06-3323 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 0066-00003323
Property Address: —54250 CANANERO- IR
APN: 767-320-999-295 -32879 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 192326
Applicant: Art or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed u r provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profession s Code, and my License is in full force and effect.
License Class. B License No.: 701039
Date: U ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe- t at 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Bus a 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 ($5001.:
1 _ 1 1, 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
pursuantto 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: PIA
LQPMIIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
LA JOLLA, CA 92037
Contractor:
TRANS WEST HOUSING, INC.
9968 HIBERT STREET, STE #102
SAN DIEGO, CA 92111
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/07
D Q �
FF8 0 g 2007
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.
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 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 sub'act to the workers' compensation laws of California,
and agree that, if I should become subiec to the workers' compensation provisions of Section
3700 of the Labor C I shall fort comply with those provisions.
ate: �1.,�,cant: `
WARNING: FAILURE TO SECU E WO KE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMI AL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD 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 b ding construction, aid hereby authorize representatives
of this county to enter upon the above-mentioned prop for inspection oses.
Hate: 6 I S' ture (Applicant or Agent):
Application Number . . . . . 06-00003323
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
965.00
Plan Check Fee
156.81
Issue Date
Valuation . . . .
192326
Expiration
Date
7/03/07
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
93.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
325.50
Permit
. . .
MECHANICAL
Additional
desc . .
Permit Fee
. . . .
90.00
Plan Check Fee
5.63
Issue Date
Valuation.
0
Fxpiration
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
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
8.33
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/03/07
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
10.41
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/03/07
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
LQPERMIT
fl -I'S
LQPEILMIT
Application Number . . . . . 06-00003323
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
8.00 .7500 EA PLB GAS PIPE >=5
6.00
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 7/03/017
.Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 295, PLAN 1DR, 3017 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
------------------- --------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
15.68
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
1666.00
Fee summary Charged Paid Credited
-----------------
Due
---------- ---------- ---------- ----------
1) ermit Fee Total 1369.78 . .00 .00
1369.78
Plan Check Total 181.18 .00 .00
181.18
'Other Fee Total 3750.91 .00 .00
3750.91
Grand Total 5301.87 .00 .00
5301.87
09-25-07;02;15PM;GATEWAY INS. ;951-808-1576 # 90/ 13
THIS IS TO CERTIFY THAT INSULATION.HAS BEEN INSTALLED IN COMFORMANCE
WITH THE CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE
CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
1
SITE ADDRESS: 54250 CANANERO CIRCLE, LA QUINTA CA.
EXTERIOR WALLS - 2 X 4
MANUFACTURER-CERTATNTEED THICKNESS/TYPE- 6.25" FIBERGLASS
RIVALUE - R19
EXTERIOR WALLS - 2 X 6
MANUFACTURER- CERTAINTEED THICKNESS/TYPE-6.25" FIBERGLASS
RNALUE - R19
CFTLTNGS
BLOW: MANUFACTURER-CERTAINTEED TIITCKNESS(I'YPE-14.75" FIBERGLASS
R/VALUE - R38
GENERAL CONTRACTOR: TRANSWEST HOUSING
INSULATION CONTRACTOR: GATE_wav INSULATION,,
Z
4
BY: TIME:OPERAT
BUTCH INGRAM OPERATIONS 1
09-25-07;02:15PM;GATEWAY INS. ;951-808-1576 # 10/ 13
LOT
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COMFORMANCE
WITH TWE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE.. TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
SITE ADDRESS:
EXTERIOR WALLS - 2 X 4
54250 CANANERO CIRCLE, LA QUINTA CA.
MANUFACTURER - CERTATNTEED THICKNESS/TYPE-6.25" FIBERGLASS
R/VALUE - R19
EXTERIOR WALLS - 2 X 6
MAN UI'ACTURER-CERTAINTEED THICKNESS/TYPE-6.25" FIBERGLASS
RNALUE - R19
CEILINGS
BLOW: MANUFACTURER-CERTAINTEED TI-ITCKNESS/TYPE-14.75" FIBERGLASS
RNALUE - R38
GENERAL CONTRACTOR: TRANSWEST HOUSING
INSULATION CONTRACTOR: GATEWAY INSULATION. INC.
LICENSE #
LICENSE it 797001
BY: TITLE: OPERATIONS MGR. DATE: 9/25/2007
BUTCH INGRAM OPERATIONS MANAGER.
1*XAV9A*VA &1"D
ICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF -4R
, C-�Rfjf
rod o Builder Name
[Builder ContactsTelephone
::IA
Plan Number
q
*�HEn�RS Ra-te'. -----'-Telephone
t
Sample Group Number 1:5
Measured
1Co.Ji Method (Prescri tive
Climate Zone l5nce
Date
Sample le House Number
Values
F
A r -1K 14 X
HERS Pro 'der
L�trZ6t'A`ddi(F§s:—
City/State/Zip:
-iei-to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
ifiCcip
wY.}i4 HERS
RATER COMPLIANCE STATEMENT
The house was:✓ 0 Tested ,' XApproved as part of sample testing, but was not tested
Asthe HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with
-T-y� I 4tlie diagnostic tested compliance requirements as checked V on this form. The HERS rater must check and verify that the new
*?�%*-'disiHbutioh sys�tein is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS
4V,; -A ra grater it hot
release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested
,A mu
.1 U_buildings
a
j K�jheinstalier has provided a copy of CF -6R (Installation Certificate).
