05-5170 (SFD)\wP,O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:. 05-00005170
Property Address: 52205 WHIRLAWAY TR
APN: 767-200-999-42 -312021-
Application description: DWELLING - SINGLE FAMILY DETACHED
-Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185758
Applicant: rchitect or Engineer:
a .. OOT
Owner:
LENNAR'HOMES
40004 COOK -STREET
PALM DESERT, CA 92211
(760)777-9920
Contractor:
LENNAR HOMES .OF
40004 COOK ST.
PALM DESERT, CA
(951)817-3600
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
'INSPECTIONS (760) 777-7153 .
Date: 11/23/05.
CALIFORN
92211
- LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter.9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7 00) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
L cense lass: of.License No.: 728102 -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ate: Co ctor:
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
OWNER -BUILDER DECLARATION _
insurance carrier and poltcy number are:
I hereby affirm under penalty of perjury' tat I am exempt from the Contractor's State License Law.for the
Carrier AON RISK SRVC Policy Number MWC11148500
following reason (Sec. 7031 .5, Business and .Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any. manner so as to become subject to the workers' compensation laws of California,
.permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of .Section
' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3 0 of the or I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
r j .
[Xte::
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
• !/ plicant:
. 1— 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
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND '
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS (5100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
(_) 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 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: p
Lender's Address: �{
LQPERMIT
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 ounty ordinances and.state laws relating to bu' ing construction, and hereby authorize representatives
of this
my o enter upon a above-mentioned prop r inspection purposes.
te: • nature (Applicant or Agent):
• Application Number
05-00005170
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
3.0.0 .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
q 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-
120.001.00'
1. 00'.'15.0000
EA PLB BUILDING SEWER
15.00
- LQPERMIT .. -
.
Application Number . . . . . 05-00005170
Permit PLUMBING
Qty Unit Charge Per
Extension
2.00 7.5000 EA 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
PermitGP_ADIATr DERMTT
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
15.0'0
------------------------------------------------------------------------------
Special Notes'.and Comments
SFD - LOT 42, 2961 SF PLAN 2AR/3 CAR
GARAGE 598 S.F. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY
_
APPROACH. 75% 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
97.0.0
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
LQPERMIT-
SOUTHWEST INSPECTION AND TESTING INC. '
10826S. Norwalk-` #A
Santa.Fe Springs, 90670Fax-562_-5
9��0026562-941-2990' 714-526-8441 '
FIELD TA ON.TEST SPECIMENS
--- ASTM C31, C138, 'C143, C172..' C173, C231, CI064
CONCRETE: X� .. GROUT: MORTAR: '� �SHOTCRETE: 'CORES:' GUNITE: �
' . . , .
ADDRESS�' 2 R -''- ---LAWAY'^`~�y
5.TRAIL� � JOB #: 40116 _' ' DATE:'05/08/2006
JOB NAME:� � - �-|-.N - � `' PERMIT #: /D5-5170 I BY: �|�� QUINTA
'ARCHITECT: SOUTH COAST ARCH � ENGINEER: RAYMOND- FRA }G'' STR.E.'
CONTRACTOR:LENNAR,HOMES _ � ' ''UB,CONTRACTOR: ^ ' IEC'N'RETE'OF'CALIF.
LOCATION'lN'STRUCTURE:,TR'31 PH 2 / LOT,#142 SLAB ONG�AQE''
� �, . ~ .
CONCRETESUPPLIER:-SUPERIOR RDY MX PLANT: COACHELLA ^^ � �M` �X #: D83625P '
.TY| E OF CEMENT : V ' ' ADMIXTURE. '` .� ' ' '^ TI\C' T #: 8243
SLUMP : 4, ^ _ � - . WATER ADDED: 0 � � .AIR T : 72.F~
CONCRETE`TEMP^'77 F °'�' ' '^ MIX'NG Tim'
: 45''IN'`' � TIME CA':10 AM� '
�------'�------�r�--��---�----------�--------��--�--�----�---�--�--�-�---�-------�--
,DATE CAST: 3/29/2006 .- EIVED AT LAB:.3` /2006 ~ '
----------
SPECIMENS MADEI '
`B�:` DAWNTHEIISSEN ' . SPECIFIED PSI: 4�00 .
-------------------- -----------------------------------------------
FIELD IDENTlF%CATION| ' A,., |' ' B ' ^| ` C' | D ' | ` E
LAB. IDENTIFICATION'^ 604242. .: 604242 :' 604242
.AGE DAYS �`7 28 : '28
- . .
DATE TEST 4/5/2006 : 4/26/2006.: 4/26/2006
SIZE --IN. _'- �.'`, : 6.000X12 : 6.000X12 . : '000X12
AREA-SQ'.IN. - '. _ :,.',28. 27 : 28.27 : 28.27
'CRUSH LOAD -LBS : '119520' 146710 149030''
COMP-STR.-PSI. : 423n 5190� : 5270
-
| '� H/D
CO'R FACTOR
CORR. STR.-PSI
'``'
TIME TESTED
BREAK TYPE, _
C.T.M. USED ' ; F8RNEY ` : RIEHLE.' : RIEHLE
REMARKS-.
