06-3336 (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: .
06-00003336
54210 CANANERO CIR
767-320-999-294 -32879 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
237220
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
DETACHED LA JOLLA, CA 92037
rchjtect or Engineer:
-------7------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
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 Pressionals Code, and my License is in full force and effect.
Lic see C ass: B License No.: 701039
Date:O' ontracto • `'✓�'
OWNER -BUILDER DECLARATION
I hereby affirm under penaltyo perjur that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, ss 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 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 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.).
(_ I I am exempt under Sec. , BAP.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, INC.
9968 HIBERT STREET, STE #10
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/07
D Q 0
FEB 0 g 2007
2
CITY OF LA QUINTA
FINANCE DEPT.
-------------------
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.
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 should become Object to the workers' compensation provisions of Section
a 3700 of the L o ode, I shall f thwith comply with those provisions.
e: / plica t'
10,
WARNING: FAILURE TO SE RE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO RI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADD ION 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 th the above information i correct. I agree to comply with all
city and county ordinances ands to laws relating t.%,
o ilding construction, hereby authorize representatives
of thi a/uLn�ty to enter upon above-mentioned prop ty for inspection S.
ate: -/ d-1 nature (Applicant or Agent)'
Application Number . . . . 06-00003336
Permit
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
1122.50
Plan Check Fee
182.41
Issue Date . .
. .
Valuation . . . .
237220
Expiration Date
7/03/07
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
6.44
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
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
10.18
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/03/07
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
Plan Check Fee
11.58
Issue Date
Valuation . . . .
0
Expiration Date
7/03/07
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 . . . . . 06-00003336
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 . . 7/03/07
Plan Check Fee .
Valuation . . .
Qty Unit Charge Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 294, PLAN 4C, 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
-------------------------------------------------------------=--------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
93.05
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
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
1666.00
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 3831.01
.00 .00
3831.01
Grand Total 5630.29
.00 .00
5630.29
LQPER1111T
09-25-07;02:15PM;GATEWAY INS.
;951-808-1576
THIS IS TO CERTIFY THAT INSULATION 14AS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS: 54210 CANANERO CIRCLE, LA QUINTA CA.
EXTERIOR WALLS.- 2 X 4
MANUFACTURER- CERTAINTEED THICKNESS/TYPE -6.25" FIBERGLASS
R/VALLJE - Ri 9
EXTERIOR WALLS - 2 X 6
MANUFACTURER-CERTAINTEED THICKNESS/TYPE-6.25"FI'BERCLASS
R/VALU E - R 19
CEILINGS
BLOW: MANUFACTURER- CERTAINTEED THICKNESS/TYPE-14.75" FIBERGLASS
R/VALUE - R38
GENERAL CONTRACTOR: TRANSWF.ST HOUSING LICENSE #
INSULATION CONTRACTOR: GATEWAY INSULATION. INC. LICENSE # 797001
BY: TITLE: OPERATIONS MQR. DATE: 9/25/2007
BUTCH INGRAM OPERATIONS MANAGER,
%V4rA*tA � �sAi0id
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
rojqct.,kddress
Zq
Builder Name' t
Builder Contact:L�p Telephone
� ,
--tAs ►'► �rr4L � - It 30
Plan Number
HERS Rater,,,LTelephone
A� ,_ N
Sample Gr up Number ( $
Compliance Method (Prescriptivee (Prescriptive
Climate Zone Lf -5
Certifying Signator — Date
Sample House Number
i
Z^et"sazc-Po [ALAG G�ly.c G a�.r i.�rA1+
HERS Pro ider
�fi— TS
Street Address:
U-67-42 �A-SV �
Ciy/State/Zip:
— Tnn
a� A 'I -ZZ 1l --
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓ XApproved as part of sample testing, but was not tested
As the HERS rater providing diagnos{ic testing and field verification I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this ?orm. 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).
>R New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
RF 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 RACM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
I
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
Enter Total Fan Flow in CFM:
✓ ✓
3
Pass if Leakage Percentage <_ 6% [ 100 x L_(Line # 1) / (Line # 2)]J
Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
A,
4
Enter Tested I&akage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System A on and/or Equipment Change -Out.
F
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
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside pplicable)
✓ v/
8
Entire New Duct System - Pass if Leaka P entage <_
100xLine # 5 /
El Pass ❑Fail
TEST OR VERIFICATION STANDAPS:lFor Alte uct Systema r HVAC Equipment Change -Out
✓
Use one of the following four Test or Werificatio andards for compliance:
❑ Pass ❑ Fail
9 Pass if Leakage Percentage:5 15% [_____(Line # 5) / (Line
10
Pass if Leakage to Outside ntage < 10% [100 x _(Line # 7) / (Line # 2
❑ Pass ❑ Fail
�Pass if Leakage ction Percentage >_ 60% [100 x r (Line # 6) / (Line # 4))]
I
d Veri on b Smoke Test and Visual Inspection
❑ Pass ❑ Fail
12
PassSrS-ealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Fail
Pass if One of Lines # 9 through # 12 pass
❑ Pass Fail
tcesidential Compliance Forms April 2005