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06-0214 (SFD)- - " P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . Application Number: 66- 214 Property Address: 52674 PALAZO APN: 767-200-011-48 -318742- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 182392 Applicant: T4hf 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TAYLOR WOODROW HOMES, INC. 15 CUSHING DETACHED IRVINE, CA 92618 (314)000-1.200 Architect 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 2047 I hereby affirm under penalty of perjury that I am exeWt from the Contractor'Mtate 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.). (_) . 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 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: IVA LQPERMIT Contractor: TAYLOR WOODROW HOMES 15 CUSHING IRVINE, CA 92618 (760)275-0598 / Lic. No.: 352047 VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: 1/13/06 WORKER'S COMPENSATION DECLARA Q1J " "W 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' pen tion, as provided for by Section 3700 of the Labor Code, for the performance of the work fo ich this permit is issued. V -1I 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 LIBERTY MUTUAL Policy Number WA76SD283614055 I certify that, in the performance of the work for which this permit is issued, 1 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 orkers' compensation provisions of Section 300 of the L or Code 1 s all forti�i of o y o rovisions. te: ' 64v plicant: WARNING: FAIL RE TO SECURE WORKERS' C MPENSATION COVERAGE I LAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO 0 E 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 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 relatin to building construct: n, and hereby authorize representatives of this ii ty to l/.�t�/er�Aupon the above-mentione roe y ar 'nspection�e es. ate: �L _> ture (Applicant or Agentl: Application Number . . . . . 06-00000214 Permit .. . . BUILDING PERMIT Additional desc .. Permit Fee ." . . . 930.00 Plan Check Fee 151.13 Issue Date Valuation . . . 182392 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE'FEE 639'.50 83.00. 3.5000 --------------------------------------- THOU BLDG 100,0017500,000 ------------------------------------- 290.5(1 Permit MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee'. 5.22 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 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 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 129.52 Plan Check Fee 8.10 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2928.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 102.48 602.00 .0200' ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.04 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 174.00 Plan Check Fee 10.88• Issue -Date . . . . Valuation . . . .. 0 Expiration Date 7/12/06 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 LQPERMIT LQPERMIT Application Number . . . . . 06-00000214 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 3.0000 EA- PLB WATER INST/ALT/REP 3.00 1..00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 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 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 48, PLAN 3BR, 2928 SF.2001 CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- �' Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.11 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES -.RES 225.00' DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 19.20 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 10.98.00 Fee summary Charged Paid Credited Due Permit Fee Total 1332:02 .00 .00 1332.02 Plan Check Total 175.33 '.00 .00 175.33 Other Fee Total 2439.31 .00 .00 2439.31 Grand Total 3946.66 .00 .00 3946.66 LQPERMIT { Southwest Inspection and Testing, Inc'. 441 Commercial Way, La Habra, CA 90631 74 ` On (562) 9412990 (714) 526-8441 •Fax (562) 946-002E REGISTERED INSPE ORS'S DAILY REPORT - G. C� TYPE OF R rced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control INSPECTION ost Tensioned Concrete ❑ Fire Proofing ❑Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address City Job Nameit Issued y. -�' Type of Structure Architect .Material Description (type, grade, source) Engineer Contractor Inspector(s) NameIh�.ti> Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL EMA.:IKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CI-ECKED, ETC. �f/Pl�''C� • r CERTIFICATION OF COMPLIANCE I HEREBY CERTIFYTHAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND, THIS TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND AP TIONS HE RNING BUILDING LAWS. SI URE OF REGISTERED INSPECTOR SPECIALTY NL✓`iC�o of 4 hours and over 4 hours - 8 hour I extending past noon hour will be an8 WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY,.GOLDENRDD - JOB SITE COPY r �a-`7► �c Certificate of Occupancys�a r 4 QUM& V {�e �OF Building & Safety Department i•. This Certificate is issued pursuant to the requirements of Section 109 of the California Building' V, Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building , s construction and/or use. a BUILDING ADDRESS: 52-674 PALAZO Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-214 C x Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL k F k C 'L Owner of Building: TAYLOR WOODROW HOMES, INC. Address: 15 CUSHING I City, ST, ZIP: IRVINE, CA 92618 f.. By: DAVID GATICA y" Date: MAY 16, 2007 Building Official �f POST IN A CONSPICUOUS PLACE'