04-8046 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 04-00008046
Property Address: 78225 CALLE CADIZ
APN: 770-156-002-2 -000000-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW .DENSITY RESIDENTIAL
Application valuation: 259079
Applicant:
Tay/ 4 4vC1*rw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TRI GENERATION
P.O. BOX 450
DETACHED LA QUINTA, CA
Architect or Engineer:
Lic. No.: OOR S
LICENPED CONTRACTOR'S DECLARAT N—
I hereby affirm under penalty of perjury that I licensed under provision hapter 9 (commencing with
Section 7000) of Division 3 of the Busines d Profession�Code�63
a is in full force and effect
License Class: B 5
6ate1_47"P& 0 �r`C-ontractor: . �.
i- 1 l
DEVELOPMENT
92253
DEC O ontractor:
6 2005 ENDEL VENTURES, INC
[760)564-1866
.O. BOX 450
'ITYOFLA A QUINTA, CA 92247
FINANCED pf A
ic. No.: 638535
OWNER -BUILDER DECLARATION /
I hereby affirm under penalty of rjury that I am exempt from the Contractor's(Bdate License Law for the
following reason (Sec. 7031 .5 usiness 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPE%NIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/05
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.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
f Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: ,
Carrier STATE FUND Policy Number 00096712005
_ I certify that, in the performance the work for which this pe s II not employ ani
person in any manner so as become subject to the rs' compensatio aws of California,
and agree that, if I should come subject to the r ers' compensation p visions of Section
3� of the Labor Co shall forthwith c ly with those ovision
CK
WARNING: FAILURE TO SECUR ORKERS' C MPENSATION COV AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC INAL PENALTIES AND CIVIL F S UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)INA TION TO THE COST OF CO NSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LA R CODE, INTEREST, AND A ORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La 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 applicatio ecomes null and void if work is not commenced
within 180 days from date of issuance of s ermit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th bove information is corre . agree to com y with all
city and county ordinances and state laws relating ding construction, and eby authorize repre natives
of thi county to ent pon the above-mentione rop rty for inspection purp es.
/ �Zt9 G-6
ate: aSignature (Applicant or ent): / � _ _ .,.... . . r
Application Number . . . . . 04-00008046
Permit .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
2398.50
Plan Check Fee
779.68
Issue Date-
Valuation
259079
Expiration Date
2/13/06
Qty Unit
Charge
Per
Extension
BASE
FEE
1838.50
160.00
3.5000
THOU BLDG
100,001-500,000
560.00
----------------------------------------------------------------------------
c
Permit .
. .
MECHANICAL
Additional desc-.
Permit Fee
114.50
Plan Check Fee
28.63
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
2/13/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3.00
9.0000
EA MECH
FURNACE <=100K
27.00
3.00.
9.0000
EA MECH
B/C <=3HP/100K BTU
27.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
---------- :
6.5000
EA MECH
EXHAUST HOOD
6.50
. .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee . .
. .
192.39
Plan Check Fee
48.10
Issue Date . .
. .
Valuation . . . .
0.
Expiration Date
2/13/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
4075.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
142.63
988.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
19.76
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC
TEMPORARY POWER POLE
15.00
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 207.75
Issue Date . . . .
Expiration Date_. 2/13/06
Qty Unit Charge Per
BASE FEE
21.00 6.0000 EA PLB FIXTURE
LQPER\f[T
Plan Check Fee 51.94
Valuation 0.
Extension
15.00
126.00
Application Number . . . . . 04-00008046
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB BUILDING SEWER
15.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
13.00 .7500 EA PLB GAS PIPE >=5
9.75
1.00 15.0000 EA. PLB GAS METER
----------------------------------------------------------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee. . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 2/13/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
4075 SF. SFD PERMIT DOES NOT INCLUDE
BLOCK WALL, POOL/SPA OR DRIVEWAY
APPROACH. PERMIT FEE DOUBLED BY
$1199.50 (FOR INVESTIGATION FEE FOR
STARTING WORK PRIOR TO PERMIT BEING
ISSUED)
------------------ ----------------------------------------------------------
Other Fees . . . . . . . . ._ ART IN PUBLIC PLACES -RES
147.69
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
77.97
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
25.90
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 2928.14 .00 .00
2928.14
Plan Check Total 908.35 500.00 .00
408.35
Other Fee Total 2656.56 .00 .00
2656.56
Grand Total 6493.05 500.00 .00
5993.05
LQPERN1IT
Comments
At the present time, the Desert Sends Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 $2.24 X 4,075 S.F. or $9,128.00 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/Rabobank - A.P. Lench Check No. 361405
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent `
Fee collected /exempted by Shar n MCGilvrey Payment Recd X0.00
$9,128.00over/Unide�
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r 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 if Duplicated
Embossed Original -Building Department/Applicant Copy - ApplicanUReceipt Copy -Accounting
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Imoortant: Read the instructions on oases 1- 7..
SECTION A- PROPERTY OWNER INFORMATION For lnsuranoeCompany Use:
BUILDING OWNER'S NAME Policy Number
TRI - GENERATION
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
78-225 CALLE CADIZ
CITY STATE ZIP CODE
LA QUINTA CA 92253
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 2 BLOCK 5 DESERT CLUB No. 1 MB 19 / 75 APN # 770-156-002
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
NEW RESIDENCE
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: E-GPS•i-P1p-e):
( ##° - ##' - ##.#fP or ##.##q##) '8-NAD-t92P--8-PtA91W3 ❑- •Quad -Map u Other.
TBMAP P-849 G-7 SEC.6 T6S R7E
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NAP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
060709 CITY OF LA QUINTA RIVERSIDE COUNTY CALIFORNIA
B4. MAP AND PANEL
o a) Top of bottom floor (including basement or enclosure)
B7. FIRM PANEL
v
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of flooding)
060709 0005
B
8/19-91
6/19/85 1--19-0
AO
D 1
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, AR/AO
Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD29 Conversion/Comments
Elevation reference mark used RM108 Does the elevation reference mark used appear on the FIRM? ®Yes ❑ No
o r) of area of all permanent openings ( vents) in .
o a) Top of bottom floor (including basement or enclosure)
57
45. ft.(m)
v
o b) Top of next higher floor
N/A. _ft.(m)
9
o c) Bottom of lowest horizontal structural member (V zones only)
N/A .
o 0
o d) Attached garage (top of slab)
_ft.(m)
45. 28 ft.(m)
0
o e) Lowest elevation of machinery and/or equipment
u,
servicing the building (Describe in a Comments area)
57
45.ft.(m)
E cc
o f) Lowest adjacent (finished) grade (LAG)
45.28 ft.(m)
Z
o g) Highest adjacent (finished) grade (HAG)
44. 20 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
J
T-#11 flood C3 h N/A
_sq. in. (sq. an)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME JOHN HACKER LICENSE NUMBER RCE 14614
TITLE PRESIDENT
COMPANY NAME .JHA ENGINEERING, INC.
ADDRESS CITY STATE ZJP CODE
41921 BEAC9N HATE A PALM DESERT CA 92211
SIGNATURE C ` DATE TELEPHONE
�-t- 6-28-06 760-779-0657
81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
78-225 CALLE CADIZ
CITY STATE ZIP CODEI Company NAIC Number I
LA QUINTA CA 92253
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
1. EXTERNAL EQUIPMENT IS A.C. COMPRESSOR MEASURED AT PAD SURFACE, 2. ELEVATIONS FIELD MEASURED ON 6-28-06
3. SECTION C ELEVATIONS ARE POST CONSTRUCTION, SECTION E FINISH FLOOR MEASURED FROM EXISTING GRADE PRIOR TO CONSTRUCTION.
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Bevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 0 ft.(m) 50tenths (cm) above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is 0 ft.(m) 50tenths (cm) 0 above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAAssued or community -
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the hest of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
JOHN H. HACKER
ADDRESS CITY STATE ZIP CODE
41921 B CON H SUITE A PALM DESERT CA 92211
SI TE DATE TELEPHONE
—l—a-- — 6-28-06 760-779-0657
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local offidal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or communityAssued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
CA. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _. _ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
Tw.- c?k
COMMUNITY NAME v��... Tc-- TELEPHONE 7 l -7 7 7 _ O eI2-
SIGNATURE DATE 71 ;Z1
0
COMMENTS
❑ Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions
IIV Y-I7-LVVI VI .lV nil
OF
TION
Street Address: Chicle'
Copies to: Builder, HERS Provider
CF -4R
Plan Number
Sample Group Number
Sample House Number
rider: C f E E X s
CVStete2lp: /—alof�,lC-4 92-7-:rL 3
STATEMENT
The house was; Tested D Approved as part of sample testing, but was not tested
As the HERS raterrovidin diagnostic testingand field verification, I certify that the houses identlfled on this form
com with the diagnostic Tested compliance quirements as checked on this form.
)Dlatributlon system Is fully ducted (ile„ does not use building cavities as plenums or platform returns In lieu
f ducts)
Where cloth backed. rubber adhesive duct tape Is Installed, mastlC and drawbands are used In combination
with cloth beaked, rubber adhesive duct tape to seal leaks, at duct connections,
fif"M'INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum eX Duct Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values / y
Test Leakage Flow In CFM rf h J
If fan'flow is calculated as 400cfm/ton x number of tons enter
calculated value hero MID
If fan now Is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) • S.4%`i� S, ��p �. 7�� J, 3�
Check Box for Pass or Fag (Paas=896 or less) ❑
Pass Fag
,.rTHERMOSTATIC EXPANSION VALVE X or Commission approved equivalent
JCi Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access Is provided for Inspection ,,,—' ❑
Yes Is a pass Pass Fall
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1. 0 Yes 0 No ACCA Manual D Design requirements have been met
(rater has verified that actual Installation matchesalu 7noTXV)4
CF-1R and design on plan.
2. 0 Yes 0 No TXV is installed or Fan flow has been verified. If
verified fan flow matches design from CF -1 R.
Measured Fan Flow =
❑ t7
Yes for both I and 2 is a Pass Pass Fail
T4hw 4.4 Qghtrw
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
(760) 777-7075
APPLICATION
FLOOD PLAIN DEVELOPMENT PERMIT
BUILDING SITE LOCATION FLOOD zONE "AO" - DEPTH.1
COMMUNITY- PANEL NUMBER'
060709 0005 B '
Map Revised: 8/19/1991
APPLICANT INFORMATION SECTION
APPLICANT NAME ,�� "�j
APPLICANT J 4-S-0. ADDRESS
(MAILING ADDRESS, NOT THE BUILDING SITE) t lure .. / 2,2—< 3
DAYTIME TELEPHONE NO. ,
INSTRUCTIONS
1. A Flood Plain Development Permit is required by LQMC Section 8.11.040(A). The Applicant should complete the
Applicant Information portion of this application and submit it to the Engineering Department along, with the
required documentation noted hereon at the same time the.Precise Grading Plan is submitted to the Building and
Safety Department for plan checking.
2,. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance
• Copy of the proposed Precise Grading Plan for review and approval containing all information required by
the checklist shown on the back of this application.
3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain. Development Permit approval.
Note, this approval occurs after forms for the -lowest habitable floor are set and before the Building & Safety
Department authorizes foundation construction.
• Submit a completed FEMA "Elevation Certificate" form to the Engineering Department.
• Submit 95% relative density soils compaction certification to the Engineering Department.
STEP 1 OF 2 APPROVAL 'STEP 2 OF 2 APPROVAL
The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This flood Plain
reviewed and found to contain all data required to satisfy the Development Permit is approved.
requirements of LQMC 8.11 The proposed dwelling is eligible to
receive a building permit upon satisfying all other Building &
Safety Department requirements.
06
A THORIZED IGNA UR D TE _ AUT4eRIZED SIGNATU DATE
La Quinta Engineering partment La Quinta Engineering Department
FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant
1`090 REV -2 7100
CHECKLIST
FOR
PRECISE GRADING PLANS
IN "AO" FLOOD ZONE
1. Prepare Precise Grading Plan in accordance with Checklist for Precise Plans
and the following additional items...
2. All elevations shall employ the .NGVD-29 convention.
3. Show and label elevation of. "Highest Adjacent. Grade" next to the building
footprint. This refers to the highest existing natural grade next to the
proposed building. prior to constructing the elevated :the building .pad.
4. Show and label the "Highest Existing Elevation on Lot"
5. Show and label the "Lowest Habitable Finished Floor Elevation". Note, this
elevation shall be at least ONE FOOT higher than the "Highest Adjacent
Grade" elevation.
6. The following grading note shall appear on the plan:
All. fill material placed under the structure shall be .compacted to
ninety-five percent (9.5%) relative density. .
F090A
�zi:orss
CITY.OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT
GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS
Form updated & effective 8/2512005
Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public
Works/Engineering Department until ALL requirements listed below are complete. Incomplete
applications or applications which cannot be processed will be returned to Applicant. Green Sheet
approvals will be forwarded to the Building Department directly by Public Works.
Date: `� Developer: L 416��--� %N(
Tract No.: Tract Name: Lot No.(s): Z
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 AND #5 BELOW.
TRACT HOMES: PROVIDE ITEMS #1, #2,43, #4 (AS APPLICABLE) AND #6 BELOW.
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #l, #2, #3 AND #5 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.
3. Attach recorded final map showing proposed building locations are legal` lots.
4. Attach a completed <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 and residential developments
(beyond 1 lot) are submitted separately with grading plans and are subject to additional
,requirements.
5. Attach an approved precise grading plan for the building location(s). AO flood zone
developments will require an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
I have reviewed and confirmed the requirements listed above as presented and find the improvements
to be sufficient] lete for construction of th proposed building(s)/structure(s). on the subject
lot(s). Pursuant t m fin 'n th bov pr(
y be released for building permif issuance.
Recommended by: Dated: 3 hb(
Declined for approval for reason(s) as follow(s), please correct and resubmit: =
TAPWDEPTSTAFF\G0b1c\Cnc0 Shx PW RckuA050824GREEN SHEET COVER.doc
City of La Quinta - PM l0 Proiect Information (<1 acre per Lot or Infill Project)* Pagel of 3
Form updated & effective.WV2005
Project Information
Project Phase
+ Project Phase
(Check One):
❑ Construction
❑ Demolition
Anticipated Start Date:
:I
Anticipated Completion:
Total acres in active
construction (<1 acre per
Lot):
Project Name:
Project Tract
Number: _
Lot Number(s):
Project Street
Address:
Project Contractor:
Project Contact Please Note: Dust control is required 24 hours a day, 7 days a week,
Information regardless of construction status. Person listed below is responsible for
dust control during business and non- business hours.
Name:
Title:
Company Name:
Mailing Address:
City: _
State:
Zip Code:
Primary
Telephone
Number:
Fax:
24 Hour
Access/Emergency
Phone:
Cell Phone:
PM 10 Certificate
Number:
*Expanded PMlO plans for commercial and residential developments > 1 acre are required -by t
e
City of La Quinta.
T:\PWDEPT\STAFF\GobleKnc= Sbca PW Rdcwc\050824MIN1 PM 10 PACKET GREEN SFEET.doc
JHA ENGINEERING, INCORPORATED
CIVIL ENGINEERING DESIGN • LAND PLANNING • SURVEYING
ENVIRON tMENTAL SERVICES
February 23, 2006
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253-1504
ATTN: Building Inspection Supervisor
Re: Lot 2 — Blk 5 — Desert Club # 1
Address: Calle Cadiz. La Quinta, Ca.
Contractor: Tri Generation
Gentlemen,
This letter shall 'serve as a certification.. stating that the grading of said lot has been done in
accordance with the approved grading plan.
Our office conducted a field inspection of this site and found that the pad elevation was constructed
to an elevation of 45.07 and the approved elevation for the pad vas 45.07. This falls within the
tolerance of standard grading practice.
The Findings are as stated.
Setbacks
Front
'59.68 feet
Right
7.00 feet
'Left
20.72 feet
Rear
36.43 feet
Finish Floor Elevation is 45.57.
.Sincerely,
*+ -�-� • -
John H. Hacker R.C.E. 14614
3/31/07
JHH/wap .
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41921 BEACON HILL • SUITE A • PALM DESERT, CA. 92201
(760) 779-0657 FAX (760) 779-5143