06-0232 (SFD)P.Of<BOX 1504
78-495 CAL" LE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06=00000232
Property Address: 52646 PALAZO
APN: 767-200-011-49 -318742-
Application description: DWELLING.- SINGLE FAMILY DETACHED
Property Zoniilq; LOW DENSITY RESIDENTIAL
Application valuation: 191320
Applicant:chitecct or 'Engineer:
ISS �. 7Yl�G�
OR
T-A'!t . 4 4aQ"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------
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 Cla�ss:�/ ' e e o.: 2047
ate: ?O ntractor:
OWW-BdLRIR DECLARATI
I hereby affirm under penalty of perjury that I am ex pt from the Contractor' tate 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 1-10
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.).
( 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
Owner:
TAYLOR
15 CUSH
IRVINE,
(341)00
Contractor
TAYLOR
15 CUSH
IRVINE,
(760)27
Lic. No
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
Date: 1/13/06
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.
4l l 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, 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
3790 of the Lab r Code I shall forthwith c ly it thos ovisions.
,Elate: ��/ PPlicant:
WARNING: FAILURE TO SECURE WORKERS' C PENSA N COVERAGE IS LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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. . '
1 certify that I have read this application and state that the above information i correct. I agre to comply with all
city and county ordinances and state laws relating to building construction, and h by au ize re sentatives
of thi/s county to enter upon t above-mentioned p operny for inspection purposes`
e: nt)
• nature (Applicant or Age:MdA`
Application Number .
. . . . 06-00000232°
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
961.-50 Plan Check Fee
156.25
Issue Date . . . .
Valuation . . .
191320
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
92.00 3.5000
THOTT RT,nr. 100,001-500,000
322:00
Permit . .
MECHANICAL
Additional desc
Permit Fee . . . .
108.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation
0
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
6.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
39.00
Permit . . .
ELEC-NEW RESIDENTIAL•
Additional desc .
Permit Fee . . .
134.85: Plan Check Fee
8.43
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/12/06
Qty Unit Charge
Per
Extension.
BASE FEE
15.00.
3047.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
106.65
660.00 .0200
ELEC GARAGE OR -NON-RESIDENTIAL
13.20
Permit
PLUMBING
Additional desc .. .
Permit Fee
174.75 Plan Check Fee
10.92
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 ..
-
.. ..
Application Number. 06-00000232_
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
11.00 .7500 EA PLB GAS PIPE >=5
8.25
1.00 15.0000 EA PLB GAS METER
------------------------------------------------------------------------------
15.00
Permit GOADING 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 49, PLAN 4A, 3047 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
15.63
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
-19.13
DIF STREET MAINT FAC -RES'
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 1394.10 .00 .00
1394.10
Plan Check Total 182.35 .00 .00
182.35
Other Fee Total 2439.76 .00 .00
2439.76
Grand Total 4016.21 .00 .00
4016.21
N
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA $0631
/CCA\ 9%A1 ^AAS
� / / � / 1 / ' l�"r/ v -T �-L�/�7V - ,I 1 T� JGV-VTT r � I'QA ,JVL� �'►V�VVGQ
REGISTERED INSPE ORS'S DATVZ)) ILY REPORT -
TYPE OF R iced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control
INSPECTION ost Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
Job Address.�� City
.��
Job Nome It
Issued y
Type of Structure Architect
.Material Description (type, grade. source) Engineer
Contractor
Inspector(s) Name Subcontractor
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL EMA.RKS 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) CHECKED, ETC.
G% ♦ � � [� vim/ � �� �fo '�G"�- �� i
Ctn I IFICATION OF COMPLIANCE
.I
I HEREBY CERTIFY THAT 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,
gq
SPECIFICATIONS, AND AP Lf SETONS HE RNING BUILDING LAWS.
SI URE OF REGISTERED INSPECTOR
r �_
SPECIALTY Nom. /J
CONTINUED ON NEXT PAGE L] PAGE OF
TIME IN I TIME OUT I REG.. HOU IS I O.T. HOURS I CYLINDERS
All inspections based on int um of 4 hours and over 4 hours - 8 hour
minimum. In addition, sp tion extending past noon hour will be an 8
hour nimum.
Approved y
Project Superintendent
WHITE -. OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY,.GOLDENRC1) - JOB SITE COPY
Certificate of -Occupancy
j
A
?
TED
0 F Building & Safety Department
�:4
�T
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, . certifying that, -at the time of issuance, this structure was in compliance with th e
provisions of the Building Code and the various ordinances of the City regulating building
construction andlor use.
BUILDING ADDRESS: 52-646 PAILAZO
Use classification: SFD Building Permit No.: 06-232
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: TAYLOR WOODROW HOMES INC. Address: 52-646 PALAZO
Rz
City, ST, ZIP: LA QUINTA CA 92253
By:
4
STEVE TRAXEL
Date: January 31, 2008
Building Official
POST IN A CONSPICUOUS PLACE