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04-8415 (SFD)s 4�. BUILDING 8C SAFETY DEPARTMENT P.O.- Box 1504 -(760)7774012 C� OFTt�9 ' 78-495 CALLE TAMPICO FAX (760).777-701' 1 IN ALIFORNIA 92253 INSPECTION REQUESTS:(76.0) 777-7153 BUILDING PERMIT MAY 12 2005 ri 4 A plicc�lpPi ,A]aME b'er . . 104-00008415 Date 5/04/05 P 57815 RESIDENZA CT APN: 764010-011-82 -30092 - Application description.. DWELLING SINGLE FAMILY DETACHED Property Zoning . LOW DENSITY RESIDENTIAL Application'valuat on . . . 190928 Owner Contractor K. HOVNANIAN FORECAST HOMES K.. HOVNANIAN FORECAST HOMES 4:240. -�E.. JURUPA ST., STE. - 402 4240 E.: JURUPA STREET CHINO; CA 917.10: ONTARIO;.. CA .91761 :. (909).937-3270 WCC: ZUR.ICH.INS WC: WC343666302 10/31/05 CSLB: 700788 10/31/05 CCC: B i .P .0. BOX 1504 C&lf 4 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: 04- $ u 15 Date:.5 / •4� ` Applicant. Archlte t or f/1 Applicant's Mailing Address: rchitect or Address: No.: /q'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 Cede, and my Licensej�,in full force and effect. //License Class icense No. -%0,eP' 7� ate L c1 rzontractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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 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 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. My orkers' compensation m nce carie a d ' y n e r arrier ��t Imo( olicy Number C/'m?jh� C� 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 provision B 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 /A 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 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 i formation 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 cou to enter upon the abo -mentioned property for inspection purposes. ate OV—')-eig�n.tue (Applicant or Agent): i _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Application Number . . 04-00008415 i- --------------------------------------------------------------------------- Structure Information Construction Type . . . . . TYPE V -.NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Flood Zone ;. NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 687.00 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 622.70 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 22.50 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 32.59 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 Plan Check Fee 43.31 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 ... --------------------------------------------------- . . . 04-00008415 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 82, PLAN 2C/858.SF PATIO(2903 SF). PERMIT DOES NOT INCLUDE.POOL; SPA, BLOCK WALLS OR DRIVEWAY APPROACH ------------------------------------------------------------------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES .0,0 DIF COMMUNITY -CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 62.27 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 721.10' .00 .00 721.10 Other Fee Total 2486.36 .00 .00 2486.36 Grand Total. 4574.06 .00 .00 4574.06 SOUTHWEST INSPECTION AND -TESTING INC. 10826 S. Norwalk #A , Santa Fe SF:,r,ings, CA 90670 062-"941 -2990 714-526-8441 Fax -562-946-0026 FIELD DATA ON TEST SPECIMENS, --- ASTM C31, C138, C1434 C1721 C173, C231, ' C1064 --- CONCRETE :. X GROUT : - MORTAR: SHOTCRETE : 0 N I TE : ADDRESSn57w615- RESIDENZA C LA G?UINTA JOB #: 50132 DATE: 07J12J2005 JOB NAME: PIAZZA SERENA/LA QUINTA 97 PERMIT #: 04--8415 ISSUED BY: ARCHITECT: K. T. G. Y, GROUP ARCH INC. ENGINEER: CONTRACTOR: K. HOVNANIAN FORECAST . SUB CONTRACTOR:, CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE: LOT 4 ,82 / GARAGE FOOTING CONCRETE SUPPLIER: SUPERIOR.RDY MX PLANT: MIX #: D815P TYPE OF CEMENT : ADMIXTURE: TICKET #: 7432367 .SLUMP : 4 1/2'' WATER,ADDED 0 GAL AIR TEMP: 70 F. CONCRETE TEMP: 66 F MIXING TIME: .45 MIN TIME CAST: 6:30 - r • DATE CAST: 6/4/2005 RECEIVED AT LAB: 6/6/2005 SPECIMENS MADE BY: PHIL LIMON JR. SPECIFIED PSI : '2500 ' FIELD IDENTIFICATION1 A I B I C 1 D I E ------------- LAB-IDENTIFICATION : .508922 : 508722 : 508922 r 'AGE DAYS . 14 A 288 DATE TEST : 6418/2005 : 7/2/2005 : 7/2/2005 .SIZE -IN. , 6002X12 , 6.000X12 6.00+X12 , AREA-SQ.IN. 28.,M : 26.27" . 2031 CRUSH LOAD --- LBS : 65200 : 97700 : 98600 . . COMP--STR.-PSI. . 2300 , 3455 . 3480 I H/D ' , CORR FACTOR ., CORR. STR. -PSI TIME TESTED BREAK TYPE C.T.M. USED . . , REMARKS: ASTM 0399 C174, C192; C4701 C617, C42 COMPLIES: X DOES NOT COMPLY: _ THIS REPORT SHALL NOT -BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI RESPECTFULLY SUBMITTED r SOUTHWE T INSPECTION AND TESTING SAMPLES CAST BY OTHERS: XRENAN R. C L_AB. MAN r< ASTM C39 BREAKS A= cone B= cone and split C= cone D=shear E=columnar