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04-8124 (SFD)T-1.0ar 4 4Q�rw 04 .E TAMPICO CALIFORNIA 92253 BUILDING PERMIT Application description . Property Zoning . . . . . Application valuation . . BUILDING & SAFETY DEPARTMENT s (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00008124 Date 2/02/05 51667 VIA BENDITA 772 -270 -010 -9 -311231 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 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 --------------------------------------------------------------------------=- 1ST 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 -----------7-------------------------------=--------------`------------------ 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 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 5.00 6.5000 EA MECH VENT FAN 32.50 a 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: 04 - s l e2 l� Date: a210 -O Applicant: Architect or Engineer Applicant's Mailing Address: Architect or Engineer's Address: J_% VOW (_�ff IC. No.: 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 and my License is ' full force and effect. Licen se Class License No. Date �I10 loq--,,t�ontcto, �P A W Pis gz_w. - 6i 15_100 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 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).): 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 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 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 lof the work for which this permit is issued. Ze 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 V-2 d. y wo compensation��'ApseCa�rance carrier a isyy qumb r are: arriery /policy Number 3 _ I certify that, in the performance of the work for which th s 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. Z I l0 l C7 pplicant � (i(/ $P�-i� 74." - C 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 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 information is co . 1 agree to co ply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to en ed roperty for inspection purposes. ate2�///ignature (Applicant or Agent): J Application Number . . 04-00008124 Page 2 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 -----------------------------------7---------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.08 Permit . . . . . . PLUMBING Additional desc 6 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 9,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 A0 DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . . . 04-00008124 Date 2/02/05 -------------------------------------------------------------=-------------- 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 .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 -Occupancy,.Certificate of Qu 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 Building Code and the various ordinances of thet, City regulating building construction and/or. use. - BUILDING ADDRESS: 51-667 VIA BENDITA f POST IN A CONSPICUOUS PLACE e r Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8124 q Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Address: 45-520 STONEBROOK COURT R.A. WASSERMAN CONSTRUCTION. City, ST, ZIP: LA QUINTA, CA 92253 By: GARY SHOWALTER k a Date: NOVEMBER 4, 2005, Building Official . f POST IN A CONSPICUOUS PLACE e BUILDING & SAFETY DEPARTMENT �E CF'y OF TN�''�� 777-7012 INSPECTION REQUEST LINE 777-7153 Owner VISTA LA QUINTA PARTNERS, LLC �o CITY OF LA QUINTA v'o . �\ n Contractor R.A. WASSERMAN CONSTRUCTION Permit Number 04-8124 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 51-667 VIA BENDITA SFD — LOT 9 PLAN IBL. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL , CONCRETE SLAB l� C>_,4' DO NOT POUR CONCRETE UNTIL ABOVE SIGNE ROOF NAIL / PRE -ROOF 5— � / — T OKAY TO WRAP _f _ 2 .c FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH — GAS TEST _ y _ SEPTIC ABANDONMENT SEWER CONNECTION S SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING AL MECHANIC PUBLIC WORKS DEPARTMENT _ e)- COMMUNITY DEVELOPMENT DEPT. J FINAL / JOB COMPLETED /�-�/ — t ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING