05-4917 (SFD)R.O. BOX 1504 . VOICE (760) 777-7012
4
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA," CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
r - Date: 11/04/05
Application Number: Z�-0.5-00.004.9.17 Owner:
Property Address:. 51686 VIA ROBLADA . VISTA LA QUINTA PARTNERS
APN: 772-270-010-25 -311231 2.23-E. DELA GUERRA
Application description: DWELLING _ SINGLE FAMILY DETACHED SANTA BARBARA, CA 93140
Property Zoningi LOW DENSITY RESIDENTIAL
Application valuation: 158078 D
. Contractor:
Applicant: rchitect or Engineer: WASSERMAN, CONSTRUCTION, RA ®° 9
45520 STONEBROOK COURT t
LA QUINTA, CA 92253
(� (760)77178191
Gy�0 Lic- No:: 681660 EDEPT
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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 Bu ' as 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 CI s: Lic a No.: 60 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
//f f �/ issued.
at` I C tractor• - _/�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 beco '�/[ to the workers'compensation provisions of Section .
License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the ''' ,,,,,,,!!!or Code, I I h I with those rovisions.
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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 IS5001.: - at/����af-�� PPlicant:
(_) 1, 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 anownerof 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—) 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 infor ' n ' 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 co anduthorize representatives
of this co� ytoe➢ter up eabove-mentioned property for purp
Lender's Name:
e: Signature (Applicant or Agent):
Lender's Address: - -
LQPERMIT
Application -Number .
. 05-00004917
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,
- 3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
5920.00
PATIO SQ FTG
657.00
NUMBER OF UNITS
1:00.
iST 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
7 6.03
Issue Date
Valuation
0
l 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
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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 NEWRES - 1 OR 2 FAMILY 84.28
LQPERMIT _ -
_
Application Number . . 05-0000491.7 '
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
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
1.0.0 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 25, PLAN 2AL (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.
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
_
05-00004917
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Other Fees . .
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. . . .
-----------------------------
',STRONG MOTION (SMI) - RES
--------------
15.80';
DIF STREET MAINT FAC -RES
67.00.1
DIF TRANSPORTATION - RES
1666:0'0.
Fee "summary
Charged'
Paid- :.Credited :
Due',
Permit Fee Total
1261.76
0000
1261.76
Plan Check Total
162.53
00 .00.
162.53
Other Fee Total
3725.55
.00 .00„
3725.55
Grand Total
5149.84
.00. 00 -
5149.84
LQPERMIT .
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6 BUILDING ADDRESS: 51-686 VIA ROBLADA
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Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4917
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� Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL
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c Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA
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City, ST, ZIP: SANTA BARBARA, CA 93140
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k By: DAVID GATICA
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Date: OCTOBER 25, 2006
Building Official
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Certificate o'A
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� f G�OF'T1'�9�� Building & Safety Dep artment r `
;.rt �a:
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
f
Code, certifying that, at the time of issuance, this structure was in compliance with the
I provisions of the Building Code and the various ordinances of the City regulating building
(1a? ss
construction and/or use.
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