10-0732 (SFD)- . Co..
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,i-ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00000732
Property Address: 51255 CALLE HUENEME
APN: 770-163-013-1 -000000-
Application description: DWELLING SINGLE FAMILY DETACHED
Property Zoning: . MEDIUM DENSITY RES
Application valuation: 124171
Applicant: Architect or Engineer:
GalNtitq�y�lZ' iOfsS� L(. -f '71yZOMille
c isz.l
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p 'ury tha am licensed oder provisions hapter 9 (commencing with
Section 7000) of Division 3 of the sines nd Prof... als Code, and r y ense is in full force and effect.
License Class: B License No.: 7 199
Date _ WContractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
. permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License. Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the appjicant 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.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury 'that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT -
Owner:
CEDAR MICHAEL/CRAVEN BRENDA -
Contractor:
CORONEL ENTERPRISES
42760 MADIO STREET
INDIO, CA 92201
(760)775-1234
Lic. No.: 727199
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
DffM1AY1
011
CITY OF 1A QUINTA
FINANCE 05PT.
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and, policy number are:
Carrier STATE FUND Policy Number 1948821-2011
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any anner so a to becomes t to a orkers' compensation laws of California,
and agree that, i should ecome subj t to th wor rs' compensation provisions of Section
3700 of the Labo ode; shall forthw h com y w' those provisions.
0'Date: S- _ V , Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE.COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application. -
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit. -
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state t a the above' formationChereby
ct. I aQetomply withall
city and county ordinances and state laws relating t b ilding co struction, a autesentatives
of this county to enter upon the above-mentioned pr ty for i ection pur
�ate:S- 16 # V/Signature (Applicant or Agent)
_C
LQPM%11T
L.
Application Number . . . . . 10-00000732
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type
DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION 2007/08 ENERGY
# BEDROOMS
3.00
BASEMENT SQUARE FOOTAGE
430.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
430.00
PATIO SQ FTG
230.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1388.00
-----------------------------------------------
2ND FLOOR SQUARE FOOTAGE
-----------------------------
582.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
727.00 Plan Check Fee
472.55
Issue Date . . . .
Valuation . . . .
124171
Expiration Date
11/06/11
Qty Unit Charge
Per
Extension
BASE FEE
639.50
25.00 3.5000
-----------------------------------------=----------------------------------
THOU BLDG 100,001-500,000
87.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
107.55 Plan Check Fee
26.89
Issue Date
Valuation
0
Expiration Date
11/06/11
Qty, Unit Charge
Per
Extension..
BASE FEE
15.00
1970.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
68.95
430.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.60
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/06/11
Qty Unit'Charge
Per
Extension
----------------------------
BASE FEE
------------------------------------------------
15.00
. _ -
Application Number .
. . . . 10-00000732
Permit . . . . . . MECHANICAL
Additional desc .
Permit Fee . . . .
75.00 Plan Check Fee
18.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/06/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
1.00 16.5000
EA MECH B/C->3-15HP/>100K-500KBTU
16.50
4.00 6.5000
EA MECH VENT FAN
26.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . .
135.00 Plan Check Fee
33.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/06/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
11.00 6.0000
EA PLB FIXTURE
66.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT.
7.50
- 1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS PIPE >=5
4.50
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------`------------------------------------------------
Special Notes and Comments 1
1970 SF TRI -LEVEL SFD.
[UPPER FLR = 582
SF; LOWER LEVEL = 1388
SF; GARAGE LEVEL .
= 430.SF] R-3 OCCUPANCY. TYPE V -B
CONSTRUCTION. 2007 CODES 2008 ENERGY.
2008 DIF. **PERMIT'DOES NOT INCLUDE
BLOCK WALLS,, FENCES, SWIMMING POOLS,
SPA, BBQ'S and DRIVEWAY APPROACH**
----------------------------------------------------------------------------
Other Fees . . . .
. . . . BLDG STDS ADMIN (SB1473)
5.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00 ,
ENERGY REVIEW FEE
47.26
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
MULTI -SPECIES (MSHCP) FEE
533.00
DIF PARK MAINT FAC - RES
22.00
LQPERnIIT
FA
LQPERAIIT
Application Number
. . . . .
10-00000732
--------------- -------------------------------------------------------------
Other Fees
. . . . .
