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14-0780 (SFD)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA.92253 Application Number: SFD-14-780 Property Address: 50655 BREVA APN: 776330005 Application Description: NEW SFD Property Zoning: Application Valuation: $226,453.10 Applicant: 29 TH. STREET CITRUS PROJECT 699 SO INDIAN TRAIL PALM SPRINGS, CA 92267 T-it!v D VOICE (760) 777-7125 0 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/15/2014 Owner: 29 TH. STREET CITRUS PROJECT Contractor: MARK A TEMPLE CONSTRUCTION INC 699 INDIAN TRAIL PALM SPRINGS, CA 92264 (760)323-5310 Llc. No.: 430358 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 70001 of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance of License Class: B License No.: 430358 /_ the w,grk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Date: _(] 1 S _/ Contractor,, �\"-!"� dIm- 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 DECLARATION Carrier: _ Policy Number: _ 1 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 any compensation laws of California, and agree that, if I should become subject to the structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3700 of the Labor Code, I sJ1A6JpWmith statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions. 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 Date:_Applic exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the ov- applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ( ) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE compensation, will do the work, and the structure is not intended or offered for sale. HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (1 I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or improves thereon, and as a result of this application , the owner, and the applicant, each agrees to, and shall who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and State License Law.). employees for any act or omission related to the work being performed under or (� I am exempt under Sec. . B.&P.C. for this reason 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 Date: Owner: for 180 days will subject permit to cancellation. 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 Lender's Address: 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 build' construction, and hereby authorize representatives of this city to e - ove- mentioned property for inspection purposes. �=/S�l�( Vii` Dater i' Sign�re'(Applic e FINANCIAL .!• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $66.13 $66.13 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forART IN PUBLIC PLACES - AIPP: $66.13 $66.13 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BLDG PC 200K -1M 10160003428200 $1,000.00 $1,000.00 6/6/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG PC 200K -1M: $1,000.00 $1,000.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $10.00 $10.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $10.00 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forDIF - SINGLE FAMILY DWELLINCk $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.48 $36.48 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $15.03 $15.03 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $143.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $47.19 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid for ELECTRICAL- NEW CONSTRUCTION: $241.70 $241.70 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $143.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forGRADING: $143.00 $143.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.77 $4.77 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $71.50 $71.50 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $47.66 $47.66 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.77 $4.77 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $71.50 $71.50 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $47.66 $47.66 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $71.52 $71.52 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $28.62 $28.62 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid for MECHANICAL: $371.84 $371.84 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $1,292.00 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $1,292.