SBA 1995-296]SE NO. q5- apt
b
CITY OF LA QUINTA F $100.0
PLANNING & DEVELOPMENT DEPARTMENT
APPLICATION FOR SETBACK ADJUSTMENT
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 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 LPRINT OR TYPE
APPLICANT/CONTRACTOR: Ll��G� �" / DATE J l4 ?J�
DIFFERENT)
�/ , .�)') AA4t&,4_ //-1?0 &-
CONTACT PERSON (IF
MAILING ADDRESS:
PHONE
44_4- L
(Address) (City) (State_) (Zip)
OWNER' S NAME: /'1 / �N PHONE v
MAILING ADDRESS: V/1 G,- G�
(Address)
City) (State) (Z
STREET ADDRESS OF PROPERTY:
LEGAL DESCRIPTION OF PROPERTY: LOT # (S TRACT ,�;ij '0
ASSESSOR'S PARCEL NUMBER: szon " q5-.
ADJUSTMENT REQUESTED: A✓/yl//�� f J/dG`�/�� � ✓ / /`�/w� � l/�y ��.�1� �rr�
REASON FOR REQUEST • f/LI/LGL
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 applicable 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.
a
FORM.013/CS
T;v'A SPECIFICATION
f 4; IF Type
Size
-A4-T-
ZM?
7 F JW pw r, q, t..j Surface Area Pool
Perimeter Depths Min. Max.
SPA SPFCIFICATIONS ELECTRICAL
Size ::r—L Sq.
-(4 aZM — By Length
q 4 Spa Dam Wall Wi th Time Clock —Sub Panel
awf I
No- of Light
No. of Jets s in Pool
Light I Booster Pump 1 Outside G.F.I. Lights GFI Outlet
Calif. Aqua Air -Bar & Blower Extra Switch for Spa Light
rBlower Only Blank Plugs
tv t-evwr,
i-19
Raised Spa Spillways Motor ---- Booster
Special Notes Blower Cleaner
t/
EXCAVATION Misc.
Type
Access From COPING & TILE
Elevation Coping White_____
Deep End Ramp Coping Special
LT�Fence Removed By Tile Type
f
Fence Type Tile Trim Mastic
Trash Removal Loads 6"R.B.B.—' 12"R.B.B.—' 18"R.B.B.—'
Concrete Removal Loads Misc.
Tree Removal By
Stump Removal By
Dirt Pad Ft.
DECKING
6"R.BB.--' 12"R.B.B.---' 18R.B,B.—'
44 By -- Up To 5(411 Sq. Ft.
Walkout!Misc.
Finish Color
Rock Pack
Expansion Joints
Mastic Footing
STEEL Steps Type
Expansive Soil Cantilever
6"R.B.B' 12"R.B.B.--' 18"R.B.B.—' Deck Drains Curb Core
11 Surcharge'. Deep End Ramp — Decco Drain Diving Board Jig
4
Loveseat Inside Outside Patio Straps & Footing No.
Spa Wall Width Other Slide Installation
Wall Dowel/Misc. MASONqY
T- Bars UxA Deck Dowels
7- Coping Type
Planter Wall
wev PLUMBING Type x
Filter size Cap Back Up Wall
Pool Pump Size )t oo Footings R.B.B. Facing
vd, Heater s<i Size Firepit Type ----------Size
Booster Pump Size Equip. Wall Type x
Skimrr - ype Fen-;-g
Caret6—r
Ul
No. of Heads Mi-,
Other Cleaner Stub Only
-Fill Line---,-------------' SlideLine---,- ------ - ------------
PLASTER
P-Trap Back Wash to
Ligf,' Pool
If � Gas L, Stubs Spa
Roj,_ings Eyeballs Required
Fount,
.Sprayheads Color Name Tile
Lights in Pool in Spa
Caretaker — Aqua Air Bar
Hydrostatic Valve
Stub Set Equipment SPECIAL EQUIPMENT
Solar Run Diving Board Size
Sawcut Model Color
Auger
Misc. Slide — Size
i6ow��, Model --- Color
GUNITE
Pool Cover Solar Heating Yes No
AA Gunite Inspection Required Yes No
Misc. By
Rope Rings Grab Rails
Deep End Ramp FENCING
6 " R. B. 6, —' 12 " R.B.B. 18 R. B. B To Meet All Local Code Requirements By Buyer Prior to
Preplaster Inspection
I Loveseat Extended 2nd Step
Notch Bond Beam OTHER
Coping--- - Cantilever
Notched Spa Dam Wall
Spa Dam Wall Width
OWNER RESPONSIBILITIES
Owner To: (1) Determine the, approximate elevation of pool or spa at layout on Day of Excavation
(2) Take notice that Pool and Equipment location is subject to acceptance of local Building Depart-
ment at time of issuance of permit.
(3) Wet down concrete shell at least twice daily for seven (7) days after day shell is installed
(4) Take Notice that California Pools IS NOT RESPONSIBLE for: Underground conditions or objects,
and any Damage to curbs, sidewalks, driveways, lawns, or other items in access area.
(5) See that all fencing, gates, and garage doors meet local codes for a pool enclosure prior to
preplaster inspection.
(6) Fill pool immediately after plastar. (Follow Instructions, Do not use Rubber Hose)
(7) Take Notice that this drawing is the sole property of California Pools and any use without written
permission of California Pools, Inc, is prohibited by law.
Owner approves Plan, Pool, and Equipment Locations and has read the Responsibilities and NOTICES above
Signed Date
SWIMMING POOL PLAN FOR:
NAME
J.M. PETERS LOT 45
APPROVED BY PLANNHING DEVELOPMEN'THEPARTMENT
BY CAFE
-I.XHIBIT
XASIE NO.
STREET
JOB ADDRESS____
PHONE OFFICE
LOT TRACT
MAP BOOK PAGE NO.
MAIL ADDRESS
CONSTRUCTION OFFICE PHONE NO.
SCALE DATE DRAWN BY
CITY
RES
PAGE BOOK
— ----- - ---
CITY
----T�EKEDBY
SOLD BY H
cAbl"VORBIR rughs FAIA SP
PAI 1Cf%DK11A f%nK]T0APTn094Z I 1P K1r% 109Z411103