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05-2156 (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: Tii�v44Q"- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ,-0.5-00002156 81870 FIORI DEL DESERTO DR 764-010-011-15 -300 DWELLING - SINGLE FFYDETIED LOW DENSITY RESIDEN 175041 N 16 2005 or rnuffOF LA QUINTA Lic. No.: --------------- 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 Pe ionals Code, d my License is in full force and effect. License Class: 13 L e 700788 yate:j2$�Iiactor: / O ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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.l. (_ 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 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 3706 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 Ishould ecome subject to h workers' compensation provisions of Section 3700 of the Labor Cc e sha rthwith y with those provisions. Date 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 correct. I agree to comply with all city and county ordinances and state laws relating to buildin onstruction, drhev authorize representatives of this county to enter upon the above-mentioned proper - inspectio r o Date:& -a ]Q nature (Applicant or Agent): Nt Application Number . . . . . 05-00002156 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 905.50 Plan Check Fee 588.58 Issue Date . . . . Valuation . . . . 175041 Expiration Date 12/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 --------------------------------------------------------------7------------- 3.5000 THOU BLDG 100,001-500,000 266.00 Permit . . MECHANICAL Additional desc . Permit Fee . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA IMECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 121.73 Plan Check Fee 30.43 Issue Date Valuation . . . . 0 Expiration Date 12/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 2690.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.15 629.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.58 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 155.25 Issue Date . . . . Expiration Date . . `12/03/05 Qty Unit Charge Per Plan Check Fee . . . 38.81 Valuation . . . . 0 BASE FEE 14.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERTIIT Extension 15.00 84.00 15.00 Application Number . . . . . 05-00002156 15.00 Permit . . . . . . PLUMBING SFD - LOT 15, PLAN 1B,, 2690 SF. Qty Unit Charge Per NOT INCLUDE POOL,SPA, BLOCK WALLS OR Extension 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 DIF PARKS/REC - RES Additional desc . . STRONG MOTION (SMI) - RES 17.50 Permit Fee . . . . '15.00 Plan Check Fee .00 Issue Date . . . . Due Valuation . . . . 0 Expiration Date . . 12/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 15, PLAN 1B,, 2690 SF. (PATIO 3-665 SF,GARAGE 3)PERMIT DOES NOT INCLUDE POOL,SPA, BLOCK WALLS OR DRIVEWAY APPROACH -------------------------------------------- Other Fees . . . . . . . . . -------------------------------- ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 58.86 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK.FEE 15.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC --RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.50 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged -------------------------------------- Paid Credited -------------------- Due Permit Fee Total 1274.48 .00` .00 1274.48 Plan Check Total 677.07 .00 .00 677.07 Other Fee Total 2516.36 .00 .00 2516.36 Grand Total 4467.91 .00 .00 4467.91 LQPERMIT May 09 06 03:06P Energy Calc Services 951-780-0558 c , a VERIFICATION AND UTA(:NVti'l'IC:'I'Lti'1'IN(� (I'arl I) Pia•-r7a Scren;aT,v_ F�roICCt 1 �tIC _-R7�QiFio - - -- r- c ct Address. Scott Adams _ (909) 322=8953•. 