05-5162 (SFD)P.O F,pX`{1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tdil� 4 4' Q�w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00005162 t
Property Address: 52202 SHINING STAR LN
APN: 767-200-999-52 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185758
Applicant: Architect or Engineer:
� a(6
Vt
nOu
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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 Bu iness and Professionals Code, and my License is in full force and effect.
Licens� lass: B License No.: 728102
Date: e71O Contractor:
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 (55001.:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will dothe 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.).
(_ 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.).
( .) 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:
LENNAR HOMES
40004 COOK STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES OF
40004 COOK ST.
PALM DESERT, CA
(951)817-3600
Lic. No.: 728102
CALI
9221
VOICE (760)'777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/23/05
-----------------------------------------------
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 AON RISK SRVC IPolicy'Number MWC11148500
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
1 700 of the Labor shall forthwith omply with those provisions.
[(4
Date: Applicant:
WARNING: FAILURE TO SECURE WORK ' 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 p€rmit 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 statethat the above information is correct. I agree to comply with all
city and c unty ordinances and state laws relating to build'�jg nstruction, and hereby authorize representatives
of this co my to to upon the above-mentioned property 1 >f p� tion purposes.
Date:tgnature (Applicant or Agent):
LQPERMIT .
Seg: Application Number
05-00005162
Permit
BUILDING PERMIT
Additional-desc .
Permit Fee . . . .
940.50
Plan Check Fee
152.83 "
Issue Date
Valuation . . . .
185758"'
Expiration Date
5/22/06
Qty Unit Charge
Per,
Extension
BASE
FEE
639.50
86.00 3.5000
THOU BLDG
100,001-500,000
301.00
Permit . .
MECHANICAL
Additional desc ...
Permit Fee
10i.50
Plan Check Fee
6.35
Issue Date
Valuation.
0
Expiration Date
5/22/06
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
4.00 6.5000
EA MECH
VENT FAN
26.00
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50,
Permit . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
130.60
Plan Check Fee
8.16
Issue Date . . .
Valuation . . . .
0
Expiration Date
5/22/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2961.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
103.64
598.00- .02.00
---------------------------=------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
11.96
Permit . . . . ...
PLUMBING
Additional desc .
Permit Fee
199.50
Plan Check Fee
12.47
Issue Date
Valuation . . . .
0
Expiration Date
5/22/06'
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
20.00 6.0000
EA PLB FIXTURE
120.00
1.00 15.0000
EA P.LB BUILDING SEWER
15..00 -
LQPERMIT .
Application Number 05-00005162
Permit . . .. . . . PLUMBING
Qty Unit'Charge Per
Extension -
2.00• 7.5000 EA PLB WATER HEATER/VENT
15.00
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 15.000.0 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 5/2.2/06
Qty Unit Charge Per
Extension
BASE FEE
.15.00
---------------=----------------=--------------=------------"-=------------
Special Notes and Comments
-
SFD - LOT 52, 2961 SF PLAN 2C/3 CAR
GARAGE 5.98 S.F. 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 .
---- -------------------
Other Fees . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW.FEE
15.28
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
-18.57
' DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
- Fee summary Charged Paid Credited
Due'
Permit Fee Total 1387.10. .00. •.00
1387.10
Plan Check Total 179.81 .00 .00
179.81
Other Fee Total 2458.85 .00 .00
2458.85
Grand Total 4025.76 .00 .00
4025.76
SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk ##A
Santa Fe Spr,irngs,, CA 90670 "
562-541-2590 714-526-8441 Fax -562-946-0026
FIELD -DATA ON TEST SPECIMENS
--- ASTM C31, C1381 C143, C172, 'C1731 C231, C1064 --•_.-_
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
G ADDRESS: 52202 SHINING STAR LANE'l. JOB .##: 40116 DATE: 05/04/2006
JOB NAME: QUAIL RUN PERMIT #4. I SUED BY: LA` QUI NTA
ARCHITECT: ENGINEER
CONTRACTOR: LENNAR HOMES wSUH CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION I N 'STRUCTURE : TR ' 31*202 ' PH '2 /,LOT ## 52 1 MIDDLE FOOTINGS''
CONCRETE SUPPLIER: SUPERIOR"RDY MX -PLANT: ## 71 MIX ##: D83625P
TYPE OF CEMENT : ADMIXTURE: TICKET #: 18852
SLUMP : 4" WATER.ADDED:- '0 GAL AIR TEMP: 70 F
CONCRETE TEMP: 74 F MIXING TIME: r+5'M1N TIME CAST: 8:30 AM
DATE CAST: 3/27/2006 RECEIVED AT LAB:.3/28/2006
SPECIMENS MADE BY: PHOENIX•FEATHEROCK SPEC-IFIED PSI: 4000
FIELD IDENTIFICATIONI A- I B I A C I D 1 E
LAB IDENTIFICATION : 604243. :,604243 :,604243
----------------
.AGE DAYS 7, . 28, , 28
DATE TEST : 4/:3/2006 4/24/2006 : 4/24/2006
SIZE ---IN. : 6. 000X12 : 6. 000X12 : 6. 000X12
AREA -SG?: -I N. 28.27 28.27 : 28.27
CRUSH LOAD -LBS. : 1.00890 129480 : 132730 .
COMP-STR•.-PSI.3570 . 4580' ' :'-4695
i H/D,
CORR FACTOR
CORR. STR. -PST
-TIME-TESTED,
BREAN.,TYPE-
C.
TYPE.C. T; M.' USED. : FORNEY : FZ I EHLE . R I EHLE
REMARKS
ASTM C39, C17G•, 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
S UTHI __S1' I NSF' TION AND TESTING
SAMPLES CAST BY OTHERS:
RENAN R. Z
LAB. MANAGER
r
ASTM C39 BREAKS A= cone B= cone, and split C= cone D=shear, E=co1umnar
s