05-4905 (SFD)P.O.-BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253..
Application Number: 05-00004905
�~ ___
Property Address: 51718 VIA 013LADA
APN: 772-270-010-26 -311231-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 175101
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner.
VISTA'LA.QUINTA PARTNERS,
223 E. DE LA GUERRA
DETACHED LA QUINTA, CA 92253
Applicant: rchitect or Engineer:
�4
.. LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with
Section.7000) of Division 3 of the Business an P ss C
' node, and my License is in full force and effect.
License Class: Bice 681660
ate�,? V► ontractor:
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 morethan five hundred dollars ($500).:
1—) 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
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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , BAP.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:
LQPERMIT
Contractor:
WASSERMAN CONSTRUCTION,
45520 STONEBROOK COURT
LA QUINTA, CA 92253
(760)771-8191
Lic. No.: 6816.60.
VOICE.(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: '11/04/05
LLC
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.
(1� 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 Is b'ect to the workers' compensation laws of California,
and agree that, if Ishould bec o the workers' mpensation provisions of Section
3700 of the Labor Code, I h compI rth a provisi
cant:
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 ($100,000). 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 application 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
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 day's from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the above inform iongcorrect.�agreecomply with all
city and county ordinances and state laws relating to building co presentatives
of this oun %to� ter upon the ove-mentioned property f ur
ate: /�i+v Nature (Applicant or Agent):
'
h
P.O.-BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253..
Application Number: 05-00004905
�~ ___
Property Address: 51718 VIA 013LADA
APN: 772-270-010-26 -311231-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 175101
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner.
VISTA'LA.QUINTA PARTNERS,
223 E. DE LA GUERRA
DETACHED LA QUINTA, CA 92253
Applicant: rchitect or Engineer:
�4
.. LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with
Section.7000) of Division 3 of the Business an P ss C
' node, and my License is in full force and effect.
License Class: Bice 681660
ate�,? V► ontractor:
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 morethan five hundred dollars ($500).:
1—) 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
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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , BAP.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:
LQPERMIT
Contractor:
WASSERMAN CONSTRUCTION,
45520 STONEBROOK COURT
LA QUINTA, CA 92253
(760)771-8191
Lic. No.: 6816.60.
VOICE.(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: '11/04/05
LLC
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.
(1� 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 Is b'ect to the workers' compensation laws of California,
and agree that, if Ishould bec o the workers' mpensation provisions of Section
3700 of the Labor Code, I h compI rth a provisi
cant:
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 ($100,000). 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 application 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
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 day's from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the above inform iongcorrect.�agreecomply with all
city and county ordinances and state laws relating to building co presentatives
of this oun %to� ter upon the ove-mentioned property f ur
ate: /�i+v Nature (Applicant or Agent):
Application Number .
. 05-00004905
-
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
4.00 .. J.
FIRE SPRINKLERS
NO
GARAGE SQ
470.00
_FTG.
'PATIO SQ FTG.
306.00
NUMBER OF UNITS
1.00 .
1ST FLOOR SQUARE FOOTAGE."
2829.00
Permit . . BUILDING PERMIT
Additional desc".
.Permit Fee.
905.50 Plan Check'Fee
147.15
Issue.Date
Valuation -
175101
Expiration bate ._.
5/03/06
Qty Unit Charge
Per
Extension
BASE' FEE
639.50,"
76.00— 3.5000
THOU .:'BLDG 100,001-500,006
266.00 .
Permit. . . MECHANICAL...
Additional desc .
Permit.Fee
121.0.0 Plan Check.Fee
7.56
Issue Date
Valuation
0
Expiration'Date :
5,/03,/06
Qty Unit- Charge-
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27..00
6.00 6.5000
EA MECH VENT FAN
39.00
1:00 6.5000•EA
MECH OTHER VENT SYSTEM
6.50
" 1_00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit ELEC-NEW
RESIDENTIAL
Additional desc "
Permit -Fee ."
129.54 Plan Check Fee
.' 8:10 '
Issue Date
Valuation . .
0
Expiration Date
5/03/06
Qty Unit Charge..
Per
Extension
BASE FEE
15:00
Application Number 05-00004905
Permit. ELEC-NEW RESIDENTIAL
Qty 'Unit Charge 'Per
Extension
2829:00 .0350 ELEG NEW RES - 1.OR 2. FAMILY-
99.02 ,
•776.00 .0200 ELEC.GARAGE OR.NON-RESIDENTIAL
15.52
Permit . . . ... . PLUMBING
Additional desc .
Permit Fee 174.00" Plan Check Fee
10.88
Issue Date' Valuation . .
0
Expiration -Date 5/03/06
. Qty Unit Charge Per
Extension
BASE FEE
15.00
17.0.0 6.0000 EA PLB FIXTURE
102.00
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
Qty Unit Charge Per
Extension
BASE FEE
15.00
- ------•-----------------------------------
Special Notes and Comments
------------
SFD - LOT 26, PLAN 3BL (W/ DETACHED
CAS ITA)
2829 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 FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
----------------------------
- Other Fees DIF COMMUNITY CENTERS -'RES
------------
75.00
DIF CIVIC CENTER - RES
480:00'
ENERGY REVIEW FEE. , '
'14-.72
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES -'RES
355 00
LQPERMIT
Application Number
05-00004905'
-----------------------------------------------------------.-------------------
Other Fees . . .
. .
DIF PARK MAINT FAC RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
17.51
DIF STREET MAINT FAC -RES
67.0'0
DIF TRANSPORTATION - RES,
1666.00
Fee summary"
J-----------------
Charged
Paid Credited
-----------
Due
Permit Fee Total
- - - - - - - - --
1345.04
- - - - - - - - - - ----------
---------Permit
.00 .00
1345.04
Plan Check Total
173.69
.00 .00•
173.69
Other Fee Total
3729.23
.00 .00
3729.23
Grand Total
5247.96
.00 .00
5247.96
LQPERMIT
C,
Certificate of Occupancy
f,
F Building & Safety Department
1
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
W
provisions of the Building Code and the various ordinances of the City regulating building
construction andlor use.
BUILDING ADDRESS: 51-718 VIA ROBLADA
4
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-4905
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: NOVEMBER 22, 2006
°n4
Building Official
POST IN A CONSPICUOUS PLACE