12088 (RPL)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 52`090 Montezuma LA QUINTA, CALIFORNIA 92253
Owner
P aject1c Home
Mailing
Address P.O. Box 76
City Zip Tel.
La Quinta, CA 92253 1 568--6014
Contractor
McIntyre Pools and Spas
Address
P.®.Box 1791
.La QY1intd, CAI -92253 1 342-3521
State Lic. 614621City 1945
& Classif. I Lic. #
Designer
AddressTel.
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
�f effect: .�. -- ..
SIGNATURE ,1" DATE
OWNER -BUILDER DECLARATION
3- I hereby affirm that I am exempt from the Contractor's. License. Law for the following
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 file a signed statement that he isi icensed pursuant to
the provisions of the Contractor's License Law, Chapter 9p(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
ti builds 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. If, however, the building
of 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.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
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 with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation I,esurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polio�y,Na-1, '/,'' Company
f3+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 thg 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., If, 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that f'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
No. 12088
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Pool
T.
Sq. Ft.
Size
No. No. Dw. '
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$8,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
64.35
Const.
99.00
Mech.
24.00
Electrical
45..00
Plumbing
27. 01D
.S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
2 _.-1It
REMARKS
>&49.
•.+c`ta I;���f't i t�dt396.t r'- .r��'+.e.i
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
T.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
l
1 i
SLAB GRADE
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. p
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
DRAINAGE PIPING
CARP. SO. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
WALL SQ. FT.
GAS (FINAL)
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP. �/ _tj G
U—[
LAUNDRYTRAY
AIR HANDLING UNIT CFM
ROOFING
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.
SQ. FT. ® c
BATH TUB
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SQ.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(c1
UNDERGROUN `
r✓�
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.//ii
FINAL INSP. �/ _tj G
U—[
FRAMING
FINAL INSP.. 16
ROOFING
�C(,�
�/� I93in /
J fid/
`10Gb
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
T. H E C I T Y O F
Ld
�!uinta
! 981 - 1992 Ten Carat Decade
�z
April 14,. 1993
11
Mr. Mike McIntyre Subject:
`
McIntyre Pools
PO Box 1791 Setback Adjustment: 93-169
La Quinta CA 92253 Location: 52-090 Montezuma,,,
Dear Mr. McIntyre:
This letter is to report approval of your recent application for a
setback adjustment,.pursuant to Chapter 9.188 of the City of La
Quinta Planning & Zoning Regulations. The following setback
-
adjustment has been approved subject to.conditions and 'in accordance
with attached Exhibit A.
SETBACK ADJUSTMENT;.
Reduction of side setback -from. 5 -feet to 3 -feet
FOR: Pool
CONDITIONS:
1.- Obtain a building permit.
2. Maintain minimum of 3 -feet between rear property line and
s;
waterline of pool.
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
ori
surroundings that justify approval of the adjustment. These
special circumstances are: depth.of the lot and shape and
size of residence.
3. This adjustment will not be detrimental to the health, safety,
and general welfare of the community or be detrimental to
property -in the vicinity of the parcel for which the
adjustment is requested.
City of La Quinta
Post Office Box 1504 ♦ 78-105 Calle Estado .
La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617,
491
'
Should you have any questions concerning the above information,
please contact the.undersigned..
Very truly yours,
JERRY HERMAN
PLANNING & DEVELOPMENT DIRECTOR
/
I�ESLIE MOURIQUAND-CHERRY
f
Associate Planner
LC:ccs
Attachment: Exhibit A
cc :Bui��ld ng &- Saf=e .y__ Department _ ,
Majestic Homes
`f
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