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
12.42
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
-----------------
Charged
=---------
Paid Credited
------------------------------
Due
Permit Fee Total
1059.55
.00 .00
1059.55
Plan Check Total
551.94
250.00 .00
301.94
Other Fee Total
5072.68
.00 .00
5072.68
Grand Total
6684.17
250'.00 .00
6434.17
LQPERAIIT
Building
T-itT44a"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
-
Zip
I I -
r
WNER-BUILDER DECLARATION
I hereby 'rm t exempt from the Contractor's License Law for the following
reason: (Sec 7 Bu ass and Professions Code: Any city or county which requires a
permit to con ruct, alter mprove, demolish, or repair any structure, prior to its issuance also
requires the a 'ca r such permit to file a signed statement that he is licensed pursuant to
the provisions of a Contractor'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).
O 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 im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration 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 ordinancesand 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
to - 173a -
APPLICATION ONLY
BUILDING: TYPE CONST.—
I
N`T.SOCC.P.
.GGR
A.P. Number—D __7V ^ O3 0 � 3
Legal Description
Project Description
Sq. Ft. G hh No. No. Dw.
Size ` `�y Stories oL Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
State Lic.
City
rt
& Classif. 01
Lic. #
Arch., Engr.,
Designer
S
Address Tel.
p
15 3S lli
ISE-WJ-3-7-QW2 -1
C t
Zip
State
Const.
Lic
.t t
Electrical
LICENSED CONTRACTOR'S DECLARATION
V1 on
1 her y affirm that I am licensed under provisions of Chapter 9 (commencing w�for
700 of Division 3 of the Business and Professions Code, and my license is in fula and
WNER-BUILDER DECLARATION
I hereby 'rm t exempt from the Contractor's License Law for the following
reason: (Sec 7 Bu ass and Professions Code: Any city or county which requires a
permit to con ruct, alter mprove, demolish, or repair any structure, prior to its issuance also
requires the a 'ca r such permit to file a signed statement that he is licensed pursuant to
the provisions of a Contractor'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).
O 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 im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration 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 ordinancesand 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
to - 173a -
APPLICATION ONLY
BUILDING: TYPE CONST.—
I
N`T.SOCC.P.
.GGR
A.P. Number—D __7V ^ O3 0 � 3
Legal Description
Project Description
Sq. Ft. G hh No. No. Dw.
Size ` `�y Stories oL Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
a SQ, 00
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback
Rear Setback
Side Street Se
Side Setback
FINAL DATE
Issued by:
Validated by:—
Validation:
YELLOW = APPLICANT
Prop. Li
IIVSP C,�Kpf rag
Date — Permit
PINK = FINANCE
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 5/16/11 La Quinta, CA 92253
No. 30994 (760) 771-8515
Owner Michael Cedar & Brenda Craven
Address
City Zip
Tract #
Type Single Family Residence
Lot # No. Street S.F.
Unit 1 51255 Calle Hueneme 1930 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
BERMUDA DUNES
En RANCHO MIRAGE
�+ INDIAN WELLS
PALM DESERT ,y
(� LA QUINTA
-yQ INDIO yr�
0
APN # 770-163-013
Jurisdiction La Quinta
Permit #
No. of Units 1
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.97 X 1,930 S.F. or $5,732.10 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Bank of Montreal - Ish Coronel
Check No. 60347438 1
Name on the check Telephone 760-775-1234
Funding Residential
BY Dr. Sharon P. McGehee
Superintendent
Fee collected /exempt by S roCGI r
Payment Recd Y
w R
s,
$5,732.10 Over/lty de
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1),
this wil sery to notify you that the 90 -day approval period in which you may protest the fees
to
or other payment identified above will begin to run from the date
on whl a or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
Yi
E
i
P.O. Box 1504
LA Q.UINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
February 9, 2011
Mr. Esequiel Coronel
Coronel Enterprises
42760 Madison Street
Indio, CA 92201
FELE
BUILDING & SAFETY DEPARTMENT
(7 60) 777-7012
FAX (760) 777-7011
RE: Building Permit Application Extension Request — 51255 Calle Hueneme.
Dear Mr. Coronel:
I have reviewed your letter dated January 6, 2011, requesting a time extension
for the plan review of the single family residence proposed for construction at the
above address under Building Permit #10-0732. Our records indicate the
following status on this project.
Plan review status:
Original application date: 08/05/2010
180 -day expiration date: 02/01/2011
90 -day extension dater 05/02/2011
Under the provisions of 2007 California Building Code (CBC), Appendix Chapter
1, Section 105.3.2, application extensions are limited to 90 days. Your request
is hereby granted.
However, because the 2010 California Building Code became effective on
January 1, 2011, this application is not eligible for additional extensions.
The current application will expire unless the building permit for this project is
issued on or before Monday, May 2, 2011.
Yours truly,
Building & Safety Manager
k
J'AN-06-2011 THU 08 5l AM CORONEL ENTERPRISES FAX No. 760 ]]5 5353 P°002
.
January 6, 201.1
To: City of La Quinta
Re: 51-255 Calle Hueme
PLAN CHECK #10732
To whom this may concern:
Our application is due to expire this February for our Single Family dwelling and
we politely request for an extension, Thank you.
If you have any questions or concerns please feel free to contact us at (760) 775-
1234 bus.
Since,
Eseq-Coronel, President
2010 THU 02 30 PM CORONEL ENTERPRISES
-.u6/U3/LU1-U '1:J:Ub kAA LDV 40V JJ1L S:UY7
CORONEI_'-ENTERPRISES INC. -
42760 MA1310 STREET.
S%vRDING 1ZEWUOT�l "Po1
234 '
J 1
ANP UVHC,N IiECORDEb MIIAIL 70:
-PAY TO THE
ORDER OFMr.'. W11661 Ced4and Mrs.: Brenda Craven
:
,S'/ -.x.55 CRLCE .1I uEnICME
-1vlElvril—.. Ie.Acder.N°,:--�3�kkf,�
FAX No. 100 715 5353 P-001
DOC # .20.1:a�i00475.
R�dl�d .' 0B'00A"�'ee':15�0•:.�•;,':;:.•
f87CAn1'tlgaci lax did
na urds.:
Run y df 'RiverBide
aFry'W:.:Wand
Assessior.; Cd'untY: -Clerk• & 'Iiocorder :.:,'. • •. '
,',■:ur■■lull Braun 141 shill Ilfiiifl liki mil • .... ... $
- GRANT DEED
THE UNDER§Ifffg @I'iO DO UWPW Y&NRA# W "$7'0 10
,
[7Q computed on full value of property conveyed, or
CORONR I EpffjMPji189remaining at time of sale.
[ ] Unincorporated area'. [XJ City of La Quinta AN6
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
ANDERSON PROPERTIES, a General Partnership
hereby GRANT(s) to:
i� lql. &AFL,A AT:r•f N, d DAA .'AND *MOA.- 7.EIC H , ('RAPD -HUSBAND "D VIM AS .7QM TWMTS
the real property in the City of La Quinta, County of Riverside, State of California, described as:
Lot 1 of Block 5 of Tract No. Desert Club Tract #2 as shown by map on file In Sook 20, Page 6 of Maps, in the
Office.of the County Recorder of said County. I
Also Known as: lot, La Qulnta, CA 92253
AP# 770-163-013-4
C_os-vY \ Q 11,\.
QUILLCOMA��U ^� S
e a
WM
15267
DATED January 7, 2010
1
STATE OF CALIFORNIA
ANDERSON PROPERTIES, a General Partnership
COPIONEI.C9NIF
1 1 F1 4NJPEF A^ !Amn srae lynlnrA 82201
On o vo
�er
before me,, •• o — - o -
A Notary Pub c' n a6d for said SAWN personally appears
"W Ian F- An ariton, Partner
'YY\ R � i �l N � . Q a►Y7 C�ga N
who proved to me on the beale of satisfactory evidence to be
the person(s) whose name(s) Is/ere sbbscribed to the within
Instrument and acknowledged to Ime that he/she/they
JOYCE A- CQOPER
executed the same in his/her/their authorized capacity(ies),
Commisalon 17004o7
and that by his/her/their signatures) on the instrument the
Notary P�t7lto - California
person(s), or the entlly upon behalf of which the person(s)
lalvarsld® County _
My Camra
acted, executed the instrument.
Expires Nov 17, 2010
I certify under PENALTY OF PERJURY under the laws of the State
of Callfnmla that the foregoing paragraph is true and cormLt
WITNU$$ my hand and otfidal seal.
1Q
Signature
(Seal)
MAIL.'t6►XTA o F' N f�EL W; IF NO PARTY SHOWN, MAIL AS DII?EOYSD ABOVE-
C_os-vY \ Q 11,\.
QUILLCOMA��U ^� S
e a
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15267
094rov
P.O. Box 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701 1
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #:
To CDD: 5 b ull
Due Date: 06*10
Status: 47.0, Pita
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: 51%' 114z 'fx,MA41
Address or General Location: 51.261 CAt.4,4 dtrt'M1Q&46
Applicant Contact: 1*4 tota.Qft �jlro� �7S- t13�
The Planning Department finds that:
❑ these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant: When the corrections are made
please return them to the Planning Department for review.
J
,director -Planning
Date
M,4Y X 6 2011
City of La Q s'snta
Planning Department
CITY OF LA QUINTA - PUBLIC WORKS. DEPARTMENT GREEN SHEET
'PUBLIC.WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 9/2512009
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 retumed'to applicant.
Date: Q [.a Developer ant)W4
Tract No.: `Z. Tract Name:Wd dWh 1�N01Lot No.(s): ,
Address(s): S C(. k k"Ckm Ic" Phone Number: (quo
�He Mowing -are. the requirements for Public Works Clearance to authorize issuance of a building permit from the
Aijildina & Safety. b6nartment
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 froma licensed Soils
Engineer. Recently rough graded residential developments which have a previouslyz. approved' geotechnical
certification are exempt from this requirement. � l.Dl'r WILL CEtK' (,;,MPACT/vN W 6-968
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 &
agreementor provide alternative & valid City approved PM10 plan set reference number or hard copy plan.
PM 10 plans for.commercial & residential developments (beyond 1, lot) are submitted separately with grading plans
& are subject to. additional requirements. A current PM10 certification number is required-. _
Attach a copy of. the rough or precise grading -plan to the Public Works Department showing building.location(s)
for pad elevation verification. AO flood zone developments will require an approved flood plain development plan.
Attach supporting documentation for wall plan, monument sign, grease trap or specialfacility installations.
7., Complete and 'sign the attached water quality management plan (WQMP) exemption form, if applicable. .PW' .
approved. building construction projects require, either a WQMP ora completed WQMP exemption form:
Approved.maps/plans may be viewed atthe following link: http:/twww:la-guinta.o[g/PlanCheckim 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:.
Public Works Distribution: () Green Sheet to Building.& Safety
( ) Green Sheet to Planning Department
:Declined for approval for reason(s) as follow(s), please correct and resubmit:
T;1Cheddists - Forms & ApplicationsTorms 8 ApplicationAGREEN SHEET cover & PtN10 less than 1 Acre Revised 9.25-09.doc
City of La Quinta - PMI 0 Fugitive Dust Control Project Information
Construction Phase PMI 0. Aareement (-; I acre/lot or Infill Project)
Information '
Contractor:
-Project _.Project
Project Phase
(check one)
Construction
Demolition
�,{ ^1O
Project Name: C,e�iZ_ `Q,l \� NCCI
J ,o.1 1 , , i ,
Project Tract/Lot Numbers: �� 1 ��� C
Project Street Address: ��' 2 � Mt k hoe]Nm�
Total Acres in Active
Construction.(<1 acre per
Lot):
Anticipated Start Date: L-!-E�1L Anticipated Completion Date: / /
PM10 Contact
Information
Please note: Dust control is required 24 hours. a day; 7 days a week, regardless of
construction status. Person listed below is responsible for dust control during business and
non -business hours..
Name:
S� Co
Title:
Company Name:
Mailing Address:
Li a -% C) c �}
City, State ZIP Code:.
CI
Primary Phone M
760 =.7-25 - 0_3 i
Fax #•
76� X75-5 3S�
24 Hour Emergency.
iL0- S 7g - 536 7
Cell Phone #:
766 -S 7$ - 34 %
Email Address:
M10 Certificate:#-. .
L
C v
The above stated property owner (or authorized representative):,
❖ Shall act as his/her acknowledgement of dust control' requirements and their enforceability, pursuant to SCAQMD
'— RuTes WS,_403.1, 401, 4021-201, 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;
4• Shall authorize representatives of C' /County to enter the property for inspection and/or abatement purposes;
❖ $shall hold harmless the City/County nd its representatives from liability for any actions related. to this dust control
an r anacity/Couv�hitiated atement activities.
of- Property Owner or Authorized Representative Date
TACheddisb - Forms & ApplicationsWorrns 8 Applicatlons%GREEN SHEET cover 8 PM101ess than 1 Acre Revised 9-25-09.doe