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05-4897 (SFD)c. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �'• 05 -00004 897 Property Address: 51805 'VIALADA APN:. 772-270-010-4 -311231- Application'description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: �, LOW DENSITY' RESIDENTIAL Application valuation: 185736 Applicant:rchitect or Engineer. r LICENSED CONTRACTOR'S DECLARATION I hereby'affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business aessi00 1 I de and my License is in full force and effect. Lice a C%la : B 681660 Date:'` '� 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 more than five hundred dollars ($500).: (_) 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 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 contractorls) licensed .pursuant to the Contractors' State License Law.)'. ( 1 I am exempt under Sec. , B.&P.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: ,l Lender's Address: N LQPERMIT Owner: VISTA LA QUINTA PARTNERS, 223 E. DE LA GUERRA LA QUINTA, CA 92253 Contractor: WASSERMAN CONSTRUCTION, 45520 STONEBROOK COURT LA QUINTA, CA 92253 (760)771-8191 Lic. No'-: 681660 LLC VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/05 L1=%1 DEC 1 3 1005 CITY OF LA QUINTA t - s 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. 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 subject to the workers' compensation.laws of California, and agree that, if I should bec b' to the workers' compensation provisions of.Section 370 of the Labor Code, I i��rovisions. /L//Y/rp i ate%C;C�/ plicant: 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, andshall 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 isnot 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 and state that the above i ion is.correct. I agree to comply with all city and county ordinances and state )awls relating to building do fS�reby authorize representatives of this coun to//n/cep upon the above-mentioned property Date i Signature (Applicant or Agent): 4 Application Number . . 05-00004897 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 558.:00 PATIO SQ FTG 647.00 - NUMBER.OF UNITS .1, 00 1ST FLOOR SQUARE FOOTAGE 2428.00 ------------------------------------------------------------------------------ 2ND FLOOR SQUARE FOOTAGE 50.3.00 Permit BUILDING,PERMIT Additional -desc . Permit Fee 94.0.50 Plan Check Fee. 611.;33 Issue Date . . . Valuation .. 785736 Expiration Date 5/02/06 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 •3.5000'THOU ---------------------------------------------------------------------------- BLDG 100,001-500,000 301.00 Permit MECHANICAL Additional desc . Permit Fee 114'.50 Plan Check Fee 17.,25 -- Issue Date Valuation, 0 Expiration Date'. 5/02/06 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 EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc .. - Permit Fee 141.69 Plane Check Fee'. 35.42 Issue Date Valuation 0 Expiration Date 5/02/06 Qty Unit Charge, Per Extension BASE FEE 15.00 LQPERMIT Application,Number . . .. . 05-:0000489-7- . Permit . . ELEC-NEW RESIDENTIAL . Qty Unit Charge Per Extension ` 2931.00 .0350 ELEC NEW RES -. 1'OR 2 FAMILY 102.59 1205..00 .0200 ELEC GARAGE OR NON-RESIDENTIAL• 24.10 Permit PLUMBING.' Additional desc Permit Fee. . 179.25 Plan Check Fee 44.81 Issue Date . . . . Valuation 0 Expiration Date .. 5/02/06 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6:0000 EA PLB FIXTURE 114..00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP, 3.00 1.00 9..0000 EA PLB LAWN SPRINKLER SYSTEM 9.00- 11.00 .7500 EA PLB' GAS PIPE >=5 8.25 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 5/02/06 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 4, PLAN.AAL - (2 STORY W/ DETACHED CASITA) 2931 SQ.FT. LIVING,. R-3 OCC.' TYPE V -N CONSTRUCTION, 2001 CODES. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR.DRIVEWAY APPROACH Other Fees DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480,00 ENERGY REVIEW -FEE 61.13 DIF FIRE PROTECTION -RES 140-00 DIF LIBRARIES - RES 355.00 DIF PARK•MAINT FAC _ RES 22.00 DIF PARKS/REC - RES 892.00 . STRONG MOTION (SMI) - RES 18.57 . DIF STREET MAINT FAC -RES 67.00 'LQPERMIT Application Number 05'-Q0004897 ------------------------------ Other Fees ------------ . . . -----------=------- DIF.TRANSPORTATION --------------- - RES. 1666.00 Fee summary ----------------- Charged Paid- Credited Due Permit Fee Total ----- 1390.94` ---------- .00 ----------•---------- .00, 1390.94 Plan Check Total' 70.8 .81 .00 .00 708.81 Other Fee Total 3775,.70 00. :00 3775.70 Grand Total 5875.45 .00 .00 5875.45 LQPERMIT . - .. ... 77 777,.: ,„, • � e .-. — .RsgS,A ti ti ip , :� .r t ' . a > � ,;•.�- �r � —� l''^ ,x _. � i r w i•� 7 . "{ i _ . w � ^--• ,n. '4� �� �,�'[�•'{`. `/i /r% � � `„ '�� �3 ^4• Y _`t-. 1. '-1,�+ q�x � } + dal '.'ir'; tl` j y L .;•' 1' OCC 'L}..�_ ertfi:ca.teYrtO av'P •.,r `S.T'F i .+ Z x r`� ,T i :• S Z�-. � t ';y I ;�:�':1 r' a,r( K 1'fil� .fir �. J,t. ''�7 r� e4, i.�„ c f7�r� ir t� "•F y.. [ Sr T11fi' it _ K! SIR }.-� = r�Bu-lIdIn &} Safet De artment-- '. iYe� A.• t,l This-10ertificaf , - .e` s issueal pursuant to the: requirementsW `- s Section 109 of Ghe Cal�forn�a 6uildin .e. F• ...•fir .•-•- r ,;=3=h..'r4' r` s •„ti', .r _':., �'f` ,.,"�:, �'^ga'' "'fit± Code, ,},cert�fymg. hat, the ,.t�met,of , was'x��n.i;lcom"liancem with _oat ,lssuance,..ath�s.�'structure 'pro�is ons :of the 4Buildin -, Code "and, the :zvarious:.ordinan ' ~ " "` � f� •tl�C atirig g ces o he Ci regul dmg J-• e - .• *. : f i�,. t..t .buil constructionrand/ori r Y . 4a:� �: i l/se�:fi� e;= r� - ..• S y 5 +� .'� .. `t-..'.�. , , IS BLAMING ADDRESS:_ 5, 4b5 VIA�ROBLADA A. VV • ( a Use,classlfcatlon °'SINGLE FAMILYys ,. - ;BuildingPermt N 897 054` .-F ^. •• f.',�` %0 ccu arc "Genu 'R' ' T : � r�: j I.� . P Y. P . Cor strucfion �V,=N w f r Land Use'Zone x .: _YPI r .: c _ jRL' ' 1 �� - _I `h'`,fes �:�, �, f r• , ; w Owner=of`Bulldmg ":VISTA LA%QUINTA PARTNERS LLCM a '223 E DE' LA.GUERRA _ , ti VAddress T _ Y ' '134" T, ZIP: SANTA BARBARA.. CA- 93140 _ s BY'DAVID,GATICA.- ' �� Date NOVEMBERr2-, +2006 . B,uildmg;bfficial' { L- ".7 dix 'POST IN'A'CONSPICUOUS PLACE` rr J 4