05-2173 (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:
C05 --l-0-00-021-73,,
81813 FIORI DEL DESERTO
764-010-011-73 -30092 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
196173
Tit!t 4 4 Qm&M
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DR K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA ST. STE. 402
DETACHED CHINO, CA 91710
LTJ
JUN 1 6 2005 U Contractor:
/ Architect or Engineer K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA STREET
CITY OF LAQUINTA ONTARIO, CA 91761
FINANCE DEPT. (909) 937-3,270
Lic. No.: 700788
--------------------------------------------------
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 Professionals Code, an my License is in full force and effect.
License Class: B Li nse 15S 7007
,B t� �� tractor:
/ OWN UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exe t from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Profess ns 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).:
(_) 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:
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: ,\ I�
Lender's Address: N ►`
LQPERAIIT
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 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
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 workers' compensation laws of California,
and agree that, if I should become subject to the w rkers' compensation provisions of Section
—33700 of the Labor Code, I forthwith co, pl it hose provisions.
55_ pplicant:
WARNING: FAILURE TO SECURE WORKERS' 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.
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 corr ct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and h by au orize representatives
of this county to enter upon the above-mentioned prop for inspection
Da ature (Applicant or Agen .
Application Number . . . . . 05-00002173
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
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
12/03/05
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
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
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
12/03/05.
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
LQPERAIIT
0
I
Application Number . . . . . 05-00002173
Permit . . . PLUMBING
Additional desc . . .
Permit Fee . . . . 172.50 Plan Check Fee 10.78
Issue Date . . . . Valuation . . . . 0
Expiration Date 12/03/05
Qty
Unit Charge
Per
15.00
----------------------------------------------------------------------------
Special Notes and Comments
Extension
SFD - LOT 73, PLAN 3B, 3066 SF.
PERMIT DOES NOT INCLUDE POOL, SPA,
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
8.00
.7500
EA
PLB
GAS PIPE >=5
6.00
1.00
7 -----------------------------------------------------------------------
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 . . 12/03/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 73, PLAN 3B, 3066 SF.
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
LQPERN11T
Application Number . . . . . 05-00002173
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
LQPERAIIT
SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk i#A,
Sante Fe Springs, CA 90670
562-941-2990 714-526--8441 Fax -562-946-0026
FIELD DATA 0!\I TEST -SPECIMENS
==______.--__-________--__-__ _
---ASTM C31, C138, C143, C172, C173, C231, C1064 -- -
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 81-813 FLORES. LA GNUINTA JOB d#: 50132 DATE: 09/19/2005
.JOB NAME: PIAllA SERENA/LA QUI NTA 97 PERMIT i# : B05-2173 ISSUED BY: LA QUI NTA
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 i# 3 / SLAB ON GRADE
CONCRETE SUPPLIER: DESERT REDI-MIX PLANT: COACHELLA MIX i#: 94111--B
TYPE OF CEMENT : II/V ADMIXTURE: WRDA-64 TICKET Q 50614'
SLUMP : 4 1/4" WATER ADDED: 0 GAL AIR TEMP: 94 F
CONCRETE TEMP: 76 F MIXING TIME: 40 MIN TIME CAST: 7:00 AM
I
I. DATE -CAST: -8/12/2005 --_-____-_--___--_---.__-.._...--RECEIVED-A�T�-LAB : -8/15/2005 ----
__-__________-.------_.._-___--__._---_______-----___.__._-.__--_----_------__-_._-----_---__---__..___
• SPECIMENS hIADE BY : S. L_AVAU SPEC I f=IED F'S I : 2500
I--_------------------___.._____.______.-----_____._________..______.-------_---.__--_----__.._..__.__
. F I ELll I DENT I F I CAT I ON I A i B I C I D I E
I____..____.____...__.._________.___________________________-._._________..___.____________--_..--__---____-___.--
LAB IDENTIFICATION : 514691 514691 : 514691
I-_---_._________.-__-----______.__._...._-_____------___________.__-_--_---..___
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. IN. 12.56 . 28.27 . 28.27
CRUSH LOAD --LBS 31220 : 77740 : 85800
COMP-STR. -PSI. 2485 . 2750 . 3035
I H/D
CORR FACTOR
CORR. STR. -RST
TIME TES"T"ED
BREAK TYPE
C.T.M. USED
REMARKS:
61Z.1�_.3_._
ASTM C39, C174, C 19,2, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE•REPRODUCED, EXCEPT IN FULL WITHOUT THE ARROVAL OF SITI
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
-SAMPLES CAST BY OTHERS:
//REE:NAN R. CRU _
t_AB. I�IANAC K
-®
AS C39 BREAKS
A= cone B= cone/and split C= cone D=shear E=columnar
May 09 06 03:04p Energy Calc Services 951-780-0558 p.4
r. Y
C ERTIF1CA"1`h. Uh FIELD VERIFICATION AND DIACNOSTIC TESTING (Pru( 1) CF -412
Project 1 dle Dato
ori I CI f)escrto__Df.
