05-2158 (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=00002158-
81830
5-0000215881830 FIORI DEL DESERTO
764-010-011-17 -30092 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
196173
Architect or
T44t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DR K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA ST. STE. 402
DETACHED CHINO, CA 91710
VinEer:
E 6 2005
CITY OF LA QUINTA
FINANCE DEPT.
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 Co e, and my License is in full force and effect.
License Class: B Lic nl; a No.: 700788
Date: (¢tfntractor:
OWNER -BUILDER DECLARATION
I 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).:
(_) 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 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:
LQPERMIT
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
Date: 6/06/05
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
A(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 1 should become subject to the or; ers' compensation provisions of Section
3700 of the Labor Co e, I shall f t it ompl r those provisions:
Dat&g1,' plicant:
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 correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert for mspecti pur o s.
Date: gnature (Applicant or Agent): ,
LQPERA1IT
Application Number .
. . . . 05-00002158
Structure Information
Construction Type . .
. . . TYPE V - NON RATED.
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=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
------------------------------7---------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3066.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
979.00 Plan Check Fee
636.36
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
20.88
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•
4.0.0 6.5000
EA MECH VENT FAN
26.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date .
Qty Unit Charge
3066.00 .0350
920.00 .0200
ELEC-NEW RESIDENTIAL
140.71 Plan Check Fee .
Valuation . . . .
12/03/05
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
35.18
0
Extension
15.00
107.31
18.40
Application Number "
. . . . 05-00002158
-----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . .
172.50 Plan Check Fee
43.12
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
8.00 .7500
EA PLB GAS PIPE >=5
6.00
1.00 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 17, PLAN 3B,
3066 SF.
PERMIT DOES NOT INCLUDE POOL,.SPA,
BLOCK WALLS OR DRIVEWAY APPROACH.
------------------=------------
Other Fees . . . . .
---------------------------------------------
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER -_RES
366.00
ENERGY REVIEW FEE
63.64
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
LQPERMIT
Application Number
. . . . .
05-00002158
Permit Fee Total
1390.71
.00
Plan Check Total
735.54
.00
Other Fee Total
2488.25
.00
Grand Total
4614.50
..00
LQPEnlIT
.00
1390.71
.00
735.54
.00
2488.25
.00
4614.50
SOUTHWEST I NSPEPT I ON AND TESTING INC.
f 10826 S. Norwalk #A
Santa Fe Springs, CA 90670
562--941--2990 ti 714-526-8441 Fax"'"562-546--OO26
FIELD DATA ON TEST SPECIMENS--
---- ASTM C31, C138, C143, C1721 C173, C231, C1064 -- -
CONCRETE: X GROUT: MORTAR: SHOTCRE=TE: CORES: GUNITE:
ADDRESS': 58TH & MONROE. LA QUINTA JOB #: 50132 DATE: 10/07/2005
JOB NAME: PIAllA SERENA/LA OUINTA 97 PERMIT Q ISSUED BY: LA QUINTA
ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: ESI/FME INC.
CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE: LOT 4T SOUTH EAST CORNER
- +
CONCRETE SUP'PL SUPPLIER: : DESERT RED I -MIX--------------------------------------------------
PLANT : COACHEL_LA-______._._-.-MIX # 9411 - -�- - -�-
1
TYPE OF CEMENT : V ADMIXTURE: TICKET Q 60620
SLUMP : WATER ADDED: 0 GAL AIR TEMP: 90 F
CONCRETE TEMP: 83 F MIXING TIME:: 30 MIN TIME CAST: 8:05 AM
----_.___---------_._--_-_---------_.---___--__---__-----_----..___-_ --_._------_-.--_-__---__.__.. ----
DATE CAST: 8/30/2005- RECEI VED_AT -LAIC: -8/31 /2005--_____._-----
SPECIMENS -MADE BY: PHOENIX FEA T HE ROCKw^�- - SPECIFIED PSI: 2500
L--------------------
FIELD7: DENT I I CA I I ON I------------------------I-----C--- -- i -- -------' -__---E
- -_ -..---
LAIC IDENTIFICATION : 515713 : 515713 : 515713
AGE DAYS . 7 28 28 ,
DATE- TEST : 9/6/2005 : 9/27/2005 : 9/27/2005
SIZE -IN. : 6.000X12 : 6.002X12 : 6.003X12
AREA--SO.IN. 28.27 28.29 . 28.30
CRUSH LOAD--L13S 58800 82320 . 83200
COMP• -S T R. --PSI. . 2080 . 2910 . 2940
I H/D
CORR FACTOR
CORK. STR. -PST
TIME TESTED ,
BREAK TYPE
C.T.M. USED
-----------------------------
ASTM C39, C1749 C192, 0470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
SAMPLES CAST BY OTHERS:
:
'.
