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04-5095 (SFD)r BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253. INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number04-00005095) uD!ate`� 2/02/05 Property Address : -� 51825 V��OLPDA IS' `�'�,,{ ` APN: .772-270-010-3 -311231- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . ."" .LOW DENSITY RESIDENTIAL Application valuation 175101 Owner Contractor. ---------- ------ --- ------------------------ -- -------------- --VISTA VISTALA 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 ------ I 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 = 4 76 %'b 0 PATIO SQ FTG, - 306.00 _ NUMBER -OF UNITS 11.00 ------------------------- 1ST FLOOR SQUARE FOOTAGE 2829.00 Permit . . . -------------------------------------------------- BUILDING PERMIT Additional desc ` Permit Fee 905.50 Plan Check Fee 588..58 •Issue Date Valuation 1.75101 Qty Unit Charge Per ; Extension ' BASE FEE 6.39.50 76.00 3.5000 THOU •BLDG 100,001-500;000 ,'`i 266.00' -- ------------------------------ Permit Permit . MECHANICAL Additional desc , Permit Fee' 121.00 t Plan -Check Fee 30.25 Issue Date Valuation! 0 Qty' Unit Charge_ Per, Extension BASE FEE ,-". .15.0 0 3.0.0 9 . 000'0'=EA =_',': MECH''FURNACE` 5=100K ". 27':00 3.00 9.0000 EAMECH�B/C <-3HP/100K BTU 27.00- 6.00, 6.5000 EA MECH VENT.FAN 39.00 P.O. BOC 1504 78-49$ CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 0 4- 5015 Applicant: Applicant's Mailing Address: Architect or Engineer: No.: 2 -D—LI q Oct QUILLJI111117 rr-KM1I ULL;LAKATION5 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: c:2 -N' O 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 he Business and Professionals Code, and ss Lice p�e is in full force and effect. I O �nse Class L7 icense No. IN -i or- I A.(!- 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 he provisions of the Contractors' State License Law (Chapter 9 (commencing with Section ss 7000) of Division 3 of he Busine and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 ti any applicant for a 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 I. as owner of the property, am exclusively contracting with licensed contractors to construct he project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves hereon, 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 � 1 ' QOwner 1Z O aSl- r,t� Lih(Zi�. WORKERS' 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 wofkers' compensation, as provided for by Section 3700 of the Labor Code, for he performance Yof the work for which this permit is issued. L- 1 have and will maintain workers' compensation insurance, as required by Section 3700 of he Labor Code, for the performance of he work for which this permit is ssue y vrorkers' co pensa ion i nce cam'�r �n� policy number are: �arrier 1—lA►ZQ� o� Number�Z '5012 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 he workers' compensation laws of California, and agree that, if I should become subject to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending l age cyfor the G the perfornance of he work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lendefs Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT afeCKNOWLEDGEMENT or a y 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 Ouinta, its officers, agents and employeesfor 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 and state that the above infornati ' co I agre��errto copfAly with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to e a o ehtio property for inspection purposes. ate /ligB nature (Applicant or Agent): 1/10 w c Page 2 'Application Number . . . . 04-00005095 Date 2/02/05 Qty Unit Charge Per -Extension 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 32.39 Issue Date . . . . Valuation •0 Qty Unit Charge Per Extension BASE FEE 15.00 2829:00 .0350 ELEC 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 43.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 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 Qty Unit Charge Per. Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - PLAN 3BL,(W/ DETACHED CASITA) 2829 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 98.00 r Page- 3 Application Number 04-00005095 Date," 2/02/05 Other Fees . . . . . . DIF CIVIC CENTER - RES 366.00 'ENERGY REVIEW FEE 58'.86 DIF 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_ 17.51 DIF STREET MAINT FAC -RES 15.00<` , DIF TRANSPORTATION - RES 1098.00 ' Fee summary Charged Paid`, Credited Due Permit Fee Total 1345.0400 00 ;1345.04 ` Plan Check Total- 694.72 ,,. ;:00 .00 694.72 Other Fee Total 2482.37 0.0 .00 2482.37 Grand`Total 4522:13 -.00 .00 4522.13 � ..»...,. ,,». �..: 4,. ,�;.� � ., , Mme, •.. s +R,� # «,...� - F Y Y �- ''Certificate.- dfodcupanc0oY. F - a • r e i ' .4 w 1. OF'T1Building & Safety_ Department This Certificate is issuedpursuant 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 provisions of the Building Code • and. the various ordinances :of the . City regulating building, construction and/or use. _ ' BUILDING -ADDRESS: 51-825 VIA`ROBLADA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04=5095 'Occupancy Group: 'R3 Type of Construction: V -N Land Use Zone: RL Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address:r223 E. DE LA GUERRA i - City, ST, ZIP: SANTA^BARBARA"'CA 93140 By: GARY SHOWALTER Date: SEPTEMBER 29, 2005 Building Official rt - POST IN A CONSPICUOUS PLACE ' � ..»...,. ,,». �..: 4,. ,�;.� � ., , Mme, •.. s +R,� # «,...� -