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04-8126 (SFD)i 40 BUILDING & SAFETY DEPARTMENT w�P.0 BOX 1504 5- (760)•777-7012 784,MCALLE TAMPICO FAX (760) 777-7011 VLA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT pp, cation cation Number . . . . 04-00008126 Date 2/02/05 Property Address . . . . . 51579 VIA BENDITA APN: 772-270-010-13 -311231- Application description DWELLING -•SINGLE FAMILY DETACHED Property Zoning . . . ... LOW DENSITY RESIDENTIAL Application valuation 142902 Owner Contractor ------------------------ ------------------------ VISTA LA QUINTA PARTNERS WASSERMAN CONSTRUCTION, RA 223 E. DE LA GUERRA 45520 STONEBROOK COURT SANTA BARBARA CA 93140 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 3.00 'FIRE SPRINKLERS- NO GARAGE SQ FTG 447:00 PATIO SQ FTG .207.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 2297.00 ------------------------------------------------------------------ Permit BUILDING PERMIT Additional desc Permit Fee. 790.00 Plan Check Fee 128.38 Issue Date Valuation . . . . 142902 Qty Unit Charge Per Extension BASE FEE 639:50 43.00 3.5000 THOU BLDG 100,001-500,000 150.50 ------------------------------------------------------------------------------ Permit . . . . MECHANICAL Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 5.63 Issue Date . . . Valuation . . 0 Qty Unit Charge PerExtension ' BASEFEE 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 5.00 6.5000 EA MECH VENT FAN 1 32.50 P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 4 Date: of - 10 •0 Applicant: Architect or Engineer: Applicant's Mailing Address: No. l2 _ Q `T`T'l7V( BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby 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 Code, and myLicgse is in full force and effect. License Class icense No. (U ! (1 CrJ(rJ OWNER43UILDER 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 for 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).J: U 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 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 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.). U I am exempt under Sec. , BA P.C. for this reason Inn Date 1 ( Owner WORKERS' COMPENSATION DECLARATION 1 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 workers' ompensation ir�fance carrier and olicy number are: Cartier 5�Q'I - i !{ olicy Number 170 0O 1 Z 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 those provisions. date •:::n�AppIcant RA 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.). Lenders Name //�� Lenders Address :IAC 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 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 informati I co ly with all city and county ordinances and state laws relating to building construction, and hereby authorize /representatives of this county toe d property for inspection purposes. ate O Sim gnature (Applicant or Agent r d ^s Page 2 Application Number . . . . . 04-00008126 Date 2/02/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 108.48 Plan Check Fee 6.78 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2297.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 80.40 654.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.08 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc Permit Fee 160.50 Plan Check Fee 21.85 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA. PLB FIXTURE 90.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 13,PLAN 1BL, 2297 SF. 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 . . . . . . . . . ART IN PUBLIC PLACES -RES .00 .DIF COMMUNITY CENTERS -RES 97.00 r. a Page 3 Application Number . . . . . 04-00008126 Date 2/02/05 ----------------------------------------------------------7----------------- Other Fees . . . . . . . DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 12.84 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC = RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 14.29 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1163.98 ---------- ---------- -7 .00 .00 -------- 1163.98 Plan Check Total 162.64 .00 .00 162.64 Other Fee Total 2432.13 .00 .00 2432.13 Grand Total 3758.75 .00 .00 3758.75 ,- Certificate of Occupancy G�O'TBuildin & Safety Department F 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. a ' BUILDING ADDRESS: 51-579 VIA BENDITA s Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8126 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: DECEMBER 20, 2005 Building Official POST IN A CONSPICUOUS PLACE