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06-0231 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000231 Property Address: 81813 VIA LA SERENA APN: 767-200-011-20 -318742- Application description: DWELLING - SINGLE FAMILY DETACHED Proverty Zoninq: LOW DENSITY RESIDENTIAL Application valuation: 191320 Applicant:chitect or Engineer: rooks C). Fiu,n.FZ__ - _-- ------------------------------------------------- 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. Lice se-Classl: B ice a No -, 352047 Date: 1 4 ontractor: O R -BUIL ER DECLARATIO I hereby affirm under penalty of perjury that I am a mpt from the Contractor's State License Law for the following reason ISec. 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 .01 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 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—) 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: TAYLOR WOODROW, 15 CUSHING IRVINE, CA 92618 (341)000-1200 Contractor: TAYLOR WOODROW 15 CUSHING IRVINE, CA 9261 (760)275-0598 Lic. No.: 35204 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/13/06 HOMES, INC. ------------------------------------—------- 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. -A 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, �� �//,aand agree that, if I should become subject to the workers' compensation provisions of Section --� X700 of the La de. I shall forthwith m ittttit a provisions. ate: 'la., ,�/f/,1,f��- plicant: WARNING: FAILURE TO SECURE WORK RS' C PENS TION COVERAGE I &LAWFUL, 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 611 city and county ordinances and state laws relating to building constructior`and hea thorize representatives of this o��u��nty��t(/Qe��nter upon th ove-mentioned operty for inspection ppuuu_ ,a F: at5 ature (Applicant or Agent): L •'/ f LQPERMIT Application Number . . . . . 06-00000231 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 961.50 Plan Check Fee 156.25 Issue Date . . . . Valuation . . . . 191320 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 92.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 322.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 108.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 39.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 134.85 Plan Check Fee 8.43 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 3047.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.65 660.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.20 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 174.75 Plan Check Fee 10.92 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 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 Application Number . . . . . 06-00000231 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 11.00 .7500 EA PLB GAS PIPE >=5 8.25 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 20, PLAN 4C, 3047 SF. 2001 CODES. 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 15.63 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 19.13 DIF STREET.MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 1394.10 .00 .00 1394.10 Plan Check Total 182.35 .00 .00 182.35 Other Fee Total 2439.76 .00 .00 2439.76 Grand Total 4016.21 .00 .00 4016.21 LQPERMIT Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 90631 ' /' O.n � 9�29�90�(7� 4) 526-8441 •Fax (562) 946-0026 REGISTFRFn INSPFS'Sn01L I RFPII6)PT TYPE OF Reinforced Concrete ❑ Str6ctural Steel Assembly ❑ Quality 06ntrol INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address Job Name i Issued By Type of Structure Architect Material Description (type, grade, source) Engineer G Contractor Inspector(s) No Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL 9EMARKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBL=MS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TATN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CH CKED, ETC. T X�? CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE M PACE nF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND TH WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, A BLE SECTION OF GOVERNING BUILDING LAWS. GNATURE OF REGISTERED INS .ffCIOR SPECIALTY AGENCY CYLINDERS r 4 hours - 8 hour n hour will be an'8 WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY . SOUTHWEST INSPECTION AND TESTING INC. � 10826 S. Norwalk #A . Santa Fe Springs, CA 90670 ! 562-941-2990 714-526-8441 Fax -562-946-0026 FIELD DATA ON TEST SPECIMENS' ' ° --- ASTM C31, C138, C1439 C172, C173, C231, CK064 --- CONCRETE: X GROUTx MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS:.81-8I3 LA SIRENA, LA QUINTA MOB On 50211 DATE: 7/30/2006 JOB/NAME: CARMEN @ LA QUINTA PERMIT #: 06-231 ISS']ED BY: LA QUINTA ARCHITECT: SOUTH COAST ARCH. ~ ENGINEER: INFINITY GROUP CONTRACTUR: TAYLOR ........................ ..................... ........ ............... WOODROW HOMES SUB CONTRACTOR: CAMPBELL CONST. . ^LOCATION IN STRUCTURE: ........ ........ .............................. ............... -.... -.... .... .... .... .... .... --........................................................ ....... ---.... .... ... .............. ......................... .... .... LOT#20/ SLAB 8 FOOTINGS ---.................. -----r- CONCRETE SUPPLIER: .... ... ... ............ --.... .... .... .... -.... .... .... ......... ...... .... ............ SUPERIOR PLANT: 71 ... ................ ........ ........... ................. .......... -............... .... ... .... -........ ........ ... .... .... .... -- MI)( #: D836251 -D TYPE OF CEMENT : V #DMIXTU : TICKET #: 297299 SLUMP : WATER ADDED: 0 GAL. AIR TEMP: CONCRETE TEMP: MIXING TIME: TIME TAST: ---..... .... ............ ........ ................... ............ DATE CAST: 6/22/2006 -_------_-------_------------_----------------_-------------__----------------- .... ............................. ................ .... .... .............. ....................... ........ .......... .... .... -.... ............ ........ ........... _................ .... ....... ....... -.................. -- RECEIVED AT LAB: 6y23/2006 SPECIMENS MADE BY: TERRY S. SPECIFIED PSI: 4000 FIELD iDENTIFICMTIOMI iDENTIFICATION| -.................................... ....... A \ B | - C | D | E ....... ... .... .... LAB IDENTIFICATION ... .... ....................... ........ ....... ........ -... .......... .............................. .............. ... ............ .... .............. -- : 609784 : 609784 .... .... .... -........................................... ... _........ ...... ........ ................ ....... ----- n,609784 : : ....... ................ AGE DAYS � ........ .................... ............................ .......... ............ ................... : 7 : 28 ........ ...... ................ .... ........ .... .... ... .................... ......... ....... .......... .................... : 28 : : ' DATE TEST : 6/29/2006 : 7/20/2006 : 7/20/2006 : : SIZE -IN. : 6.000X12 : 6.000X12 : 6.000X12 : : AREA-SQ.IN. : 28127 : 28.27 : 28.27 CRUSH LOAD -LBS : 90450' : 125760 : 123610 COMP-STR.-PSI. : 3200 : 4450 : 4370 : : \ H/D : : : : : CORR FACTOR : : : : : CORR.STR.-PSI : : : : : TIME TESTED ' : : : BREAK TYPE : : : C.T.M. USED : FORNEY : FORNEY : FORNEY : ' : ............ ............... .............. ........ .... ..... ... ........ ............ ............................... ................................... -_.... ............... ..................... ... ................... ........... ... ......... : ...................... .... .................... ... - REMARKS: ------------------------------------------------------------------------------ ASTM C39, C174, C192, C470, 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: , ASTM C39 BREAKS A= cone B= convr and split C= cone D=stear E=columnar ^ . , . Certificate ®f Occupancy `,�: Lcoesoenhn `'� 5 G� OF IBuilding & 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. 81-813 VIA LA SERENA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-231 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: TAYLOR WOODROW HOMES, INC. Address: 15 CUSHING City, ST, ZIP: IRVINE, CA 92618 By: EDDIE MUIR '--' Date: OCTOBER 22, 2007 Building Officia POST IN A CONSPICUOUS PLACE