BDEM2015-0004i IIIIIIIIIIIiiiIIllllill 22
IE
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BOEM2015-0004.
Property Address: 79860 AVENUE 52
APN: 776220012
Application Description: WATERMARK/BEAZER HOMES
Property Zoning:
Application Valuation: $430,000.00
Applicant:
MSA CONSULTING, INC.
34200 BOB HOPE DRIVE
RANCHO MIRAGE, CA 92270
VOICE (760) 777.7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/2015
Owner:
D n ZER HOMES HOLDINGS CORP
1\� 00 E IMPERIAL HWY STE 200
EA, CA
AUG 18 2015
CITY OF LA QUINTA EAZER HOMES HOLDINGS CORP
f DEVELOPMENT DEPARTMENT sao E IMPERIAL Hwv No 200
REA.CA
(714)494-8206
Llc. No.: AEC390
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: _ License No.: AEC390 of the wo k for which this permit is Issued.
1 have and will maintain worker
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 Na
Lender's
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 building
construction, and hereby authorize representatives of this city to enter upon the above•
mentioned property for Inspection purposes.
Date:/ //� Signature (Applicant or Agen
s' compensation Insurance, as required by
Date: 7 Contractor:
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:
OWNER -BUILDER DECLA N
Carrler: o/ olicy Number: W /9' 765D,1 C1'q y %O 0
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that In the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, If I should become subject to the
any structure, prior to Its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with Pose rovislons.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
Z11711C
of the Business'and Professions Code) or that he or she Is exempt therefrom and the
Date: Applicant: _
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
WARNING: FAILURE TO SECURE WORKERS' COM PENSA I COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with.wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not Intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST,.AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement Is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or Improve for the purpose of sale.).
1. Each person upon whose behalf this application Is made, each person at whose
(_)1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
Issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or Improves
shall defend, Indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following Issuance of this permit.
(� I am exempt under Sec. . B.&P.C..for this reason
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.
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 Na
Lender's
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 building
construction, and hereby authorize representatives of this city to enter upon the above•
mentioned property for Inspection purposes.
Date:/ //� Signature (Applicant or Agen
". 'E,ESCRIPTION
FINANCIAL INFORMATION
ACCOUNTQTY AMOUNT
PAID
PAID DATE
T�WLTWN =FL11L ' =
101-0000-42404
0 $295.92
$295.92
8/17/15
PAID BY
METHOD
RECEIPT #.
CHECK #
CLTD BY
BEAZER HOMES HOLDINGS CORP
CHECK.
R8505.
64139145
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEMOLITION, FULL PC
101-0000-42600
0
$1,044.24
$1,044.24
8/17/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
BEAZER HOMES HOLDINGS CORP
CHECK
R8505
64139145
MFA
Total Paid forDEMOLITION: $1,340.16 $1,340.16
TOTALS:40
Description: WATERMARK/BEAZER HOMES TM36762
Type: DEMOLITION Subtype: THREE/FOUR FAMILY Status: ISSUED
Applied: 7/24/2015 AZA
Approved: 8/17/2015 BHA
Parcel No: 776220012 Site Address: 79860 AVENUE 52 LA QUINTA,CA 92253
Subdivision: TR 31798 Block: Lot: 1
Issued: 8/17/2015 MFA
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $430,000.00 Occupancy Type: Construction Type:
Expired: 2/13/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: DEMOLITION OF EXISTING: STRUCTURES, PIPING, PAVING WITHIN PERIMNETER WALLS OF FROMER "WATERMARK VILLAS" PROJECT.
(1- 2 STORY STRUCTURE, 10- PARTIALLY CONSTRUCTED BASEMENTS, 1- POOL W/ ENCLOSURE, MISC SITE STRUCTURES) 2013 CODES.
PM102015-0004 APPROVED 8/14/2013.
24
0
Applied to Approved
Approved to Issued
Printed: Monday, August 17, 2015 8:22:39 AM 1 of 3
SYSTEMS
ADDITIONAL
-CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION'DATE
NOTES
NOTE
ED VASQUEZ
8/4/2015
8/4/2015
RECEIVED 3 SETS OF PLANS ONLY, NO CHECK LIST ETC. PLACED
ON BURT'S DESK.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
MSA CONSULTING, INC.
