07-0047 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,itit °F 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07_-00000047 )
Property Address: 54840 SECRETARIAT DR
APN: 767-320-999-243 -32879 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 259635
Applicant:rchitect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed unde provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the B 'Hess and Professionals ode, and my License is in full force and effect.
License C Qss: B ense No.: 701039
Date ( ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per ry at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Bus 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 ($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 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.).
I—) 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:
LQPERNITT
Owner:
GRIFFIN RANCH, LLC
47-120 DUNE PALMS
LA QUINTA, CA 9225
Contractor:
TRANS WEST HOUSING
9968 HIBERT STREET-,
SAN DIEGO, CA 92131
(858)653-3003
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
C
FSB o9 2007
0.2
D ^,—
Date: - 1/05/07
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.
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 subject to
workers' compensation laws of California,
and agree that, if I shou ecome subject to the orkers' compensation provisions of Section
Q J►'00 of the or Cod I sh forthwit y with those provisions.
ate: / �C pplicant:
WARNING: FAILURE TO SECURE OR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI N 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.
certify that I have read this application and state that t e above information is correct. I agree to comply with all
city and county ordinances and st to laws relating to bu ing construction, nd hereby authorize representatives
of this co Qy to nter upon t above-mentioned grope or inspect poses.
e: / ature (Ap,gaplicant or Agent
.� Application Number .
. . . . 07-00000047
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1199.50
Plan Check_ Fee
194.92
Issue Date . . . .
Valuation . . . .
259635
Expiration Date
7/04/07
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
Expiraticn Date
7/04/07
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
7/04/07
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
7/04/07
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
LQPERDIIT
LQPERMIT
Application Number . . . . . 07-00000047
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 7/04/07
Qty .Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD.- LOT 243, PLAN 2AR, 3972 S.F,
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
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
5784.60
LQPERMIT
i
12/14/2007 07:53 9516818245 '
WESTERN INSULATION
WESTERN INSULATION L.P.
3190 CORNERSTONE DRIVE
MIRA LOMA, CA 91752
(951) 360-3127 FAX (951) 681-8245
CF6R INSULATION CERTIFICATE
-PAGE 12/18
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, C� LIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: ,
TRACTIPHASE:
32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1
LOT
243
-
SITE ADDRESS:
54-840 SECRETARIAT DRIVE — LA QUINTA, CA
CEILINGS:
BLOWN INSULATION
MANUFACTURER:
GREENFIBER
THICKNESS:
10Z
R- VALUE: R-38
CEILINGS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
12"
R- VALUE: R-38
EXTERIOR WALLS:
BAITS
MANUFACTURER:
KNAUF
THICKNESS:
a X"
R- VALUE: R-19
GABLE ENDS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
3'h"
R— VALUE: R -1i
OPT — INTERIOR WALLS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
3'/s"
R—VALUE: R-11
OPT — SUITE:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
12"
R— VALUE: R,38
KNAUF
THICKNESS:
S'/a"
R -VALUE: R-19
GENERAL CONTRACTOR: TRANSWEST HOUSING, INC.
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY:l r
TITLE: PRODUCTION MANAGER -
DATE: December 13, 2007 ,
9
ZA
P AA �wsTIF
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project Address G
'��2 . - 5-IM4J6 EZP_E :A :rAT � .
-1Telephone
Builder Name, (\
W�sT d �.I
1 r.ANS -
Builder Contact i
34. 23
Plan Number
Z
`` ((�� Tele hone
HERS Rater �
�
�J
Sample GroupNumber A
Values
AuaD /VttvCSo•J
1
Compliance Method Pre cri ive
Climate Zone tS
ifying Signat IZ /r / Date
Sample House Number'
iA --la .
m
;F*E
HERS Provider
lc�
AG"SrLa* Atae-y 44
Street Address:
City/State/Zi
Q2Zd
YTS"/ (At V TAAA C.m.�+�`
Rr�µ71► uNfts
Copies to: BUILDER, HERS PROVIULK AINV 191JILUI1N%, VL'rAmI MEIN I
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, 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)..
A
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.
✓�iTINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Plocedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3.
Duct Diagnostic Leakaee Testing Results `
NEW CONSTRUCTION: Is.,%
Duct Pressurization Test Results (CFM @D� 25 Pa)
Measured
='�•
Values
1
Enter Tested Leakage Flow in CFM:
_" r
Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or V'❑ Measured'
2
Enter Total Fan Flow in CFM:
✓ ✓
3
Pass if Leakage Percentage <_ 6% [ 100 x [_(Line # 1) / (Line # 2)1]
ass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Chan Change -Out Yg
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to;
4
Duct System Alteration and/or Equipment Change -Out.
s ir.^ AWi
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sys
5
for Duct System Alteration and/or Equipment Chan e- ut.
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)]�'*P,
} >'
kt
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outsi if Ap e)-`
✓ ✓
Entire New Duct System - Pass if Leakage P cent _ % '
..
❑Pass ❑Fail
8
100 x Line # 5 / Line - z +
TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out.
Use one of the following four Test or Ification Standards gFeomianm
9 Pass if Leakage Percenta 5% [100 x f (Line # 5) / (Line # 2)]]
❑'Pass ElFail
if Leakage tside Percentage <_ 10% [100 x (Line # 7) / (Line # 2)1]
10 Pass [
❑ Pass ❑ Fail
Pass if age Reduction Percentage >_ 60% [100 x [ -(Line # 6) / (Line # 4)]]
❑ Pass ❑ Fail
11 erification by Smoke Test and Visual Inspection
Wl"Fass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
i* t
❑ Pass ❑ Fail
Pass if One of Lines # 9 through #'12 Pass
a Ui�ia �•
❑ Pass ❑ Fail
Residential Compliance Forms i. * . ; .•� . • April 2005
•
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
Pro ect Address
)^o i .Z I{O 5ee -ear J�0
Builder Name
�•�wstJe-sr sc- _�+c
Builder Contact Telephone
Plan Number
HERS Rater 'DA0 t D _ ! �� �a -f6o ,L,�Z c3Tele phone
Group Number ZA
_Sample
Compliance Method Prescri 'vejj
Climate Zone t5
Certifying Signature /O Date
Sample House Number 1.4Z
�F fm UAtrcC4 �J�st�*h14s
C�OAcoe*ut L
H��ERS rovider
Street Address:
'firs-fr -S/,SKSTV./E� �.,,e�
'fir
ity/State/Zip:
I City/State/Zip-
..�,.�.,�,� a QZZ
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
with a diagnostic tested compliance requirements as checked on this form.
✓
with
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 Thermost ' xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity r
Date of Verification lap -
Date of Refrigerant Gauge Calibration
I (mulFbe cflbcked monthly)
I (must be checked monthly)
Date of Thermocouple Calibration
Access is provided for inspection. The procedure shall consist of
✓
❑ Yes
❑ 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 Thermost ' xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity r
Date of Verification lap -
Date of Refrigerant Gauge Calibration
I (mulFbe cflbcked monthly)
I (must be checked monthly)
Date of Thermocouple Calibration
Note: The system should bei ed and charged in accordance with the manufacturer's specifications and installer
verification shall 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 eterminin 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
U
•
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R
Pro'ect Address`-
{.40 2 : 4 Sic eE�raa iri- -�R
Bui l er Name
I /lis 1.•5�-�r s� .�c
Builder ContactTelephone
�a3 Q♦f� �bC� gSOf - 3GZ
Plan Number
Z
HERS RaterI IG (��a ��i0 Tele hone
pJ vC Z�Z- �3
Sample Group Number /a
✓
Certifying Signature �Date
Sample House Number 6
Firm _ //��
4PAC&4ff ,4k � �� L'd�S'tat �7QN�T�
HHE_RS Rroviider
(-�3
Street Address: /
J ' I �l *C KsTt*-,E C=.r.+-1«-
City/State/Zip:
A "Aft -S
Copies to: BUILDER, HERS PROVIDEK AND BUIUMMU DtrAK11VWN I
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 verifications 1 certify that the house identified on this form complies
with the diagnostic tested compliance requirements as checked on this form.
✓ ,.The installer has provided a copy of CF -6R (Installation Certificate).
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Procedures or field verification and diagnostic testing of adequate airflow are available in RACM, Appe RE4.1.
Method For Airflow Measurement
`/ 1 ❑ Yes 1 ❑ No 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 Using F15w Grid Measure
Mea d Airflow:
Rated Tons:
✓ ❑ Yes ❑ No Measured airflow is gr ter n the 2Lteria in Table RE -2 ❑
Yes is a pass Pass
✓ ❑ MAXIMUM COOLING CAPAC
Procedures for determining maximum coo ' load capacity are available in RACM, Appendix RF3.
1
✓
❑ Yes ❑ No uate airflow verified (see adequate airflow credit)
2
✓
❑ Yes ❑ N efrigerant charge or TXV
3
✓
❑ Yes o Duct leakage reduction credit verified
4
✓
❑ ❑ No Cooling capacities of installed systems are _< to maximum cooling
capacity indicated on the Performance's CF -1R and RF -3.
5
If the cooling capacities of installed systems are > than maximum
❑ Yes ❑ No cooling capacity in the CF -1R, then the electrical input for the
installed s stems 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
✓�Y§ HIGH EER AIR CONDITIONER
Procedures or veri station are available in RACM, Appendix Rl.
1 ✓ ❑ Yes ❑ No EER values of installed systems match the CF -1 R
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