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04-8421 (SFD)'loop QUA* BUILDING SAFETY DEPARTMENT 1504 (760) 7.77—.7012 FTS 7 iALLE TAMPICO : . I ... FAX (760) 777-701'1 LA Q A, CALIFORNIA 922.53 INSPECTION REQUESTS (760) 777-7153 MAY 12 2005 - BUILDING PERMIT Cffy LA UINTA FIN CE DE P ic tion Number 04-00008421 Date 5/04/05' Property Address . . . . .... 81841 IL SERENATA DR APN: 764-010-011-56 -300.52 Application description -DWELLING - SINGLE FAMILY DETACHED Property Zoning.. LOW DENSITY RESIDENTIAL Application.valuation-. 196173 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 9176.1 (9-09) 9377-327.0 WCC: ZURICH INS WC: WC343666302 10/31/,05 CSLB: 700798 10/31/05 CCC: B s P.0'. Box 1504• /: • w VOICE (760) 777-7012 7.8-495 CALLE TAMPICO FAX (760) 777-7011���� LA QutNra, CALIFORNIA 92253 Tf 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Jr• /2.OS� Applicant: Applicant's Mailing Address: Archltt ggir LefrA 74 --Architect or Engineer's Address: ic. No. .r7 3 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 e, and my License P/ full force and effect.©� ` License Class ense No. � l i 14 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 for a 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 not 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 Cade, for the performance -6 of the work for which this permit is issued. 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 i nce carrier nd poli0,jj nurpberp re: artier 2,r' /� d'^ olicy Number JC', S �(oG 0 y _ I certify that, in the performance of the work for which tIffftermifis issued, I shall not emp oy 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, I shall forthwith comply with those provision ate d) Applicant WARNING: FAILURE TO 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 A 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 employeesfor 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 abov 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 co ty t enter upo e a ve-mentioned property for inspection purposes. to l% ignature (Applicant or Agent): '------------------------------------- -------------------------------------- %�-' Application Number . . . . . 04-00008421 --------------------------------------=------------------------------------- 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 920.00 PATIO SQ FTG 208.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3066.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 979.00 Issue Date . . . . Expiration Date.. . 10/31/05 Plan Check Fee 159.09 Valuation 196173 Qty Unit Charge Per Extension BASE FEE 639.50 97.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 339.50 Permit. . . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 Issue -Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 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 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 . . . . 140.71 Plan Check Fee 8.80 •Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/05 Qty Unit Charge Per - Extension BASE�FEE 15.00 3066.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.31 920.00 ------------------------------------------------------------'----------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.40 Permit . . . . . . PLUMBING Additional desc . . Permit Fee*.. . . . 172.50 Plan -Check Fee'. 10.78 Issue Date . . . . Valuation 0 Expiration Date 10/31/05 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 IA- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �7�. Application Number . . . . . 04-00008421 ---------------------------------------------------------------------------- Permit . . . . . PLUMBING Qty Unit Charge Per Extension 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 10/31/05 Qty Unit Charge Per Extension BASE ---------------------------------------------------------------------------- FEE 15.00 Special Notes and Comments SFD - LOT 56, PLAN 3C, 3066 SF. (GARAGE 4).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE -----------------------=---------------------------------------------------- Other.Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.91 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 19.61 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 1390.71 ------------------------------ .00 .00 1390.71 Plan Check Total 183.89 .00 .00 183.89 Other Fee Total 2440.52 .00 .00 2440.52 Grand Total 4015.12 .00 .00 4015.12 ./ ' SOUTHWEST INSPECTION AND TESTING INC. . . 169826 S. Norwalk #A Mon Santa Fe Springs, CA 90670 562-941-2990 714-526-8441 Fax -562-946-0 ================================================================================ FIELD DATA ON TEST SPECIMENS --- ASTM C31, C1389 C143, C172, C173, C231, C1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: MONROE & 58TH. LA QUINTA JOB #: 50132 DATE: 07/25/2005 JOB NAME: PIAllA SERENA/LA QUINTA 97 PERMIT #: ISSUED BY: ARCHITECT: ENGINEER: CONTRACTOR: K. HOVNANIAN FORECAST SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. LOCATION IN STRUCTURE: LOT / ________________________________________________________________________________ N/W FOOTING CONCRETE SUPPLIER: DESERT REDI-MIX PLANT: COACHELLA MIX #: 94111 TYPE OF CEMENT : ADMIXTURE: TICKET #: 56530 SLUMP : 5 1/2" WATER ADDED: 0 GAL AIR TEMP: 96 F CONCRETE TEMP: 84 F ^MIXING TIME: 60 MIN TIME CAST: 12:09 PM ________________________________________________________________________________ DATE CAST: 6/17/2005 _______________________________________________________________________________ RECEIVED AT LAB: 6/20/2005 SPECIMENS MADE BY: LOUIS LARINI SPECIFIED PSI: 2500 _______________________________________________________________________________ FIELD IDENTIFICATION| A | B | C \ D | E LAB IDENTIFICATION 510273 510273 a 510273 AGE DAYS : 14 : 28 : 28 DATE TEST : 7/1/2005 : 7/15/2005 : 7/15/1005 SIZE -IN. : 6.001X12 : 6.00\X12 : 6.001X12 : : AREA-SQ.IN. : 28.28 : 28.28 : 28.28 CRUSH LOAD -LBS : 69000 : 87100 : 80450 COMP-STR.-PSI. : 2440 : 3080 : 2845 | . H/D CORR FACTOR CORR.STR.-PSI TIME TESTED BREAK TYPE : C C.T.M. USED : FORNEY REMARKS :0 Ile; : Jr4154_-���_�__z������������-_-�e����__-!___________________ ASTM C39, C174, 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 SOUTHWEIT INSPECTION AND TESTING SAMPLES CAST BY OTHERS: �r "�'`A'` "^C' �� LAB. MANA�ETT-�--�' ASTM C39 BREAKS A= cone B= cone and split C= cone D=shear E=columnar