RA'''`New Distribution system is fully ducted (i.e., does not use building'cavities as plenums or platform returns in lieu of ducts).
1—Kvp W,'New- syftji�s where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
1;ry*combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Proceduresfield verification and diagnostic testing of air distribution systems are available in R4CM, Appendix RC4.3.
Diagnostic Leakage Testing Results
*�x�
tNEVY,0ONSTRUCTION:
q
- ——
i7fil
I
I
urization Test Results (CFM (a.
1piu� % Pressurization -)
25 Pa)l
Measured
V.
Values
-Enter ..Tested Leakage Flow in CFM:
,�444
7•1?,
Faii Flow- Calculated (Nominal: K El Cooling ✓ 0 Heating) or," 0 Measured
:Eler,total Fan Flow in CFM:
�-3j.
TF Leakage Percentage 6% 100 x [_(Line 4 1) # 2)])
)Pass O Fail
_(Line
.-0
A Criiaf16N§-."NUCt System and/or HVAC Equipment Change -Out
S11
'Eritir-TestedI&akage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
ki4�
20
.Duct sys!!t-,A�on and/or Equipment Change -Out.
E6t&%Tested Lee F?R%ja CFM: Final Test of New Duct System or Altered Duct System
�5�
for0000
N'-,�-§Y;ie-i�i Alteration anquipment Change -Out
-duction
!,�X
'6
Enter Re in Leakage for Alte uct System L _(Line# 4) Minus
f
(Only'f Applicable)
t71
Flow in CFM to OutsidejO** -000.
;Enter. -4&plicable)
—��rM1.'EA-R—eNew
Duct System -Pass if Leak P entage!�
60e�
o
[J 00 x r.- -_(Line # 5)
11 Pass 0 Fail
,e
XEST OR VERIFICATION STAND AWOS:Tor Alto Wfuct Syste!m-IWJ,&r HVAC Equipment Change -Out
y'1
"Use one of the followin four Test or WerifientinuMlan-dards; for con liance'T%%,
ve
P
trass if Leakage Percentage <_ 150/ 5) (Line
0 Pass 0 Fail
3'
4j'o�,
10
IML
ass ifU�akagetooutsi �ntage:!�10%[Iooxf Line # 7) / (Line # 2m%
0 Pass 0 Fail
0
�0;
S-ift�akage ctionPercentage �!60%[100xL
�f Leakagetl # 6) / (Lin e # 4)11.
_(Line
'�eri on by Smoke Test and Visual Inspection
rl * on b Sm(
11 Pass 0 Fail
E,]
-121
a ss
!Piss ealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
0 Fail
Pass if One of Lines # 9 through # 12 pass
0 Pas's'll Fail
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTILNG (Page I of 8) UY-4K
�oddress ` /f /� Builder Name
Sy25v-14.0 4( �a/Vs �E�rJI c�S�NCr
Builder Contact---- Telephone
ti--tf�U� r► �r�e�L - Y 3e,
Plan Number
HERS Rat Telephone
' . 355
GroupNumber1
_Sample
Compliance Method Prescri tive
Climate Zone L5
Certifying Signatur — Date
Sample -House Number
Fi l
A <M trC7 -L
HERS Pro 'der
- +S
Street Address:
City/State/Zip:
Copies to: BUILT EjK, t1L" YKVvlU1c.K H1Nu DV1L11111v JVr l ^IV A ci' a
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓Approved as part of sample testing, but was not tested
As the HERS rater providing diagno is testing and field verification I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this izorm. 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..
R The installer has provided a copy of CF -6R (Installation Certificate).
W•New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
P 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 (a, 25 Pa)
Measured
Values
A
I,.
Enter Tested Leakage Flow in CFM:
2
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
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
-
Enter Tested akage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
4
Duct System.A on and/or Equipment Change -Out.
-
_
5
Enter Tested Leakage CFM: Final Test of New Duct System or Altered Duct System
for Duct System Alteration an quipment Change -Out.
Enter Reduction in Leakage for Alte uct System [__(Line # 4) Minus (L' )]
6
(Only if Applicable)
`
7
Enii4 Tested Leakage Flow in CFM to Outside pplicable)
Entire New Duct System - Pass if Leak P entage 5
8
100 x Line # 5 /
❑Pass ❑Fail
✓ ✓
TEST OR VERIFICATION STANDAAOS:lWor Al uct Systema r HVAC Equipment Change -Out
Use one of the following four Test or frerificatio andards for com liance:
9
Pass if Leakage Percentage S 15% _(Line # 5) / (Line
❑ Pass ❑ Fail
10
Pass if Leakage to Out entage _< 10% [100 x L__(Line # 7) / (Line #
11 Pass ❑Fail
Pass if Leakage c 'on Percentage >_ 60% [100 x [______(Line # 6) / (Line # 4)]]
11
11 Pass ❑Fail
d Veri on b Smoke Test and Visual Inspection
12
fss Palin of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection,�
❑ Fail
,�
._ Pass if One of Lines # 9 through # 12 pass - _ ;l,
0 Pass Fail