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05-3366 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003366 \ Property Address: 81913 VIA LA SERENA APN: 767-200-011-36 -318741- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoninq: LOW DENSITY RESIDENTIAL Application valuation: 175002 I Applicant: ,,_�rchitect 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 License is in full force and effect. Licensee Class:: B License 352047 ate:tr/% ntractor: OWN -BUILDER D LARATION I hereby affirm under penalty of perjury that I am exempt from the Co ractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any ci 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).: (_) 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.). ( 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: l Lender's Address: 1� LQPERN1IT Owner: TAYLOR WOODROW HOMES, INC. 15 CUSHING IRVINE IRVINE, CA 92618 SEP 1- 2 2005 CITYOF LAQlU1NTA ( 760 WOODROW HOMES INC E, CA 92618 275-0598 No.: 352047 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/02/05 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. ,xl 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 / ��3gq700 of the Labor Code, I f rt it l comp ith those provisions. Date: ' 2-t/ pplicant: WARNING: FAILURE TO SECURE WOR ERS' CO ENSATIONKINES AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI P TO ONE HUNDRED THOUSAND DOLLARS 1$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 building construction, and hereby authorize representatives of this county 11''totenter upo a above-mentioned property for' p€cti n Gr ses. ate: ' _ \ Signature (Applicant or Agent): ! �— Application Number . . . . . 05-00003366 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 905.50 Plan Check Fee 147.15 Issue Date . . . . Valuation . . . . 175002 Expiration Date 1/29/06 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 ------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 --------------------------- 266.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/06 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 . . . . 121.92 Plan Check Fee 7.62 Issue Date . . . . Valuation . . . . 0 Expiration Date . . . 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 2685.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 93.98 647.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.94 Permit . . . PLUMBING Additional desc . Permit Fee 161.25 Issue Date Expiration Date 1/29/06 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per BASE FEE 15.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 1.00 7.5000 EA PLB WATER HEATER/VENT LQPERAIIT 10.08 0 Extension 15.00 90.00 15.00 7.50 Application Number . . . . . 05-00003366 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 Da"te 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 36, PLAN 1C 2685 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 ------------------------7--------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES' 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.72 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 17.50 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 1287.17 .00 .00 1287.17 Plan Check Total 170.07 .00 .00 170.07 Other Fee Total 2437.22 .00 .00 2437.22 Grand Total 3894.46 .00 .00 3894.46 LQPERAIIT Southwest Inspection and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 - (714) 526-8441 - Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT =z' -o D TYPE OF ❑ Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control INSPECTIONAM Post Tensioned Concrete ElFire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address /T„(may City /� Jofq Name 40� 1 L,!)` 71,T/ OV7 P .v �J 1� Is�qY Q'.1 Type of Structure Architect Material Description (type, grade. sourc Enginee&r /•9g::f����' Contractor Inspector(s/)�Name Subcontractor! r TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 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,IVUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHEC<ED, ETC. 09 2 s 1- Ver I- - Se 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 I IN IM T REG. H �- O.T. HOURS WORK UNLESS OTHERWI NOTED. I HAVE FOUND THIS WW RK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AN PLICABLE SECTIONB�F THEB4VERNINB BUILDING LAWS. Iwo All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. In addition, any inspection ex ending past noon hour will be an'8 / TURE CrF REGISTINSPECTOR hour minimum. ` 7E0 le—�` Approved PP b Y TY NO. AGENCY Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROL - JOB SITE COPY SOUTHWEST Inspection & Testing, Inc. To Whom It May Concern: Continuous Inspection & Materials Testing ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ,I..rr �..: ti -�J _ , .. r•>+{, -G: •,fit:,. �r _ �"` `�-� . �y" vi �lf� ti'l'e ��'' x.37 �aC! � �� ti+`S� 1,• 441 Commercial Way, La Habra, CA 90631-6168 (562) 9L1-2990 • (714) 526-8441 FAX (562) 946-0026 Enclosed you will find copies of Daily Inspection Reports and or Compressive Strength Testing Results for your jobsite We have enclosed these copies for you records. If you have received any reports in error please return them to Southwest Inspection and Testing. If you have any questions or comments, please do not hesitate to call. Thank you, Southwest Inspection & Testing Southwest Inspection and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT F 850 SWIT lob No. 211 Date 1 2-7--106 TYPE OF ❑ Reinforced Concrete ❑ Stritictural Steel Assembly ❑ Quality Control INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address City iil) Lu "IT Job Name Permit No. Issued By Architect Type of Structure Material Din (type. grade. source) g n Qso Z2.0-�PtS �Xp 11 0 Engineer � � Ia Q A 6.Lo� Contracto- 1 l`� Inspector(s)Name `� HE, 1N tom! Subcontractor %,,� ��--��- i LL—C �J :.� ►c�C. 1 t TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES T�7 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 TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. 1 n1 0 DV-* 5 is t.t L�v�D �. EPOS IDE—LL1iIiiiNJ �I2-� 3PLLLL ftL W -rW ISMCItJ '1"p Ale.. 3318 -- 1 8 --61 c6ti PC to 5ee&i 0 6 - 3 P 1 G 1 Ab I -0115 Pr L4 CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE B WORK UNLqS OTHERWISE NOTED. I HAVE FOUND SPECIFICAT10TlS. AND APPLICABLE SECTIONS AF TI OF NO. 'KNOWLEDGE ALL OF THE ABOVE REPORTED TO COMPLY WITH THE APPROVED PLANS, ING BUILDING LAWS. INSPECT 1 - ccs AGENCY CONTINUED ON NEXT PAGE ❑ PA -3E OF TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS 7�_ -1�1- -� All intpections bas d a i um of 4 hours and over 4 hours - 8 hour minimum. In addi ' n, a y s tion eaten ing pas hour will be an'8 hour minimum. — Approved by Project Supeintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK -INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY Southwest Inspection and Testing, Inc. 10826 South Norwalk Blvd., Santa Fe Springs, CA 90670 (562) 941-2990 • (714) 526-8441 - Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT TYPE OF einforced Concrete ❑ Str6c,tural Steel Assembly INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing REQUIRED ❑ Reinforced Masonry ❑ Asphalt sw 2 ( ; Date (( a5 11 Quality Control D Other Job Address =Z9 3 C�n ^ i � City 191r �J C / l Job Name 0-2?2: / r Permit No. Issued By ���4 Type of Structure l Vt ''' �e, ff Architect Material Description (type, gra e, source) Engineer Contractor % Inspector(s) Nome ,, n /T tc„ Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 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 TAKEN: STRUCT. CONNEECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. G zc ? ZSR 1913 q os- - 3cc- Z G �� �7 ��/ off• 3-3.6 Z- 1,24, CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HIE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND PPLICABLE E IONS OF THE GOVERNING BUILDING LAWS. _ 7//, "SIGNATURE OF REGISTERED INSPECTOR �Oe,7-7 65 Gc�— SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS All inspections based on a minimum of hours and over 4 hours - 8 hour minimum. In addition, any i ection extending past noon hour will be an'8 hour minimum. r Approved by Project Superntendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY