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05-4937 (SFD)P:O..BOX 1504 78-495 CALLE TAMPICO . . LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05,400 9 Property. Address: 80701 VIA GLORIETA . APN: 772=270 -01.0743 -311231 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW-DENSITY RESIDENTIAL Application valuation: 185736 Applicant: rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 a 1' s der provisions of Chapter 9 (commencing with Section 7000) of Division .3 of the Business a al And my License is'in full force and effect. License �ClaaV0 ` Dater` % 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 ($500).: (_ I 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 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.). - (_ 1 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153- Date: 77-7153 Date: 11/04/05 Owner: VISTA LA QUINTA PARTNERS, LLC 223 E. DE LA GUERRA LA QUINTA, CA 92253' Contractor: Q_-- WASSERMAN CONSTRUCTION, RA D 455.20 STONEBROOK COURT LA QUINTA, CA 92253 DEC 1 3 2005' (760)771-8191 Lic. No.: 681660 CITYOFLAQUINTA 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. 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 ' person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should be ubject to the ers'.compensation provisions of Section 3 00 df the L r Code, ort with those provisions. ate(-�� Plicant: 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 ($100,0001. 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 LaQuihta, 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 i f mavon i ' orrect. I agree to comply with all city and county ordinaVnabovea lws relating to buildin u n thorize representatives of this count�o eryer-mentioned propert ate: ignature (Applicant or Agent): Application Number, 05-00004937 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 IRR-MER OF UNITG 1.00 -1ST FLOOR SQUARE FOOTAGE 2428:00 2ND FLOOR SQUARE FOOTAGE 503.o6 > 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 1.5000 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 bate 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 bate Valuation 0 �--.Expiration Date 5/03/06:``, Qty Unit Charge Per Extension BASE "FEE 15.00 LQPERMIT Application Number . . . 05-00004937 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 2,4.10 Permit PLUMBING Additional-desc.. Permit Fee 179.25 Plan Check Fee 11.20 -- - =- - - -- -- - .Issue_ -Date- -°: _. -._-_ -_ _- - Valuat •ion- -- --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 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 f .15.00 -Special. Notes and Comments . SFD - LOT 43, PLAN 4AR - (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 ~r DIF LIBRARIES RES 355.00. DIF PARK MAINT-FAC -'RES- 22.00 DIF PARKS/REC-- RES 892.00 • LQPERMIT ,. - .... Application Number 05-000.0.4937 ----------------------------------------------=----------'---------------------- -OtherFees =--------- STRONG MOTION (SMI) -.RES --- __Other 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 Total 5298.10 .00 .00 5298.10 LQPERMIT - .. III=A*vyA s OF LA QUINTA �UIL NG SAFETY DEPARTMENT �1� 1P 777-7012 j ECTION REQUEST LINE . O(`G 4�p� 777-7153 v A OTTTNTA 1 Permiter (1.5-4937 POST ON. JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-701 VIA GLORIETA SFD. LOT 43, PLAN 4AR. 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. DO NOT POUR CONCRETE LATfL ABOVE SIGNED ROOF NAIL/ PRE -ROOF 31/61a 6 OKAY.TO WRAP • FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL (.. - 6- dG 4L EXTERIOR LATH G- G -o6 • r - GAS TEST G-.�S-eb i - SEPTIC ABANDONMENT SEWER CONNECTION. 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 7 -,S-a G A4 - ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT 06. Qbk4 COMMUNITY DEVELOPMENT DEPT - •� C� FINAL / JOB COMPLETED p -/ -ore ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING . Certificate of Occupaoy s:= otu�� a z G�oF9� Building & Safety Department , :r Sr This Certificate is issued pursuant to the requirements of Section 109 of the California Building= 4 � h . 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 E construction and/or use. Q v ` BUILDING ADDRESS: 80-701 VIA GLORIETA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4937 Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL aF Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA E I City, ST, ZIP: SANTA BARBARA, CA 93140 , By: DAVID GATICA f Date: OCTOBER 19, 2006 ; Building Official u j; ? POST IN A CONSPICUOUS PLACE