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06-0185 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Td�v 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000185 Property Address: 81818 VIA LA SERENA APN: 767-200-011-15 -318742- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 182392 Applicant: o rrchnittecttoor Engineer: 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 Profes ' ns Code, and my License is in full force and effect. License Clas : B I se o.: 2047 ate: ontractor. G, 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 _) 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: vi lix LQPERMIT Owner: TAYLOR WOODROI 15 CUSHING IRVINE, CA 921 (314)000-1200 Contractor: TAYLOR WOODROI 15 CUSHING IRVINE, CA 92( (760)275-0598 Lic. No.: 352( 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 become subject to the workers' co ensation provisions of Section 3100 of the Labor Code, I shall forthwith compwith hos prove ' s. plicant: WARNING: FAILURE TO SECURE WORKERS' COMPE ATION COVERAGE IS UNLAWF , 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 bui ding construction, ereby uth resentatives of this co my` nter upon the above -menti ed pro for'nspection purposes. Dat ��+ nature (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00000185 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 930.00 Plan Check Fee 604.50 Issue Date . . . . Valuation . . . . 182392 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 83.00 ------------------------------7--------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 290.50 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 20.88 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 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 32.50 Permit ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 129.52 Plan Check Fee 32.38 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2928.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 102.48 602.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.04 Permit PLUMBING Additional desc . . Permit Fee . . . . 174.00 Issue Date . . . . Expiration Date . . 7/12/06 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 1.00 7.5000 EA PLB WATER HEATER/VENT 43.50 0 Extension 15.00 102.00 15.00 7.50 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 7/12/06 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 15, PLAN 3BR, 2928 SF. PERMIT DOES NOT INCLUDE BLOCK A Application Number . . . . . 06-00000185 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . Permit . . . . . . PLUMBING DIF CIVIC CENTER - RES 366.00 Qty Unit Charge Per DIF FIRE PROTECTION -RES Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 7/12/06 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 15, PLAN 3BR, 2928 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 60.45 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 19.20 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 1332.02 .00 .00 1332.02 Plan Check Total 701.26 .00 .00 701.26 Other Fee Total 24847.65 .00 .00 2484.65 Grand Total 4517.93 .00 .00 4517.93 LQPERMIT 10826 S. Norwalk #A Santa e Springs, CA 90670 ' / 562-941-2990 714-526-8441 Fax -562-946-0026/ FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143v C172, CA. 73v C231, C1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: .GUNITE: _ �^A ADDRESS: 81�818'�LA� S�RENAv � LA QUIN�A JOB #: 50211 DATE: 7/23/?006 JOB NAME: CARMELA @ LA QUINTA PERMIT #: 06-185 ISSUED BY: LA QUINTA ARCHITECT: ' , ENGINEER: INFINITY GROUP CONTRACTOR: TAYLOR WOODROW HOMES SUB CONTRACTOR: SOUTH COASTARCHITECTURE +............................ .......... ........ ........ ........ ........... .... .... .................................. ................ .................................... .... .... ................ .... ............................ ............................. .... ................. ..... .......................... LUCATI0N IN STRUCTURE: LOT#15/ S.F.R. POST TENSION ---------------------------------------------------~---------------------------- ` CONCRETE SUPPLIER: SUPERI.OR PLANT: 71 MIX #: D8362 ' ' TYPE OF CEMENT : V ADMIXTURE: TICKET #: 283305 SLUMP : 5 1/2" WATER ADDED: AIR TEMP: 88 F CONCRETE TEMP: 82 F MIXIN8 TIME: TIME CAST: 8:30 ^ -----------------------........ ................ ...... ........ ........ .......... _---------------------__-------------_--- DATE CAST: 6/1�/2006 RECEIVED AT LAB: 6/16/2006 _ ......----..... ....----...--... -- ..... .... -------------------------- ... ^------- SPECIMENS MADE' BY: SCOTT TAYLOR SPECIFIED PSI: 4000 ........................ .... ........................................ ............. ................ .... -.... ....................... ............ ............. ..... ............ .... ........ ... .................................................. .... ............ ............ -----_---- FIELD IDEI'll TIFICOTT ON| A | B | C | D | E \ .... ...... ................ ... ..... ...... ........... .... ........ ..................... ....... .... ..... .... ........................ -.................... ... ........ ................... ........... ........ .... .... ........ ................. .......... ..... ............... -_------ ' LAB IDENTIFICATION : 609422 : 609422 : 609422 : : ` .... ............. ---.... ... ---.... .... ... ........ .......... .... ........ --............. ....................................................................... .... --.................. ........ .................. -... .... .... .... .... -.... .... ... ----_- AGE DAYS : 7 : 28 : 28 DATE TEST : 6/22/2006 : 7/13/2006 : 7/13/2006 6.000X12 : 6.000X12 : 6.000X12 : : AREA-SQ.IH. : 28.27 : 28.27 : 28.27 CRUSH LOAD -LBS : 122470 : 162000 : 164500 COMP-STR.-PSI. : 4330 : 5�30 : `5820 | H/D CORR FACTOR CORR.STR.-PSI TIME TESTED BREAK TYPE C.T.M. USED ' ------------------------------------------------------------------------------ REMARKS: ^ ��.... ��.... ��... ��... ��.... �� ASTM C39, C174, C192, C470, C617, C42 ' COMPLIES: X DQES NOT COMPLY: ------------------------------------------------------------------------------ THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI ---.............................. .... ...... ........... ................... ................................ .... .... ............................ ........ .................................................... ............ .... ........ ..... _-.... ............ --... -.... .... .... --- RESPECTFULLY SUBMITTED SOUTH N AND TESTING SAMPLES CAST BY 8THERS: ' RE�N L. MANAGER - ASTM C39 BREAKG A= cone B= cone and split C= cone D=shear E=columnar � � -� Certificate ®f Occupancy . [uco�oagn 4 `SOF'£ Building & 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: 81-818 VIA LA SERENA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-185 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: STEVE TRAXEL "—� Date: DECEMBER 11, 2007 Building Official POST IN A CONSPICUOUS PLACE