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04-8131 (SFD)v o� W BUILDING & SAFETY DEPARTMENT c mw� P.O. Box 1504 :' t (760)-777-7012 _7_8_495C-XI:UE-TAMPICO FAX (760) 777-7011 �LA QU!LNTA., CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 FIL 3 10 2 05BUILDING PERMIT Appli cat11 ion, r _ . . . 04-0008131 `'Date 2/02/05 Property Address ? . . . . . 33 VIA BENDITA APN: 772-270-010-6 -311231- Application description . . . DWELLING -'SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 175101 Owner Contractor VISTA LA QUINTA PARTNERS,' LLC. WASSERMAN CONSTRUCTION, RA 223 E. DE LA GUERRA 45520 STONEBROOK COURT LA QUINTA, CA 92253 LA QUINTA CA 92253 (760) 771-8191 WCC: STATE FUND WC: 1795012. 07/01/05 CSLB: 681660 06/30/06 CCC: B -------------------------- 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 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 470:,00 PATIO SQ FTG 306.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2829.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 905.50 Plan Check Fee'.. 147.15 Issue Date . . . . Valuation 175101 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 3.5000 THOU -BLDG 100,001-500,000 266.00 Permit . ... . . . MECHANICAL Additional desc . Permit Fee . . . . 121.00 Plan Check Fee 7.56 Issue Date . . . . Valuation . . . . 0 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 P.O. Box 1504 78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 8 13 I Date: 0'5 -- Applicant: Architect or En 'neer: cewilf � - �,c Applicant's Mailing Address: Architect or Engineer's Address: No., C.;2 Y7 df BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 here y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and my Licensl in full force and effect. License Class 1S tr.�ne No ate Z I (U a$– ontractor '-j>– 't tAl�� LL r �► i/t1 C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Tor the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 ._Yof the work for which this permit is issued. 4 have and will maintain workers' compensatio insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss y ork�fS' cophpensation ' ante carrier and p limey um�ere KM. �}f,�/ olicy Number — 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos provisions. ate Z� 10't� App/ licant ` 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. 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 N I T 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 Ouinta, 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 dale 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, an/d hereby authorize repre tatives of this county to en a above-ment' ned property for inspection purposes. Date Z(' �r Signature (Applicant or Agen Application Number . . . . . 04-00008131 Page 2 Date 2/02/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH OTHER VENT SYSTEM 6.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 129.54 Plan Check Fee 8.10 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2829.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 99.02 776.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.52 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc Permit Fee . . . . 174.00 Plan Check Fee 10.88 Issue Date . . . . Valuation . . . . 0 Qty' Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 Qty' Unit Charge Per Extension BASE FEE 15.00 -----------------.----------------------------------------------'------------- Special Notes and Comments SFD - LOT 6 PLAN 3AL (W/ DETACHED CASITA) 2829 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 r Page 3 .Application Number . ... . . 04-00008131 Date 2/02/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 98.00 DIF CIVIC CENTER = RES 366.00 ENERGY REVIEW FEE 14.72 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES. -.RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502:00 STRONG MOTION (SMI) - RES 17.51 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged -=-------- Paid Credited Due .Permit Fee Total 1345.04 ------------------------------ .00 .00 1345.04 Plan Check Total 173.69 .00 .00 173.69 Other Fee Total 2438.23 .00 .00 2438.23 Grand Total 3956.96 .00 .00 3956.96 f-Occupanc .Certificate oy Buildin : & Safety.. _Department g 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 Cod. e and; the various ordinances of the City regulating building ,r construction and/or use: , BUILDING ADDRESS: 51-733 VIA BENDITA ` Use classification: SINGLE FAMILY DWELLING Building Permit No:: 04-8131 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:.GARY SHOWALTER Date: NOVEMBER 10, 2005 .POST IN A..CONSPIC000S PLACE COW FCITY OF L.A QUINTA BUILDING & SAFETY DEPARTMENT sM OF, 777-7012 INSPECTION REQUEST LINE 777,-7153 VISTA LA QUINTA PARTNERS, LLC Owner Contractor R.A' WASSERMAN CONSTRUCTION Permit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 51-733 VIA BENDITA SFD —LOT 6, PLAN 3AL. PERMIT DOES NOT' j I( INCLUDE POOL, SPA, BLOCK WALLS OR I nuTVF.WAY APPROACH 1 ClVlrvnnn � � FOOTINGS /STEEL UV NV 1 rvvn vv ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION, INSULATION COVER NO WORK U� INTERIOR GYP BD. (DRYWALL) EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR �ucocrTlnlJC .11-n ccnrll P INSPECTIONS FINAL INSPECTIONS TEMP. USE OF PtHMANUN 1 rvvvF-r ELECTRICAL, PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO -- - — 'TURN ON UTILITIES OR OCCUPY BUILDING _ 3'— v� '7 7Z2 77 � �v