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $588.55 $588.55 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forNEW CONSTRUCTION PERMIT: $588.55 $588.55 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $233.28 $233.28 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK I CHECK R1167 3406 AZA Total Paid forNEW CONSTRUCTION PLAN CHECK: $233.28 $233.28 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $4.77 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $202.64 $202.64 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $202.64 $202.64 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $35.75 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $23.83 $23.83 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK, CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 .0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.15 $7.15 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $11.92 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid for PLUMBING FEES: $548.30 $548.30 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $29.44 $29.44 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $29.44 $29.44 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 9/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TEMPLE CONSTRUCTION INC, MARK CHECK R1167 3406 AZA Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: $13,2SS.68 $13,255.68 a �` G {l W L►N6167LJ • ' eg of 1 �'tl Permit Number: SFD-14-780 Applied: 6/5/2014 Issued: Status: APPROVED Parent Permit: Parent Project: Approved:8/4/2014 Finaled: Description: NEW SFD Site Address: 50655 BREVA City, State Zip Code: LA QUINTA, CA 92253 Applicant: 29 TH. STREET CITRUS PROJECT Owner: 29 TH. STREET CITRUS PROJECT Contractor: MARK A TEMPLE CONSTRUCTION INC Details: NEW SFD . THIS PERMIT DOES NOT INCLUDE, POOL,SPA, BLOCKWALLS, FIRE -PIT, BBQ, WATER FEATURES OR DRIVEWAY APPROACH. HOME IS FIRE SPRINKLED PER 2013 CRC CODES Printed: Monday, 15 September, 2014 1 of 1 RETURNED SENT DATE DUE DATE TYPE CONTACT STATUS REMARKS DATE Printed: Monday, 15 September, 2014 1 of 1 Building .2f SDdSs r 14--l000 0 P.O. BOX 1504 APPLICATION ONLY /,�� 78-495 CALLE TAMPICO /� I/,-) LA QUINTpA,,,CALIFORNIA 92253 '�/•vs fri' el , UG BUILDING: TYPE CONST. OCC. GRP. main V / ( r �• ` l Address s ocvy lZipgoUZ-7 Tel. C,o�r Addres;� �o /r',/ ZX 5 6� 6d -%79--3a 1Y State Lic. City & Classif. y �0 3,j e �� % Lic. # Arch., Engr., Designer Desi ner S! 1dress 700 /,4# Tel J'' w Zip Limit#Gi�6 S/ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencingggggg with Section 7000) of Division 3 of the Business a ode, and my license 's in for0e, and effect. SIGNATOR e4 DATE OWNER -BUILDER DECLARATION I her y 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 ppermit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's Ucense 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 property 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 safe). 0I, 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.) 01 am exempt under Sec. B. & P.C. for this Date O WOR R'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 coplyltiere . (�bo. 38Q0, Labo�gfle.) Policy No. Company `" /1r 1 of ��le 0 Copy is filed with the city. 0 Certified copy is hereby furnished. CJ yU —�o J 6 J3 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 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 agree to comply with all city and cou antes and state laws relating to building construction, and hereby authori atives of this city to enter the above-mentioned property for inspection pu Signatureof n at Mailing ress Lr 911 City, State, Zip _ WHITE = BUILDING DEPARTMENT A.P. Number ?207 ` o® .5 Legal Description s � 3 2 0,: J Project Description �5 45 Sq. Ft. 3 No. r No. Dw. Size Stories Units NeWe Add El Alter❑ Repair❑ Demolition C1 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing • S.M.I. Grading Driveway Enc. Infrastructure TOTAL Q CONTACT I RMATI NAME: a PHONE: r ZONE: BY: Minimum Setback Distances: Front Setback from Center Line FINAL DAT Issued by: Validated b Validation: YELLOW = APPLICANT PINK = FINANCE i ul'�tt�v ce� _'.44 17) r_ COMMUNITY DEVELOPMENT DEP R 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 SEP 15 2014 (760) 777-7012 FAX (760) 777-7011 CITY OF LA QUINTA COMMUNITY DEVELOPMENT CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 50-655 BREVA APN: 776-330-005 DESCRIPTION OF WORK: NEW SFD SQUARE FOOTAGE: 3545 SQ. FT. OWNER'S NAME: 29TH. STREET CITRUS PROJCT, LLC For questions regarding this letter, please call. City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P0Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road RECEIVE® SEP 15 2014 D.S.U.S.D. FACILITIES SERVICES C11 -Y OF L.A 1n;1NTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION GATE _� BY. .0 / '/777 ,ads " Please note: This letter verifies conditioned square footage. Please cal your School District to verify school fees, requirement for cashier's ch or money order and hours of operation. 1, N ter. CRUS COURSE HOMEOWNERS. ASSOCIATION RECEIVE® Mr. Mark Temple August 4, 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Re: Second Submittal for Architectural Improvements (Lot 5) Mr. Temple, This letter is to confirm the actions by the Architectural Committee and Landscape Committee concerning your Second Submittal for Architectural Improvements on Breva Lot #5 in the Citrus. The Architectural Committee is in receipt of all required plans for the Second Submittal: 1. Working Drawings with a minimum scale of : 1"-0" 2. Precise or Finish Grading Plans 3. Landscape Plans Upon review of the initial landscape plans for Lot 5, the Landscape committee noted that the plants and placement are acceptable, but cautioned that the Lantana intended for use in the front yard will burn from frost damage each year and the Legustrum along the back will burn with the heavy sun exposure each summer. The Committee did not require any changes to the plants. The submitted plans were missing the irrigation specifications. A revised set of plans, including irrigation specifications, was received on June 13, 2014. Upon review, the Landscape Committee approved the revised plans. The Architectural Committee reviewed the Working Drawings and Precise or Finished Grading Plans. The Committee found the plans expectable. On August 4, 2014, the Architectural Committee, by majority vote of the committee members, approved the entire Second Submittal for Breva Lot 5. You are authorized to begin your project and proceed to the point of the Third Submittal. SUBMITTAL NO. 3 - SURVEYED PLAN: After the foundation for the dwelling unit and all other improvements, which are located within the building envelope, have been staked, the Owner shall have the Lot surveyed by a certified surveyor. The purpose of the survey is to insure that the boundaries of the building envelope are not violated. This survey must be submitted to the Architectural Committee for approval prior to the commencement of construction, e.g., the pouring of footing and foundations. Submittal No. 3 Review: The Architectural Committee must approve or disapprove the surveyed plan within ten (10) business days after receipt of the survey by the Association's Property Management Company. Failure by the Committee to act within the ten (10) day period will constitute approval of the submittal. P.O. Box 12920 Palm Desert, CA 92255 * 41-865 Boardwalk, Suite 101, Palm Desert, California 760.346.9000 * FAX 760.346.9997 * www.citruscoursehoa.com I%f TRUS QI'e S COURSE HOMEOWNERS ASSO.CIATIO°N This letter shall serve as notification to you and 29`h Street Citrus Project that the Second Submittal, as required by the Restated Architectural & Landscape Rules, Standards, and Guidelines has been accepted and approved by the Association. The Architectural Committee looks forward to receiving the Surveyed Plan of the Third Submittal, performed by a certified surveyor. On Behalf qf the Architectural Committee and the Board of Directors, A G3.e� Cotten Association Manager P.O. Box 12920 Palm Desert, CA 92255 * 41-865 Boardwalk, Suite 101, Palm Desert, California 760.346.9000 * FAX 760.346.9997 * www.citruscoursehoa.com Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont; CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766.8778 May 29, 2014 291h Street Citrus Project, LLC 699 Indian Trail Palm Springs, California 92264 Project: Proposed Custom Residence 50-655 Breva Court Tract 32068 — Lot 5 La Quinta, California Subject: Foundation and Grading Plan Review Project No. 544-14128 14-05-215 Ref: Geotechnical Update prepared by Sladden Engineering dated May 27, 2014; Project No. 544-14128, Report No. 14-05-212 As requested, we have reviewed the Precise Grading Plan prepared by JHA Engineering, Inc. along with the Foundation Plans and Details prepared by Gouvis Engineering. The plans reviewed were prepared for the custom residence to be constructed at 50-655 Breva Court within the Citrus Course development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update and the previous geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo or the above referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEEP BRETT L ANDERSON Brett L. Ander i o. 045389 Ex . 