05-1758 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 1(p
Tjht 4 4& a"
Application Number: 05-00001758 lu '`foul 2 2005
Property Address: 57806 CANTATA DR
APN: 764-010-011-77 -3009 - OFLAQBINTA
Application description: DWELLING - SINGLE F LY DE1DE� DEPT
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 196173
Applicant: ,tvrchitect or Engineer:
------------------
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 'cense No.: 700788
/Date: ontractor:
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).:
1 _ 1 1, 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.).
(_ 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: A
LQPERMIT
ETY DEPARTMENT
G PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/09/05
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
------------------
WORKER'S COMPENSATION DECLARATION
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 !thp Labor Code, 1 shal f rthw' h comply with those provisions.
i
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSA S 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 th ove-mentioned pro/%erty f i pection purposes.
te:6'�T/, L�S' ature (Applicant or Agent)*
s
LQPERMIT
Application Number . . . . . 05-00001758
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
920.00
PATIO SQ FTG
208.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3066.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
979.00 Plan Check Fee
159.09
Issue Date . . . .
Valuation . . . .
196173
Expiration Date
11/05/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
97.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
339.50
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
83.50 Plan Check Fee
5.22
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
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 . . . .
140.71 Plan Check Fee
8.80
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
11/05/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3066.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
107.31
920.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
18.40
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 172.50
Issue Date . . . .
Expiration Date . . 11/05/05
Plan Check Fee . . 10.78
Valuation . . . . 0
A
f,
LQPERMfP
Application Number . . . . . 05-00001758
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
8.00 .7500 EA, PLB GAS PIPE >=5
6.00
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 11/05/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 77, PLAN -3A, 3066 SF.
PERMIT DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH. 75%
REDUCTION TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE.
15.91
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
19.61
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
-------------------------------------'--------------------
Permit Fee Total 1390.71 .00 .00
1390.71
Plan Check Total 183.89 .00 .00
183.89
Other Fee Total 2440.52 .00 .00
2440.52
Grand Total 4015.12 .00 ..00
4015.12
s
09/07/2005 09:26 714-835-2819 ESIF'ME STRUCTURALENG
ESII��UII_:,Inc.
I�.
STRUCTURAL ENG Il IEER5 & CONSULTANTS
September 7, 2005
Forecast Homes
4240 E. Jurupa St., Suite 402
I. Ontario, CA 91764 '00
(�
ii Attn: Mark
;l
Ij Re: Site visit of ha Quinta Lot; 77 (E:SI/FME J - )b #4627)
Dear Mark,
This letter/report is to follow uta on my site v; si for f'la i 3A, Lot — 77, Phase 2 thru
September 1, 2005. The purpo!ie of these 1 it its, %ere to review for general
conformance to plans and strucwral design. , %fter -)w .review, it is my professional
opinion the building substantially cornplies U it 1 the pl<Ins and structural intent.
PAGE 01/03
My visits along with recommenc:ations does n A relizvis the developers, framers, or the
City as to their obligation to follow plans anc c )des
We are not certifying or guaranteeing the cc i- ,truct on work in any way. We observed
the primary framing component!,; as reflected -1 our GflGulations. We did not Check
Various items such as nailing of the roof floc, )r dry c struts.
If there are any questions, plea;>e do not he: ;it ate to ,ontact our office.
i;
i Sincerely,
ESI/FME, Inc. )FES„ i,' .
Structural Engineers ��, C REN;c
LO 4 l c. Jo. C-31 A07 cn m
rn
rn
cc Ex .I larch 31 2006
Dale L. Foees, C.E.
i'
1800 E. 16th Striaet, Santa Ana, CA 92701 a (7;4) 835-2800 • Fax (714).835-2819
rA
SOUTHWEST INSPECTION AND TESTING INC.
108:6 S. Norwalk #A
Santa Fe Springs, CA 90670
562---941•-2990 714-526--8441 Fax -562-946-026
FIELD DATA ON TEST SPECIMENS
l —_ — ASTM C31, C1365 i6, C143, C172, C173, C231, C 1 064 ----
CONCRETE; X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 57--806 CANTATA DR. LA CIUINTA JOB #: 50132 DATE: 08/29/2005
(. JOB NAME: PIAllA SERI_NA /LA UU I NTA 97 PERMIT # : 05-1758 ISSUED BY: LA QUI NTA
ARCHITECT: K . T. G. Y. GROUP ARCH INC. ENGINEER: SUNCOAST POST TENSION
CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE: LOT-� 77 _ PT FOUNDATION SAMPLES @� SLAB NORTH WEST
_ _ -__..__._-__-__-_._____-----.---.-___-___.-_._-_--.__.--________----._.
-.__.-_-_ ----.__._--..___-__---_._.-_____-._.._-__-_..___..-..--__----._.__._____.__.__.__-.-____.____.__._-_.-_.._..___--_--___-_._.__--
CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: COACHEL_L._A MIX Q D815P
TYPE OF CEMENT : V ADMIXTURE: 322-N F=/A TICKET #k: 101
SLUMP : 5'' WATER ADDED: 5 GAL A 1' R TEMP: 89 F
CONCRETE TEMP: 88 F MIXING TIME: 50 MIN TIME CAST: I. 8:20 AM
__
____---_____-_.__--___--.-_-__-_.-_-.-__---_-----_.____-_-_____-_------__--____ �._- ....____-____-_
DATE CAS"f: 7/01/2005 RECEIVED AT LAB: 7/22/2005
SPECIMENS MADE BY: SHELDON COLE SPECIFIED RSI: 2500
--------------------------------------------------------------------------------
FIELD IDENTIFICATION! A 1 B 1 C I D I E
-------------------------------------------------------------------------------
LAB IDENTIFICATION : 513512 : 513512 : 513512
f
AGE -DAYS ------------
77
. _28._•___.__-_._____ :.._28 --------
.q_------------------------
DATE
_--..-..-____-__--_-._._--_._..__.._..____._DATE TEST . 7/28/2005 : 8/18/2005 : 8/18/2005 :
SI7_E -IN. . 6.003X12 . E.001X12 . 6.001X1::
f AREA-SSG!.IN. : 28.30 : 28.28 : 28.28 . .
CRUSH LOAD -LBS 76700 : 85070 : 88230
COME'-STR. -PSI . : 2710 : 3040 : 3120 .
I H/D
CORR FACTOR
CORR. STR. --PSI
TIME TESTED
BREAK TYPE
'I
C.T.M. USED
----------------------- -__.-_-- ____,__..__.-._._-----._-___--__.-__.-__.__.-__-____.-_
' REMARKS :
ASTM C39, C1741 C192, C470, 0617, C42
COMPLIES: X DOCS NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SIT!
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
SAMPLES CAST BY OTHERS-.
aENAN R. CRt.1"
L..AB. HAMAR '
r -
ASTM C39 BREAKS A= cone B= cone find split C= Cone D=sh6ar E -=columnar,