ZENAN R. fRrI J"
LAB. MAN(.IGEP.--
ASTM C.::9 BREAKS A= cone B= cone Ync( split C= cone D=shEar E=c:o1umnar,
May 09 06 03:05p Energy Calc Services 951-780-0558
(TAtTIFICATE OF hIF:LO WAIF'ICATION ANI) UTAGNOSTI(." I'ESTING (Part 1)
P1.I%7:1 Serenn _
Project Title
R1-R(liriori r)cl 1)csc_rto-I�r.T
Scott Adams (909) 322-8953
Guilder Contact Tr Icphono
P.9
('FAR
Date ... - /�{�/�•t'—
Forecast Homes
Builder Name
_ 3-S
Plan Number
Tim_ Topham (951)780-7265 —Fi
.J�LRS-Rater Tolophone Sample Group Number
U 17
Gert: ing$j at�re Date Sample House Number
Firm: Enorgx Calc Services, Inc HCRS Provider: _CIIITI^,S
Street Address' 16551 Mockingbird Cyn. Rd. City/State2ip:_ Riverside. CA 92504-9638
Curies to; tiuildcr,..HRRN' Provider
FIFRS RATER COMPLIANCE STATEMENT
The house was: ❑ 'I'cslccl ❑ Approved as part ol*samplr testis,,., but was not tested
As the HERS rater providing, diagnostic testing and field verification, I certify that the houses identified on this form
comply wilh the thapnostic lesled compliance requircmcnL: as checked on this loris.
0 The installer has provided a copy of CF -6R ( Installation Certificate)
❑ Distribution system is fully ducted (i.e., docs not use building, C:rvilie. as plenums or pl:dlt,rut
returns in lieu of ducts)
❑ Where cloth backed, ruhhcr adhesive duct tape is installed, mastic and draw hands are used in
ccnnbinalien with cloih h:,�ketl, rubber adhesive duct iiirc (oseal leaks at duct connections.
❑ MINIMUM RFQIJIRRMF;NTS ICOR DUCT LEAKAGh RFDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Ihu:l Pressurirition Tesi Itesulls (0-M (a). 25 Pa)
Test }.,cakage flow in CFM
I Ian flow i, calculalccl as 400elin/ton x numhcr of Ions enter
calculated value here
If fan flow is measured enter measured value here:
Measured
values
Leakage Percentage (100 x Test Leakage/Fan Flow = —
Check Box For Pass or Fail (P,1SS=6% or less) ❑ ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE_�TXV} or Commis:sion_Ppprovod rpt uiv:,lcrnt
Q Yes ❑ No Thermostatic Expansion Valve (or Commission approved
egltivltlknt) is installed and Access is provided for inspection ❑
Yes is.3 pass Pass Fad
January 5, 2001
1 Pe STAX.;LA►"I�'d0N CEI FIC;A'� E S PR o 8 !f 13 �-��
Site Addresspor mfe Number
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AUL �tsRlation cartitaca acis seyuirod to be pouted al dita buildina 91tc Or aside Ova llsblc lipr tltfi appt�optiaic it>optiotioao• fTba
u
iaj%rgwtoti pwvbded an ibis fbnr, ,sa VtgUtM i; hawever, uge of this fbrw to VMvide t�ha irtfornlattian is opCioasl.) Ager
a0ttapl6ti00 of fit inepeadon, s copy must be provided to %kC b*itdiag depa uront (tlport =quxoar) and dta building owner W
occupsuey, per Sendoan 10-103(b). I .
k1xAC.1YS7.'iC S: .
Mtrwov , 444PMWRd licuio8
equip, N qr. r ' a5rilalma}oy Oust liuee of klCaacdng
TYaItB CpC('.attiged�d4t:amo ldeatital (AME.a1a,)' Loaatlsa Piglet toad' Gaproicv
C00fin B fruaipm efte -
144
94wo. nm Cart(tkd Cownsoer of of 8tf4douy Duct `tylia$ coa cit
';'JM (P►g, Unit ylYtli Nasse cod Idaauc►t (.8EER, ca:.)' Location Duct Wadt;nyadiy
r.
