07-0042 (SFD)4
41
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: F07-00000042
Property Address: 54880- SECRETARIAT DR
APN: 767-320-999-245 -32879'-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 297405
Tay/. 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Applicant: Act or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/05/07
Owner:
GRIFFIN RANCH, LLC
47-120 DUNE PALMS ROAD
LA QUINTA, CA 92253
Contractor:
TRANS WEST HOUSIN INC.
9968HIBERT STRE I(�-E�#�02
SAN•DIEGO, CA 92 11
3003.
Lic. No.: 7010391 FEB 09 2007 i
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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 Busi ess and Professionals C de, 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
License CI ss: nse No.: 701039
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
q
ontractov
issued.
Y 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
OWC R -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of peri ry t t I am exempt from the Contractor's State License Law for the
Carrier STATE 'FUND Policy Number 1648813-2006
following reason (Sec. 7031 .5, Busi ess nd 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 epair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subj t 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, if I sho d become subject the workers' compensation provisions of Section .
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the bor Cod shall forthwi omply 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: �A�pplicant:
(_) 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
WARNING: FAILURE TO SECMPENSATION 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 TOES 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 ADST 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 LABO, 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
(_ I 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 I am exempt under Sec. , BAP 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
1 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:
LQPERl1f IT
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 build g construction, an hereby authorize representatives
of this co ty p'elnter upon ' above-mentioned property or inspection PwLdoses.
O / ignature (Applicant or Agent):
4�1.
Application Number . . . . . 07-00000042
Permit
�.
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1332.50
Plan Check Fee216.53
Issue Date
. . . .
Valuation . . . .
297405_
Expiration
Date
7/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
198.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000.
693.00
Permit
MECHANICAL
Additional
desc .
Permit Fee
. . . .
139.00
Plan Check Fee
8.69
Issue Date
. . . .
Valuation . . . .
0
Exp ration
Date
7/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4.00
9.0000
EA MECH
FURNACE <=100K
36.00
4.00
9.0000
EA MECH
B/C <=3HP/100K BTU
36.00
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
. . .
187.84
Plan Check Fee
11.74
Issue Date
Valuation . . . .
0
Expiration
Date
7/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4529.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
158.52
.716.00
----------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
-----------------------------------
14.32
Permit
PLUMBING
Additional
desc .
Permit Fee
. . . .
185.25
Plan Check Fee
11.58
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/04/07
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 07-00000042
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
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 Plan Check Fee
.00
Issue Date Valuation . . .
. .0
Expiration Date .. 7/04/07.
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------- ------------------------------
Special Notes and Comments
SFD - LOT 245, PLAN 3B, 4529 S.F.
PERMIT DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH. 75%
REDUCTION TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
- -------------------------------------------------------------
Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES
243.51
DIF COMMUNITY CENTERS -RES.
74.00
" DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
21.65
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
29.74
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
------- ---------- ---------- ----------
Permit Fee Total 1859.•59 .00 .00
1859.59
Plan Check Total 248.54 .00 .00
248.54
Other Fee Total 3990.90 .00 .00
3990.90
Grand Total 6099.03 .00 .00
6099.03
LQPEMIT
12/14/2007 07:53
9516818245 WESTERN INSULATION
WESTERN TNiSULATION L.P.
3190 CORNERSTONE DRIVE
MIRA LOMA., CA, 91752 `
(951) 360-3127 FAX (95.1)681-824S
PAGE 14/18
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:
TRACT/PHASE: 32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1
LOT 245 '
SITE ADDRESS: 54880 SECRETARIAT DRIVE — LA QUINTA, CA
CEILINGS: BLOWN iNSULATION
,
MANUFACTURER: GREENFIBER THICKNESS: 14.3"
R- VALUE: R-38
CEILINGS: BATTS
MANUFACTURER: KNAUF THICKNESS: 12"
R- VALUE: R-38
EXTERIOR WALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 6%".
R- VALUE: R-19
GABLE ENDS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3%0
R — VALUE: R-11
OPT— INTERIOR WALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3 N"
R — VALUE: R-11
OPT — 3 CAR GARAGE BATTS
MANUFACTURER: KNAUF THICKNESS: 12"
R -VALUE: R-38
KNAUF THICKNESS: 6'/a"
R - VALUE: R-19
GENERAL CONTRACTOR: TRA.NSWEST HOUSING, INC.
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: VJESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY:
TITLE: PRODUCTION ANAGE
DATE: December 13, 2007
•
•
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project Address
'�'W Zy5 g7�d ✓ �cQcTA •l AT
Builder Name
t2AN5 W - -r SWIG
Builder ContactTelephone
�6� .9C (- 3e- Z3
Plan Number
3
HERS Ratern Tele hone
�J Au a D /�tevYSo.J 2zzZ. r3 e;'
Sample Group Number 1
Com liance Method Pre cri ive
Certifying Signat Date
Climate Zone t5
Sample House Number
F' m
onaWr�+� At -4-e-9 e44a c_e'A15e+cr'r h$
HERS Provider
a4 -L &!gLTS
Street Address:
;FT5-f-I_31wc L-SIM&A �r..Qi
/Sta
Cityte/Zi
l Q,.w �w�tS 4z=
Copies to: BUILDER, HERS PROVIDER AND BUILDINU uL'rAKI IVILIN
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested V)!Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, 1 certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this form. 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).
XXew systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
1 with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓ INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
P ocedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: -5 .5- s
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
:,.,:..
