05-2161 (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:
C-05-00002161
81867 FIORI DEL DESERTO DR
764-010-011-70 -30092
DWELLING - SINGLE FAMI
LOW DENSITY RESIDENTIA
190928
Architect or
T4,V1 4 -- I 4Qaum
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LY ACHED/A\
L ��
JUN 16 2005 10
En jne • CITY OF LA QUINTA
FINANCE DEPT.
LICENSED CONTRACTOR'S DECLARATION
1 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, and my license is in full force and effect.
License Class: B Lice No.: 7 0 88
/Dat — ntractor:
/ - OWNS BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exem t 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.).
(_) I am exempt under Sec. , B.&P.C. for this! ason
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:
LQPERAIIT
Owner:
K. HOVNANIAN FORECAST HOMES
4240-E. JURUPA ST. STE. 402
CHINO, CA 91710
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
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 becom�towth,,kworkers' compensation laws of California,
and agree that, if I should become sucompensation provisions of Section
3700 of the Labor deshall fo se provisions.
a'6 te: e -ACV fimfn_
Applicant:
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 1$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 a ree to comply with all
city and county ordinances and state laws relating to building constru ion, and hereby au orize representatives
of this county to enter upon the above-mentioned property r inspe i n p rposes.
Date: 'Signa (Applicant or Agent):
Application Number . . . . . 05-00002161
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
2903.00 .0350
687.00 .0200
LQPERMIT
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
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
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 . . . MECHANICAIr
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
LQPERMIT
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 . . . . . 05-00002161
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
Permit
. . . GRADING PERMIT
Additional
desc .
Permit Fee
. . . . 15.00 Plan Check Fee
.00
Issue Date
. . . I. Valuation . . .
. 0
Expiration
Date 12/03/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------7---------------------------------------------------
Special Notes
and Comments
SFD - LOT 70,
PLAN 2A/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
LQPERMIT
Application Number . . . 05-00002161
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
LQPERAIIT
May 09 06 03:05p Energy Calc Services 951-780-0558 p.7
CERTIFICATE, OF FIELD VERIFIC-ATION AND DIA(:NOSI'IC TESTIM, (Parl I) CF -41t
2006
Project Title Date
8'1-867 Fiori-f)'el"neserto Dr:`- __ , Forecast Homcti—
Project Addrtss — ` Builder Name
Scott Adams (909) 322-8953 2-5
Builder ContOct Telephone Plan Number --
Tim Topham_„•.. (951j 780-7265 6
HERS Rotor _ Telephone Somple Group Number
.. ?
X-).�-2 006 _ 70
`Cei ying"Si c to Sample House Number
Firm: Energy Calc Services, Inc HERS Provider; CHEERS
Street Address; 16551 Mockingbird Cyn. Rd. City/State/Zip: Riverside. CA 92504-9638
C_uPies_lo:. Build F'.RS, I'i•ovidt:r
HERS RATER COMPLIANCE STA11MENT
The house was: ❑ Tested ❑ Approved as p:irl 01'sample tcslinl;, bul w;is nut Icr;led
As the HERS rater providing diagnostic testing and field verification. I certify that the houses identified on this form
comply with the dingnostie tested complianc4 requirements its checked un this firm.
Q The installer hw, provided it copy of 01F' -6K ( Installation Certificate)
❑ Distribution system is (filly ducted kc„ docs not use huildin1; cavities as plenums or platibrm
returns in Iicu ufducts)
❑ Where cloth backed, rubber adhesive duct tape is installed. mastic and draw hands arc used in
comhination with cloth h;tckcd, rubber adhesive duct lape to seal le;lks ;it duct connections.
❑ MINIMUM REQUIREMENTS FOR DUCT 11,13AKAGE REDUCTION (70MPLIANCF, CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Measured
Duct hressurim(ion "fest Resells (CFM (tt) 25 Iia) values
'rest Leakage Flow in CFM _
I1' fiin flow is calculated as 400clinhon x nurnher Orions enlcr
calculated vahic here
It tan flow is measured enter measured value here
Leakage Percentage 000 x Test Loakage/Fan Flow =
Check Box for Pass or Fail (Pass=6% or less) ❑ ❑
Pass Fail
Q THERMOSTATIC EXPANSION VALVE (TXV) oLCommi,5ionrovt:d a bivalent
21 Yes ❑ No Thermostatic Expansion Valve (or Commission approved
cgliivalent) is installed jtnd Access is provided for inspection [] ❑
Yes is a pass Pass Fail
January 5, 2001
c k,41t
561+1&± Atldlstssa
.Ga T �O
Aa inglAil l on Cif I .Aae io roquimd to ba Posted 1&r tht, tui qr, eac or made avoilabla for all ttppmpriutc iadpaa<iaas. ( he
infortummt9 �1mywtd an this lbtrtlrl is rGROW44 howt'Vaw tore of lbiss Besem to provide lbs lnfor'u►adon is; apriprwi.) Aftr
avraplationof fiaa1 lase odau, to Copy twat be praywadl to the building ctepatmtattt (Upon 'r equW) and clic bulldiag awese+r sr
;;CQU j "cy, per Seed" YQ •YQ3(b).
a;tV,at:; gtrbxlgltd5:
HerrrflwN �ftrl}+atonrt ur Hurtir+u i suit$
gyp; w slr. 8rttclggny DUE, uw4 r,�,ro+ty
':'S•W� 1prS, Ctir,: Certd'iai tdk A'amo ldCatieirl (AFUB, ate.)' Goci►ii0a Pipirr� t.otJ1
C'uatMS igttip+t►taatt Coad s
again• Crit/ Cdrsm 09,00eeear K of >:l�eloucy d voliud ei!
