07-0031 (SFD)s
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
f7-00000031
54860—SECRETARIAT DR
767-320-999-244 -32879 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
256204
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
DETACHED LA JOLLA, CA 92037
rchitect or Engineer:
--------------------------------------------------
LICENSEDCONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed rider provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professi als Code, and my License is in full force and effect.
License s: LicenseNo.: 701039
ate: / ontractor:
OWNER -BUILDER DECLARATION
hereby affirm under penalty of p 'ury at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business 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
fDivision f h b in and Professions Code or
License Law (Chapter 9 (commencing with Section 7000) o 3 o the Business a 1
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, 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
pursuant to the Contractors' State License Law.).
( ) 1 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.I.
Lender's Name:
Lender's Address:
LQPERMTT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/07
D � �
Contractor. FCB Q 9 ZU0� Ll
TRANS WEST HOUSING, IFC.LC
f
9968' HIBERT STREET, S ETY0FtAQU)PlTA
SAN DIEGO, CA 92131 FIAIAACE DEPT.
(760)777-4307
Lic. No.: 701039
--------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintaina 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 sub' ct to the workers' compensation laws of California,
and agree that, if I should become subjec o the workers' compensation provisions of Section
A ,� 700 of the La (Co , I shall fort omply with those provisions.
ate: / / .cant:
WARNING: FAILURE TO SECUR�TOTHE
MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDIST 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 i correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, hereby authorize representatives
of this co enter upon the above-mentioned property or inspection ses.
e: Su(Applicant or Agent):
Application Number . . . . . 07-00000031
Permit
BUILDING PERMIT
Additional
desc .
Permit Fee
1189.00
Plan Check Fee
193.21'
Issue Date
Valuation
256204
Expiration
Date
7/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
157.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
549.50
Permit
MECHANICAL
Additional
desc .
Permit Fee
90.00
Plan Check Fee
5.63.
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-
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
162.79
Plan Check Fee
10.18
Issue Date
Valuation . . . .
0
Expiration
Date
7/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3754.00
0350
ELEC
NEW RES - 1 OR 2 FAMILY
131.39
820.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
16.40
Permit
PLUMBING
Additional
desc .
Permit Fee
. . . .
180.00
Plan Check Fee
11.25
Issue Date
Valuation . . . .
0
Expiration
Date
7/03/07.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
18.00
6.0000
EA PLB FIXTURE
108.00
1.00
15.0000
EA PLB BUILDING SEWER
.15.00
LQPERA11T
LQPERMIT
Application Number' .
. . . . 07-00000031"
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
10.00 .7500
EA PLB GAS PIPE >=5
7.50
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
7/03/07
QtyUnit Charge
Per
Extension
-------------------------------------------------------------
BASE FEE
15.00
---------------
Special Notes and Comments
SFD,-"LOT 244, PLAN 1C, 3754 SF. PERMIT
DOES NOT INCLUDE"POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
-15% 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"
140.51
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC -CENTER - RES
480.00
ENERGY REVIEW FEE
19.32
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
25.62
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
-----------------
Due
----------
Permit•Fee Total
---------- ----------- ----------
1636.79 .00 .00
1636.79
Plan Check Total
220.27 .00 .00
220.27
Other Fee Total
3881.45 .00 .00
3881.45
Grand Total
5738.51 .00 .00
5738.51
12/14/2007 07:53
!i
I
.i
i
9516818245 WESTERN INSULATION
VMTERN INSULATION L.P.
3190 CORNERSTONE DRIVE
MIRA LOW, CA 91752
(951) 360-3127 FAX (951)681m8245
CF6R INSULATION CER'T'IFICATE
PAGE 13/18
y
i
.i THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
i THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
fi
I TRACT/PHASE:
32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1
LOT
244
i SrTE ADDRESS:
54-860 SECRETARIAT DRIVE — LA QUINTA, CA
---------------------------------------------------------------
CEILINGS:
BLOWN INSULATION
MANUFACTURER:
GREENFIBER THICKNESS: 10.3"
R- VALUE: R-38
l CEILINGS:
BATTS
MANUFACTURER:
KNAUF THICKNESS: 12"
R- VALUE: R-38
EXTERIOR WALLS:
BATTS
q MANUFACTURER:
KNAUF THICKNESS: 6'/"
R- VALUE: R-19
GABLE ENDS:
BATTS
MANUFACTURER:
KNAUF THICKNESS: 3'A"
R—VALUE: R-11
' OPT — INTERIOR WALLS: BATTS
MANUFACTURER:
KNAUF THICKNESS: 3'h"
R — VALUE: R-11
GENERAL CONTRACTOR: TRANSWEST HOUSING, INC.
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 784484
BY:
TITLE: PRODUCTION M GER
DATE: December 13, 2007
s
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of S) CF -4R
Project Address
I � Z � +� 46&e, S S-eeZ rA �► A'r � '.
Builder Name,
I >2AN S CtJ �= r E
Builder Contact •Telephone
Plan Number '
Tel hone
HERS Rater `` ((jj
PAu.D /Vltv�'So.J �� 2�Z r3S�
Sam le Grou Number '
Enter Tested Leakage Flow in CFM:
g
Com liance Method Pre cri ive
Climate Zone IS
Certifying Signat IZ/rte / Date
Sample House Number
lam_
2'� .. -
HERS Provider
J
Street Address: .;
City/State/Zi R
Ae�.City/State/zit
Com• 4
Ygs� r I�
Copies to: BUILDER, HERS PKOVIVLK ANV tsUtt,uiivi, VL'rAKIivrc,i.
HERS RATER COMPLIANCE STATEMENT '
The house was: ✓ ❑ Tested ✓ J% Approved as part of sample testing, but was not tested
As the HERS rater providing diagnos 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 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). e
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
Q� New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
Ncombination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓ INIMUM REQUIREMENTS FOR DUCT LEAKAGE KEDUI:I 1UIN I;UIVIrMIAINUE I -KL' VI I
Ptioceduresforfield verification and diagnostic testing of air distribution systems are available in RACAf,, Appendix RC4.3.
tinct Diaenostic Leakaee Testing Results
NEW CONSTRUCTION:
k r.
Duct Pressurization Test Results (CFM 25 Pa) 1 t ,
Measured
Valuest„j.x'::'',
M 4
I
Enter Tested Leakage Flow in CFM:
g
.
Fan Flow: Calculated (Nominal: v”Cooling,✓ ❑ Heating) or ✓ ❑ Measured
J
2
Enter Total Fan Flow in CFM:
14
3
Pass if Leakage Percentage <_ 6% [ 100 x _(Line # 1) / (Line # 2)]]
ass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Chan Change -Out
Yg '
•'���ta'� �,� ,
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to`f
4
Duct System Alteration and/or Equipment Change -Out.'`'
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct S
g 4}
5y
for Duct System Alteration and/or Equi ment Change- ut.
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)]t
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outsi if Ap e)
✓ V.
Entire New Duct System - Pass if Leakage P cent _ %
A
❑ Pass ❑ Fail
8
100 x Line # 5 / • Line AM '
-
TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out
, ✓ ✓
Use one of the following four Test or rfication Standards com lance: `
9 Pass if Leakage Percenta 5% [100 x (- (Line # 5) / (Line # 2)]] F
11 Pass ❑Fail
10 Pass if Leakage tside Percentage <_ 10% [100 x [ .. . (Line # 7) / '. (Line # 2)]]
❑ Pass ❑ Fail
Pass if age Reduction Percentage >_ 60% [100 x [ , (Line # 6) / (Line # 4)]]
❑ Pass ❑ Fail
11 erification by Smoke Test and Visual Inspection
y
Pass if Sealingof all Accessible Leaks and Verification 6 Smoke Test and Visual Inspection .
11 Pass ❑Fail
through # 12 assn'
Pass if One of Lines # 9 P
11Pass ❑ Fail
Residential Compliance Forms
• ,. April 2005
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
Pro ect Address
�o� Zy SSI S�ca.eT�ei�rr J�Q..
Builder Name r
2 �+x�1d-sr _..uc
Builder Contact Telephone
Plan Number
N ,et WA Z t3 Telephone
HERS Rater —S>Av I.L AN
Sam le Group Number I
Compliance Method Prescrip4vejj
Climate Zone t5
Certifying Signature /O Date
Sample House Number ($`I
F}�c. nA,�✓ � �4 s �
L�QAtf ttc.IE J
eA S rovider
Street Address: n
fg'$-f / -SIIAGKS TnNE7 C.o�.-r2�
City/State/Zip:
vaw J�.,�F�S a 422
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 diagnostic testing and field verification, I certify that the house identified on this form complies
withpe 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 Rl.
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermos xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity r
Date of Verification
'60 -
Date of Refrigerant Gauge Calibration 1 (mu e c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should be i_gyffled and charged in accordance with the manufacturer's specifications and installer
verification shall be docuoXed on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall
use the Alternative ¢e Measure Procedure
Procedures etermining Refrigerant 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
O No
visual verification that the TXV is installed on the system and
❑
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 Thermos xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity r
Date of Verification
'60 -
Date of Refrigerant Gauge Calibration 1 (mu e c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should be i_gyffled and charged in accordance with the manufacturer's specifications and installer
verification shall be docuoXed on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall
use the Alternative ¢e Measure Procedure
Procedures etermining Refrigerant 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
J
A?'
s
a
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R
Pro'ecAddress
$l�D S�ceE-.aa:ar
Buil er Name
I/1Aws L-SC%r-
Builder Contact Telephone
'�bC�
Plan Number '
HERS Rater I �(,O Tele hone
�wt�D AJI�•���`' Z?Z 13
Sample GroupNumber
Cooling capacities of installed systems are 5 to maximum cooling
✓ ❑ ❑ No capacity indicated on the Performance's CF -I R and RF -3.
Certifying Signature Date
Sample House Number
Firm
IHR(SRrovider
Street Address:
r�+E �.i.►.rcr
/State/Zip:—aAC9W
Q,Ks ��/1 A'vets 0k QZZd
Copies to: BUILDEK, HLKJ rKV V ILYr J(ru1ar 13uI11U111v alai n■�■ �.. `
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
with the diagnostic tested compliance requirements as checked on this form.
✓ M. --.The installer has provided a copy of CF -6R (installation Certificate).
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Procedures for field verification and diagnostic testing of adequate airflow are available in RA CM, �pp�eRE4. 1.
Method For Airflow Measurement
✓ 1 ❑ 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 Matchin
RE4.1.3 Diagnostic Fan Flow Usingw Grid Measure
Mea d Airflow
Rated Tons:
r ✓
❑ Yes ❑ No Measured airflow is gr ter *An'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
✓ 1:1 Yes ❑ N efrigerant charge or TXV
3
✓ ❑ Yes o Duct leakage reduction credit verified
4
Cooling capacities of installed systems are 5 to maximum cooling
✓ ❑ ❑ No capacity indicated on the Performance's CF -I R and RF -3.
5
If the cooling capacities of installed systems are > than maximum
❑ Yes ❑ No cooling capacity in the CF -IR, 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
✓�q HIGH EER AIR CONDITIONER
Procedures or veri kation are available in RACM, Appendix R1.
1 ✓ ❑ Yes ❑ No EER values of installed systems match the CF -I R
2 ✓ ❑ Yes ❑ No Fors lits stem, 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