I•'ro)act Addrobs
Scott Adams
Builder Contact
(909)322.8953
Telephone
Forecnst 140rncti
Builder Name
3S
Plein Numtvcr
'fim Topham - (951) 780-7265 6
HERS Rater Telephone Sample Group Number
CA _ 73
Cert i ing. ign to Sample House Number
I irm: Energy Calc Sorvices, Inc HERS Provider: CHEERS
Street Address: 16.551 Mockingbird Cvn. Rd City/State/Zip: Riverside CA 92504-9638
Cc tit's ly;_ Builder. HF:.RS.('rovider
HERS RATER COMPLIANCE; STATEMENT
The hnusc wax: ❑ 'Tested ❑ Approved ;is hart ol'samplc tcslint:, but was not k,lyd
As the HF.R$ rater providing diagnostic testing and field verification, I certify that the houses identified on (his form
comply with (tic diagnostic ieste(I Compliance requirements as checked on tills limn.
0 The installer has provided a copy of CF -GR ( Installation Certificate)
❑ Distribution system i, fully dueled (i.e., dors not use huildin}! Cavities ;is plenum, or hlatlirnn
returns in lieu ofducts)
❑ Where cloth backed, rubber ndhesive duct tape is instilled, rnastic and draw bandsarc used in
combination with cloth hacked, rubber adhesive ducal I;ipe to scat Ic:iks at duel comicctipn5.
❑ MIN[MIIM RH:QUIRFMENTti VOR I)UCT I.EAKAGF REDOCT[ON COMPLIAN('1S CRFDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Irrcssurii:dian Tcsl Results(CFM (n? 25 Pa) values
Test Leakage Flow in CFM
II' Ian flow is x number of tons enter
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 (Pass=6% or less) ❑ ❑
21
Pass Fail
THERMOSTATIC EXPANSION VALVE-�7XV or Commit r:ion n�provnci ��grgvnl�nt
0 Yes ❑ No Thermostatic Expansion Valve (or Commission approved
cquiv:rlcnt) is installed and Access is provided for inspection d ❑
Yes is a pass Pass Fail
January 5, 2001
• y
HI41 'i'AZ.El.tA"r�� 1V G.G •l' k'L(.�1�. E
aPao^otnf8 lWrnsber
Site Address
Za r 7,3vaitm�btc 'or alt mPpraaxia►te ipaipgt:tioua. f Cbc
Att ,ants tiitM cattilicaw 6 mQuimd w be Potuucd at the built mast site or =$A& aMief
infotzttteramt PY4DVid0d on tta18 canal is &quirer4 however, use ot•" ibm w provide the igfotmtxgo sud �e building owner ar
=%Pictim of tlnal ina�g4aca, as copy must be provided to the bu4 OMS dvpat Ment (upon a+rq
owup mq, per ScGdon 10-103(b).
