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06-0201 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000201 U d_ Property Address: 81789 VIA LA SERENA APN: Application description: Property Zoning: 767-200-011-19 -318742- DWELLING - SINGLE FAMILY DETAC LOW DENSITY RESIDENTIAL Jq �pOc Application valuation: Applicant: 176769 rchitect or Engineer: Cm'OF {7 F� E E��A 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, and my License is in full force and effect. License Cie B Li ns 352047 ate: I C actor: NER-BU ER DEC' AR ION I hereby affirm under penalty of perjury that I am xempt 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.). (_) 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: lm"TAYLOR WOODROW HOMES, INC. 15 CUSHING IRVINE, CA 92618 (341)000-1200 Contractor: TAYLOR WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 (760)275-0598 Lic. No.: 352047 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/13/06 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 LIBERTY MUTUAL Policy Number WA765D283614055 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 becomese�subject to the workers' compensation provisions of Section 3 J00 of the or Code, I shall forts i co ly wi ios ovisions. Jl� "v' plicant: WARNING: FAILURE TO SECURE WORKERS' PENS A ON COVERAGE IS NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES 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 informati n is correct. I agree to comply with all city and c mA es and state laws relating to building construction, hereby auth ' representatives of this u ty pon th above-mentio ed grope y oor/inspection purpos e: 1ture (Applicant or Agent4`_'-"`' [� l r Application Number . . . . . 06-00000201 Permit . . . BUILDING PERMIT BASE FEE Additional desc . . EA PLB FIXTURE Permit Fee . . . . 909.00 Plan Check Fee 147.71 Issue Date 7.5000 EA Valuation . . . . 176769 Expiration Date 7/12/06 PLB WATER INST/ALT/REP Qty Unit Charge Per Extension BASE FEE 639.50 77.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 269.50 Permit . . . MECHANICAL Additional desc . . Petmit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 5.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 32.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 125.35 Plan Check Fee 7.84 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2754.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.39 698.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.96 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 166.50 Plan Check Fee 10.41 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per LQPERMIT Extension 15.00 96.00 15.00 7.50 3.00 BASE FEE 16.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 1.00 7.5000 EA PLB WATER HEATER/VENT 1.00 3.0000 EA PLB WATER INST/ALT/REP LQPERMIT Extension 15.00 96.00 15.00 7.50 3.00 Application Number . . . . . 06-00000201 Permit . . . . . PLUMBING Qty Unit Charge Per Extension 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 . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD -LOT 19 PLAN 2A, 2754 SF PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.77 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.67 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 1281.35 .00 170.06 .00 2437.44 .00 3888.85 .00 Credited Due .00 1281.35 .00 170.06 .00 2437.44 .00 3888.85 Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 906311 (562) 941990 0 (714) 526-8441 9 Fax (562) 943-0026 v ! C �!-�KClvrr ,gyp aha REGISTERED INSP C -ORS'S DAILY REPORT D �O TYPE OF ` einforced Concrete 11Streictural Steel Assembly E]Quality Cont I INSPECTION \ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED •Y\/• ❑ Reinforced Masonry 13P Asphalt _ Job Address %�/ % City Job Name - � I !� P ita.a / Issu d By Type of Structure chitect Material Description (type, gr de, source) Engineer Contractor Inspector(s) Name Subcontractor�,� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIO AL REMARKS ON SAMPLES y INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & [DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS RCUED) C CK ETC. C CERTIFICATION OF COMPLIANCE 1 HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KN LEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.) HAVE FOUND THIS W 0 COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE ECTI 5�3NTNG BUILDING LAWS. SPECIALTY N j �,..-AGENCY CONTINUED ON NEXT PAGE Lj PAGE OF TIME IN I TIME OUT PEG. HOURS I O.T. HOURS I CYLINDERS All inspections based on a ninimum of 4 he r and over 4 hours - 8 hour minimum. In addition, insp tion exten past on ur will be an 8 hour minimum. ,� Aooroved by / WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, 601DENROD - JOB SITE COPY 0. Loft a •� o � - St _a OKAY TO WRAP CF`h OF'Ct�'�� FRAMING COMBINATON ' ` Y�y L+ C BUI 777-715 Owner TAYLOF: WOODROW HOMES ContractorTAYLOR WOODROW HOMES Permit Number 06-201 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 8.1-789 VIA LA SERENA SF.D -.LOT .19 PLAN 2A, 2.754 SF. PERMIT DOES NOT INCL -IDE POOL, SPA BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASFE 4.- r1- o (e 4- U/G ELECTRICAL / GFr)UNDING FOOTINGS / STEEL Jo CONCRETE SLAB n s DO NOT POUF. CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF - St _a OKAY TO WRAP $ - a8 -o` ,per FRAMING COMBINATON ROUGH ELECTRIC - ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. D,�YWALL /per 3 -6 6 EXTERIOR LATH 4 - - o v GAS TEST Z -v 7 f -3 SEPTIC ABANDONMENT SEWER CONNECTION '1 - .7'1• ob SEPTIC / GREASE INT=RCEPTOR I I MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA I WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS . U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS /BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER 4-30--07 OG ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPA3TMENT 07 COMMUNITY DEVELOPMENT DEPT. 0-7 FINAL / JOB COMPLETED /� ����Dfl C7 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Vr v Ce"'rtificate of Occupancy 4 Luco�owhn �4� G� OF T1Building -& Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 81-789 VIA LA SERENA Use classification: SFDBuilding Permit No.: 06-201 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: TAYLOR WOODROW HOMES Address: 15 CUSHING City, ST, ZIP: IRVINE, CA 92618 By: STEVE TRAXEL Date: JANUARY 22, 2008 Building Official POST IN A CONSPICUOUS PLACE r