14-0353 (SFD)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
V
Titit 4 4 Qu&rcu
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
SFD-14-353
Property Address:
53389 VIA BELLAGIO
APN:
777160029
Application Description:
NEW SFD 4642 SF / VELARDE
Property Zoning:
M
Application Valuation:
$420,398.30
Applicant:
JEHA CONSTRUCTION, MICHAEL
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 410408
Date: Contractor.'
OWNER -BUILDER DEC RATION
I hereby affirm under penalty of perjury that 1 am a mpt fr m the Contractor's State
License Law for the following reason (Sec. 7031.5, Bus, s and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a'civil penalty of not more than five hundred dollars
($500).:
(� I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or.improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year.of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(� I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
I I I am exempt under Sec. . B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 issuetljbjfv�orkers' compensation insurance carrier and policy number are:
Carrier: policy Number:_
I certify that in the performance of the work for which this permit is issued, I
shall not loy any person in any manner so as to become subject to the workers'
compensation, laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wit those ovisio
Date: Applicant:
WARNING: AILURE TO SECURE WORKERS' COMPEN ATION OVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE L 5 AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representa
mentione prope F.Signature
spection purposes.
Date: (Applicant
Date�6 9 '
Owner:
GEORGE VELARDE79-125
�
HIGHWAY Ill
M
116LA
QUINTA, CA 92253v'
�--,—�
zC?
C D
Contractor:
o --�
Z
MICHAEL JEHA CONSTRUCTION � T
t..�D
41479 RESORTER BLVD UIT 27-12,�
PALM DESERT, CA 92211
Z
1
(925)250=4038
xp
cin
LIC. No.: 410408
m
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 issuetljbjfv�orkers' compensation insurance carrier and policy number are:
Carrier: policy Number:_
I certify that in the performance of the work for which this permit is issued, I
shall not loy any person in any manner so as to become subject to the workers'
compensation, laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wit those ovisio
Date: Applicant:
WARNING: AILURE TO SECURE WORKERS' COMPEN ATION OVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE L 5 AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representa
mentione prope F.Signature
spection purposes.
Date: (Applicant
DESCRIPTION _ ,
FINANCIAL INFORMATION
ACCOUNT ', QTY AMOUNT;; .
PAID i
PAID.DATE.
PLAN CHECK/PERMIT EXTENSION
PROCESSING
101-0000-42600
1
$97.17
$97.17
4/29/15
PAI,D.BY r".:.
..
" METHOD
;, RECEIPT #
CHECK#
CLTD BY
MEGA DEALER LLC
CHECK
R5575
3020
MFA .
Total Paid forADMINISTRATIVE: $97.17 $97.17
DESCRIPTION '
e. ACCOUNT.
QTY..
AMOUNT :
PAID
PAID DATE'
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0
$550.99
$550.99
5/21/15
d _ PAID BY
'METHOD
`. `RECEIPT #
CHECK #
CLTD'BY,'
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forART IN PUBLIC PLACES - AIPP: $550.99 $550.99
DESCRIPTION
s ACCOUNT., ' ,::
QTY
AMOUNT
, - PAID
`PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
2
$290.00
$290.00
5/21/15
(PAID:BY, '" ': - _
METHOD
RECEIPT #
CHECK #
CLTD BYE.'
MEGA DEALER LLC,
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY:.
AMOUNT:'
PAID
PAID DATE
HOURLY PLAN CHECK - ESG
101-0000-42600
9
$882.00
$882.00
5/21/15
PAID BY
METHOD
_v RECEIPT #
CHECK #
CLTD,BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forBLDG CITY STAFF - PER HOUR: $1,172.00 $1,172.00
DESCRIPTION
:' ACCOUNT.,
'QTY::
:AMOUNT
PAID
PAID DATE
BLDG PC 200K -1M
10160003428200
$1,200.00
$1,200.00
4/2/14
PAID BY
METHOD
RECEIPT,#
CHECK #� ;
CLTD BY
Total Paid forBLDG PC 200K -1M: $1,200.00 $1,200.00
: - DESCRIPTION
_.
ACCOUNT
;QTY
AMOUNT
PAID
'PAID DATE.
BSAS SB1473 FEE
101-0000-20306
0
$17.00
$17.00
5/21/15
•:. PAID BY
METHOD
. ;RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350.
3022
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $17.00 $17.00
DESCRIPTION :.
ACCOUNT .
QTY.
AMOUNT -`
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
.0
$942.00
$942.00
5/21/15
t. PATI) BY
METHOD ..
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION :`
ACCOUNT
QTY
AMOUNT i
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
5/21/15
14
PAID BY
METHOD t.
RECEIPT,#`'
CHECK .# ?
CLTD BY,
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION:;:.
ACCOUNT
QTY.:
AMOUNT.•.
PAID
PAID DATE.
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
5/21/15
,PAID.BY,,..
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6356
3022
SKH
DESCRIPTION
.. ACCOUNT
,QTY.
., AMOUNT :'
_PAID
PAID DATE.
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
5/21/15
PAID BY, ,.
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT z.
QTY
' •AMOUNT
PAID
PAIDbATE
DIF - PARK MAINTENANCE
256-0000-43200
0
,$40.00
$40.00
5/21/15
PAID BY
" METHOD
+ RECEIPT # •
CHECK # . ' ..
CLTD BY'
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION ,�
- ACCOUNT
QTY
AMOUNT
=PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
.116350
3022 •
SKH
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE..
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY -
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT:
QTY
AMOUNT
„ PAID ' „
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
5/21/15
PAID BY
METHOD
RECEIPT #
" CHECK #
CLTD BY .
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 '
DESCRIPTION
ACCOUNT
QTY=
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$61.65
$61.65
5/21/15
PAID BY,
METHOD
RECEIPT #
CHECK #.' :
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID ,;
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$25.40
$25.40
5/21/15
PAID, BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION . ;
ACCOUNT
QTY.
AMOUNT
PAID,
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
5/21/15
PAID BY
METHOD"
RECEIPT #
CHECK # P
CLTD BY -.
MEGA DEALER LLC
CHECK
R6350
3022
SKH
.... _.............. _
DESCRIPTION:
ACCOUNT','QTY1
-
AMOUNT
F PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$47.86
5/21/15
` PAID BY
r METHOD
¢x RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forELECTRICAL - NEW CONSTRUCTION: $279.94 $279.94
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF
101-0000-42408
0
$36.26
$36.26
5/21/15
PAID' BY "
METHOD
RECEIPT # .
CHECK #. "
'CLT TD B
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
". . ° ;PAID
PAID DATE'
RESIDENTIAL PRECISE GRADING - CUSTOM
HOME LOT >7KSF PC
101-0000-42600
0
$181.29
$181.29
S/21/15
PAID BY
y METHOD.'
RECEIPT# ,+.°
CHECK# ;".k
'- CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forGRADING: $217.55 $217.55
DESCRIPTION,
ACCOUNT " ;
QTY
=x- AMOUNTr
PAID '
' PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$181.30
$181.30
5/21/15
PAID BY
METHOD
i RECEIPT #
CHECK # .
. CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT . `
QTY
`.' AMOUNT
' PAID !, �'
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$120.85
$120.85
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK # ,.
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION'
CITY
AMOUNT
PAID . ':
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
5/21/15
PAID BY t
METHOD
RECEIPT #
CHECK #
CLTD BY .
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION,
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
5/21/15
'•.PAID. BY
METHOD +
RECEIPT #
-CHECK # `-
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID`
PAID DATE
FURNACE
101-0000-42402
0
$181.30
$181.30
5/21/15
PAID BY
METHOD
RECEIPT#
CHECK #
z CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY .
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$120.85
$120.85
5/21/15
PAID BY .. "
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION ` .
ACCOUNT
QTY,
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$120.90
$120.90
5/21/15
iPAID BY
-.METHOD
RECEIPT:#
CHECK# '.
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT=
QTY
AMOUNT
PAID . f
PAID DATE
VENT FAN PC
101-0000-42600
0
$48.30
$48.30
5/21/15
t '.PAID BY
•METHOD
RECEIPT # t
CHECK # i .
CLTD BY-
YMEGA
MEGA-DEALER
DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forMECHANICAL: $790.42 $790.42
DESCRIPTION
QTY
AMOUNT
-ACCOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$705.33
$705.33
5/21/15
' PAID BY.
METHOD
RECEIPT #
CHECK #
CLTD.BY;
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid for NEW CONSTRUCTION PERMIT: $705.33 $705.33
.a DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$315.64
$315.64
5/21/15
PAID BY
METHOD
RECEIPT # .' :
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forNEW CONSTRUCTION PLAN CHECK: $315.64 $315.64
DESCRIPTION
ACCOUNT"
QTY_
"AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
5/21/15
PAID BY
METHOD
RECEIPT # .: E
CHECK # . ;
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT,
QTY
AMOUNT.
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
5/21/15
t : PAID BY
METHOD.
RECEIPT#
CHECK.# `:
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID -
PAI D
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
5/21/15
PAIDBY :
METHOD:
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION s
ACCOUNT
QTY
. AMOUNT-
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/21/15
PAID BY
METHOD. ° .
` RECEIPT #
CHECK* p :.
