05-4921 (SFD)P.O. BOX 1504-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'!t 4 XP Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00004921 Owner:
Property Address: 51840 VIA BENDITA VISTA
APN: 772-270-010-6 -311232- 223 E.
Application description: DWELLING - SINGLE FAMILY DETACHED SANTA
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 158078
Applicant: rchitect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I d and rov ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines ssio nd my License is in full force and effect.
License Class: ,B 560
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 Codel 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 155001.:
(_ 1 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.).
(_ 1 1, 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 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
LA QUINTA PARTNERS.
DE LA GUERRA
BARBARA, CA 93140.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor: D
WASSERMAN CONSTRUCTION, RA
45520 STONEBROOK COUR'J
LA QUINTA, CA 92253
(760)771-8191
Lic. No.: 681660
Date: 11/04/05
DEC 13 1005 D
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.
.X 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 workers' compensation
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 bec subject to the workers' compensation laws of California,
and agree that, if I should be to the w rs' mpensation provisions of Section
700 of the Labor Code, rth o p
t pplicant:
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 1$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 state that the above i ation is correct. I agree to comply with all
city and county ordii���nnaantttttt�ces and state laws relating t , building c and ere aut rize representatives
of this c y tupont above-mentioned property n s
ignature (Applicant or AgentI: /t-
LQPERMIT
Application Number . . . . . 05-00004921
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE.SQ FTG
5920.00
PATIO SQ FTG
657.00
NUMBER OF UNITS
1.00
---------------- -------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2408.00
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
846.00 Plan Check Fee
137.48
Issue Date . . . .
Valuation . .
. . 158078
Expiration Date . .
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
59.00 3._5000
--------------------------------------------.--------------------------------
THOU BLDG 100,001-500,000
206.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
96.50 Plan Check Fee
6.03
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
18.00
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
-------------------------------=--------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date
Expiration Date..
Qty Unit Charge
2408.00 .0350
ELEC-NEW RESIDENTIAL
124.26 Plan Check Fee
Valuation
5/03/06
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
7.77
0
Extension
15.00
84.28
LQPERMIT
Application Number . . . . . 05-00004921
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge_ Per
Extension
1249.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
----------------------------------------------------------------------------
24.98
Permit PLUMBING
Additional desc .
Permit Fee . . . 180.00 Plan Check Fee
11..25
Issue Date . . . . Valuation . . . .
0
Expiration Date.. 5/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
18.00 6.0000 EA PLB FIXTURE
108.00
1.00 15.0000 EA PLB BUILDING SEWER
15:00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
10.00 .7500 EA PLB GAS PIPE >=5
7.50
1.00 15.0000 EA PLB GAS METER
------------------------------------------------------------- ---------------
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 6, PLAN 2AL (DETACHED
'
CASITA W/ SKY DECK) 2408 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
13.75
DIF FIRE PROTECTION-RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00 .
DIF PARKS/REC - RES
892.00
LQPERMIT
Application Number . . . 05-00004921
------=---------------------------------------------------------------------
Other Fees . . .
. . . . . .
STRONG MOTION (SMI) - RES
15.80
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
-----------------
Charged
--- - ------
Paid Credited
---------- ---------- ----------
Due
Permit Fee Total
1261.76
.00 .00
1261.76
Plan Check Total
162.53
.00 .00
162.53
Other Fee Total
3725.55
.00 .00
3725.55
Grand Total
5149.84
.00 .00
5149.84
LQPERMTT
Cert icate of •Oc
cupancy
Af
-OF,,Building &: Safety Department
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' Bullding Code and the, various ordinances of the City regulating building
construction and/or use.
' BUILDING ADDRESS: 51-840 VIA BE'
NDITA
i
Use classification: SINGLE FAMILY'DWELLING _ Building .Permit No.; 05-4921
r •
Occupancy Group: R3Type 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
1� Date: NOVEMBER 2. 2006.
Building Official
POST IN A CONSPICUOUS PLACE