3 1! lot Kffl
t ,.y reada greaser MAw or equal w. T ^ x) equivalent to or atom
f, the uadaraig"d, v6ify am cgtadpwaaL llsced above ia- t) is the sagrai eq� �1
efficient than that aipeoifitsd its the oorftlivt of empHa= (FCM UAR) 60br ditd fbr aoattpOPM With tfse EPOW
ertcv Srandarab for residt ntiat buiWittp. and 3) equipaxtt;sat the =cots or exoccdts she approptiste regtt3nea FMts fol
n mutimavd davic= (fn= th► 4pplsauce IW>i easy Reauldtroaas or Part 6). whwc applicibte.
.�' �r-1` X44. r f L. d" � !`�� �P 7y✓ ,r�✓ cr ��• bt-�
Sigrrbiwa, We Ltautl " g SUE Zt1'sctc+r Mo- i�arm) .
OR aeztarol CMtmctor (CO. Naia:ne) OR l'lriitar
Diwibudov If RtKir- d Of Rated" rr^,nal ' EM. External
lib►w.t Citi: 4'artittod Mb I'M (9ul! eulatica. :+1Km44at rodaut(kw valuam t:iaaoy, StandbV4 1wWC16013
l n Ndav dz jdadat Nuz-bar Pntot-Q&Uw) C2Mq,jXLwu lion 8 R-vaiun`
VLV SOAR Pk atar4r 030 kp(4 41 IM rDAm 0! agtaoi W 1$400k l vlacz t0 roamu 1 and host ptaamap Wafts us", fist Eaargy Naetat-
� ur targe gts ytaraae water ttarteas (atad iaputoF +roster that 7S tl00 l3tWhr), liar Ilnoovary EtitcloncY. RtmadgY l.ar9 and ltatt4lepur.
i ar igagaatat�roua gas water; ow", Nsr Reuouaty-9010k3ey acid limed Wput.
1. P-12 aa%mW iawlsdtom is tt)andattory fir suorago ureter bosom with as aaazgy £twtorof rasa tbito a,5a.
VauCM & Shalwer Heads;
•'-•Il feut*ts mid ftwerheads (arttallerd aft cord ied Co zht Comm issiort, pursv4ai to Title 24, Flarr 6, Section i l I..
1, Yltb Uudarviped, verify zhiv oquiipawAl lizwd above my sigumir� is, t) the tscinnl egtlipluern insla Ded;.2) equivalent to
or atom elft umt (ttOtri drasi specified is the cardf aw or camphenes (Form CF -ti) %iAbmjtted for aorrsltfiari" v-ith the
E)7er& Efckaacp $Mnd r,* fur nsidendal blriltting& and 3) equipmont Elias.. MCM, or ee:aeds Che apomprifttz
roqukments for mantifutured devicsO (fmm file dpplfance A ftlency Regulations ver Pon 6), 'w'here aippl"ble
Si�atuic, pate �'—
"OPY 70` Building DcpurtMerst
MFRS Pmvidar(ifapplicarble)
19aditg Chvntu al Occupancy
N stave n$ Subconvactor (Co. Matte) OR
General Coruratesar (Co.:damc> 0WOwner
Compllanco.Forms " � � �-- — August 2001 ..-._�� w� — A-23
Zi/0Z 39Vd 380NIS13 3Ad0 SWI 5LE8bL9t56t ZZ:80 900Z/0Z/90
05/03/2006 08:24 9096052958 KHOVNANIAN HOMES
. S
05/02/2006 15:55 FAX PARA00NPSCHIMIO
ULATIO CERT-IFICATTE
7his is to certify
that insulation
installed in
with the
energy
regulation, caona Administrative Code, Title 24S ate of Caloma o the building a
81 -S30 FIORI DEL DESERTO, LOT 17, PHASE 4, LA 4UINTA, CA
C_EILh, NGS THICKNESS: R-38
TYPE: BLOWS MANUFACTURER: Certalnteed
WALLS:
TYPE: BATTS MAUNFACTURER: Certalnteed
THICKNESS: R-13
PAGE 07/12
zoos/oil
GENERAL. CONTRACTOR: FORECAST HOMES LICENSE !�
TITLE:
BY:
:PARAG SCHMID BUILD G PRODUCTS A MASCO Company LICENSE # 221517
TITLE: ACCOUNT REPRESENTIVE DATE: 5�?
• . ,