1301dor Conuict Tolophono Tim Topham (951) 780-7265__ H RS Rater Telephone 4 Sign, ' 2006 inq� re ate Date Forecnct Ponies Budder Name 1-S Plan Numbor Sample Group Number 15 Sample House Number Firm: Enorgy Calc Servicas, IncHERS P'rovidcr CHEERS �C'70or_ Street Address: 16551_M2ckingbird Cyn. Rd. City/Statcl%ip: Riverside, CA 92504°9638 COI? iQ1- to: Builder. HLKS Provider MFRS RATER COMPLIANCE STATEMENT The house was: ❑ Tested ❑ Approved ;is p;irl ol'x;nnrlr trstinl:„ but W;11,'11(1( ICslrd As the HERS rater providing diagnostic "testing and field verification, I certify that the houses identified on this form comply with the diapnostic tes(ed compliance requirements as checked on this l2mn. El The installer has provided a copy of CF -6R ( Installation Certificate) ❑ Distrilintion system is fully dueled (i.e., dors not otic buildipip, cavities as plenums or lsl;itA)nli returns in lieu ot'ducts) ❑ Where cloth backed, rubhcr adhesive duct tape is installed, mastic and draw bands arc used in combination with cloth backed, ruhher adhesive duct tnpc io seal leaks at duct connections, ❑ MINIMUM RFQUIRFMFNTS FOR DUCT LF:AKAGF. RFDi1C'I'ION (COMPLIANCE CREDIT Duct Diagnostic t-cakage Testing Results (Maximum 6% Uuct Leakage) Measured Duca I'rrsxurir:diun'I'cxl Results (CFM (a), ?S 11a) v;dgles Test Leakage Flow in CFM 11' fiin flow is calcukilvd as 4000fm/Ion x number• of tons Cnicr calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow = Check Box for PZti:; or Fail (Pass -6% or less) P.11 ❑ ❑ r�t Pass Fail u THERMOSTATIC EXPANSION VALVE XV or Commi^. ;ion npproyod r. quiiv,.ih(.;nt 0 Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection 0 ❑ Yes is a pass Pass Fail January 5, 2001 mmial dm or gwal t0. T T W �e iS:s�owe�lilt) recluy a iwstallyd. ZD 6quivultut to or mf- t'p%i mm �sp floddii�d tele WA'of $C (Pcr�rlu li i sdarmittcd rbr Crn�imm w4alkoab The mts fb E„iitGa,V SmtsdstraG ow rdaid=tjW built;ngs: ttitd 3) equiprnts►t tbat r000>sy or oxecodlt tbt; approplis3ta rtgis � nntaes wnsi davives (lidlta tial lfance cleneyRrguJa+�ot�r or Part S), whore applicttblt. ` ~� u Su onFrstcjvr f,C'�'�+rnyc! Signatitare, OR geucraO Crrnlrecuar (Ca,)+inttta) OR OwYier p„ Ufi• (I►W adb e,cremnt oixtribKrlgO If Race, at' Raie(� ' b`4uya 1Qiu14IS�o o�wna �iauCy R.vrluaf tioawrr CEC C atti37r4 tdfi Pvnc (Srd CLLiAt10p Ydeatital SQt1u:-..,._ ^. a,..ib,n (xrlluad) EF RE LG1b Yo t•'u: emelt �. (ratod tpeltta at taw tbspt oroRl+sl m 7i,t104 BtWbr'1� �mrk r�patstto. and Masm ua�p rras ak�.aay. lim 1_oargr K�'' F or hwp is "w wow beatoas (t'r►Cd irtputo rp"w tkttrt 75.000 Sltlthr), fiat ltaavcry El.ycjcmy. 5trrtdty Luax yua 1Syt�d taD� For Im4whtaasoas S" voter Aa+i% ribs Rarpvorr EYf6oitl�oy and feted i WUL :�. St•1: moral trntlfj*m is mandow ($t SWrW Wd W Oasetra W" ao "=av t;WFAUCloTo(SCss tpan (i•3ra A!1to unts arh$s. Tiric ��, Fart b, S d h orlseads taamilad are certittitd to the ,urCtali6situt, puasvant to cctlun 11:- 1, UN undonligiod, verify *49 egUiptaaota Fisted above my 3ilgo6tum is. 1) the taCrtlxi agtitiptnrorc itt3la6ed, 2) cq'usyslont W or Manomuml 04m that specified ID tbt e„ertifinte 01' compliarm (FW/ (%P -YR) subrniated for enrr�pJiawe with the 6"vry 4i'uyvney Sraadards for seviduWal buildiage; »teal 3) Cquipmartr that, mezts or exeeeds the apDCupriata rtsyuiremeats �rttulttttCaetlrrcd davke9 (Brom t�.ipltl�urree �j�,cJrRr,�rrGi4to►ar us i+arr 6), wtl+~rt applic;abid. SA�t1i1tUr6 l ,%)PY TO' 13ui1ding Dcpartmept ` KERS PromyWer(irapplirablo) Eulldin$ Owntr at Ocaupaacy iuliW ivag Subeontmvtor {Cv. 1'larnirD Old Ganrral Ccauwtor (CO. -N mnci 09 owner r Cr mplianoe Formt4 ... - August 2001 • Y ZZ/00 39dd '3dONIS13 3AV-1 S'8- 5LE8bL9t96t ZZ :80 900Z/0Z/90 STAYLLA' ION C�i�`�`Y�'1C..A`i'�. RO {Pilti v�l �� �=�Q..