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05-2160 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: T05--0 0-0-02 16 0_. Property Address: 81810 FIORI DEL DESERTO APN: 764-010-011-18 -30092 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 190928 Applicant: /Architect or c&ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DR K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 DETACHED CHINO, CA 91710 D U Contractor: [JUN 16 2005 K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA STREET CITY OF LA QUINTA ONTARIO, CA 91761 FINANCE DEPT. LiC. No..: 91761(90 9) o: 770 700788 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/06/05 -----------------------------------------------------------------------=------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professi nals Code, an my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B Li nse 700788 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date ontrac' r: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor e___ Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZURICH INS Policy Number WC343666302 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 sLibiect to the w rkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C de, I shall f ,vit p1 ith those provisions. 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).: Dat��......//////������licant: (_ 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 WORKERS' 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 ($100,000). 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , 8.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERMIT of La Oumta, 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 's correct. I a e to comply with all city and county ordinances and state laws relating to building construction• d he by aut r e representatives of this county to enter u on a above-mentioned property r inspection Dom: gnature (Applicant or Agent): I Application Number . . . . . 05-00002160 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 687.00 PATIO SQ FTG 858.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2903.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee 958.00 Plan Check Fee 155.68 Issue Date . . . . Valuation 190928 Expiration Date .. 12/03/05 Qty. Unit Charge Per Extension BASE FEE 639.50 91.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 318.50 Permit . . . MECHANICAL Additional desc .• . Permit Fee . . . . 90.00 Plan Check Fee 5.63 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 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . Qty Unit Charge 2903.00 .0350 687.00 .'0200 LQPERA11T ELEC-NEW RESIDENTIAL 130.35 Plan Check Fee . Valuation 12/03/05 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 8.15 0 Extension 15.00 101.61 13.74 Application Number . . . . . 05-00002160 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 173.25 Plan Check Fee 10.83 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/03/05 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 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 9.00 .7500 EA . PLB GAS PIPE >=5 6.75 1.00 ----------------------- 15.0000 EA PLB GAS METER : 15.00 . . . 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 18, PLAN 2C/858 SF PATIO(2903 SF). 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 .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.57 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 19.09 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due LQPEINiIT s ,.gilt 1 Application Number . . _ . . 05-00002160 Permit Fee Total 1366.60 .00 .00 1366.60 Plan Check Total 180.29 .00 .00 180.29 Other Fee Total 2439.66 .00 .00 2439.66 Grand Total 3986.55 .00 .00 3986.55 LQPERMIT of 13) ..�.� _b_/-� �l Dmf=-.g�e`i ~;�-� L "�>�s�.e�-a ,;;s�iz�`v'G - - ..�...-�. - -•----�-"�-•- +ww.wrrw�w �f�ddrass Pee'arelB Nurrotbtr tball uYrprgprima ius➢ ores. 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Augtrr3f 20'01 A-23 11:/90 39Vd 3NONIS-13 3AVI Sad 4 9ZC80Z9Z96L ZZ:80 900Z/0Z/90 May 09 06 03:04p Energy Calc Services 951-780-0558 p.2 r CIsRTIFICATU Ole FIELD VERIFICATION AND DIAGNOS'I'IC'I'LSTING (['art 1) Pi2Zzq Serena,. Project itle 81-810 Fieri 17el Q(LCc'Jn_I7r. Project Addrenr. Scott Adams (909) 3220.8953 Builder Contact Telephone, Forecast I lomcs Builder Name —2-S Plan Numbcr Tim Tooham 951 780-7265 6 HERS Rater Telephone? Sample Group Number 18 �e Eying S r :lure l6ate Sample House Number Firm: Enerpv Gale Sorv_icra, Inc HERS Provider; C 14FFRS Street Address: 16551_ Mockingbird Cvn. Rd. City/Statc/Lip: Riverside,QCA 9250a-9638 (:ollie. to:Builder,..HF.ttti Provider _. _ _• HERS RATER COMPLIANCE STATEMENT The house wits: ❑ 'Tested ❑ Approved as part ol's;nnrlc testing, but was nul IVstvd As the 1113, KS rater providing diagnostic test ifig and field verification, I certify that the houses identified on this form comply with the ding.,ioslic Icsled compliance requirenu•nts as checked on this lorm, 0 The instiller has provided a copy of CF -61t ( Installation Certificate) ❑ Dislrihulion system is fully ducted (*Ise., dues not use building; cavities as plenum, or pl;(lbrnr returns in lieu of ducts) Q Where cloth backed, tubber adhesive duct tape is installed, mastic and draw bands arc used in combination will) clolb backed, rubber adhesive duel tape to seal leaks at duct connections, ❑ MINIMUM RFQUilRcmENTS FOR DUCT I.A4,AKAGE REDACTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 611/9 Duct Leakage) Measured Duel Pressuriiuion 'I'ust Resells (CPM (u), 25 11a) values Test I.caka;:e Flow in CFM If lain flow is calculaled as 400clin/Ken x number of -tons enter calculated value here If fan flow is measured entor measured value hero Leakage Percentage (100 x Test Leakage/Fan Flow = _ Check Box for Pass or Fail (Pass=6% or less) ❑ ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Cpmmis :inn pp ro_v_r d ;.gili_v_ ►Ir nt El Yes ❑ No Thermostatic Expansion Valve (or Commission approvod equivalent) is installed and Access is provided for inspection Q ❑ Yes is a pass Pass Fail January 5, 2001 05/03/2006 08:24 9096052958 KHOVNANIAN HOMES PAGE 08/12 05/02/2006 15:55 FAX PARAGOWSCHIMID Q� 007/011 — i INSULATION CERTIFICATE This is to eertify that Insulation has been installed in conformenoe with the current energy regulation, California Administrative Code, Title 24; State of California, In the building at 61-810 FIORI DEL DESERTO, LOT 16, PHASE 4, LA QUINTA, CA CEILIN TYPE: BLOWS MANUFACTURE=R: Certainteed THICKNESS: R-39 WALLS: TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS: R-13 GENERAL CONTAACTOR: FORECAST HOMES LICENSE 0 BY: TITLE: PARAGON SCHMID BUILO!K PRODUCTS A MASCO Company LICENSE # 221617 BY:14�e:".TITLE: ACCOUNT REPRESENTIVE DATE: 5"7`-/`"