The URL can be used to link to this page

BRES2015-042778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�p 4 4� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0427 Property Address: 80758 VIA PESSARO APN: 777160004 Application Description: HIDEAWAY / KELLY / 4,847 SINGLE FAMILY DWELLING Property Zoning: Application Valuation: $438,401.10 Applicant: SUNROSE CORPORATION 72-850 SOM ERA ROAD PALM DESERT, CA 92260 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 Date:Contractor: 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).: (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.). U 1, 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 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: 19 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/2/2016 Owner: TERRY KELLY 40101 MONTEREY AVE #131-214 LA QUINTA, CA 92253 Contractor: d \ III 'SUNROSE CORP J��Llm 72-850 SOMERA q PALM DESERT, C1�4R 2 2016 (760)773-6633 Llc. No.: 53367 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: _ Policy Number: _ 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. Date: 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. 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 tlQ building construction, and hereby authorize representatives of this city to enter 7/1111 po 11e above-mentioned property for inspection purposes. / Date: ?-2_—,-4 Signature (Applicant or Agent) FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID ;PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $596.00 $596.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for ART.IN PUBLIC PLACES - AIPP: $596.00 $596.00 . DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $18.00 $18.00 3/2/16 PAID BY METHOD 'RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $18.00 $18.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 3/2/16 PAID BY, METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT • QTY AMOUNT. PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 3/2/16 PAID BY. METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 3/2/16 PAID BY METHOD RECEIPT.# CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 " DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 .0 $24.17 $24.17 3/2/16 PAID BY METHOD.. RECEIPT # -CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 $16.92 3/2/16 PAID BY = METHOD RECEIPT #. CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $61.65 $61.65 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK- R33485 • 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $25.40 $25.40 3/2/16 PAID BY - METHOD RECEIPT # CHECK # . CLTD BY SUNROSE CORPORATION' CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-02403 0 $145.03 $145.03 3/2/16 PAID BY METHOD `RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY 'SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $279.94 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 $36.26 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD.BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 $181.29 3/2/16 PAID BY = METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485. 17810 RSE Total Paid for GRADING: $217.55 $217.55 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $145.04 $145.04 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION = ACCOUNT.. QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $96.68 $96.68. 3/2/16 PAID BY METHOD :., RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT : PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 3/2/16 PAID BY METHOD RECEIPT.#; CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $145.04 $145.04 3/2/16 PAID BY METHOD RECEIPT # CHECK '# CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT • QTY ? AMOUNT- PAID PAID DATE FURNACE PC 101-0000-42600 0 $96:68 $96.68 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION :ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $108.81 $108.81 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT, .' QTY AMOUNT PAID PAID DATE. VENT FAN PC 101-0000-42600 0 $43.47 $43.47 3/2/16 PAID BY METHOD 'RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for MECHANICAL: $652.64 $652.64 DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $715.41 $715.41 3/2/16 PAID BYMETHOD . RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for NEW CONSTRUCTION PERMIT: $715.41 $715.41 DESCRIPTION ACCOUNT_ QTY AMOUNT. PAID ' PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 .