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07-0048 (SFD)P.O. BOX 1504�^�� VOICE 760 777-7012 78-495 CALLE TAMPICO 4FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/09/07 Application Number. HOZ-:0000.0048 ` _ Owner: Property Address: 54940 SECRETARIAT DR GRIFFIN RANCH, LLC APN: 767-320-999-248 -32879 - 47-120 DUNE PALMS ROAD, STE. C Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 259635 D Contractor: Q Applicant: Architect or Engineer: TRANS WEST HOUSING, INC. 9968 HIBERT STREET, STE 1 P 2 FEB 09 ��©l SAN DIEGO, CA 92131 (858)653-3003 Lic. No.: 70 103 9 CFO E QUI DFpT ------—=—--—------------=------------------—---—---—---------—----------------------------—------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Tess and Prole sionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided LiyeKse B ass: License No.:. 70103 9 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /7�% issued. Date ✓ r ontractor• 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of erjury hat I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1648813-2006 following reason ISec. 7031.5, B in s and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become bject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State _ and agree that, i I should become su ct to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labo e, I shall fort comply with those provisions. 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 1$500).: ate: R r7ApplicanPORKERS 1 _ 11, 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 WARNING: FAILURE TO SECCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TOLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS($100,000). IN AD COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERA11T 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 inform on is correct. I agree to comply with all city and county ordinances and state laws relating to wilding construc ' and hereby authorize representatives of this co ty t enter upon the above-mentioned pro rty for insp n p rposes. DDate: : � ignature (Applicant or Agent): Application Number . . . . . 07-00000048 Permit . . . . . BUILDING PERMIT Additional desc . Permit•Fee . . . . 1199.50 Plan Check Fee 194.92 Issue Date . . . . Valuation 259635 Expiration Date 7/08/07 Qty Unit Charge Per Extension BASE FEE 639.50 160.00 3.5000 -------------------------------------- THOU BLDG 100,001-500,000 -------------------------------------- 560.00 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 114.50 Plan Check 'Fee 7.16 Issue Date . . . . Valuation . . . . 0 Expiration Date 7,'08/07 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 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 168.96 Plan Check Fee 10.56 Issue Date . . . Valuation . . 0 - Expiration Date ..,.� 7/08/07 Qty. Unit Charge Per Extension BASE FEE 15.00 3972.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 139.02 747.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 14.94 Permit PLUMBING Additional desc . Permit Fee . . . 174.75 Plan Check Fee 8.72 Issue.Date Valuation . . . . 0 Expiration Date ... 7/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 Application Number . . . . . 07-00000048 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 11.00 :7500 EA PLB GAS PIPE >=5 8.25 •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 7/08/07 - Qty Unit Charge Per Extension BASE FEE 15..00 ------------------------------ --------------------------------- Special Notes and Comments SFD - LOT 248, PLAN 2B, 3972-S.F, PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.75°s REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ' ----------------------------------------------------------- : Fees . . . . ... . . ART IN PUBLIC PLACES -RES 149.08 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 19.49 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 25.96 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 1672.71 .00 .00 1672.71 Plan Check Total 221.36 .00 .00 221.36 Other Fee Total 3890.53 .00 .00 3890.53 Grand Total 5784:60 .00 .00 J -5784.60 LQPERAI IT 12/14/2007 07:53 951681B245 WESTERN INSULATION' PAGE, 17/18 WESTERN INSULATION L.P. 3190 CORNERSTONE DRIVE MIR.A LOMA„ CA 91.752 (951) 360-3127 FAX (951) 681-8245 A CF6R INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRACTIPHASE: 32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1 LOT 248 SITE ADDRESS: 54-940 SECRETARIAT DRIVE - LA QUINTA, CA , -_..-_- _--------.,__----------_--- CEILINGS: BLOWN INSULATION MANUFACTURER: GREENFIBER THICKNESS: 10.3" R- VALUE: R-38 CEILINGS: BAITS MANUFACTURER: KNAUF THICKNESS: 12" R= VALUE: R-38 EXTERIOR WALLS: BATTS MANUFACTURER: KNAUF THICKNESS: 6'/a" R- VALUE: R-19 G BLE ENDS: BATTS MANUFACTURER: KNAUF THICKNESS: 3 %" R - VALUE: R-11 GENERAL CONTRACTOR: TRANSWEST HOUSING, INC. BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, L_P. LICENSE NUMBER: 794484 BY:xet .� TITLE, PRODUCTION MANAGER f DATE: December 13, 2007 Z� /M (a l.. amara ! -.d CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF -4R Project Address 'f #2 5`Ia'iD s6c?.ETA •r AT � . � Builder Name r I rtaNS asT Builder Contacto Telephone 3` 7-3 Plan Number Z HERS Rater �J AuaD /V�tu�So.J .Tele hone . 2�Z � Sample GroupNumber Compliance Method Pre cri ive 2 Climate Zone L5 Certifying Signat Date Sample House Number I� 3 F/1'�� m COAG Wrnaw Aa_a�y a �NSe.c_�r HERS Provider a,4c Street Address: 77T5*f•1 (/�c KsTaak. .�..�$� �Ci-ty/State/Zi n- SER 7A�a►NbS F �t2Z�e Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT ' HERS RATER COMPLIANCE STATEMENT ~ ' The house was: ✓ ❑ Tested ✓Approved as part of sample testing, but was not tested As the HERS rater providing diagno tic testing and field verification I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this ?z rm. 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).