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06-0183 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Td4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000183 Property Address: 81842 VIA LA SERENA APN: 767-200-011-14 -318742- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 191320 Applicant: rchitect or Engineer: w LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam 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 Class: BI r \LicenseNoi-3-52047 ate: � ntractor: r �. OWN UILDER DECLARATION 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 1, 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.). (_ 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: TAYLOR WOODROW, 15 CUSHING IRVINE, CA 92618 (341)000-1200 HOMES, INC. Contractor: TAYLOR WOODROW HOMES 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. YtI 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 WA76SD283614055 _ I certify that, in the performance of the work for which this permit is issued, I shalt 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 subjec�to he workers' compensation provisions of Section /3 00 of the bor ode, I shall forthwith cGb,1» .ih ovisions. a'D te: pplicant: G. WARNING: FAILURE TO SECURE WORKERS' CO NSATION COVERAGE IS WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 building constructs nd hereby auth9meej42resentatives ofthis cou ty to nter upon th 'bove-mentioned property for inspection purp s. ante: 'nature (Applicant or Agent): Application Number . . . . . 06-00000183 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 961.50 Plan Check Fee 624.98 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 27.00 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 33.71 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 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 LQPERMIT 43.69 0 Extension 15.00 102.00 15.00 7.50 Application Number . . . . . 06-00000183 ---------------------------------------------------------------------------- Special Notes and Comments Permit . . . . . . PLUMBING DOES NOT INCLUDE BLOCK WALLS, Qty Unit Charge Per OR DRIVEWAY APPROACH. 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 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 - LOTJ'H, PLAN 4A, 3047 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 62.50 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 729.38 .00 .00 729.38 Other Fee Total 2486.63 .00 .00 2486.63 Grand Total 4610.11 .00 .00 4610.11 LQPERMIT ' SOUTHWEST INSPECTION AND TESTING INC. 10828 S. Norwalk #A . Santa Fe Springs; CA 90670 562-941-2990 714-5264441 Fax -562-946-0026 FIELD DATA ON TEST SPECIMENS --- ASTM C31, C138, C143, C172, C173, C231, =064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ^ v/"b ADDRESS: 81-842 LA SMENA, LA QUINT) 27 JOB No 50211 DATE: 7/23/2006 JOB NAME: CARMELA @ L# QUINTA PERMIT No 06-183 ISSUED BY: LA QUINTA ARCHITECT: SOUTH COAST ARCH., ENGINEER: INFINITY GROUP CONTRACTOR: TAYLOR WOODROW HOMES SUB CONTRACTOR: CAMPBELL CONST. ------ 0 --------------------------------------------------------------------------------- LOCATION IN STRUCTURE: LOT014/ S.F.R. POST TENSION --..... ........ .......... --_--............. .... .... .... --......... ...... ......... ... .... .... .......... ..... .... ... .... ................ ................. -....................................... ... ..... .... .... .... .... -_--......... ............ .... -- CONCRETE SUPPLIER: SUPERIOR PLANT: 71 MIX #: D83625P TYPE OF CEMENT : V ADMIXTURE: TICKET No 283303 SLUMP : 5 1/2'' WATER ADDED: 0 GAL., AIR FEMP: 85 F CONCRETE -TEMP: 81 F MIXING TIME: 50 MIN. TIME 1AST: 7:25 ---_-------------_----------__'--.---------------------------------------------- DATE CAST: 6/15/2006 RECEIVED AT LAB: 6/16/2006 ------------------------------------------------------------------------------- SPECIMENS MADE BY: SCOTT TAYLOR SPECIFIED PSI: 4300 --------------------_--_-----_-_--------------_--------------_-------_--------- FIE.D IDENTIFICATIONI A I B | C i D I E .... .... .... ............. ........ _........ .... .... .... ........ ............ .... ... ............ ........ ........... .................... .... ........... .... -........ .... ............................ ................ .... -.... .... .... ... ........... ....... ............................ ........ ............ ' LAB IDENTIFICATION : 609421 : 609421 : 609421 : : ------------------------------------------------------------------------------- AGE DAYS : 7 : 28 : 28 : ': DATE TEST : 6/22/2006 : 7/13/2006 : 7/13/2006 : : SIZE -IN. : 6.000X12 : 6.000X12 : 6.000X12 : : AREA-SQ.IN. : 28.27 : 28.27 : 28.27 : : . CRUSH LDAD-LBS : 114460 : 169000 : 165500 : COMP�STR.-PSI. : 4050 : 5980 : 5855 : : CORR FACTOR CORR.STR.-PSI TIME TESTED : : : : : BREAK TYPE C.T.M. USED : �............. .... .... ... REMARKS: ASTM C39, C174, C192, C470, C617, C42 COMPLIES: X DOES NOT COMPLY: -......... ... ........................ -�............................ ---------------.... .... ... --_-------------~-^---------------_---_ THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT INFULL WITHOUT THE APROVAL OF SITI ------------------------------------------------------------------------------- RESPECTFULLY SUBMITTED SOUTHWEST N AND TESTING SAMPLES LAST BY OTHERS: ' RENAN R C /0'AB. MANAGER M'� ASTC39 BREAKS A= cone B= cone and split C= cone D=shear E=columnar rn-- ti�'a-lam Q� Certificate of Occupancyo 4 oF9w 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: 81-842 VIA LA SERENA Use classification: SFD Building Permit No.: 06-183 Occupancy Group: R3U1 Type of Construction: VN Land Use Zone: RL Owner of Building: TAYLOR WOODROW HOMES Address:78-150 CALLE TAMPICO #101 City, ST, ZIP: LA QUINTA CA 92253 By: STEVE TRAXEL Date: 9-12-07 Building Official POST IN A CONSPICUOUS PLACE