05-4925 (SFD)f
P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
.APN:-
Application description
Property Zoning:
Application valuation:
BUILDING & SAFETY DEPARTMENT `
BUILDING PERMIT
[0 x00004925
80665 VIA GLORIETA
772-270-010=40 311231
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
210784
Owner:
VISTA LA QUINTA PARTNERS, LLC
223 E. DE LA GUERRA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 11/04/05,
LQPERMIT
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Applicant: rchitect or Engineer:
Contractor:
WASSERMAN CONSTRUCTION,%'
D�"
45520 STONEBROOK COURT 1
1 3 ?005
LA QUINTA, CA 92253
15G
,
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ra ��Qy
(760)771-8191 Cln'QF
Lic: No.: 681660 F��AIV ESE TA
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with _
1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and"JpsjiionaLs Code, 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
License Clas Be o.: 681660
for by Section 3700 of -the Labor Code, for the performanceofthe work for which this permit is
Date) „ ractor:
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. Myworkers' compensation
OWNER -BUILDER DECLARATION.,
insurance carrier and policy number are: s
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 0014586-2005 '
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to -
- _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the ,,.
person in any manner so as to bec me b'ect to the workers' compensation laws of. California,
. , permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should be to the workers' compensation provisions of Section -
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, t with those provisions. -
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).:
ateicant: -
(_) 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
WARNING: FAILURE TO SECURE WORKERS' •COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN
improvements, are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
- APPLICANT ACKNOWLEDGEMENT - -
' (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of.Building and Safety for a permit subject to the
7044; Business and Professions Code:. The Contractors' State License Law does not apply to an owner of
conditions and restrictions set -forth on this application. .
•- property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
_
I am exempt under Sec. , B.&P.C. for this reason -
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City i
' -
- 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.
- Date: Owner: " _ -
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
' - CONSTRUCTION LENDING AGENCY
permit to cancellation. „
I hereby affirm under. penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above i 6n is corr t. I agree to comply with all
' work for which this permit is issued (Sec. 3097,.Civ. C.).
city and co ordinances and state laws relating to building n, a horize representatives
• _ -.
of.this unt o e r upon t ove-mentioned property on ,.
+ . Lender's Name:
// "
�
•
ate:_` / ignature (Applicant or Agent):
Lender's Address: /D2
.
LQPERMIT
Application Number
05-00004925
\
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
-4.00
FIRE SPRINKLERS
NO `
GARAGE SQ. FTG
455:00
PATIO SQ. FTG
•207.00
ITMIBER OF UI4ITO
1.44
1ST FLOOR SQUARE FOOTAGE
2281.00
2ND FLOOR SQUARE FOOTAGE
.1200.00 ..
Permit ." . . .
BUILDING.PERMIT
Additional desc .
Permit Fee . . . .
102.8.00 Plan Check Fee
668.20
Issue Date
Valuation
210784
Expiration Date
5/03/06`
Qty Unit Charge
Per
Extension
- BASE"FEE
639.50
- 111.00 3.5000
------------------------------------------------------------------------------
THOU BLDG 100,001-500,000
388.50
Permit . .
MECHANICAL
" Additional desc .
- Permit Fee
96.50 Plan Check Fee
24.13
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 <=3HPt100K 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
150.08 Plan Check Fee
37.52
Issue Date
Valuation
.0
Expiration Date
5/03/06
Qty Unit .Charge
Per
Extension
BASE FEE
15.00.
--LQPERMIT ..
Application Number
05-00004925
' Permit . . . ." ELEC-NEW.RESIDENTIAL
Qty Unit Charge
Per
Extension.- -
3481.00 .0350
ELEC NEW RES -'1 OR -2 FAMILY
121.84
•662.0.0 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.24
Permit" PLUMBING
Additional desc .
Permit Fee
178.50 Plan Check Fee
44,.63
1:§gue i)ate
Valuation ..
4
Expiration_Date
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 - 6.0000
EA PLB -FIXTURE ti
108.00
1.00 15.00.00
EA PLB BUILDING SEWER
15.00
1.00• 7.5000
EA PLB WATER HEATER/VENT
7.50-
.50 •1.00
1 1 .003.0000
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
Expiration Date
5/03/06
-
Qty Unit:Charge
Per li
'Extension
BASE FEE'
15.00
Special Notes and Comments
SFD - LOT 40, PLAN 5BL
3481 SQ.FT. LIVING, R-3
OCC. TYPE V -N .
CONSTRUCTION, 2001 CODES. PERMIT DOES
• NOT INCLUDE POOL, SPA,
BLOCK WALLS. OR DR
VEWAY APPROACH
Other. Fees
ART.IN•PUBLIC PLACES -RES
26.96.
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE,
66.82
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
05-00004925
- ------ - - -- - - - - - -- -"- ---
Other Fees
------------
---------- - - - - --
STRONG MOTION (SMI).- RES
21.07
DIF STREET MAINT FAC -RES
67:00
DIF TRANSPORTATION -.RES
1666-.00
' Fee summary
Charged
Paid Credited
Due
-Permit Fee Total
1468.08
.00 .00
'1468.08.
Plan Check Total
774.48'
.00' .00
774.48"
Other Fee Total
.3810.85
.00 -00
3810.85
Grand Total
60,53.41
.00 .00
5 1'
LQPERMIT ..
-
o, I OF LA QUINTA
BI I G & SAFETY DEPARTMENT
777-7012
SPECTION REQUEST LINE
777-7153
Permit Numb6r 65-4925
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-665 VIA GLORIETA
SFD. LOT 40, PLAN 5BL. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS, OR DRIVEWAY
APPROACH.
TYPE OF INSPECTION. I DATE I INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING/ WASTE / 2-
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE U'N IL ABOVE SIGNED
ROOF NAIL / PRE -ROOF z/ d
OKAY TO WRAP - C
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION S- 4 -6(,
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL S—r —
EXTERIOR LATH 5-23-.06 d+'
GAS TEST - 15 - o c Jac,
SEPTIC ABANDONMENT
SEWER CONNECTIONp
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 Z' -a,5 -0,15 4�r
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. _. 0 6.
FINAL/ JOB COMPLETED' /45. -
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate.of ccu ancYobE
WX
14
M
G�entoF
Building & Safety De artm
r:3
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
r s:
provisions of the Building Code and the various ordinances of the City regulating building_
construction and/or use.
`
r r
BUILDING ADDRESS: 80-665 VIA GLORIETA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4925
Occupancy Group: R3 Type of.Construction: V-N Land Use Zone: RL
' 1
A
y
Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA
' s
'
City, ST, ZIP: SANTA BARBARA, CA 93140
By: DAVID GATICA
,"
Date: OCTOBER 18. 2006io
s
Building Official
0
!yy1"
POST IN A.CONSPI000US PLACE
i _