05-1757 (SFD)'t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: OS -00001757_
Property Address: 57899 CANTATA DR
APN: 764-010-011-51 -30092
Application description: DWELLING - SINGLE FAMIL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 196173
T4ht 4 4 Q"
MAY 2 C 1005
CITY OF LA aulluTe
Applicant: Architect or Engineer:
DaVlA Ve M nsw)
DO'o A vie . 1 l . 2047
CL QLaV ' A, CA qQ 2y3
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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
ate: �� Tj 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 1$500).:
(_ I 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.).
(_ I 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:
J
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: N
LQPERMIT
DEPARTMENT
ERMIT
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
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
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, I shall forthwith comply with those provisions.
ldate. 5 'V pplicant: ►/'i /
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 coirect. 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 above-mentioned property f r nspectiDDDnnn purposes.
Date:IT'-rJiL't!iature (Applicant or Agent):i`
A.
LQPERMIT
Application Number . . . . . 05-00001757
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=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
-------------7--------7-------------------------------------------------=---
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
•
LQPERMIT
Application Number . . . . . 05-00001757
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 51, PLAN 3B, 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
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, C1381 C1435 C172, C173, C231, C1064 ---
11CONCRETEg X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 57-899 CANTATA DR. LA QUINTA JOB #: 50132 DATE: 09/06/2005
JOB NAME: PIAllA SERENA/LA QUINTA 97 PERMIT #: 05-1755 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.
___________________________________________________
LOC ATION 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 #: 59808
SLUMP : 4 1/2" WATER ADDED: 0 GAL AIR TEMP: 92 F
� CONCRETE TEMP: 86 F MIXING TIME: 10 MIN TIME CAST: 9:35 AM
__________________________________________________________________________
DATE CAST: 7/27/2005 RECEIVED AT LAB: 7/28/2005
__________________________________________________________________________
SPECIMENS MADE BY: GEORGE R. MOOERS II SPECIFIED PSI: 2500
__________________________________________________________________________
FIELD IDENTIFICATION| A | B | C | D | E
------------------------------------ ______________________________________
LAB IDENTIFICATION : 513531 : 513531 : 513531
AGE DAYS : 7 : 28 : 28
DATE TEST : 8/3/2005 : 8/24/2005 : 8/24/2005
SIZE -IN. : 6.001X12 : 6.001X12 : 6.001X12
AREA-SQ.IN. : 28.28 : 28.28 : 28.28
CRUSH LOAD -LBS : 54580 : 77490 : 80880
COMP-STR.-PSI. : 1930 : 2740 : 2860
\ H/D
CORR FACTOR
CORR.STR.-PSI
TIME TESTED
BREAK TYPE
C.T.M. USED
------------------------
REMARKS:
_______________________REMARKS:
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:
rE��mw.��Ru�.�. MANA
ASTM C39 BREAKS A= cone B= cone Yhd split C= cone D=shear E=columnar
. 1' '
�Q�jv 1,
JAN -20-2006 FRI 10 25 AM REEVES MASONRY INC. FAX No. 19513281133 P.013
�K'iJ� E Q U&VIC rT
Qfllw•183_M297-51 — QBU,' (7§Ml2a95QQ
PROW ff WALL SYSTEMS
SPFCIAL DEFY PWZC l()N FORM
Direct Temtos 1 (M Ce"remak Wasbe) Method of lmspmtiou
And/or Torque Method aa! ftte fi
Date of Deputy hUPM609e 1,a �d � ,�, Job No: R
As m W.MMW ed cued SPa" Deptnq► bVedwr of roto n Wadi SyWM%
V ro, &IMMIN& hmby wi&mW end certified dt Wrgaa of the p094d dm rod$ tin 0009 lbs.
Via vww b4mcdon offt ml vai6ft odWw of dae tabs Ow W3 b"m Dn lets end bmmm
Of ilk e4 OIL by wiomft and mftft flat mrgm of der rob t6 G.VW lbs. Yto si oUbnftd wt+"
'Ithmo&wtto $5 PAW
A.
B�ildetldwaer S �� "' ow.
.: street I name or tmct amaw 1,643
Qv,-
-I
C. Wan system descrlpt Lr
(Blot: [ and pm&td used and height)
X Winsl Wspgcom al'>aaosdtr hitegity•(Mortaris sadand flWaY� �) e
AcceptaW:y/.
L g* of Wall v� O.C.
(Is rod spat;iaa8 at:d• lo�iaa correct per tine.Pl�► f"wr 1i:e pmject�
A.eeeptatble :.Yds—W-."N°
R Are One dwmd phft labs and Plates bmrkg au here block surfaces?
Astable : Yes 9
1Wall appmoved by $pedal Depaq lnsped= ,
Deprli>a�uecAvrie a onpy:
ltr�Idrs+Dcvdapar :
Pin�r.11 i�ofJer '
12/07/2005 13:54 FAX PARAGONPSCHIMID 0 002/014
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
57-899 CANTATA DR, LOT 51, 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 SCHMID B ILDING PRODUCTS A MASCO Company LICENSE # 221517
TITLE; ACCOUNT REPRESENTIVE DATE: G
0
12/20/2005 07:27 19516748375 L&S LAKE ELSINORE PAGE 14/21
lf.iSTALLATION CERTIFICATE
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