07-1753 (SFD)F �R
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:. 40 ,OQOOi753?
Property Address: 54215 CANANERO CIR
APN: 767-320-999-282 -32879 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 209715
Applicant: 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 th Business and Professionals Code, and my License is in full force and effect.
License Clals: B / / /J License 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 Cade: 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 hot 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 _ 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:
LQPERi11IT
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
IN
ST
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.
pL I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T 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
f 37/30 yfl.4 Labor,,Code, I shall forthwii_0 comply wiJA 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 coup y ordinances and state laws relating to building construction, and hereby authorize representatives
of this c to ter n t e, above-mentioned pro erty fo spection p oses.
ate. nut
(Applicant or Agent):
L�//
Application Number . . . . . 07-00001753
Permit
. . . ..BUILDING PERMIT
Additional
desc .
Permit Fee
1024.50
Plan Check Fee
665.93
Issue Date
. . . .
Valuation . .
209715
Expiration
Date
12/15/07
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
. . . .
90.00
Plan Check Fee
22.50
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
2.0.0
9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
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
. . . .
133.28
Plan Check Fee
33.32
Issue Date
Valuation . . . .
0
Expiration
Date
12/15/07
Qty Unit Charge
Per.
Extension
BASE
FEE
15.00
3017.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
105.60
634.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.68
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
166.50
Plan Check Fee
41.63
Issue Date
. . . .
Valuation
0
Expiration
Date
12/15/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
16.00
6.0000
EA PLB FIXTURE
96.00
1.00
15.0.000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . . . 07-00001753
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE FEE
15.00
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
8.00
.7500
EA
PLB
GAS PIPE >=5
6.00
1.00
----------------------------------------------------------------------------
15.0000
EA
PLB
GAS METER
15.00
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Date
GRADING PERMIT
15.00 Plan Check Fee .00
Valuation 0
12/15/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 282, PLAN 1CR/CASITA,
3321 SF.
PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS .
OR DRIVEWAY APPROACH. 2001 CBC,
CMC,
CPC, 2004 CEC, 2005 ENERGY CODES
APP CREDIT - $24.29
----------------------------------------------------------------------------
Other Fees . . . . . ... . .
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
66.59
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
19.23
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
---------------------------
Paid. Credited
Due
Permit Fee Total 1429.28
------------------------------
.00 .00
1429.28
Plan Check Total 763.38
.00 .00
763.38
Other Fee Total 4560.82
.00 .00
4560.82
Grand Total 6753.48
.00 .00
6753.48
4
LQPERMIT
(-gRTI=?1CA'rE OF l MLD VF.JeMCXF10N (Pagel of S) CF4R
pruject Address
Budide r Contact Telephone
Dave Ilighlan ( 909) 499-6354
jjj�d-R4a Z" Telephone
7'n+,js cvt -v—
Builder Namc
Z-6 7- Za �GHLgp
Plan Number
Sample Group
Certifying Signature:'
Date Sample House Number
FirmDave Highland Testing & Diagnostics HERS Provider: CHEERS
�CONJS648281
Street Addm= 16 8 21 McPherson Avenue City/Stste/Zip:Lake Elsinore CA 92530
Copies to: Builder, HERS Provider and BttMng Department - s w r D 3
HERS RATER COMPLIANCE STATEMncENT Pv*an
ENT -
COPY
The house was: ✓ P Tested ✓ 0 Approved as part of sample testing, but was not tested
As the HERS rater providing diaOnosfic testing and field verification, I certify that the house identified on this form complies
with the diagnostic tested co Lance requirements as checked ✓ on this farm. The HERS rater must check and verify tbal
the new distnbubon system is fidly ducted and correct tape is used before a CF -41t may be released an every testes buckling.
The E[ERS rater trust not release the CF -4R until a properly completed and signed CF -6R has been received for the sample
and tested btWdings.
TU iwaalles bas pmvided a cripy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of
ducts).
if New systems where cloth backed, tubber adhesive duct tape is installed, mastic and draw bands are used W
oombination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
M![ mrd REQUUMMEM FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures for field ►verification and &agwistie testing of air distribution systemr are available in RACk4 Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: 1i 41'#✓ /7,bu5E- -zoo +L
Duct hcourization Test Results (CFM Q 25. Pa)
Meastued
Values
err
I Enter Tested Leakage Flow in CFM
c -t:7
�(
fLi�T iy.
'r
2 Fan Flow: Tabulated (Nominal- Cooling ✓ 13 Heating) or ✓ E3 Measured
O
Enter Total Fan Flow in CFM:
V11 '�
3 Pass if Leakage Percentage S 6% [ 100 x ["__(Line # 1) Z (Line # 2)11
y,
Pass ❑ Fail
NEW CONSTRUCPION:
Duct Pressurization Test. Results (CFM Q 25 Pa)
Measured�-
17
Values
I I Enter Tested Leakage Flow in CFM:
='; x
2 Fan Flow: Calcutatod (Nominal- Cooling ✓ O Heating) or V' (3 Measured
/ Ba
Enter Total Fan Flow in CFM:
!
✓ ✓
3 Pass if Leakage Percentage S 6% [ 100 x r77 L O (Line # I) (Line # 2)]]
--6 Q
Pass O Fai l
NEW CONSTRUC ON: l - CqS/lilf
Duct lotion Test Results (CFM a@ 25. Pa)
Measured
Values
I Enter Tested Leakage Flow in CFM
~
2 Fan Flow: Calculated (NommakV 9E Cooling ✓ D Heating) or ✓ D Measured
60 b
Enter Total Fan Flow in CFM:
►% ✓
3 Pass if I cakage Percentage 5 6'Y• [ 100 xZ�_(Line # 1)1 (Line # 2)J]
3i3 a
'Pass O Fail
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM Q 25. Pa)
Measured
;a
Values
1 I Eutor Tested Leakage Flow in CFAC-
�C
2 1 Fan Flow: Calculated (Nominal- we LI Cooling V O Heating) or ✓ 13 Measured
Enter Total Fan Flow in CFM:
✓ ✓