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07-1761 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: :�07=0000176.1 Property Address: 54130 ANC ANERO CIR APN: 767-320-999-292 -32879 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 237220 Applicant: Vol TWyl 4 BUILDING & SAFETY DEPARTMENT BUILDING TERMIT Owner: GRIFFIN RANCH, LLC 47120 DUNE PALMS ROAD, STE. C DETACHED LA QUINTA, CA 92253 _ Architect 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. License Class: jB license No.: 701039 Date: tractor: % OWNER -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 _ 1 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.). 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.). (_ 1 1 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: A LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/07 D a Contractor: TRANS WEST HOUSING, INC 9968 HIBERT STREET, ST # 2 AR 192008 SAN DIEGO, CA 92131 C (858)653-3003 F `a�®(/JJYT Lic. No.: 701039 ►]A®. A ------------------ WORKER'S COMPENSATION DECLARATION 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 4086941904 _ 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 Q700 of phe L or Code, I shall f�hw' comply with Provisions. ate: d1►, licant: C��_�L 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 1$100,0001. 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 thi, 1Iunttyi tp enter po a above-mentioned operty for inspecti n�urpos i ate:_) I 1 —1 ignature (Applicant or Agem): L / Application Number . . . . . 07-00001761 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1122.50 Plan Check Fee 182.41 Issue Date Valuation 237220 Expiration Date 12/15/07 Qty Unit Charge Per Extension BASE'FEE 639.50 138.00 ------------- 3.5000 ; THOU BLDG 100,001-500,000 483.00 . . . MECHANICAL Additional desc . . Permit Fee . . . . 103.00 Plan Check Fee 6.44 Issue Date Valuation . . 0 Expiration Date 12/15/07 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 7.00 6.5000 EA MECH VENT FAN 45.50 .1.00 -------------7-------------------=------------------------------------------ 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 162.92 Plan Check Fee 10.18 Issue Date . . . . Valuation 0 Expiration Date 12/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 3772.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 132.02 795.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.90 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . .185.25 Issue Date . . . . Expiration Date . 12/15/07 Plan Check Fee . Valuation Qty Unit Charge Per BASE FEE 19.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERMIT 11.58 0 Extension 15.00 114.00 15.00 Application Number . . . . . 07-00001761 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 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 Date 12/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------=------------------------------------------------ Special Notes and Comments SFD - LOT 292, PLAN 4CR/CASITA, 3772 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES APP CREDIT $93.05 --------------------------------- ------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 18.24 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 23.72 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 - Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 1588.67 .00 .00 1588.67 Plan Check Total 210.61 .00 .00 210.61 Other Fee Total 4516.96 .00 .00 4516.96 LQPERMIT CERTI FrC9k"E OF FMLD 'i'1".R]Y1CA f10N Pi kGN0S*1 U 'FES*1'J NG (Page I of S) CFr4R �/ G/fJ % M 2-23 Builder Nam �91Z ��`46�L�ARv �O Builder Contact Telephone Ptan Number i_ Dave hl d (909) 499-6354 — E AI epbone Sample Group umber 8 Si Date Sample use Number �+ aS� o1�4� nn.ave HighlERSand Testing I & Diagnostics Hprovider: CHEERS FiD StroctAddre=16821 McPherson Avenue City/State/Zip:Lake ElsinoFA,Q rukAo Copics to: Bunder, HERS Provider =W Bu Wg Department =HEPAR-1MFNT HERS RATER COMPLIANCE STATEMENT "" COPY The house was: ✓ Tested ✓ ❑ Approved as part of sample testing, but was not tested As the ITERS rater p%vidmg diapostie testing and field verification, I certify that the house identified on this form complies wild the diagnostic tested cqmpliaucc requirements as checked ✓ on this form. The HERS rater must check and verify that Ole ucw distn1ution system is f idly ducted and correct tape is used before a CF -4R may be released on every tested buidding. 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. Tbo Wswlw hag provided.a copy of CF 6R anstallation Certificate). New Distribution system is fully ducted (i.e., docs not use building cavities as plenums or platform returns in lieu of ducts). Now systems Where cloth backed, .tubber 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. IYIIIYpard REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT res forfield venfcabon and diagnostic testing of air distribution systems are available in RACA4 Appendu RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Measured :;a7 i pact Prrasurization Test Results (CFM @ 25. Pa) Values° : l Eta Tested Leakage Now in CFM:[7- _✓ Fan Flow; Calculated (Nominal: FCooling ✓ ❑ Heating) or ✓ ❑ Measured a 2 Enter Total Fan Flow in CFM: • 6 a pass 0 Fail 3 Pass if L.&AW Percentage:5 6% [ 100 x (Line # 1) lZa (Line # 2)]j NEW 1g2NSTRUCfION: Duct P emnization Test Results(CFM @ 25. Pa ) Mcasttrod Values : a . `= l Enter Tested Leakage Flow in CF?& 'Zo j0016 1103 =,S� y 2 Fan Flow; Calculated (Nominal: tooling ✓ ❑ Heating) or ✓ 0 Measurod ��� ✓ Enter Total Fan Flow in CFM: 3 Paso if Leakage Percentage 5 6% [ 100 x r0 (Line # 1)1Zga (Line # 2)11 , � � Pass 0 Fail NEW CONS MUCI70N: 1r-04 clyr Duct Pre mrization Test Results (CEM @ 25. Pa) Measured Values = 'R l Entar Tested Leakage Flow in CFM Fan Flow: Calculated (Nominal:"ling,/ 0 Heating) or ✓ O Measured 2 / Q Enver Total Fan Flow in CFM: (p 3 Pass if Leakage Percentage S 6'Yo j 100 x Od (Line # 1)1 (Line # 2)]] pass 0 Fail NEW CONSTRUCPION: Duct Pressurization Test Results (CFM Q 25. Pa) Measured Values - 1 Entar Teatcd Leakage Flow in CFM Y 2 Fan Flow: Calculated (Nominal- 13 Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: ✓ ✓