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04-5097 (SFD)a, s ���✓��� BUILDING & SAFETY DEPARTMENT w P.Os BOX 1504 (760).777-7012 758-4i9 �CALLE TAMPICO FAX (760) 777-7011 F� LQUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04�000�0_509_7 Date 2/02/05 Property Address . . . 51880 VIA ROBLADA APN: 772-270-010-27 -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 ---------- --------------- Construction.Type . . . ... TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . NON-AO.FLOOD ZONE Other struct info . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 455.-00 PATIO SQ FTG 207.00 NUMBER.OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2281.00 2ND FLOOR SQUARE FOOTAGE 1200.00 Permit . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1028.00 Plan Check Fee 6.68.20 Issue Date . . . . Valuation 210784 Qty -.Unit Charge Per Extension .BASE FEE P 639.50 111.00 3.5000 THOU BLDG 100,001-500,000 " 388.50 ---------------------------------------------------------------------7------ Permit . . . . . . MECHANICAL Additional desc Permit Fee 96-.50 Plan Check Fee 24.13 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. BOX 1504 4 4 �I,I�G� DIY VOICE (760) 777-7012 78-495 CALLE CALIFORNIA FAX (760) 777-7011 LA QUINTA, LIFORN92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: U 41 -nail— Date:. to - O Applicant:I Architect or Engineer:. Applicant's Mailing Address: —Architect or Engineer's Address: u-�-� C'°IY�s, N,ha`-ycals I ne- No.: (2�_�aq `coq tSUILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 my Licggse is in full force and effect. . R (0 nse Class D nse No. /ate O Contractor �� W 5� � (11�n6,AM &tw— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the allowing 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 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 he 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 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 V D5- Owner _ ak . W j­j%ta%� 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 the work for which this permit is issued. lel 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 .ssu d. My rkers' mpensation ' rance carrier a po_lii n tuber are: erQ� Policy Number t�T O U)'� — 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 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. I hereby affirm under penalty of perjury that there is a construction lending I age cyfor the AGENCY LENDING the performance of he work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lenders Address APPLICANT IMPORTANT Application is ereby made to the Director of Buildingand Safety or ACKNOWLEDGEMENT the conditions and s set forth on this 1. Each person upon whose behalf this application is made. each person at we whose reqrmit ue t and for whose benefit work isnperformed under 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 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 his application and state that the above information ' r I ag o comp with all city and county ordinances and state laws relating to building construction, and lannd hereby authorize representatives of this county to enter o me ed operty for inspection purposes. Date . C l V Q)ySignature (Applicant or Agent): Page 2 Application Number. '. . . . . 04-00005097 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 37.52 Issue`Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15-:00 3481:00 .0350 ELEC NEW RES -,1.OR 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 44.63 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 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 8.0.0 .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 PEE 15.00 Special Notes and Comments SFD - LOT 27,.PLAN 5AR 3481 SQ.FT. LIVING, R73 OCC. TYPE V -N CONSTRUCTION, 2001 CODES. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DR VEWAY APPROACH Other Fees :. ART IN PUBLIC PLACES -RES.' 26.96 Page 3 Application Number . . . 04-00005097 Date 2/02/05 Other Fees . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -`RES 366.00 ENERGY REVIEW FEE, 66.82 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 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 774.48 .00 .00 774.48 Other Fee Total 2519.85. .00 .00 2519.85 Grand Total 4762.41 00 .00 4762.41 t w. �- � Certificate of Odcupanpy 4.� 4 tas 1 r ` , ... OF Building &Safety Department-. . . 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 - construction and/or use: _ BUILDINGADDRESS: 51-880 VIA ROBLADA Use.classification: SINGLE FAMILY DWELLING Building Permit No.: 04-5097 Occupancy Group: R3 '_ Type of Construction: -V-N Land Use Zone: RL `Owner ofBuilding:,VISTA LA QUINTA PARTNERS, LLC ' Address: 223 E. DE LA GUERRA y City, ST, ZIP: SANTA BARBARA, -CA 93140 l d' By: GARY SHOWALTER ` - Date: SEPTEMBER 29, 2005 Building Official POST IN A CONSPICUOUS PLACE t ILF;M .... i• NI:.H.ih' r"-.TiR . a.R �2..: '. r.. '. •. f'.�.z'.iT.