34200 BOB HOPE DRIVE
RANCHO
CA
92270 (714)322-4738
cmurphy@msaconsulti
MIRAGE
nginc.com
CONTRACTOR
BEAZER HOMES HOLDINGS CORP
1800 E IMPERIAL HWY
BREA
CA
(714)322-4738
MONICA-
NO 200
ULTRERAS@BEAZER.CO
. M
OWNER
BEAZER HOMES HOLDINGS CORP
1
1600 E IMPERIAL HWY
BREA
CA
j j (714)322-4738
1
MONICA.ULTRERAS@B
1
L
j STE 200
j
j
EAZER.COM
Printed: Monday, August 17, 2015 8:22:39 AM 1 of 3
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATEDATE
RESULT REMARKS NOTES
PRE -SITE BLD
STATUS
FINAL" BLD
REVIEW TYPE
Printed: Monday, August 17, 2015 8:22:39 AM 1 2 of 3
SYSTEMS
RETURNED .
STATUS
REMARKS `
REVIEW TYPE
REVIEWER
SENT, DATE
DUE DATE
NOTES
DATE
NON-STRUCTURAL -
BURT
7/28/2015
7/31/2015
7/30/2015
REVISIONS REQUIRED
SEE CORRECTION LIST
1 WK
HANADA
NON-STRUCTURAL-
BURT
8/17/2015
8/24/2015
8/17/2015
APPROVED
1 WK
HANADA
PLANNING
8/17/2015
8/24/2015
PLANNING - 1WK
BUCKET
Printed: Monday, August 17, 2015 8:22:39 AM 1 2 of 3
SYSTEMS
v._� • Permit Details P.EI NUZMBRLBDEM201�S4
Printed: Monday, August 17, 2015 8:22:39 AM 3 of 3 ( L.1 Ll V SYSTEMS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
DOC
7/30/2015
BURT HANADA
1ST SUBMITTAL
CORRECTION LIST 79860
AVE. 52-BEAZER HOMES
- WATERMARK.pdf
1ST SUBMITTAL
CORRECTION LIST79860
AVE. 52-BEAZER HOMES
- WATERMARK.pdf
1
DOC
8/17/2015
BURT HANADA
BURRTEC DEBRIS MGMT
PLAN.pdf
BURRTEC DEBRIS MGMT
PLAN.pdf
1
DOC
8/17/2015
BURT HANADA
BUS LIC.pdf
BUS LIC.pdf
1
DOC
8/17/2015
BURT HANADA
GRANT DEED.pdf
GRANT DEED.pdf
1
DOC
8/17/2015
BURT HANADA
LIABILITY INSUR.pdf
LIABILITY INSUR.pdf
1
DOC
8/17/2015
BURT HANADA
OWNER AUTH.pdf
OWNER AUTH.pdf
1
Printed: Monday, August 17, 2015 8:22:39 AM 3 of 3 ( L.1 Ll V SYSTEMS
DESCRIPTION
PermitTRAK - .
1
$1,340.16
BDEM2015-0004 Address: 79860 AVENUE 52
Apn: 776220012
$1,340.16
DEMOLITION
$1,340.16
DEMOLITION, FULL PC
101-0000-42600 0
$1,044.24
DEMOLITION, FULL
TOTAL FEES PAID BY ..
101-0000-42404 0
$295.92
$1,3, 0.16
Date Paid: Monday, August 17, 2015
Paid By: BEAZER HOMES HOLDINGS CORP
Cashier: MFA
Pay Method: CHECK 64139145
v
CIS}/ Of is QUrnta
Building 8t Saky Division
� t P.O. Box 1504,78-495 Cale Tampfco
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit 'Application and Tracking Sheet
Permit #
ProjectAddress:"1 J52*6
Owner's Name:. BOA-ZM M_
A. P. Number. 776 - Z_
Address: i $DO aA4 ��y0
Legal Description: 14AUr -767& Z
Contractor.
City, ST, Zip:
Telephone: l 72
Address: JtOO E
PrcjectDescription:
City, ST, Zip:
Telephone: 71- . �y�, 4, Z • `r's'C/
v i
City Lia 9_7 p
&-
N& -
State Lie. # 0
Arch., Engr., Designer. i�/f�f'g / G
Address: , j rf O -,
. vt.
