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05-1737 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-000017371 Property Address: 57768 CANTATA DR APN: 764-010-011-76 -30092 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 179236 Applicant: Architect or Engineer: Diavi CL V n+ _,�'L,iC. No.:�'`�---- ------------------ 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, and my License is in full force and effect. License Class: B —License No.: 700788 �33fe: ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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).: (_) 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 contractor(s) licensed pursuant to the Contractors' State License Law.). I—) 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: ki A LQPERMIT ?PARTMENT MIT Owner: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 CHINO, CA 91710 Contractor: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA STREET ONTARIO, CA 91761 (909)937-3270 Lic. No.: 700788 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 5/09/05 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 ZURICH INS Policy Number WC343666302 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 Co de, JAhall foLilk<ith comply with those provisions. ate: Applicant: / 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. 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 authorize representatives of this county to enter upon the bove-menti ned roperty for inspection purposes. Date: �'W nature (Applicant or C1 LQPERMIT Application Number . Permit . Additional desc Permit Fee Issue Date Expiration Date . . . . 05-00001737 BUILDING PERMIT 919.50 Plan Check Fee . Valuation . . . . 11/05/05 597.68 179236 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.5000 THOU BLDG 100,001-500,000 280.00 ---------------------------------------------------------------------------- Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 77.00 Issue Date . . . . Expiration Date . . 11/05/05 Plan Check Fee . . 19.25 Valuation . . . . 0 Qty Unit Charge Per Extension 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL WATER INST/ALT/REP Additional desc . 9.0000 EA PLB Permit Fee . . . . 126.01 Plan Check Fee 31.50 Issue Date . . . . 6.75 Valuation . . . . 0 Expiration Date . . 11/05/05 15.00 Qty Unit Charge Per Extension BASE FEE 15.00 2690.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.15 843.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.86 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 155.25 Issue Date . . . . Expiration Date . . 11/05/05 Plan Check Fee . . 38.81 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000_EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 Application Number . . . . . 05-00001737 Permit . . . . . . GRADING PERMIT Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 76, PLAN 1C (665 SF. PATIO, GARAGE 4). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY .APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 59.77 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.92 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited -------------------- Due Permit Fee Total 1292.76 ---------- .00 .00 1292.76 Plan Check Total 687.24 .00 .00 687.24 Other Fee Total 2517.69 .00 .00 2517.69 Grand Total 4497.69 .00 .00 4497.69 T LQPERMIT SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk d#A Santa Fe Springs, CA ` 0670 562-941-2990 714-526-8441 Fax -562-946-0026 FIELD DATA ON TEST SPECIMENS ___ ASTM C:31, C138, C143, C172, C173, C231, C:1064 ---- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 57-768 CANTATA DR. LA QUINTA JOEL #: 50132 DATE: 08/29/2005 JOB NAME: PIAllA SERENA/LA QUINTA 97 PERMIT ##: 05--1737 ISSUED BY: LA QUINTA ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: SUNCOAST POST TENSION CONTRACTOR: T,. HOVNAN I AN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE.: LOT P'70 / PT FOUNDATION SAMPLES @ SLAB CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: COACHELLA MIX 4: D815P TYPE OF CEMENT : V ADMIXTURE: --N F/A TICKET Q 29472 SLUMP : 5 1/4'' WATER ADDED: 15 GAL AIR TEMP: 1.08 L= CONCRETE TEMP: 90 F MIXING TIME: 45 MIN TIME CAST: 12:30 PM --------------------------------------------------------------------------------- DATE CAST: 7/21/2005 RECEIVED AT LAB: 7/22/2005 --------- SPECIMENS MADE BY: SHELDON COLE SPECIFIED PSI: 2500 ------------------------------------------------------------------------------- FIELD IDENTI F ICATIONI A I B I C I D I E ` LAR IDENTIFICATION : 513511 : 513511 : 513511 . AGE DAYS 7 28 28 DATE TEST : 7/28/2005 : 8/18/2005 8/18/2005 SIZE -IN. 6.005X12 . 6.00IX12 6.001X12 AREA-SGI.IN. . 28.32 28.28 . 28.28 CRUSH LOAD --LBS . 69100 : 81305 : 84560 . COMP-STR. --PSI. : 2440 : 2875 : 2990 I H/D CORR FAC"T"OR CORR. STR. --PSI TIME TESTED BREAK TYPE C.T.M. USED ___------_.__ --____--_-_--_-__..___.-____-__.-_- REMARKS : - J te- ASTM C39, C174, C192, C470, C6171 C42 f COMPLIES: X DOES NOT COMPLY: THI----------------------------------------- �- S REPORT SHALL NOT` BE REPRODUCED, EXCEPTINFULLWITHOUTTHE. APROVALOFS i:TI ------------ .__--.__-__.___.--_---__..-__.._ RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING SAMPLES CAST BY OTHERS: : ENAN R. CRU LAB. MANAGE ASTM C39 BREAKS A= cone B= cone .incl split C= cone D -shear E:=colunnar JAN -20-2006 FRI 10:23 AM REEVES MASONRY INC. FAX No. 19513281133 P•003 R� AL'SN�� ON SERVICES_ Y"ROTO D` WALE; SYbTWS iSPECUL DEPUTY INSPECT' ON FORM 7Direcr Tom= 1"catm OM. C k W~ Method at levftHos A"orTommMAW e1'1apt Doe of 0"ty ingw!0on: � _ Job No: As an mmftd ad =WW spa DWt O bWGW afPHAO n wain 3741M Vviw% her wUnesW w d wrti" tate ftW of *9 PW-Ud ian W& to 6,M Hm Via vww hopiw= adw ron vaeirying odd of ft tabs W V&bab beWma Dn tabs =4 bw= Qf UZ � ORby wimea�a� and .�iog�e tic of the pads tti lbs. Vw a calibrated tongue Wmnch sa to 55 flubs. - A.Insh■cr ���aRwdw,fowu: i IL . Sbreet M=*aj, pied name or t met namber ct CVJ C. Wall system deler;lpdon Lf (Siocic end pr AW raged and bei&). ' a 'VIwal inapmdou of mortr JutWlty -(Mortar is wlid and cbn mimA9) Ac mptub : Yes No L uno of Wag - Wo. LA Rods.@ -e �"" -- o.c. ' (Js rod spacing and locW= conmt per the FDS for the proj"?) A ptable :.'Yes __x..e 10 F Are *Am !bread plow hbrketed and plates bearing ort here block surfaces? Acceptable :Yes o Wag appraw" by Special Deputy inspetftr: D9"Impo rIs to dlshi M a apy>t M70* OfSOMW S000 ffnV �PRasa-Il ii'a113jS CNDQ . PrnFtglilrrs'�Nrar