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BRES2022-1038
BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Building Residential Permit Number: BRES2022-1038 Property Address: 57140 CAMINO VIEJO APN: 764640030 Legal Description Lot 51 MB 413/61 TR 31910 Property Zoning: RL, 51 Valuation: $176,339.20 PHONE (760) 777-7125 �� WWW.LAQUINTACA.GOV APPLIED DATE: 12/16/2022 eca QISSUED DATE: 05/17/2023 CALIFORNIA Owner: DR HORTON LOS ANGELES HOLDING CO INC 2280 WARDLOW CIRCLE, STE 100, CORONA, CA 92878 Applicant: Mario Ornelas 2280 Wardlow Circle, Corona, CA 92878 Contractor: Mario Ornelas / 770126 2280 Wardlow Circle, Corona, CA 92878 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the WORKERS' COMPENSATION DECLARATION (1, 2 or 3) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. Agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 1/31/25 5:10 pm Page 1 of 6 1-31111111]1Z"a4 N Ly,IkI Permit Type: Building Residential Permit Number: BRES2022-1038 Property Address: 57140 CAMINO VIEJO Printed: 1/31/25 5:10 pm Page 2 of 6 1-31111111111]1Z"a4 N IT, IkI Permit Type: Building Residential Permit Number: BRES2022-1038 Property Address: 57140 CAMINO VIEJO CAPISTRANO / 2,738 SF DWELLING / PLAN 2XA / LOT 51 ... 2,738SF DWELLING - PLAN 2XA, LOT 51 [VB/RES-3/CLASS-A/13D]. THIS PERMIT DOES NOT INCLUDE ANY OPTIONS, POOL, SPA, BLOCK WALLS, BBQ, WATER FEATURE, OR DRIVEWAY APPROACH. PER 2019 CALIFORNIA BUILDING CODES. rinstructinn DPt; Residential Work Type Dwelling - Single Family Conditioned Square 2738 Garage Square 580 Detached Footage Footage Patio Square Footage 231 Fire Sprinkler Square 3109 Construction Type V-B Footage Code Edition 2019 Number of Floors 1 Number of Bedrooms 4 Number of Units 1 Building/Unit R-3: 1 & 2 Family Grading Required? Yes, New Dwelling Occupancy Dwellings, U: Utility/Misc Classification(s) Structures Dwelling Units per 3.4 Number of Flag or 0 New Electrical Square 3318 Acre (CVMSHCP) Light Pole(s)? Footage Number of Forced Air 2 Number of 3 Number of Air 1 Furnace(s) Condenser(s) Handling Unit(s) Number of Ventilation 6 Number of Exhaust 1 Number of Plumbing 15 Fan(s) Hood(s) Fixtures/Traps Number of Water 1 Water System Install Yes Number of Gas 6 Heater(s) or Alteration? Outlet(s) Sewer Connection? Yes Zoning RL General Plan LDR City Limits Within La Quinta Limits Subdivision Name TR 31910 Lot Number 51 Centerlines 93318 Lot Size 1377.84 Legal Description Lot 51 MB 413/61 TR 31910 Type Group Sq Ft Value Printed: 1/31/25 5:10 pm Page 3 of 6 1-311111]1Z"a4 N IT, IkI Permit Type: Building Residential Permit Number: BRES2022-1038 Property Address: 57140 CAMINO VIEJO Invoice No. Fee Fee Amount Amount Paid PERMIT-BRES2022-103 DIF - TRANSPORTATION $4,009.00 $4,009.00 8 RECORDS MANAGEMENT FEE - MAJOR $22.00 $22.00 FURNACE $87.54 $87.54 NEW CONSTRUCTION PERMIT 2022 $1,980.74 $1,980.74 WATER SYSTEM INST/ALT/REP $14.59 $14.59 RESIDENTIAL, FIRST 1,000SF $175.07 $175.07 RESIDENTIAL - TRACT HOME $161.06 $161.06 BSAS SB1473 FEE $8.00 $8.00 SMI - RESIDENTIAL $22.92 $22.92 CONDENSER/COMPRESSOR $131.31 $131.31 DIF - MAINTENANCE FACILITIES $313.00 $313.00 AIR HANDLER $43.77 $43.77 DIF - COMMUNITY CULTURAL $956.00 $956.00 BUILDING SEWER $29.18 $29.18 MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2022 UPDATE $1,515.00 $1,515.00 GAS SYSTEM, 5+ OUTLETS $43.77 $43.77 