05-1718 (SFD)o O
BUILDING 8L SAFETY DEPARTMENT
P.O. BOX 1504 ; (760).777,-'7012
OFT 9 0 LE PICO FAX (760) 77.7-7.01-1
D ORNIA 92253 INSPECTION REQUESTS (760) 777_-7153
MAY 12'2005 BUILDING PERMIT
CITY OF LA GU NTA ,
Appl ' c-05=0'0001>718 Date 5/04/05
Property Address 57-895 RESIDENZA CT
APN: ,764-010-011-80- -30092 -
Application description .'....DWELLING - SINGLE FAMILY DETACHED
Property Zoning'. LOW DENSITY RESIDENTIAL
'Application valuation"'. 175041
Owner Contractor
----------=----------------------- ------------------------- - ---_---
K. HOVNANIAN FORECAST HOMES K. HOVNANI'AN FORECAST HOMES
4240 .E. JURUPA ST.-STE. 402 4240 E.-JURUPA STREET%
CHINO, CA 91.710 ONTARIO,. CA 91761
937-3270
WCC: ZURICH INS
WC: WC343.666302 10/31/05
CSLB: 700788 10/31/05
CCC: B
Other struct info CODE EDITION 2001' CBC
FIRE SPRINKLERS NO
GARAGE SQ`FTG 629.00
PATIO SQ FTG 665.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 269.0:00
P.O. BOX 1504
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: �� ^ I I I Date:
Applicant:
Applicant's Mailing Address:
or
y�
or
ineer's Address:
No.: 617 /5 3 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
Cie, and License js in full force and effect. 7�D
./�Cicense Class
jZ.� cense No.7—(220
4 ate d� ontractor RAM C7 ✓11 � �^
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frcm the Contractors' State License Law for thelollowing 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 70.00) 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.
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
issueo. M workers' compensation in��nce carrier an oticy num a are:
mer Q ��(/� o� licy Number ��% f e U Z—
_ 1 certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agr That, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forth/with comply with those provision
WARNING: FAILURE TO SECURE WORKERb�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 A
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 thisapplication 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 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 informatio 's correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize re�pres tatives of this county to a on the above -men ed property for inspection purposes.
e ignatS ure (Applicant or Agent,':
----;------------------------- ---------------------------- --------------------
:., Application Number 05-00001718
Permit .
. . . . . BUILDING PERMIT
Additional
desc..
Permit Fee
. . . .
905.50 Plan Check Fee
147.15
Issue Date
. . . .
Valuation
175041
Expiration
Date
10/31/05
Qty
Unit Charge.
Per
Extension
BASE FEE
639.50
76.00
----------------------------------------------------------------------------
3.5000
THOU BLDG 100,001-500,000
266.00
Permit .
. . . . . MECHANICAL
Additional
desc
Permit Fee
. . . .
77.00 Plan Check Fee
4.81
Issue Date
. . . .
Valuation
0
Expiration
Date
10/31/05
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
3.00
6.5000
EA MECH VENT FAN
19.50
1.00
----------------------.------------------------------------------------------
6.5000
EA MECH EXHAUST HOOD
6.50
Permit .
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
_
Permit Fee
121.73 Plan Check Fee
7.61
Issue Date
..Valuation . . . .
0
Expiration
Date
10/31/05
Qty
Unit Charge,
Per
Extension
BASE -FEE
15.00
2690.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
94.15
629.00
---------------------------=------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
12.58
Permit
PLUMBING
Additional
desc
Permit Fee
155.25 Plan Check Fee
9.70
Issue Date
Valuation . . . .
0
Expiration
Date
10/31./05
Qty
Unit Charge
Per
Extension.
BASE FEE
15.'00
14.00
6.0000
EA PLB FIXTURE -
84.00
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
9.00
.7500
EA PLB GAS PIPE >=5
6.75
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
Expiration Date . . 1
10/31/05
v
Application Number
. . ... . 05.-00001718
Permit . . . . . .