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT' _
QTY
AMOUNT
PAID` .
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$326.43
$326.43
5/21/15
PAIDBY
METHOD
'RECEIPT.#
- CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
" ACCOUNT
QTY
AMOUNT
PAID `:
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$326.43
$326.43
5/21/15
PAID BY,
METHOD
'RECEIPT-#
CHECK # -•
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION m: -;
-.ACCOUNT
QTY
AMOUNT'
PAID -
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK #;
CLTD BY.
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT-(
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
5/21/15
PAID BY `"
METHOD -
RECEIPT #
CHECK #'
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT `*'
QTY
AMOUNT
PAID
PAID DATE
ROOF DRAIN
101-0000-42401
0
$24.18
$24.18
5/21/15
;PAID BY- 7.o.-: .'
" METHOD
'.RECEIPT#`,
'CHECK#
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
` DESCRIPTION
ACCOUNT
;QTY
` AMOUNT
PAID
PAID DATE'.
ROOF DRAIN PC
101-0000-42600
0
$24.18
$24.18
5/21/15
PAID BY
METHOD
RECEIPT-#`
. CHECK.# .g
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
" PAID ,°
; PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09 •
$12.09
5/21/15
" PAID BY -
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$7.25
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK # -
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
DESCRIPTION
ACCOUNT
QTY.
-AMOUNT
F PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
5/21/15'
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forPLUMBING FEES: $834.18 $834.18
DESCRIPTION
ACCOUNT
QTY
AMOUNT,
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$54.65
$54.65
5/21/15
PAID BY
METHOD
RECEIPT #
CHECK #:
CLTD BY
MEGA DEALER LLC
CHECK
R6350
3022
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $54.65 $54.65
DESCRIPTION
ACCOUNT.-
QTY
AMOUNT,
PAID
PAID DATE:
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
5/21/15
PAID BY
METHOD
RECEIPT # ,
CHECK #
CLTD BY f
MEGA DEALER LLC,
CHECK
R6350
3022
SKH
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:
Description: NEW SFD 4642 SF / VELARDE
ADDITIONAL
STAFF NAME ACTION DATE COMPLETION DATE
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED
Applied: 4/1/2014
FAMILY DETACHED
Approved: 5/20/2015 JJO
Parcel No: 777160029 Site Address: 53389 VIA BELLAGIO LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block: Lot: 312
Issued: 5/21/2015 SKH
Lot Sq Ft: Building Sq Ft: Zoning:
Finaled:
Valuation: $420,398.30 Occupancy Type: Construction Type:
Expired: 11/17/2015 AOR
No. Buildings: No. Stories: No. Unites:
E-MAIL
Details: 4,642SF DWELLING/VB/RES-3/CLASS A-FR/SPRINKLED. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY -
APPROACH, BBQ OR FIRE -PIT. 2013/2010 CALIFORNIA BUILDING CODES
4/23/2015
HAD TO OVERRIDE P/C FEES FOR BUILDING TO INDICATE $1462.88 not $1200. $263.15 DIFFERANCE.
PERMIT FEE UPDATED TO POST JULY 1ST, 2014 FEE UPDATES DETERMINED AT PERMIT ISSUANCE.
•_I ,_jApplied to"Approved
Approved to Issued
Printed: Friday, June 26, 2015 3:04:29 PM 1 of 8 J
SYSTEMS
ADDITIONAL
STAFF NAME ACTION DATE COMPLETION DATE
NOTES
CHRONOLOGY TYPE .
SENT EXTENSION APPROVAL TO MR. OCHOA, PER THE
CONDITIONS OF THE APPROVAL THEY ARE REQUIRED TO PAY
E-MAIL
AJ ORTEGA
4/23/2015
4/23/2015
THE PROCESSING FEE PRIOR TO RESUBMITTAL/SUBMITTAL OF
THE PROPOSED REVISIONS, OR IF THEY NOW DECIDE TO
- .
OMIT THE REVISIONS
REVISED FEES FOR NEW UP DATES AND SQ. FT CHANGE. NEW
SCHOOL FEE CERT IS REQUIRED SQ. FT. LARGER.
NOTE
JIM JOHNSON
4/30/2015
4/30/2015
CALLED JAHA CONST TO INFORM THEM NEW SCHOOL FEES
REQUIRED AND ASSESSORS PLAN WITH SITE PLAN AND
FLOOR SHOWING SQ. FT.
NOTE
JIM JOHNSON
4/29/2015
5/8/2015
AJ HAS ASKED THAT THIS BE DONE ASAP. THANKS, KAY
NOTE
JIM JOHNSON
5/8/2015
5/8/2015
JIM YOU NEED TO GET THIS READY FOR APPLICANT
Printed: Friday, June 26, 2015 3:04:29 PM 1 of 8 J
SYSTEMS
Printed: Friday, June 26, 2015 3:04:29 PM 2 of 8 rR?
SYSTEMS
PER JIM, WE WILL DO THE NEXT ROUND OF PLAN CHECK IN
HOUSE. WE WERE UNABLE TO FIND THE EOR APPROVAL FOR
NOTE
KAY HENSEL
5/15/2015
5/15/2015
THE TRUSSES. JIM CALLED THE ARCHITECT'S OFFICE AND
THEY WILL PICK UP THE TRUSSES AND TAKE THEM TO REZA
FOR APPROVAL AND STAMPING.
NOTE
STEPHANIE KHATAMI
5/13/2015
5/13/2015
MIKE JEHA SUBMITTED A LETTER REQUESTING EXTENSION OF
PERMIT.
MR VELARDE CAME IN TO PULL PERMITS. JIM TOLD WHAT
WOULD BE REQUIRED OF HIM TO PULL THE PERMIT OWNER
OFFICE MEETING
JIM JOHNSON
5/21/2015
5/21/2015
BUILDER AND IT WOULD BE EASER TO HAVE THE GEN.
CONTRACTOR TAKE OUT THE PERMIT. MR VELARDE PAYED
THE PERMIT FEES AND THE CONTRACTOR WILL PULL PERMIT
ON TUE. THE 26TH.
PLAN CHECK -COMMENTS
FROM CONSULTANT
KAY HENSEL
5/8/2015
5/8/2015
READY FOR CORRECTIONS.
RECEIVED
PLAN CHECK
APPLICANT TO COMPLETE NEW SUB -LIST SHEET PRIOR TO
COMPLETE/READY FOR PICK
AJ ORTEGA
11/6/2014
11/6/2014
ISSUANCE OF PERMIT
UP
PLAN CHECK PICKED UP
MARY FASANO
5/8/2015
5/8/2015
EDDIE PICKED UP PLANS
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
5/20/2015
5/20/2015
ASSESSOR SET RECEIVED.
RECEIVED
REPRESENTITIVE WITH DESIGN FIRM OCHOA DESIGN
ASSOCIATES CAME IN TO RESUBMIT WITH EXTENSION
PUBLIC COUNTER VISIT
AJ ORTEGA
4/23/201S
4/23/201S
LETTER, EXTENSION LETTER ACCEPTED BUT REJECTED ANY
SUBMITTAL AT THIS TIME TO AWAIT APPROVAL OF
EXTENSION.
PUBLIC COUNTER VISIT
ANGELICA ZARCO
5/19/2015
5/19/2015
RECEIVED SCHOOL FEE CERTIFICATION FROM GEORGE
VELARDE (SEE ATTACHED).
Printed: Friday, June 26, 2015 3:04:29 PM 2 of 8 rR?
SYSTEMS
Printed: Friday, Jurie 26, 2015.3:04:29 PM 3 of 8
SYSTEMS
NEW OWNER VELARDE CAME IN TO PULL PERMIT, PERMIT
'
HAS SINCE EXPIRED FROM PREVIOUS DEADLINE GIVEN, PLUS
OWNER WOULD LIKE TO SUBMIT REVISIONS FOR THE
CHANGES THEY PROPOSE. INFORMED THAT HE SHOULD
PUBLIC COUNTER VISIT
AJ ORTEGA
4/20/2015
4/20/2015
DISCUSS WITH HIS ARCHITECT PROVIDING A EXTENSION
LETTER OR CREATE NEW PLANS FOR NEW SUBMITTAL, OR
DISCUSS OTHER OPTIONS WITH THE DIRECTOR WHO
'
-
PREVIOUSLY GRANTED THE EXTENSION.
MET WITH REPRESENTITIVE WITH DESIGN FIRM, INFORMED
PUBLIC COUNTER VISIT
Al ORTEGA
4/21/2015
4/21/2015
THAT AN EXTENSION LETTER WOULD BE REQUIRED TO
CONTINUE THE EXPIRED PERMIT, TURNED AWAY SUBMITTAL
OF REVISION AT THIS TIME.
PLAN CHECK SUBMITTAL RECEIVED AND CORRELATED - READY
TO BE SENT TO ESGIL FOR COMPLETE REVIEW ***PER LES:
RESUBMITTAL
KAY HENSEL
5/14/2015
5/20/2015
CHECK WITH JIM JOHNSON TO SEE IF WE CAN RECHECK
INHOUSE PRIOR TO SENDING OUT***
RECHECK DONE IN HOUSE
PROJECT HAD EXPIRED - NO PERMIT ISSUED. OWNERSHIP
CHANGED, OUTSTANDING FEES WERE PAID AND PROJECT
SENT TO PLAN CHECK
KAY HENSEL
4/29/2015
4/29/2015
WAS RESUBMITTED (WITH A REVISION). CODE UPDATE IS
CONSULTANT
_
REQUIRED. APPROVED PLANS & DOCS ARE BEING SENT TCS
ESGIL FOR A COMPLETE REVIEW. WE'VE ASKED FOR A RAPID
TURNAROUND. JIM WILL COORDINATE
CALLED OCHOA DESIGN TO INFORM HIM THAT I NEED A
TELEPHONE CALL
JIM JOHNSON.
5/20/2015
5/20/2015
ASSESSORS SITE AND DEMINSIONED FLOOR PLAN. PLANS
MAY BE ISSUED AFTER WE RECIEVE ASSESSORS SET
CONDITIONS
CONTACTS
—NAME TYPE - NAME .ADDRESSI '- CITY. ' ` " STATE ZIP _ PHONE FAX _AMAIL�, '
-
APPLICANT. JEHA CONSTRUCTION, MICHAEL 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)578-0356
CONTRACTOR MICHAEL JEHA CONSTRUCTION 41479 RESORTER BLVD PALM DESERT CA 92211 (760)578-0356
UIT 27-12
Printed: Friday, Jurie 26, 2015.3:04:29 PM 3 of 8
SYSTEMS
Printed: Friday, June 26, 2015 3:04:29 PM 4 of 8
SYS 7f AAS
FINANCIAL
i
DESCRIPTION Al
ACCOUNT
"QTY
AMOUNT a
PAID '
PAID DATE
RECEIPT #
, CHECK # Y
METHOD
-
PAID BY
CL j
>BY.
PLAN CHECK/PERMIT
EXTENSION
101-0000-42600
1
$97.17
$97.17
4/29/15
R5575
3020
CHECK
MEGA DEALER LLC
MFA
PROCESSING
Total Paid forADMINISTRATIVE: $97.17 $97.17
ART IN PUBLIC PLACES -
270-0000-432010
$550.99
$550.99
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
RESIDENTIAL
Total Paid forART IN PUBLIC•PLACES - AIPP: $550.99 $550.99
HOURLY CHARGE -
101-0000-42600
2
$290.00
$290.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
BLDG CITY STAFF
HOURLY PLAN CHECK -
101-0000-42600
9
$882.00
$882.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
-SKH
ESG
Total Paid for BLDG CITY STAFF - PER HOUR: $1,172.00 $1,172.00
BLDG PC 200K -1M
10160003428200
$1,200.00
$1,200.00
4/2/14
Total Paid for BLDG PC 200K -1M: $1,200.00 $1,200.00
BSAS SB1473 FEE
101-0000-20306
0
$17.00
$17.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forgUILDING STANDARDS ADMINISTRATION
$17.00 $17.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
DIF -COMMUNITY
254-0000-43200.
0
$129.00
$129.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00'
$433.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
5/21/15
R6350
3022.
CHECK
MEGA DEALER LLC
SKH
Printed: Friday, June 26, 2015 3:04:29 PM 4 of 8
SYS 7f AAS
DESCRIPTION'
ACCOUNT 3
QTY
AMOUNT
^ -PAID
PAID DATE
RECEIPT #
CHECK # `
, METHOD.
;- PAID BY _
' CLT7b,
.
DIF - PARK
256-0000-43200
0
$40.00
$40.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
MAINTENANCE .
DIF'- PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
DIF - STREET
255-0000-43200
0
$116.00
$116.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
'SKH
MAINTENANCE
DIF - TRANSPORTATION
2SO-0000-43200
0
$2,842.00
$2,842.00
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forDIF - SINGLE FAMILY DWELLING $6,894.00 $6,894.00
RESIDENTIAL, EA
101-0000-42403
0
$61.65.
$61.65
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$25.40
$25.40
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH,
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
1,000SF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
1,000SF, PC -
Total Paid forELECTRICAL - NEW CONSTRUCTION: $279.94 $279.94
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42408
0
$36.26
$36.26
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
HOME LOT >7KSF
RESIDENTIAL PRECISE
GRADING - CUSTOM
101-0000-42600
0
$181.29
$181.29
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
HOME LOT >7KSF PC
-
Total Paid forGRADING: $217.SS $217.55
CONDENSER/COMPRES
101-0000-42402
0
$181.30
$181.30
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
SOR
CONDENSER/COMPRES
101-0000-42600
0
$120.85
$120.85
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
SOR PC
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
S/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Printed: Friday, June 26, 2015 3:04:29 PM 5 of 8 CJ
SYSTEti1S
.. DESCRIPTION
:.,.. ACCOUNT
QTY
ka 'AMOUNT
w PAID
PAID DATE.
aRECEIPT #
i".CHECK #
METHOD
,PAID BY'-
CLTD
By
FURNACE
101-0000-42402
0
$181.30
$181.30
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH-
KH.FURNACE
FURNACEPC'
101-0000-42600
0
$120.85
$120.85
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
VENT FAN
101-0000-42402
0
$120.90
$120.90
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
VENT FAN PC
101-0000-42600
0
$48.30
$48.30
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forMECHANICAL: $790.42. $790.42
NEW CONSTRUCTION
PERMIT
101-0000-42400----]
07
$$705.33
$705.33
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forNEW CONSTRUCTION PERMIT: $705.33 $705.33
NEW CONSTRUCTION
PLAN CHECK'
101-0000-42600
0
$315.64
$315.64
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forNEW CONSTRUCTION PLAN CHECK: $315.64 $315.64
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
5/21/15
R6350
.3022
CHECK
MEGA DEALER LLC
SKH
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
.FIXTURE/TRAP
101-0000-42401
0
$326.43
$326.43
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
FIXTURE/TRAP PC
101-0000-42600
0
$326.43
$326.43
5/21/15
116350 '
3022
CHECK
MEGA DEALER LLC
SKH
GAS SYSTEM, 5+
OUTLETS
101-0000-42401
0
$36.26
$36.26
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
GAS SYSTEM, 5+
OUTLETS PC
101-0000-42600
0
$24.17
$24.17
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
ROOF DRAIN
101-0000-42401
0
$24.18
$24.18
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
ROOF DRAIN PC
101-0000-42600
0
$24.18
$24.18 -
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
WATER HEATER/VENT
PC
101-0000-42600
0
$7.25
$7.25
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Printed: Friday, June 26, 2015 3:04:29 PM 6 of 8.
SYS7Crv1S
DESCRIPTION -
x 4,,_' -ACCOUNT
QTY
0" AMOUNT,.,,.-
PAID
PAID DATE
RECEIPT #
~CHECK # "
.METHOD'
;'PAID BY ¢
CLTD
REVIEWER
SENT DATE_
DUE DATE'
NOTES'
DATE
F' s
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
INST/ALT/REP
PLAN CHECK TO DATE IS, 9 HRS 5/8/2015
STRUCTURAL
KURT CULVER
4/29/2015
5/5/2015 5/5/2015
REVISIONS REQUIRED
NON-STRUCTURAL -
Total Paid forPLUMBING FEES: $834.18 $834.18
SMI - RESIDENTIAL
101-0000-20308
0
$54.65
$54.65
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SM! $54.65 $54.65
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$1,837.44
T
5/21/15
R6350
3022
CHECK
MEGA DEALER LLC
SKH
DETACHED
RECHECK DONE IN HOUSE
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:
Printed: Friday., June 26, 2015 3:04:29 PM 7 of 8 ,
sysTrms
REMARKS -
RETURNED' , STATUS
REVIEW REVIEW TYPE :
REVIEWER
SENT DATE_
DUE DATE'
NOTES'
DATE
NON-STRUCTURAL
KURT CULVER
4/29/2015
5/5/2015 5/5/2015
REVISIONS REQUIRED
FEES REVISED FOR TODAYS CODES. ESGIL FEE FOR
PLAN CHECK TO DATE IS, 9 HRS 5/8/2015
STRUCTURAL
KURT CULVER
4/29/2015
5/5/2015 5/5/2015
REVISIONS REQUIRED
NON-STRUCTURAL -
JIM JOHNSON
5/14/2015
5/21/2015 5/20/2015
APPROVED
RECHECK DONE IN HOUSE
1 WK
STRUCTURAL - 1 WK
JIM JOHNSON
5/14/2015
5/21/2015 5/20/2015
APPROVED
RECHECK DONE IN HOUSE
Printed: Friday., June 26, 2015 3:04:29 PM 7 of 8 ,
sysTrms
Printed: Friday, June 26, 2015 3:04:29 PM 8 of 8
srsTenns
ATTACHMENTS
_Attachment.Type„
�_CREATED�'
_ , ; OWNER
`�' DESCRIPTION"
PATHNAME
SUBDIFi �.-
ETRAKIT�ENABLED -�
14-353 - PERMIT
PERMIT EXTENSION
EXTENSION REQUEST
DOC
4/23/2015
AJ ORTEGA
REQUEST (OCHOA
(OCHOA DESIGN
0
DESIGN ASSOCIATES)
ASSOCIATES).pdf
14-353 - PERMIT
PERMIT EXTENSION
DOC
4/23/2015
AJ ORTEGA
APPROVAL (OCHOA
EXTENSION APPROVAL
0
(OCHOA DESIGN
DESIGN ASSOCIATES)
ASSOCIATES).pdf
DOC
11/6/2014
ANGELICA ZARCO
SFD-14-353 INV-108.pdf
SFD-14-353 INV-108.pdf
0
DOC
5/20/2015
ANGELICA ZARCO
SCHOOL FEE
SCHOOL FEE,
0
CERTIFICATION.pdf
CERTIFICATION.pdf
CORRESPONDENCE -
CORRESPONDENCE -
DOC
5/13/2015
STEPHANIE KHATAMI
'REQUEST TO EXTEND
REQUEST TO EXTEND
0
•
PERMIT 05-13-15
PERMIT 05-13-15.pdf
Printed: Friday, June 26, 2015 3:04:29 PM 8 of 8
srsTenns
Class;IcTM
Technical Product Data
THERMAL INSULATION AND AIR BARRIER
ESR -1826
Specification Sections: 07 21 19 Foamed -in -Place Insulation,
07 27 00 Spray Polyurethane Foam Air Barriers
PRODUCT DESCRIPTION
racynene ClassicTm is a spray -in-place low density, open celled,
t,flexible, 100% water -blown polyurethane foam insulation
manufactured by Icynene Inc. Icynene ClassicTm is a nominal
0.5 Ibs/ft3 density, free rise material suitable for buildings in
accordance with the IRC and the IBC including Type I, Il, III, IV and V
construction. The product is for use as a thermal insulation and air
barrier in:
• wall cavities
• floor assemblies
ceiling assemblies
• attics (vented and unvented)
• crawl spaces (vented and unvented)
PROPERTIES OF CURED FOAM
Characteristic
Test Method
Value
Core Density
ASTM D 1622
0.5 Ib1 3
Color
Smoke Development
Cream
Aged Thermal
Assembly Passed'
R-3.7
Resistance: at 1"
Commercial Fire
Air Permeance at 3"
ASTM E 2178
0.014 Us.m2
Water Vapor Perme-
ASTM E 96
11 perni
ance at 5 �'/z"
Water Absorption
ASTM D 2842
5%
Dimensional Stability
0.0% at 158°F
at 28 days (Volume
ASTM D 2126
and 95% RH
Change)
Appendix X
Floors - 14"
BURN CHARACTERISTICS
Characteristic
Test Method
Value
Surface Burning at 5"
ASTM E 84
Class 1
----------------
20
----------------
340
Flame Spread Index
Smoke Development
Commercial Fire .
NFPA 285
Assembly Passed'
Resistance
Thickness
Commercial Fire
Limited Access Attic
Resistance
ASTM E 119
1,2 & 3 Hour Ratings'
RECEIVE
JUL 0 6 2016
Circ OF LA QUINTA
COMMUNITY DEVELOPMENT
USA
DC 315 Thermal
Barrier
NFPA 286
> 15 minutes
Wall && Ceiling
Application Maximum
NFPA 286
Walls - 7.5"
Thickness
Ceiling 11.5"
Limited Access Attic
ACC377
Walls — 5.5"
Walls & Roof Coated
Thickness
Appendix X
Roof - 14"
Limited Access Crawl
Space Walls & Floors
ACC377
Walls — 3.5"
Uncoated Thickness
Appendix X
Floors - 14"
Attic Floor Uncoated
Thickness
ASTM E 970
'consult Icynene Engineering Department for details.
• Icynene ClassicTM'must be covered with h' of gypsum board
or approved thermal barrier.
• Icynene ClassicTM is subject to all applicable National/
State and County building codes regarding fire prevention.
Requirements for Thermal Barrier and Ignition Barrier
coverings must be met as per the applicable building code as
required by the authority having jurisdiction.
ACOUSTICAL PROPERTIES
Performance in a 38 x 89 mm (2 x 4") wood stud wall:
I
STC Sound Transmission Class - 37
Hertz Frequency 125 250 500 1000 2000 4000
ASTM E90 19 30 31 42 38 46
NRC Noise Reduction Coeff. - .70
Hertz Frequency 125 250 500 1000 2000 4000
ASTM C423 .11 .43 .89 .72 .71 .67
AIR BARRIER/ MECHANICAL VENTILATION
• Icynene ClassicTM fills any shaped cavity, and adheres to most
construction materials, creating assemblies with very low air
permeance. p
• Additional interior or exterior air infiltration protection is subject
to applicable codes.
• All buildings insulated and air sealed with Icynene ClassicTM
must be designed to include adequate mechanical ventilation/
outdoor air supply for optimum IAQ (Indoor Air Quality).
• For mechanical ventilation see ASHRAE Standard 62 -
Ventilation for Acceptable Indoor Air Quality or any other
acceptable good engineering practice.
I (Y
ENS
The Evolution of Insulation
i
WATER ABSORPTION PROPERTIES
• Water can be forced into the foam under pressure because it
is open celled.
• Water will drain by gravity, given favorable drying potential,
and upon drying all chemical and physical properties are fully
restored.
ELECTRICAL WIRING.
• Icynene ClassicT,'O has been evaluated with energized 14/3
and 12/2 residential wiring (max. 122'F/50'C).
• It is chemically compatible with typical'electdcal wiring
coverings.
• For any insulation of older knob and tube wiring, please
. reference local electrical code.
CORROSION
Icynene Classic""' did not cause corrosion when evaluated in
contact with steel and copper at 12011F (480C) and 95% relative
humidity conditions.
PLASTIC PIPING
• ICYNENE ClassicTM is compatible in direct contact with the
following piping systems, as per Paschal Engineering Study:
• CPVC
• ABS
• PVC
• PP -R
ENVIRONMENTAL AND HEALTH
• Icynene ClassicTm is 100% water -blown and therefore
contains no ozone-depleting blowing agents.
• The reaction used to create Icynene ClassicTm generates
carbon dioxide to expand the foam. Carbon dioxide has a
very low Global Warming Potential (GWP of 1).
• Icynene ClassicTM is PBDE-free.
INSTALLATION
• Icynene ClassicT"' is installed by a network of Licensed
Dealers, trained in its installation.
• Not intended for exterior use. Not to be installed within 3" (76
mm) of heat emitting devices or where the temperature is in
excess of 180'F (821C), as per ASTM C411 or in accordance
with applicable codes.
• Installation is generally independent of environmental
conditions.
• It can be installed in hot, humid or freezing conditions.
Minimum substrate temperature for application is 14'F
(-10'C).
• Surface preparation is generally not necessary.
• Within seconds, the foaming process is complete.
�
I(YNENEO
The Evolution of Insulation
i -
1 .
OSHA CONFINED SPACE INFORMATION
An ASTM E-918 test of Icynene ClassicTm for flammability at
140T concluded that it is not flammable. Consult Safety Data
Sheets for details.
HANDLING AND SAFETY
For information on Health and Safety, refer to the Spray
Polyurethane Foam Alliance Health and Safety guidance documents
at www.spraypolyurethane.com.
AVAILABILITY
Contact Icynene Inc. at 800-758-7325 or visit our website at
www.icynene.com.
WARRANTY
WHEN INSTALLED PROPERLY IN ACCORDANCE WITH
INSTRUCTIONS, THE COMPANY WARRANTS THAT
THE PROPERTIES OF THE PRODUCT MEET PRODUCT
SPECIFICATIONS AS OUTLINED IN THIS TECHNICAL DATA
SHEET. SAVE AND EXCEPT ANY EXCLUSIONS REFERENCED IN
THE WARRANTY.
TECHNICAL
Icynene Licensed Dealers and Icynene Inc. provide support on both
technical and regulatory issues. Architectural specifications in CSI
3 -Part format and design details are available at our website at
www.lcynene.com.
REGULATORY
• ESR -1826 has been issued by the ICC -ES for Icynene
ClassicTm .
• Icynene ClassicTm has been tested as per the requirements
of the International Code Council Evaluation Service's AC377
Acceptance Criteria (November 2012).
•1111 For regulatory issues concerning Icynene ClassicTM contact
Icynene at 800-758-7325.
RELATED REFERENCES
All physical properties were determined through testing by
accredited third party agencies. Icynene Inc. reserves the right
to change specifications in its effort of continuous improvement.
Please confirm that technical data literature is current.
I
I
PACKAGING AND STORAGE
•' Packaging - 55 US gallon, closed top steel drums
• ", Component 'A' - 550 Ib. per drum. Base Seal® MDI
•I Component 'B' - 500 Ib. per drum. Icynene ClassicT"' -
Resin
o .
•y. Icynene ClassicTM (Component A and Component B) ideally
should be stored between 60°F (15'C) and 85°F (300C).
• Component A should be protected from freezing.
• Shelf life is 6 months.
Telephone: 905.363.4040
Toll Free: 800.758.7325
I www.icynene.COM
} inquiry@icynene.com
1 SL -200 Updated September 2015
Benefits of the Unvented Attic Assembly
Unvented attics have been getting popular in recent
years. An unvented attic differs from a conventional
Vented attic in that there is no venting of the space
between the roof rafters and the ceiling joists of the top
story. The unvented attic is "indirectly" conditioned
space since as there are no supply or return vents from,
the HVAC system located in the unvented attic space.
This design practice benefits situations where space
limitations require HVAC equipment and duct work
to be located in the attic. In this situation, modifying
the attic to create a conditioned attic space has
generated significant reductions in energy
consumption because:
1. The mechanical equipment is placed in more
temperate, conditioned space.
2. Duct leakage remains within the conditioned
space.
3. Duct penetrations through the ceiling
(immediately below the attic) do not
compromise the building envelope air
tightness because the building envelope has
been moved to the roof deck level.
This Design Note reviews unvented attic construction,
briefly discusses its history and reviews the benefits in
terms of energy efficiency in hot humid climates and
cold climates. Sections on cathedral ceilings,
condensation control and historic buildings are also
included.
History
In the late 1990's, the US Department of Energy (DOE)
promoted the use of unvented attic assemblies in an
effort to reduce energy consumption. Research began
in 1996 with computer modeling, and soon moved to
full-scale testing. As a result of the DOE research
work, unvented attic systems have been constructed
for more than 14 years, and a set of design
recommendations has been developed for common
use. These recommendations refer to the system as an
"unvented attic assembly", which was adopted by the
International Code Council (ICC) in 2004, and is now
fop
ICYNENE
Design Note
part of the 2009 International Residential Code (section
R806.4).
Unvented Attic Construction
To construct an unvented attic, air impermeable
insulation is applied in direct contact with the
underside of the structural roof deck and gable end
walls & soffit areas, such that the roof insulation is tied
into the wall insulation of the occupied space below.
By moving the insulation boundary to the underside
of the roof deck, temperature & humidity conditions
in the attic can be kept reasonably close to those
conditions within the occupied interior of the
building. There is neither a vapor retarder nor
insulation installed on the attic floor of the unvented
attic assembly.
Air -Impermeable Barriers
Section R806.4.5.1 of the 2009 IRC, Unvented Attics,
calls for the use of an air -impermeable insulation. The
use of an air -impermeable barrier at the underside of
the roof prevents air infiltration and thereby limits the
accumulation of airborne moisture in the attic. This
helps reduce Patent air-conditioning loads providing
further reductions in energy consumption.
An air barrier material is defined as one having an air
permeance, when tested according to the requirements
of ASTM E283 or ASTM E2178, less than 0.02 L/s•m2 at
75 Pa. Icynene® spray foam insulation products meet
this requirement. Independent testing verified in our
ICC -ES Evaluation Reports confirm that they comply
with this Code requirement.
Condensation Control
One of the benefits of locating HVAC equipment &
ductwork inside the conditioned envelope is the
reduction in condensation potential. In vented attics,
temperatures will typically range from 140°F - 160°F
during the heat of the day in the summer months. In
many areas the Relative Humidity (RH) outdoors can
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Benefits of Unvented Attic Assemblies
be upwards of 90%. Any cool surface in the attic will'
provide a condensation plane and with moisture
comes the potential for mold.
In conventional vented attics, cool HVAC equipment
& ductwork provide condensing surfaces. Even more
moderate. conditions can cause moisture issues: the
dew point temperature for 100'F air at only 40% RH is
70°F --well above the temperature of most air-
conditioning equipment. Wrapped & insulated ducts
are not immune; pin-holes in the vapor barrier can
allow the hot air to leak through mineral fiber
insulation and contact the cold ducts, where
condensation fills the insulation with water.
Duct leakage can also cool adjacent surfaces and
thereby provide additional condensing surfaces. In
unvented attic assemblies, the attic space generally
remains within about 10 F° of the directly conditioned
living space below the attic, with a relative humidity
much lower than ambient, due to the indirect
conditioning of the space. The potential for
condensation is therefore greatly reduced, along with
the potential for other problems such as mold &
structural rot.
Energy Efficiency — In Hot Humid
Climates
Unvented attic assemblies provide a distinct energy
advantage over vented attic systems in hot humid
climates. In these climates, slab -on -grade construction
is common as is the placement of HVAC equipment
and duct work in attics; air conditioned air mixes
better and buildings are more comfortable when cool
air is introduced at the ceiling level
With traditional vented attic designs, HVAC
equipment and ductwork systems are exposed to high
outdoor humidity levels and highly elevated daytime
temperatures. This reduces the efficiency of the HVAC
system and increases the potential for condensation.
The generally leaky nature of residential ductwork
causes part of the conditioned airflow to be lost to the
outdoors and hot, moisture -laden, outdoor air to
infiltrate into the air conditioning network. The
equipment capacity must be increased to compensate.
00
ICYNENE
Design Note
By moving the boundary of the conditioned enclosure
to the underside of the roof deck, any duct leakage
within the attic is contained in the conditioned space.
In fact, this type of design reduces the need for duct
sealing; any conditioned air that leaks from attic ducts
will cool the attic space, helping to cool the building.
By reducing the effect of duct leakage, the unvented
attic system can provide a dramatic improvement in
energy consumption, without the. need for duct
sealing. It has been found that where ducts suffered
from just a 10% loss of flow due to leakage, enclosing
ducts and equipment inside an unvented attic system
generated up, to a 15% reduction in energy
consumption. Where ducts suffered from a 15% loss,
the reduction ' in energy consumption increased to
25%. Field measurements of suggest that duct leakage
can range anywhere from 5 % to well above 35 %.
Wind Driven Rain
In hot humid climates, where hurricanes are prevalent,
unvented attic assemblies provide an advantage over
the typical vented attic system. By eliminating vents,
an unvented attic design helps keep wind -driven rain
out of the attic.
Wind Driven Embers
In areas prone to forest fires, unvented attics provide a
benefit over vented attics in that wind driven embers
are kept out of the attic space. c
Energy Efficiency — in Cold
Climates
Vented attic designs originated in cold climate areas.
In cold climates, attic ventilation is commonly used to
remove warm, humid air from the attic space. The
vented attic system therefore became popular in cold
heating climates. Air leakage up from the living space
occurs through cracks and joints in the ceiling, around
electrical penetrations, duct chases, or especially
around recessed "pot" or "can' lights. The popularity
of these features has greatly increased the likelihood of
moist air leaking into attics in colder climates. Without
adequate attic ventilation, condensation can form on
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Benefits bf Unvented Attic Assemblies
the underside of the roof deck, and interior heat can
cause snowmelt on the roof surface, leading to ice
damming and roof leaks.
But the use of venting to control moisture in cold
climate attics is not foolproof. In high snow fall areas,.
snow accumulation can often block ridge and roof
vents, limiting venting and increasing the likelihood of
damage due to ice damming (roof leaks) or
condensation. The most reliable way to avoid
moisture problems in vented attic designs is minimize
the potential for moist air to exfiltrate into the attic
space. Icynenem spray foam systems are ideal
insulation materials to be used in vented attic. designs
because Icynene® spray foams insulate and air -seal the
ceiling and they minimize the potential for
condensation and ice damming.
Though vented attic designs are more popular,
unvented attic designs are gaining popularity in cold
heating climates especially to address problem areas
that were previously difficult to address properly (e.g.
HVAC systems located in the attic, scissor trusses
where traditional insulating materials settle and move
or attics are turned into living space.) The increasing
popularity has come with the recognition that
unvented attic systems can perform very well in
heating climates not just cooling climates.
Icynene® spray foams minimize the potential for
moisture accumulation in the building envelope
because they are air barrier materials and they
eliminate convective moisture flow. Icynene® low
density spray foams however, are vapor permeable
and therefore, by . Code, a vapor retarder is
recommended on the interior of side of the foam in
Climate Zones 5 and higher. Vapor retarder paint can
be applied directly to the inside surface of the
insulation. Alternately it can be applied to the inside
surface of a drywall interior finish where Icynene® fills
the insulated cavity.
Notwithstanding Code requirements, vapor diffusion
should also be _ controlled with a vapor diffusion
retarder in high humidity areas (e.g. swimming pools,
saunas, etc.) and in areas where the humidity drive is
relatively constant for long periods of time (cold
rooms, freezers etc.)
Ito
ICYNENE
Design Note
Icynene® medium density spray foams are much less
permeable to vapor. When applied in suitable
thicknesses, they meet ICC code requirements to
eliminate the need for supplemental vapor retarders.
One of the principal advantages of using these
materials is that they provide insulation, air barrier
and vapor retarder in one step.
Cathedral Ceilings
A key benefit that has come from the development of
the unvented attic assembly is an improvement in the
design of cathedral (vaulted) ceilings. In general it has
been found that there is a minimal difference in
moisture performance between vented vs. unvented
cathedral ceiling assemblies. The ability to eliminate
venting provides more space for insulation and
thereby, higher R -values can be achieved. The details
found in IRC Section R806.4 can be used in the design
of cathedral ceilings.
Other Considerations
With any roof system, the possibility of roof leaks
always exists. Icynene® low density spray foams are
vapor permeable materials that allow drainage of
water through the insulation and allow for the
diffusion of moisture from the roof sheathing to the
interior of the building. This can be critical to permit
early detection of leaks and rapid drying.
In retrofit applications, when converting a vented attic
into an unvented attic, the insulation and any vapor
retarder should be removed from the floor of the
ceiling. This minimizes the potential for the interior
temperature of the attic to be at a level that is
significantly different from the interior. The potential
for condensation is thereby minimized.
Furnaces and any other combustion appliances located
in an unvented attic must be high efficiency (two pipe
units with air supply to a sealed combustion chamber
and an exhaust pipe to the outside.)
Historic Buildings
Prior to the introduction of insulation, attic ventilation
was not common; as a result many historic buildings
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,
Benefits bf Unvented Attic Assemblies
were constructed without the provision for attic
ventilation. Traditional batt insulation, when installed
on the attic floor, has a dramatic effect on the
reduction of attic temperature and the increased
condensation potential must be mitigated through the
use of attic ventilation. However, it is not always
possible to, achieve this in historic buildings that were
never designed to accommodate attic ventilation;
many historic buildings feature complex roof
geometries that are not conducive to ventilation.
In such buildings, the use of Icynene spray foams in a
conditioned attic assembly can provide improved
thermal efficiency for historic buildings, without
requiring attic ventilation. Similarly, many new
buildings have ,complicated hip roofs that cannot
easily accommodate ventilation or cannot be easily
insulated. Unvented attic assemblies provide the
means for these buildings to be durable, well insulated
and to function properly.
Summary
Buildings across North America, with HVAC
equipment located outside the conditioned envelope,.
generally have excessive energy consumption.
Unvented attic assemblies provide a strategy for
reducing energy consumption by encapsulating attic
HVAC equipment and ductwork within the
conditioned envelope. In various climates, unvented
attic systems can have additional benefits, such as,.
improved condensation control, limiting wind -driven
rain and snow ingress, and reducing ice damming.
They also provide unique opportunities to address.
difficult building envelope problems in historic
buildings and buildings with complex roof:
geometries. It's no wonder they are increasing in.
popularity..
00
ICYNENE
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Design Note
Pg 4
S.
n
+ R e v/' S evi p4as
Bin #
City of La Quinta
Building 8i Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
S �'`� �`-� - ��
Project Address:5 3 —'� g -1
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Owner's Name: %q,!6-6
A. P. Number:
Address: '}� �� }i (��- j t,� Q'J LA -y
Legal Description:
City, ST, Zip:
Contractor:
T
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lic. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
....
Construction Type: Occupancy:
tate ic. #:
S L Ax
roJePcttYP e (circle one): New Add n 'Alter Repair
Demo
Name•of Contact Person:
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
M
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! Review, ready for cbrrectionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scho61 Fees,
Total Permit Fees
Structural Plan
Time = 2.0 HR
t
Th is.Matenial.
Sent for:
❑
YOUNG
' ®
Per Your Request.
❑
`
ENG INEERI NG
Approval
❑
Checking
9 c. R v c e
At the request of: `
Other: ❑
,a a.a a: F
'_ a
•. a
Letter of Transmittal
To:
City of La Quinta Today's Date: '
2-23-16
`
78 -495 -Calle Tampico City Due'Date
2-24-16
La'Quinta, CA 92253 Project Address:
53389 Via Bellagio (Revision)
Attn:
Ramses Sevilla. - Plan Check #: s
SFD 14-353
Submittal: ® 1ST ❑
4th
El 2nd. r.. ❑
,.
5th -
r ❑ 3rd ! ❑
Other:
We are forwarding: ® By Messenger, ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: Descriptions:. Includes:
# Of
Descriptions: '
Copies: •
❑
Structural Plans r ®
1
Revised,Struct. Plans
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Structural Calculations ` ®
1 `
Revised Struct. Calcs u
❑
Truss Calcs v ❑ .°
Revised Truss Calcs
❑
- Soils Report ❑
;
Revised Soils Report
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- Structural P/C Responses
1ll `
Approved Structural Plans `
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1
Approved. Structural Calcs
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_
Approved Truss Calcs
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Approved Soils Report
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Comments:... Structural content for revision is approvable.
_
If n) Fff ral rc rl rtn r
Structural Plan
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Building 3 3
Address _,T
Tittf / 4 4 a"
P.O. BOX 1504
78-495 CALLE TAMPICO
1 /_ LA QUINTA, CALIFORNIA 92253
Mailing ' ��
Address 0 e)io id��. tSi..7e , vow
ress
CA a- w Ia�
State U n City
& Classif. C `/ O Lic. #
Arch., Engr., , -
Designer icq,, / _ _ /0., ,. - _ _ _ , 12
Address
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
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions.Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 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 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 sate):
❑ 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 contractors) licensed pursuant to the Contractor's License Law)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not employ
any person in any manner so as to become subject to Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or 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
APPLICATION ONLY
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 7 / �i —/y/ 0 f 0 02 ,9
Legal Description ?Z-2 Znde 029 o2
Project Description Y7..P.te/Q--P�
Sq. Ft. // e o ,/ No. I No. Dw.
Add Alter Repair❑ Demolition
I Estimated Valuation / 0.;2
.S 0 00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading !
Driveway Enc. 1
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 _
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
INSPECTOR
Date Permit
PINK = FINANCE
Coachella Valley Unified School District
83-733 Avenue 55, Thermal
(760) 398-5909 —
Project Name: _
Owner's Name:
Project Address:
MAY 2015
1
CITY OF LA QUINTA
COMMUNITY Drgv� EORpTIMFENATE OF COMPLIANCE
(California Education Code 17620)
jTheHtdeaw y
George Velarde
53-389 Via Bellagio, LaQuinta
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
I COMM/MD. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS
Project Description: Change of Owner & Sq. Ft. Change
APN: 777-160-029
Tract #:
Date: May 19, 2015
Phone No.
Lot #'s:
Type of Development: Residential XX1 Commercial Industrial
Total Square Feet of Building Area: 347
Certification of Applicant/Owners: The person signing certifies that the abonformation is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on be*lt of the owner/developer.
Dated: May 19, 2015 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
65995 Approval
347
$3.36
$1165.92
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
;Note:
Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being relocated within the same school district's
jurisdiction are exempt from developer fees.
Certificate issued by: Laurie Howard, Secretary Signature: &AASLz _h1&WaA-Ct
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 6,6020 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/my<locs/devfees/certificate of compliance form updated 3-2007 11/2010
Coachella Valley Unified School District
y 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
LEVELONEAMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT:
CHECK#:
INITIALS
.. ..
CERTIFICATE OF COMPLIANCE
(California Education Code 1.7620)
Project Name: he Hideaway Date: July 7, 2014
Owner's Name: Bobby Ford Phone No.
Project Address: 53-389 Via Bellagio, LaQuinta
Project Description: New SFD/Casita
APN: 777-160-029 Tract #: Lot #'s:
Type of Development: Residential XX! Commercial Industrial
Total Square Feet of Building Area: 4295
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 authid to sign on behalf of the owner/developer.
Dated: July 7, 2014 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCI
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 4295
Amount per Sq.Ft. $3.20
Amount Collected $13744.00
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
HAVE BEEN OR WILL BE SATISFIED IN
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being relocated within the same school district's
jurisdiction are exempt from developer fees.
Certificate issued by: Laurie Howard, Secretary Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bi113081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date'of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
MV:c/mydocs/devfees/certificate of compliance form updated 3'-2007 11/2010
Reording Requested By
Firi kwimn tide Colpacy .
RECORDING REQUESTED BY
First American Title Company
AND WHEN RECORDED MAIL DOCUMENT TO:
The Velarde Famliy Trust
13 Collegiate Circle
Rancho Mirage CA 92270
A.P.N.: 777-160-029-9
DOC # 2015-0133633
04/02/2015 02:06 PM Fees: $18.00
Page 1 of 2
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor, County Clerk 8 Recorder
"This document was electronically submitted
to the County of Riverside for recording—
Receipted by: SGOMEZ
I Space Above This Una for Rec rdees use only l
GRANT DEED
T.R.A. No.020-160 File o.: RIW-4826304 (SE)
The Underslgned Grantar(s) Declare(s): DOCUMENTARY TRANSFER TAX $0.00; CTrY TRANSFER TAX $0.00;
X computed an the aonsideratbn or full value of property conveyed, OR
computed an the consideration or full value less value of Dens and/or encumbrances remalnbV at time of sale,
unincorporated area: I X ] City d to Quints, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowledged, Paul Skillem and Dana
Skillern, Trustees of The Skillem'Famliy Trust, as to an undivided S1% interest
hereby GRANTS to Sorge L. Velarde and Suzanne Velarde, Trustees of The Velarde Family Trust
the following described property in the City of La Quinta, County of Riverside, State of California:
A 51% interest in and to:
PARCEL 1:
LOT 312 OF AMENDED TRACT NO. 29894-2, IN THE CITY OF LA QUINTA, COUNTY OF
RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN ON A SUBDIVISION MAP RECORDED
DECEMBER 12, 2002, IN BOOK 327, PAGES 56 THROUGH 88, INCLUSIVE, OF MAPS AND
AMENDMENT NO. 2 TRACT NO. 29894-2 RECORDED IN BOOK 359, PAGE 68 THROUGH 82,
INCLUSIVE OF MAPS IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
4
PARCEL 2:
NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE,
REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION OF
COVENANTS, CONDITIONS AND RESTRICTIONS AND RESERVATION OF EASEMENTS FOR
THE HIDEAWAY OWNERS ASSOCIATION, RECORDED DECEMBER 13, 2002, AS INSTRUMENT
NO. 2002-745938, OF OFFICIAL RECORDS.
Mag Tax Statements To: SAME AS ABOVE
Dated: February 09. 2015
.e
DOC #2015-0133633 Page 2 of 2 04/02/2015 02:06 PM
Grant Deed - continued
Date: 02/09/2015
1
f
Paul Skillem and Dana Skillem, Trustees of
The Skillem Famliy Trust
i
Pa Skillern, Trustee
Dana Skillern, Truste
notary public or other officer r
mpleting this certificate verifies only
he identity of the individual who signed j
he document to which this certificate is
ttached, and not the truthfulness,
ccuracy, or validity of that document.
r f
STATE OF \est t\.� c. )SS
COUNTY OF ) i
"k, w red before me, �1'(lOr N Sa RA'% f Notary
Public, l appe SY �)�
P M..\ y\
-\1 Cana n who proved to me on the basis of satisfactory evidence to
be the person(s) whose names) are subscribed to the within instrument and acknowledged to me that
IW/ Wthey executed the. same inn' J*jtheir authorized capacity(ies), and that by V' Qh)Vtheir signature(s) on
the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
6 '
I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal. ?ural►
Can MkSMn 1405789
'".. Pasuto • Comm
Z '.
S. natuMVCWMEMMftb1L201q
This arena for official notarial seal
Page 2 of 2
F
r
RECORDING REQUESTED BY:
LAWYERS TITLE COMPANY
Order No. 613683491
Escrow No. 685-A'Al
Parcel No. 777-160-029-9
AND WHEN RECORDED MAIL TO:
Bobby Jay Ford
Jaye L.Ford
CA 9111111��
GRANT DEED,
THE UNDERSIGNED GRANTOR(S) DECLARES(S) THAT DOCUMENTARY TRANSFER TAX IS $440.00 and CITY S
® computed on full value of property conveyed, or
❑ computed on full value less liens or encumbrances remaining at the time of sale.
❑ unincorporated area: ® La Quinta, and
FORA VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Darrin K. Campbell and Lisa M. Campbell, Trustees of the Campbell Family Trust dated 11/01/02
hembyGRANT(S)to Bobby Jay Ford and Jaye L.Ford, Husband and Wife
as joint tenants
the following described real property in the County of Riverside, State of California:
See Exhibit "A" attached hereto and made a part hereof,
Date October 17, 2013
=Fitmily7st dated 1 ]
c m
By arrin K. Campbe , Trustee By. Lisa M. Campbell, Trustee
STATE OF CALIFORNIA
)
^�_ p ISS
COUNTY OF �D�g.` )
On !a�-i�
� — before me, (LAMO-AW,U-G
personally appeared Darrin K. Campbell and Lisa M. Cant be 1 who proved to me on the basis of satisfactory,
evidence to be the perso s whose name(s) i subscn-bed to the within instrument and acknowledged to me that
he/she/t t� executed the same in his/her/t alba' authorized capacity(ies), and that by his/herA& signatureQ on the
instrument the person@, or the entity upon behalf of which the persorto acted, executed the instrument.
I certify under PENALTY OF PERJURY and the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my and official seal. PUSU
N1X::D
Signature (Seal) M.
1
Mail Tax Statement to: SAME AS ABOVE'ar Address Noted Below
Im IVE
JUN 16 2014
Crff OF LA QUIRTA
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: / / U/_dDeveloper:
Tract No.: Tract Name: Lot No.(s): J
Address(s): �_5 " J/1 Phone Number:
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. _
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 wateF 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 viewedat'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 staff.
Recommended by: Date: / o
I� - /EIV
F-_.)
Public Works Distribution: ( L ) Green Sheet to Building & Safety
( ) Green Sheet to Planning Department
JUN 1 6 2014
Declined for approval for reason(s) as follow(s), please correct and resubmit: r!f TNl r,r' , A _
O
TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc
COM MUNI "' ���1v iA
n' DEVELOPN, L id ;-
City of La Quinta - PM 10 Fugitive Dust Control Project Information
Construction Phase PM 10 Aareement (< 1 acre/lot or Infill Proiect)
Project Information
Project Contractor:
Project Phase
(check one)
❑ Construction
Demolition
Project Name: D2%
Project Tract/Lot Numbers:
Project Street Address:
•
Total Acres in Active
Construction (< 1 acre per
Lot):
14
/'L
Anticipated Start Date: �P/ PS/( %Anticipated Completion Date:
PM10 Contact Information
Please note: Dust control is required
construction status. Person listed
business and non -business hours.
24 hours a day, 7 days a week, regardless of
below is responsible for dust control during
Name:
Title:
Guy? �-
Company Name:
/
Mailing Address:
City, State, ZIP Code:
,
�2
Primary Phone #:
q
Fax #:
24 Hour Emergency
Phone#:
7id 'r;,4�2
Cell Phone #:
Email Address:
J ✓'��► W� S
w
L
PM 10 Certificate #:
c
,,
The above stated property owner (or authorized representative): - -"" f/ LV v-
❖ 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 h harmless the City/County and its representatives from liability for any actions related to this dust
con of plah or any City/County initiated abatement activities.
Signature of P op ty Owner or Authorized Representative Dat.
EsGil Corporation
In Partnership with Government for Building Safety
DATE: JUNE 18, 2014
JURISDICTION: LA QUINTA
- PLAN CHECK NO.: 14-353
PROJECT ADDRESS: 53389 VIA BELLAGIO
PROJECT NAME: SFR FOR FORD
SET: II
❑ APPLICANT
❑ JURIS.
❑ PLAN REVIEWER
❑ FILE
® The plans transmitted herewith have been corrected where necessary and substantially. comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward, to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation .staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person .
REMARKS: RECEIVED
JUN 19 2014
By: ALI SADRE, S.E. Enclosures: CITY OF!A QUINTA
EsGil Corporation COMMUNITY DEVELOPMENT
❑ GA ❑ EJ ❑ MB ❑ PC 6/12
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Plan Submittal
Job Site
Owner's N
Number, Street, or PO
City, State, Postal (
Owner's,Phone Nur
Owner's E -Mail Ade
Project Manager's Name
Project Manager's Phone Number
Project Manager's E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
City Approval By
Date of City Approval
Building Permit Number:
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
5/8/14
53389 Via Bellagio
Bobby Ford
53389 Via Bellagio
La Quinta, CA. 92253
Mike Jeha
760-200-3756
jehaconstruction(aDaol.com
Mike Jeha Construction
3089 Sandstone Rd
Alamo, CA. 94507
approx. 4200 sq ft
E
JUN fl 6 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Materials To Be Discarded:
Product
Tons
Trash
16.00 Not recyclable
Product
Tons
Asphalt
0.00 Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00 Recyclable
Plaster
4.50 Recyclable
Cardboard
0.00 Recyclable
Scrap Metal
0.00 Recyclable
Commingled
0.00 Recyclable
Tile (floor)
0.25 Recyclable
Concrete
19.00 Recyclable
Tile (roof)
0.50 Recyclable
Drywall
1.75 Recyclable
Wood
4.00 Recyclable
Donated / Reuse*
0.00 Recyclable
Landscape Debris
0.00 Recyclable
*Describe Items
Totals: Recycle Trash Projected Diversion:
30.0 16.0 - 65.22%
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the Debris
Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted from
landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from
the first day of the project through the completion of the project in accordance with this plan. This DMP is issued in the name of the
property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent
of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner
retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor
shall be kept informed of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site
must be Taken to an approvrd•recycler or transfer station.
3„
CITY OF LA QUINTA SUB -CONTRACTOR T".
OWNER
BUILDER �Jt
JOB ADDRESS �- v �i PERMIT NUMBER
This form shall be posted on the iob with the Buildir�g Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
_L_+„ +kic re+ ic+ ka nnnrnvari by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
I :
Sladden Engineering
45090 Golf Center Parlt*vay, 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, 1emct, CA 92543 051) 766-8777 Fax (951) 766-8778
May 19, 2014 Project No. 544-14075
14-05-193
Mike Jeha Construction
53-408 Via Pisa
La Quinta, California 92253 '
Project: Proposed Custom Residence
53-389 Via Bellagio
The Hideaway — Lot 312
La Quinta, California
Subject: Foundation and Grading Plan Review
Ref: Geotechnical Update prepared by Sladden Engineering dated March 27, 2014; Project
No. 544-14075, Report No. 14-03-113
As requested, we have reviewed the Precise Grading Plans prepared by Essi Engineering along
.with the Foundation Plans and Details prepared°,b}' RA Structural Engineering. The plans
reviewed were prepared for the custom residence' proposed for Lot 312 located at 53-389 Via
Bellagio within the Hideaway Golf Club 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 ENGINEERING
BRETT L. �t`y
Brett L. Anderson ANDERSON Z
( s9 m
Principal Engineer `y Exp. 913011 M
CIVIL l
ENGINEERING
Letter/gvm sr�Tc _
Copies: 4 / Mike Jeha Construction
(9JE
Sladden Englneerin
45090 Golf Center Parkway, Suite F, Indio, Cry 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 9254 (951) 766-8777 Fax (951) 766-8778
March 27, 2014 Project No. 544-14075
14-03-113
Mike Jeha Construction
53731 Via Malloria
La Quinta, California 92253
Project: Proposed Custom Residence
53-389 Via Bellagio - Lot 312
The Hideaway
La Quinta, California
Subject: Geotechnical Update
Ref: Geotechnical Engineering Report prepared by Earth Systems Southwest (ESSW) dated
September 22, 2000; File No. 07117-10, Report No. 00-09-772
Report of Testing and Observation During Rough Grading prepared by ESS dated
August 28, 2002; File No. 07117-11, Report No. 01-07-718
Report of Testing and Observation During Rough Grading prepared by SIadden
Engineering dated October 12, 2003; Project :No. 544-2199 Report No. 03-10-647
I _
As requested, we have reviewed the above referenced geotechnical reports as they relate to the
design and construction of the proposed custom residence. The project site is located at 53-389
Via Bellagio within the Hideaway Golf Club development in the City of La Quinta, California. It
is our understanding that the proposed residence w11 be a relatively lightweight wood -frame
structure supported by conventional shallow spread footings and concrete slabs on grade.
