05-4910 (SFD)h.
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/04/05
Application Number: 0.5-00004910 Owner:
Property Address: 80718—VIA GLORIETA VISTA LA QUINTA PARTNERS
APN: 772-270-010-19 -311231- 223 E. DE LA GUERRA
Application description: DWELLING - SINGLE FAMILY DETACHED SANTA BARBARA, CA 93140
Proporty Zoning- T,OW DENSITY RESIDENTIAL
Application valuation: 142902
Contractor:
Applicant:rchitect or Engineer: WASSERMAN CONSTRUCTNN45520 STONEBROOK COOS
LA QUINTA, CA 92253
S (760)771-8191 TA
Lic. No 681660.
LICENSED CONTRACTOR'S DECLARATION • WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am Iic s d under provisions of Chapter 9. (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and P als Code end 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 Class: B 681660 for by Section 3700 of the Labor Code, for the performance of the work for.which this permit is
issued.
ate: 2 I Contractor. I have and wil'me intain 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
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 b come subject 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 b ubje to a 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 La or Code ' h 'th those provisions.
he
that he or she is exempt trefrom 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).: �w pplicant:
(_ 1 I, asownerof 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 yearof'completion, the owner -builder will have the burden ofproving that he or she did not build or
improve for the purpose of sale.) APPLICANT ACKNOWLEDGEMENT
. (_) 1, 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.). • I whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. _ , BAP.C. for this reason 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 - -.
Date: Owner:
• CONSTRUCTION LENDING AGENCY
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
performed under or following issuance of.this permit.
2. Any permit issued as a result of thisapplicationbecomes 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 1 have read this application and state that the above informat n is correct. I agree to comply with all
city and county ordinances and state laws relating to building c o d he eb uthorize representatives
of this �,o my en r upon the bove-mentioned property 5 tan r
Da/te: ature (Applicant or Agent):
t
Application Number
. . . 05-00004910
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
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
Expiration Date ..
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
43.00 3.5000
THOU BLDG 100,`001-500,000
150.50
Permit
MECHANICAL
Additional desc .
Permit Fee
90.00 Plan Check.Fee
5.6.3
Issue Date . .
Valuation .
. 0
Expiration Date
5/03/06
Qty Unit Chargee
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
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
Expiration Date
5/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2297.00 .0350
ELEC NEW RES -.1 OR 2 FAMILY
80.40
LQPERMIT
Application Number 05-00004910
Permit ELEC-NEW RESIDENTIAL
Qty Unit Charge Per Extension
654.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.08
--------------------
Permit PLUMBING
Additional desc .
Permit Fee . . 160.50 Plan Check Fee,. 21.85
1S . UU b . 000U
to 1'Lli 11'1XTUN't
7U . UU
1.00 15.0000
EA. PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
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
Issue Date . . . .
Valuation . . . .
0
Expiration Date
5/03/,06
F Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - LOT 19,PLAN 1AL,
2297 SF
(ATTACHED CASITA) 2297
SQ.FT. 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,
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
12.84
DIF FIRE PROTECTION -RES.
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22..00
LQPERMIT -
- -
-
Application Number
. . . . .
05700004910
Other Fees .
. . . . . •
,DIF PARKS/REC - RES
892..00 •r
STRONG MOTION (SMI) - RES
14.29 _ '
DIF STREET MAINT FAC -RES
67.00 '.
DIF TRANSPORTATION - RES
1666.00 .. Y.
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
3723:13
.00 .00
3723.13
Grand Total
5049.75
.00 .00
5049.75
r
LQPERMIT .•
, -.
,
OF LA QUINTA
Ca & SAFETY DEPARTMENT
777.7012
'ECTION REQUEST LINE
777-7153
Permit Number— (115-4910
POST ON J013 IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-718 VIA GLOWETA
SFD. LOT 19, PLAN IAL. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS, OR DRWEWAY
APPROACTI.
TYPE OF INSPECTION DATE INSR
TEMPORARY POWER
SETBACKS n
GROUNDING
CONCRETE SLAB 1 _
ROOF NAIL / PRE -ROOF /
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION rz _ _
QOVEH NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL �► L
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION 5 • J4
A
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
TEMP. USE OF PERMANENT POWER C.• BA'"
MECHANICAL .
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL /JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT -TO
TURN ON UTILITIES OR OCCUPY BUILDING
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Certificate o*f Occupancy
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�oF9 Building & 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
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provisions of the Building- Code and thevarious ordinances of the City regulating building
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construction and/or use.
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BUILDING ADDRESS: 80-718 VIA GLORIETA
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Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4910
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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
Y
City, ST, ZIP: SANTA BARBARA, CA 93140
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By: STEPHEN WILLETT
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F..
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Date: AUGUST 4, 2006
s a
Building Official'
POST IN A CONSPICUOUS PLACE
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