05-4936 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:'
Property Zoning;
Application valuation:
Applicant:
0'5--00,00493.6
80689 VIA GLORIETA
772-270-010-42 -311231-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
185736
.4 u�l�tiGv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
-VISTA LA QUINTA PARTNERS, LLC
223'E. DE LA GUERRA
DETACHED LA QUINTA, CA 92253
rchitect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I als
hereby affirm under penalty of perjury that I am Ii d er provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a Code nd my License is in full force and effect.
LicenseCnlas/. B e o.: 681660
ate: ntractor:
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 0500).:
(_) 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 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 contractors) licensed
pursuant to the Contractors' State License Law.).
1 _) I am exempt under Sec. , BAP.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:
Lender's Address:
LQPERNUT
Contractor:
WASSERMAN CONSTRUCTION, R�
45520-.STONEBROOK COURT
LA QUINTA,,CA 92253
(760)771-8191
Lic. No.: 681660
VOICE (760) 777-7012
FAX (760) 777-7011'
INSPECTIONS (760) 777-7153
Date: 11/04/05
DEC 13 2005
WORKER'S 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 of the work for which this permit is
/� issued.
Y �1 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
persowin any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should b su ' ct to he workers' compensation provisions of Section
3700 of the L bor Code wi m ith those provisions.
a, pplicant:
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 infolon atigg is ulacl. I agree to comply with all
city and county ordinances and state I ws relating tobuilding co , a au resentatives
of this coun to 09tteerr upon th ove-mentioned property for ' p n
e: OO/" gnature (Applicant or Agent):- '
Application Number
05-000049.36
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
3.00"
FIRE'SPRINKLERS
NO
GARAGE SQ FTG
558.00
PATIO.SQ FTG
647.00
IqMMBER OF UNITS
1100
1ST FLOOR,SQUARE FOOTAGE
2428.00
2ND FLOOR SQUARE FOOTAGE
503.00
Permit . . .
BUILDING PERMIT -
Additional desc .
Permit Fee . . . .
940.50 Plan Check Fee
152.93 .
Issue Date
Valuation
. . 185736
Expiration Date ..
5/03/06
Qty. Unit 'Charge
Per
Extension•
r
BASE FEE
639.50::
86.00 3.5000
THOU BLDG 100,001-500,_000.
301.00
Permit
MECHANICAL'
Additional desc .
Permit Fee
` 114...50. Plan Check Fee
4.31
Issue Date
Valuation
0
Expiration Date,.
5/03/06 ,
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
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
141.69 Plan Check Fee
8.86
Issue Date,
Valuation
0
Expiration Date
5/03/06
Qty Unit Charge
Per,
Extension
BASE .FEE
15.00
. 9PERMIT
'
Application Number- 05-00004936.
-Permit ELEC,NEW RESIDENTIAL
Qty Unit Charge Per
Extension
2931.00 .0350 ELEC NEW RES`- 1 OR 2 FAMILY
102.59
1205.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
24.10
Permit . . : PLUMBING
Additional de-sc.
Permit Fee 179.25 Plan Check.Fee ..
11.20
Issue Date Valuation. . . . .
0
Expiration Date '. 5/03/06
Qty Unit Charge Per -_Extension
BASE FEE
15.00
19.00 6.0000 EA -- PLB FIXTURE
114.00
1.00 15.0000 EA PLB BUILDING SEWER
1.00 3.0000 EA' PLB WATER INST/ALT/REP
3.00
1.00. 9.0000 EA- PLB LAWN SPRINKLER SYSTEM
9.00 .
^
11.00 .7500 EA PLB GAS.PIPE >=5
8.25.
1.00 15.0000 EA- PLB GAS METER
15.00.
Permit . . GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
00
Issue DateValuation
0
Expiration Date 5/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------=--=---------------------=-------------
------Special Notes and Comments
--------
SFD.- LOT 42, PLAN 413L - (2 STORY W/
DETACHED CASITA). 2931 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
15.29 -.
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
. . . .
05-00004936
-------------------.--------------------------------------------
Other Fees. .`
. . .
STRONG MOTION (SMI) - RES
18.57
DIF'STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
.1666.00
Fee summary
Charged
Paid Credited
Due
1 Permit Fee Total
1390.94
00 .00.
1390.94
Plan Check Total
177.30
.00 .00
177.30
Other Fee Total
3729.86
00 .00
3729.86
Grand Total
5298.10
.00 UU
S298.1•U
LQPexMrr
I OF LA QUINTA
ING & SAFETY DEPARTMENT
R 777-7012
INSPECTION REQUEST LINE'
777-7153
LA ()ITTNTA
Cont o/r-R, A WASfiERMAN...
Perinit Number 05-4936
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS- GLORIA
SFD. LOT 42, PLAN 4BL. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS, OR DRIVEWAY
APPROACH.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING WASTE 12 2z3 -
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
31, A I -
DO NOT POUR CONCRETE Uf4t,& APOVE SIGNED
ROOF NAIL / PRE -ROOF 311( /-D C 6�
OKAY TO WRAP - a4 f
FRAMING (COMBINATION)
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
,EXTERIOR LATH
GAS TEST e. - IS oc lDcl
SEPTIC ABANDONMENT
SEWER CONNECTION -xvv7a
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 I.
TEMP. USE OF PERMANENT POWER '7 -
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. Q- 'j -06p
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate of Occupancy"1
,-
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_
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' G ildi
OF TL Bun & Safety Department
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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
f3
provisions of the Building Code and the various ordinances of the City regulating building
j construction and/or use.
ip ti
i
BUILDING ADDRESS: 80-689 VIA GLORIETA
dl
t
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 054936
c
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
o:
k
City, ST, ZIP: SANTA BARBARA, CA 93140
�
By: DAVID GATICA
'
ski
Date: OCTOBER 19, 2006
Building Official
la 3
r
POST IN A CONSPICUOUS PLACE