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04-8420 (SFD)l.OLLJ Q c BUILDING & SAFETY DEPARTMENT O. B 504 (760),777-7012 G� � 78-495 LE TAMPICO FAX (760) 777-701`1 MAY 12L20ui CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 clrror. LAQUIWA BUILDING PERMIT FINANCE DEPT Application Number L04-00008420 % Date 5/04/05' Property Address . . . 81805 IL SERENATA DR APN: 764-010-011-54 -300.92 - 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 91761 (9'09)937-32.70 WCC: ZURICH INS WC: WC343666302 10/31/05 CSLB: 700788 10/31/05 CCC: B e P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Q4- g!q jp Date: 51�Z'OS+ Applicant: Arc*ct or En y, Applicant's Mailing Address: ---Architect or Engineer's Address: on BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commapgrig with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen is in full force and effect.`� icense Class icense No. U 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 70.00) 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 1, 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. .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 insu�r ce caier,an o' ber e• arrier 2�f"1%h i,v Number / r /�� _ I certify that, in the performance of the work for which t is permit is issue , I—sRWne mploy 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 provisiogs,—_ — J WARNING: FAILURE TO SECURE WOWERS' 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 Lenders 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 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 t mply with all city and county ordinances and state laws relating to building construction, and hereby autho�reprtatives of this count n r pon the ab me ed property for inspection purposes. ate ignalure ((Applicant or Agent): 'r--------------------------------------------------------------------------- �. Application Number . . . . . 04-00008420 ---------------------------------------------------------------------------- -------------------------- 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 Plan Check Fee 159.09 Issue Date . . . . Valuation . . . . 196173 Expiration Date 10/31/05 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 Issue Date . . . Expiration Date 10/31/05 Qty Unit Charge Per Plan Check Fee . . Valuation . . . . BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 10.78 0 Extension 15.00 102.00 15.00 --------------------- ------------------------------------------------------- ,�� _ Application Number . . . . . 04-00008420 ---------------------------------------------------------------------------- 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 54, PLAN 3B, 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 0 d' i SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk #A Santa Fe Springs, .CA 90670 562-941--2990 714-526--8441. Fax --562-•-`'346-0026 FIELD DATA ON TEST SPECIMENS -- — ASTM C:31, -C138, C 143, C172, C173, C231, C1064 -_--- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNI:TE: ADDRESS: MONROE R 58TH. LA GIUINTA JOB Q 50132 DATE:: 07/25/2005 JOEL NAME.: PIAllA SERENA/LA QUINTA 97 PERMIT Q ISSUED BY: ARCHITECT: ENGINEER: CONTRACTOR: K. HOVNANIAN FORECAST SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF. ----------------------------------------------------------------------- ..-DATE CAST: 6/17/2005 RECEIVED AT LAB: 6/20/2005 -SPECIMENS MADE BY : LOUIS L. A R I N I SPECIFIED PSI: 2500 --------------------------------------------------- LOCATION IN STRUCTURE: LOT ". 54 / CENTER FOOTING t'I E:LD I DENT I f= I CATION 1 A CONCRETE SUPPLIER: DESERT ------------------------------------------------------- REDI—MTX PLANT: MIX ##.94111 : 510275 TYPE: OF CEMENT : ADMIXTURE, TICKET #E : KS544 SLUMP : `'' WATER ADDED: 0 GAL AIR TEMP: 98 F CONCRETE TEMP: 89 F MIXING TIME: 60 MIN TIME CAST: 2:05 PM ----------------------------------------------------------------------- ..-DATE CAST: 6/17/2005 RECEIVED AT LAB: 6/20/2005 -SPECIMENS MADE BY : LOUIS L. A R I N I SPECIFIED PSI: 2500 --------------------------------------------------- -------------------------- t'I E:LD I DENT I f= I CATION 1 A I B I C I D I E -LAB IDENTIFICATION : 510275 :. 510275. , : 510275 AGE DAYS < 14 . 28 28 DATE TEST : 7/10005 : 7/15/2005 : 015/2005 SIZE —IN. : 6.000X12 : 8.000X12 : 8.000X12 AREA --SQ. I N. . 28.27 . 28.27 . 28.27 CRUSE••! LOAD ---LBS : 67510 : 96400 . 101065 COMP—ST R. —PSI . . 2390 . 3410 . 3575 I H/D CORR FACTOR CORK. STR. —PSI . . TIME TESTED . . . . BREAK TYPE . C. T, M. USED . _-.___..--._--------._.--------_...-----------------------------_vim----.-------------------------------. REMARKS: _......__.____.___:� ._L _._-------------._ ASTM C39, C174, C192, C470, 061.7, C42 COMPLIES: X DOES NOT COMPLY: THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVOL OF SITZ -------------------------------------------------------------------------------- RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING SAMPLES CAST BY OTHERS: RENAN R. C LAB. MA _ N ASTM C:39 BREAKS A-- cone 8= corse and split C= cone D-ahear-• E=columnar