14934 (PLBG)4
4
,. P.O. BOX 1504 No. 14934
Building '78-495 CALLE TAMPICO
Address 53-7660 Ave i�ontezume LA QUINTA, CALIFORNIA 92253
Owner
Gordon Hartley
Mailing
Address 53y-760 Ave Montezuma
City Zip Tel.
La Quintal 922.53 .. 564-2504
Contractor
0-1Merlftilder
Address
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description 30 1- Gas line
,�.'
City
Zip
Tel.:
State Lic.
& Classif.
City
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories • - Units
- Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair. ❑ Demolition ❑
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) tof Division 3 of the Business and Professions Code, and my license is in full force and
effec.
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law for the following
reason: (Sec. 7031.5,Bustness 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 file a signed statement that he is licensed pursuant to
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
subjects the applicant to a civil penalty of not more than five 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 improves thereonand who does such work himself or through his own employees,
provided that such improvements are not Intended or offered for sale..lf, 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 improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
stiuct 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 with a contractors) licensed pursuant to the Contractor's License Law.)
0 I am exempt under Sec. B. 8 P.C. for this reason
Estimated Valuation
$50.00
PERMIT
AMOUNT
Plan Chk. Dep.
- - -
Plan Chk. Bal.
.
COf1St�fl
• 00
Mech., -
-
'
Electrical
Plumbing -
_
S. M. 1.
Grading
^ ,
Driveway Enc.
ate �`:L$" owner f 44ft f -
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
0 Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
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 ermit is issued, .1 shall not
employ any pperson in any manner X40 to bec me t the Workers' Compensation
Laws of Ca iforn' J
-
TOTAL
$30.00
REMARKS
-
-
•
Date "+v►`j Owner
NOTICE TO APPLICANT: N, after making this Certificate of Exemption you.should become
subject to the Workers' Compensation provisions or the tabor 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,DOLLAR8 ($100,()00), 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 properly filled out, signed and validated, and is subject to . .
expiration it work thereunder is suspended for 180 days. '
I certify that I have read this application and state that. the above information is correct.
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-.
mentioned property for inspection purposes.
Signature of applicant _ Date
Mailing Address
City, State, Zip
ZONE: BY:
Minimum Setback Distances'.
Front Setback from C L e
Rear Setback from rop. L e
Side Street Set Omne '
Side Setbac �rlim, Prooirll,4�.p
in
FINAL DATE �LNSPEC ^`
Issued by: Date Pel&
Validated by: s
Validation:
R
til
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. @ $
2ND FL. SO. FT.
POR. SO. FT.
GAR. SO. FT. @
CAR P. I SO. FT.
WALL SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
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.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @@ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ec
HOUSE SEWER
REMARKS:
VENTILATION
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
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 SIGNATURESIINITIALS
GARDEN WALL FINAL
T4ht 4 4e& QuIftrw
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
February 27, 1995
Mr. Gordon Hartley
53760 Avenida Montezuma
La Quinta, CA., 92253
RE: Lot 23, Block 196 Unit 19
53760 Montezuma
Dear Mr. Hartley
On February 23, 1995, it came to the attention of the City of
La Quinta Building and Safety Department that a propane tank has
been installed in the City right of way at the above address.
Our records show, (permit 11384 Pool/Spa) a gas test was
performed on 10/26/92 by a City building inspector. Per our
conversation on 2/24/95, you advised me that your pool contractor
.relocated the gas line after the gas line inspection noted above,
to the City right of way. This was done without permit or
inspection, in violation of the City of La Quinta Municipal Code
14.16.040 (attached). Your immediate response and relocation of
the propane tank is required.
Please contact the City for any assistance you may require in
obtaining a permit, selecting an approved propane tank location,
and scheduling inspections to relocate your propane tank within
your property boundaries.
Mr. Mark Nickels with Petrolane has been notified of the tank
location violation and the requirement for relocation within your
property.
Please contact me within 14 days to resolve this matter.
Failure to do so will result in further action by the City. We
appreciate your immediate attention to this matter.
Sincerely,
BUIL ,NG AND SAFETY DEPARTMENT
aniel r o Jr.
Building Inspect r I
dpc
Attachment
cc Tom Hartung
File
Mark Nickels W/Petrolane
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
4
;p 14.16.030
1.4.16.030 Exceptions.
This chapter shall not apply to any officer or employee of the city in the discharge of his official duties,
or to any work being performed by any person or persons under contract with the city. (Ord. 10 § 1 (part),
1982)-
14.16.040 Acts requiring permit.
No persons shall encroach or cause to be made any encroachment of any nature whatever within,
upon, over or under the limits of any right-of-way, or make of cause to be made any alteration of any
nature within, upon, over or under the limits of any right-of-way, or make or cause to be made any
alteration of any nature within, upon, over or under such right-of-way, or construct, or put upon, maintain
or leave thereon, or cause to be constructed, put on, maintained or left thereon, any obstruction or
impediment of any nature whatever, or remove, cut or trim trees thereon, or set a fire thereon, or place
on, over or under such right-of-way any pipeline, conduit or other fixtures, or move over or cause to be
moved over the surface of any right-of-way or over any bridge, viaduct or other structure maintained by
the city any vehicle or combination of vehicles or other object of dimension or weight prohibited by law
or having other characteristics capable of damaging the right-of-way, or place any structure, wall, culvert
or similar encroachment, or make any excavation or embankment in such a way as to endanger the normal
usage of the right-of-way, without having first obtained a permit as required by this chapter. (Ord. 10 §
1 (part), 1982)
14.16.050 Nonacceptable permit applications.
No application will be approved nor permit issued for constructing or maintaining a loading platform
upon or in the right-of-way of a public street or for erecting or maintaining therein or thereon a post,
pole, column or structure for support for advertising signs. (Ord. 10 § 1 (part), 1982)
14.16.0.60 Emergency work authorized.
This chapter shall not prevent any public utility from maintaining any pipe or conduit lawfully on or
under any public street, or from making excavation, as may be necessary for the preservation of life or
property when an urgent necessity therefor arises during the hours the offices of the city are closed, except
that the person making an emergency use or encroachment on a public street shall apply for a permit
therefor within one calendar day after the offices of the city are again opened. (Ord: 10 § 1 (part),1982)
14.16.070 Director to issue permits.
The written permits required by this chapter shall be issued by the director subject to conditions set
forth in this chapter or required by other provisions of law. (Ord. 10 § 1 (part), 1982)
14.16.080 Application for permits—Form.
The director shall prescribe and provide a regular form of application for the use of any applicant for
a permit required by this chapter. The application form shall contain space for the name, address and
principal place of business of the applicant, together with such detail as in the judgment of the director
is necessary to establish the exact location, dimensions, duration and purpose of the proposed use or
encroachment. (Ord. 10 § 1 (part), 1982)
14.16.090 Application for permits—Exhibits.
The applicant shall enclose with, attach or add to the application for a permit a map, plat, sketch,
diagram or similar exhibit on which shall be plainly shown any and all information necessary to establish
the exact location, dimensions, duration and purpose of the proposed use or encroachment. (Ord. 10 §
1 (part), 1982)
14.16.100 Application for permits—Consent-of other public agencies to be filed.
The applicant shall also enclose with, attach or add to the application for a permit the written order
or consent to any work thereunder, required by law, of the Public Utilities Commission, sanitary district, �. .
water districts, or any other public body having jurisdiction. A permit shall not be issued until and.unless
540