�.� ��� Po�'rr►St Nrtnabnr Stte Address -r, ITCc /c .__ airc.or rprdp e�n�Uabiv 101' MU ujxpropnOtle iRbpOcL1o11S• be WC eAV buildaatt iS prY�tieitiWl.7 Adler • An iY 0WILWaff C4a'L is MRv1+`Cd � 8aaiod b® We i'Qrt IS �Ru� however, use of tbia Vl� t�6 lillfOr)71�p�14a &= to pro � tlnst) and liter building low at uu' (up �1 in3atmattem ptrovidc� irtspa ast, spy 19 Vat be Wo,,44W w the buiid'iag d Lornpl0uoq of tiat<I s L)CC-A acy, Pox Scan 10-1030). Hcatlny HC111" v., I�AiIIIA� l N ilPtitit r► ar. 1yClioVopc9 Doan ,,, 3piri .. Lams Gat +ttY Pipir(1 Equip, -rpt 08. L'BCt t7artUied Mt7 Nano tdeari9+1 IRFUL�, otc.)' Locotioa It gal Stuffin) old W&W-1�- EKlulauky Coultas Guollad Load Car+aettY Equip, Ccc cenit�l t-0943ea99Y of 1402ueni . (81;1it3, etCJ' LPA elite Uytw ry�x SPbtl UrJI Adit Nig= 4ad mmial dm or gwal t0. T T W �e iS:s�owe�lilt) recluy a iwstallyd. ZD 6quivultut to or mf- t'p%i mm �sp floddii�d tele WA'of $C (Pcr�rlu li i sdarmittcd rbr Crn�imm w4alkoab The mts fb E„iitGa,V SmtsdstraG ow rdaid=tjW built;ngs: ttitd 3) equiprnts►t tbat r000>sy or oxecodlt tbt; approplis3ta rtgis � nntaes wnsi davives (lidlta tial lfance cleneyRrguJa+�ot�r or Part S), whore applicttblt. ` ~� u Su onFrstcjvr f,C'�'�+rnyc! Signatitare, OR geucraO Crrnlrecuar (Ca,)+inttta) OR OwYier p„ Ufi• (I►W adb e,cremnt oixtribKrlgO If Race, at' Raie(� ' b`4uya 1Qiu14IS�o o�wna �iauCy R.vrluaf tioawrr CEC C atti37r4 tdfi Pvnc (Srd CLLiAt10p Ydeatital SQt1u:-..,._ ^. a,..ib,n (xrlluad) EF RE LG1b Yo t•'u: emelt �. (ratod tpeltta at taw tbspt oroRl+sl m 7i,t104 BtWbr'1� �mrk r�patstto. and Masm ua�p rras ak�.aay. lim 1_oargr K�'' F or hwp is "w wow beatoas (t'r►Cd irtputo rp"w tkttrt 75.000 Sltlthr), fiat ltaavcry El.ycjcmy. 5trrtdty Luax yua 1Syt�d taD� For Im4whtaasoas S" voter Aa+i% ribs Rarpvorr EYf6oitl�oy and feted i WUL :�. St•1: moral trntlfj*m is mandow ($t SWrW Wd W Oasetra W" ao "=av t;WFAUCloTo(SCss tpan (i•3ra A!1to unts arh$s. Tiric ��, Fart b, S d h orlseads taamilad are certittitd to the ,urCtali6situt, puasvant to cctlun 11:- 1, UN undonligiod, verify *49 egUiptaaota Fisted above my 3ilgo6tum is. 1) the taCrtlxi agtitiptnrorc itt3la6ed, 2) cq'usyslont W or Manomuml 04m that specified ID tbt e„ertifinte 01' compliarm (FW/ (%P -YR) subrniated for enrr�pJiawe with the 6"vry 4i'uyvney Sraadards for seviduWal buildiage; »teal 3) Cquipmartr that, mezts or exeeeds the apDCupriata rtsyuiremeats �rttulttttCaetlrrcd davke9 (Brom t�.ipltl�urree �j�,cJrRr,�rrGi4to►ar us i+arr 6), wtl+~rt applic;abid. SA�t1i1tUr6 l ,%)PY TO' 13ui1ding Dcpartmept ` KERS PromyWer(irapplirablo) Eulldin$ Owntr at Ocaupaacy iuliW ivag Subeontmvtor {Cv. 1'larnirD Old Ganrral Ccauwtor (CO. -N mnci 09 owner r Cr mplianoe Formt4 ... - August 2001 • Y ZZ/00 39dd '3dONIS13 3AV-1 S'8- 5LE8bL9t96t ZZ :80 900Z/0Z/90 05/03/2006 08:24 9096052958 KHOVNANIAN HOMES PAGE 11/12 o5/Q_?,/2006'15:55 FAX PAAAGONPSCHIMIC 010/011 INSULATION CERTIFICATE This is to certify that insulation has be®n installed in conformance with the current energy regulation, Calfornia Administrative Code, Title 24, State of California, In the building at 81470 FIORI DEL DESERTO, LOT 15, PHASE 4, LA QUINTA, CA CEILINGS; TYPE: BLOWS MANUFACTURER Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MANUFACTURER: Owens Corning THICKNESS; R-13 GENERAL CONTRACTOR: FORECAST HOMES LICENSE a BY: TITLE: PARAGON SCHMID BUIL NG PRODUCTS A MASCO Company LICENSE # 221517 TITLE: ACCOUNT REPRESENTIVE DATE: