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06-0190 (SFD)J+ P:O'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Prnnertv Zoning; Application valuation: Applicant: 06-00000190 52590 PALAZO 767-200-011-51 -318742- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 175002 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TAYLOR WOODROW " 15 CUSHING DETACHED, IRVINE rchjtect or Engineer: 7; 7C CCS:/W 7. Zi ------------------ 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 Prof e sionaI Code, and my License is in full force and effect. License ass: en N .. 2047 Data: Contractor: .OW -BUILDER DECLARATIO 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.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 HOMES, IRVINE, CA 92618 Contractor: TAYLOR WOODROW HOMj 15 CUSHING IRVINE, CA 92618 (760)275-0598 Lic. No.: 352047 ------------------ WORKER'S COMPENSATION DECLARATION 1/13/06' I hereby affirm under penalty of perjury one of the following declarations: 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 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 subj ct to the workers' compensation provisions of Section 3100 of the Labor Code, I shall forthwith Iy H ht ose pr 'sions. /bate: I r�iQ :cant: WARNING: FAILURE TO SECURE WORKERS' COM E SATION COVERAGE IS UN FUL,.AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND 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. certify that I have read this application and state that the above inform tion is correct. I agree to comply -with all city and county ordinances and state laws relating to building constructio and her y rize representatives oft 's co my to %tet upon - e above-mentione 9 or inspection pur eke . - v gnature (Applicant or Agent):, /) Application Number 06-00000190 Permit . . . BUILDING PERMIT . Additional desc . Permit Fee . . . . 905.50 Plan Check Fee.. 147.15 Issue Date . . Valuation 175002 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 3.5000 THOU BLDG 100,001-500,000 266.00 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 121.92 Plan Check Fee 7.62 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 .2685.00 ."0350 ELEC NEW RES - 1 OR 2 FAMILY 93.98 647.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.94 Permit ... . PLUMBING Additional desc . Permit Fee 161.25 Plan Check Fee 10.08 Issue Date Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1•.00 7.5000 EA PLB WATER HEATER/VENT 7.50 LQPERMIT - Application Number . . . . . 06-00000190 ' Permit . . . . ` . g�o�a�mG ' Qtr Unit Charge Per Extension ' 1.00 3.0000 EA PLB WATER zNoT/ALT/Roe 3.00 � ' 1.00 9.0000 EA pLo LAWN SPRINKLER SYSTEM 9.00 9.00.7500 EA GAS PIPE >~s ' 6.75 1.00 ' 15.0000 oa eLB GAS METER -----_------------_-----__-------_----__----_--------_-------------- 15.00 ' � Permit . . . . . . 8aaDzmG eoamIT AddiciouaI Oeuc . . Permit Fee . . . . 15.00 eIao Check Fee 'OO Issue Date . . . . Valuation . . . . O Expiration oate . . 7/12/06 Qty' Unit Charge Per Extension ' BASE FEE 15.00 ------------------_-------_-------------_--�----------------------------- - Special Notes and Comments Gno -LOT 51' PLAN 1Bs 3685 Sr. 2001 CODES. PERMIT DOES NOT INCLUDE BLOCK wxuLLo' eo0L' SPA OR DRznEnuor ' AgrRoACH'75w REDUCTION TO PLAN CHECK FEES DUE TO omzLrIrLo z3GUxm«Co OF Sxmxm PLAN.TYPE ------------------------------_--------------------------------------------- otber Fees . . . . . . . . . ozr COommomzTr CoNrERo-REo97.00 ozn CIVIC comTEo - RES' 366.00 ' ENERGY aEvzEw FEE 14.72 ozr rzRm PROTECTION -RES e7.00 ` DIF LIBRARIES - RES 225.00 DIF exuzK nm`INr FAC - RES 5.00 _ ' DIF exuzKS/REC - RES 502'00 STRONG MOTION (SMI) - RES 17.50 DIF STREET MAINT FAC-aoS 15.00 DIF TRANSPORTATION - REG 1098.00 / Fee summary Charged Paid Credited ---------- ------,--- -------~-- -------_-- Due. ------'---------- Permit Fee Total 1287.17 .00 .00 1287.17 eIao Check Total 170.07 .oO .00 170.07 Other Fee Total 2437.23 .00 .00 2437,22 Grand Total 3894.46 .00 .VV 3894.46 ' ` LQPERMIr Southwest Inspection and Testing, Inc: 441 Commercial Way, La Habra, CA 90631 , ,562) 941-2990 `• (714) 526-8441 • Fax (562) 946-0026 r.0 V REGISTERED INSPE ORS'S DAILY REPORT rat TYPE OF INSPECTION REQUIRED eReinforced Concrete ❑ Strti6tural Steel Assembly ❑ Quality trol Post Tensioned Concrete ❑ [3 Fire Proofing ❑Other jo Reinforced Masonry33,, 1:1Asphalt Job Address City Job Name Type of Structure rchitect Material Description (type, grade, source) Engineer . +Wwcetlar Inspector(s) No a Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITION REMARKS 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 S PLES EN: STRUCT. CONNE TIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY LEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND CTIONSO FINING BUIEDING AWS. �� U7 /) EERED INSPECTOR �� f SPECIALTYYNNO. AGENCY 3 AGENCY CONTINUED. ON NEXT PAGE ❑ 1 PAGE OF TIME IN TIME OUT REG. HOURS I O.T. HOURS I CYLINDERS All inspections baseq on a inimum of 4 hours and over 4 ours - 8 hour minimum. In ad ' io , ny i spection extending past noon hour will be hour minimum Approved by 6--24-C%(Q Project Superintendent' WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY .a� C rierfi cato of 0 d" qp a n c; INMOORA TA �-OFY'T �. Building :& Safety Department ,. . This Certificate is+ issued pursuanttothe requirements=of --Section .109Mof the California Building ;Code, certifying, that, -, at'.the time of issdance, this structure was JW compliance with - the =. provisions -of the Building 6Code.' and -� the various ordinances of 'the City- regulating building - construction and/or use. tA I� t • ` t ° , ,' !J.. •� - v^, r�:r - � tip. _ . V , • � - = 1 - . ADDRESS: 52-590'PALA20. `{ .BUILDING , Use classification: SINGLE FAMILY DWELLING, BuiIding'Permit,No'.. 06-190 -,Occupancy Group: R3 `' Type of Construction: VN -Land Use Zone:'RL, t. -Owner: of Building: TAYLOR WOODROW HOMES, INC Address: 15 CUSHING -City, ST, ZIP: IRVINE, CA 92618 oe By: STEVE TRAXEL . Date: November, 30 2007 Building Official42 POST IWA'CONSPICUOUS.PLACE