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07-1756 (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: 0 70 0`0 0=17-5 6 X54-1-85—CAN E O CIR 767-320-999-283 -32879 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 237220 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GRIFFIN RANCH, LLC 47120 DUNE PALMS ROAD, STE. C DETACHED LA QUINTA, CA 92253 froi:,—, 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 Divi ion 3 of the Business and Professionals Code, and my License is in full force and effect. License lass: B Li cen No.: 701039 II at l ontractor: . 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).: (_) 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, 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 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 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 MAR 19 2008 LA 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 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 700 of he L or Code, I shall forth;it ,/o4mmpllyy with those provisions. Ore � plicant: ( -c 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 this T ty t�enponhe above-mentioned pr p�er�ryfo�ryi,►nspectioO rposes� toe (Applicantor Agent): Application Number . . . . . 07-00001756 Permit . . . BUILDING PERMIT Additional'desc . Permit Fee . . . . 1122.50 Plan Check Fee 729.63 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 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 103.00 Plan Check Fee 25.75 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 -------=-------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 162.92 Plan Check Fee 40.73 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 46.31 0 Extension 15.00 114.00 15.00 Application Number . . '. . . 07-00001756 Permit . . . . . . PLUMBING Qty Unit Charge Per 15.00 ----------------------------------------------"------------------------------ Special Notes and Comments 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 . . Additional desc . Permit Fee . . . Issue .Date . . . Expiration Date . GRADING PERMIT 15.00 12/15/07 Plan Check Fee Valuation . . 00 0 Qty Unit Charge Per Extension BASE FEE' 15.00 ----------------------------------------------"------------------------------ Special Notes and Comments SFD - LOT 283, PLAN 4B/CASITA, 3772 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 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 72.96 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 HOURLY PLAN CHECK .35.00 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 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 1588.67 .00 842.42 .00 4606.68 .00 7037.77 .00 Credited Due .00 1588.67 .00 842.42 .00 4606.68 .00 7037.77 t-V,RTUnCA'k"E OF FMLD VF,1< CA'l'1FJN (P DJ AGNUN'1'1U'l.E+ Vi'MG (Pagel of 8) C.F4R ljet �4ddrtiss Builder Name /lima G/�) - -- - z - �d aContact Telephone ConTelephone Plan Number C@ Dave h (909) 499-6354 ( 'A HERS ter Telephone Sample Group Nuinbcr G 11114/ z C;crt�g Sigu>ffitrc I Date Sample House Number .IrraDave Highland Testinq & Diagnostics HERS provides CHEERS Strict Addn=16821 McPherson' Avenue City/Stateaip. Lake Elsinore CA 92530 Copies ta: sunder, HERS Provider and BuRding Department BZ -;,'.DING ITERS RATER CO LIANCE STATEMENT ENT The house was: ✓ Tested ✓ ©Approved as part of sample testing, but was not tested COPY As the HERS inter pmvtding diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested co Nance rNuinemedts as checked s' on this form. The HERS rater must check and verify that tl�c new distnbution system is ducted and comet tape is used before a CF -4R may be released on every tester building. The HERS rater must not release a CF -4R until a properly completed and signed CF -61Z bas been received for the sample and tested buildings. I TUjwsmlla' bus provided ,& copy of CF -6R (Installation Ca ificate). 91t New Distribution system is fully ducted (i.e., does not use building cavities as plenums orplathmm rr turas in lieu of ducts), New systems where cloth backed, lubber adhesive duct tape is instaIIed, mastic and draw ban& arc used in combination with cloth balked, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CMDIT Procedure for field verification w d adfagnos& testing of air distribution sysiemr are available in P.4 CA Appendix RC4.3. Duct Diagnostic Leakage Testing Results