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05-5186 (SFD)4 P.0. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/02/05 Application Number: (-05--00005186—l' Owner: Property Address: -81550- RICOCHET WY LENNAR HOMES APN: 767-200-999-55 -312022- 40004 COOK STREET D Application description: DWELLING - SINGLE FAMILY DETACHED PALM DESERT, CA 92211 Property Zoning: LOW-DENSITY RESIDENTIAL (760) 777-9920 Application valuation: 191643 Contractor: JAN 18 ZOO Applicant: rc itect or Engineer: LENNAR HOMES OF CALIFO IA I 6 40004 COOK ST. ry�F PALM DESERT, CA 92211 FjN Geo (951)817-3600 DspT A Lic. No.: 728102 CA� CI ------------------------------------------------------- __________________________________________ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licensl lass: B License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate:Contractor: 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 workers' compensation WNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the Carrier AON RISK SRVC Policy Number MWC11148500 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should became subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor o I shall forth wit ,comply with those provisions. 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).: plicant: (_) 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 WARN( G: FAILURE TO�SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: i� Lender's Address: 1�1" LQPERMIT 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 ounty ordinances and state laws relating to b 'I ' g construction, and hereby authorize representatives of t ' (unty enter upo the above-mentioned prop inspection purp ses. Date: l Signature (Applicant or Agent): Application Number . . . . . 05-00005186 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 961.50 Plan Check Fee 156.25 Issue Date . . . . Valuation . . . . 191643 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE- 639.50 92.00 --------------- 3.5000 ----------- THOU BLDG ----------- 100,001-500,000 --------------------------- 322.00 ------------ Permit MECHANICAL Additional desc . Permit Fee . ... . 101.50 Plan Check Fee 25.38 Issue Date . . . . Valuation 0 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 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 . . . . 134.81 Plan Check Fee 8.43 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 3026.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 105.91 695.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.90 Permit . . . PLUMBING. Additional desc . . Permit Fee . . . . 195.75 Plan Check Fee 12.24 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . .05-00005186 Permit . . . . . . PLUMBING Qty Unit Charge Per ---------- .00 BASE FEE L Extension .2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit GRADING PERMIT Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . 15.00 Plan Check Fee Valuation . . 5/31/06 Qty Unit Charge Per Extension. ---------- .00 BASE FEE L 15.00 ------------------- Special Notes ------------------------------------------ and Comments -------------- SFD - LOT 55, 3026 SF. PLAN 3AR INCLUDES 2506.66 695 SF.GARAGE PERMIT DOES NOT INCLUDE 4117.52 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 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 62.50 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 19.16 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1408.56 P1an.Check Total 202.30 •Other Fee Total 2506.66 Grand Total 4117.52 LQPERMrr Paid Credited Due ---------- .00 ---------- ---------- .00 1408.56 .00 .00 202.30 .00 .00 2506.66 .00 .00 4117.52 SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk #:A Santa Fe Springs, CA 50670 -562541=�990714`526^ 8441__=FaxN562-546= 0026 _ FIELD DATA ON TEST SPECIMENS ---- ASTM C311 C138, C143, C172, C173, C231, C:1064 - - CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 81550 RICOCHET WAY ? JOB Q 40116 DATE: 05/08/2006 JOB NAME: QUAIL RUN PERMIT #: ISSUED BY: LA QUINTA ARCHITECT: ENGINEER: i CONTRACTOR: LENNAR HOMES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE: TR 31202 PH 2 / LOT I# 55 / FOOTINGS MIDDLE -------------------------------------------------------------------------------- CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: ## 73 MIX Q D83625P TYPE OF CEMENT ADMIXTURE: TICKET #: 21080 SLUMP : 4'' WATER ADDED: 0 GAL AIR TEMP: 65 F CONCRETE TEMP: 72 F MIXING TIME: 60 MIa TIME CAST: 7:35 AM ---------------------------------------------------------------------------- DATE CAST: 3/31/2006 RECEIVED AT LAB: 4/3/2006 i SPECIMENS MADE BY : F'F-IOEN I X FEATHE ROGF'. SPECIFIED -PSI: -4000 ------------------------------------------------------------------------------- FIELD IDENTIFICATIONI A I B I C I D I E ------------------------------------------------------------------------------- LAB IDENTIFICATION 604246 : 804:46 604246 AGE DAYS 7 . 28 28 DATE TESL- : 4/7/2006 : 4/28/2006 : 4/28/2006 SIZE -IN. 6.00OX12 : 6.000X12 : 6.000X12 AREA -SV IN. 28.27 28.27 . 28.27 CRUSH LOAD --LBS 118680 . 147250 . 150400 COMP--STR. -PSI. :4200 4200 5210 . 5320 I H/D CORR FACTOR CORR. STR. -PSI TIME TESTED BREAK TYPE C.T.M. USED : FORNEY : R I EHLE : R I EHLE REMARKS: ASTM C35, C1749 C1925 C4701 C617, C42 COMPLIES: X DOES NOT COMPLY: THIS REPORT SHALL_ NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF-SITI RES�'F.. F"ULLY SL, M I TTED T INC' ��C�TION AND TESTING SAMPLES CAST BY OTHERS: RENAN R. CRUZ LAB. MANAGER ASTM C35 BREAKS A= cone B= cone and split C= cone D=shear E=columnar