RPL (10605)-. s
i 06 or
OX 1504
Building -295biV3Zr0 78-105 CALLE ESTADO P52 P.O. B
Address
92253 ,
Owner
Pete Knudsen
Mailing BUILDING: -TYPE CONST:, -OCC: GRP.
Address 52_279 Navarro A.P. Number
City Zip Tel.
ainte 92253 564-2430 Legal Description
Contractor Project Description
Pool Only
Address .
City Zip Tel.':
State Lic. City
& Classif. 619724 ' •' Lic. # 2007 Sq. Ft. No. No. Dw.
Size StoriesUnits
Arch., Engr.:
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
x:
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) of Division 3 of the Bus ness a d Professions Code, and my license is in full force and-
effect.
i�S GNAT— URE! "� `e_.,. -Z- �•�. C - DATE _
OWNER -BUILDER DECLARATION Estimated Valuation
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, alter, 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
the provisions of the Contractor's License Law, Chapter 9 (commencing with, Section •7000) of AMOUNT
" 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 penalty of not more then five hundred dollars.($500).' - ^ ' • " ,
❑ l,.as owner of the property, or my employees with wages as their sole compensation; will Plan Chk. Bal. 64. 35
do the work, and the structure is not intended or offered for sale. (Sec: 7044, Buisness and . ..Const. }�
Professions Code: The Contractor's License Law.does not apply to an owner of property -who . a -
builds or improves thereon and who does such work himself or through his own employees, Mech. ' _ 21.00
or Provided that' such imdrovements are not intended or offered for sale. -If, however, the building -
'r or improvement Is sold within one year of completion, the owner -builder, will. have the burden - - - : t y 30. 0 0 , '
r. Electrical
�.
dfproving that he did not buildor Improve for Me purpose of sale.) v t""
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- . Plumbing 24. 00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's. License Law
does not apply to an owner of property who builds or Improves thereon, and who contracts for: S.M.I. r e.30
such projects with a contractor(s) licensed pursuant to the Contractors License Law.) _
-
❑ I am exempt under Sec. B. & P.C. for this reason Grading ,
Driveway Enc.
Date owner ` Infrastructure
WORKERS' COMPENSATION DECLARATION.
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation.lnsurance, ora certified copy- thereof. (Sec.. 3800, Labor Code.). ..
Policy No.Company",
O16opy is filed with the city. 0. Certified copy is hereby. furnished. { `� t '
TOTAL 238.65
CERTIFICATE OF EXEMPTION FROM REMARKS r -
WORKERS' COMPENSATION INSURANCE' = - - - r- n _ �'-ri+• k.,y
This section need not be completed If the1'00)-valuation-
( p perm!( 7s• for one hundred dollars '($
or less.)
I certify that in the performance of lhq 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__LOwner
NOTICE TO APPLICANT: If, "after making this. 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
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) _ - - Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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 I have read this application and state that the above information is correct. Issued by; Date Permit-
' 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. Validated by:
Signature of applicant Date '
Mailing Address Validation: +'
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEET
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
FOR. SO. FT. ®
GAR. SO. FT. ®
CAR P. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEMB.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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINAL INSP.
ROOFING
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
ERG ROUN
Q• a A.C. UNIT
COLL. AREA
SLAB GRADEqrx
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS (IAY(/
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEE
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ —plus—x$_=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
/5 J�a�/ld ��—
I✓/� (� /
v
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION ` r 1)
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I
l ,:
4
78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 (619) 564-2246
FAX (619) 564-5617
December 11, 1991
Mr. Pete Knudsen Setback Adjustment: 91-087
52-279 Avenida Navarro Location- Cove
5
LA Quinta, CA 92253 T!2-295 Navarro
APN: 773-2'74=013
Legal: Lot 2 Blk 102
Dear Mr. Knudsen:
This letter is to report approval ' of your recent application
for a setback adjustment, pursuant to Chapter 9..188.o,f the City
of La QuintaPlanning & Zoning Regulations. The following
setback adjustment has been approved subject to conditions and
in'accordance with attached Exhibit A.
SETBACK ADJUSTMENT:
Side setback existing 5 -foot setback reduced to 3 -feet.
-(Note: Setback reduction to 2 -feet was denied.)
FOR: Pool
CONDITIONS:,
1. Comply with Municipal Code fencing requirements for
pools.
2. Ensure pool is reinforced to building. code,
requirements.
3. This setback adjustment does. not, apply. to
mechanical equipment.
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 special
circumstances are: this is a small lot with
limited space fora pool.
MAILING 'ADDRESS P.O. BOX 1504'- LA QUINTA, CALIFORNIA 92253
LTRGL.275/cs
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. -
/
If you have any questions, please contact the undersigned*
.
Very truly yours,
JERRY HERMAN
-PLANNING &DEVELOPMENT DIRECTOR
M"�s
Glenda M. Lainis R
Associate Planner
GML:ccs
Attachment: Exhibit A
cc: Building & Safety Department
LTRGL.275/CS -2-
9
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EX
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