05-5195 (SFD)i"X 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 0 -00005195
Property Address: 522A3-W1fIRLAWAY TR
APN: 767-200-999-43 -312021.-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 191643
Applicant:Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 000) of Division 3 of the Busirtess and Professionals Code, and my License is in full force and effect.
Licen lass: 1B icense No.: 728102
/)at ontractor:
OWNER -BUILDER DECLARATION -
hereby affirm under penalty of perjury that I'am exempt from the Contractor's 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 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 ($500).:
(_ 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
.. 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.).
1 1 I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
,i 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: 7 '
LQPERMIT
Owner:
LENNAR HOMES
,40004 COOK STREET
PALM DESERT, CA 9221
(760)777-9920
Contractor:
LENNAR HOMES OF CA
40004 COOK ST.
PALM DESERT, CA 92
(951)'817-3600
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760)777-7011,
INSPECTIONS (760) 777-7153
Date: 12/02/05
u
'JAN -8 2006
NC
"N OF LA iD1 tri.. I
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.
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 workers' compensation
insurance carrier and policynumber are: -
Carrier AON RISK SRVC Policy Number MWC11148500
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,
nd agree that, if I'sho 1 become subject to the workers' compensation provisions of Section
xa3700 of the bor Co rl's all forthwith comply with those provisions.
ate: v Applicant:
WA ING: FAILURE TO SECURE WOR R COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED 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 Quints, 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 s6bject
permit to cancellation.
I certify at I have read this application and state that the above information is correct. I agree to comply with all
city and ount ordinances and state laws relating to buil 'n onstruction, and hereby authorize representatives
of I.M unty o enter upo a above-mentioned grope 6 pection purpos '
Oate� Signature (Applicant or Agent):
r'
Number
05-00005195
Application •
. . . .
Permit
BUILDING PERMIT
Additional desc
Permit Fee
961.50 Plan Check Fee
156.25
Issue Date . . .
Valuation
191643
Expiration Date
5/31/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
.92.00 3.5000
THOU BLDG 100,001-500,000
'322.00-
322.00----------------------------------------------------------------------------
--------------- ------------------------------------------------------------
Permit
Permit . . .
MECHANICAL
Additional desc .
` Permit, Fee
101.50 :Plan Check.Fee
25.38 -'
Issue Date
Valuation
0
Expiration Date
5/31/06
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 . . . .
134.81 Plan Check Fee
8.43
Issue Date . . . .
Valuation
0
Expiration Date
5/31/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3026.00 r-=0350
ELEC NEW RES - 1 OR 2 FAMILY
.105.91
695.00 -.0200
ELEC GARAGE OR NON-RESIDENTIAL
13.90
Permit . . .
PLUMBING
Additional desc .
Permit Fee
195.75 Plan Check Fee
-12.24
Issue Date
Valuation . . . .
0
,Expiration Date
5/31/06
Qty Unit -Charge
Per
Extension
BASE FEE
15.00
19.00 6.0000
EA PLB-FIXTURE +
114.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
.
Application Number . . 05-00005195.
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
13.00 .7500 EA PLB'GAS PIPE >=5
9.75 "
1.00 15.0000 EA PLB GAS METER
15.00
perfffit GRADING.PERMIT
Additional desc .
Permit Fee - 15.00 Plan Check Fee -:
.00
Issue Date --Valuation
0 .
Expiration Date 5/31/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------------•---------
Special Notes and Comments
SFD - LOT 43, 3026 SF. PLAN 3CR INCLUDES
695 SF.GARAGE. 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 _,
J
------------------------------------------------7-------------------------
Other Fees . . . . . . . . ART IN'PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00 _
ENERGY REVIEW FEE
,;._62:50..
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
19.16
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 1408.56 .001• .00
1408.56
Plan Check Total 202.30 .00 .00
202.30
Other Fee Total 2506.66 .00 .00.
2506.66
Grand Total 4117.52 .00 .00
4117:52
•. LQPERMTT
, ..
..
'SOUTHWEST INSPECTION AND TESTING ANC.
1.0826 S.. Nor -walk #A
Santa Fe Springs, CA' 90670 '
2-941-2990. 714- 526-84'41' Fax --562-946—x+026 •
F=IELD.' DATA ON TEST SPECIMENS
-- ASTM 'C31_9- C138, C143, 0172, C173, -C231, C_064 --
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:..
ADDRESS:152243•WHIRL_AWAY 7FRAIL %-j - 308 #: 40116 ,DATE: 05/08/2006
JOB NAME: QUAIL -RUN PERMIT # : 05--5195 -ISSUED BY , LA QUI NTA
A.RCF-IITECT: SOUTH COAST ARCH ENGINEER: 'RAYMOND FRANGIE STR.-ENG.
CONTRACTOR: I_ENNAR HOMES SUB CONTRACTOR. CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE:. TR 3120E 'PH 2 J LOT it 43 .J SLAB ON GRADE
� 7llCRE1:E. SU ' 'LIGI�..SUPER'TOR- RD 'Y' MX' F'LA%fl MTX #: D83625P
TYPE OF CEMENT'
:•V .'ADMIXTURE: .THICKET # 19053
SLUMP :.4.1/2" WATER ADDED: 0;GAL AIR TEMP: 76 F
CONCRETE TEMP: 75__F= MIXING TIME: _59;=MINTIME CAST: .11.-55 AM -
------------
DATE CAST: 3/89/,2-006 RECEIVED- AT LAR: 3/30/ 2006*
SPECIMENS MADE BY.-- DAWN THE ISSEN 'SF'ECIFII'D PST: 4000
FIELD IDENTIFICATIONI A I'; B I C I 'D 'I E
-------------------------
LAR IDENTIFICATION 604241 : 604841 : 604241
------___----___-__—_ -
AGE DAYS - 7 t . HCl p 28
DATE .TEST . 4J5/:0e7+6 : 4/26/E006 4/26/2006
SIZE --IN.
0.
0OX12ZO
AREA—SO.IN. -.c8.`E7.- E8. 2'7 ,
. c8. E7
CRUSH LOAD—LBS,, 109660 148970 . ' 14C-.,740-. . e
`COMP—STR. —PSI . :. 3580 0 -5090. .
H/D ,
CORR FACTOR
i
CORR. Sl•R. -PSI . � ,f. . .. •
,TIME TESTED
BREAK TYPE
C.T.M. USED FORNEY. i R I CHLE : R T EHLE
REMARKS.. ti
ASTM ,C39, ' C174, C1` 2.1q 0470, C617,• C42
COMPLIES: X DOES NOT COMPLY
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT.IN FULL.WITHOUT THE APROVAL OF SITZ
-------___._ . ____..._—_-- � .--_—_—_------_-:-• —.---� —
RESPECTFULLY SUBMITTED
. SOUT"' ST T NSP F ;TION A04D TESTING
SAMPLES CAST BY OTHERS:
RENAN R.
' LAP. MA AGER
}
ASTM C}39 BREAKS A= cone -B=.cone and split C�:cone D=shear- E=columnar
Southwest Inspection and Testing, Inc.
10826 South Norwalk Blvd., Santa Fe Springs, CA 90670
(562) 9414990 • (714) 526-8441 • Fax (562) 946-0026
W",11�
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
14011L,
Dat
3
TYPE OF
INSPECTION
REQUIRED
einforced Concrete ❑ Streictural Steel Assembly ❑ Quality Control
❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
❑ Reinforced Masonry ❑ Asphalt
Jobress.492—
�!
24� e W , City Lp- w —1%P
Job Name
1
Permit No. f
a5-st '� -sl�s
Issued By
W A TA
Type of Structure 6r--
Architect �T
Material Description (type, ade, s urce)
5 or—
Engineer
TMMIQMe�rOWS 5-M.
Contractor O
Inspector(s)--NMa—me
�G t `
G�•��
Subcontractor
N
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
t if _
e
�yl IL
21/
2 _ /"� �.
INSPECTION SUMMARY —
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PIROELEMS, 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.
Lcr*�t) 4 z --5 • WAws e. ,3 Feze of t�:ebe-ks out- I�:003
�2 To
et5 —t- Wez 10 cr--,
IPLA,J_f J -T -N 1 tJ ixu,2.►,ne% T LACC-PLe- . (11)s-)i5bu o &-:m &J 3 q
Eh4,-1 P,NL
VIUAKLCAL
CERTIFICATION OF COMPLIANCE
1 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 OVERNING BUILDING LAWS.
SIGNATURE OF REGISTERED INSPECTOR
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE LJ ►'AGE 1 OF
TIME IN I TIME OUT I REG. HOLRS I O.T. HOURS I CYLINDERS
All inspections basAd on a minimum of 4 hours and over 4 hours - 8 hour
minimum. In Wdition, any in tion ex nding past noon hour will be an'8
hour minimu
Approved by
Project Suaerintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY