The URL can be used to link to this page

BRES2016-022678145 Masters Cir BRES2016-0226 Applicant: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 c&t p 4. XP Qumz DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 533670 i Dat" l Contractors! I k-ir" J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 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 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.). (_) 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. . B.&P.C. for this reason Date: Owner: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 11/15/2016 Owner: 78-495 CALLE TAMPICO GEORGE GOLLEHER LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0226 Property Address: 78145 MASTERS CIRCLE APN: 770350012 Application Description: GILBO RESIDENCE / SFD Property Zoning: Application Valuation: $575,508.90 Applicant: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 c&t p 4. XP Qumz DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 533670 i Dat" l Contractors! I k-ir" J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 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 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.). (_) 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. . B.&P.C. for this reason Date: Owner: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 11/15/2016 Owner: GEORGE GOLLEHER J Contractor: b o Z SUNROSE CORPORATION o 72-850 SOMERA ROAD F PALM DESERT, CA 9226, (760)773-6633 Llc. No.: 533670 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 wo k 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 polity number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 1948056 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da"fo ✓ (b Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 Building Official 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. CONSTRUCTION LENDING AGENCY . I certify that I have read this application and state that the above information -is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Lender's Name: 7 . Da Signature (Applicant or Agent): Lender's Address: %A Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 BRES2016-0226 78145 MASTERS CIRCLE 770350012 GILBO RESIDENCE/ SFD $575,508.90 Owner: GEORGE GOLLEHER Contractor: SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT, CA 92260 (760)773-6633 Llc. No.: 533670 Date: 11/15/2016 Detail: NEW 6262 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ, OR WATER FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $938.77 Total Paid for ART IN PUBLIC PLACES - AIPP: $938.77 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $24.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 2S6-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 Total Paid for ELECTRICAL: $41.09 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $86.31 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $35.56 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT . QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $314.76 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 DESCRIPTION . ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 Total Paid for GRADING: $217.55 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30• DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $24.18 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $9.66 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $181.30 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $120.85 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $132.99 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $53.13 DESCRIPTION ACCOUNT QTY AMOUNT WALL HEATER 101-0000-42402 0 $49.42 DESCRIPTION ACCOUNT QTY AMOUNT WALL HEATER PC 101-0000-42600 0 $24.18 Total Paid for MECHANICAL: $897.86 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE 101-0000-20310 0 $1,221.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,221.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $792.13 Total Paid for NEW CONSTRUCTION PERMIT: $792.13 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW.CONSTRUCTION PLAN CHECK 101-00.00-42600 0 $126.20 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,326.20 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT •BUILDING SEWER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $398.97 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC • 101-0000-42600 0 $398.97 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT . GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $72.54 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $72.54 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $24.18 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $14.50 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $1,107.41 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $74.82 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $74.82 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 March 7, 2003 The Keith Compenies 71<c: f Mr. Timothy R. 7onasson, City Engineer City of La Quinta P.O. Box 1504 781195 Calle Tampico La Quinta, CA 92253 RE: Lot 90 - Tract Map No. 23470-15 Pad/Form Certification TKC No. 40702.04 Dear Mr. 7onasson: The building form, for the above referenced lot, has been surveyed under my direct supervision and has been found to be within substantial conformance to the approved precise grading plan. NC. rresident of Palm Desert Division Palm Desert Division 73.733 Fred Wering Drive Suite 100 Palm Desert California 92260-2590 T. 760.346.9844 F: 760.346.9368 \40MISCO11NerA140256\DOCS.ceft\702.04-Palmero Restdoc WWW.ka11f1C0.COm I ' d 89EB9-11;,E09L OWI 03 H1I3N WdGs : a 6002 LO 8UW vla4-66- 6 >A] .At, N 17' t . Building Address Owner Address P.O. BOX 1504 APPLICATION ONLY LA QUINTA, CALIFORNIA 92253 Pity Zip r Tel. -? IL1h E9i Address ,74/"7G /4150ViE City I Zip I Tel. State Lic. City & Classif. r 33 6 70 Lic. # Arch., Engr., Designer C, 17 7 f ? Wr I r—A t— r,A/4 Add ress State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATUnE ❑At- OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codd, or that he is exempt therefrom, and the basis for the alleged exerhption. Any vfdlaliarr of Secfion 7031,5 by any a,pppplcanr for a permit subjects the applicanr to a civilpenalty of not more bran five hundred dollars [55061. ❑ I, as owner of the property, or my employees with wages as their sole compensation,. will do the work, and the structure -in not intended or offered for safe. (Sac. 7044, Business and Profes- sions Gods: The Contractor's License Law does not apply to an owner of property who builds or Improvas thereon and who does such work hfinself or through his own employees, provided char such 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 did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city- ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 - Date Owner NOTICE TO APPLICANT- If, after making this Certificate of Exemption you should become subject to the Workem' Comparmatlon provisions of the Labor Code, you must forthwith comply with such provisions or this permit Malf be deemed fevokad! CONSTRUCTION LENDING AGENCY I hereby affirm thatthere is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify That I have read this application and state that the above information is correct. I agroe to comply with all city and county ordinances and state laws relating to building construclion, and hereby aulhorl?e representalifias of this city to enter the above -mentioned property for Inspection pdrposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. 5EN I GRRP. A.P. Number O >;-~o C) it ", Legal Description LOT _ �r 1i2t -r 4 M56 2- Project Description Sq. Ft.II,n' No. No. Dw. Size V Stones Units NewX Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation f PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Numbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Date: 11/14/2016 No.: 16-00424-1 Owner: Gilbo Address: 78145 Master Cir. City: La Quinta, CA Type: Single Family Residential Lot # Street No. 78-145 Comments: CERTIFICATE OF COMPLIANCE ON%VtEb sc Desert Sands Unified School District el'o 47950 Dune Palms Road �F f'• Ll.i J}iE La Qunita, CA 92253 ¢ F" "`�,""' �,;��;7N� (760)771-8515 °u -•" Email: Jurisdiction: La Quinta Tract #: Street Name Sq. Feet APN Permit No. Master Cir 6262 770-350-012 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residerti. under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or r;:::;- mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.48 X 6262 S.F. or $21,791.76 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. Fees Paid By: CC_EiCheck No.: 1378302rst Bank Jenny Mclntlre Telephone: 760- Name/Recipient of Certificate Funding: Residential By Dr. Gary Rutherford Superintendent Fee Collected/ Exempted by: Virgilio G Amount Due: Original Payment(sle ' New Payment Rec'd: Y . Over/finder: NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notWy you that the 90-day approval period in which you may protest *he other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from t1w which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlici Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED `. EsGil Corporation In Partnership with Government for Buifding Safety DATE: 10/31/2016 ❑ APPLICANT ❑ JURIS. JURISDICTION: City of La Quinta ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: BRES2016-0226 SET: II PROJECT ADDRESS: 78-145 Master Circle PROJECT NAME: Gilbo Residence ® The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person REMARKS: By: David Yao Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 10/25 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 10 / 17 / 16 Developer: Sunrose Corporation Tract No.- 28867 Tract Name: Tradition Address(s). 78145 Masters Circle, La Quinta Lot No.(s): 90 Phone Number: 76� 773-6633 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1. #2, #13 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 #5 & #7 BELOW ❖ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http:/lwww.la-quanta.orgJPlanCheck/m_search.asox I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section complete y City staff. Recommended by: � �~� Date: /V / 2-L Public Works Distribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T:1Checklists - Forms & ApplicationsWorrns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acrellot or Infill Project) Project Information Project Contractor: Sunrose Corporation Project Phase (check one) Construction Demolition Project Name: Gilbo Residence Project Tract/Lot Numbers: 28867 / Lot 90 Project Street Address: 78145 Masters Circle Total Acres in Active Construction (<1 acre per Lot): 16895 sq. ft. 10 17 16 10 17 16 Anticipated Start Date: / / Anticipated Completion Date: / / PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non -business hours. Name: Jenny McIntire Title: Administration Company Name: Sunrose