05-4916 (SFD)P.O. BOX 1504^ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011 .
LA QUINTA; CALIFORNIA 92,253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Dater • 11/04/05
Application Number:
05-00004916 Owner:
Property Address: 51620 VIA ROBLADA VISTA LA QUINTA PARTNERS
APN: 772-270-010-23 -311231- 223 E. DE LA GUERRA
Application description: DWELLING - SINGLE FAMILY DETACHED SANTA BARBARA, CA 93140
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 158078
Contractor:
Applicant':rchitect or Engineer: WASSERMAN CONSTRUCTION, RA
45520 STONEBROOK COURT D d
LA QUINTA, CA 92253
v ` (760)771-8191
Lic. No.: 681660
V/ DEC 1005
CITY OF --- F�►
---------------- --
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION Pr
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 Businessa ssionals Co , 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
License Cla - 681660 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
,�/ issued.
Dat :/1 Contractor. (: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 andpolicy 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 tool.)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 bject t 4h 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 t"bo Code hw- ith those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: ate':: pplicant:
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 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
(_ 1 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 Iam 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 isnot 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:
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 infor "on 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 c ,and her rize representatives
of this cou ty t enter upon the above-mentioned property f n p
Lender's Name:,
/k atr � • nature (Applicant or Agentl;
Lender's Address:
LQPERMIT - - .
Application Number .
. . 05-00004916
Structure Information
-Construction Type
TYPE V - NON RATED
Occupancy Type .
. DWELLG/LODGING/LONG <=10
Flood Zone
. . NON -AO FLOOD ZONE
1 Other struct:info . .
. . .. CODE EDITION
2001
#,BEDROOMS, -
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
5.920.00 "
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
137.48
' 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
.; 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
2.00 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
7.77
Issue.Date . . .
- 'Valuation
0
Expiration Date
5/03/06
Qty, Unit Charge
.Per
Extension
BASE FEE
15.00.
2408.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY 84.28
LQPERMIT
Application Number . . . . . 05-00004916
Permit .' . . . . . ELEC-NEW RESIDENTIAL /
a
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
11..25
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,y 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
Ekpiration Date. 5/03/06..
Qty Unit Charge• Per `
Extension
BASE FEE
-15.00
Special Notes and Comments
SFD --LOT 23, PLAN 2AL (DETACHED
CASITA W/ SKY DECK) .2408: SQ.FT. LIVING,
-
R-3 OCC. TYPE V -N CONSTRUCTION, 20.01
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.'
13.75
'
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
. . . . .
05-00004916
------------------------------------------------------------------
Other Fees . . .
.
STRONG MOTION (SMI) - RES
15.80
DIF. STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION.- RES
1666.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1261.76
00 .00
1261.76
Plan Check Total
162:53
00 .00
162.53
Other Fee Total-
3725.55_.
.00 .00
-3125..55
Grand Total
5149.84
00 .00
5149:84
LOPERMIT -
_ -
i
bF LA QUINTA
& SAFETY DEPARTMENT
777-7012
;TION REQUEST LINE
777-7153
Number.— S=491 ' 6 I
OST ON JOB ICONSPICUOUS PLACE
PECTOR MUST SIGNI ALL APPLICABLE SPACES
)DRESS 51-620 IA R0131.ADA
W 23, PLAN 2AL. PERMIT DOFS NOT INCLUDE
SPA, BLOCK WALLS, OR DRIVEWAY
PACH. I
TYPE OF INSPECTION I I DATE I INSi'.
IARY POWER I
MBING / WASTEI
j �� _ i .., 4jr.-
.
CTRICAL / GROUNDING
3S / STEEL I
3 6
:TE SLAB I
- i 3
I
10 NOT POUR CONCRETE UNTIL OVE SIGNED
AIL / PRE -ROOF I
L zi G(d'
) WRAP
3 COMBINATION
H ELECTRIC
H PLUMBING I
H MECHANICAL
'ION II % - I V -oG Alfa
I
COVER NO WORK UNTIL ABOVE SIGNED
R GYP BD. DRYWALL
)R LATH I me
)T
NBANDONMENT I
CONNECTION I - - 4 -o i Oc-
t f_`DHAOC I
MASONRY INSPECTIONS
3S / STEEL I
POOL / SPA / WATER• FEATURE INSPECTIONS
NITE / SETBACKS
MBING
> I
CTRICAL
STER (ALARMS/ BARRIERS
FINAL INSPECTIONS
>E OF PERMANENT POWER i- S -®a
[CAL
VG
JICAL I _
WOHKS DEPARTMENT I 0 114wI"
LAITY DEVELOPMENT DEPT, I 19 l
JOB COMPLETED I 2 z-qG
,ClAkIC ADDD^%tA1 o r%^ L -r i►,nl Ionc n1AUT Tl1
I
r.
E �a- ��
o �Certificate of Occu'panc y
� a
o�
QU&rC4V
LWOIP ATED
is
OF, Building & Safety Department
V
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.
14
BUILDING ADDRESS: 51-620 VIA ROBLADA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4916
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
City, ST, ZIP: SANTA BARBARA, CA 93140
By: DAVID GATICA
Date: AUGUST 22, 2006
Building Official
POST IN A CONSPICUOUS PLACE