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06-0189 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity/ 1 4 4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000189 Property Address: 81765 VIA LA SERENA APN: 767 -200 -011 -18 -318742 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 175002 Applicant: rchitect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION 1 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. License Class: Nearise No. 047 /ate:ntractor: OWNE - ILDER DECLARATION I hereby affirm under penalty of perjury that I am exam 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 70001 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 10 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 _ 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: LQPERMIT Owner: TAYLOR WOODROW 15 CUSHING IRVINE HOME; IRVINE, CA 92618 Contractor: TAYLOR WOODROW HOME: 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 1 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 WA76SD283614055 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 3n�00 of th abor Code, I shall forthwit mply ith t t1S2p ovisions. ate: / W* pplicant: WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS U WFUL, 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 inform tion is correct. I agree to comply with all city and county ordinances and state laws relating to building constructio and her y ut o ' e representatives of this cou ty to eter upon the above-mentione proper y for inspection pur se,. aB te: V nature (Applicant or Agent): Application Number . . . . . 06-00000189 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 905.50 Plan Check Fee 147.15 Issue Date . . . . Valuation . . . . 175002 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 7F.nn ---------------------------------------------------------------------------- .5000 THOU BLDG 100;001-500,000 2bb.UU Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 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 . . . . 121.92 Plan Check Fee 7.62 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/06 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 . . 7/12/06 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 LQPERMIT 10.08 0 Extension 15.00 90.00 15.00 7.50 Application Number . . . . . 06-00000189 15.00 Permit . . . . . PLUMBING ------------- SFD - LOT 18, PLAN lA 2685 SF. Qty Unit Charge Per 2001 CODES. PERMIT DOES NOT INCLUDE 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 Issue Date . . . . Expiration Date 7/12/06 Plan Check Fee . Valuation . . . Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------------------- Special Notes and Comments ------------- SFD - LOT 18, PLAN lA 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 ---------------------------------------------------------------------------- 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 LQPERMIT Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 90631 I ^ -7(n - 1/" '161,14 1_990 • (714) 526-8441 o Fax (562) 946-0026 V LrT-0UK-ClvrrSV D G O� . REGISTERED INSP C .ORS'S DAILY REPORT TYPE OF einforced Concrete ❑ Streictural Steel Assembly ❑ Quality Cont I INSPECTION ff Post Tensioned Concrete ❑ Fire Proofing ❑ Other REQUIRED ❑ Reinforced Masonry ❑ Asphalt Job Address %� �► - Citi, Job Nome P it f�'i;;�� O Issu d BY Type of Structure Architect Material Description (type, gr de. source) Engineer Contractor Inspector(s) Name -' Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDIT1 AL REMARF:S ON SAMPLES y 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 & [DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTSROUED) C IX ETC. Ae_ o 0 Z100/1 17' 04z �sL p CERTIFICATION OF COMPLIANCE 1 HEREBY CERTIFYTHAT I HAVE OBSERVED TO THE BEST OF MY KN WLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS W O COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE ECTjS ILF NING BUILDING LAWS. SPECIALTY� NO// 1,571 GENCY CONTINUED ON NEXT PAGE U PAGE OF TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS All inspections based on a minimum of 4 ho r and over 4 hours - 8 hour minimum. In addition, any insp tion exten past on ur will be an'8 hour minimum. Approved by Project Superint#ndent 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, C1381 C143, C1729 C173, C231, :1064 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS:81-765 LA SIRENA, LA QUINTA JOB ON 50211 DATE: 7/29/2006 JOB NAME: CARMELA @ LA QUINTA PERMIT #: 06-189 ISSUED BY: LA QUINTA ARCHITECT: ENGINEER: INFINITY CONTRACTOR: TAYLOR WOODROW HOMES SUB CONTRACTOR: CAMPBELL CONCRETE ________________________________________________________________________________ LOCATION IN STRUCTURE: LOT# 18 FOOTINGS & SLAB _____________-__________________________________________________________________ CONCRETE SUPPLIER: SUPERIOR PLANT: COCHELLA MIX #: D836251D TYPE OF CEMENT : II/V ADMIXTURE: TICKET #: 11322 SLUMP : 5" WATER ADDED: 20 GAL. AIR TEMP: 85 F CONCRETE TEMP: 68 F MIXING TIME: 30 MIN. TIME CAST: 9:30 ______________________________________________________________________ DATE CAST: 6/2/2006 RECEIVED AT LABz 6/3/2006 SPECIMENS MADE BY: _______________________________________________________________________________ TERRY SAVIN SPECIFIED PSI: 4000 FIELD IDENTIFICATION! ----------------------------------------------------------------------- A | B \ C \ D | E LAB IDENTIFICATION ____________________-______________________________-__________________________- : 609545 : 609545 : 609545 : : AGE DAYS : 7 : 28 : 28 DATE TEST : 6/9/2006 : 6/30/2006 : 6/30/2006 SIZE -IN. : 6.000X12 : 6.000X12 : 6.000X12 AREA-SQ.IN. : 28.27 : 28.27 : 28.27 CRUSH LOAD -LBS : 73410 : 116640 : 117390 COMP-STR.-PSI. : 2600 : 4125 : 4150 I H/D CORR FACTOR CORR.STR.-PSI TIME TESTED BREAK TYPE C.T.M. USED : FORNEY : FORNEY : FORNEY __________________________________________________----------------------------- ------- ________________ REMARKS: ______________________________________________________________________________ ASTM C39, C174, C192, C470, C6171 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: ENAN R. LAB. ASTM C39 BREAKS A= cone B= c 'e and split C= cone D=sh2ar E=columnar )UINTA IEPARTMENT F UpalllWN-701 C1�60 QUEST LINE 777-7153 AYLOR WOODROW HOMES INC Owner `Contractor TAYLOR WOODROW HOMES, INC. I Permit Number 06-189 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 81-765 VIA LA SERENA SFD - LOT 18, PLAN IA. PERDZIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE G -- L-ob dG- U/G.ELECTRICAL / GROUNDING FOOTINGS / STEEL 41 CONCRETE SLAB db �✓ DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF Z -3(-6(. OKAY TO WRAP 9- Q -o6 FRAMING COMBINATION ROUGH ELECTRIC ` ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL 4? • 0?'1 - Oc. ,DGS EXTERIOR LATH 9- oto -D!, GAS TEST Cl - o24 -o4 �v SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR, 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 3 - 0 7 4 ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED 4- - S -,&-) ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING ,- Certificate of Occupancy0 0 IM G� OF�9w 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: 81-765 VIA LA SERENA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-189 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: DAVID GATICA Date: JUNE 5 2007 Building Official POST IN A CONSPICUOUS PLACE