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05-4914 (SFD)P.O. -BOX 1504 VOICE (760) 777-7012 78=495-CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 11/04/05 Application Number: 05_4-914 Owner: , Property Address: -`80732 VIA GLORIETA VISTA LA QUINTA PARTNERS APN: 772-2707010-20 -311231- 223 E. DE LA GUERRA Application description: DWELLING - SINGLE FAMILY DETACHED SANTA BARBARA, CA 93140 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation. 158078 D d Contractor: Applicant: chitect or Engineer: WASSERMAN CONSTRUCTION, RA DEC 3 45520 STONEBROOK COURT 10OS LA QUINTA, CA 92253 UU (760)771-8191 Cm'OFILA L i c. No.: 681660 FINANCE p UIIW 4 ------------------------------------------------------------------------------------------------- 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 _ I hereby affirm under penalty of perjury one of the following declarations: .Section 7000) of Division 3 of the Business and P io 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 Licen a Clas . B Lic _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /n issued. Date: v Contractor: 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. 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 become 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 become 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 3,700 of the La or Code, I sh pi W, se provision that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: /!r pplicant: (_) 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 • (_) 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. uiUueity wiw uuiws Ul 1111PIUVUS LIMMUll, and wno Contracts for the DFOj2CtS with a contractor(s) licensed 1. Each person upon whose behalf this appjication 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—) 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 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 r tion is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building r torize representatives • of this coun to nter upon he above-mentioned property o Lender's Name: - atei�� Signature (Applicant or Agentl: Lender's Address: LQPERMIT Application Number . . . '05-00004914 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_ 5920.00 PATIO SQ FTG .657.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2408.00 Permit BUILDING PERMIT Additional desc . Permit Fee 846.00 Plan Check Fee 549.90 Issue Date Valuation 158078 Expiration Date 5/03/06 Qty Unit Charge Per Extension BASE FEE 639.50.. 59.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 206.50 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 <=3HP/100K 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 . . . 124.26 Plan Check Fee 31.07 Tssiip nAte Valuation . . . , 0 Expiration Date 5/03/06 Qty Unit Charge Per Extension BASE -FEE 15.00. 240.8.00. '.0350 ELEC NEW RES = 1 OR 2 FAMILY 84.28 LQPERMIT - Application.Number. . . . . 05-00004914 Permit ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1249.00, .0200 ELEC GARAGE OR NON-RESIDENTIAL 24.98' Permit PLUMBING Additional desc Permit Fee 180.00 Plan Check Fee _..•45.00 Issue Date Valuation : . 0 Expiration Date•. 5/03/06 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00. _ 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER iNST/ALT/REP 3.00 1.00 _ _ 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 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 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 20, PLAN 2BL (DETACHED. CASITA.W/ SKY DECK) 2408 SQ.FT. LIVING, R-3 OCC. TYPE V -N CONSTRUCTION, 2001 CODES. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR•DRIVEWAY APPROACH ---------------------------- ------------------------------------------------ Other Fees . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -'RES 480.00 ENERGY REVIEW FEE 54.99 DIF FIRE PROTECTION-RE3 140.00 - DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.80 DIF STREET MAINT FAC -RES 67.00 LQPERMIT .. Application Number . . . . . 05-00004914 ----------------------- Other Fees ------------ . . - - -- -- -- DI•F TRANSPORTATION RES 1666.00 Fee. summary ----------------- Charged ---------- Paid -- Credited Due Permit Fee Total 1261.76 .00, .00 1261.76 Plan Check Total 650.10 .0.0 .00 650.10 Other Fee Total 3766.79 00 .00 3766.79 Grand Total. 5678.65 .00 .00 > 5678.65 LQPEP.MIT - a Lw�� a,,•� j� Certificate of Occupancy s L.co ago Building & Safety Department f ` 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 s, provisions of the Building Code and the various ordinances of the. City regulating building construction and/or use. BUILDING ADDRESS: 80-732 VIA GLORIETA d Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4914 r a . } Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL x, t �r + ' . Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA E i City, ST, ZIP: SANTA BARBARA, CA 93140 s ?; ; By: STEPHEN WILLETT 1 .s t hd Date: AUGUST 4, 2006 S s Building Official POST IN A CONSPICUOUS PLACE .' X004' OF LA QUINTA G & SAFETY DEPARTMENT 777-7012 INSPECTION REQUEST LINE 777-7153 Ow Contrac Permit Number 05--A9-IA POST ON JOB IN CONS?ICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS— SFD, LOT 20, PLAN 21131L, PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, 014, DRIVEWAY APPROACH. TYPe OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /.WASTE UIG ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UN IL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP r ' ,FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL I INSULATION COVER NO WORK UNTIL ABOVE SIGNED I 'INTERIOR GYP. BD, DRYWALL J , EXTERIOR LATH. GAS TEST �� 0 SEPTIC ABANDONMENT .DG SEWER CONNECTION 5 -14 -d SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS • FOOTINGS /STEEL EE BOND BEAM POOL /.SPA /WATER FEA-T URE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS ELECTRICAL PRE -PLASTER ALARMS / BARRIERS ' FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER IG - 3 +l ELECTRICAL :h PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT ' COMMUNITY DEVELOPMENT DEPT. I` FINAL / JOB COMPLETED - k ABOVE APPROVALS DO NOT INCLUDE RIGHT TO . TURN ON UTILITIES OR OCCUPY BUILDING