' .ASTM C39, C174, .C192, C470,' C617, C42
COMPLIES: X ^ ' . ^ DOES NOT COMPLY: �
. . .
THIS REPORT SHALL NOT BE R'PRODOCED, EXCEPT 'N FULL WI^ OUT THE'APROVAL OF SI'I
�___
�__________�__-��__��______________.______________�-_�___
' RESPECTFULLY SUBMITTED
. . ��
INS17EC' ION HW
AND TESTING
SAMPLES CAST BY OTHERS:
' . '
. .
` `
RENAN R.
LAB. MANAGER .
ASTM C39 -BREAKS A= cone B= cone and split
`
�
'
�
� '�Jj�,4�-�
C= cone D=shear E=columnar
'
`
' ..
Southwest Inspection and Testing, Inc.
10826 South Norwalk Blvd., Santa Fe Springs, CA 90670
(562) 941-2990 - (714) 526-8441 • Fax (562).946-0026
1� .e6
REGISTERED INSPECTORS'S DAILY REPORT 140116
SWIT Job No.
Dat
3
TYPE OF einforced Concrete ❑ Streictural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
City
Job ress ICLAW LP, fit apt
iI
Job Name k..
Permit `
Issued By
A
Type of Structure6�„,Q
rG—
Architect
J'
Material Description'(type, ode. s urce)
o .G•
Engineer
a eAroa ls Sre-.
`
Contractor ^ O
Inspector(s) Name c `
G►a.�
Subcontractor
N �
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
'QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
14
r _
if _ 1
o
2"
3
z jAr _ �.� _ 5.
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
�ihc-, �,Lp<-G% EmsF - O AO V J
l Err`*4 2. &A --t> • wNs l!, 1.L FPS op, t5v-�eIL5 � out- X03
oe. -ro V �.5'cP��s W
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n
V J � l C-1 iGNeAn5 c-6- t t kA 44 'F UACr=KE- J 4 - 0m a M -1v aS 3y
MEattA,J.lC,&L V l -CO
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPECIFICATIOAND APPLICABLE SECTIONS OF TH OVERIING BUILDING LAWS.
SIGNATURE OF REGISTERED INSPECTOR
000x. 6011-1'7-7—AEI
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE n PAGE I OF
I TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS I
All inspections basAd on a minimum of 4 hours and over 4 hours - 8 hour
minimum. In dition, any insp tion ex nding past noon hour will be an'8
hour minimu
Approved by'
Project Superintendent
WHITF. - OMCF. COPY. CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY. GOLDENROD - JOB SITE COPY
Southwest Inspection and Testing, Inc.
10826 South Norwalk Blvd,, Santa Fe Springs, CA 90670
(662) 941-2990. 17141 526-841 • Fax (562) 946.0026
6WIT Job Na, Dat1
REGISTERED INSPECTORS'S DAILY REPORT
TYPE OF einforced Concrete ❑ Strtictural Steel Assembly ❑ Quality Control
INSPECTION Q Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry [] Asphalt
Job ram a City
Job Name Permit No. Issued Ey a
Type of Structure - _ . Architect L _ _ . fL �... A _ _
nCription (type. gjeeAgce) t:n0rneer
Contractor
) Norne • a - — r._. I' I SubContractor
TESTS PERFORMI
TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES
mss- rrI&c- rl If _ - I
Icyz •
_ �6L-
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC,
INCLUDES INFORMATION ABOUT • AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED. NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
e
�Iu..CO .%rte .fie. fn..�aa.r Qev.. A —Th . a& -IS DI AW 1--&AM.aLr n r7. d t M! r' L o —
1 1
1 _ .-11 .
Rim
.. _ _T♦!: ► _ :�• .. - moi.. v - _ 71r� * +
CERTIFiCATION OF COMPLIANCE CONTINUED ON NEXT PAGE [I PAGE 1 OF ..1..
I HEREBY OERTIFYTHAT IHAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED TIME IN TIME OUT I REG. HOURS O.T. HOURS CYLINDERS
WORK UNLESS OTHERWISE NOTED, I HAVE FOUND THIS WORK TO COMPLY WrrN THE APPROVED PLANS,
SPECIFICATIO ANO APPLICAB[E SECTIONS Of TH oYEAtIING BUILDING LAWS.
All mspectlons basid one minlmum of 4 hours and over 4 hours • 8 hour
minimum. In on, any ins tion ex ndinp past noon hour will be an 8
f.Q�11rr11 SIGNATURE OF REGISTERED INSPECTOR. hour minima
0—a - ���i i 71�= .�.� l'' Approved by
SPECIALTY NO. AGENCY 0 Project Superintendent
---����• •- nrary rkreocr-rr,o,r rnvv r,01.DF.NROD - JOB SITE COPY
£i 'd W" TS: T T 9002—LT-21dtJ