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05-1759 (SFD);:. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 05-00001759--A 57863 -CANTATA DR 764-010-011-50 -30092 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 190928 Y DEPARTMENT PERMIT Owner: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 DETACHED CHINO, CA 91710 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/05 Contractor: Applicant: Architect or Engineer: K. HOVNANIAN FORECAST HOMES CO�SN 4240 E. JURUPA STREET ONTARIO, CA 91761 �" RG UY- (909) 937-3270 L� ��/ �� �0 _1� z� LiC. No.: 700788 ,L cou i w611 CA-aS3 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 (commencing with I hereby aff'rm 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: B License No.: 700788 for by Section 3700 of the Labor Code, for the performance of the. work for which this permit is issued. ate: ontractor: _ 1 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 Cade: 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 Code, 1 shall forthwith 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 (5500).: ate: .G� plicant: 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 (5100,000). 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 _ 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: Lender's Address: 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 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 upo he above-mentioned prop rt for insp tion purposes. �6ate:6 JG ignature (Applicant or Agent): a Application Number . . . . . 05-00001759 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 Issue Date . . . . Expiration Date . . . 11/05/05 Plan Check Fee . . 155.68 Valuation . . . . 190928 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 5.63 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 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 130.35 Plan Check Fee 8.15 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 . . Additional desc . Permit.Fee . . Issue Date . . . Expiration Date . LQPERMIT PLUMBING 173.25 11/05/05 Plan Check Fee . . 10.83 Valuation . . . . 0 Application Number . . . . . 05-00001759 Permit . . . . . . PLUMBING Qty •Unit Charge Per .00 BASE FEE 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 9.0.0 .7500 EA PLB GAS PIPE >=5 6.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00. Permit . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . 11/05/05 Plan Check Fee . Valuation . . . 00 0 Qty Unit Charge Per .00 Extension .00 BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments .00 SFD - LOT 50, PLAN 2A/858 SF PATIO(2903 SF). 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 ----------------------------------7----------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.57 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 Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERIAIT Charged Paid 1366.60 .00 180.29 .00 2439.66 .00 3986.55 .00 Credited Due .00 1366.60 .00 180.29 .00 2439.66 .00 3986.55 SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk ##A Santa Fe Springs, CA 90670 562--941--2990 714-526-8441 41 F=ax -562-946-0026 FIELD DATA ON TEST SPECIMENS ---ASTM ASTM C ;1, C138, C143, C172, C173, C:= 31, C1064 --_. CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 57-663 CANTATA DR. LA QUINTA JOB Q 50132 DATE: 09/06/2005 JOB NAME: PIAZZA SERENA/L-A QUINTA 97 PERMIT a#: ISSUED BY: LA QUINTA ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: ESI /FME INC./ P.T.D. INC. G CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL- CONCRETE OF CALIF". --..-_.---.-._._.-_.-_..._.._-__---_-___-__ _-._._._._.._._ - ..._.___..._--- __XTIN ____._._--------.--______._----•--__...-------.____.__ LOCATION IN STRUCTURE: TR 30l?+92 PH/ LOT SLAB CONCRETE SUPPLIER: DESERT RED I -MIX PLANT: COACHELLA MIX Q 94111-B TYPE OF CEMENT : V ADMIXTURE: FLYASH TICKET Q 59841 SLUMP : 5' WATER ADDED: 0 GAL AIR TEMP: 110 F CONCRETE TEMP: 94 F= MIXING TIME: 15 MIN TIME. CAST: 1:00 PM -------------------------- ----------- --------------------------------------------- DATE CAST: 7/27/200; RECEIVED AT LASS: 7/28/2005 ------------------------------------------------------------------------------- SPECIMENS MADE BY: GEORGE R. MOOSRS II SFSECIFIED PSI: 2500 ---------------- -__..___-__----_-__----____-._..___---._.__._-_-__._-_...._--__.-------_ F I ELD T DEN -F' I F I CAT I ON t A C --_ I.-_.--_ ---__-__ I------- �-------------------------- LAB IDENTIFICATION - - : 513530 _.. : 513530 513530 AGE DAYS 7 28 28 DATE TEST : 8/3/2005 : 8/24/2005 : 8/24/2005 SIZE -IN. 6.005X12 6.001X12 . 6.001X12 AREA -SG. I N. . 28.32 . 28.28 . 28.28 CRUSH LOAD -LLS : 52960 : 77200 : 80880 COMP--STR. --PSI. : 1870 : 2730 : 2860 I H/D CORR F=ACTOR CORR. STR.-P'SI TIME TESTED BREAK TYPE C.T.M. USED : E____.._.__.____--__-__-_____ REMARKS: ASTM C39, C1749 C1921 C470, C6171 C0' COMPLIES: X DOES NOT COMPLY: THIS REPORT SHALL. NOT BE REPRODUCED, EXCEPT IN F=UL_L. WITHOUT THE APROVAL OF SITI RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING SAMPLES CAST BY OTHERS: / //RENf-'IN R. CRU LAIC. MANF'��__ =- I ASTM C39 BREAKS A= cone B= congland split C-= cone D=shear E=c.olum"ar, JAN -20-2006 FRI 10 24 AM REEVES MASONRY INC. FAX No. 19513281133 P•012 . • A�3 PE 4 SERVICES • _ PROW it WALT: SY" MS BPECI'AL. DAY �.NSY'Cl'ION F4RNf V1vW T,eadm TUAM1W (M Compri WOW Ue*0d of %VwtlGu ANY" 'ronW iYlatlW ®f lei Dane of D,epnty YnspectiON. a .lob No: t 40' .t.–. t As = atx vdW g.ad a sP0" r of>'roo n Wall dj►"W% YIkx, At ad wdfied the tome of ft po oat rods to 6,040 [bs. - Vig vbmt moa► aft i7n va boxg ooWW of the tabs (w a& hmb beta M Un tabs and.bomm OfinwoOR1ywbwftand mdifyft 'tom wqw ottba=6tri6.0WftVis amiibrawduwgm . NiTxW& set w ss BRbs. • A. ips�er. ���� Bnildc�lOo�n� AID.. B. St 0d laeatltan, Pxnjeet name or tract number (o � d tion a TO .rL ~ Q wan systemescr9tp► — (Block and pwduct used and beig. D. V101l ova of Motor Integrritg-(Morw is ,s Hd end auntirnwas7) Aeetaitle : Yes 6-'-' No L ILength of Weil 1.00 _Ly. Rode � : ,.�.. O.C. (Js roti spate wd loca don cornett per tht FIBS for to projects Acceptable ; .Yes F Are tip d plates labrkated and plan bearing 04 bene block aariaoes? AewpteiWe : Yes Q 'Voll appa»vw by Special Depaty taspeeftr: DepadInvecrorlsigAT50 must wpyliO:DVNV9fAMWyC�i'n9Mb*IP PJII