City, ST, Zip:
340 3Yd. l 7 '�
State Lic. #: Fj :_ .;;-
Name of Contact Person:
`Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair o
Sq. Ft.:
# Stories:
nits:
Telephone # of Contact Person: e7
Estimated Value of Project: Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACICTIVG
PERMITFEES-
Pian Sets
Pian Check submitted
Item
Amount
Str ictural Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construcdon
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2'! Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
UYLL
H.O.A. Approval
Plans resubmitted
Grading
IN KOUSE:-
'"' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval •
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
Beazer
Homes
August 04, 2015
The City of LaQuinta
78495 Calle Tampico
La Quinta, CA 92253
RE: Beazer Homes Authorization for Demolition - Watermarke
To Whom It May Concern,
Please be advised that Beazer homes is the owner of the site described as the Watermarke Project (TM # 36762)
located on the northwest corner of the Jefferson Street and Avenue 52 intersection in the City of LaQuinta, CA.
We are authorizing the demolition work included in the scope of work listed on the attached document and com-
pleted per the onsite demolition plans approved by the City of La Quinta.
Please feel free to contact me should you have any questions.
est gards,
0 (ft"6w�
Ll
da Edwards
Vice -President, Area Manager
Linda.edwards@beazer.com
562-217-3781
Beazer Homes
1800 East Imperial Highway, Suite 140
Brea, CA 92821
e
Due to ourconsislentettorts to hoprovaaut homos.Beaeerreserves the right lomahedmngesmithnit notlea or obligalmn to plans;ehvalions and loicirtg. illtMrationsand specifications; are believed swrecl
at time of pueticadon, and are not intended to cruor am warranty or centrad rights. All dimensions are 8ppmKinnate, Details shmvn may varydepending on the elevation and options chosen All plans are
the property of Beard Homes, Consult your Nm v Hume Counselor toy details. 0 2014 Bearer Homes. 04114 A048d4
Description
Quantity
unit
Unit Cost
Price
Lump Sum Includes the following line items
2 Mobilizations
X
Remove Existing Chain link Fence Trees, Shrubs, and
all old Debris
x
Remove Existing Tubular Fence
X
Remove Existing Asphalt Pavement
X
Remove Existing Decorative Pavers
X
Remove Existing Concrete Walkway
X
Remove Existing Electrical per the Electrical Eng.
Requirements
X
Remove Existing Bldg Foundation & Related
Appurtenances
X
Remove Existing Water line Once CVWD has
abandoned them (2nd Move)
X
Remove Existing Sewer System (2nd Move)
X
Remove All Storm Drain and Area Drains
X
Remove Existing Concrete Curb
X
Remove Existing Overhead Structure
X
Remove Existing Headwall & Rip Rap & RCP Pipe
Connections
X
Remove Existing Block Wall/ Retaining Wall
X
Remove Existing Private Fire Hydrants
X
Remove Existing Tele- Catv & Gas Conduit &
Structures
X
Remove all Remaining Utility Vaults (Water, SD,
ELECT)
X
Remove Existing Trees
X
Remove Existing tree Stumps
X
Remove Pool Deck, Pool And All Equipment
Associated with Pool & Spa
X
Demo & Remove Existing Bldg
X
Remove Catch Basins
X
Remove Existing Monument Structure
X
Remove Existing Concrete Driveway
X
All AQMD Asbestos Survey on Bldg
X
2 Fulltime Water trucks Per AQMD Rule 401-403
(1Per 7 Acres)
X
'4 �® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
14n12015f
THIS'CERTTFlCIK-1E1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIRCATEA)DES-NOT-•AFFIRMATIVELY,OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be, endorsed. If SUBROGATION IS WAIVED, subject to .
the terms and conditions of the policy; certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Los Angeles-Alliant Insurance Services, Inc.
333 S Hope St Ste 3750Noll
Los Angeles CA 90071
CONTACT
NAME: Taml Guo
PHONE 213 270 0998 FAX
EAIL
ADDRE . Tami.Guo@alliant.com
INSURERS AFFORDING COVERAGE NAIC #
'
INSURER A:Navl ators Specialty Insurance Comp 36056
EACH OCCURRENCE $2,000,000
INSURED BEAZHOM-01
INSURER Bliberty Mutual Fire Ins. Co. 23035
Beazer Homes USA, Inc.
INSURER C:Liberty Insurance Corporation 42404
1000 Abernathy Rd., Ste. 260
Atlanta GA 30328
INS uRERD:lronshore Indemnity Inc. 23647
PRODUCTS - COMP/OP AGG $2,000,000
$
INSURER E:
INSURER F:
LIABILITY
ANY AUTO
ALLOWNED
AO
HIRED AUTOS NON -OWNED
AUTOS
COVERAGES CERTIFICATE NUMBER: 1351683967 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED. NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE rX OCCUR
SF15CGL1570541C
`
4/1/2015
4/1/2016
EACH OCCURRENCE $2,000,000
DAMAGE O RENTED
PREMISES Ea occurrence $
MED EXP (Anyone person) $Excluded
PERSONAL & ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
JECT F-] LOC
OTHER:
GENERAL AGGREGATE $2,000,004
PRODUCTS - COMP/OP AGG $2,000,000
$
B
AUTOMOBILE
%(
LIABILITY
ANY AUTO
ALLOWNED
AO
HIRED AUTOS NON -OWNED
AUTOS
AS2-651-004147-035
4/1/2015
-
4/1/2016
Eaaccdent $1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY OA -MAGE $
Per accident
$
D
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
001816301
4/1/2015
4/1/2016
EACH OCCURRENCE $3,000,000
AGGREGATE $3,000,000
DED I RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXE `uTE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA A
WA7-65D-004147-085
'
4/1/2015
4/1/2016
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Evidence of Insurance
Evidence of Insurance
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) . The ACORD name and logo are registered marks of ACORD.
(t-
IUSINESS LOCATION
OUTSIDE CITY LIMITS
Titivl41wQu&rw
78-495 Calle Tampico La Quinta, California 92253
(760) 777-7000
CERTIFICATE
NON -TRANSFERABLE
Dear Business Owner:
IUSINESS NAME: BEAZER HOMES HOLDINGS
SUSINESS ADDRESS: 1800 E IMPERIAL HWY NO 200
BREA, CA
Please be aware that issuance of a business license by the City does not authorize you
to conduct business in a building or tenant space that has not been approved for
occupancy by the Building and Safety Department. If you have any questions regarding
this issue, or if you are not sure if a Certificate of Occupancy has been issued for your
place of business, please contact Building and Safety at (760)777-7012.
The Licensee named herein having paid to the City of La Quinta all fees required, license
is hereby granted said licensee to transact the business herein set forth, for the period
stated, in conformity with the Provisions of Ordinance No. 2 of this City. This Licensee i!
issued without verfication that the licensee is subject to or exempt from licensing by
the State of California.
BUSINESS LIC NO: LIC -763045
Iy CLASSIFICATION:' GENERAL CONTRACTOR
FINANCE DIRECTOR EXPIRATION DATE: 8/31/2016
v, -:a ^-7
°z
IUSINESS LOCATION
OUTSIDE CITY LIMITS
T4hr 4 XfvQa 14 rw
78-495 Calle Tampico La Quinta, California 92253
(760) 777-7000
CERTIFICATE
NON -TRANSFERABLE
Dear Business Owner:
IUSINESS NAME: BEAZER HOMES HOLDINGS
IUSINESS ADDRESS: 1800 E IMPERIAL HWY NO 200
BREA, CA
iy
I(. a �09Vta,5;6
FINANCE DIRECTOR
Please be aware that issuance of a business license by the City does not authorize you
to conduct business in a building or tenant space that has not been approved for
occupancy by the Building and Safety Department. If you have any questions regarding
this issue, or if you are not sure if a Certificate of Occupancy has been issued for your
place of business, please contact Building and Safety at (760)777-7012.
The Licensee named herein having paid to the City of La Quinta all fees required, IicensE
is hereby granted said licensee to transact the business herein set forth, for the period
stated, in conformity with the Provisions of Ordinance No. 2 of this City. This Licensee is
issued without verfication that the licensee is subject to or exempt from licensing by
the State of California.
BUSINESS LIC NO: LIC -763045
CLASSIFICATION: GENERAL CONTRACTOR
EXPIRATION DATE: 8/31/2016
4
RECORDING REQUESTED BY
FIDELITY NATIONAL TITLE
P't 30.3o 9?45
AND
WHEN RECORDED MAIL TO:
BEAZER HOMES HOLDINGS CORP.
1800 East Imperial Highway, Suite 140
Brea, California 92821
Attn: James Furey
DOC # 2013-0541510
11/15/2013 08:00 AM Fees: $47.00
Page 1 of 5 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
**This document was electronically submitted
to the County of Riverside for recording"
Receipted by: MRUIZ
DTT-ok MH
(Space Above for Recorder's Use)
MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX:
Same as above The undersigned grantor declares that the
amount of Documentary Transfer Tax is shown
7TA 0,W on an accompanying statement and is not for
APNs: 776-220-012; 776-220-013; and 776- public record. Revenue and Taxation
220-014 Code § 11932 .
GRANT DEED
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
PACIFIC WATERMARKE, LLC, a Delaware limited liability company doing business in
California as JEN La Quinta Investors, LLC ("Grantor"), hereby grants to BEAZER
HOMES HOLDINGS CORP., a Delaware corporation ("Grantee"), that certain real
property located in the City of La Quinta, County of Riverside, State of California more
particularly described on Schedule 1 attached hereto and incorporated herein by this
reference.
THIS GRANT AND CONVEYANCE IS MADE AND ACCEPTED SUBJECT TO:
All non -delinquent general, special and supplemental real property taxes and
assessments, and all covenants, conditions, restrictions, reservations, rights, rights-of-way,
dedications, offers of dedication, liens, encumbrances, equitable servitudes, easements and
other matters of record, matters known to Grantee as of the date hereof, and any matters that
would be shown on or disclosed by an accurate inspection or survey of the Property.
2915845
[SIGNATURES APPEAR ON FOLLOWING PAGE]
-1-
DOC #2013-0541510 Page 3 of 5 11/15/2013 08:00 AM
IN WITNESS WHEREOF, Grantor has executed this Grant Deed as of
November 6, 2013.
GRANTOR:
PACIFIC WATERMARKE, LLC,
a Delaware limited liability company,
doing business in California as
JEN La Quinta Investors, LLC
By: Terra West Communities, LLC,
a Delaware limited liability company,
its Managing Member
By: JEN Partners, LLC,
a Delaware limited liability company,
its Manager
By:��^ --_
FrNA GE/60W,,7Z
Its: `-Ta fRcIT4.Er-T
2915845 - 2 -
DOC #2013-0541510 Page 2 of 5 11/15/2013 08:00 AM
STATE OF
ss.
COUNTY OF
On >✓ " 7b 64 /Q, oR0/3 before me, ,S7 i11A 1(f 6t ,'O , Notary
Public, personally appeared
L E/,0 oc) / T Z , who proved to me on the
basis of satisfactory, evidence to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and convect.
WITNESS my hand and official seal
(Seal)
GNATURE OF NOTARY PUBLIC
STEPHANIE ERRICO
Notary Public State of New York
No. 01 ER4753742
Qualified in New York County
Commission Expires
2915845 - 3
DOC #2013-0541510 Page 4 of 5 11/15/2013 08:00 AM
STATE OF NEW YORK
COUNTY OF NEW YORK
r.�
On the o? day of November in the year 2013 before me, the undersigned, a
notary public in and for said state, personally appeared Ethan Leibowitz, personally known to me
or proved to me on the basis of satisfactory evidence to be the individual whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity and that by his signature on the instrument, the individual, or the person upon behalf of
which the. individual acted, executed the instrument.
otary fublic
STEPHANIE ERRICO
Notary public State of New York
No. 01ER4753742
Qualified in New Yo c County_
Commission Expires /g' S
e
DOC #2013-0541510 Page 5 of 5 11/15/2013 08:00 AM
SCHEDULEI
LEGAL DESCRIPTION
That certain real property in the City of La Quinta, County of Riverside, State of California,
described as follows:
Lots 1 and 2 and Lettered Lot C of Tract No. 31798, in the City of La Quinta, County of
Riverside, State, of'California,:as shown by Map on, file in Book 398, Pages 53 to 57,
inclusive, of Maps, in the office of the County Recorder of said County.
