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13-1098 (SFD)15, P.O. BOX 1504 • 4 78-495 CALLE TAMPICO /✓ LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001098. Owner: Property Address: 81347 COLUMBUS WY DISCOVERY LAND APN: 767-200-998-12 -330762- 80955 AVE 52 Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253 Application valuation: 394160 Contractor: Applicant: Architect or Engineer: DBCA INC P.O. BOX 1482 LA QUINTA, CA 92247 Cd 7 Yz�-. 16 2_ 1" I� Lic. No.:5 271 N 915336 ------------------ 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 a4Professis Code, and my License is in full force and effect. License Class:B icense to: 915336 Dat ✓ //,yContractor:LDER 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 1, 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1— 1 1 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: LQPERMIT =10 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/28/14 ---------------------------------------=------- 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 TRAVELERS Policy Number YJUB282D7797-12 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 1 should become subject to orkers' clApensation provisions of Section 3700 of the Labor Code, I shall forthwith - mpj with th9te provisions. WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D 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 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 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 to building construction, and ereby author' a representatives of this county to enteruponthe above-mentioned propert for inspection p ose Date Signature (Applicant or Agertt �r —,--.- Application Number . . . . . 13-00001098 ------ Structure Information NEW SFD ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 4.00 FIRE SPRINKLERS 13D 5276 SQ. GARAGE SQ FTG 946.00 ' PATIO SQ FTG 1262.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 4330.00 Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 682.63 Plan Check Fee .00 Issue Date Valuation 394160 Expiration Date 8/27/14 Qty Unit Charge Per Extension BASE FEE 573.43 195.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 109.20 Permit . . . ELECTRICAL 2013 Additional desc-. . Permit Fee . . . . 263.13 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date'... 8/27/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 4.00 ----------------------------------------- -12.1600 EA ELEC NEW RES, ADD'L 1 KSF -------------------------- 48.64 -------- Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 357.54 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration.Date . . 8/27/14 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107.25 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 11.00 11.9200 EA MECH VENT FAN 131.12 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 LQPERMIT '% 11 LQPERMIT Application Number . . . . . 13-00001098 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 464.87 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/27/14 Qty Unit Charge Per Extension 24.00 11.9200 EA PLBG FIXTURE/TRAP 286.08 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 8.00 11.9200 EA PLBG ROOF DRAIN 95.36 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments NEW SFD AT 4330 SQ. FT., PATIO 1262 SQ. FT. AND GARAGE 946 SQ. FT.THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. BBQ, OR FIRE PIT.HOME IS FIRE SPRINKLED PER 2010 CRC CODES. THIS RES. WAS RELOCATED, LOT #12 ON 81-347 COLUMBUS WAY. SQ. FT. REMAINED THE SAME. THE SAME PERMIT WAS USED 13-1098. OLD ADDRESS WAS 81-735 BAFFIN AVE. LOT 117B. February 28, 2014 12:23:36 PM jjohnson. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 490.77 BLDG STDS ADMIN (SB1473) 19.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 HOURLY PLAN CHECK 572.00 DIF LIBRARIES - RES 344.00 PLAN CHECK, ELECTRICAL 119.66 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 200.22 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 455.32 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1462.08 STRONG MOTION (SMI) - RES 39.63 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited Due r% Application Number . . . . . 13-00001098 Permit Fee Total 1768.17 .00 .00 1768.17 Plan Check Total .00 .00 .00 .00 Other Fee Total 12233.12 1000.00 .00 11233.12 Grand Total 14001.29 1000.00 .00 13001.29 LQPERMIT Ccachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Andrew Young. _ (Madison Club) Owner's Name: Project Address: 81-347 Columbus Way, La Quinta, CA Project Description: Addition While Under Construction ATN: 767-690-004 Tract #: Type of Development: Residential XX Commercial Total Square Feet of Building Area: 408 Sq. Ft. Date: June 12, 2014 Phone No. 760-393-5286 Lot #'s: 12B Industrial 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. Dated: & -/% -o 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 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project Agreement Existing Not Subject to Fee 65995 Approval Prior to 1/1/87 Requirement 408 $3.20 $1,305.60 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Signa bre: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STAWEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires thatAtis 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/rirydocsldevfees/certificate of compliance form updated 3-2007 11/2010 .