14 Principal Engineer �' t, CIVIL �NGINEERINO Letter/dfeCF 0 Copies: 4 / 291h Street Citrus Project, LLC ) Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777 Fax (951) 766-8778 May 27, 2014 Project No. 544-14128 14-05-212 2911, Street Citrus Project, LLC 699 Indian Trail Palm Springs, California 92264 Subject: Geotechnical Update Project: Proposed Custom Residence Tract 32068 — Lot 5 50-655 Breva Court The Citrus Course La Quinta, California Ref: Soil Engineering Report prepared by Buena Engineers, Inc. dated February 25, 1986; Report No. 86-02-271, Job No. 16006-P2 Geotechnical Update prepared by Sladden Engineering dated March 13, 2006; Project No. 54.4-06184, Report No. 06-03-215 Rough Grading Report prepared by Sladden Engineering dated December 14,2007; Project No. 522-06184, Report No. 07-12-861 As requested, we have reviewed the referenced geotechnical reports as they relate to the design and construction of the proposed custom residence. The project site (identified as Lot 5) is located at 50-655 Breva Court within the Citrus Course development in the City of La Quinta, California. The previous geotechnical reports referenced above include recommendations for the design and construction of the residential building foundations. Based upon our review of the referenced reports and our recent site observations, it is our opinion that the recommendations included in the above referenced reports remain applicable for the proposed custom residence. Footings should extend at least 12 inches beneath lowest adjacent grade. Isolated square or rectangular footings at least 2 feet square may be designed using an allowable bearing pressure of 1700 pounds per square foot. Continuous footings at least 12 inches wide may be designed using an allowable bearing. pressure of 1200 pounds per square foot. Allowable increases of 200 psf for each additional 1 foot of width and 250 psf for each additional 6 inches of depth may be utilized if desired. The maximum allowable bearing pressure should be 2500 psf. The allowable bearing pressures are for dead and frequently applied live loads and may be increased by 1/3 to resist wind, seismic or other transient loading. �l May 27, 2014 -2- Project No. 544-14128 14-05-212 The recommendations made in the preceding paragraph are based on the assumption that all footings will be supported by properly compacted engineered fill soil. Prior to the placement of the reinforcing steel and concrete, we recommend that the footing excavations be inspected in order to verify that they extend into the firm compacted soil and are free of loose and disturbed materials. Settlements may result from the anticipated foundation loads. These estimated ultimate settlements are calculated to be a maximum of 1 inch when using the recommended bearing pressure. As a practical matter, differential settlements between footings can be assumed as one- half of the total settlement. These elastic settlements are expected to occur during construction. Resistance to lateral loads may be provided by a combination of friction acting at the base of the slabs or foundations and passive earth pressure along the sides of the foundations. A coefficient of friction of 0.45 between soil and concrete may be used for dead load forces only. A passive earth pressure of 275 pounds per square foot, per foot of depth, may be used along the sides of footings that are placed against properly compacted native or approved import soil. It is our opinion that the remedial grading recommended in the referenced Soil Engineering report and performed during the previous rough grading adequately address foundation support concerns. The remedial grading included overexcavation of the surface soil within the building area. The remedial grading is described in the referenced Rough Grading report. Additional grading should be limited to moisture conditioning and recompaction the weathered surface soil. Based on our field observations and understanding of local geologic conditions, the soil profile type judged applicable to this site is So, generally described as stiff soil. The following presents additional coefficients and factors relevant to seismic mitigation for new construction based upon the 2013 California Building Code (CBC). Sladden has reviewed the 2013 California Building Code (CBC) and summarized the current seismic design parameters for the proposed structure. The seismic design category for a structure may be determined in accordance with Section 1613 of the 2013 CBC or ASCE7. According to the 2013 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The 2013 CBC Seismic Design Parameters are summarized below. Risk Category (Table 1.5-1): I/11/111 Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1):1.501g Si (Figure 1613.3.1): 0.689g Fa (Table 1613.3.3(1)): 1.0 Fv (Table 1613.5.3(2)): 1.5 Sms (Equation 16-37 {Fa X Ss)): 1.501g Sm1 (Equation 16-38 (Fv X Si)): 1.034g SDS (Equation 16-39 (2/3 X Sms)):1.001g SDS (Equation 16-40 (2/3 X Sml)): 0.689g Seismic Design Category: E Sladden Engineering May 27, 2014 -3- Project No. 544-14128 14-05-212 We appreciate the opportunity to provide service to you on this project, if you