APN(s): 776-220-012; 776-220-013; and 776-220-014
2915945 - 4 -
Building Permit Number.
Project Description: SFR
Exempt: D
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date 8/6/2015
Job Site Address) 51751 Jefferson St (Watermark)
Owners Name
Number, Street, or PO Box
City, State, Postal Code
Owners Phone Number
Owners E -Mail Address
Beazer Homes
1800 E. Imperial Hwy #140
Brea, Ca. 92821
562-217-3781
Iinda.edwarb0beazer, com
Project Managers Namel Linda Edwards
Project Managers Phone Number 562-217-3781
Project Managers E-mail Address I linda.edwards0beazer.com
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
City Approval By
Date of City Approval
I o tie ulscarae
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse"
'Describe Items
Beazer Homes
1800 E. Imperial Hwy #140
Brea, Ca. 92821
Approx. 2340-2500 square feet each (82 homes)
1
Tons
1065.00 Not recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
905.00 Recyclable
102.50 Recyclable
0.00 Recyclable
Totals: Rec cle Trash
1590.01 1 1065.0
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
0.00 Recyclable
210.00 Recyclable
0.00 Recyclable
20.50 Recyclable
42.00 Recyclable
310.00 Recyclable
0.00 Recyclable
Projected Diversion:
59.89%
I understand it is the property owners responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the Jobsite waste Is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP Is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or
demolition project A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
Owner / Developer / Project Manager / Superintendent Date
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2011, The Green Building Standards Code (CALGreen) requires that the construction
of most new structures in the State of California comply with sections 4.408 and 5.408 of the code In
accordance with Assembly Bill 939 requiring that no more than 50% of jobsite waste be disposed of as
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to
come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise
hauler. If you choose to self -haul any recyclables or trash, you must
provide copies of all weight tickets and/or receipts from the transfer
station, landfill, or recycler as the job progresses. Clean-up companies
and other haulers are not permitted to haul waste or recyclables from the
City of La Quinta. Self -haul weight tickets should be submitted to:
Renado Gouldlock, District Environmental Coordinator -
rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to:
41575 Eclectic Street, Palm Desert, CA. 92260.
D10M&U9 =0111 vlelmg
PLANNING • CIVIL ENGINEERING • LAND SURVEYING
RECEIVED
AUG 13 2015
Transmit To:
Burt Hanada CITY OF LA QUINTA
Building Official COMMUNITY DEVELOPMENT
CITY OF LA QUINTA
78495 Calle Tampico
La Quinta, CA 92253
%wt_
Project Info:
Beazer Homes - Watermark
Requested Documents for Demo Plan Permitting
Project No: 2200 Date: Aug 13, 2015
WV= 010 1 ,
0 Here with "`Originals Computer Media E] Shop Drawings Via Messenger
n Our F-1 Prints Project Manuals Payment Cert. Express Mail EJ
Your F—] Copies r—] Product Literature Change Order 1st Class Mail
Sets
Type
Dwg No
Dated
Description
1
n For Your Review
[J For Bidding
1:1 As Discussed
Letter of Authorization for Demolition
1
Recorded Grant Deed
1
Construction Debris Management Plan
F]As Requested
n For Your Use
F]For Filing
F—] For Approval
E]As Required
n For Your Review
[J For Bidding
1:1 As Discussed
Burt - Per our conversation this morning I am delivering the requested documents and a copy of the revised PM -10 plan for your review and
records. I am also delivering a copy of the PM -10 Plan to Bryan McKinny in Public Works. The signed mylar for the PM -10 and the fees for the
grading permit will be delivered to you tomorrow. Thank you again for all of your help.
Copy To
If enclosures are not as noted,
please notify us immediately.
Transmittal No: 3771
34200 Bola Hopi=:DRIVE S RANCHO MIRAGE ® CALIFORNIA N 92270
760.320-9811 i 760.323-7893 fax ■ www.MSACONSULrING1NC.c0m
Cherie Murphy