05-5152 (SFD).� lF
P.O. B 1514
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C05''000_651:52---
Property
''00005152 --
Property Address: 52225—SHIN3NG--STAR LN
APN: 767.-200-999-13 -312022-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185758
T4t�l 4 4.Q"
BUILDING & SAFETY DEPARTMENT
BUNG PERMIT
Owner:
LENNAR.HOMES
®®C. 40004 COOK. STREET
PALM DESERT, CA 92211
(76.0)777-'9920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant:rchitect or Engine �` LENNAR HOMES OF CALIFORNIA INC
40004 COOK ST.
� , q �j y` PALM DESERT, CA 92211
`� U
(951)817-3600 7.2 8
Lic. No..::728102
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.
Lice aitlass, 7tB License No.: 728102
Date:I V �.Crjacwr:
OWNER -BUILDER DECLARATION
I Hereby affirm under penalty of perjur 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, orre0air 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.).
(_ 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 contractorls) 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: ti
r
LQPERMIT
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 . Policy 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
700 of the La r S I shall forthwith comply with those provisions.
a
te: l Policant:
FA URE TO SECURE WOR S' 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 correct. Iagree to comply with all
city and unty rdinances and st to laws relating to building construction, and hereby authorize representatives
of this c my t re9nter upon above-mentioned pro or inspect n purposes.
a'"' ignature (Applicant or Agent.:
Application Number .
. .. . . 05-00005152
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
101.50
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 .0200
----------------------------------------------------------------------------
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 PLB-BUILDING SEWER
15.00
LQPERMIT
Application Number . . . 05-00005152
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension .
2.00 .7. 5000EA 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 15.0000 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 5/22/06
Qty Unit Charge Per
Extension
' BASE FEE
15.00
--- - ----------- -----------------
Special Notes and Comments
_
SFD -•LOT 13,•2961 SF PLAN 2AR/3 CAR
GARAGE 598 S.F. PERMIT DOES NOT INCLUDE
POOL, SPA, .BLOCK WALLS OR DRIVEWAY
APPROACH. 7.5% 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
LQPERHIIT
- .
, SOUTHWEST I NSPECT I ON AND TEST I NG. I NCo
10826 S. Norwalk- #A
` Sante Fe SArinr�s, CA 90670 } '
562--941-29r3OT 714-5,26-8441 Fax -562-946-0026
-------------
FIELD DATA ON TEST SPEC I MENS
- - ASTM C31' C 138, C 143,C 17`, C1737 CE31, C1064
CONCRETE: X GROUT: MORTAR: .'SF IOTCRETE: - CORES.-, GUN I TE :
'ADDRESS : ' 52225 S_H'I N I NG' STAR LANE JOB #: 40116'D"A"fE : 05/01/2006
006
JOB NAME : G?UA I L RUN PERMIT' # : ISSUED BY- LA'QUI NTA
ARCHITECT: ENGINEER:
CONTRACTOR:.•LENNAR HOMES SUB CONTRACTOR: CAMPBELL-'CONCRETE,OF CALIF.
LOCATION IN STRUCTURE. -TR 31202 • PH c / LOT ##' 1;3 / FOOTINGS MIDDLE
CONCRETE SUPPLIER: SUPERIOR RDY MX ,FILANT.-.# 73 MIX #: D83625P -
TYPE OF CEMENT , : ADMIXTURE,: TICKET #: 20509
SLUMP : 4" WATER ADDED : 0. -GAL AIR TEMP: . 74 F
CONCRETE TEMPI. 74 F ',MIXING ;TIME:,'65' MIN TIME CAST 8:30 AM
DATE CAST: '3/24/2:006 RECEIVED AT LAL�: .3%27*/2006
SPECIMENS MADE BY: PHOENIX.FEATHEROCK SPECIFIED PSI: -4000
FIELD .I, DENTI F -1 CAT ION 1, ;A 1 �1 C- 1D 1, E
LAB IDENTIFICATION :,604001 : 604001 e 604001
----------------
AGE DAYS 7 E8. . E8
DATE TEST 3/31/2006 4/21/2006 4/21/2006.:
SIZE -TN:. 6.000X1; : 6'',000X12 : 6.000X1._-
AREA=-SGI. IN. .. E8. E7 ' . 28. E7 28.27
CRUSH LOAD -LBS o 104800 : '133430. : 136830'
. COMP--STR. —PSI . : 3710 : 4720 : 4840 �.
.I H/D
CORR-FACTOR '
CORR. STR. —PSI _ -
TIME TESTED '
BREAK TYPE
C.''T. M. USED FORNEY : RIEHLE' : • R"IEHLE
REMARKS:.
ASTM C37, C 174, . -C192, C470, C617, C42
COMPLIES: X + ` -DOES NOT , COMF,LY e
THIS REPORT SHALL 1\I0 -t' Biz JR-EPRODUCEP, EXCEPT"._ IN FULL WITHOUT THE APROVAL OF SITI
•RESPECTFULLY SUBMITTED
SOU'm Sl" I NSP ,'TION AND 'TESTING
SAMPLES CAST BY OTHERS:
RENAN R. r
LAB. . MA AGER
ASTM C39 BREAKS A= cone B- ,cone and split C= -,cone , .D=shear E:=columnar•