• New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). QIj�New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in NI (`combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ AMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT ` P,(ocedures for field verification and diagnostic testing of air distribution systems are. available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results ` NEW CONSTRUCTION: a • 5 5yy Duct Pressurization Test Results (CFM @ 25 Pa)' • . Measured Values 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)]] ass ❑Fail ALTERATIONS: Duct Sstem and/or HVAC E ui meni Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to"y^'� ` Duct System Alteration and/or Equipment Change -Out. -7r, 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct for Duct System Alteration and/or Equipment Chan e- ut. Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to utsid if Ap e) Entire New Duct System - Pass if Leakage P cent 8 100 x Line # 5 / Line % .` ' '� 'D Pass ❑Fail TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out, Use one of the following four Test or rfication Standards VF com iance: x'` 9 Pass if Leakage Percenta 5% [100 x L=(Line #.5) / (Line # 2)]] .. ❑ Pass ❑ Fail 10 Pass if Leakage tside Percentage <_ 10% [100 x (Line # 7) / (Line # 2)]] ❑ Pass ❑'Fail Pass if e Reduction Percentage >_ 60% [100 x _(Line # 6) / (Line # 4)]] agerification 1 1 b Smoke Test and Visual Inspection ❑Pass ❑Fail ass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection it,ih,, "• ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass + ❑ Pass ❑ Fail Residential Compliance Forms • a April 2005 �r.I • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Pro*ectAddress �•O 24 41 54R4o S�ci¢ �rAei,�r J�Q. Builder Name i ,,•sus+• i".,,G Builder Contact ��e0 Telephone --a 0-8. p/Ai Ste( 3423 Plan Number z HERS Rater —DA0 1 L_ ! ,et Telephone /V 2�Z t 3Ss Sample GroupNumber Compliance Method (Prescrip4.ve Climate Zone l5 Certifying Signature Date Sample House Number ($ -3 F* m C�,�c��cc.I� SAc.c� C�arus�Aa•n HHEERS rovider Street Address:: g / d7�AGK5 to�/E (= o..r2�� ~l1n- f— RI III .IIGD L1CDC DDl1\/iTCn A City/State/Zip: .►aw CA, 422 •,, • • ,•I • •w v 1—K AND BUILDING DEYAK 11VIEN (- HERS RATER COMPLIANCE STATEMENT The house was: ✓❑ Tested ✓Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies witZe diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate). ✓THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix R/. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Th Valves tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity r Date of Verification AFA Date of Refrigerant Gauge Calibration(mu e c cked monthly) Date of Thermocouple Calibration (must be checked monthly) Note: The system should be ed and charged in accordance with the manufacturer's specifications and installer verificationshall be doc ted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative C ge Measure Procedure • Procedures �eterminingRefrigerant Charge using the Standard Method are available in RACM, Appendix RD2. • ✓ es 0N A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 ✓ ✓ Access is provided for inspection. The procedure shall consist of ✓ ❑ Yes ❑ No visual verification that the TXV is installed on the system and El installation of the specific equipment shall be verified. Yes is a pass Pass7 Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Th Valves tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity r Date of Verification AFA Date of Refrigerant Gauge Calibration(mu e c cked monthly) Date of Thermocouple Calibration (must be checked monthly) Note: The system should be ed and charged in accordance with the manufacturer's specifications and installer verificationshall be doc ted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative C ge Measure Procedure • Procedures �eterminingRefrigerant Charge using the Standard Method are available in RACM, Appendix RD2. • ✓ es 0N A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 • U CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Pro ect Address �e Z•i� sy940 Sec ¢E-.aa:ar � Buil er Name I/1ANs g - j.;c Builder Contact _ -fdd Telephone �of3 Plan Number - HERS Rater ��p Telephone Sample Group Number 1g ❑ No Cooling capacities of installed systems are 5 to maximum cooling Certifying Signature� Date gar Sample House Number 1 -3 Firm _ /l �oAou�kit� L'O�Su.��4M'� HERSlrovider s�4cl� �3 Street Address: City/State/Zip: %-Uples to: 6ulu"r'K, "r'Ka rKvvI1-MK ANO 13UILVINU VLYAKI ME N'1 HERS RATER COMPLIANCE STATEMENT The house was: v" El Tested ✓Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ XThe installer has provideda copy of CF -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures_forfield verification and diagnostic testing of adequate airflow are available in RACM. Appe RE4.1. Method For Airflow Measurement '/ I ❑ Yes I ❑ No I Duct design exists on plans RE4.1.1 D iagnostic Fan Flow Usin Flow Capture Hood RE4.1.2 Diagnostic Fan Flow UsingPl um Pressure Ma tchi osRE4.1.3 tic Fan Flow Using FMw Grid MeasurernmM Igd Airflow: Rated Tons: 'I❑Yes ❑ No Measured airflow is g ter n the SLeria in Table RE -2 ❑ Yes is a pass Pass ✓ ❑ MAXIMUM COOLING CAPAC Procedures for determininv mnrimvm rnn 1-14 n A! A 1 ✓ ❑ Yes ❑ No uate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ N FRefrigerant charge or TXV 3 ✓ ❑ Yes o Duct leakage reduction credit verified 4 ✓ ❑ ❑ No Cooling capacities of installed systems are 5 to maximum cooling capacity indicated on the Performance's CF -IR and RF -3. If the cooling capacities of installed systems are > than maximum 5 000❑ Yes ❑ No cooling capacity in the CF -l. R, then the electrical input for the 40 installed s stems must be:5 to electrical input in the CF -1 R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass Total CFM cfm/ton Fail ❑ ❑ Pass Fail ✓)9 HIGH EER AIR CONDITIONER Pr cedures for verification are available in R4CM, Appendix Pd. tv/3 '❑ Yes ❑ No EER values of installed systems match the CF -1 R ❑ Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ,/ I ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 If Required) is a pass Pass Fail Residential Compliance Forms April 2005