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04-6364 (SFD)BUILDING & SAFETY DEPARTMENT C� 150 _ (760).777-7012 :OF ftp 78- 9 E PICO A�Q FAX (760) 777-7011 F�ILV+ UINTA, C 1F RNIA 92253 INSPECTION REQUESTS (760) 777-7153 CITE OF IA DUItASA' s - .. FINA�CEO�P�; - UILDING PERMIT Application Number [04 000.063647 :Date 4/04/05 Property Address.-.. 81931 IL SERENATA DR APN: 764-010-011-3 -30092 - Application description_... DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . LOW DENSITY RESIDENTIAL Application valuation 190928 Owner -Contractor =----------------------- ------------------------ K. HOVNANIAN FORECAST HOMES K..'HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 4240 E. JURUPA STREET CHINO CA 91710 ONTARIO CA 91761 .(909) 937-3270 WCC: ZURICH INS WC: WC343666302 10/31/05 CSLB: 700788 10/31/05 CCC: B -------------------------- Structure Information --- ---------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 687.00 PATIO SQ FTG 858.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2903.00 ------------------- ----------------------------------------------------- 7-- Permit .. . . . . . BUILDING PERMIT Additional desc - Permit Fee . . . . 958.00 Plan Check Fee 622.70 Issue Date Valuation . . . . 190928 i - Qty Unit Charge Per Extension BASE FEE 639.50 91.00 3.5000 THOU BLDG 100,001-500,000 318.510 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 90.00 Plan Check Fee 22.50 Issue Date . . Valuation . . . . 0 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 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ► r P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0Date: - q.,25-05- Applicant: .e2S-O5- Applicant: Architect or En er: Applicant's Mailing Address: "rcht or En ineer' A dr ss: o� ic. No.: (035— BUILDING 03s-- BUILDING PERMIT DECLARATIONS 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 Pee , and my L) se is in full force and effect. O (� License Class ice se No. a Date n L ontractor —Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 or 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 no' build or improve for the purpose of sale.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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. 1 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 orkers' compensation i nce carriern2dCpoli nT aye: 2 . Carrier r I \/\ C olicv Number [� C(, L� 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 shall forthwith comply with those provisions. I -'Dat Ap plicant WARNING: FAILURE TC SECURE WORKERS' 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. 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 >t' 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 Ouinta, 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 comentioned property for inspection purposes. ate Signature (Applicant or Agent): 75V ` Page 2 Application --------- Number . . . . . 04-00006364 Date 4/04/05 ------- Permit . . ------------------------------------------------ . . . . ELEC-NEW RESIDENTIAL ------------ Additional desc Permit Fee ,. 130.35 Plan Check Fee 32.59 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2903.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY' 101.61 687.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.74 ' Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 173.25 Plan Check Fee 43.31 Issue Date . . . . Valuation . . . . 0 x 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 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1:00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee 1 Issue Date . . . . Valuation . . . . .00 0 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments ZFD - LOT 3, PLAN 2B/858 SF PATIO(2903 SF). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS ---------------------------------------------------------------------------- OR DRIVEWAY APPROACH Other Fees . . . . . .'. . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 62.27 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 N Page 3 Application Number ---------------------------.------------------------------------------------- . . . . . 04-00006364 Date 4/04/05 Other Fees DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 J STRONG MOTION (SMI) - RES 19.09 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -'RES 1098.00 Fee summary. ------------- Charged Paid Credited Due - --- Permit Fee Total ---------- 1366.60 ---------- ---------- .00 ---------- .00 1366.60 Plan Check Total 721.10 250.00 .00 471.10 Other Fee Total 2486.36 .00 .00 2486.36 Grand Total 4574.06 250.00 .00 4324.06 N p a �ttiwr�q,, Certificate ®f Occupancy 01 OFT9w� Buildin & Safet Department 9► Y p 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. BUILDING ADDRESS: 81-931 IL SERENATA DRIVE Use classification: SINGLE FAMILY DWELING Building Permit No.: 04-6364 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: K. HOVNANIAN FORECAST HOMES Address: 4240 E. JURUPA ST. STE. 402 City, ST, ZIP: CHINO, CA 91710 By: DAVID GATICA Date: AUGUST 15, 2007 Building Official POST IN A CONSPICUOUS PLACE �� Q91