05-2172 (SFD)P.O. BOX 1504 4
• ��
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING.PERMIT
Application Number: E_ 05-00_0_02172 Owner:
Property Address: 81849 FIORI DEL DESERTO DR K. HOVNANIAN FORECAST HOMES
APN: 764-010-011-71 -30092 - 4240 E. JURUPA ST. STE. 402
Application description: DWELLING - SINGLE FAMILY DETACHED CHINO, CA 91710
Property Zoning: LOW DENSITY RESIDENTIAL a
Application valuation: 196173 D
JUN 16 2005 Contractor:
Applicant: / Architect or Engin K. HOVNANIAN FORECAST HOMES
4240 E. JURUPA STREET
CITY OF LA QUINTA ONTARIO, CA 91761
FINANCE DEPT. (90 9) 937-3270
Lic. No.: 700788
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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 Profession Is de, and License is in full force and effect.
License Class: B
Ike a No. 00788
/ Da ontractor:
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).:
(_ 1 1, 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.).
(_) 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 contractorls) 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:
LQPER IIT
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
Xissued.
l 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 workers' compensation provisions of Section
3700 of the Labor Code, shall foIhw C7 ly with rose provisions.
plicant:
WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 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 ilding const'
tion, and hereby authorize representatives
of this county to enter upon the above -mentis pro erty for inspe ion u oses.
�� �gnature (Applicant or Ag
Application Number . . . . . 05-00002172
LQPERMIT
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
----------------------------------------------------------------------------
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
LQPERMIT
Application Number . . . . . 05-00002172
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
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 71, PLAN 3C, 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
LQPERMIT
LQPERIIIT
D0
1390.71
D0
183.89
j0
2440.52
D0
4015.12
SOUTHWEST INSPECTION AND TESTING INC.
10826 S. Norwalk ##A
Santa Fe Springs, CA 90670
562-541-2990 714--526-8441 Fax -562--•946-0026
FIELD DATA ON TEST SPECIMENS
__..._. ASTM C31, 0:138, C; 143, C172, C173, C231, C 1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 81-•849 FL_ORE:S. LA QUINTA JOB Q 50132 DATE: O9/22/2005
IJOB NAME: PIAllA SERENA/LA QUINTA 97 PERMIT ##: B05-2172 ISSUED BY: LA QUINTA
ARCHITECT: K. T. G. Y. GROUP ARCH INC. ENGINEER: ESI /F'ME INC.
CONTRACTOR: K. HOVNANIAN COMPANIES SUB CONTRACTOR: CAMPBELL CONCRETE OF CALIF.
LOCATION IN STRUCTURE: LOT P'71)/ SLAB ON GRADE
I I
----------------------------- ____ ._-_-------•_-_-- sCONCRETE SUPPLIER: SUPERIOR RDY MX PLANTCOACHELLA MIX ##: D815P
TYPE OF CEMENT : V ADMIXTURE: 22O -N POZ Z TICKET #: 105.3
SLUMP : 4'' WATER ADDED: 0 GAL AIR TEMP: 90 F
I CONCRETE TEMP: 72 F MIXING TIME: 35 MIN TIME CAST: 6:45 AM
I___._--__.__..__.._....._________________.________________.______.______-___..._.___.._.--__--_._--_•______--_-_-__--.__
DATE CAST: 8/1:5/2005 RECEIVED AT LAB: 8/16/2:005
-------------------------------------------------------------------------------
SPECIMENS MADE BY: S. LAVAU SPECIFIED PSI : 2500
FIELD I DENT I F i --- -- I A _.� .---__--._--_- _--_-__-G_--__.•i ____-.-__-__-__' .__-_.-_-____.-_
LAB IDENTIFICATION 51468''3 : 514689 51468`')
f AGE DAYS 7p :8 a 28 '
I DATE TEST 8/22/2005 • 9/12/2005 ° 9/12/2005
I' SIZE --IN. 4 X 8 : 6.000X12 6.000X12 °
AREA-SQ.IN. 12.56 . 28.27 28.27
CRUSH LOAD -LBS : 291OO : 81130 : 85375
COMP-STR. --PST . . 2310 287O . ,.:,O20
II H/D
CORR FACTOR
ICORR. STR. --PSI °
TIME TESTED
IBREAK TYPE . . .