$1,400.00 11/4/15 PAID BY = METHOD RECEIPT# CHECK # CLTD BY SUNROSE CORPORATION CHECK R10577 17437 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID . _ PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $136.12 $136.12 3/2/16 PAID BYMETHOD RECEIPT # CHECK # A CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,536.12 $1,536.12 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT ' PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY -AMOUNT PAID • PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $326.43 $326.43 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $326.43 $326.43 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 3/2/16 PAID BY METHOD — RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE . DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK' R13485 17810 RSE DESCRIPTION ACCOUNT QTY• AMOUNT. `PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 3/2/16 " PAID BY METHOD ` RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE, WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 3/2/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for PLUMBING FEES: $817.25 $817.25 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $56.99 $56.99 3/2/16 PAID BY METHOD RECEIPT # CHECK # • CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $56.99 $56.99 DESCRIPTION ACCOUNT QTY., AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 3/2/16 PAID BY METHOD RECEIPT•# 'CHECK # CLTD BY SUNROSE CORPORATION CHECK R13485 17810 RSE Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: Description: HIDEAWAY / KELLY / 4,847 SINGLE FAMILY DWELLING Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 11/4/2015 SKH FAMILY DETACHED Approved: 3/2/2016 JJO Parcel No: 777160004 Site Address: 80758 VIA PESSARO LA QUINTA,CA 92253 Subdivision: • Block: Lot: 162 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $438,401.10 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 JIM JOHNSON Details: NEW 4847 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ, AND WATER FEATURES. HOME IS FIRE SPRINKLED PER 2013 CRC CODES ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE. STAFF NAME' ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 1/29/2016 2/2/2016 NOTE JIM JOHNSON 3/2/2016 3/2/2016 PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED KAY HENSEL 11/30/2015 11/30/2015 STRUC RFC 11/30/2015 PLAN CHECK COMMENTS FROM CONSULTANT RECEIVED KAY HENSEL 2/26/2016 2/26/2016 STRUC APPROVABLE 2/25/2016 PLAN CHECK PICKED UP STEPHANIE. GUM PERT 12/1/2015 12/1/2015 PLAN CHECK PICKED UP STEPHANIE KHATAMI 2/2/2016 2/2/2016 COLE TURVEL PLAN CHECK PICKED UP STEPHANIE KHATAMI 2/2/2016 2/2/2016 COLE TURVEL Printed: Wednesday, March 02, 2016 1:53:57 PM 1 of 8 srsrrnns PLAN CHECK SENT TO KAY HENSEL 1/15/2016 1/15/2016 STRUC TO YOUNG FOR 2ND STRUCTURAL PLAN CHECK -.DUE OUTSIDE PC BACK 1/29/2016 PLAN CHECK SENT TO KAY HENSEL 2/17/2016 2/17/2016 STRUC TO YOUNG - MESSY RESUBMITTAL - LOOSE PAGES - OUTSIDE PC SLIPSHEETS?? DUE BACK 3/2/2016 PLAN CHECK SENT TO STEPHANIE KHATAMI 11/4/2015 .11/4/2015 OUTSIDE PC PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 11/4/2015 11/4/2015 RECEIVED , RESUBMITTAL MARY FASANO 1/15/2016 1/15/2016 TELEPHONE CALL JIM JOHNSON 12/1/2015 12/1/2015 CALLED SUNROSE CORP. TO INFORM THEM THE PLANS ARE READY FOR CORRECTIONS TELEPHONE CALL JIM JOHNSON 2/2/2016 2/2/2016 CALLED SUNROSE TO INFORM THEM THE PLANS ARE READY FOR CORRECTIONS IND P/C. TELEPHONE CALL JIM JOHNSON 3/2/2016 3/2/2016 called sunrose corp. to inform them plans are ready to issue CONDITIONS DATE. DATE DATE .CONDITION CONTACT STATUS REMARKS NOTES w TYPE ADDED REQUIRED SATISFIED . READY TO ISSUE JIM JOHNSON 1/21/2016 PENDING GRADING PLANS NEED TO BE SIGNED CHECKLIST coNTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT CA 92260 (760)776-6633 CONTRACTOR SUNROSE CORPORATION 72-850 SOMERA ROAD PALM DESERT CA 92260 (760)776-6633 OWNER TERRY KELLY 40101 MONTEREY AVE LA QUINTA CA 92253 (760)776-6633 #B1-214 Printed: Wednesday, March 02, 2016 1:53:57 PM 2 of 8 B?1 L!�(� SYSTEMS Printed: Wednesday, March 02, 2016 1:53:57 PM 3 of 8 Cff? SYS TEti1S CLTD . DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $596.00 $596.00 3/2/16 R13485 17810 CHECK SUNROSE RSE RESIDENTIAL CORPORATION . Total Paid for ART IN PUBLIC PLACES - AIPP: $596.00 $596.00 BSAS SB1473 FEE 101-0000-20306 0 $18.00 $18.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION Total Paid for BUILDING STANDARDS ADMINISTRATION $18.00 $18.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CENTERS CORPORATION . DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 • $433.00 3/2/16 R13485 • 17810 CHECK SUNROSE RSE CORPORATION DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION DIF - PARK 256-0000-43200 0 $40.00 $40.00 3/2/16 R13485 17810 CHECK SUNROSE -RSE MAINTENANCE CORPORATION DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION DIF - STREET 255-0000-43200 0 $116.00 $116.00 3/2/16 R13485 17810 CHECK SUNROSE RSE MAINTENANCE CORPORATION DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION TEMP POWER SERVICE 101-0000-42600 0 $16.92 $16.92 3/2/16 R13485 17810 CHECK SUNROSE RSE PC CORPORATION Total Paid for ELECTRICAL: $41.09 $41.09 Printed: Wednesday, March 02, 2016 1:53:57 PM 3 of 8 Cff? SYS TEti1S � t« d Z Cs�f OF'fNF'.v4? Printed: Wednesday, March 02, 2016 1:53:57 PM 4 of 8 C SYSTr•MS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY -BY RESIDENTIAL, EA 101-0000-42403 0 $61.65 $61.65 3/2/16 "1113485 17810 CHECK SUNROSE RSE ADDITION 1,000SF CORPORATION RESIDENTIAL, EA 101-0000-42600 0 $25.40 $25.40 3/2/16 R13485 17810 CHECK SUNROSE RSE ADDITION 1,000SF, PC CORPORATION RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 3/2/16 R13485 17810 CHECK SUNROSE RSE 1,0005E CORPORATION PORA RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 3/2/16 R13485 17810 ' CHECK SUNROSE RSE 1,000SF, PC CORPORATION Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $279.94 RESIDENTIAL'PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION HOME LOT>7KSF RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $181.29 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION HOME LOT>7KSF PC Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 .$145.04 $145.04 3/2/16 R13485 17810 CHECK SUNROSE RSE SOR CORPORATION CONDENSER/COMPRES 101-0000-42600 0 $96.68 $96.68 3/2/16 R13485 17810 CHECK SUNROSE RSE SOR PC CORPORATION EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION FURNACE 101-0000-42402 0 $145.04 $145.04 3/2/16 R13485. 17810 CHECK SUNROSE RSE CORPORATION FURNACE PC 101-0000-42600 0 $96.68 $96.68 3/2/16 R13485 17810 CHECK SUNROSE 'RSE CORPORATION VENT FAN 101-0000-42402 0 $108.81. $108.81 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION Printed: Wednesday, March 02, 2016 1:53:57 PM 4 of 8 C SYSTr•MS Printed: Wednesday, March 02, 2016 1:53;57 PM 5 of 8 , sysnnns CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # . CHECK # METHOD PAID BY BY VENT FAN PC 101-0000-42600 0 $43.47 $43.47 3/2/16 R13485 .17810 CHECK SUNROSE RSE CORPORATION Total Paid for MECHANICAL: $652.64 $652.64 NEW CONSTRUCTION 101-0000-42400 0 $715.41 $715.41 3/2/16 R13485 17810 CHECK SUNROSE RSE PERMIT CORPORATION Total Paid for NEW CONSTRUCTION PERMIT: $715.41 $715.41 NEW CONSTRUCTION 101-0000-42600 0 $1,400.00 $1,400.00 11/4/15 R10577 17437 CHECK SUNROSE SKH PLAN CHECK CORPORATION NEW CONSTRUCTION 101-0000-42600 0 $136.12 $136.12 3/2/16 R13485 17810 CHECK SUNROSE RSE PLAN CHECK CORPORATION Total Paid for NEW CONSTRUCTION PLAN CHECK:- $1,536.12 $1,536.12 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 '3/2%16 R1348S 17810 CHECK SUNROSE RSE CORPORATION FIXTURE/TRAP 101-0000-42401 0 $326.43 $326.43 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION FIXTURE/TRAP PC 101-0000-42600 0 $326.43 $326.43 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 3/2/16 R13485 17810 CHECK SUNROSE RSE OUTLETS CORPORATION GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 3/2/16 R13485 17810 CHECK SUNROSE RSE OUTLETS PC CORPORATION WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION Printed: Wednesday, March 02, 2016 1:53;57 PM 5 of 8 , sysnnns a cs�fOF'CNF'v� PARENT PROJECTS CL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY STATUS REMARKS NOTES DATE BY WATER HEATER/VENT 101-0000-42600 0 $14.50 $14.50 3/2/16 R13485 17810 CHECK SUNROSE RSE PC REVISIONS REQUIRED WK) THOMPSON CORPORATION WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 3/2/16 R13485 17810 CHECK SUNROSE RSE INST/ALT/REP 2ND BLDG STR (2 JOHN 1/15/2016 CORPORATION 1/28/2016 WATER SYSTEM 101-0000-426000 $12.09 $12.09 3/2/16 R13485 17810 CHECK SUNROSE RSE INST/ALT/REP PC JOHNSON 1/15/2016 1/29/2016 1/21/2016 APPROVED- GRADING PLANS NOT SIGNED WK) CORPORATION Total Paid for PLUMBING FEES: $817.25 $817.25 SMI - RESIDENTIAL 101-0000-20308 0 $56.99 $56.99 3/2/16 R13485 17810 CHECK SUNROSE RSE CORPORATION Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $56.99 $56.99 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 3/2/16 R13485 17810 CHECK SUNROSE RSE DETACHED CORPORATION Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: $13,662.43 $13,662.43 PARENT PROJECTS Printed: Wednesday, March 02, 2016 1:53:57 PM 6 of 8 C SYSTEMS' REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE 1ST BLDG NS (3 WK) JIM JOHNSON 11/4/2015 11/30/2015 12/1/2015 REVISIONS REQUIRED 1ST BLDG STR (3 JOHN 11/4/2015 11/30/2015 11/30/2015 REVISIONS REQUIRED WK) THOMPSON 1ST PW GREEN AMY YU 12/8/2015 12/15/2015 12/10/2015 READY FOR APPROVAL SHEET 2ND BLDG STR (2 JOHN 1/15/2016 1/29/2016 1/28/2016 REVISIONS REQUIRED WK) THOMPSON 2ND BLDG NS (2JIM JOHNSON 1/15/2016 1/29/2016 1/21/2016 APPROVED- GRADING PLANS NOT SIGNED WK) CONDITIONS Printed: Wednesday, March 02, 2016 1:53:57 PM 6 of 8 C SYSTEMS' 3RD BLDG NS (2 WK) 11M JOHNSON 1 2/17/2016 1 3/2/2016 1 2/22/2016 1 APPROVED PATHNAME SUBDIR 3RD BLDG STR (2 WK) JOHN THOMPSON 2/17/2016 3/2/2016 2/25/2016 READY FOR APPROVAL 0 BOND INFORMATION Attachment Type CREATED OWNER. ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED . DOC 1/21/2016 JIM JOHNSON 80-758 VIA 80-758 VIA 0 PESSARO.docx PESSARO.docx DOC 1/21/2016 JIM JOHNSON SCHOOL FEES BRES2015- SCHOOL FEES BRES2015- 0 0427.pdf 0427.pdf 1ST REVIEW - 1ST REVIEW - DOC 11/29/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST REVIEW - IST REVIEW DOC 11/29/2015 JOHN THOMPSON STRUCTURAL SOIL STRUCTURAL SOIL 0 REQUIREMENTS.pdf REQUIREMENTS.pdf 1ST REVIEW - 1ST REVIEW - DOC 11/29/2015 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND REVIEW - 2ND REVIEW - DOC 1/28/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND REVIEW - 2ND REVIEW - DOC 1/28/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 3RD REVIEW - 3RD REVIEW - DOC 2/25/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf. DOC 12/8/2015 STEPHANIE GUMPERT DEBRIS MANAGEMENT DEBRIS MANAGEMENT 0 PLAN 12-08-15.pdf PLAN 12-08-15.pdf DOC 12/8/2015 STEPHANIE GUMPERT GRANT DEED 12-08- GRANT -DEED 12-08- 0 15.pdf 15.pdf Printed: Wednesday, March 02, 2016 1:53:57 PM 7 of 8 SYSTf:M$ Printed: Wednesday, March 02, 2016 1:53:57 PM 8 of 8 CRIAJF SYSTEMS Building Address Owner Mailing Address P.O. BOX 1504 �v 78-495 CALLE TAMPICO L LA �� QUINTA, CALIFORNIA 92253 Zip 77-a7d APPLICATION ONLY _ BUILDING: TYPE CONST. P. OCC. GR L3l Hy' y A.P. Number �� 003 t" 00 el.161� r -1. Legal Description ZQ� -!(d 2 �i G Project Description r�uui cao Ca'ty c Zip Tel. //moi 'd iNQy� l zZ Zd 766 773-" 3 & Classif. �' '& 76 Lic. # Arch., Engr., Designer t ,1/ ZZt�4 P�rj - z, s Address Tel City Zip State l ai k- 17— Lic. # G— �L LICENSED CONTRACTOR'S DECLARATION I hereby affirm that k4m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th ,business and Professions Code, and my license is in full force and effect ,tet��- i /r SIGNATURE DATE 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 Code, or that he 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). 01, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon and who does such work himself or through his own employees, provided that 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 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there 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 it work thereunder is suspended for 180 days. 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 the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT v No No. Sq. Ft. , V17 7 Stories Units Dw Size v Newv_ Add ❑ Alter ❑ Repair ❑ Demolition ❑ cow, EV Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. dp , pd Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL top •'ice 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-�OVANCE Coachella Valle Unified School District`' _. y - This Box For District Use Only 83-733 Avenue 55, Thermal; CA : 92274 DEVELOPER FEES PAID (760). 