05-1756 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
0-5--000.0-1-7-5-6
Property Address:
57827 CANTATA DR
APN:
764-010-011-49 -30092 -
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDE
L
Application valuation:
196173
Applicant:
Archit •t •
r..En neYr:
2 5 2005
L
T3
J
UII�d7A
G
DEPT
------------------
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 LicenseNo.: 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 _) 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.).
l _ 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 (Sec. 3097, Civ. C.).
Lender's Name: ,,\l
Lender's Address: N
tot
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/17/05
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
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
r 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 Code, 1/s/ha11 //rtthhw�ith comply with those provisions.
Vie: plicant:
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 ($100,0001. 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 co [ruction, and hereby authorize representatives
of this county to enter upon the above-mentioned property f r ' spection urposes.
eT 5 �G n�nature (Applicant or.Agent):
Application Number . . . . . 05-00001756
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
636.36
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
20.88
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/1OOK 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
35.18-
5.18Issue
IssueDate . . . .
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
LQPERMIT
Application Number . . . . 05-00001756
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
172.50 Plan Check Fee
43.12
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/05/05
Qty Unit Charge
Per
Extension
BASE FEE,
15.00
17.00 6.0000
EA PLB FIXTURE
102.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.0.0 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
. . . 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 49, PLAN 3B,
3066 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
63.64
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
735.54 .00' .00
735.54
Other Fee Total
2488.25 .00 .00
2488.25
Grand Total
4614.50 .00 .00
4614.50
LQPERMIT
JAN -20-2006 FRI 10:24 AM REEVES MASONRY INC. FAX No, 19513281133
1
Al[.�SN�PEUI 3ER,
oma- rs$ z�r_5j04 - C4: (ffifij7 -4
PIIO'1fO R WAIL SYVMdg
SPECIALDjpUTX ECT[ON FORM
ftut Tembs Iodl=W On. Comprearok Woho Mood at lWoetlan
' Aodbr Tvxgwe M of Iopedlen
Date of DJob No:
Asan wnditsd azul MdW Special DCM bVWw6fPW0 "won 973=4
Uh►aA, jUgjWMhereby w1ftmW and =F ified *a tam of the pdm4mlon mb to 6,000 lbs. -
via vhwd inspe dw of the D►n vwirrag aollapae of day tat bz W iea&s between Dn tds and bm=
of man) oR lW vft ft aW md6ftft tmqw of ft ta& to WN lbs. V'w a =l mdad torque
Wxewhsoto 55 ttt[bs.
A. lwallsr_
B.: Streetleeartlan, p:raja� name a►r ttract laoMbar � �'� `j' �
L
C. Wall sy Stem desciraiptlon
(Btock and pm&xd used aged height)
D_ VhuW tagmWon d sverta r fiat .(Mortar is soNd and c m imu ?)
Aemp : Yes No
E. of Wall 100 Ly. • { O.C.
(Xs prod spacing ad hxOian correct pes' the PDS iaar the prgGa?)
Ae ceptabU :.Yes _,_,1_.e_A0
F.'. Are jIme tbwend plates NbriedW and plates bmdug on here block mrfacea?
Acceptable - Yes 9
Waft approved by Speefal f"v" Isar
Deprdpir� � �iib�r a aoAy m , prrrt�ll WrrA� MOa1
. BirLlderfDeve/oper
,�no�,Tlllar '
It
P. 011
Dr
' SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk #A .
Santa Fe Springs, CA 90670
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: GUNITEg
ADDRESS: CANTATA DR. LA QUINTA JOB #: 50132 DATE: 09/06/2005
JOB NAME: PIAllA SERENA/LAQUINTA 97 PERMIT #: ISSUED BY: LA QUINTA
ARCHITECT: K.T.G.Y. GROUP ARCH INC. ENGINEER: ESI/FME INC./ P.T.D. INC.
CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE: TR 30092 PH 2 / LOT
------------------------------------------
PT SLAB
CONCRETE SUPPLIER: DESERT
REDI-MIX PLANT:
______--------------------------------
COACHELLA
MIX #:
94111-B
TYPE OF CEMENT : V
ADMIXTURE:
FLYASH
TICKET #:
59882
SLUMP : 4"
WATER ADDED:
0 GAL
AIR TEMP:
80 F
CONCRETE TEMP: 86 F
MIXING TIME:
30 MIN
TIME CAST:
6:35
________________________________________________________________________________
DATE CAST: 7/28/2005
RECEIVED
AT LAB: 7/29/2005
_______________________________________________________________________________
SPECIMENS MADE BY: PHOENIX
_______________________________________________________________________________
FEATHEROCK
SPECIFIED
PSI: 2500
FIELD IDENTIFICATION|
_______________________________________________________________________________
A | B
| C
| D
I E
LAB IDENTIFICATION :
513510 : 513510
: 513510
AGE DAYS : 7 : 28 : 28
DATE TEST : 8/4/2005 : 8/25/2005 : 8/25/2005
SIZE -IN. : 6.004X12 : 6.004X12 : 6.005X12
AREA-SQ.IN. : 28.31 : 28.31 : 28.32
CRUSH LOAD -LBS : 68850 : 80680 : 82130
COMP-STR.-PSI. : 2430 : 2850 : 2900
} H/D
CORR FACTOR
CORR.STR.-PSI
TIME TESTED
BREAK TYPE
C.T.M. USED
REMARKS:v
_______________________________
ASTM C39, C174, 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
SOUTHWEST INSPECTION AND TESTING
SAMPLES CAST BY OTHERS:
/R E N A N R. C R �6U�"I'Z
LA
LAB. MANAQ
ASTM C39 BREAKS A= cone B= conpjand split C= cone D=shear E=columnar
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
FINANCE
Revenue Code: �N
TO: FINANCE DEPARTMENT
FROM: BUILDING &. SAFETY DEPARTMENT
RE: FEE for /
FEE:
. Q 0
FEB 2 2 2006
TOTAL FEES; $� CITY OF LAQuiNTA
FINANCE DEPT.
Initia
1'.rik`;�O/2OO5 07:27 19516748375 L&S LAKE EL-SINOREPAGE 15/21
1 of 13) - - C JF'- x
Sh* Atidt"s Permit Auaxtbtr
Ad T AY?
A-4 irastailatioat eCr415sme is required to ba paut-4 at the building Kitt or e7 1u;1,X avaiiffible for all appr8pr'iaat idaptCtaa n$. MZZ
iats>rWatm provlddd an this F'anh is rrngaimd; 66wever, ase of this fbzw to ;.9 aovidc the idforrrsatioaa is optioyal.) After
cmpilOm of tiool iuspectiob, a copy must be :)rt vided W the 1b -D ding depIYUMat iatpbxt regUest) and rho burtttla'ag mwmes at
o oaupancy, per seetlooi 10- 103(b),
HLVAE.SY��:
i�a:> �IAiCayt
4lggip
TYZW4Wr8 L CoWrIQ4mtrxrepa
p4r.
idoaacal
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(1AVU4,01c.)' Lamian
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Ptping load
lla!sti+�
c4psdk'
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gawv. t^tc iCera►tFad GOaspaasar�or
a or
tettlelamcy nut
; .wuaR
wallas
T--" (N.& tlyla mo Slams mad
ldoattcui
(SEEK, e4:.), Lmnsiou
!Just Iregod
Gyoacsty
.___,.._.�..,....--
1, tb8 tuadr AFF vg6fy thm V4u)PMWI lisp&cd ubvva W l) ib the M=M e1#MmAt imstRiled, 2) equivalat to Qx mme
etiaciant lbm "T fled It ft cartfka": of compVuoc (Form CF -!.R) sibmitted for c mpliame with *a Bherp
Mkrcy Srmdar* for mid4a loin bui .;, mW 3) equips= that mens ar emeeds the appmp iate reqdft7mfs fry
nsasarfgrarau�d erri s (ftlila s/ppfiarnce.i 00imn Y MAP&Mfom ar Par;. b), when applicable.
a4tu,1r6 baaw�
g Si.l7crlttiract "t). ,, Wt71er
OR Grirml CoaLmuir (Cu. Name) € k Owuat
Qisaibuliou It Stevfsb o of Rarest TOM Frfi- Ehg mol
ttnaer L' Cereylami blfa T>n! Md, quuEloaa, CdaenUeai 7aaW (L -W vOiwne sieas:q, Stondw ttyxwl Go
Naa►eAM dein aahol=U araviT 5 mss ov%mIkr),_-okloasya. (EFF,Ri:) .LA}'j e7_,_R•valsu°.
