07-1784 (SFD)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07=00001784
Property Address:, 54170 CANANERO CIR
APN: 767-320-999-293 -32879 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 209715
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GRIFFIN RANCH, LLC
47120 DUNE PALMS ROAD,
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 Ca1ss: tB n L nye No.:,' 701039
/ ,..,
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 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(sl licensed
pursuant to the Contractors' State License Law.).
(_ 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:
Lender's Address:
LQPERI%IIT
STE.
Contractor:
TRANS WEST HOUSING, INC.
10721 TREENA STREET, #20
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/19/07
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.
1 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, 1 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
at (�70offLabo�r..C.o/d/e,y1l�lshall forthwith comply with those provisions.
nt:
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 hereby authorize representatives
of th' co ty t e p n the above-mentioned property for inspectio ,posesJ
Kt Signature (Applicant or Agent):
„
Application Number
07-00001784
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1024.50
Plan Check Fee
166.48
Issue Date
Valuation
209715
Expiration Date
12/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
110.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
385.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
108.00
Plan Check Fee
6.75
Issue Date
Valuation . . . .
0
Expiration Date
12/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 9.0000
EA MECH
FURNACE <=100K
27.00
3.00 9.0000
EA MECH
B/C <=3HP/100K BTU
27.00
5.00 6.5000..
EA MECH
VENT FAN
32,.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc,.
Permit Fee.
143.92
Plan Check Fee
9.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3321.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
116.24
634.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
12.68
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
185.25
Plan Check Fee
11.58
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
19.00 6.0000
EA PLB
FIXTURE
114.00
1.00. 15.0000
EA PLB
BUILDING SEWER
15.00
LQPERAIIT
•.
Application Number . . . . . 07-00001784
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 12/16/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------------- ------------------------------------------------------
Special Notes and Comments
SFD - LOT 293, PLAN 1D/CASITA, 3321 SF.
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`$24.28
-----------------------------------------------------=----------------------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
16.65
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
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
Due
----------
----------------- ---------- ---------- ---------- ----------
Permit
Permit Fee Total 1476.67 .00 .00
1476.67
Plan Check Total 193.81 .00 .00
193.81
Other Fee Total 4491.65 .00 .00
4491.65
Grand Total 6162.1.3 .00 .00
6162.13
LQPERA11T
9RTUffC9TE OF MELD ',lit]�CA"I'tfJIV chi D1 A UitidU8'1'k(: 'I:l��'t'iNlr (Page I of 21) C.1+ -AR
i %D CA-iJl info G?'.�. CLQ G iNT,4- 7�r
1 "cct
Adams Buil �o an" �ti�►�tiNL4
Builder Contact Telephone Plan Number O ��
Dave Highland ( 909) 499-6354
Telephone Sample Group Number ,,.t
Ccdifytng Signadare Bate Sample House NumberFirraS
�sep�ii110
Dave Highland Testing & Diagnostics HERSPmvide: CHEERS
Street Addrag.'c16821 McPherson' Avenue City/statraip:Lake Elsinore CA 92530
topics to: Budder, A(EItS Provider and Building Department BUILD iG
F[ERS RATER COMPLIANCE STATEMENT
The house was: ✓ Tested +-- ❑ Approved as part of sample testing but was not tested COPY
As the HERS enter providing dia000stie testing and field verification, I certify Sint the house identified on this form complies
with the diagnostic tested compliance requirements as checked 1 on this form. The HERS rater must check and verify that
the new distn-bubon tem is ducted and correct to is used before a CF -4R may be released on ev test building.
system pe y
`(tae HERS rater must not release a CF -4R until a properly completed and signed CF -6R has been received for the sample
and tested buildings.
Tbo Wtaller has pmvided s copy of CF -6R (Installation C Iificate).
New Distribution system is filly ducted (Le, does not use building cavities as plea, orplatform returns in lieu of
ducts).
Now sygtems wb= cloth backed, rubber adhesive duct tape is installexl, mastic and draw bands are used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
(• . ✓ mei MUM REQ FOR DUCT LEAKAGE REDUCTION COMPLIANCE C'MDIT
p4ce4res for field wal fication and &agno ok testing of air drstributian systems are available in RA 0Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: — r l(MAiN *U.Se
Duct Pressurization Test Results (CFM Q 25. Pa) Mesa
Values "`'
1 Enter Tested Leakage Flow in CFM:
2 Fan Flow: Calculated (Nominal- Cooling ✓ 0 Heating) or ✓ ❑ Measured
Enter Total Fan ow in CFM: V/ VolFl
3 Pass if Leakage Percentage 5 6% [ 100 x � (Line # 1)12Qco_(Line # 2)1) �r � Pass O Fail
NEW CONSTRUCTTON: r - Aj
Duct Pressurization Test Results (CFM @ 25. Pa) Mmastarcd-
Values `
1 Enter Tested Leakage Flow in CFM:
2 Fan Flow: Calculated (Nominal:faCooling ✓ O Heating) or ✓ ❑ Measured 11606
Enter Total Fan Flow in CFM:
3 Pass if Leakage Percentage 5 6% [ 100 X (Line # 1) 1(Line # 2)n ' Pass ❑ Fail
INEW CONSTRUCTION:
FFa=n
ressurization Test Results (CFM a@ 25. Pa)
Measured
`
Values
l Tested Leakage Flow in CFM:
2 ow: Csladated (Nominal: Cooling ✓ ❑ Heating) or ✓ ❑ Measured,�,�`Total Fan Flow in CFM: UU
3 1 Paso if L eaknge Pcrceutage 5 6% [ 100 x T_(Line # 1) 1(Line # 2)JJ fl Pass 11 Fail
NEW CONSTRUCTION: y
a.:
Duct Pressurization Tint Results (CFM Q 25. Pa) Measured
Values
1 Enter Tested Leakage Flow in CFM:
Fan Flow; Calculated (XOminaL- ❑ Cooling ✓ O Heating) or ✓ ❑ Measured
2 Ensu Total Fan Flow in CFM: i/ ✓