398-5909 - Fax (760) 398-1224 p w• fliR AREA: AMOUNT LEVEL ONE AMOUNT •- LEVEL TWO AMOUNT: -'MITIGATION AMOUNT: COMM/IND.AMOUNT: DATE: - RECEIPT: CHECK#: INITIALS . ..... ...MAR CITY OF LA QUINT, RTIFICATE OF COMPLIA- ' : COMMUNITY DEVELOPMEIQ NCE (California Education Code 17620) Project Name: Date:"' March 2, 2016 Owner's Name:; Terry and Luci Kelly.:.Phone No. Project Address: 80-758 Via Pessaro, LiiQuiiita Project Descri tion: ` 'New Single Family Dwelling APN: 77:7-160-003 Tract #c:. •' Lot Ws: Type of Development:. ResidentialXX! ?.•Commercial Industrial TotalSquare Feet*of Building Area:. 4;847 Certification of Applicant/Owners:.The'person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is.authorized to sign on behalf of the owner/developer: ated: March 2, 2016 Signature: SCHOOL DISTRICT'S REQUIREMENTS. FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN `ACCORDANCE WITH ONE OF THE FOLLOWING:. (CIRCLE ONE) Education Code :; Gov. Code ::;' Project: Agreement Exis.fing Not Subject to Fee 17.620 65995 Approval - -Prior to 1/1/87 Requirement.. . Note: Number of Sq.Ft..: 4847 Pursuant to AB,181 any room additions: or enclosures of 500 ` sq: ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. $3.36 ..: .. homes being relocated within the same school district's: Amount Collected$16285.92_ . . . :. Jurisdiction are exempt from -developer fees. Building Permit Application Completed:. Yes/No 4: • ` " By: Elsa F. Esqueda, Director: of:Facilities and Maintenance Certificate issued by: ' Laurie Howard, Secretary Signature:. .. 0--11 NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES . . Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a'written notice to the project appellant, at the time of payment of school fees, mitigation payment.or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period. in regard to such Fees or:the validity thereof, commences with the payment of:the fees or performance of any other requirements as described in section 66020 of the Government code: Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time' or in whole or in part prior to issuance of a Certificate of Occupancy. :As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty. (30) days from the date of issuance. Extension will be granted only for good cause, as determined' by the School District, and up to three (3) such extensions may be granted. MV:c/inydocsldevfees/certificate ofcoinpliance toren updated 3-2007 :. 11/2010 I ORDFINNG REQUESTED BY: ' y D0C#.2014-0188969 03/23/2014 00:04A Fee :18.00 WHEN RECORDED MAIL DOCUMENT AND Pape 1 of 2 Doc T Tax Paid - TAX STATEMENT TO: 'Reoorded in Official Records County of Riverside -,. Larry W. Ward Terry J. Kelly Assessor, County Clerk d Recorder ;- by I1141IIIelIlI1111IIII .. I II411111N�1I 1111111110411 OBII 11 . APN: 777-160-004 TITLE ORDER NO.: OR1451251 ESCROW NO: 28027-004 S R U PAGE SIZE DA MISC LONG RFD COPY M A L 485 428 CO NCOR ' SMF NCHG exAnn 0 �� T:6"' CTY UNI 1 . 0\i FC7 THIS SPACE FOR RECORDER'S USE ONLY 09 GRANT DEED The undersigned Grantor(s) declare that the DOCUMENTARY TRANSFER TAX IS:- $ 225.50 County XX computed on the full value of the interest of property conveyed, or computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. OR transfer is EXEMPT from tax for the following reason r FOR A VALUABLE CONSIDERATION, receipt of which Is hereby�acknowledged, Briggs A. Matsko and Cynthia M,. ' Matsko, as Trustees of The Matsko Family Trust HEREBY GRANT(S) to Terry J. Kelly and Lucinda Kelly , Husband and Wife as Joint Tenants All that real property situated in the City of La Quinta, County of Riverside, State of California; described as: Complete Legal Description on Exhibit 'A' attached hereto and made a part hereof Commonly Known As: 80758 Via Pessaro;=_La Quinta, CA 92253 ` Dated: May 6, 2014. 