GRADING PERMIT
Qty Unit Charge Per
Extension
BASE FEE.
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 80, PLAN
l'C,2690 SF.
(•PATIO 3-665 SF,,GARAGE 3)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
-------------7--------------------------------------------------------------
Other Fees . . .
. . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.72
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
17.50
DIF.STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
.1098.00
Fee summary
-----------------
Charged Paid Credited
Due
-
Permit Fee Total
----------------------------------------
1274.48 .00. .00
1274.48
Plan Check Total
169.27 .00 .00
169.27
Other Fee Total.
2472.22 .00 .00
2472.22
Grand Total
3915.97 .00 .00
3915.97
I
.~ INC.
�
/SOUTHWEST INSPECTION AND TESTING ' '
16826 S. Norwalk #A
. . Santa Fe Springs, CA 90670 ' '
. 562-941-2990 .714"526-8441! Fax�562 ?46-0026`
- - -FIELD DATA ON TEST SPECIMENS ~ -^
. .
` ^
^ --- ASTM _C31, C138,' ^C143, C172,'' C173; C231, C1064^--- '
CQNCRETE: X GROUT: MORTAR: 'SHOTCRETE: CORES: ' GUNITE:
' '
'
ADDRESS: MONROE ! 58TH. LA QUINTA JO'.& 50132 DATE: 07/25/1 005 .'
JOB NAME: PIAZZA SERENA/LA'QUINTA 97 PERMIT #: ISSUED 8Y:^ -
ARCHITECT: � ' ^ ' ENGINEER: ' `
CONTRACTOR:� K. HOVNA.IAN FORECAST SUB CONTRACTOR; CAMPBELL
' C .C.` ._'OF CALIF. ^'
----------------------- -- ____________-�_______________�________
LOCATION IN STRUCTURE: LOT /W FOOTING ' '
CONCRETE SUPPLIER: DESERT REDI-MIX PLANT: ' - MIX
TYPE OF CEMENT : i ADMIXTURE: ^ TICKET #:.56426
SLUMP : 5" ' WATER ADDED: 0 GAL AIR TEM�: 98F
CONCRETE TEMP: 85 F MIXING TIME: 60 MIN. ` 'TIMEAST:
.
DATE CAST: 6/16/2005 ' ` RECEIVED AT LAB: `/17/2005 '
_________________________________
SPECIMENS MADE BY: LOUIS LARINI . . SPECIFIED PSI: 2500
' .
FIELD IDENTIFICATION| A ' | B .'| C . .| 'D | . E.
LAB IDENTIFICATION. : 511351 : 511351 : 511351
AGE DAYq: 7 ^ : 28
' ^ _ o �
'+ .
DATE TEST : 6/23/2005 � : 7/14/2005 � ' /14/2005
SIZE -IN. 6.000X12 : 6.000412 : 8.000X12
AREA -SQ. - IN. ^ ' : 28.27 : 28.27 .: 28.27
'CRUSH LOAD -LBS : 57380 : 80570' : 73220
COMP-STR.'-PSI. 2030 - 4 2850 i 2590
| H/D
CORR FACTOR
C8RR. STR. -PSI
TIME TESTED
BREAK TYPE
C;T.M. USED
'
^ ^ .
REMARKS:
- �-------�---------�------- '
_ --_- _'--__ ___,-_~
. ASTM C39, C174, 'C192, C470, C617, C42 .^
COMPLIES: X ^ DOES NOT COMPLY:
. .
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT T APROVAL'OF'SITI'
- RESPECTFULLY SUBMITTED
� SOUTHWE AND TESTING
SAMPLES CAST BY OTHERS:
' .
. ^
� RENAN R .
.�, LAB. MA ` .
' __ ~
ASTM.C39 BREAKS A= cone
B= cone and split
C= cone . D=shear E=oolumnar
^ .
C