05-2167 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05,_00002167
81795 FIORI DEL DESERTO
764-010-011-74 -30092 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
175041
Tdy/ 4 4 Quum
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DR K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA ST. STE. 402
DETACHED CHINO, CA 91710
/Architect or Engineer:
D °
JUN 16 2005
CITY OF LA QUINTA
FINANCE DEPT.
Lic. No.: ---------------
------------------- ------------------------------
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 Professional Code, and my Li nse is in full force and effect.
License Class: B L ens 700 8
/ Dat : ntractor:
OWNER-BUI DER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fr m 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 orimproves 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 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:
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:
LQPERINIT
Contractor:
K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA STREET
ONTARIO, CA 91761
(909)937-3270
Lic. No.: 700788
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 6/06/05
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.
1l 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
insurance carrier and policy number are:
Carrier ZURICH INS Policy Number WC343666302
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 wor ers' compensation laws of California,
and agree that, if I should become su Ct to a worker compensation provisions of Section
3700 of the L or Code, shall fort th ply with ose provisions.
/bate _ plicant:
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES 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.
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 orrect. I agree to comply with all
city and county ordinances and state laws relating to building construction, anereby autho 'z representatives
of this county to enter upon the above-mentioned property f 'nspection r o as
,Dat — ignature (Applicant or Agent):
Application Number .
. . . . 05-00002167
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
905.50
Plan Check Fee
147.15
Issue Date . . . .
Valuation . . . .
175041
Expiration Date
12/03/05
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
76.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
266.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
77.00
Plan Check Fee
4.81
Issue Date . . . .
Valuation
0
Expiration Date
12/03/05
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
3.00 6.5000
EA MECH
VENT FAN
19.50
1.00 6.5000
-----=----------------------------------------------------------------------
EA _ MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . `
121.73
Plan Check Fee
7.61
Issue Date . . . .
Valuation
0
Expiration Date
12/03/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2690.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
94.15
629.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
12.58
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
155.25
Plan Check Fee
9.70
Issue Date
Valuation . .
0
Expiration Date
12/03/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
14.00 6.0000
EA PLB FIXTURE
84.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERAIIT
Application Number . . . . . 05-00002167
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
1.0.0 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
-----------------------------7----------------------------------------------
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
12/03/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 74, PLAN 1C
,2690 SF.
(PATIO 3-665 SF,GARAGE
3)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
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.72
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
.225.00
DIF PARK MAINT FAC - RES
5.00
DfiF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
17.50
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
---------------------------
Paid Credited
--------------------
Due
Permit Fee Total
----------
1274.48 .00 .00
1274.48
Plan Check Total
169.27 .00 .00
169.27
Other Fee Total
2472.22 .00 .00
2472.22
Grand Total
3915.97 .00 .00
3915.97
LQPE"Iff
SOUTHWEST INSPECTION AND TES'T'ING INC.
10826 S. Norwalk #A
Santa Fe Springs, CA 90670
562-_941-2990 714--526-8441 Fax -562-•-946--0026
FIELD DATA ON TEST 51='EC T MENS
ASTM C31, C138, C143, 0172, 01731 C231, 01064 -
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS:.81-795 FL.ORES. LA QUINTA JOB #: 50132 DATE: 09/19/2005
JOB NAME: PIAZZA SERENA/LA QUINTA 97 PERMIT #k: B05-2167 ISSUED BY: LA QUINTA
ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: EST /FME INC.
CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE.- LOT 44(2_4,W SLAB ON GRADE
f
------------------------
CONCRETE SUPPLIER: DESERT RED I --MTX PLANT: COACHELLA MIX Q 94111-B
TYPE OF CEMENT : I I / V ADMIXTURE: WRDA•-64 TICKET ## : 50615
SLUMP : 4 1/4'' WATER ADDED: 5 GAL AIR TEMP: 97 F
CONCRETE TEMP: 72 F MIXING TIME: 42 MIN TIME: CAST: 9:30 AM
--------------------------------------------------------------------------------
DATE CAST: 8/12/2005 RECEIVED AT LAB: 8/15/2005
-------------------------------------------------------------------------------
SPECIMENS MADE BY: S. LAVAU SPECIFIED PSI: 2500
FIELD IDENTIFICATIONI A I B I C l D I E
-------------------------------------------------------------------------------
LAB IDENTIFICATION 514692 : 514692 : 514692
AGE DAYS 7 . 28 . 28
DATE TEST 8/19/2005 9/9/2005 : 9/9/2005
SIZE -IN. 4 X 8 : 6.000X12 6.000X12
AREA -SQ. I N. 12.56 28.27 28.27
CRUSH LOAD -LBS 32290 . 80430 85375
COMP-STR. -PSI. . 2570 2845 3020
I H/D
CORR FACTOR
l CORK. STR. -PSI
l TIME TESTED
f BREAK TYPE:
C.T.M. USED
- - ----- ----- - D -- a
REMARKS: -
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
I RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND 'T'ESTING
f SAMPLES CAST BY OTHERS:
I ASTM C39 BREAKS A= cone B= cone
NSR./%EN`
. MANAt�L
d split C= cone D=shear E =co l umnar
May 09 06 03:04p Energy Calc Services 951-780-0558 p.3
t '
C'ERTIVIC'A'm OF FIELD Vi•:RIFICATION AND D1A(.NosTIC TESTIN(: (fart. 1) CF -411
Pin77a Serena__
Project Tijl(> �atC
8-1-79S117— U.ji i DCLUq.! r( � ,Dr. Forecast. Homes
Project=Address Builder Name
-
Scott Adams (909)322.8953 1-S
Builder Contact Telephone Plan Number
Tim Topham 951 780-7265 6
HERS Rater Telephone. Sample Group Number
74 _
e ying Sig~ re ate Sample House Number -�
Firm: Energy Calc Service, Inc _ HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/Statcl!_ip; RiversideCA 92504-9638
C.op �..� to: 13uilderLI II_:Rti Provider
HERS' RATER COMPLIANCE STATEMENT
The house was: ❑ Tesled ❑ Approved as p;srl of s;unplc icsting, hot was no( lestcd
As the klERS rater providing diagnostic testing and field verification, I certify that the houses identific on this forni
comply with thr Icsled com(ili;►ncc sequircmcnls as checked on this lorm.
0 The insU►Iler has provided a copy of CF -6R ( installation C:crtifscate)
D Disiribit6on system is fully ducted (i.e., does not use huildin„ covWes as plenums or plo0brm
returns in lieu ofducts)
❑ Where cloth backed, rubber adhesive duct tape is instilled, mastic and draw bands are used in
combination Willi chilli hacked, rubber adhesive duct jape to seal lr:�k� al duel cunncetions.
❑ MINIMUM REQl1IREMI N'I'y FOR DUCT LEAKAGE REDUCTION COMPLIANCE. CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurisation 'fest Results (CFM (n) 25 Ica) values
Tcst Leakage Flow in CFM
I I' lisn Ilow is calculated as 400c1in/jun x number of tons VII(er
calculated value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow = _
Check Box for Pass or Fail (Pas5=6% or less) [] ❑
Pass Fail
Q THERMOSTATIC EXPANSION VALVE_(TXV) or Commirrion roved (quivllc nt
n Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) Is installed and Access is provided for inspection Q ❑
Yes is a pass Pass - Fail
January 5, 2001
i
101
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vra an of e� t
copibis tbrm y � Wa�ldod w the b'+ 14iAB dta opt (tfpws request) and e!►,r buiidmg 't►or nr
acuup►raay, qct' 5aodotl id -108(b).
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r;u=u tCUuv4 doviaos (Ows dw APPifa>Ytoar if 4lelixq' X r&w190QW Or PWI, 6k wha re appl icable.
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F1110 " & sbd,Wor Heads:
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1. ft clu4migned, vVrify rhau equotaatmt PiBW above trey 3ipature is. 1) the nct'urll equitrtmeux ins+aUed; 2) L-qW-Vtlottt'to
or Repro aitluant Shifts that specifWd in the will heti of cvwpliaum (born: CF -11Z) subrciitted for errrrpl.j%mc with thz
k.'rtarr}•Wcirracy $ftPsdkP* for msidevU builcliags; and 3) cquipn=t that, marts- or ex-4c4Us tha uperopriata,
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Sigueto
:;CJPY TO' Suildinlg 0cpartunt
HERS PrOY(S1cr(if applicable)
saiidias owner at Qacupwicy
luetaliia$ Subcantmotor (C -D, Altus) ){ R
®04CM1 Cautra►crur (Co. Narr--a) OR Uwrmr
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T T / L0 39Vd 360NIS-13 3AV 1 38-1
SLESbL9196T TT:80 900Z/0T/90
05/03/2006 08:24 9096052958. KHOVNANIAN HOMES PAGE 03/12
P5102/2009 15:55 FAX PARAOONPSCHINID lb 002/011
INSULATION CERTIFICATE
This Is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, In the building at
81-798 FIORI DEL DESERTO, LOT 74, PHASE 4, LA CUINTA, CA
C I INGS:
TYPE: BLOWS MANUFACTURER: Certainteed THICKNESS: R-38
-S'
TYPE: BAITS MAUNFACTURER: Owen® Corning THICKNESS: R-13
GENERAL CONTRACTOR: FORECAST HOMES LICENSE #
BY: TITLE:
PARAGO CHMID BUI G PRODUCTS A MASCO Company LICENSE # 221517
BY' TITLE: ACCOUNT REPRESENTIVE DATE:��"