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04-8142 (SFD)1 ,I, d -f 4 4 a" .0 JIA 92253 JILDING PERMIT Application description Property Zoning . . . . . . Application valuation . . . BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00008142 Date 2/02/05 80668 VIA TRANQUILA 772 -270 -010 -39 -311231 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 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 0 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 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. BOX 1504 i4f VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 TOt INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ©4— SN a Date: .2. �0• �$� Applicant: Applicant's Mailing Address: Architect or Enginee Ccoq�- A"�roc, --Architect or Engineer's Address: ,t -Tic. No.: L ` 12 NO S 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 7000) of Division 3 of the Business and Professionals �, and ss License jciD full force and effect. icense Class_ ,5 icense No. 'Date Z I O Contractor �� W p:'gs 2a�ry�rRV CQV4Y�ee�cca /y([L� 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 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 a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date 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. JXW 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�qd� y w rkers'fyompensation in�nce carrier and p lic number are: farrier `�►,�4 f! 0Ticy Number 7� 4S/L 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. /date O /� 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 Lenders Address 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, and shall, defend, indemnify and hold harmless the City of La Quinta, 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, andherebyauthorize representatives of this county to e o e bo -m ned property for inspection purposes. ate `m ��� Si� (Applicant or Agent): Application Number . . . . . 04-00008142 Page 2 Date 2/02/05 Qty Unit Charge Per Extension 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 -------------------------------------------------------------------7-------- 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 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 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 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 8.00 .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 39, PLAN 5AR 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 . . . . . 04-00008142 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 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 Permit Fee Total 1468.08 Plan Check Total 193.62 Other Fee Total 2469.74 Grand Total ' 4131.44 Paid Credited Due ---------- ---------- ---------- .00 .00 1468.08 .00 .00 193.62 .00 .00 2469.74 .00 .00 4131.44 Certificate of Occupancy T4&t 4 4 4" 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. BUILDING ADDRESS: 80-668 VIA TRANQUILA Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Type of Construction: V -N Owner of Building: VISTA LA QUINTA PARTNERS LLC i/ Building Official Building Permit No.: 04-8142 Land Use Zone: RL Address: 223 E. DE LA GUERRA City, ST, ZIP: SANTA BARBARA, CA 93140 By: DAVE GATICA Date: APRIL 24, 2006 POST IN A CONSPICUOUS PLACE