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04-8418 (SFD)tri 1 o o 1504 BUILDING & SAFETY DEPARTMENT .t • '� (760);777-7012 LLE TAMPICO FAX (760) 777-7011 Q A, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7.153 MAY 12 2{� clrroF�►quiaTA BUILDING PERMIT FINANCE DEPT. _ Application Number. 04-0000.8418] Date' 5/04/05 Property Address 57850 RESIDENZA CT A_PN: 764-010-011-88 -30092 - Application description '.DWELLING,'.SINGLE FAMILY DETACHED Property Zoning.. LOW-DENSITY RESIDENTIAL Application valuation-. 190928 Owner Contractor K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE, 402 4240:E.. JURUPA STREET.. CHINO , .CA -91.710 .. 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 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 - 8q 18 Date: Applicant: ;�Atect t or�E Applicant's Mailing Address: or Engineer's Address: 4 01 ic. No.: 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 Code nd my Lice is in full force and effect. c_y`� / rise Class I/c-ense No. 20-o 17A ` 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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting .with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to. the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. J have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �v1y wpprkers' compensation in rice c Irn$s p li'cy nur�be re: artier 2,� Cys olicy Numb�� S �-1�� /��Z— _ I certify that, in the performance o the work for which this pe it is iAlue—d, I shat old? t employ any person in any manner so as to become subject to the workers' compensation laws of California, and a re i I should become b'ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio 7 f WARNIVG: FAILURE TO SECURE WORt<ERS' COMPENSATION COVERAG9 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 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 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 1 have read this application and state that the above info a n correct. I agree to ply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county enter upon the ab ent' d property for inspection purposes. ate J� ignature (Applicant or Agent): Permit . . PLUMBING Additional desc Permit Fee 173.25 Issue Date . . .. Expiration Date . , . 10/31/05 Qty Unit Charge Per Plan Check Fee Valuation . . . .` BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 10.83 0 Extension 15.00 "102.00 15.00 - - - - - - - - - - - - - - - - - - - - - - - - - - Application Number . ----------------------------7----------------7------------------------------ . . . . 04-00008418 -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other 8truct info . . . . . CODE.ED.ITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 687.0 .0 PATIO SQ FTG. 858.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2903.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee 958.00 Plan Check Fee 155.68 Issue Date Valuation . . . . 190928 Expiration Date 10/31/05 Qty Unit Charge Per Extension BASE FEE 639.50 91.00 3..5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000. 318.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 90.00 Plan Check Fee 5.63 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 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ------------------------------------------------ EA MECH EXHAUST HOOD ---------------------------- 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional. desc Permit Fee . . . . 130.35 Plan Check Fee 8.15 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit.Charge Per Extension BASE FEE 15.00 2903.00 0350 ELEC NEW RES - 1 OR.2 FAMILY 101.61 687.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.74 Permit . . PLUMBING Additional desc Permit Fee 173.25 Issue Date . . .. Expiration Date . , . 10/31/05 Qty Unit Charge Per Plan Check Fee Valuation . . . .` BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 10.83 0 Extension 15.00 "102.00 15.00 -----.-----.---------------- ------------------------------------ -------------- Application Number . . . . . 04-00008418 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 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 10/31/05. Qty Unit Charge Per Extension { BASE FEE 15.00 ---------------------_----------------------------------------- Special Notes and Comments -------------- SFD - LOT 88, PLAN 2A/858 SF PATIO(2903 SF). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES 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 15.57 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 19.09 DIF STREET MAINT FAC -RES 15..00 DIF TRANSPORTATION - RES 1098.00 Fee summary. Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 1366.60 .00 .00 1366.60 Plan Check Total 180.29 .00 .00 180.29 Other Fee Total 2439.66 .00 .00 2439.66 Grand Total' 3986.55 000' .00. 3986.55 SOUTHWEST INSPECTION AND TESTING INC' . . 10826 S. Norwalk #A Santa Fe Springs, CA 90670 562-941-2990 . . 714-526-8441Fax-562-946-0026 ================================================================================ ' FIELD DATA ON TEST SPECIMENS ' . `^ --- ASTM C31, C1381 C143, C170 C173, C231, C1064 -�- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ' ' ADDRESS---� E�D�DENZA-CT�LA QUINTA JOB # r 50132 DATE: 07/14/2005 JOB NAME: PIAZZA SERENA/LA QUINTA 97 -PERMIT #: 04-8418 ISSUED BY: ARCHITECT: K.T.G.Y. GROUP ARCH INC. ENGINEER: CONTRACTOR: Ki HOVNANIAN FORECAST SUB CONTRACTbR: CAMPBELL CONCRETE OF CALIF. ----------------------------------------- ' LOCATION IN STRUCTURE: LOT. 88 / GARAGE FOOTING _ ________------------- �____�_____________________________________________ . . � . CONCRETE SUPPLIER; SUPERIOR RDY MX PLANT: MIX #: D815'P' TYPE OF CEMENT : ADMIXTURE: 'TICKET #: 74S2416 SLUMP : 5" WATER ADDED: 15 GAL. AIR TEMP: 80 F . CONCRETE TEMP: 71. F MIXING TIME: 60 MIN ' TIME CAST: 9:05'AM' DATE CAST: 6/6/2005 RECEIVED AT LAB: 6/7/2005 ' --------------------------------------------------- -------------------- -------- SPECIMENS MADE BY: PHIL LIMON JRSPECIFIED PSI: 2500 ` ------------------------------- __________________________-�____________________ FIELD IDENTIFICATION| A 11 B | C ' | D | E , _------------------------------------------------ _------------ _---------------- � LAB IDENTIFICATION : 509153 : 509153 : 509153 : : AGE DAYS : 14 ' : 28 : 28 DATE TEST : 6/20/2005 : 7/4/2005 : 7/4/2005 SIZE -IN. : 6.004X12' : 6.001X12 : 6.000X12 AREA -SQ. IN. : 28.31 1 28.28 : 28.27 CRUSH LOAD -LBS : 64100 : 97300 � : 99000 COMP-STR.-PSI. : 2260 : 3440 : 3500 | H/D CORR FACTOR CORR.STR.-PSI TIME TESTED BREAK TYPE . . C. T M USED REMARKS: ASTM C39, C39, C174, C192, C470, C6179 ^C42 ^ COMPLIES: X DOES NOT -COMPLO . THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT -IN FULL WITHOUT THE APROV'« 'F SITI RESPECTFULLY SUBMITTED . . SOUTHWEST AND TESTING SAMPLES CAST BY OTHERS: � ^ ` r' RE ^ .�, LAB ^*r . MANA9& ~ASTM C39 BREAKS' cone B= cone and split C= cone D=shear E=colum.ar