The subject lot was previously graded during theroute grading of the Hideaway project site and
was subsequently regraded. The rough grading included over -excavation of the native surface
soil along with the placement of engineered fill soil to construct the building pads. The regrading
included processing the surface soil along with minor cuts and fills to construct the individual
building pads to the current configurations. Some additional over -excavation was performed in
areas where the building envelopes were reconfigured. The most recent site grading is
summarized in the referenced Report of Testing and Observations During Rough Grading
prepared by Sladden Engineering along with the compaction test results.
The referenced reports include recommendations pertaining to the construction of. residential
structure foundations. Based upon our review of tl 'e referenced reports, it is our opinion' that the
structural values included in the referenced grading report prepared by Sladden Engineering
remain applicable for .the design and construction of the proposed residential structure
foundations.
Sladden Engineering
ti
` March 27, 2014 -2- Project No. 544-14075
14-03-113
Because the lot has been previously rough graded, the remedial grading required at this time
should be minimal provided that the building falls within the previously established building
envelope. The building area 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 is attained prior to fill placement. Any fill material should be
placed in thin lifts at near optimum moisture content and compacted to at least 90 percent
relative compaction.
The allowable bearing pressures recommended in the referenced grading report prepared by
Sladden Engineering 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 beiincreased 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 0.50 times the normal dead load forces is
recommended for use in design. Passive resistance may be estimated using an equivalent fluid
weight of 300 pcf. 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 non -expansive and falls within the "very low" expansion category in
accordance with 2013 California Building Code (CBC) classification criteria. Slab thickness and
reinforcement should be determined by the structural engineer. We recommend a minimum
floor slab thickness of 4.0 inches. All slab reinforcement should be supported on concrete chairs
to ensure that reinforcement is placed at slab mid -height.
Slabs with moisture sensitive surfaces should be underlain with a moisture vapor retarder
consisting of a polyvinyl chloride membrane such as 10 -mil Visqueen, or equivalent. All laps
within the membrane should be sealed and at least 2 inches of clean sand should be placed over
the membrane to promote uniform curing of the concrete. To reduce the potential for punctures,
the membrane should be placed on a pad surface that has been graded smooth without any sharp
protrusions. If a smooth surface can not be achieved by grading, consideration should be given to
placing a 1 -inch thick leveling course of sand across the pad surface prior to placement of the
membrane.
Based on our field observations and understanding of local geologic conditions, the soil profile
type judged applicable to this site is SD, 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 Engineering
` March 27, 2014 -3- Project No. 544-14075
14-03-113
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 Ioading for the proposed structures. The 2013 CBC Seismic Design Parameters are
summarized below.
Risk Category (Table 1.5-1): I/II/III
Site'Class (Table 1613.3.2): D
Ss (Figure 1613.3.1): 1.500g
St (Figure 1613.3.1): 0.671g
Fa (Table 1613.3.3(1)):1.0
Fv (Table 1613.5.3(2)):1.5
Sms (Equation 16-37 (Fa X Ssl):1.500g
Sm1 (Equation 16-38 (Fv X S11):1.0068
SDs (Equation 16-39 12/3 X Smsl): 1.000g
SDI (Equation 16-40 (2/3 X Sm1l): 0.671g
Seismic Design Category: D
In addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate
content as it relates to selecting appropriate concrete mix designs. Testing indicates that the site
soil is generally considered non- corrosive with respect to concrete. The testing indicated soluble
sulfate content of 250 ppm (0.250 percent) that corresponds with the "negligible" exposure
category in accordance with ACI 318-08, Table 3. Based upon this, the use of sulfate resistance
concrete mixes isnot required.
If you have questions regarding this letter or the referenced reports, please contact the
undersigned.
Respectfully submitted,
SLADDEN ENGINEERING
Brett L. Anderson
Principal Engineer
SER/jg
Copies: 4 / Addressee
i,FES�lON
R ONNO
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k= Z
EXF• 3130114 R'
r\ Et3G N'EER�NC' `Q
Slailden Fyipineerinn
LA QUttNTA
Pl..ease verify that soils reports contain all of the above information, In addition, to assure
continuity between'the Investigationlreporting 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 Quinti 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
U Foundation criteria based upon bearing capacity of natural or compacted soil.
® Foundation criteria to mitigate the effects of expansive soils.
U Foundation criteria based upon bearing capacity..of natural or -compacted soil.
U Foundation criteria to mitigate the effects of liquefaction.
U Foundation criteria. to mitigate the effects of seismically induced differential
settlement.
® Foundation criteda'to mitigate the effects of long-term- differential settlement.
® 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.
i
tl
ladders Engineering
6782 Stanton Ave., Suite A, Buena Park, CA90621(714) 52370952 Fax (714) 523-1369
45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847
450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863
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Date: March 27, 2014.
Account No.: 544-14075 i
Customer: Ochoa Design Associates
Location: The Hideaway, 53-389 Via Bellagio, La �Quinta
Analytical Report
Sulfate Series
Soluble Sulfates
per CA 417
PPM
250
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I +
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Soluble Chloride
per CA 422
PPM .
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80
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'TABLE 19=A•2—REQUIREMENTS FOR SPECIAL EXPOSURE CONomorlG
•
� ' � •
'6tAXIMUM
htINIMUNI'�,
NOR AL'-WEIG)-k AND •
WATER=CEME)ftmoUS:;
UG}i (ElGfir.•
MATERIALS' RATIO BY.
AGGREG'ATE-CONCRETE�
EXPOSURE CONDITION
•WEIGHT;NORI.tAL'',WEIGHT•'
AGGREGATE CONCRETE
x 0.00589.1or MPa
Concrete intcndcd to have low permeability when
I
exposed to water
f 0.50
4,000
Conerc)e exposed IOTTeezing and thawing in a moist
SULFATE
�SOii1�.I�N�SOIt,
condition or to deicing chemicals
0.45
4,500
For corrosion projection for reinforced concrete
P RCr t2TpGE BY
WEIGHT
SULFATE (SO4) IN
WATER, ppm
exposed to chlorides from deicing chemicals, salts or
brackish water, orsprayfrom thesc'sources
i 0.40
,
5,000
TABLE 19-A-3—REQUIREh1ENTS•FOFi,CONCRETE
EXPOSF❑Tr),IIt Felr=er•nrJrnr►lr>rr.c�r.rrr,.,.r�
. us+rcrsrturgrrtmay.bxcgatredforlowpetmcibility•orforproteetion
Z against corrosion'of embedded items or frc z:ing and thawing (fable
Seawater.
?Po—olan that has bren determined by test or service record to impm
taining 7� V ccrncnt ve sulfate rrsistanee when used in concrete con-
2-264
on-
2 264 I
140FIMAL-WEIGF{T
AGGR EIGTE
I
AGGREGATE
CONCRETE
M=IMum;WAter-
(,,•Normal-
yfelpht•and.
WATER-SOLUBLECamenttlloua
!
SULFATE
SULFATE
�SOii1�.I�N�SOIt,
i
r
I
MdtertalizRatJo;by:.
• WdQQh4 -
"°AoLWelpFit%
tlphtwelphl'
A0p�9ale, .
Conerete,.palr
EXPOSURE
P RCr t2TpGE BY
WEIGHT
SULFATE (SO4) IN
WATER, ppm
CEMENTTYPE
x 04M93orMPa
,
Co�etor
Negligible
0.00-0.10
0-150
Moderate2,
0.10-020
150-1,500
if, IP(MS), is
050•
4,000
(MS)
Scverr-
0.20-7A0
L 560-1'0,000
V 1'
0.45
4,500
Yety severe
Ovcr 200
Ovcr 10,000
Y plus
0.45
4;500
pozzolan3
. us+rcrsrturgrrtmay.bxcgatredforlowpetmcibility•orforproteetion
Z against corrosion'of embedded items or frc z:ing and thawing (fable
Seawater.
?Po—olan that has bren determined by test or service record to impm
taining 7� V ccrncnt ve sulfate rrsistanee when used in concrete con-
2-264
on-
2 264 I