SAY tom;
t�fasclWs$.Egr/!ps►rRttf • Hotuiwa
S4vip 11 Qf. iiflScl�ey pool pwt� ar HeadaB
Type (08. C2C CAnittod ltitk>wamc ldat►nc.1 {A.VU.B..�o�a,)' Losadoa P1vJng [ll ��roiry
C'901iaog Is'grt+ipmaanl Coolly
E4104 GGG Cartihed Coa vreeyvr K of.' SMAda y Duct • CpulioyJl 8
Q Cil
T�T* o b.s. Uull Mfr Nam Wd ld"Un d (MOL, ow')' LDC8110o t7ayct toad Cepa Y
' it .t1
t , t reads #rMIEP' than or equal 10,
1, the tutdarsiSQ4 verify mat tgWp=cL)t liaw above ib: t) is the tutuai eqtc4=m iwCtslred. 2) Nuivalent to or mom
efiRwient than that apoeiftd k, the wrtificabe of cMpU=c (Foe rio CF. JR) stlbadimd ibr 0=PU46ce with ttfa "Fno!u
E,flelerryv 5uindarch for residential balilei not and 3) equipaWnt that meets or axoreds rbe appnops1616 regm'12 araats for
satatawfao ued devices (foto tht: dppltawc Effick ay Aegt+ladOns or Put b), WhGM APPlictbk'
�iga.we. Date
.�„r•�s-. -- Lzstar su •o�rattc�r C'o'�+;anzo)
09L t3ewml Contractor (Co. Name) OR owlmr .
Vistriauliam IYRucij- N of Rated" 'Tank 5171- externus
I;awut CEC C'aliiw kiss Tmw i&Lk ouladon. 14em[0a1 tapas(16w Valuma cicwuyl stood*' ttwtiulftru
l' NAme Number War- r- pxaL»l TAM or cu/ oS $ Lor R-oalus'
For samasot, wravvmwdiaput ePbefatpauoraqusl¢r+�s.oDO�WI�t'),d4oerlera aYrraaaadYaasgrytePaoaoarr.8aatrxw5xtleaoiSrKectnr.
For largg &as Maragr water bates frotW input of Greater thn 7S.000 Eim r1. tiau Pacovary Sly[Owy, gbwug& Loss and Rated Jnpur.
For tuervOl ##CIutl i&S Wella bpatet'a, lien itetr,V4WY-B 6ofeae, %ad $ate4 iaAut,
S. K-12 cxtarMI iorahutpa ie taendAnlly rot ytotage Wath beaoua with as aam$y f Wat *f WS thali Q•5
wxucl.tal & Shower' Iffeads:
-All f4uws :r -d ihowerhea(s Installed are certified to that: Comuliysion, pursuant to Th1c; 24, Fart b, Section t I I.
l: tho ul danigard, torify char dquipmAmc lietc4 abovc toy sipAtm is. 1) rhe tutus) equipincnt instaued, 2) equivalent to
' or mora eitirumt then that specified is the ceatifisaw of eompliatter: (Fmos CFAR.) submlift+od for coarpliari" vMh the
tnerV fflcic�sc? Srandar& for seaidantW buildtrtgs; and 31 equiiptruant' titer, aceta or mxceeds ahc aperopriMc
requineflnertts Jbr trtmatitawed dcvice4 (from the dpplirrrre-e Effki�ncy Regtrlaiions or Parr b), where: applicabl4
St's uu ,hate. .�..�
_0P'Y TO:_ wilding 13cparement
JR ERS Prov Eder (af applicable>)
Suilding Owncr at Oocup%ncy
fastai)iag Sttbcontmotor (Co. Name) OR
OMMI canuractor (Co, tdme) OR Uw'riar
Compliance. Formu � . � August 202001
ZZ/60 39dd 3NONIS-13 3AV-1 SBS StC8bL9t96Z IT:80 900Z/0T/90
05/03/2606 06:24 9096052956 KHOVNANIAN HOMES
05/02/2006 115:55 FAX PARAG0NPSCI4IMI0
PAGE 02/12
(a001/a11
INSULATION CER FIC
This Is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrstive Code, Title 24, State of California, in the building at
91.813 MORI DEL DESERTO, LOT 73, PHASE 4, LA'.QUINTA, CA
CEILINGS: THICKNESS: R-38
TYPE: BLOWS MANUFACTURER: Certainteed
WALLS:
TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R.13
GENERAL CONTRACTOR: FORECAST HOMES LICENSE 0_,,_�
BY:
TITLE:
PARAGON SCHMID 5U2!!`G PRODUCTS A MASCO ComPAny LICENSE # 221517
Y: TITLE: ACCOUNT REPRESENTIVE