05-1755 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
_ I FINANCE DEP 1.
Application Number: OL� 5-00001755--.--r
Property Address: 57791 CANTATA DR
APN: 764-010-011-48 -30092 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 190928
Applicant: / Architect or Engineer:
_ CtionsI+�
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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
Date: 5/09/05
--------------------------------------------------
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 7000) 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
License Class: 13 License No.: 700788
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate:a-,ontractor:
issued.
9--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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier ZURICH INS Policy Number WC343666302
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 become 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 Cod , I shall forthw' 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) .:ate:
- pplicant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' 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, 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 _ 1 1 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: tA
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 Ouinta, 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 ereby authorize representatives
of this county to enter upon the above-mentioned property for 'nspection p p es
pets: - L ignature (Applicant or Agent):
Application Number . . . . . 05-00001755
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 173.25
Issue Date . . . .
Expiration Date . . 11/05/05
LQPERMIT
Plan Check Fee . . 43.31
Valuation . . . . 0
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type
. . .
. . . DWELLG/LODGING/CONG <=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
11/05/05
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
11/05/05
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
L
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
. .
11/05/05
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 . . 11/05/05
LQPERMIT
Plan Check Fee . . 43.31
Valuation . . . . 0
Application Number . . . . . 05-00001755
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE FEE
15.00
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 . . .
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
GRADING PERMIT
15.00
11/05/05
Plan Check Fee
Valuation . .
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------- ----------------------------------------------------
Special Notes and Comments
SFD - LOT 48, 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
.00
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
LQPERMIT
12/20/2005 07:27 19516748375 L&S LAKE ELSINORE PAGE 13/21
INSTALLATION C-LKrIFI(.AI*E (Pogo I WK
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24; State of California, in the building at
57-791 CANTATA DR, LOT 48, PHASE 2, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS:'R-:13
GENERAL.CONTRACTOR: FORECAST HOMES LICENSE #
BY: TITLE:
PARAGO CHMID BUILDING PRODUCTS A MASCO Company LICENSE # 2215.1.7
BY: w"` TITLE: ACCOUNT REPRESENTIVE DATE: y Z 4
JAN -20-2006 FRI 10 24 AM REEVES MASONRY INC. -FAX No. 19613281133 P-010
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Date of Deputy Imo: i '� sob No: 1
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A"t" : Yes ✓ No
I. lbogth ofwaa liv 0 Y xx P.Q& O.C.
. (Is rW eking Rud loom cm.Te ct Pcr the PDS for the project?)
Ac uptwble : Yes �,eNo
R Are there dwmd pies liubrksW and plates bearing on hire block sorfmcW.
Acceptable - fes o
'Voll appywed by Special Depen► inspe cbw-
. J?,reris to Awomm a copy Dgpm&qrxuaaw
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