RESIDENTIAL, EA ADDITIONAL 1,000SF $44.64 $44.64 DIF - PARK IMPROVEMENTS $2,106.00 $2,106.00 DIF - LIBRARY $397.00 $397.00 VENT FAN $87.54 $87.54 TECHNOLOGY ENHANCEMENT FEE $8.00 $8.00 FIXTURE/TRAP $218.85 $218.85 TUMF 2023 - SINGLE FAMILY DWELLING $2,550.00 $2,550.00 DIF - FIRE PROTECTION $369.00 $369.00 EXHAUST HOOD $14.59 $14.59 AIR HANDLER PC $14.59 $14.59 MULTI STRUCTURE PLAN CHECK - EACH $58.36 $58.36 WATER HEATER/VENT $14.59 $14.59 DIF - CIVIC CENTER $1,230.00 $1,230.00 Total for Invoice PERMIT-BRES2022-1038 $16,626.11 $16,626.11 Grand Total for Permit $16,626.11 $16,626.11 Workflow Step / Action Name Action Type Start Date End Date Deferred Submittals v.1 10/05/2023 12:05 12/17/2024 9:22 Linked Solar Permit v.1 Create Sub Permit 10/24/2024 14:58 12/17/2024 9:22 Linked Fire Sprinkler Permit v.1 Create Sub Permit 10/05/2023 12:05 10/28/2024 10:29 AppliGation Completeness Cheek v.1 10/05/2023 10:41 Confirm Foos o,;a .. l Generic Action 10/05/2023 10:41 VArmflA;UMAR Generic Action 10/05/2023 10:41 Plan Check v.1 Building Major Review v.1 Receive Submittal Permit Ira...,nna •'.' 10/05/2023 10:41 CnntrarAnr n unpr_Q,,,lder Inforrngtonn v , Generic Action 10/05/2023 10:41 Printed: 1/31/25 5:10 pm Page 4 of 6 Permit Type Building Residential :1111114111►Ma4MYilIII I Permit Number Property Address BRES2022-1038 57140 CAMINO VIEJO Inspections - Do Not Pour Concrete Until Approved v.1 ........................................................................................................................................................................................... setbacks v.1 Underground Plumbing v.1 .................................................................................................. Water Line v.1 ......... .................. Footing v.1 ......... .................. Slab v.1 Inspections - Masonry v.1 Inspections - Electrical for Meter Release v.1 ........................................................................................................................ Temp Use of Permanent Power v.1 Inspections - Final v.1 ......... .................. Final Fire v.1 Final Building v.1 .................. Final Building v.2 .................. Final Planning/Zoning v.1 Inspections - Public Works v.1 Driveway Approach v.1 PW On Site v.1 Final Public Works v.1 Final Public Works v.2 Final Public Works v.3 Certificate of Occupancy v.1 Certificate of Occupancy v.1 Generic Action 10/05/2023 10:41 Generic Action 10/05/2023 10:41 Generic Action 10/05/2023 10:41 Create Report 10/05/2023 10:41 06/10/2024 0:00 ......................................................................................................................................................................................................................................................... Inspection Inspection 06/10/2024 0:00 06/11/2024 8:52 ......................................................................................................................................................................................................................................................... Inspection 06/10/2024 0:00 06/11/2024 8:53 ........ Inspection 06/20/2024 ......... 0:00 ......... 06/21/2024 9:12 .... Inspection 06/20/2024 ......... 0:00 ......... 06/21/2024 9:12 06/11/2024 0:00 Inspection 07/24/2024 0:00 07/25/2024 9:36 Inspection 08/16/2024 0:00 08/19/2024 9:58 Inspection 07/30/2024 0:00 08/01/2024 10:31 Inspection 08/27/2024 0:00 08/28/2024 17:04 Inspection 08/27/2024 0:00 08/28/2024 17:04 Inspection 08/27/2024 0:00 08/28/2024 17:04 Inspection 08/27/2024 0:00 08/28/2024 17:04 Generic Action 08/23/2024 14:14 Inspection Inspection 10/07/2024 0:00 10/08/2024 13:36 Inspection 09/03/2024 0:00 09/04/2024 14:45 Inspection 12/11/2024 0:00 12/12/2024 15:47 Inspection 09/09/2024 0:00 09/10/2024 15:51 Inspection 09/03/2024 0:00 09/04/2024 14:41 Inspection 09/09/2024 0:00 09/10/2024 15:51 Inspection 06/11/2024 0:00 06/11/2024 8:53 10/18/2024 0:00 Inspection 10/18/2024 0:00 ............................................................................................................................................................................................................................................................ Inspection 10/21/2024 0:00 10/21/2024 14:58 10/17/2024 16:48 01/08/2025 13:51 ........ ......... ......... Inspection ......... 10/17/2024 ......... 16:48 ......... 10/28/2024 .... 10:30 Inspection 12/19/2024 0:00 12/26/2024 16:44 ........ ......... Inspection ......... 01/08/2025 ......... 8:04 .................................. 01/08/2025 13:51 ........ ......... Inspection ......... 01/07/2025 ......... 11:36 ......... 01/07/2025 .... 16:49 Inspection 10/22/2024 16:01 10/23/2024 16:30 Inspection 10/08/2024 11:39 10/08/2024 11:43 Inspection 12/11 /2024 15:48 12/12/2024 14:43 Inspection 12/12/2024 0:00 12/13/2024 12:50 Inspection 12/13/2024 0:00 12/16/2024 13:48 01/08/2025 13:53 01/08/2025 13:54 Create Report 01/08/2025 13:53 01/08/2025 13:54 Printed: 1/31/25 5:10 pm Page 5 of 6 1-31111111]1Z"a4 N IT, lIII I Permit Type: Building Residential Permit Number: BRES2022-1038 Property Address: 57140 CAMINO VIEJO Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the iurisdiction shall not be valid. A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 1/31/25 5:10 pm Page 6 of 6 RTIFICATE OF OCCUPANCY DESIGN AND DEVELOPMENT DEPARTMENT This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential 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: 57140 CAMINO VIEJO Use Classification: Building Residential Occupancy Group: U: Utility/Misc Type of Construction: V-B Structures/ R-3: 1 & 2 Family Dwellings Code Edition: 2019 By: Edward Ghera Date: 1 /8/2025 12:00:OOAM Building Official: AJ ORTEGA ,CaQa�tta — GEM of the DESERT — Sprinkler Installed: YES Permit No.: BRES2022-1038 Land Use Zone: RL Sprinkler Required: YES Owner of Building: DR HORTON LOS ANGELES HOLDING CO INC Address: 2280 WARDLOW CIRCLE, STE 100 City, ST, ZIP: CORONA, CA 92878 POST IN A CONSPICUOUS PLACE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 ` (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT I EVEI. ONE. AMOUN'r. I LEVEL. IWO AMOUNT: I MI'IIGAIIONAMOUNr: I COMMANDAMOUNI': DATE: I RECEIPT: } CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Capistrano Phase 7 Owner's Name: DR HORTON LOS ANGELES HOLDING CO CHECK #: I INITIALS Date: May 11, 2023 Phone No. Project Address: (Lot 49) 57-080 Camino Viejo, (Lot 50) 57-110 Camino Viejo, (Lot 51) 57-140 Camino Viejo, (Lot 52) 57-170 Camino Viejo (Lot 113) 57-165 Camino Viejo, (Lot 114) 57-135 Camino Viejo (Lot 115) 57-105 Camino Viejo, (Lot 1 16) 57-075 Camino Viejo Project Description: 8 Single Family Dwelling Unit BRES2022-1036, BRES2022-1037, BRES2022-1038, BRES2022-1040, BRES2022-1043, BRES2022-1041, APN: BRES2022-1039,BRES2022-1042 Tract#: 31910 Lot#'s: 49,50,51,52,113,114,115,116 Type of Development: Residential xx Commercial Total Square Feet of Building Area: 20,672 S . FT. Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: S/ 1(Z,20 z 3 Signature: *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 20,672 Amount per Sq.Ft. 4.79 Amount Collected $99,018.88 Building Permit Application Completed: Yes/No By: Leticia C. Torres, Facilities Project Manager s-. Certificate issued by: Leticia Torres, Facilities Project Signature Manager 1 7 Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only For good cause, as determined by the School District, and up to three (3) such extensions may be granted. M V:C/mydncs/ciCcfccs/ccrlilicalc of"cunil liancc form Iilxlalcll 3.;2007 11/2010 0mBASF We create chemistry INSULATION CARD - DO NOT REMOVE This form must be filled out and posted to complywith building code and FTC requirements. Meets IRC Building Planning —Foam Plastics requirements. Please post near electrical panel. PLEASE ATTACH PRODUCT TECHNICAL DATA SHEET BEFOREPOSTING The following spray polyurethane foam insulation system(s)has been installed. Consult International Building Code, Section 2603 Foam Plastic Insulation, Internatonal Reside ntialCode (IRC) R314 Foam Plastics, or International Energy Conservation Code (IECC) Section 102 for sped fic re quirements. BASF Co rpora tbn Product(s) Installed: ENERTITE Series Low -Density, Open -cell Spray Polyurethane Foams: ❑ G ❑ Max ❑ X WALLTITE Series Medium -Density, Closed -cell HFO-blown SPF: ❑ Plus ❑ Max ❑ XL ❑ LWP This spray polyurethane foam insulation system has been installed in accordance with manufacturer's processing guidelines to provide a thermal resistanceof (see R-value chart on Page2). Area Irsulated R-Value Thickness" Attic Area R— @ inches Sloped Ceilings R— @ inches Walls - Location: ( HIGH WALLS & GABLES ) R— 13 @ 3.5 inches Walls - Locati on: ( EXTERIOR R— @ inches FI oors (over an unheated crawlspace) R— @ inches Crawl Space Perm eter R— @ inches Basement Interior Walls R— @ inches Other - Location: ( BELOW ROOF DECK) R— 22 @ 6 inches `Nominal thicknesses are representative of afield, spray -applied foam material. List the code -required fire protection product(s) installed (List altemafive materials or assemblies approved by 31d party ESRICCRR): ❑ 15-minuteTherm al Barrier: ❑ To Be Covered with'/2" Gypsum OR ❑ ❑ Limited Access (No Storage) Ignition Barrier: ❑ Open -cell unvented attic assembly (Referto Irtertek CCRR-1032 sections 4.4.2, 4.4.2.2, 5.6, 5.6.1, 5.6.2) ------------------------------------------------- Jobsite Location:57140 Camino Viejo La Quinta, CA 92253 Date Installed: 8-29-24 Build ing Contractor : DR Horton - Capistrano Insulation Contractor: TRUTEAM Phone: (760)262-6400 Installed By: Josue Lomeli and Kevin Torres Caution— No Hot Work- Polyureth an foam is can bust ible and should be treated as such. No welding or cutting unlessfoam has been protected from accidental ig nition by open flame. INSULATION CARD - DO NOT REMOVE BASF Corporation 1703 Cross point Avenue Houston, TX77054 Tel:800-706-0712 x2 www.sof.basf.com August 15, 2023 Page 