C.T.M. USED
------------------ ---------__--__.____ __ ___ -- -_-_.__-._ j_ _._ --_-_-----------
REMARKS:
_-_--__--_-
REMARKS:
I.ASTM C39, C174, C192, C47O, 6617, C42
COMPLIES: X DOES NOT COMPLY:
_______._,_____._.._____.____.-_,__._______._____.___.__.__.______________._____...__.__..__._____---_-_.___.__.__-
I THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL. OF SITI
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
SAMPLES CAST BY OTHERS:
//RENAN R. CRU
LAB. MANA �
ASTM C39 BREAKS A= cone B= crane incl split C= cone D=shear E=columnar
I ;
Mag 09 06 03:05p Energy Calc Services 951-780-0558
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CERTIFICATE OF FIELD VERIFICATION ANI) DIA(;NOS'1'IC TFSTIN(; (Part 1)
Piazza Serena
Project Title
--
�"i�rOjcCt%lddm'�s
Scott Adams
Builder GOnt2ct
(909) 322-8953_ _
Telephone
Datr:
Porcc._i;til I fot_ncs
Quildor Name,
3-S
Plan Numbnr
Tim Topham {951) 780-7265_ _6
HERS Rater _ ._.. Telephono Samplc Group Number
f l• I '��� :�{ % 2006 71
Gen ing u Date Sample House Number
Firm; Ene�Ay Catc_Servicee, IncHERS Provider: CHEERS
Street Address: 16551 Mockingbird C n. Rd. City/Stite/Zip Riv_crside, CA 92504-9638
C;oPic tn; >3uildcr`I II?12ti Provider_„
HERS RATER COMPUANC E STAT FMFNT
The house wax: ❑ Tcsled ❑ Approved as hart ol'xample testing, but was no(tested
CIS -4R
As the HERS rater providinry diagnosliC testing and field verification, I certify that the houses identified on this form
comply with dw 0i;r;rnstiC. tested compli:mCe requirements as Checked un this films,
t 'I'he installer has provided a copy of CF -6R ( Installation Certificate)
❑ Distribution system i; fully ducted (i.e., does nttl use. building•. Cavities its plenums or platform
returns in lieu of ducts)
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
combinatitut wills cloth backed, ruhlicr adhesive duct lape to seal Irak% at duel connections,
❑ MINIMUM RF.QUIRI?MENTS FOR AIUCT UAKACF REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duel hressurizition Tot Restihs (CFM (M 2N P:,) values
Test Leakage Flow in CFM
II' aim Ilow is calculated a% 4000mAon 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)
p.6
❑ ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV) or Ccimmis:s;it)n npprovod_rquiv_:�Ir�nt
0 Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is instJlled and Access is provided for inspection 0 ❑
Yes is a pass Pass Fail
January 5, 2001
9:'WSTA,"da1TION_CERT IF1CATE (page 1 of 13)
teretrlt i►tutltber
Site Address
Za 2-
7 /
An, itaitlilntiw aneti# cow is required to ba punepd o,t chi: buibiins site or =660 av"ablm far 61-1 nppsoprimVe'ft 1Tba
tnforr<aaerton provided 00 9sis tWul is requbed; however, uae of this fzo to pletvvide ft ilatomoxuut is optional.) After
za pialtioo, 01fit4t ivapc,;00n, it copy must'be provided w *c building dapattmtrint fupost Bequest) and to bu" 28 owner 3t
gmupaAey, pix Section 10-103(b),
my"✓ %Y§ziia1 4
Hiff4 "2gldpa+arer nyr lirAai�Aer pwt lutKror Hooting heaving
LOCI �' ry
Type wks, CEj: conillad tier tvaaia ldeoutal (AFUH. o10' Lauta�n PtgiAs
Cawiift Bipdpmeal, Coollug
!`atdv. CLIC Ceetuw CatttpretfPl' >f 62. BN9u14aCY t�uct C�ulia4
ysa (Ni�a•� Uutt Iktrr Nam alga tdutical . (SUR, etc.)` Location Duct 40ad Govocity
VY i%R�I.cW�n�•�r .��'— .. — ..r. yL w. +. . n .....w-..ra...w�
! .'a reads greruer %h�vr or rgkal ,u.
