05-1340 (SFD)J
P:b: BOAC 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
U5=00001340-]
52815 JALISCO
767-200-011-47 -318741-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
182392
•4.4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TAYLOR WOODROW HOMES, INC.
15 CUSHING
DETACHED IRVINE, CA 92618
(314)000-1200
,,ol<rchitect or Engineer:
-J k7 l i
��6o�3yG•-?Sc%C,",
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 LicenseNo.: 352047
Date: ' / �0 ntractor:
OW -BUILDER DECLARATI
I hereby affirm under penalty of perj5thatI amexempt from the Contractor's 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 1$500).:
( _) 1, 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) 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:
LQPER IIT
Contractor:
TAYLOR WOODROW HOMES INC
15 CUSHING
IRVINE, CA 92618
(760)275-0598
Lic. No.: 352047
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/07/05
D Q
JUL 0 8 1005
CITY OF LA QUINTA
FINANCE DEPT.
_ 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 LIBERTY MUTUAL Policy Number WA765D283614055
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
3700 of the Labor Code, 1 wit lt ply wi h those pro isions.
;cant:
WARNING: FAILURE TO SECURE WOR RS' COMPEN TION COVERAGE IS UNLAWFUL, AND HALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRO IDED 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. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this cco" 7.y7ouunty to enter upon the above-mentioned property for ins u oses.
date: / ature (Applicant or Age
im
LQPERAIIT
Application Number .
. . . . 05-00001340
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
930.00 Plan Check Fee
604.50
Issue Date . . . .
Valuation ,. . . .
1.82392
Expiration Date
1/03/06
Qty Unit Charge`,
Per
Extension
BASE FEE
639.50
83.00 3.5000
-----------------------------7----------------------------------------------
THOU BLDG 100,001-500,000
290.50.
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee
83.50 Plan Check Fee
20.88
Issue Date . . . .
Valuation
0
Expiration Date
1/03/06
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
32.38
Issue Date
Valuation . . . .
0
Expiration Date
1/03/06
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
43.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
1/03/06
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 r
.`
Application Number .. . . . 05-00001340
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 1/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------ ---------------------------------------------------
Notes and Comments
,Special
SFD - PLAN TYPE 3A W/SKYDECK OPT. 2928
SQ.FT. LIVING. R-3 OCCUPANCY, TYPE V -N
CONSTRUCTION, 2001 CODES. PERMIT DOES
NOT INCLUDE BLOCK WALLS, POOL, SPA OR
DRIVEWAY APPROACH.
Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
60.45
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
1098.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1332.02 .00 .00
1332.02
Plan Check Total 701.26 500.00 .00
201.26
Other Fee Total 2484.65 .00 ..00
2484.65
Grand Total 4517.93 500.00 .00
4017.93
LQPERMIT r
SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk #A
Santa Fe Springs, CA 90670
562-541-2990 714-526-8441 Fax -562-546-0026
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 -- -
CONCRETE: X f GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 5`-815 JALISCO. LA OUINTA JOB #: 50211 DATE: 09/06/2005
JOB NAME: CARMELA PERMIT Q ISSUED BY: LA QUINTA
ARCHITECT: ENGINEER:
CONTRACTOR: TAYLOR WOODROW SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
-------------------------------------------------------------
LOCATION IN STRUCTURE: TR 31874-1 ( MODEL ) LOT # 47
--------------------------------------------------------------------------------
CONCRETE SUPPLIER: SUPERIOR RDY MX PLANT: MIX #: D83625P
TYPE OF CEMENT : II/V ADMIXTURE: TICKET Q 3433406
SLUMP : 4.5' WATER ADDED: 10 GAL AIR TEMP: 100 F
CONCRETE TEMP: 80 F MIXING TIME: TIME CAST: 9 AM
---------------------------------------------------------=-------------------------
DATE CAST: 7/29/:005 RECEIVED AT LAB: 8/1/2005
-------------------------------------------------------------------------------
SPECIMENS MADE BY: TERRY SLAVIN SPECIFIED PSI: 4000
-----------------------------------------------------------------------------•----
FIEL.D IDENTIFICATION! A I B I C I D I E
-------------------------------------------------------------------------------
L.AB IDENTIFICATION : 513556 : 513556 : 513556
-------------------------------------------------------------------------------------
AGE DAYS . 7 . 28 . 28
DATE TEST : 8/5/2005 : 8/26/2005 : 8/26/2005 .
SIZE -IN. : 6.002X12 : 6.001X12 : 6.001X12
AREA -SQ. I N. . 28.29 . 28.28 . 28.28
CRUSH LOAD -LBS : 84445 . 122590 . 126690
COMP-STR. --PSI. : 2985 : 4335 : 4480
I H/D
CORR FACTOR
CORK. STR. --PSI ,
TIME TESTED
BREAK TYPE ,
C.T.M. USED .
REMARKS:
ASTM C39, C174, C192, C470, C6171 C42
COMPLIES: X DOES NOT COMPLY:
---------------------------------------------------------------------------------
T41S REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI
RESPECTFULLY SUBMITTED
S THW T INSPECTION AND TESTING
SAMPLES CAST BY OTHERS: A", M , - /
RENAN RC W�
16 LAB. MANAGER'-"
ASTM C39 BREAKS A= cone B= come and split C= cone D=shear E=columnar
Certificate of Occupancy
4
Building & Safety Department
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 the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
Use classification: SFD
Occupancy Group: R-3
BUILDING ADDRESS: 52-815 JALISCO
Type of Construction: VN
Owner of Building: TAYLOR WOODROW HOMES INC.
Building Official
Building Permit No.: 05-1340
Land Use Zone: RL
Address: 52-815 JALISCO
City, ST, ZIP: LA QUINTA CA 92253
POST IN A CONSPICUOUS PLACE
By GARY SHOWALTER
Date: NOVEMBER 23,2005