05-4929 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: . j05=00004929 ,. c�1
Property Address: 80713 VIA GLORIETA
APN: 772-270-010-44 -311231-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 210784
Applicant:
(:eiat 4 14
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VISTA LA QUINTA PARTNERS, LLC
223 E. DE LA GUERRA
DETACHED LA QUINTA, CA 92253
rchjtect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am lice sed der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P als Code, and my License is in full force and effect.
License Class B o.: 681660
ate: orwactor:
• 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 (55001.:
1 _ 1 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 nrintranor(s) licensed
pursuant to.the Contractors' State License Law.).
(_) 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: pin'
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/04/05'
Contractor:
WASSERMAN CONSTRUCTION, RA.
45520 STONEBROOK COURT DEC 13 2005
LA QUINTA, CA 92253 J
(760) 7.71-8191 CITY OF
Lic. No:: 681660 II:11uw:.�QVINTiQ
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.
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
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 ub to the w�_orkggrs' compensation provisions of Section
3700 of the L or Code it�JMfthose provisions.
ate" �� 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 (5100,0001. 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 apylicutiuii 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
I 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 ' ion is correct. I agree to comply with all
city and coun y ordinances and state laws relating to building ion d ereby authorize representatives
of this c to ter on the above-mentioned property ti
D nature (Applicant or Agent):
Application Number .
. . 05-00004929
}
Structure Information
Construction,Type .'
TYPE V - NON RATED --
Occupancy Type
DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other . struct "info
CODE. EDITION
2001
# BEDROOMS
.4A0
'FIRESPRINKLERS
NO
GARAGE SQ -FTG
455.00
PATIO SQ FTG
207.00.
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE:
-2281..00
---------------
OOTAGE
2ND FLOOR SQUARE FOOTAGE-
1200.00 -
Permit
BUILDING PERMIT
Additional desc .
Permit Feer .
1028.00 Plan Check Fee'.
167.05
Issue Date . . . .
Valuation
210784.,.
Expiration Date
5/03/06
Qty Unit Charge
Per'
Extension
BASE FEE
639.50
111.00 3.5000.THOU
----------------------------------------------------------------------------
BLDG 100,001-500,000
388.50
' Permit �:
MECHANICAL
Additional desc .
Permit Fee
96.50 Plan Check Fee
6.03
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
2.0.0 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 .
Pornat Fee _ '.
1 Sn nR Plan Check Fe@
9.38
Issue Date
Valuation
0.
- Expiration Date.
5/03./06
Qty Unit Charge
"Per
Extension
BASE FEE
"15.00
' LQPERMIT
Application Number . . . . . 05-00004929
-.
- Permit : ELEC-NEW RESIDENTIAL'
Qty" Unit Charge Per.
Extension
3481.00 .0350• ELEC NEW: RES - 1 OR 2' FAMILY
121.84
662.00 0200 ELEC GARAGE OR NON-RESIDENTIAL
13.24
Permit PLUMBING
Additional`desc-..
Permit. Fee 178.50 Plan Check Fee
11.16 .
Issue Date Valuation . . . .
0'.
Expiration Date 5/03/0.6
Qty Unit Charge Per
Extension
BASE FEE
15.00
18.00 6.0000 EA PLB FIXTURE
108.0,0-
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
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 Fee15.00 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 44, PLAN 5AR
3481 SQ.FT. LIVING, R-3 OCC. TYPE V -N
CONSTRUCTION, 2001 CODES. PERMIT DOES
NOT INCLUDE. POOL, SPA, BLOCK WALLS OR DR
VEWAY APPROACH. 75% REDUCTION TO PLAN
CHECK.FEE DUE TO -MULTIPLE ISSUANCE OF
SAME PLAN TYPE
-----_-.-.-----.-.-.-.--
GLhei FeesPMT IN PUBLIC PL CFS -RES
26.96
DIF COMMUNITY CENTERS -RES
74.00 -
DIF CIVIC CENTER --RES
480..00
ENERGY REVIEW. FEE
16.71
DIF FIRE PROTECTION -RES
1,40.00'
DIF LIBRARIES - RES
355.00
LQPERMIT -
- .
plication Number
05-00004929
----------------
her Fees . . .
---=--------
--------------------
DIF PARK MAINT FAC.-
-------
RES
--------------
22.00
DIF PARKS/REC - RES
892.00
>
STRONG MOTION (SMI)
- RES
21.0.7
DIF STREET MAINT-FAC-RES
67.00
DIF TRANSPORTATION
- RES
1666.00
e summary'..
Charged
PaidCredited.
Due
---------------
ermit Fee Total
-------
1468.08
'.00
.00
1468.08
lan Check Total
193.62
.00
.00
'193.62
ther Fee Total
3760,.'74
.00
.00
3760.74
rand. Total
5422.44
.00
.00�
5422.44
� Lam a''c Certificate of OccupancYo
4
1-4
OF Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Buildin 9
4g
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
4.
construction and/or use.
MktBUILDING
ADDRESS: 80-713 VIA GLORIETA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4929
Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL
Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DIE LA GUERRA
City, ST, ZIP: SANTA BARBARA, CA 93140
By: DAVID GATICA
1224 Date: NOVEMBER 7. 2006
Building Official
POST IN A CONSPICUOUS PLACE