Corporation Mailing Address: 40101 Monterey Ave, #131-214 Rancho Mirage, CA 92270 City, State, ZIP Code: Primary Phone #: 760-773-6633 Fax #: 760-773-6634 24 Hour Emergency Phone#: 760-773-6633 Cell Phone #: 760-702-0119 Email Address: sunrose.sedona@gmail.com PM10 Certificate #: CV1602-003107-3188 The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/Count. initiated abatement activities. re of ProVedy Owner or Authorized Representative Date T:\Checklists - Forms & Applications\Fonns & Applications\GREEN SHEET cover & PIN10 less than 1 Acre Revised 9-25-09 doc Water Quality Manauement Plan (WQMP) Exemation Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or of impervious area where the pre -development natural slope is 25% or greater? Elmore, Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive soil conditions are known? ❑ Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? ❑ Entitlement or construction of new automotive repair shop(s) including body, upholstery, paint, exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 75391? El ❑ Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square feet? ❑ Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing greater than 5,000 square feet? ❑ Entitlement or construction of new home subdivision(s) with 10 or more housing units? ❑ W Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or more parking spaces. and potentially exposed to Urban Runoff? ❑ ❑� Applicant Information Name and Title Mike Tuvell, President Company Sunrose Corporation Phone 760-773-6633 Email sunrose.sedona@gmail.com Project Information _ Project Name Type (SFH, Multi -Family, Commercial, Etc.) Gilbo Residence I SFR Location or Street Address 78145 Masters Circle Nearest Cross Streets Del Gato Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) 28867 / 770-350-012 Other Location Information Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 16895 sq. ft. Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordinance or policy? Yes Name of the Entity that will implement, operate, and maintain the Source Control BMPs Sunrose Corporation Contact Name Jenny McIntire Street or Mailing Address 40101 Monterey Ave. #131-214 City Rancho Mirage Zip Code 92270 Phone 760-773-6633 T:\Checklists - Forms & Applications\Fonns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Check Item To be Performed Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees Y❑ r Activity Restrictions — Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain, Closed Trash Lids, Restriction of Vehicle Washing Ongoing Street Sweeping at Private Streets and Private Parking Lots Check Item To be Provided Source Control BMP Requirements — Small Sloped Lots, Small Commercial, <10 Unit Subdivisions, <5,000 Square Ft. Parking Lots, Etc. Structural BMP (See Appendix H, Section 4.5.2.2) Storm Drain Inlet Stenciling and Signage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Racks Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention I Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment -PEFueling I Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls ❑ Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowled The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge permit, LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. Signature: 4 —, 4 Print Name: Jenny McIntire Title: Administration Date: 10 / 17 16 Phone: (760 ) 773-6633 TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09 doc Building Permit Number: Project Description: SFiR Exempt- 0 (Materials may (:ontaln hazardous wastes and are not subject to recycling provisions) t�oniintructlon Debris Management Plan Plan Submittal Job Site Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mall Address Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Addrevi '10)'14/2016 713*145 Masters Circle (Lot 90//770-350-012) Herb & Judith Gilbo c/'o 401 D1 Monterey Ave #B1 ••214 (Sunrose Corp) Rancho Mirage, CA. 92270 Sunrose Corp 760-773-6633 siama .eadaria ma .cam Builder / Contractorl 13 unrose Corp Number, Street or PO Box1 40101 Monterey Ave #B1-214, Clty, State, Postal Codal Riancho Mirage, CA. 92270 Project Square Footage) 6,V32 square feet L.� City Approval By t; Date of City Approval r* !4¢l` Materials fro Be Discarded: Product: Tons Trash :25.00 Not recyclable Product Tons Asphalt . 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 6.75 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled _ 0.00 Recyclable Tile (floor') 0.50 Recyclable Concrete "0 Recyclable Tile (roof) 0.75 Recyclable Drywall 3.00 Recyclable Wood 8.00 Recyclable Donated ofReuse' 0.00 Recyclable Landscape Debris 0.00 itecyclable "Describe Items Totals `Recycle�Trash Projected Diversion: i 41_0J L_.25.0 62.12% I understand It Is the property owner's nisponsibiilty to submit coples of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementatlon and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least a0% of the jobsfte waste Is diverted from landfllling. 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 prolect 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 ai DMP for the owner. However, the DMP Is still Issued In the mama 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 Infoirned of the diversion progress through bl-monthly reports. If self -hauling, all rehise material from this project site must be taken to an approved recycler or transfer Qwner / pevlcper / ProJeet Nlanagar 15irpr�rintendant Bate 1