1 of 1 IN Card-OCF-CCF-HFO-600 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 ` (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT I EVEI. ONE. AMOUN'r. I LEVEL. IWO AMOUNT: I MI'IIGAIIONAMOUNr: I COMMANDAMOUNI': DATE: I RECEIPT: } CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Capistrano Phase 7 Owner's Name: DR HORTON LOS ANGELES HOLDING CO CHECK #: I INITIALS Date: May 11, 2023 Phone No. Project Address: (Lot 49) 57-080 Camino Viejo, (Lot 50) 57-110 Camino Viejo, (Lot 51) 57-140 Camino Viejo, (Lot 52) 57-170 Camino Viejo (Lot 113) 57-165 Camino Viejo, (Lot 114) 57-135 Camino Viejo (Lot 115) 57-105 Camino Viejo, (Lot 1 16) 57-075 Camino Viejo Project Description: 8 Single Family Dwelling Unit BRES2022-1036, BRES2022-1037, BRES2022-1038, BRES2022-1040, BRES2022-1043, BRES2022-1041, APN: BRES2022-1039,BRES2022-1042 Tract#: 31910 Lot#'s: 49,50,51,52,113,114,115,116 Type of Development: Residential xx Commercial Total Square Feet of Building Area: 20,672 S . FT. Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: S/ 1(Z,20 z 3 Signature: *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 20,672 Amount per Sq.Ft. 4.79 Amount Collected $99,018.88 Building Permit Application Completed: Yes/No By: Leticia C. Torres, Facilities Project Manager s-. Certificate issued by: Leticia Torres, Facilities Project Signature Manager 1 7 Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only For good cause, as determined by the School District, and up to three (3) such extensions may be granted. M V:C/mydncs/ciCcfccs/ccrlilicalc of"cunil liancc form Iilxlalcll 3.;2007 11/2010 Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, Ca 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 Fs,Job No. Date REGISTERED INSPECTOR/ACI TECHNICIAN DAILY REPORT 220132 6-21-24 TYPE OF ❑ Reinforced Concrete ❑ Welding ❑ DIA/Epoxy INSPECTION X❑ Post Tensioned Concrete ❑ Fireproofing ❑ Wood Framing REQUIRED ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address Below Tract No. 31910 Phase Lot No. Job Name Enclave Permit no Below Issued By La quinta Type of Structure SFR Architect WHA Material Description (type, grade, source) Engineer Suncoast Contractor D.R Horton Inspector's Name Carlos A Lopez Subcontractor Green Bee TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK # TICKET # LOCATION SLUMP TEMP TEMP ADDED CAST MIX # REMARKS Verified all the reinforcing steel and post tension for the following lap, size, grade, quantity, cleanliness, clearances. Lot 51 57-140 Camino Viejo permit# BRES2022-1078 2XA Lot 52 57-170 Camino Viejo permit# BRES2022-1040 1 B Lot 113 57-165 Camino Viejo Permit# BRES2022-1043 413 Lot 114 57-135 Camino Viejo Permit# BRES2022-1041 1 A All work done per plan and the Spec unless noted otherwise 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 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATION, AND APPLICABLE SECTION OF THE GOVERNING BUILDING LAWS. SIGNATURE -OF REG4STERED INSPECTOR PST 9723816 ICC SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN TIME OUT SAMPLES 8am 12pm Approved By Pr ' uperintendent White — Office Copy • Canary — Accounting Copy • Pink — Inspector's Copy • Goldenrod — Jobsite Copy SITI F-049 S:\FORMS\DAILY REPORT TEMPLATES & FORMS\Concrete Tech_Inspector's Daily Report Template.dot ©Southwest Inspection & Testing, Inc.