05-4912 (SFD)s
P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05_0.0.0.0.4.912 Owner:
Property Address: 51664 VIA ROBLADA VISTA LA QUINTA PARTNERS
APN: 772-270-010-24 -311231- 223 E. DE LA GUERRA
Application description: DWELLING - SINGLE FAMILY DETACHED SANTA BARBARA, CA 93140
Property Zoning: LOW DENSITY RESIDENTIAL
Application, valuation: 142902
Contractor:
Applicant: rchitect or Engineer: WASSERMAN CONSTRUCTION, RA
45520 STONEBROOK COURT
LA QUINTA, CA 92253
v / (760)771-8191
47
61, "1�[// LiC. No.: 681660
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/04/05
tDEEC 13 2005
CITY OF LA QUINTA
FINANCE DEPT.
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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 ppq.Vrofessionals 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
License Class: B e se No.: 681660
_
- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ontratxor: -
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Date:
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 be me subject 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
3700 of the labor Cod I �• H' com 1 with thoseprovisions.
- 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).:
ate/ pplicant:
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
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 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. - - - -
.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,
(_) I.am exempt under Sec. , BAP.C. for this reason
the owner, and the applicant, each agrbes 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 information is correct. I agree to comply with all
work for which this permit.is issued (Sec. 3097, Civ. C.).
_
city and coup y ordinances and state laws relating to building cons ereb uthorize representatives
of this o to f po the above-mentioned property for ' r
Lender's Name: -
�/ LNC•
Date' • Signature (Applicant or Agent):
Lender's Address: I T 1
LQPERMIT
Application Number
05-00004912
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-- P1an,Check Fee
: 5.63
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
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 .
. 05-00004912
Permit . . ... . ELEC-NEW RESIDENTIAL
Qty_ Unit Charge
Per
Extension.
654.00. .0200
ELEC GARAGE OR NON-RESIDENTIAL.
13.0.8
Permit . . . PLUMBING
Additional desc ".
Permit Fee
160.50 Plan Check Fee
21.85
Issue Date . . . .
Valuation . . . .
0
Expiration Date
5/03-/06
Qty Unit Charge
Per-
Extension
BASE FEE
15.00
•15.00"-, 6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00-
i.00 7.5000
EA PLB WATER HEATER/VENT
- 7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3'.00
G 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..
.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 24,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
.05-00004912
. ------------------------------------------------
Other Fees . . .
.
DIF'PARKS/REC RES
--------------
892.00
STRONG MOTION (SMI). -`RES
14.29
DIF STREET MAINT FAC -RES
67.00
DIF.TRANSPORTATION - RES
1666.00
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.
504"9.75
" LQPERMIT
o F LA QUINTA
`1t, B 1 & SAFETY DEPARTMENT
'4 777-7012
SPECTION REQUEST LINE
AO 777-7153
Permit Number _ 154917
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 51-664 VIA ROBLADA
SFD. LOT 24, PLAN IAL. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS, OR DRIVEWAY
APPROACH.
TYPE OF INSPECTION DArE INSP.
U/G PLUMBING/ WASTE
(`
U/G ELECTRICAL / GROUNDING
3- -
FOOTINGS / STEEL
_ v
CONCRETE SLAB
_ , -�
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF
OKAY TO WRAP
Z L
--c�
G
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
- $-pc
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH
p f:
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION.y
. e e
SEPTIC /GREASE INTERCEPTOR
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
PRE -PLASTER (ALARMS/ BARRIERS)
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER 01 - S -o
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT 2( p
COMMUNITY DEVELOPMENT DEPT ( r�
FINAL / JOB COMPLETED9 -2,2-72V-&.,p
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TI 100.1 rlki 1 ITII MCC bl 111 m1AIn
I
V, Certificate of Occupancy
14 QUM&
ye
OF Budding & Safet Department.
This Certic � - -�� . 0 0 ficate is issued pursuant to the requirements of Section 109 of 'the California Buildina,
Code, certifying that, at the time of issuance, this structure was in compliance with the
.4
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 51-664 VIA ROBLADA
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4912
Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL
4
Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA
V
City, ST, ZIP: SANTA BARBARA, CA 93140
By: DAVID GATICA
Date: AUGUST 22, 2006
Building Official
POST IN A CONSPICUOUS PLACE