V& &mail (rated 4gtut oFlna9 et?a� pr V% W1 11, 19 Oft B%jW)o "Jowle a Mmtalom it sad bmC pampa "am Wun. %t Fmigy Faauor.
E ar taaygr r starari8e vnt►r hrailerri t+sae4 input a &MD,I xr 11{pii 78.904 &Whr), tlae ltecovai y' cj'�oney. �
P tatrdlbY Leas mc,4 Kul" rrypur.
arlpataarmpstnara�its�allst t{adl�arrs,l4ae Rscen+ey Edadosefautd lured iasput,
�. Lc•• 12 ertaaarq) 4aenlattoa iar masdaaery W trotatge WAVY b G Mrs :a6r$ am amgy fmar of ie+ss Qron ,f, 4g.
Vatraeta # Shower meads:
All. falurxts utd showerhteatt installed are cerait',W t0 the COmminio 1, por4st4itr4t tr) 1"f.la z4, t'art 6, 5cellon t 11.
1. the undtmgned, `t*fy tbac o94ripmgma 15%ze:al alb*ve MY S*I t re t$. 1) tho Wraal cc;uipme= insiaJed:. 2) *qatvalarrt W
Crr aura eti`►uaralat tltoitl chat specified in thm t;rrii�atata CT r vtnpliRM. (JFatir. UAW subm! 6mr compliame with the
9#14W Qkicwy S t+War* for midaat'sal buadk%s; and 3) egttipirlant that'."Mcets or mmada the aporuprmntz
ra�pirsmer1� for murtathe d dcviccd Omfr the dppl'fanve Cielfa yRs ria3rioatr"V-snv b), where applimble.
Sip;umum, 4►te Ivst l ml gas& Ca)i:..:_
tf trocar (r: n. Name) tai.
:csPY eo. builawtQ,e°enml CCmt:=.Zvr (Co. Name) OR Owner
Uc»»arttna:ak
.HERS Provider (if applica4bla)
8L%jIdirtg Chrrnax at �icurpauay
npidar4ce F August 2001 �.�.�. .. A -z3
,
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
57-827 CANTATA DR, LOT 49, 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:
PARAGON SCHMIDBUILD NG PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: 7 0
12/20/ . 20�5 07:27 19516748375 L&S LAKE ELSINORE PAGE 20/21
t" . I
A."ISTALLATION CER11FICATE Q I ,oT 13)
Silt, Add-rea
A0. i"Wlldifid cotfifilgat as xog;sirmd to bg _rxsec d rAT ght bu%ft;.1k slu. c7r ext 14 g. ---I a'.>r call it)PPn4give inspections. 67bir
xwover, ".c of thin fimm ti� "Uvot- aid ImebmIA'40D is vpdoml.) Aeor
;'maplcgian ofllulA irmeema aud Ac buildiggg OW"MI'm
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numal 1p -&A
1, tiler %mdwipW4 mify gxvx cquommt 'lim :d n0an iN,, 91' iz irm a i oq�pmemz. ' imulted. 1) !�imlenl lb Or MCIM
emment don am "Caflod ip lbr, uqra�;Vt: a compjAmu fm cmplkmcc wirb the 4mwy
:310-W ling S: I
OR 0mcral. Cm!rmw- (Co. NT=Z) 6- R ouf1hel.
U Rack- Oqlkk a ryl
CTC Cerlifjrx Uri rvpv (std. rwMan, [At6l*01 Mpu " w V0144- ciadoq'i St&Adbvl tMask-hum
. �m;nbw
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rillhiap 71;100 Bmft� 13,s; fto-6. Mritprtcy. P�Adby Lws *mJ Rmlod fvokir-
or igaPoeeterartwa swrmcp k0*406, Hn and ltmk4 Wpur..
suixts and sh&-wtA*mb Jn$tAjjccj ag-cI Q C.n 6fna ;s �_4. pan 6. L"non
!! C. ji z ,.
1, Zc knidcnignvd, vori.fy !tiv toy t
or more 9'93-Iuwm% thun it12sF-S'F=1094 im of CcM.Pjjb'-�q* (s al lit C'_ 1.9 peo
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Atigusi zoM A 4? 3
,.- ., ems. ..'.... i.'._. r.t. i.r :-..'.;:'./. h'.r?.1. ..: J'•'/ -
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
57-863 CANTATA DR, LOT 50, 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 .,LI.CENSE.# -
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: 7