07-1531 (AR)111111111111111111111 19
IE
P.O. BOX 1504 T4&t 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00001531
54275 AFFIRMED CT
767-20 -999-297 -32879 -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
17389
Architect or Engineer:
P/r-
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 Bu iness nd Professionals Code, and my License is in full force and effect.
License rs: B License No.: 701039
ate: lU O ontractor:
OW R -BUILDER 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, 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.).
(_) 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:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/07
Contractor: i t#20�O
TRANS WEST HOUSING
10721 TREENA STRE SAN DIEGO, CA 92 1�'fii )`)
(858)653-3003 �oOl
Lic. No.: 701039 cifyCF ✓
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 US FIRE INS CO Policy Number 4086929772
_ 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
3,700 of the Labor Co , I sh I forth ith comply with those provisions.
0001 -,cant:
WARNING: FAILURE TO SECURE RKERS' 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.
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 1 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 cou /t -y q enter upon the above-mentioned grope y for ' spe�rposes.eY1 nature (Applicant or Agent):
Application Number . . . . . 07-00001531
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
189.00 Plan Check Fee
30.71
Issue Date . . . .
Valuation . . . .
17389
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
16.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
144.00
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
55.00 Plan Check Fee
3.44
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
1.00 22.5000
EA MC B/C >15 <=30HP/500K-1M BTU
22.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
6.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
15.04 Plan Check Fee
.94
Issue Date . . . . .
Valuation
0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .0350
-------------------------=
ELEC NEW RES - 1 OR 2 FAMILY
---------------------------------------
.04
-----------
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
36.00 Plan Check Fee
2.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
DASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
1.00 3.0000
----------------------------------------------------------------------------
EA PLB WATER INST/ALT/REP
3.00
Permit . . . . . . GRADING PERMIT
LQPERMIT
Application Number . . . . . 07-00001531
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee .
Issue Date . . . . Valuation . . .
Expiration Date . . 11/20/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
LOT 297 - ADDITION OF 304•S.F. CASITA
DURING
CONSTRUCTION OF SFD. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULITPLE
ISSUANCE OF SAME PLAN TYPE.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY
REVIEW
FEE
3.07
STRONG
MOTION
(SMI) - RES
1.73
Fee summary Charged Paid Credited
-----------------
Due
--------------------
Permit Fee Total 310.04
----------
.00
----------
.00
310.04
Plan Check Total 37.34
.00
.00
37.34
Other Fee Total 4.80
.00
.00
4.80
Grand Total 352.18
.00
.00
352.18
LQPERMIT
O
F QUINTA
ON P184 G ETY DEPARTMENT
OF �[UU(UI // -7012
ClTyOF$ q I REQUEST LINE IIIIIIIIII
FINANCE pEPT A 7-7153
Owner GRIFFIN RANC , LC
Contractor TRANS WEST HOUSING
Permit Number 07-1531
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-275 AFFIRMED COURT
LOT -297, ADDITION OF 304 S.F. CASITAj--g-7 +D4
DURING CONSTRUCTION OF SFD 4--
U-�.1� XV,,t_ 0_� PA,.,a c-. 332 2
TYPE OF INSPECTION DATE INSPOF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
LING (COMBINA
HnI IC,H FI FCTRIC
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRlrVALL
EXTERIOR LATH
GAS TEST
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) I
P' "'MBING
HANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Permit Number 06-3322
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-275 AFFIRMED COURT
SFD - LOT 297, PLAN 1BR, 3017 SF. PERMIT DOES
NOT INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION I DATE I INSPP,
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE o-) 4DCZ
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL 3- 3 D
CONCRETE SLAB 'A- H- ft'l h
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF
--/ -e 4Cs
1Y TO WRAP
4-07 %0 -
:MING COMBINATION
ROUGH ELECTRIC
'L
ROUGH PLUMBING
ROUGH MECHANICAL
4
INSULATION
G -.24-e 7 4
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL -7 - S -o 06,
EXTERIOR LATH 1.3-0-7
.DCs
GAS TEST 11 2 - a
SEPTIC ABANDONMENT
SEWER CONNECTION 7 - -3 - o %D
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
ELECTRICAL
'MBING
.:HANICAL
PUBLIC WORKS DEPARTMENT 114 -Z D
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
09-25-07;02:15PM;GATEWAY INS. ;951-808-1576
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 54275 AFFIRMED COURT, LA QUINTA CA.
EXTERIOR WALLS:- 2 X 4
MANUFACTURER - CERTAINTEED TIIICKNESS/TYPE - 6.25" t IBERGLASS
R/VALUE - R19
EXTERIOR WALLS.- 2 X 6
MANUFACTURER- CERTAINTEED THICKNESS/TYPE - 6.25" FIBERGLASS
R/VALUE - Rl9
CEILINGS
BLOW: MANUFACTURER- CERTAINTEED THICKNESS/TYPE -14.75" FIBERGLASS
R/VALUE - R38
GENERAL CONTRACTOR: TRANSWEST HOUSING LICENSE #
INSULATION CONTRACTOR: GATEWAY INSULATION, INC. LICENSE # 797001
BY: TITLE: OPERATIONS MGR. DATE: 9/25/2007
/ BUTCH INGRAM OPERATIONS MANAGER.
h
# 8/ 13
1101114'lfill VA'1'r,OF FIELD VERIFICATION & DIAGN0STIC'1'ES'1'Mki il,irage 1 of a
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Builder Name
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'�RaNs vs
�� Telephone
Plan Number
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Telephone
sample GroupNumber
ulhod Prescri tive
Climate Zone L5
tnkurc
Date
Sample House Number /lo
HERS Pro ider
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City/State/Zip: /
tllilrlt 1t►' !I# 111,ill,I4, TIERS PROVIDER AND BUILDING DEPARTMENT
III IN RA.'I'I-lk COMPLIANCE STATEMENT
j 1(U 11111140 wtiN; ✓ ❑Tested ✓ Approved as part of sample testing, but was not tested
f stn I�I') 411`11'1 initlr providing diagnostic testing and field verification, I certify that the house identified on this fol
I'l(+
1114 (tI11t1 ICAleil compliance requirements as checked ✓ on this form. The HERS rater must check and verify
l t1111(NIIII Nyoldl(1 is fully ducted and correct tape is used before a CF -4R may be released on every tested buil i,
d,1 ++il(1g111O1 101c►Ne the CF -4R until a properly completed and signed CF -6R has been received for the sample a
j �•tl{irllll,1
1119111411111cr I►as provided a copy of CF -6R (Installation Certificate).
IJNw I }IMkrlltl+tlt►t1 system is fully ducted (i.e., does not use building cavities as plenums or platform returns
i NoW tptolils where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands a
I,itkili{tlitilm with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
)ftIIMII4ilINI ItEQUiREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
1 , , t • Iliit fiir,lldlll vt'r(fieation and diagnostic testing of air distribution systems are available in RACM, Appen
11ii 111111pIliiallo Leakage Testing Results
,! 11 # I4Nq'I'1411t,1'ION:
Measured
1111 111(rpirlUltlit lou Test Results (CFM (7a, 25 Pa) IValues
Owl 111151fil 1,011
I .-$I i low I'nlell
1 III. -I 111141 hill.1
Flow in CFM:
(Nominal: ✓ ❑ Cooling ✓ ❑ Heating) 01"10 Measured
In rFivt-
if I rltknga ftruentage <_ 6%
111i14#11 I1IICt System and/or HVAC
[ 100 x [__(Line # 1) / (Line # 2)1]
I oil, I I offitl I likoge Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
i III, I +Yitli1111 n and/or Equipment Change -Out.
8 I lilt I I iwetl 1,001kuge CFM: Final Test of New Duct System or Altered Duct System
( i f lit, I (lyliktllll, Alteration an ui ment Chan a -Out.
1 lilt l l(Wilt;lllin lit k,eakage for Alte uct System [__(Line # 4) Minus (L
14IIIIV II'AIIIIIIcidllu)
1 IiII f 1 Coled I,anknge flow in CPM to Outside
p 1 (rillp Ncw I IuCI System - Pass if Leak a P
1141 it (.---.,... Q'Ine It 5 I
l# y1 ##14 V10I111WCATION S'T'AND S: or
1 #e� 1.110 flf IIIc (iitkilwl ig four Test or Werificatiql
I'a 1 If {,Rnkugn Percentage S 15% LOOTL
aSystema r HVAC Equipment Change -O
for compliance:
Line # 5) / (Line
11,1>1 If 1,Cilhilgo to Uutsld entagc 5 iO% [100 x [ __(Line # 7) /
l;ctikligo ction Percentage z 60% [100 x L_(Line # 6) /
#! h ii1 Vl In by Smoke 'rest and Visual Inspection
(Line # 2m
(Line # 4))]
, f .. as
I r 1'4__ 4,iiljgg Unit Accessible Leaks and Verification b Smoke Test and Visual Inspection �
S Pass if One of Lines # 9 through # 12 pass
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