1
Enter Tested Leakage Flow in CFM:
_•`i
2
Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM:
`/ Io/
3
Pass if Leakage Percentage <_ 6% [ 100 x [ _(Line # 1) / (Line # 2)]]
&ass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
�:T ; ' " -
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
'
r
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sy
for Duct System Alteration and/or Equipment Change- ut.
6
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)J
(Only if Applicable)
_
7
Enter Tested Leakage Flow in CFM to Outsi if Ap e)
✓ ✓
8
Entire New Duct System - Pass if Leakage ice _ %
100 x Line # 5 / Line4t
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out
Use one of the following four Test or .tication Standards corn lance:
✓ ✓
9 Pass if Leakage Percenta 5% [100 x [__(Line # 5) / (Line # 2)]]
❑ Pass ❑ Fail
10 Pass if Leakage tside Percentage <_ 10%'[100 x r (Line # 7) / (Line # 2)11
❑ Pass ❑ Fail
Pass if age Reduction Percentage >_ 60% [100 x L_(Line # 6) / (Line # 4)]]
11 erification by Smoke Test and Visual Inspection
11 Pass 11 Fail
ass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
'` �, : `
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # 12 pass
s1 t x
❑Pass ❑Fail
Residential Compliance Forms
April 2005
Oi
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
P o�lect
l•D-
Address ^�
I s�Z q5 s -6$O 5ae-R_ a w;wr- .Y0_ .
Builder Name ' f
i 2.�N s l�Si 1156 r��G
Builder Contact Telephone
�e3 ► caArw� $D( '3Gz3
Plan Number 3
HERS Rater�A01D _!�c��a _'60,L�z (3 phone
SampleGrou Number (�
Compliance Method Prescri 've
Climate Zone t5
Certifying Signature 17 p4 /O:,t Date
Sample House Number ( � OZ
FF�'ffmc! (� AA
4 Ar CrCA. UAcc tea (a Sc�h14.J�S
HERS rovider
G4
Street Address:
City/State/Zip-
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓❑ Tested ✓pproved as part of sample testing, but was not tested
As the HERS rater providing diagnostic esting and field verification, I certify that the house identified on this form complies
with a 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 RA CM, Appendix R1.
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermost ' xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity W LOOMr
Date of Verification
Date of Refrigerant Gauge Calibration I (mulrbe c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should be]&0ned and charged in accordance with the manufacturer's specifications and installer
verification shall be doc9&Vffted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall
• use the Alternativege Measure Procedure
Procedures eterminin Refri erant Charge using the Standard Method are available in RACM, Appendix RD2.
✓ es ❑ No 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
fiW
❑
installation of the specific equipment shall be verified.
Yes is a pass
Pass
Fail
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermost ' xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity W LOOMr
Date of Verification
Date of Refrigerant Gauge Calibration I (mulrbe c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should be]&0ned and charged in accordance with the manufacturer's specifications and installer
verification shall be doc9&Vffted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall
• use the Alternativege Measure Procedure
Procedures eterminin Refri erant Charge using the Standard Method are available in RACM, Appendix RD2.
✓ es ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge
measurement documented.
Residential Compliance Forms April 2005
•
•
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R
Pro'ect Address
�
Buil er Name
✓ ❑ Yes ❑ NioO PRefrigerant charge or TXV
3
Builder Contact I Telephone
35t& IZ-31
Plan Number 3
HERS Rater II �`p Tele hone
Z_ �3
Sample Group Number �
If the cooling capacities of installed systems are > than maximum
❑ Yes ❑ No cooling capacity in the CF -l. R, then the electrical input for the
000
installed systems must be <_ to electrical input in the CF -1 R.
Certifying Signature Date
Sample House Number I�
Firm _ /J
l-0,gee{eu,/k �Q� �d�iScct.t7tNT3
HERS rovider
[,�!
Street Address: 4/
J�'( *cvtvra-e 410--- Li--
City/State/Zip:
a 4ZZd
Copies to: BUILDER, HERS YKUVIDLK AINU DUILIMIN s ur,rAKI ivlV1114 I
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓)z 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.
✓ KThe installer has provided a copy of CF -6R (installation Certificate).
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Procedures forfield verification and diagnostic testing o ade nate 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 Diagnostic Fan Flow Using Flow Capture Hood
RE4.1.2 Diagnostic Fan Flow Using PI um Pressure MI
RE4.1.3 I Diagnostic Fan Flow Using FFw Grid Measure)
PFd Airflow:
Rated Tons:
❑ Yes ❑ No Measured airflow is grfter n the 2Lteria in Table RE -2 ❑
Yes is a pass Pass
✓ ❑ MAXIMUM COOLING CAPAC
Procedures or determinin maximum coo ' load capacity are available in RACM, Appendix RF3.
1
✓ ❑ Yes ❑ No uate airflow verified (see adequate airflow credit)
2
✓ ❑ Yes ❑ NioO PRefrigerant charge or TXV
3
✓ ❑ Yes o Duct leakage reduction credit verified
4
✓ ❑❑ No Cooling capacities of installed systems are <_ to maximum cooling
cavacitv indicated on the Performance's CF- iR and RF -3.
5
If the cooling capacities of installed systems are > than maximum
❑ Yes ❑ No cooling capacity in the CF -l. R, then the electrical input for the
000
installed systems must be <_ 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
✓
❑ ❑
Pass Fail
✓�0 HIGH EER AIR CONDITIONER
Procedures or veri rcation are available in RACM, Appendix R1.
1 ✓ ❑ Yes ❑ No EER values of installed systems match the CF -IR
2 ✓ ❑ Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓
3 ✓ ❑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