4. r STATE OF CALIFORNIA . } : The Matsko Family Trust COUNTY OF .SaCf'ame-t b }' On 4A%% ( before me, By: �Si2A5�-x auR. a NotaryLPublic Briggs A. Matsko, Trustee � t r' personally appeared) Cynthia M. Matsko, Trustee who proved to me on the basis of satisfactory evidence to be the person@ whose name s� ;19 subscribed he within instrument and ackno ledged to me that/ /the xecuted the same in Ws7her el authorized capaci (ies and that by , bis/a signatur on the instrum t the erso( or the . entity u behalf of which the perso(s o COMM. #1$90040 acted, executed the SHASTA C. HAGUE z instrument. a -� Notary Public - California I certify under PENALTY OF PERJURY under .the laws of the z ,' Sacramento County ° State of California that the foregoing paragraph .is true and M Cornet, [xpires Mn18, 2014 correct. ,. WITNESS my hand and official seal: aV�® S' n Moc� pE� p g 2015 (SEAL) DU1t�A MAIL TAX STATEMENTS AS DIRECTED ABOVE Col�ubRY DE's 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: 12 / 04 / 15 Developer: Sunrose Corporation Tract No.: 29894-2 Tract Name: The Hideaway Lot No.(s):161-162 Address(s): 80758 Via Pessaro Phone Number.7( 60 ) 773-6633 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: 4. 4. 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, PM 10 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://www.la-guinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed build ings/structures/walIs/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: Public Works Distribution: (—Z/) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department - Declined for approval for reason(s) as follow(s), please correct and resubmit: r T:\Checklists - Forms & ApplicationMFonns & ApplicationslGREEN SHEET cover & PM10less than 1 Acre Revised 9-25-09.doc i City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement <1 acre/lot or Infill Project Project Information Project Contractor: Sunrose Corporation Project Phase Project Name: Kelly Residence The above stated property owner (or authorized representative): **e 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; 4 -Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. 4 -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; 4 -Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/County initiated abatement activities. ignat of Prope wn r or Authorized Representative Dat T:\Checklists - Fors & Applications\Fors & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc (check one) � Project Tract/Lot.Numbers: 29894-2 Construction Demolition Project Street Address: 80758 Via Pessaro Total Acres in Active Construction (<1 acre per 12 04 15 12 04 15 PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Lot): 13,407 sq. ft. Anticipated Start Date: / / Anticipated Completion Date: Information 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, #61-214 City, State, ZIP Code: Rancho Mirage, CA 92270 Prima Phone #: 760-773-6633 Fax #: 760-773634 24 Hour Emergency Phone#: 760-773.8633 Cell Phone #: 760-702-0119 Email Address: sunrose.sedona@gmail.com PM10 Certificate #: CV1402-000405-449 Ir � 4 IV YOUNG ENGINEERING u. E R V s E .•. r Letter of Transmittal ! To: City of La Quints ,� Today's Date 2-25-16 's _ r 78-495 Calle Tampico _ City Due Date: 3-2=16 - :, - La Quinta, CA 92253 Project Address: .' 80-758 Via Pessaro Attn: Kay/ Jim Plan Check #: _ BRES2015-0427 ' Submittal: '. , [:1., " 15t' ❑. ' '4tn ? �r • . El.:; 29d' .€ , ❑ e 5th 3ra ❑ * . Other: r We are forwarding: ®' • By Messenger " ❑ -...By Mail (Fed Ex or UPS) ❑: Your Pickup Includes: f ' ` Descriptions ' r , Includes: # Of Descriptions: ' ,Copies: • - - ❑ • Structural Plans , ` ® �• ,1 Revised Struct. Plans ❑ Structural Calculations M �' ' `®• y 1 Revised Struct. Calcs ®. 1 Truss Calcs w/EOR Shop ''❑ Revised Truss'Calcs `Drawing Stamp µ V ""Soils Report Revised Soils Report ,• ® 1 Structural P/C Comments ❑- Approved Structural Plans 1 Redlined Structural Plans ; ❑ . Approved Structural Calcs ® 1 Redlined Structural Calcs','❑.` �f. Approved.Truss Calcs El Truss Calcs El_ Approved Soils Report �:. ❑ Redlined Soils Reports , ® 1 Other: supplemental struct x . calcs / responses to be included in the aro set of struct calcs a Comments. Structural content is approvable. Plumbing comment was added to the plans. • ` .r. p Structural Plan Review Time = 2.0 HR " This Material Sent 'for a El Your Files: i J _ Per Your Request r' , ' ❑ our Review r r ❑ � Approval ,Y r ❑ Checking • �❑ .At the request of: Other: ❑ B John W. Thompson. Y� A ® (760) 772-5107 ' Office:, . Other: ❑ + Y •� •fir• �&,� e•r- r•