have any questions regarding this letter or the referenced reports please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson Principal Engineer SER/gvm Copies: 4 / 29th Street Citrus Project, LLC Slnclden Engineering .y LA QUIN'I A Please verify that soils reports contain all of the above information. In addition, to assure continuity between the investigation/reporting stage and the execution stage, please use the following checklist to verify that the conclusions and recommendations in the report cover all the required elements. Only then. can we be assured that the construction documents address all of the site soil conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section of the report address each of the following criteria? "Address" means: (a) the criterion is considered significant and mitigation measure(s) noted, or; (b) the criterion is considered insignificant and explicitly.so stated. Yes s No Criterion ❑ Foundation criteria based upon bearing capacity of natural or compacted soil. ❑ Foundation criteria to mitigate the effects of expansive soils. ❑ Foundation criteria based upon bearing capacity. -of natural or -compacted soil. ❑ Foundation criteria to mitigate the effects of liquefaction. ® Foundation criteria• to mitigate the effgcts of seismically induced differential settlement. Gni ® Foundation criteria to mitigate the effects of long-term differential settlement. is ❑ Foundation criteria to mitigate the effects of varying soil strength. ❑ Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the above checklist should be noted as specific required corrections. # # # OfESSi Q�JJ BRETT L. Fy ti AN RSON G� tO 045389 m . 9130114 CIVIL .1•INEERING._ , t 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: i / 5-114( Developer: p2 S" -V1e c-iZ- C�a� �/"�S {��D,,- -Tract Tract No.: Tract Name: G�. Lot No.(s): Address(s): , v 6 5-'�- Phone Number: (?k)) ?-7y' Y' The following are the requirements for Public Works Clearance to authorize issuance of Building & Safety Department: ❑ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW r-/e.ri\ /i:r b 'Idin(mit from the JUN 05 2014 C11) ,-A QUINTA COMMUNITY DEVELOPMEI 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://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 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 completed by City sta Recommended by: Date: 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: TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM 10 Agreement (< 1 acre/lot or Infill Proiect) Project Information Project Contractor: Project Phase (check one) (check ❑ Construction 0 Demolition % 1 Project Name: �zy.S 5 - ,3a 6 D 5 Project Tract/Lot Numbers: r1 5 Project Street Address: Sb SSS /� iPV 2 Total Acres in Active Construction (<1 acre per Anticipated Start Date: / //r'lAntici ated Completion Date: / 3 / yLot): 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: 2'lv2 ( n S Title: M2 I Z Company Name: Mailing Address: q ,� City, State, ZIP Code: Primary Phone #: -2O ,o- 3 -3 Fax#: 24 Hour Emergency Phone#: . 0 _ —7-7Y- Cell Phone #: -2 % y- 3 a Email Address: �4 e cid / LO ✓"l PM10 Certificate #: f Z b�" ( 6,(56 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 r ' itiat atement activities. 6 Z-�ti Signat re rop ty O ner or Authorized Representative Date Date 9/19/14 No. 31543 Owner 29th Street Citrus Project Address city Zip Tract # Type Single Family Residence Lot # No. Street Unit 1 50655 Breva Unit 2 Unit 3 Unit 4 Unit 5 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # No. of Units S.F. Lot # No. 3545 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 C BERMUdA DUNES V} RANCHO MIRAQE r�. INDIAN WELLS PALM DESERT LA QU tNxA tNDIO r� � y- 776-330-005 La Quinta 1 Street S.F. Comments COC created on 9/22/14 as software crashed on 8/14. Original to be mailed to Bldg Dept. Mark Temple does not want copy. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement 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 fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 3,545 S.F. or $11,911.20 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Mark Temple Bank Name/Recipient of Certificate BY Dr. Gary Rutherford Superintendent Fee collected Signature Check No. 005361660 Telephone Funding Residential Payment Recd $0.00 $11, 911.20 over/Under NOTICE: Pursuant to Government Cody Section 65020(il)tl1 , this will serve to notify you that the 90-day approval period in which you may protest the fees or 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 the date on 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 earlier NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting