06-3326 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
27c&&t 4"
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
06-00003326
54280 AFFIRMED CT
767-320-999-302 -32879 -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
197578
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 Profes 1onals Code, and my License is in full force and effect.
License Cl ss: B License No.: 701039
Date: ntracCiess
OWNER-BUILDER DECLARATION
I hereby affirm under penalty ohat I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, 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: pr
Lender's Address: r
LQPERMIT
Date: 1/04/07
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
D
Contractor:
TRANS WEST HOUSING, INC FFB 0 9 7
9968 HIBERT STREET, STE #1 2
SAN DIEGO, CA 9?131 CITY OF LA Q;
(858)653-3003 FINANCE DEs
Lic. No.: 701039
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 STATE FUND Policy Number 1648813-2006
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 s ouId become subjectho the workers' compensation provisions of Section
�y 700 of the Labor C I shall forthwi omply with those provisions.
date. / '4 plicant-.
WARNING: FAILURE TO SEC RE W RKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADD N 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 bu' ding construction and hereby authorize representatives
of this ou ty to enter upon the above-mentioned grope far inspecti urposes.
a� , �ig re (Applicant or Agent):U ) -
t
LQPERMIT
Application Number . . . . . 06-00003326
Permit
. . . . .
BUILDING PERMIT
Additional
desc . .
-Permit Fee
. . . .
982.50
P1an.Check Fee
638.63
Issue Date
. . . .
Valuation . . . .
197578
Expiration
Date
7/03/07
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
98.00
--=-----------------------------------------
3.5000
THOU BLDG
100,001-500,000
7 -------------------------------
343.00
Permit
. . ..
MECHANICAL
Additional
desc . .
Permit Fee
. . . .
96.50
Plan Check Fee
24.13
Issue Date
. . . .
Valuation
0
Expiration
Date
7/03/07
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
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
---------------
6.5000
-----------
EA MECH
-----------
EXHAUST HOOD
---------------------------
6.50
------------
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
136.94
Plan Check Fee
34.24'
Issue Date
Valuation . . . .
0
Expiration
Date
7/03/07
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
3140.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
109.90
602.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.04
Permit . . PLUMBING
Additional desc . .
Permit Fee. . . . . 167.25 Plan Check Fee .
Issue Date . . . . Valuation . .
Expiration Date 7/03/07
Qty Unit Charge Per
BASE FEE
16.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
41.81
0
Extension
15.00
96.00
15.00
1
A,
Application Number• . . . . . 06-00003326
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE
FEE
Extension
1.00
7.5000
EA
PLB
WATER.HEATER/VENT
7.5.0
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
.00
Additional
desc . .
355.00
DIF PARK MAINT FAC - RES
22.00
Permit Fee
. . . .
892.00
15.00
Plan Check Fee
.00
Issue Date
. . . .
67.00
Valuation . . . .
0
Expiration -Date . . 7/03/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 302. PLAN 2C, 3140
SF.
PERMIT DOES NOT INCLUDE POOL,
SPA,
BLOCK WALLS OR DRIVEWAY APPROACH. 2001
CBC, CMC, CPC; 2004 CEC, 2005
ENERGY
CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . .ART
IN PUBLIC PLACES -RES
20.00
v DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
63.86
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
19.75
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged
----------
Paid Credited
------------------------------
Due
--•---------------
Permit Fee Total 1398.19
.00 .00
1398.19
Plan Check Total 738.81
.00 .00
738.81
Other Fee Total 3799.61
.00 .00
3799.61
Grand Total 5936.61
.00 .00
5936.61
LQPERMIT
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r
IIIIIIIIIIIIIIIIIIIIIl 21
IE
L;onirBCiOr 1xyty \a yyL',71 IIVuams"
Permit Number 06-3326
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-280 AFFIRMED COURT
SFD — LOT 302, PLAN 2C, 3140 SF. PERMIT DOES
NOT INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS - R-07
U/G PLUMBING /WASTE -8
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB I 3 • IG. o'1
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF
NY TO WRAP
MING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL L -11- t")
EXTERIOR LATH
GAS TEST 1 Q - 0 7 .1►
SEPTIC ABANDONMENT
SEWER CONNECTION ..9 LA • o
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 ''1- 7,p Ol 9 --
ELECTRICAL
ELECTRICAL O-
WBING
.,:HANICAL
PUBLIC WORKS DEPARTMENT Q %
COMMUNITY DEVELOPMENT DEPT. : p
FINAL / JOB COMPLETED j,, _�� d') ,eLj
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
A.mwoot _A7P
%Vgj*A a 11rWj1ff " A
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
rojpEct Address
�T 30.t yy,24oA"
,'
Builder Name
TRaNs l��r �s►N� �.�
Builder Contact_-- -1-e Telephone
--IAcx ,r ) ii
Plan Number
HERS Rat p Telephone
N t e z7 -z-
Sample GroupNumber !A
I
Compliance Method (Prescriptive
Climate Zone L5
Certifying Signatur — Date
Sample House Number
/il ere.r►aeL
/J[7p , r _
F(rOAcM�Cf—f.fk �(ttit—t.0 �+-N.G G 41►s Kc.7"'�ild
HERS Pro ider
C�f3'�-- i�
Street Address:
7-LyzZ �Asrz� ��4-af
City/State/Zip:
c�►�r� �c=S��a.: L>A 92'L1l
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ POTested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new
distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested—building. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested
buildings.
The installer has provided a copy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
C� New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓ INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: -Sys
t Lsyp 2
Duct Pressurization Test Results (CFM (ate 25 Pa)
Measured
Values
I
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ ooling ✓ ❑ Heating) or ✓ ❑ Measured
2
Enter Total Fan Flow in CFM:
00
1 « ✓ ✓
3
Pass if Leakage Percentage < 6% [ 100 x L__(Line # 1) /.(Line # 2)]]L
a y Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Enter Tested akage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
4
Duct System A on and/or Equipment Change -Out.
Enter Tested Leakage CFM: Final Test of New Duct System or Altered Duct System
5
for Duct System Alteration an quipment Change -Out.
Enter Reduction in Leakage for Alte uct System L_(Line # 4) Minus (L )]
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to jMMSOLyplicable)
8
Entire New Duct System - Pass if Leak P entage <_�>�
11 Pass 11 Fail.
100 x Line # 5 /
TEST OR VERIFICATION STAND S: or Alte uct System a r HVAC Equipment Change -Out ✓
Use one of the following four Test or erificatio andards for compliance:
9
Pass if Leakage Percentage 5 15% L(Line # 5) / (Line ❑ Pass ❑ Fail
I0
Pass if Leakage to Outsid entage <_ 10% [100 x [(Line # 7) / (Line # ❑ Pass ❑ Fail
Pass if Leakage ction Percentage >_ 60% [100 x [(Line # 6) / (Line # 4)]] ❑ Pass ❑ Fail
11
and Veri on b Smoke Test and Visual Inspection
1�PsWgealing
ofall Accessible Leaks and Verification by Smoke Test and Visual Ins ection ❑ Fail
Pass if One of Lines # 9 through # 12 pass ❑ Pass Fail
Residential Compliance Forms April 2005
09-25-07;02;15PM;GATEWAY INS. ;951-300-1576 # 3/ 13
a
THIS IS TO CERTIFY THAT INSULATION IIAS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 54280 AFFIRMED COURT, LA QUINTA CA.
EK
TERiO WALLS: -
2X4
MANUFACTURER — CERTAINTEED THICKNESS/TYPE — 6.25" FIBERGLASS
RNALUE — R19
EXTERIOR WALLS.— 2 X 6
MANUFACTURER— CERTAINTEED THICKNESS/TYPE-6.251, FIBERGLASS
R/VALUE — R19
CEILINGS
BLOW: MANUFACTURER—CERTAINTEED THICKNESS/TYPE —14.75"rIBERG LASS
RNALUE — R38
GENERAL CONTRACTOR: TRANSWEST HOUSING LICENSE #
INSULATION CONTRACTOR: GATEWAY INSULATION. INC. LICENSE # 797001
BY; J&Ab -
ffft TITLE; OPERATIONS MGR. DATE: 9/25/2007
BUTCH INGRAM OPERATIONS MANAGER.