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04-5096 (SFD)4 4 o��7cv o� cBUILDING & SAFETY DEPARTMENT C mw� P.O. oix 1504 (760).777-7012 OFp 78-495 ALLE TAMPICO FAX (760) 777-7011 _moi 1' IN L PDQ �r�A QUUNTA, CALIFORNIA 922.53 INSPECTION REQUESTS (760) 777-7153 FEB 10 2005 V BUILDING PERMIT of LA QUInTA , ciT`r ��r- nap -T ApplFca:ton Number04-00005096 Date 2/02/05 Prop re ty Address . . . .51860 VI'A ROBLADA - APN: 772-270-010-28 -311231- Application description .. DWELLING -'SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application -valuation 185736 Owner Contractor VISTA LA QUINTA PARTNERS, LLC WASSERMAN CONSTRUCTION, RA 223 E. DELA GUERRA 45520 S TONEBROOK 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 -=-=--------------=------ Construction :Type . . . ... TYPE V NONRATED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . NON -AO FLOOD ZONE Other struct info CODE -EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 558A0 PATIO SQ FTG . 647.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2428.00 2ND FLOOR SQUARE FOOTAGE 503.00 ------------------------------------------------------------------------------ Permit . . . . . BUILDING PERMIT Additional, desc Permit.Fee . . 940.50 Plan Check.Fee 611.33 Issue Date . . . . Valuation . . . . 185736 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 Qty. Unit Charge Per Extension BASE FEE 15.00 .3.00 9..,0000 EA 'MECHFURNACE c=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 P.O. Box 1504 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041-509(o Date: to os- -Applicant: Architect or Engineer: Applicant's Mailing Address: chiteci ic. No.: _ �14 go or Engineer's Address: ov1lI,-u1lru r11=IKllvll I utIULAMATIONS 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 and Professionals Code, and my Licegse is in full force and effect. / f / D cense Class 15 /� 'License No. (� / Date Contractor -Pa V V �l I r lQ (�(�' Qn Ina, OWNER -BUILDER 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 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 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Q l VD/ 0 5- Owner f2k - WL�WS�rmQ� 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 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance �of thework 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 �i s worke compensation in nce cameo an policy number are: arrier - ICT C olicv Number 1%� rj Ut2 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. pplicant 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 agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address 1 4 IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT C Safety ACKNOWLEDGEMENT set forth on this application. 1. Each person upon whose behalf this application is made, each person atwhos1e request st a dct toefoor whose benefit work sandnperformed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, 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 dale 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 informatio I a9 � com all city and county ordinances and state laws relating to building construction, and hereby authorize repr entatives of this county to en o a ro ert for ins y pection purposes. ate oCL I 0 � ignalure (Applicant or Agent): Page 2 Application Number . . 04-00005096 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 . . . . 141.69 Plan Check Fee 35.42 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 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 Qty Unit Charge Per Extension* BASE FEE 15.00 19.00 6.000.0 EA PLB FIXTURE 114.00..,, 1.00 15.0000 EA. PLB BUILDING'SEWER 1b.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 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 28, PLAN 4AR - (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 97..0-0 DIF CIVIC CENTER - RES* 366..00 Page 3 Application Number 04-00005096. Date 2%,02/05 Other Fees - . . . . . ENERGY -REVIEW FEE 61.13 DIF FIRE PROTECTION -RES 97.00 - DIF LIBRARIES - RES_ 225.-00 DIF PARK MAINT •FAC .= RES ; 5. 00 ' DI,F PARKS/REC, -' RES 1502.00 • STRONG MOTION (SMI)•- RES 18.57 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 _Fee summary Charged Paid Credited Due Permit Fee•Total 1390.94 .00. .00 1390.94 - Plan"Check!Total 708.81' .00 .. 1.00 708.81 Other -Fee Total 2484.70 .00 r.00 2484.70 Grand Total- 4584.45 .00 00 4584'.45. • Y C afff ertiica te•*_of Occupancy Mfr• -_• _ L :, �w�� . , G� OFT9w .= Building".& Safety Department ..r '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, provisions ' of the. Building ' Code and the various ordinances' of the. City regulating building t -construction and/or use. 'BUILDING ADDRESS: 51-860 VIA-ROBLADA. Use classification: SINGLE FAMILY- DWELLING - Building Permit No.: 04-5096 Occupancy. Group: R3 Type of Construction: V-N Land Use Zone: RL Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E: DELA GUERRA , City, ST, ZIP:,SANTA BARBARA, CA 93140 .'. ......... By: GARY SHOWALTER Date: OCTOBER 3, 2005 Building Official POST IN A CONSPICUOUS'PLACE