTACT PERSON ;(IF DIFFERENT) - PHONE 11 I OS44 )
MAILING• ADDRESS: 4J,0j C,:2 111 EC CA LA Q f N A C'.0a2-2 1.
(Address) (City)'. (State) (Zip)
OWNER'S NAME.: j I, G N t.. C) 1'6 s
Sl� .Ci( -_ vi f 'PHONE
MAILING ADDRESS: -'�-g.L i V ij i o l 1 ) ,LA Oy Wi19
(Address) (City) (State) (Zip) •
STREETADDRESS OF -PROPERTY: Xvh.a- l
LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED: Ip CLIC;CE 51 D� `� �� S ,L t `: � ' v%o iv%
REASON FOR
REQUEST : (; is > b t I �x tS i t 1�(� �uJ 1a i�rC�K n; {� C t A1C, . � �_ A
JUSTIFICATION: No' request for. a Setback Adjustment ,shall be granted
unless it is determined that it 'is consistent withl the intend and purpose
of this.Ordinance; that there are special circumstances applicable to the
property, - including such factors assize, 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 k
LAGUNA
DE LA.PA%....
ARCHITECTURAL VARIANCE REQUEST
Unit f—l'�� I Oahe �"E 27 JJ "
Street Address
Local Phone 6% /�// .O�i.�-Z Other Phone
,To the Architectural Committee:.'
we, the undersigned owners, request your approval of the'.*
modifications proposed on the.r,everse side'- of this form.
Attached are drawings of the work to be dyne; types of
material to be used are indicated on the drawings. We y
understand-tnat building permits for home improvements are
required by the City of :.a Quinta and that the cost of the
permits and responsibility of obtaining permits and
Subsequent inspections will be borne by 'us.
we ackowledge'tha't all approved changes it the original
design will Oe at o
ur expenses that any damage to or
.,relocation of existing spri.n.kler systems, underground
utilities, building structure and exterior -landscaping or
other damage resulting from construction of these permitted
improvements will .be at o_ur expense; and that -maintenance .or
the permitted improvements will. be at our expense.
Signature, or all owners:, ���
J
Please provide ^as much detail as'possib1e so that, the
Committee may consider approval without delay!
A5. pclv-
r,
The above proposal-has been reviewed by the Architectural
Committee and as Seen:
APPROVED RE:ECT_O O P_.,IO:NG FURTHER
INFORMATION O
Comments:
.w
r
oArE:
Committee Committee Committee
Member Nemoer !Member
J
mar Cc; lYcx C4 Cc c. Cg-,�
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