04-8135 (SFD)o
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BUILDING & SAFETY DEPARTMENT
BOX 1504
78-495 CALLE TAMPICO •'' `" �� (760).777-70.12
toF,T1 FAX (760) 777-7011
QUINTA,, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 04-00008135 ,'Date 2/02/05
Property'Address . . . 51735 VIA ROBLADA -
APN: 772-270-010-29 -311231-
Application description DWELLING '''SINGLE FAMILY DETACHED
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation . 210784
Owner Contractor
------------------
----------------------
VISTA LA QUINTA PARTNERS, LLC WASSERMAN CONSTRUCTION, RA
223 E. DE LA GUERRA 45520 STONEBROOK COURT
LA QUINTA, CA 92253 LA QUINTA CA 92253
(760) 771-8191
WCC: STATE FUND
WC: 1795012. 07/01/05
CSLB: 681660 06/30/06
CCC: , B.
-------------------------- Structure Information 7 -------------------------
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
FIRE SPRINKLERS NO
GARAGE SQ FTG 455.00
PAT -IO SQ FTG 1207. 00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2281.00
2ND FLOOR SQUARE .FOOTAGE 120,0.00
---------------------------- ------------------------------------------------
Permit . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 1028.00 Plan Check Fee 167.05
Issue Date Valuation . . . 210784
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
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
P.O. BOC 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .0
Architector rlgl r6^. �
—Atchitedt or Engineer's Engineer's Address:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7100) of Division 3 of he Business and Professionals
e, and ss License iYQtjfull force and effect. s-1 / i_�
License Class ,j7 ense No. �/�
Date o2f f 471 + a,1: nth Tactor _{ e,/Y' A -+ti Ca -i /�• /el,�
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 or 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.).
U 1, 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.).
U I am exempt under Sec. BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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
is s d y rk s' comrmsation in ce carrier and pp y be. a
�rrier �+ olicvNumber �('�
_ I certify that, in the performance of the work for which this permt 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
ate Q�q—scant____=�i4 '✓� l� �� 7y� r/p�S7—
/ti L.
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.
CONSTRUCTION
LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending age cyor�the performance of he work for which this
permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT
IMPORTANT Application is hereby made to the Director of Buildin and SaACKNOWLEDGEMENT
o Acotions and
set forth on this
I. Each person upon whose behalf this application is made, each person atwhosle request sl a defor hose benefit work) isperformedunder or pulrsuant 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 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 a
construction, and hereby authorize d state that the above information is correct. I agree to mply with all city and county ordinances and state laws relating to building
re sentatives of this county to enter up v if d property for inspection purposes.
ate �ldlG�-
Signature (Applicant or Agent):
PP 9 )• `
Page
2
Application Number
04-0000'8135 Date.
2/02/05
Qty Unit Charge
Per
Extension
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 . . . .
.150.08 Plan Check Fee
9.38
Issue Date, . . .
Valuation
0
Qty Unit Charge'
Per
Extension
BASE FEE
15.00
3481.00; .0350
ELEC NEW RES - 1 O 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
Qty Unit Charge
Per
Extension -
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
.1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB*WATERHEATER/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 Fee: . .
15.00 Plan Check Fee
.00
Issue Date
Valuation . . .
0
Qty Unit Charge
Per
..Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 29, PLAN 5BR
3481 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
Page
3
Application Number
. . . . .
04-00008135 Date
2/02/05
----------------------------------------------------------------------------
Other Fees . . .
. . . . .
ART IN PUBLIC PLACES -RES
26.96
DIF COMMUNITY CENTERS -RES
97.00'
DIF CIVIC CENTER - RES
366.00-
ENERGY REVIEW FEE
16.71
DIP FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00.
STRONG MOTION (SMI) - RES'
21.07
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1468.08
.00 .00
1468.08
Plan Check -Total
193.62
.00 .00
193.62
Other Fee Total
2469.74
.00 .00
2469.74
Grand Total
4131.4.4
.00 .00
4131.44
s.�-� �-�• _F .C- tfOficaeoccu anerfc ..
Y
of �� - :Buildin & Safet '-Depadment
This Certificate ris' issued pursuant- to the a requirements of Section 1090f,.the California Building '
Code, certifying that, : At the time, of issuance, •.this structure 'was in"co►»pliance' with 'the:
.. .
provisions of the Building :Code and ° the various ordinances of the City regulating building
.construction and/orruse.
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f BUILDING ADDRESS:'51-735 VIA-ROBLADA
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, classification.FAMILY DWELLING:SINGLE Bullding Permit No :: 04-8135
-Use
Zone: RL
U
La
Type of Construction: V -N bind ♦ '
Occupancy Group: R3 � •� �� —
Owner of'•Building, VISTA LA.QUINTA PARTNERS, LLC.....I., Address:,223 E. DE -LA GUERRA N
City. ST, ZIP. SANTA"BARBARA, CA93140
♦ - ' : By: KIRK.KIRKLAND ,
'Date: FEBRUARY 3, 2006
f y :Buildin' Official.
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of �� - :Buildin & Safet '-Depadment
This Certificate ris' issued pursuant- to the a requirements of Section 1090f,.the California Building '
Code, certifying that, : At the time, of issuance, •.this structure 'was in"co►»pliance' with 'the:
.. .
provisions of the Building :Code and ° the various ordinances of the City regulating building
.construction and/orruse.
t' 7:
.! T x
' e a t w .. ' .6 . .. , # :,L ,, - it • h.,� ' . � } ,. • - ♦ . .
,.. ` ♦ ; . h• .. .. rte: .. +;' +'a - '-; .• : ,.
f BUILDING ADDRESS:'51-735 VIA-ROBLADA
,.. 1. ,' .....: ♦
, classification.FAMILY DWELLING:SINGLE Bullding Permit No :: 04-8135
-Use
Zone: RL
U
La
Type of Construction: V -N bind ♦ '
Occupancy Group: R3 � •� �� —
Owner of'•Building, VISTA LA.QUINTA PARTNERS, LLC.....I., Address:,223 E. DE -LA GUERRA N
City. ST, ZIP. SANTA"BARBARA, CA93140
♦ - ' : By: KIRK.KIRKLAND ,
'Date: FEBRUARY 3, 2006
f y :Buildin' Official.
v ;,' POST IN A CONSPICUOUS PLACE r' ,