04-8138 (SFD)t
T--Vf . 4 4 Q"
0. BOX 1504
8'=495 CALLE TAMPICO
A QUINTA, CALIFORNIA 92253
Application Number
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . 0. -00008138 _ Date 2/02/05
. . . 80679 VIA TRANQUILA-
772-270-010-32-311231-
. . . 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
GARAGE SQ FTG
455.00
PATIO SQ FTG
207.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2281.00
----------------------------------------7-----------------------------------
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
i
P.O. BOX 1504 � S
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
��II �BiUILDING & SAFETY DEPARTMENT
Application Number: O e -t - l 3 o Date: o� to. 0
Applicant: Architect or ED' gi*
neeir
Applicants Mailing Address:
or Engineer's Address:
G�2 f/ jVa">
1:31JILDING 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
Cqo&rand my License is' full force and effect. ��! . Q
incense Class ense & No. (G(Q
Date Z( rel• Oct Contractor R -A W VP65
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 1, 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 Owner
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.
_NI have and will maintain workers' compensation in urance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My ork compensation insu carrier and policy nu ber re:
Carrier icy Number_ ('7 �Z-
I certify that, in the performance o 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.
z (t, e66—
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.).
Lenders Name
Lender's 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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize r sentaWes of this county to ent p th rn ned property for inspection purposes.
Signature (Applicant or Agent):
J'
rI I
Page
2
Application Number . . . . . 04-00008138 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
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 32, PLAN 5BR
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
. . . . .
04-00008138
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
Paid Credited
Due
Permit Fee Total
----------
1468.08
----------
--------------------
.00 .00
1468.08
Plan Check Total
193.62
.00 .00
193.62
Other Fee Total
2469.74
.00 .00
2469.74
Grand Total
4131.44
.00 .00
4131.44
Certificate of Occupancy
T4af 4 4 Q"
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: 80-679 VIA TRANQUILA
Use classification: SINGLE FAMILY DWELLING
Occupancy Group: R3
Type of Construction: V -N
Owner of Building: VISTA LA QUINTA PARTNERS. LLC
Building Official
I IF
Building Permit No.: 04-8138
Land Use Zone: RL
Address: 223 E. DE LA GUERRA
City, ST, ZIP: SANTA BARBARA, CA 93140
By: GARY HARTMAN
Date: MARCH 2. 2006
CITY'Of LA QUINTA
`cFyoFo` BUILDING & SAFETY DEPARTMENT
177-7012
INSPECTION REQUEST LINE
777-7153
Owner VISTA LA QUINTA PARTNERS, LLC
Contractor R.A. WASSERMAN CONSTRUCTION
Permit'Number 04-8138
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-679 VIA TRANQUILA
SFD — LOT 32, PLAN 5BR. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION
DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL /GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION ._
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL 9 -
EXTERIOR LATH p_ , p
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION v
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER C>/Q-
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT 2 G ,
COMMUNITY DEVELOPMENT DEPT. 2 •2 - 06 M
FINAL / JOB COMPLETED -g 79 7x-/_ _/
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING