07-0040 (SFD)i
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00000040
54820 SECRETARIAT DR
767-320-999-242 -32879 -
DWELLING - SINGLE FAMILY
LOW-DENSITY RESIDENTIAL
289058
Td!t
0".
.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCCOMIC GRIFFIN LLC
7979 IVANHOE AVE #550
DETACHED LA JOLLA, CA 92037
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION'
I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus'ness and Profession s Code, and my License is in full force and effect.
License lass: B LicenseNo.: 701039
ate: ontractor:
NER-BUILDER DECLARATION '
I hereby affirm under penalty of erjury t at 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, usine and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolis 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).:
(_) 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 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.).
(_) I am exempt under Sec. , BAP.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:
LQPERMIT
Contractor:
TRANS WEST HOUSING,
9968 HIBERT STREET,
SAN DIEGO, CA 92131
(760)777-4307
Lic. No.: 701039
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/05/07
D a a�
I FEB 0 g 2007
Si E 102
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.
XI 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 the workers' compensation laws of California,
and agree that, if I shou become subject the workers' compensation provisions of Section
q ,p3 -7t00 of t abor Code all forthwit mply with those provisions.
atm e: 1 6 / Applicant:
WARNI G: FAILURE TO SECUREUINPENALTIES
RS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT'AN EMPLOYER TO CRI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITHE 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 Ouinta, 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 th bove informatio is correct. I agree to comply with all
E
o ty ordinances and ate laws relating to buil 'Con
nd hereby authorize representatives
ty t enter upon above-mentioned propegnature (Applicant or Agent):
Application Number
07-00000040
Permit
BUILDING PERMIT
Additional desc .
Permit Fee,
1304.50
Plan Check Fee
211:98 -
Issue Date
Valuation
289058
- Expiration Date
7/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
190.00 3.5000
THOU BLDG
100,001-500,000
665.00
Permit
MECHANICAL
Additional desc .
Permit Fee . .,
114.50
Plan Check Fee
7..16
Issue Date . . . .
Valuation
0
Expiration 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
182.17
Plan Check Fee
11.39
Issue Date
Valuation . .
0
Expiration Date
7/04/07.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4363.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
152.71
723.00 .0200
---------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
-------------
14.46
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
180.00
Plan Check Fee
11.25
Issue Date . . . .
Valuation
0
Expiration Date
7/04/07
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
LQPERn1IT
LQPERD7IT
Application Number . . . 07-00000040
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 7/04/07
Qty Unit Charge Per
Extension
BASE 'FEE
15.00
-------------------------------------------------- ------------------
Special Notes and Comments
SFD - LOT 242, PLAN 4CR, 4363 SF.
PERMIT DOES NOT INCLUDE POOL, SPA, -
BLOCK WALLS OR DRIVEWAY APPROACH.7S%
-
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME'PLAN TYPE.
2001
CBC, CMC, CPC, 2004 CEC, 2005 ENERGY
CODES
---------------------------------------------------------------
Other Fees . . . . . 11. . . . ART IN PUBLIC PLACES -RES
------
222.64
DIF COMMUNITY CENTERS -RES
74.00
` DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
21.20
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN.CHECK FEE
.OQ
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
28.90
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION -.RES
1666.00
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 1796.17 .00 .00
1796.17
Plan Check Total 241.78 .00 .00
241.78
Other Fee Total 3968.74 .00 .00
3968.74
Grand Total 6006.69 .00 .00
6006.69
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
PAGE 11/18
;, CFbR INSULATION CERTIFICAT E
,I
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
ii STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT/PHASE: 32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1
ii LOT 242
SITE ADDRESS: 54820 SECRETARIAL- DRIVE — LA QUINTA, CA
_
----------------------------------------------------------
lI CEILINGS: BLOWN INSULATION
i! MANUFACTURER: GREENFIBER THICKNESS: 10.3"
R- VALUE: R-38
CEILINGS: BATTS
MANUFACTURER: KNAUF THICKNESS: 12"
R- VALUE: R-38
j EXTERIOR WALLS: BATTS
MANUFACTURER: KNAUF THICKNESS: 6'/'
.i
R- VALUE: R-19
i GABLE ENDS: BATTS
MANUFACTURER: KNAUF THICKNESS: 3Ma"
R— VALUE: R-11
i
i OPT — INTERIOR WALLS: BAITS
MANUFACTURER: KNAUF THICKNESS: 3'/"
R— VALUE: R-11
ii OPT — 3 CAR GARAGE BATTS
MANUFACTURER: KNAUF THICKNESS: 12"
R —VALUE: R-38
KNAUF THICKNESS: 6'/"
R -VALUE: R-19
1I
GENERAL CONTRACTOR: TR,ANSWEST HOUSING, INC.
I BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER. 794484
�i BY:
y TITLE: PRODUCTION MANAGER
:j DATE: December 13, 2007
0
•
!„ e, Q.:.%1rw _ 4�2Aa
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project AddressBuilder
't 2tiZ 54 .62Z2S
eeA-rA JQ Lr AT _))e
Name.
Builder ContactTelephone
1
Plan Number
HERS Rater ` n
AOIL
. /Vte So.J
Tele hone
�� 2�Z- f3'S
Sample GroupNumber
2
Compliance Method Pre cri ive
Certifying Signat
1Z /r ,s / Date
Climate Zone LS
Sample House Number
F. _
�1
/�
HERS Provider
a4 -L C °74-�
CSO Ae- M�-A A c a y t
C G'N S ca c-'t�1wh$
X9ass ❑ Fail
Street Address:
�w�:
Yt ,
City/State/Zi
�¢'ftXJ^
7T5-1-1 iwc tcsTa�.E.
r..�ts
Copies to: BUILDER, HERS PROVIDER AND BUILDING DtrAK I MEN I
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓P 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 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).
CS7K 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 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:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values_
1
Enter Tested Leakage Flow in CFM:
'
2
Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or v/❑ Measured
Enter Total Fan Flow in CFM:
`/ `/
3
Pass if Leakage Percentage <_ 6% [ 100 x L(Line # 1) / (Line # 2)]]
X9ass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Yt ,
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.
ki
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sy
for Duct System Alteration and/or Equipment Chane- ut.
,
6
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)]
(Only if Applicable)
r
Enter Tested Leakage Flow in CFM to Outsi if A e)
✓ ✓
J7
8
Entire New Duct System - Pass if Leakage P cen _ %
100 x Line # 5 / Line
❑ Pass ❑ Fail
TEST OR VERIFICATION STAN DARPOS01165 Altered Duct st and/or HVAC Equipment Change -Out
Use one of the following four Test or Iflcation Standards com lance:
✓ ✓
9 Pass if Leakage Percents 5% [100 x [____(Line # 5) / (Line # 2)]]
❑ 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 F_(Line # 6) / (Line # 4)]]
11 erification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
ass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
M
❑Pass ❑Fail
Pass if One of Lines # 9 through # 12 pass'
-
❑Pass ❑Fail
Residential Compliance Forms
April 2005
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
Pro
!�
ect Address
Z 7 SL:CR-erRe�wT—:�>Q-
Builder Name 1�
Builder Contact gAPO Telephone
�03 1 wa.p�a 8'Df 323
Plan Number
3 Phone
HERS Rater -DAL) t D _ ! e-.JWa 760 7-7 7-
Sample Group Number A
(must be checked monthly)
Com liance Method (Prescrip1jvel,1
Climate Zone t5
Certifying Signature tZ Date
Sample House Number 1Q
X'UAtt� � Ams �
AG tf �t�c.�ik C.
rALHERrovider
Street Address:
City/State/Zip:
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: v" 11 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.
V',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 R4CM, Appendix R/.
✓ ❑ REFRIGERANT CHARGE MEASUREMENT a
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
Date of Refrigerant Gauge Calibration
1 (mu e c eked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
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 a
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
Date of Refrigerant Gauge Calibration
1 (mu e c eked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
Note: The system should bei ed and charged in accordance with the manufacturer's specifications and installer
verification shall be docu&iffted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall
use the Alternative Cbd ee Measure Procedure
Procedures 0,92eterminingRefrigerant 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
•
9
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page'5 of 8) CF -4R
Pro ect Address
Z04 5tce61.aafar �
Buer Name
il
IR s l,•Se-ter }�s� 5;;e_
Builder Contact Telephone
-boa ft♦1A �bC� $i0f -Z
Plan Number
W
- -
4
HERS Rater Tele hone
�yb iv�
Sample Group Number 1#4
If the cooling capacities of installed systems are > than maximum
oe ❑ Yes ❑ No cooling capacity in the CF -1 R, then the electrical input for the
installed systems must be <_ to electrical input in the CF -1 R.
Certifying Signature Date
rr�q r�r-
Sample House Number
-A -�
Firm
40'et aZAA
/J
t/►�Q� L'd/�Sut�7iM''�
RS'jrovider
HHEvi
-�L
o2AL --:S
Street Address: n
N5-7-( _aqt KS-rc+a�E `r.,.. �cr
/�
City/State/Zip: *:i>
E/Q.KK�11 .Varvts C � 4ZZd
Copies to: BUILDUK, Ht" rKl/v11JUK Aivu DU1l.uuvt, vr.rHn i ir110i14 I
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested %/ (W 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.
✓ .The installer has provided a copy of CF -611 (Installation Certificate).
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Procedures for field verification and diagnostic testing o ade uate air ory are available in RACM, Appe RE4.1.
Method For Airflow Measurement
❑ Yes ❑ No
7 RE4.1.1
7 RE4.1.2
7 RE4.1.3
Duct design exists on plans
Diagnostic Fan Flow Using
Diagnostic Fan Flow Using
Diaenostic Fan Flow Using
Flow Capture Hood
Pig= Pressure Matchi
F15w Grid MeasureruO
OE'd Airflow:
Rated Tons:
❑Yes ❑ No Measured airflow is grfter n the 2Lteria in Table RE -2 ❑
Yes is a pass Pass
✓ ❑ MAXIMUM COOLING CAPA
Procedures for determining maximum coo 'C 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:5 to maximum cooling
ca acity indicated on the Performance's CF -1R and RF -3.
5
If the cooling capacities of installed systems are > than maximum
oe ❑ Yes ❑ No cooling capacity in the CF -1 R, then the electrical input for the
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 ass
Total CFM
cfm/ton
✓ ✓
❑ ❑
Pass Fail
✓�§ HIGH EER AIR CONDITIONER
Procedures or veri ication are available in RACM, Appendix Rl.
I ✓ ❑ 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 I and 2; and 3 (If Required) is a pass Pass Fail
Residential Compliance Forms April 2005