�4rA - f sp C f�utr� I� Ent i%n� eleir� %n� 77570 Springfield Lane, Suite "D" Phone: (760) 360-9998 Palm Desert, CA 92211 Fox: (760) 360-9903 STRUCTURAL OBSERVATION REPORT FOUNDATION ONLY May 27, 2014 City Of La Quinta Building And Safety Department Re.: Lot 12B At The Madison Club 81-347 Columbus Way La Quinta, CA. Gentlemen, We have performed structural observation per 2010 C.B.C. section 1710 for the foundation condition prior to pour concrete. Based on our visual observation and to the best of our knowledge and experience, we believe that the foundation sizes and reinforcement that was completed at the time of our visit, per structural plans with delta # 3 (4/25/14). These plans have not been approved by City yet, and are undergoing plan check process. This observation has been performed per builder request. The builder acknowledges that the plans have not approved and takes full responsibility for any changes that might be required as per plan check comments. Please note that this letter does not include or waive the responsibility for the City or the Special Inspectors from determining compliance with the approved plans. Please contact me should you need additional information regarding this approval. Respectfully, Reza Asgharpour, P.E. I y� r"Y'* U) C NO.C67613 cc EXP. Building Address u �j Owner iSc�Uefu� Mailing Address Ity uI CA Zip Contractor �`� CO kir /c Address u� City Zip State Lic. & Classif. 014 " P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO �L"INTA, CALIFORNIA 92253 � V[ BUILDING: TYPE CONST. V� O��CPPC��. /GRP. j J 2 A.P. Number �O� (� -1 ` o6 24 Tel. Legal Description <N r e uvVt te�u (Zc�l�� ee Project Description (JCS CkftiJ Tel. City Sq. Ft.No. y No. Dw. Lic. # Size Stories l Units Arch., Engr., Designer sou �` A A V�JZ� N', C C V -Lc - Address Tel. City Zip State Lu ccZZS 3 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION 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). ❑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 Profes- sions Code: The Contractor's License Law does not appy 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 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 (5700) 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 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 New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. • v Plan Chk. Bal. Const. Mech. Electrical d Plumbing S.M.I. Grading tJN Q_ bo I Driveway Enc. Q o Infrastructure TOTAL 00 , CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE February 21, 2014 5" Wa e0ftCop f4 --Z. Architectural Design & Planning 78-115 Calle Estado, Suite 105 La Quinta, CA 92253 Tel (760) 564-4707 Jim Johnson City of La Quinta Building Department Subject; Madison Club Single Family Residence Lot Change Lot Change to 81 347 Columbus Way Jim Fax (760) 564-4955 Please find the new submittals for a propose. lot change. The plans have been previously reviewed and approved as they were submitted for lot 117 on Baffin Avenue. The plans included in this submittal are identical to the plans submitted, reviewed and approved by the building Department. The house plan in its entirety is being moved to lot 12 on Columbus Way, the new lot number and address is included on the new submittals and is indicated by a Delta 2 (lot change). All drawings documents and calculations have been updated to include the new lot number and addressing. It has been brought to our attention that we could be looking at a code change and re -submittal if these plans are not processed immediately. PIE ha) Kin Stephen R Nieto if you find any items that may need our immediate attention as we would like to proved and permitted prior to March 4. RECEIVED FEB 2 12014 CIiY OF QUINTA COMMUNnY DEVELOPMENT Building Address TAV/ " Po. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO E . LA QUINTA, CALIFORNIA 92253 Mailing Address oocl5s UL S 2 City Zip Tel. Lam- tJtn qu,5b & Classif. I Lic. # Designer Address 11�l is L La QL11 Qta I (j ZZ�3 ILic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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, after, 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 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 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 seff-insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O 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 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 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 BUILDING: TYPE CONST. y OCC. GRP. IL A.P. Number—1 %:1 --1 oU —.,(A 0 Legal Description {� Project Description l b1 FA M I LT IGjr!��N CP Sq. Ft. No. No. Dw. 1 Size Stories Units L NeWX Add ❑ Alter ❑ Repair ❑ Demolition ❑ H Estimated Valuation ", 50 10 PERMIT AMOUNT Plan Chk. Dep. ' O ODr Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading\ Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: IMTIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Discovery Land Date: March 5, 2014 Owner's Name: Phone No. 760-393-5286 Project Address: 81-347 Columbus Way, La Quinta, CA 92253 Project Description: APN: 767-690-004 Family Dwelling Unit Tract #: Type of Development: Residential XX! Commercial Total Square Feet of Building Area: 4,330 SQ. Ft. Lot #'s: Industrial 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. Dated: `/ -5- / T Signature: ************************************** *Ly *v* * * * * * * * * * * * * * * * * * * * * * * * * * * * SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PRO / HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project Agreement Existing Not Subject to Fee 65995 Approval Prior to 1/1/87 Requirement 4,330 $3.20 $13,856.00 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by. Leticia C. Torres, Facilities Analyst 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 at t s 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/myclocs!devfees/certificate ol`compliance form Updated 3-2007 11/2010 - THE - MADISON CLUB OWNER'S ASSOCIATION March 5, 2014 Mr. Scott Birdwell East of Madison, LLC 80965 Avenue 52 La Quinta, CA 92253 RE: Lot 124 at 81347 Columbus Final Working Drawings Dear Mr. Birdwell: RECt'-IVED MAR 0 6 2014 CITY nP LA QUINTA COMMUNFI-Y DEVELOPMENT The Madison Club Design Review Committee (DRC) is providing an approval of your final working drawings. Any remaining comments relative to guideline specifications will be addressed with your builder prior to your request for setback observation at the lot. Please contact Brook Marshall at (760) 219-8057 or by email at DRCFacilitator@gmail.com or Jim Brown at the Association Office with any questions. Sincerely, Madison Club Design Review Committee cc:tienk-ins@discoverybuildersllc.com DRC File 53035 MERIWETHEE WAY, LA Qvu.-v., CA 92253 TEL 760 391-4500 FAx 760 391-4599 fi II tl a Y r� } n '"K A�ie �? c : � a i- r,u ti a l EAS g ti. 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 February 27, 2014 Discovery Builders California 80-955 Avenue 52 La Quinta, California 92253 Subject: Geotechnical Update Project: Custom Residence Lot 12B - The Madison Club La Quinta, California Project No. 54414048 14-02-082 Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 As requested, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of the proposed custom residence to be to be constructed on Lot 12B within the Madison Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood - frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. The subject lot was previously graded during the rough grading of the Madison Club project site. The rough grading included recompaction of the native surface soil along with the placement of engineered fill material to construct the building pad. The site grading is summarized in the referenced report of Testing and Observation During Rough Grading along with the compaction test results. Because tlte"lot has been previously rough graded, the remedial grading required at this time should be minimal provided that the building area that falls within the previously assumed building envelope. The building areas should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted to a minimum of 90 percent relative compaction prior to fill placement. The previously removed soil and any fill material should be placed in thin lifts at near optimum moisture content and compacted to at least 90 percent relative compaction. February 27, 2014 -2- Project No. 544-14048 14-02-082 The referenced reports include recommendations pertaining to the construction of residential structure foundations. The previous reports also address the potential for liquefaction, subsidence and differential settlement. Based upon our review of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. The allowable bearing pressures recommended in the referenced Geotechnical Investigation report remain applicable. Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1500 psf and 2000 psf, respectively. Allowable increases of 300 psf for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be Utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic loading. Lateral forces may be resisted by friction along the base of the foundations and passive resistance along the sides of the footings. A friction coefficient of 0.48 times the normal dead load forces is recommended for use in design. Passive resistance may be estimated using an equivalent fluid weight of 300 pef. If used in combination with the passive resistance, the frictional resistance should be reduced by one third to 0.33 times the normal dead load forces. The bearing soil is generally non -expansive and falls within the "very low" expansion category in accordance with the 2013 (CSC) classification criteria. Pertinent 2013 CBC Seismic Design parameters are summarized on the following page. 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):1.633g Si (Figure 1613.3.1): 0.774g Fa (Table 1613.3.3(1)):1.0 Fv (Table 1613.5.3(2)):1.5 Sms (Equation 16-37 (Fa X Ssl): 1.6338 Sm1(Equation 16-38 (Fv X Si)): 1.160g SDS (Equation 16-39 (2/3 X Sms)): 1.0888 SDI (Equation 16-40 12/3 X Smll): 0.7748 Seismic Design Category: E VI -4.4,... c....:____:.... 1 February 27, 2014 -3- Project No. 544-14048 14-02-082 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 FE St QP q� BP.ETT L. tom` AI40ERSON e rA5(3 m Brett L. Anderson CD ExP .11 j4 a Principal Engineer d cwIL SER/gvm s��TF 0 CA Copies: 4/ Discovery Builders California r LA O UIPaTA Please verify that soils reports contain all of the above information. In addition, to assure continuity between'the investig ationlre porting 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 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 -comp -acted soil. Foundation criteria to mitigate the effects of liquefaction. ® Foundation criteria. to mitigate the effacts of selsmically induced differential settlement.. ® Foundation criteria to mitigate the effects of long-term differential settlement.. ; K ® Foundation criteria to mitigate the effects of varying soil strength. C ® Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the above checklist should be noted as specific required corrections. 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 Buildina & 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: �' /��/�� Developer: Df6CQVeCW 2)01Metrs 1k)0' Tract No.: (- Tract Name: P015* CIS Lot No.(s): Address(s): X13`7 �°(�l(c��i((S ('✓U f (i ®UIN77t Phone Number: (r/lpD) 393'S�td'(o The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: • CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 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. nN Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 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. 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. G7. 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-auinta.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 m ipdiggs, . the above project may be released for building permit issuance. �'V i. } This section completed by City staff. � S— l'�Z� Recommended by: Date: / `� 0L �Q\4 Public Works Distribution: ( Green Sheet to Building & Safety ( ) Green Sheet to Planning Department ' CIIN Uj 4 �v�LpPN Declined for approval for reason(s) as follow(s), please correct and resubmit: CCNCC� TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Project) Project Information Project Contractor: Project Phase Kn (check one) Construction Demolition nn Project Name: `.-+-�- Q CG I C P= e e y Project Tract/Lot Numbers: �%ni5snn CLP) l ((<}-� tAB 'r Project Street Address: 8;- 3 Columbus waq Total Acres in Active Construction (<1 acre per Lot): ,'% 1 Jr— Anticipated Start Date: // / Anticipated Completion Date: / /vr / 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:IGK 1"111 Title: Company Name: Q l5co u 1 OC's �. 14 r N t ck Mailing Address: u`'q �56 Avenue 5Z Cit , State, ZIP Code: Primary Phone #: % (pQ '3C13 S Z Fax #: 0 91 ,63 24 Hour Emergency Phone#: �(�f% Z-1 Q Cell Phone #: -7(00 Z - r q • 419g Email Address: (. ve • (s 10, . 6orn PM10 Certificate #: 0v )1 ' (p q g -Z 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; s• Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; s Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; Shall hol rmless the City/County and its representatives from liability for any actions related to this dust control plan any ' /County initiated abatement activities. ignature of Property Owner or Authorized Representative Date TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity ■ Visible dust emissions that travel >100 feet from the source (within site) ■ Visible dust emissions that cross any property line • EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. •: WEATHER MONITORING: Wind predictions shall be monitored. •3 SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. �o TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. ee PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. S• DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. FENCING: Provide PM10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. i• EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. :• EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. :• INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. s• RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of project. TAChecklists - Forms 8 ApplicationslFonns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc WEDDLE SURVEYING MAPPING, INC. Boundary • Construction • Topographic •Aerial Surveys •ALTA Surveys • GPS • Consulting June 2, 2014 Mr. Timothy R. Jonasson Public Works Director / City Engineer City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-1504 . Re: Pad/Form Grade Verification City of La Quinta DOUBLE BOGEY, -LLC RESIDENCE Lot 12B Lot 12 Tract No. 33076-2 MB 393/61-80 81-369 Columbus Way, La Quinta, CA MADISON CLUB APN 767-690-004 Dear Mr. Jonasson: We have performed a field survey to determine the vertical location of the Building Pad and Building Form for the above referenced project. The elevations observed are as follows: PAD (DESIGN) 1001.0' FORM (DESIGN) 1001.50' PAD (AS -BUILT) 1000.9' FORM (AS -BUILT) 1001.59' These field observations are in substantial conformance with the Precise Grading Plan prepared by ESSI ENGINEERING, dated 2/21/14, approved by the City of La Quinta Building & Safety Department and the building horizontal location substantially conforms to the required setbacks and site layout as shown on the approved site plan. Sincerely, WED E SURVEYING MAPPING, INC. David L. Weddle, President L.S. 5570, exp 09/30/15 P:O. Box 10418 • Palm Desert, CA 92255-0418 77-725 Enfield Lane, Ste. 140 • Palm Desert, CA 92211 • 760.360.5570 E -Mail: wedsury@aol.com • Fox 760.360.5573 EsGil Corporation In (Partnership with Government for Buifding Safety DATE: MAR. 15, 2013 JURISDICTION: LA QUINTA PLAN CHECK NO.: 12-1476 PROJECT ADDRESS: 81-347 COLUMBUS WAY SET: II ❑,DcPPLICANT ,0 JURIS. ❑ PLAN REVIEWER ❑ FILE PROJECT NAME: SFR FOR DISCOVERY LAND BUILDERS/DBCA ❑ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ® The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person Fax #: 71 REMARKS: On window schedule, Sheet A8.05, note tempered glass for windows J & M within 60" of stairs & landing. Section R308.4. By: ALI SADRE Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ PC 3/14 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576