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04-8422 (SFD)o`` BUILDING & SAFETY DEPARTMENT .O. �X 1504'._. .r (760)„777=7.012 OF - CALLE TAMPICO FAX (7-60) 777-7011 TA, CALIFORNIA 92253 INSPECTION. REQUESTS (76.0) 777-7153 MA`f 12 20� BUILDING PERMIT Cl?Y Of Glut A INANCEDE�• p ication Number 4-.00008422---' Date.' 5/04/05 Property Address ... 57890 RESIDENZA CT APN: 764-010-011-89-.,-30092 - Application description DWELLING' -`SINGLE FAMILY DETACHED Property Zoning.. LOW-DENSITY RESIDENTIAL Application valuation--: 196173 Owner Contractor ------------------------------------------------------- ------ ---- K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST..STE. 402. 4240 E..JURUPA STREET:. CHINO, CA 91710 ONTARIO, CA.91761 (909) 937-3270 WCC: ZURICH INS WC: WC343666302. 10/31/05 CSLB: 700788 10/31./05 CCC: B , P.O. BOX 1504 • :��^/ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Application Number: ��— mac% Date:.r�' Applicant: Archit�,ct or Er�gine�y: U� v�`of l�P•n� Applicant's Mailing Address: or Engineer's Address: No.: 6+ i /Z 3� 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 Co , and my License in full force and effect. ` _ �_r/ ,cense Class ,cense No. �J d 13 ate d ontractor 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 sate. 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. 4_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 214issu�d. My workers' compensation � rance carrier and policy number are: /Gamer Kr i1 olicyNumber WC 3�; 6e 3 y 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. J 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 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 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby aut=ianature entatives of this county to en upon the abov entioned property for inspection purposes. p to V1 o pplicant or Agent): ----------------------------------------------------------------------------- Application Number . . . . 04-00008422 -----------------------------------------=----=----------------------------- 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 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 920.00 PATIO SQ FTG 208.00 NUMBER OF'UNITS 1.00 ----------------------- 1ST FLOOR SQUARE FOOTAGE -------------------------------------------------- 3066.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 979.00 Plan Check Fee'. 159.09 Issue Date Valuation 196173 Expiration Date. 10/31/05 Qty Unit Charge Per Extension BASE FEE 639.50 97.00 3.5000 -------------------------- THOU BLDG 100,001-500,000 -------------------------------------- 339.50 ------------ Permit . . . . ... MECHANICAL Additional desc Permit Fee 83.50 Plan Check Fee 5.22 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 140.71 Plan Check Fee 8.80 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 3066.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.31 920.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 18.40 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 172.50 Plan Check Fee 10.78 Issue Date Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per. Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ---------------------------------------------------------------------------- Application Number 04-00008422 .r Permit PLUMBING Qty Unit Charge Per Extension 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. Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------- ----------------------------------- Special Notes and Comments SFD .--LOT 89, PLAN 3A, 3066 SF. (GARAGE .4).PERMIT DOES NOT INCLUDE POOL, SPA; BLOCK WALLS OR DRIVEWAY APPROACH. 750 REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN.TYPE ----------------------------------------------------------------=----------- 'Other Fees . . . . . . . . . ART IN -PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.91 DIF.FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) -.RES 19.61 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 1390.71 .00 .00 1390.71 Plan Check Total 183.89 ..00 .00 183.89 Other Fee Total 2440.52 .00 .00 2440.52 Grand Total 4015.12 .00 .00 4015.12 . . , ' . . . . ' SOUTHWEST INSPECTION AND TESTING INC. ' 10826.0. Norwalk #A Santa Fe Springs, CA -90670 ' ' 562-941-2990 714-526-8441 ' ' Fax -562-946-0026 ^ FIELD DATA ON TEST SPECIMENS ^ ' . --- ASTM C31, C138, C143, C172, C173, C2319 C1064 7-- CONCRETE:X GROUT: MORTAR: SHOTCRETE: ICORES: GUNITE: ADDRESS: MONROE & 58TH. LA QUINTA. JOB #: 50132 DATE: 07/25/2005 JOB NAME: PIAllA'SERENA/LA QUINTA 97 PERMIT Q. ^ ISSUED BY�� '^ ARCHITECT: ' ENGINEER: � ^ � ' ^ CONTRACTOR: K. HOVNANIA FO SUB CONTRACTOR.: CAMPBELL CONCRETEOF CALIF. _________________________ ______________-___________________________�____ . LOCATION IN STRUCTURE: LOT / SLAB ON GRADE ---- m -------------------- ________------------------ _--------------- ______________ CONCRETE SUPPLIER: DESERT REDI-MIX PLANT,, MIX #: 94111 / TYPE OF CEMENT : ADMIXTURE: . TICKET #: 5600 SLUMP : 5" WATER ADDED: 0 GAL AIR TEMP: 95 F ' CONCRETE TEMP: 85 F ' MIXINB TIME:_45 MIN TIME CAST:025.0 ` _____________________-_-__�_____________________________________________________ DATE CAST: 6/16/2005 RECEIVED AT LAB: 6/17/2005, SPECIMENS CIMENS MADE BY: LOUIS LARINI ' SPECIFIED PSI: 2500 _______________�______________________________________��_______________________ � . . FIELD IDENTIFICATION| A | B | C | D l E � LAB IDENTIFICATION : 511352 : 511352 :'511 '2 AGE DAYS : 7 : 28 :28 DATE TEST : 6/23/2005 : 7/14/2005 : 7/14/2005 SIZE -IN, 6.000X12 : 6.000X12 : 6.'00012 AREA-SQ.IN. : 28.27 : 28.27 : 28.27 : : CRUSH LOAD -LBS : 56250 : 80600 : 75620 COMP-STR.-PSI, : 1990 : 050 : 205 | H/D CORR FACTOR ` . CORR.STR.-PSI TIME TESTED BREAK TYPE C.T.M. USED _ _.. .�. . ' ^ ________________________ it _______�________=___ _ _____________ --- ----- .REMARKS: 7 ------ .REMARKS: / __ m A_ ------------------------ -------- ASTM ______ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: THIS REPORT WALL AL NOT BE REPRODUCED, 'EXCEPT IN FULL WITH'UT THE APROVAi OF SITI ' ^. ~ RESPECTFULLY SUBMITTED� '. . SOUTHW AND TESTING SAMPLES CAST BY OTHERS: ' ' - RENAN R. CR LAB MAN ' . ..�.` - � ASTM C39 BREAKS A= cons- B= cone and split C= cone D=shear E=columnir ^ ' . . ^ `