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06-0202 (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: 06-00000202 81837 VIA LA SERENA 767-200-011-21 -318742- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 176769 Tay/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: O d YLOR C DETACHED INE, fist (3 1)0 <�ify 106 •ate 4 �-- . r`�.,r.�� ., Architect or 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 Professionals Code, and my Licenses in full force and effect. License Cass: Lice 352047 /Date: ntractor: 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: {1J �R LQPERMIT WOODROW HOMES, INC, 92618 200 HOMES INC IRVIN9; 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 become subject to the workers' compensation provisions of Section 3700 of theLabor Pode, I shalt forth ith comp) wovisions. e: / �.S�t:n WARNING: FAIL CURE WORKERS' C PENSATION COVERA S 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 informati n is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, a hereby uthorize representatives of this c/ ty to e ' er upon th above-mentioned operty for i pection purpose Ke: / ature (Applicant or Agent): - - Application Number . . . . . 06-00000202 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 909.00 Plan Check Fee 147.71 Issue Date . . . . Valuation . . . . 176769 Expiration Date . . 7/12/06 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 . . Permit 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 Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 LQPERMIT LQPERMTT Application Number . . . . . 06-00000202 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 ---7------------------------------------------------------------------------ Special Notes and Comments SFD -LOT 21 PLAN 2BR, 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 Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 1281.35 .00 .00 1281.35 Plan Check Total 170.06 .00 .00 170.06 Other Fee Total 2437.44 .00 .00 2437.44 Grand Total 3888.85 .00 .00 3888.85 LQPERMTT Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 90631 (2) 9412990 • (714) 526-8441 • Fax (562) 946-0026 AI_��'7�/A A �. " ► .. , t-� ✓CI�C�vn REGISTERED INSP ORS'S DAILY REPORT �,� TYPE OF Reinforced Concrete ❑ Structural Steel Assembly " ❑ Qualityntrol 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 Contractor Inspector(s) No Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL 9EMARKS ON SAMPLES .2— 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 & IDENT. NO'S OF TEST SAMPLES TAKE : STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CH CKED, ETC. �. 4Z zZ r � /ted. fef f CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF " 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 WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONSBLE SECTION OF GOVERNING BUILDING LAWS. NATURE OF REGISTERED INSPE ORr �C cJc� SPECIALTY AGENCY CYLINDERS 4 hours - 8 hour 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, C143, C172, C173, C231, C1064 --� CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 81-837 LA SIRENA, LA QUI 'A/ JOB ON 50211 DATE: 7/30/2006 JOB NAME: CARMELA'@ LA QUINTA ' ^ PERMIT No 06-202 ISSUED BY: LA QUINTA ARCHITECT: SOUTH COAST ARCH. ENGINEER: INFINITY GROUP CONTRACTOR: TAYLOR WOODROW HOMES SUB CONTRACTORa CAMPBELL CONST. ' .... ........ ....... ... -....... ............ .... .... ........ .................... LOCATION IN STRUCTURE: .... .... ....... ... .... -------- LOT#21/ SLAB .... ... ------- & FOOTINGS .... .... ----------------..................................... ..... .... ... ........ ... -- ....... ........ ........ ......... ..... ......... CONCRETE SUPPLIER: -............ .... .............. -................ SUPERIOR ....... .......... .......... .................... PLANT: 71 ........................ ............ _--........... .... ....................... ...................... ..... ........... - MIX On D836251'.*, TYPE OF CEMENT : V ADMIXTURE: TICKET No 297302 ' SLUMP : 5" WATER ADDED: 0 GAL. ' AIR TEMP: 105 F CONCRETE TEMP: 75 F MIXING TIME: 30 MIN. TIME CAST: 10:00 �� DATE CAST: 6/22/2006 ------------------------------------------------------------------------------- ... �� .... .... .... ��.... ��.... ... ��.... ��.... ... RECEIVED'AT LAB: 6/23/2006 SPECIMENS MADE BY: TERRY S. SPECIFIED PSI: 4000 ------------------------------------------------------------------------------- FIELD IDENTIFICATION! ------------------------------------------------------------------------------- A ! B - | C \ D | E LAB IDENTIFICATION : 609785 : 609785 : 609785 : : ................ ............ .... ................ .................................... 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-SQnIN. : 28.27 : 28.27 : 28.27 : : CRUSH LOAD -LBS : 94180 : 127840 : 131240 : : COMP-STR.-PSI. : 3330 : 4520 : 4640 | H/D : CORR FACTOR : : : : : CORR.STR.-PSI : : : TIME TESTED BREAK TYPE C.T.M. USED : FORHEY : FORNEY : FORH[Y ^ -------- REMARKS: ASTM C39, C1749 C192, C470, C6179 C42 , COMPLIES: X DOES NOT COMPLY: .... ........ .... ........ ........ ... .......... ... .......... .... .... ......... ... .................... .............. ......... ............ .................... ....... ............ ........ .... .... ....... .............................. ........... -.... ... _.................. : ..... -.... ... .... ........ .... THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI ........ -........... ..................... -....... ... ...... .... ... ........ ........ .... ............................. .... ................... ........ ............ ------------------------------------- RESPECTFULLY SUBMITTED SJ05'HWE&I INSPECT ON AND TESTING SAMPLES CAST BY OTHERS: x.c �� LAB. MANAGER � ASTM C39 BREAKS A= cone B= cone and split C= cone D=shear E=columnar Qi� CITY LA F LA QUINTA ��`� a BUILD & S%gFETY,DEPARTMENT i o`� X777-7012 LOAF IItij5,IECTION"REQUEST LINE 4EIBwP9. 7153 Owne AAYLOR WOODROW HOMES, INC. Contractor TAYLOR WOODROW HOMES, INC. a Permit Number 06-202 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 81-837 VIA LA SERENA SFD - LOT 21, PLAN 2BR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE . INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING. FOOTINGS / STEEL o I CONCRETE SLAB Q - DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF 8- g - o iP :d OKAY TO WRAP 4- 5 -a!r FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL. V 10 INSULATION g - ac -e e A c -- COVER NO WORK JNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL ! a - G • e EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT --- SEWER CONNECTION `i - 1► -et. -84 SEPTIC / GREASE INTERCEPTCR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / 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 - D - D -j ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT 7� COMMUNITY DEVELOPMENT DE'T. 1 S -i - pl FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES ,OR OCCUPY BUILDING Fla, 1 MA Certirica te of Occupancy 0 o G� OF I9w� 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: 81-837 VIA LA SERENA Use classification: SFD Building Permit No.: 06-202 Occupancy Group: R3 Type of Construction: VN Land Use Zone.- RL Owner of Building: TAYLOR WOODROW HOMES, INC. Address: 15 CUSHING City, ST, ZIP.- IRVING CA, 92618 By: DAVID GATICA Date: AUGUST 06, 2007 Building Official Jill POST IN A CONSPICUOUS PLACE Jill