05-5185 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 001 of Division 3 of the B " iness and Professionals Code, and my License is in full force and effect.
Li lass: B License No.: 728102
ate:` ntractov
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury the am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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.).
(_ 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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:
Lender's Address: 1� Iirl
LQPERNUT
Owner:
LENNAR HOMES
40004 COOK STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES OF
40004 COOK ST.
PALM DESERT, CA
(951)817-3600
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D/r� en=2/02/05
CALIFORNIA INC .
92211
JAN 18 ?0
i' 06 /
'IAIw.. 'A 0Itn._
WORKER'S 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 workers' compensation
insurance carrier and policy number are:
Carrier. AON RISK SRVC Policy Number MWC11148500
_ 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
*NG:AILURE
0 of the Lab r e, I shall fo with comply with those provisions.
D�plicant:
WAR TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI 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.
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 an county ordinances and state laws relating to building construction, and hereby authorize representatives
oft 's ounty to enter upon the above-mentioned grope or inspect n purposes.
ate: _Lbi Ure (Applicant or Agent):
Application Number:
05-0000518.5'
Property Address:
81574 RICOCHET WY
APN:
767-200-999-53 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
191643
Applicant:
Architect or Engineer:
�� S�D L
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 001 of Division 3 of the B " iness and Professionals Code, and my License is in full force and effect.
Li lass: B License No.: 728102
ate:` ntractov
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury the am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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.).
(_ 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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:
Lender's Address: 1� Iirl
LQPERNUT
Owner:
LENNAR HOMES
40004 COOK STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES OF
40004 COOK ST.
PALM DESERT, CA
(951)817-3600
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D/r� en=2/02/05
CALIFORNIA INC .
92211
JAN 18 ?0
i' 06 /
'IAIw.. 'A 0Itn._
WORKER'S 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 workers' compensation
insurance carrier and policy number are:
Carrier. AON RISK SRVC Policy Number MWC11148500
_ 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
*NG:AILURE
0 of the Lab r e, I shall fo with comply with those provisions.
D�plicant:
WAR TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI 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.
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 an county ordinances and state laws relating to building construction, and hereby authorize representatives
oft 's ounty to enter upon the above-mentioned grope or inspect n purposes.
ate: _Lbi Ure (Applicant or Agent):
Application Number . . . . . 05-00005185
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
-----------------------------------------------7----------------------------
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
Issue Date . . . .
Expiration Date : . 5/31/06
Plan Check Fee
Valuation . .
Qty Unit Charge Per
BASE FEE
19.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
12.24
0
Extension
15.00
114.00
15.00
Application Number . . . . . 05-00005185
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
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 9.000.0
EA PLB LAWN SPRINKLER SYSTEM
9.00
13.00 .7500
EA PLB GAS PIPE >=5
9.75
1.00 15.0000
---------------------------------------7------------------------------------
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
5/31/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
---------------------------------------------=---------------------
Special Notes and Comments
---------
SFD - LOT 12, 3026 SF.
PLAN 3AR INCLUDES -
695 SF GARAGE. 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
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 Paid Credited
------------ - ---- ---------- ---------- ---------- ----------
Due
Permit Fee Total
1408.56 :00 .00
1408.56
Plan Check Total
202.30 .00 .00
202.30
Other Fee Total
2506.66 .00 .00
2506.66
Grand Total
4117.52 .00 .00
4117.52
LQPERMIT
SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk #A
Santa Fe Springs, CA 50670
562 -941-2990 714--526-8441 Fax -562-946--0026
FIELD DATA ON TEST SPECIMENS
---ASTM C31, C138, C143, C172, C173, C231, C1064 -- -
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
R1 cocH we�y
ADDRESS: 81574 JOB #: 40116 DATE: 05/11/2006
JOB NAME: QUAIL RUN PERMIT ##: ISSUED BY: LA QUINTA
ARCHITECT: ENGINEER:
CONTRACTOR: LENNAR HOMES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE: TR 31202 PH 2 / LOT # 53 / MIDDLE
CONCRETE SUPPLIER: SUPERIOR RDY MX PLAN'T': # 73 MIX #: D83625P
TYPE OF CEMENT : ADMIXTURE: TICKET- #: 21206
SLUMP : 4'' WATER ADDED: 0 GAL AIR TEMP: 72 F
CONCRETE TEMP: 74 F MIXING TIME: 55 MIN TIME CAST: 7:45 AM
--------------------------------------------------------------------------------
DATE CAST: 4/3/006 RECEIVED AT LAB: 4/4/2006
-------------------------------------------------------------------------------
SPECIMENS MADE BY: PHOENIX FEATHEROCK SPECIFIED PSI: 4000
FIELD IDENTIFICATIONI A I B I C I D I E
-------------------------------------------------------------------------------
LAB IDENTIFICATION 604344 604344 : 604344
AGE DAYS 7 28 . 28
DATE TEST : 4/10/2006 : 5/1/2006 : 5/1/2006
SIZE -IN. : 6.000X12 : 6.00OX12 : 6.000X12
AREA-SGI.IN. 28.27 28.27 28.27
CRUSH LOAD ---LBS : 58320 152460 150180
COMP-STR.-PSI. 3480 5390 5310
I H/D
CORR FACTOR
CORR. STR. --PST . .
TIME TESTED
BREAK TYPE
C.T.M. USED : FORNEY : R I EHLE : R I EHLE
REMARKS:
ASTM C39, C1741 C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL- WITHOUT THE APROVAL OF SITI
-----------_------------------------_._--__--_..-------------..-__--.-_. - -_--------------------.----------
RESPECTFULLY SUBMITTED
SO
TH
W"" T INSPEC ION AND TESTING
SAMPLES CAST BY OTHERS:
F7ENAN R.
LAB. MANAGER
I"ASTM C39 BREAKS A= cone B= cone and split C= cone D=shear E=columnar