07-1758 (SFD)of
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07=00001758 —�
Property Address: 54155 CANANERO CIR
APN: 767-320-999-284 -32879 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 197578
Applicant: Architect or Engineer:
. y=
-------------—----
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 of the Business and Professionals Code, and my License is in full force and effect.
License Class: j License No.: 701039
at
�Vont,acttir:
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_) I, 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 _ I 1, 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 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: gyp{,
Lender's Address: ( _
LQPERMIT
Owner:
GRIFFIN RANCH, LLC
47120 DUNE PALMS ROAD, STE. C
LA QUINTA, CA 92253
Contractor:
TRANS WEST HOUSING,
9968 HIBERT STREET,
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/21/07
------------------
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 4086941904
_. 1 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
1 3700 of the Latrpr Code, I shall fort4vAth comply with those provisions.
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.
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 heieby authorize representatives
of this cpdnly to qnter upon th bove-mentioned property for inspectio rpose
D e: ature (Applicant or Agent): L
0
LQPERMIT
Application Number . . 07-00001758
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee
982.50
Plan Check Fee
638.63
Issue Date . .
. .
Valuation . . . .
197578
Expiration Date
12/15/07
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
98.00
-------------------------------------------7--------------------------------
3.5000
THOU BLDG
100,001-500;000
343.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
96.50
Plan Check Fee
24.13
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
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
12/15/07
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
41.81
Issue Date . .
. .
Valuation . . . .
0
Expiration -Date
12/15/07
12/15/07
Qty Unit
Charge
Per
Extension
BASE
FEE,
15.00
16.00
6.0000
EA PLB FIXTURE
96.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00 -
Application Number . . . . . 07'-00001758
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE
FEE
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
Issue Date . . . .
Expiration Date . . 12/15/07
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 284. PLAN 2A, 3140
SF.
PERMIT DOES NOT INCLUDE POOL,
SPA, BLOCK
WALLS OR DRIVEWAY APPROACH. 2001
CBC,
CMC, CPC, 2004 CEC, 2005 ENERGY
CODES
APP CREDIT $20.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . ..
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
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
1930.00
Fee summary Charged
Paid Credited
Due
----------------- ----------
Permit Fee Total 1398.19
---------- ---------- 7 ---------
.00 .00
1398.19
Plan Check Total 738.81
.00 .00
'738.81
Other Fee Total 4558.61
.00 .00
4558.61
Grand Total .6695.61
.00 .00
6695.61
LQPERM[T
tERTmCA'r E OF MLD 'N>" .MCAT ION 4Y tJ�tAE=ltil U�'!'l C: 'i. ��'!'i IV G (Page I of tit) CF -AR.
sy IS CA AJ,4^J.� 0�,�r
pmjcet Add=
1L6�444
Builder Name
o(i SND
I` Builder Contact
L Telephone
Plan Number
Dave Highland,
( 909) 499-6354
Ra
Tel phone
Sample Group Nuhiber
N ° ;� 2 1
opB
j
Certifying Si
Date
Sample House Number
�....�
Firrupave Highland
Testing & Diagnostics HERS Provider.
CHEERS
Street pd&x=16821 McPherson' Avenue . Cityntsteaip: Lake ElsinorffiLgL-ffifig
copies to: Bunder, HERS Provider and RmIding Department ,,QE SENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓Tested 13 Approved as part of sample testing„ but was not tested
As the HERS nater p>oviding v" diagnostic testing and field verification, I certify Shat the house identified on this form complies
with the diagnostic tested en Lance requhmnents as checked on this form. The BERS rater must dhcck and verify that
the new distibution system is hilly ducted and correct tape is used before a CF-4Rmay be released on every test building.
The HERS rater mast not release the CF -4R until a properly completed and signed MR has been received for the sample
and tested buildings.
0[ Tho WWW htts provided a copy of CF -6R (Installation Catificate),
New Distribution system is fully ducted (Le„ does not use building cavities as plenums orplatform returns in lieu of
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.
Q M M MUM REQUMEMENIS FOR DUCT LEAIGIGE REDUCTION COMPLIANCE CREDIT
Pr�res forfreld verifuation and diagnostic testing of air distribution syst'etns are available in RAGV4 Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: AJ /it! /74ouS6 2z^_?6
Measured a1
Duct Presstuizefion Test Results (CFM (Qa 25. Pa) Values ^
I I Enter Tested Leakage flow in CFM:
2 Fan Flow: Calculated (Nominal -V Voolin
Enter Total Fan Flow in CTM -
3 1 Pass if Leakage Perrmtage S 6% [ 100X
NEW CONSTRUCTION: i
Heating) or ✓ D Measured
`TSD (Line # 1) -1 _(Line # 2)J]
�� ... ..B tZ7 /Loow
Duct Pre=rization Test Results (CFM @ 25 Pa)
1 I Enter Tectal Leakage Flow in CFM: /
2 Fan Flow: Calculated (Nominal-ve Cooling ✓ Cl
Enter Total Fan Flow in CFM:
3 1 Pass if Leakage Percentage S 6% [ 100 x r
NEW CONSTRUC ON:
or *113 Measured
ine # I)1/fiO0(Line #
Zo 0-0 + ,/ ✓
ass 0 Fail
Measured
Values
�g6
tl bPass O Fail
Duct Pressurization Test Results (CFM Q 25. Pa) M`as'er r" '-
- -- — -- Values `. ..
1 I Enter Tested Leakage Flow in CFM:
2 Fan Flow: Calculated (Nominal: V C
Enter Total Fan Flow in CFM:
3 1 Pass ifLcakege Percentage S 6%
NEW CONSTRUCTION:
or ✓ O Measured
[ 100 x r_(L.ine # 1)'1 (Line # 2)]]
Duct Pressurization Test Results (CFM Q 25. Pa)
1 Enter Tested Leakage Flow in CFA&
2 Fan Flow: Calculated (Nominal- V, i? Cooling ✓ O Heating) or ✓ O Measured
Enter Total Fan Flow in CFM:
Mcasuttcd
Values
0 Pass ❑ Fail
✓ ✓
0