1, the undarsigacd, vai,fy lull[ equiptml )iWW Abate is: 1) is the w t` d 0q4=90t zastalled, 2) tgyivaleat io or alert
etliciew than that weifW in Che mtfimw of vomphmw Moro CFAX) subv ttad 1fbr oarnpiioce wide the Anergy
1�fficleircy Srpndaride for xesidaatitd buildiis. and 3) equ*mpttbax maet3 or C=cads ft appropriate reclar tmis fax
nue bwtured devices (fi= the Appliancv F jktaiac y Repladonr ar Pait 6). whom applicable.
3.81w rut, pate ltled1 8 Su tm for C'a.. etptol "
Op. CkMe mi Crmtreccor (Co. Name) OR Owtl4r
Gistri0utl00 If Ruhr- b Of hared' Tauk fir'11• Extern ms
tta�t�r CUC C,'aridiod Mb T}lw (Sulo culadon. ' idealieat top"(kw volume elaag, St"dw lasuloeitsm
1' o kbme adel ?v tt4r Yotat E 1J Cnea ! T S or ut/Lr tloae & o R -yah"
' Par easels Rtta aCw�e (fasoQ {Cosa of le a thou tdgMk rantmles and knot pna p araapr boom", Sit findrgy Vaetor.
For laoge fps storage t4aw healm (Cued inpotof ardwa duo 7uoo Etlw1ax list 1=V4* E'triolmu+y, Sreadtry Loa% And !tette input.
For iwua■"li rags =ax haowr gewtwa, 4% Rceovery•EMWC301 Cad 841441upus.
11.12 ca'WMW ituula*11 is awmilminey lbr dtomga Crag heatora Witham uaergy faokarof Ian then 0.53.
Faucets & Sltowtr Heads;
4�1 {buocts'J.t'.d ihowtrheLds Infitalled are Certified to the: Commissioru pursuant to Title 24, Part 6, Section I t 1,
1, the uudusigavd, varifj that ogWpu%euz listed above ray yignattmir i� 1) else actual aquiptat= inst&&A; 2) egnivztlkrlt to
ur teem atl'kuew duw that sp eciflad io the aartifloate of comphaixg (Eorta CF -"1R) sabm toel for cornpiianu9 with the
EROP y ZA-k acy Ssmdards for residential buikiings, &DA 31 equipment t&v,. crietit� or acceds the uput'opt•ialte
1.c4 futt►mews ror ntannlac'tured device) (from the Applfawce E�tclenCyR�gari'trtio�,v or Flea 6), where applimble
Sip'laire,
CC►PY 7D'. Buildiag Dcq%Nmetu
HERS Provider (if applicable)
Guild in& Oxyncr at occupancy
Ggrltplfance Forms "_ -- T
lub7t—Wug Sµbc*ii &otos (Co. Name) OR
Grnetul Calntr94tar (CO.'.dOMO OR Owner
Auoral 2001
ZZ/80 39dd 380NIS-13 3AV I S?3 SLE8bL9T96t
A-23
TT:80 900Z/0Z/90
05/03/2006 08:24 9096052958 KHOVNANIAN HOMES PAGE 05/12
05/02/2006 15:55 FAV PARAGONPSCHIMID 1004/011
INSULATION -teff TIFIGATE
This is to oertify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of Callf'ornia, In the building at
81-949 FIORI DEL DESERTO, LOT 71, PHASE 4, LA QUINTA, GA
CEILI
TYPE: BLOWS MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS: R-13
GENERAL CONTRACTOR: FORECAST HOMES LICENSE #
By: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE 11221517
Y: TITLE: ACCOUNT REPRESENTIVE DATE:, j '0�a