Loading...
04-8134 (SFD)T4hf 4 4 Q" CAMPICO LIFORNIA 92253 APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 . . . 04-0000813_ Date 2/02/05 80680 VIA TRANQUILA 772-270-010-38 -311231- . . . DWELLING - SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL 185736 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 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 503.00 -----------------------------------------------------------7---------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 940.50 Plan Check Fee 152.83 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 4.31 Issue Date . . . . Valuation . . . . 0 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 P.O. Box 1504 • �/ VOICE (760) 78-495 CALLE TAMPICO FAX (760) LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) BUILDING cit SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Architect or 777-701 777-7011 777-7153 Date: X- /O -O or Engineer's Address: No.: C"' d yfof 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 Licensefull force and effect. ��E/���� icense Classss 10 cense No. Date Contractor 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 P�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. W workers' compensation �i Sunce carrier andlily number are: artier _ 0 policy Number 1r7 C5 tZ _ 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. ate .Z C7 0Splicant % W �aSSC.t�YV �aV C �{ /i�C— 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 IWA 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, and hereby authorize representatives of this county to t u n t abov entioned property for inspection purposes. �te 21 IOLOT Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00008134 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 8.86 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 11.20 Issue Date . . . . Valuation . . . . 0 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 38, PLAN 4BR - (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. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . . . . 04-00008134 Date 2/02/05 ---------------------------------------------------------------------------- Other Fees . . . . ... . . . DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.28 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 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 177.20 .00 .00 177.20 Other Fee Total 2438.85 .00 .00 2438.85 Grand Total 4006.99 .00 .00 4006.99 Certificate of Occupancyo� Twf Buildin & Safet Department OF 91 Y I n 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: 80-680 VIA TRANQUILA Use. classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8134 i Occupancy Group: R3 Type of Construction: V-N Land Use Zone: RL Owner of Building: VISTA LA QUINTA PARTNERS, LLC Address: 223 E. DE LA GUERRA City, ST, ZIP: SANTA BARBARA, CA 93140 By: STEVE WILLETT Date: APRIL 13, 2006 Building Official POST IN A CONSPICUOUS PLACE