05-4919 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-4bt 4 4& Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:05-00004919 =-
Property Address: 51920 VIA BENDITA
APN: 772-270-010-2. '-311232-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 158078
Applicant:,, rchitect or Engineer:
Owner:
VISTA LA QUINTA PARTNERS
223 E. DE LA GUERRA
SANTA BARBARA, CA 93140
Contractor:
WASSERMAN CONSTRUCTION, RA
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
"J
Date: 11/04/05
UI- 13 2005
45520 STONEBROOK COURT
LA QUINTA, CA 92253 CFNDF�QUINTq
(760) 771-8191 gNCEDEP]
LiC. No.: 681660
1 Q{ T r^(V
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LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business, ssj/-6gode, and my License is in full force and effect _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
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 155001.:
(_ 1 1, 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 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 1 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: t�
Lender's Address: I ! 1
LQPERMIT
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 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 be me subject to the workers' compensation laws of California,
and agree that, if Ishould b b'e to the workers' mpensatien provisions of Section
3 �0 of the L or Cod cgpypiY Provisions.
plicant:
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 state that the above info ion is correct. I agree to comply with all
city and county ordinances and state laws relating to building , an ere aut rize representatives
of the coun�lo OO r upon t above-mentioned propert pur
5a/te: `/ ature (Applicant or Agent):
Application Number . . . . . 05-00004919
Structure Information
Construction Type . .
. . TYPE V - NON RATED
,
Application Number . . . . . 05-00004919
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
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 . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
124.26 Plan Check.Fee
7.77
Issue Date
Valuation . . .
. 0
Expiration Date
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2408.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
84.28
LQPERMIT
Application Number .
. . . . 05-00004919
Permit . . . . . . IELEC-NEW
RESIDENTIAL
Qty Unit Charge
Per
Extension
1249.00 .0200
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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 2, 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
LQPERMIT
Application Number
. . . . .
.05-00004919
----------------------------------------------------------------------------
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
LQPERMIT
..
rr
Certificate of.0ccupancy
Ncoi ,Tmk4
G� OBuilding y p & 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
:a
provisions of the Building Code and the various ordinances of the City regulating building
F
construction and/or use.
BUILDING ADDRESS: 51-920 VIA BENDITA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4919
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
k -
City, ST, ZIP: SANTA BARBARA, CA 93140
By: DAVID GATICA '
Date: DECEMBER 21, 2006
Building Official
POST IN A CONSPICUOUS PLACE