05-4939 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:05-00004939
.Property Address: .51865_VIA BENDITA
APN: 772-270-010-10 -311232-
Application description: DWELLING - SINGLE FAMILY
Property. -Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185736.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VISTA LA QUINTA PARTNERS, LLC
223 E. DE LA GUERRA
DETACHED LA QUINTA, CA 92253
Applicant:/Hrchitect or Engineer:
--------------------------------------------------.
LICENSED C CTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a nderpro 'sions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business o , and my License is in full force and effect.
License Class: 681660
ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 11/04/05
Contractor: Ll[:D
WASSERMAN CONSTRUCTION, RA45520 STONEBROOK COURT ZUUSLA QUINTA, CA 922530760)771-8191 L pjENTA
Lic. No.: 681660
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workerscompensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0014586-2005
_ 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 becom bject to the wor rs' compensation laws of California,
and agree that, if I should beco e t t w cer. compensation provisions of Section
37 0�theLabor_Cocle, I it ions.,
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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and statethat the above ' mation i correct. I agree to comply with all
city and county ordinances and state laws relating to building authorize representatives
of this county a ter upon the ab e -mentioned property a es.
De a 5' tura (Applicant or Agent):
Application Number . . 05-00004939
LQPERMrr
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy. Type . . .
... . DWELLG/LODGING/LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
.3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
558.00
PATIO SQ FTG
647.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2428.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
503.00
Permit .. . .
BUILDING PERMIT
Additional desc .
Permit Fee
940.50 Plan Check Fee
152.93
Issue Date . .
Valuation
185.736
Expiration Date
5/03/06
Qty Unit Charge
-Per
Extension
BASE FEE
639.50
86.00 3.5000
--------------------------
THOU BLDG 100,001-500,000
-----------------------------------
301.00
---------------
Permit
MECHANICAL
Additional desc .
Permit Fee
114.50 Plan Check Fee
4.31
Issue Date
Valuation . .
. . 0
Expiration Date
5/03/06
•Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA. MECH B/C.<=3HP/100K BTU
27.00
6.00 6.5000•EA
MECH VENT FAN
39.00
1.00 6.5000
--------------------------
EA MECH EXHAUST HOOD
----------------------------------
6.50
----------------
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
141.69 Plan Check Fee
8.86.
Issue Date
Valuation . .
. . 0
Expiration Date
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE -
15.00
LQPERMrr
Application Number . . . . . 05-00004939
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
2931.00' .0350 ELEC NEW RES - 1 OR 2 FAMILY,
102.59
1205.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
--------------------------------------------------------------
24.10
Permit . . . •PLUMBING
Additional desc.
Permit Fee . . . . 179.25 Plan Check -Fee
11.20
Issue Date . . . . Valuation . . . .
0
Expiration Date 5/03/06
Qty Unit Charge Per
Extension
BASE FEE r
15.00
19.00 6.0000 EA PLB.FIXTURE
114.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
11:00 3.0000.EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500 EA PLB.GAS PIPE >=5
8.25.
1.00 15.0000 EA PLB GAS METER
-----------------7-----------------------------------------------------------
15.00
Permit GRADING PERMIT
Additional desc .
Permit Fee . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
0
Expiration Date .. 5/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments.
SFD - LOT 10, PLAN 4AL - (2 STORY W/
DETACHED CASITA) 2931 SQ.FT. LIVING, R-3'
OCC. TYPE V -N CONSTRUCTION, 2001 CODES.
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS, OR DRIVEWAY APPROACH. 75%
REDUCTION TO PLAN CHECK.FEE DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE
• --------------------------------------------------
Other Fees . . . . . DIF.COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER -,RES
480.00
ENERGY REVIEW FEE
15.29
DIF FIRE PROTECTION -RES
'140.00
DIF LIBRARIES•- RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.0.0
LQPERMIT
Application Number
. . . . .
05-00004939
..----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
STRONG MOTION (SMI) - RES
18.57
DIF STREET MAINT FAC -RES
' 67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
Charged
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
----------
1390.94
.00 .00
1390.94
Plan Check Total
177.30.
..00 .00
177.30
Other Fee Total
3729.86
.00 .00
3729.86
Grand Total
5298.10
.00 .00
5298.10
.CerMFicafe -of Occupancy,
„� Sw
G� OF9� Y .Buildin &.Safet :De artment
9► Y p
.. .
This Certificate':' is issued pursuant to the requirements of Section -109. of the California Building
Code, certifying .� that, at, the time of issuance,;this `structure was in - compliance with the
provisions of the Building Code. and the various.. ordinances of the , City regulating building'
construction and/or use..
-BUILDING ADDRESS: 51-865 VIA BENDITA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4939
Occupancy Group: R3 Type of Construction:-V-N " Land Use Zone:. RL
Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA
City; ST, ZIP: SANTA BARBARA, CA 93140 `.
., By: DAVID GATICA
Date: DECEMBER 28, 2006
Building Official
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