05-4935 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
�
05 �0.0-004-93�5-�-----�
Property Address:
80677 VIA GLORIETA
APN:
772-270-010-41 -311231-
Application description:
DWELLING - SINGLE FAMILY
PronertY Zoning;
LOW DENSITY RESIDENTIAL
Application valuation:
185736
�I��I1,ICtl/
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Applicant: /Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am Ii c sed under provisions of Chapter 9.(commencing with
Section 7000) of Division 3 of the Business an f Is Code, a_W my License is in full force and effect.
License CI s: Li a 681660
ate" Contractor:
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 ($500).:
(_) 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.).
(_) 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.).
( 1 I am exempt under Sec. , B.&P.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:
LQPERMIT
Owner:
VISTA LA.QUINTA PARTNERS,
223 E. DE LA GUERRA
LA QUINTA, CA 92253
Contractor:
WASSERMAN CONSTRUCTION
45520 STONEBROOK COURT
LA QUINTA, CA 92253
(760)771-8191
Lic. No.: 68166.0
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 77777153,
Date: 11/04/05
LLC
DEC 13 1005
CITY OF LA QUINTA
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain acertificate 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.
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, inthe performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to b e subject to the workers' compensation laws of California,
and agree that, if I should be N to orks' c pensation provisions of Section
er
3 00 of the Labor ode, se
provisions.
e: scant:
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 info matron is correct. I agree to comply with all
city and county ordinances and state laws relating to building tion, an ' eby authorize representatives
ofthis coun toofiter upon th bove-mentioned property p
Date:. � / gnaf t�pplicant or Agent):
Application Number
. . 05-00,004935"
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
I-RA.M ]R OF UNITS
1.00
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
-
_
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 r
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
LQPERMIT
Application Number. . . . '05-00004935
Permit,.-.: .ELEC-NEW RESIDENTIAL
l'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 desc .
Permit Fee 179.25 Plan Check 'Fee'.
11.20
Issue Date, - Valuation
0
Expiration Date 5/03/0.6
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
15.00
.
.
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 Date Valuation
0
Expiration Date 5/03/06
Qty Unit Charge Per
Extension "
BASE FEE
is. 0.0
Special Notes and -Comments
-SFD - LOT 41; PLAN 4AL - (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
05-00004935 ,
- -------------- - - - - --
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
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. 'i'otai
5298.10
: 00 .00
5298.1.0
e
LQPERMIT
C OF LA QUINTA
I ING & SAFETY DEPARTMENT
'F �'� '� 777-7012
vQ�v INSPECTION REQUEST LINE
777=7153
O V T. A (1T TTNT A
Permit er 05-4935
ROSi ON JOB IN CONSPICUOUS PLACE.
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-677 VIA GLOWETA
SED. LOT 41, PLAN 4AL. 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
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE S1:3NED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL -0
EXTERIOR LATH pL
GAS TEST G I S -oc cr
SEPTIC ABANDONMENT
SEWER CONNECTION o
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 'j S -a. o•G
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT' 9 �� 0.
COMMUNITY DEVELOPMENT DEPT. _ p
FINAL / JOB COMPLETED /a -JB --aG-
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Y
�-�- �c Certificate of Occupianc0
ww
OF Building & Safety Department,
X-.
w'T
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.
H
BUILDING ADDRESS: 80-677 VIA GLORIETA
t.
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4935
Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL
Owner of Building: VISTA LA QUINTA PARTNERS, LLCAddress: 223 E. DE LA GUERRA
City, ST, ZIP: SANTA BARBARA, CA -93140
By: DAVID GATICA
s a
Date: OCTOBER 18, 2006
Building Official
POST INA CONSPICUOUS PLACE
V