TYPe (FAS- USA Wer N m so tdaat"I . ma, QW.), Lwar(i4a 040 Load Cst6ra Y
ta�adL. ......... _... .j1& • . ._ i r�C�-:���'.�
i_..� r+a:ld:< g<�ter' rune or e+gar¢1 �� .'"•.. � _., ....,.,,....�.,._.. _,.�
1, that uadmiSttad, vetci,fy 9w equWaimt limd abvvo is= 1) is the batcal 4914=041 ius'tallad, 2) equivalent to or more
c1tiP( lau tbw that swifm io the catecab of canwism (Fam Cir.11t) suhrwttad for 0=ober z with 160 L►trW
Efficimv+cv.S=Ukrwb Vr w4dat dal bust neS. sed 3) erqulpw4tt th4t moeto or exCeeda dw appy+opliatc raq t9 fon
rtisim, hmurad dAvice 5 (bc= dw Applimroe Sockney A&SUlA"m or prat 6,),iwhac apnl iarbit.
~ ►grmturr:. $t1& �i '5u oamtrxczor (o..,V�alnm) w .
'Oft Gc uorral Cottb'actor ((:Q. rlantc) OR i,,>,n►Fr
pistriwlaa ISRCWi ,, tt of kwad' Twk F.rti• i~r<tetna!
tionwt C'SC NAW94 ma 7'ypt (LSUt auldtlotL Ideatitai laput (►W �'oliuna tidy StMsd4Yt TstsataUwa
N4m&) Awmgt_rer - 1'+7�iota#-rlwtl - e:rutanlTvoc Svtsism1 or.attgk) (mmucwy) Rfi R8� t�u(eol it•vaitear
Fur wauW Srrs+toatalpst (rte vfJOW #AU artgWd W 76 AW Surd), Woft C i dalftes ea►d 1!449 POMP rragr UJIN e. 511 1:g ww Fr WY'
f or Gc V P$ itarage watat' ttreatets (toad tbWr of umAr tho mw Hwbrj, fisc R.saavo►y St'r omy. StaudCry Leas rr,d itucsa tap 1&r,
rl-, i0m atsart+ref gas tvaasar 4t'iL V% tiss and hated 1099
:+. k•i: "WW iixralatiaa ti mansuwrr tw %wasde sasrrw' barroom wit►1&o udagy frurwr 9f taas than 0-56.
2'wltceC9 r� Simvter xirstdx: -
fauc ets c6 d.showerheU6 irAallied are eendAw to the Commission. pursukull to Tide 24, Nnrr.6, Sect:ior. I t i.
1, the UUdanigF1 * Yorify Kha cgt/itp=Vm listed above WY giPigmv i5. 1) tic 13CM 1 C414MvU% iosiv jed, 2) erquivalt;ot to
V9 More oliWakm Own 761&1 sspueiAad ira the mdfxatc of comprliwwa (p'urnt C? -'R) submi►ttd 1dr complism-c with the
' r1 rt/ 4`6cwJV $W"Arrds ibr msidantial buildings; and 39 vgaipmetu than, mtcN or extends thr: ap>sropri'do
raquiivwems ibr um w&cUmd devfwd (hvm oz App to wv Ap'i'c+ mcy Aegr,lalra u• or lase 6), wutm applicabic
Q; m, Data ineWfiag SubcartGroctor (Co. Name) OR
Qetsrsrai Csmm momy (Co. Name) Olt Owner
C'►(+'1( TO° SuildWa Ucpartmem
"ERS PlVyki tf (if applic,J►bio)
Building Owner at Octcupwwy
Augual 2001 A-231
11/90 39bd 3, IONIS-13 3xbl S$-1
9L88t,1-9T96T TT:80 9002/0T/90
05/03/2006 08:24 9096052958 KHOVNANIAN HOMES
05/02/20.06 15:55 FAX PARAGONPSCHIMID
INSULATION CERIJEICATE
This is to certify that insulation has been Installed in.wnwiriance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building at
81-867 MORI DEL DESERTO, LOT 70. PHASE 4, LA QUINTA, CA
GS
IYPBLOWS MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BATTS MAUNFACTURER: Certainteed
THICKNESS: R-13
GENERAL CONTRACTOR: FORECAST HOMES LICENSE If
BY; TITLE:
PARAGO CHMID EVIL G PRODUCTS A MASCO Company LICENSE # 221517
BTITLE: ACCOUNT REPRESENTIVE DATE: S-��
PAGE 04/12
a003/011