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BRES2014-1099D VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 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.: Zi 987962 .tor. Contractor: ON I hereby affirm under penalty of perju hat I a xempt 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 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 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 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 th k for which this permit is issued. have and will maintain workers' compensation insurance, as required by Sec ' n 00 of the Labor Code, for the performance of the work for which this permit i su My workers' compensati son 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 employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I shou me subject to the workers' compensation provisions of Section 37009f he Labor ode, I shall forthwith comply with those provisions. Date: Z !X_ Applican WARNING: FAILURE TO SECURE WO S' C NSATION COVERAGE 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 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 uilding construction, and hereby authorize representatives of this city to en r upon the Bove• mentioned property for inspection purposes. I Date: Oho o S Signature (Applicant or Agent- Lender's gent. Date: 2/18/2015 Application Number: BRES2014-1099 Owner: Property Address: HARRY CEBRON APN: 770340005 78060 CALLE ESTADO, SUITE 9 Application Description: 52885 LATROBE 28867 LOT 5 LA QUINTA, CA 92253 Property Zoning: G—� W Application Valuation: $398,996.10 o Applicant: Contractor: Q c�i w JODY JONES DEVELOPMENT CORPORA JODY JONES DEVELOPMENT COR ORA cA g g 78-060 CALLE ESTADO #9 78-060 CALLE ESTADO #9 0 LA QUINTA, CA 92253 LA QUINTA, CA 92253 W o (760)285-8712, Z Llc. No.: 987962 CQ 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.: Zi 987962 .tor. Contractor: ON I hereby affirm under penalty of perju hat I a xempt 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 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 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 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 th k for which this permit is issued. have and will maintain workers' compensation insurance, as required by Sec ' n 00 of the Labor Code, for the performance of the work for which this permit i su My workers' compensati son 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 employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I shou me subject to the workers' compensation provisions of Section 37009f he Labor ode, I shall forthwith comply with those provisions. Date: Z !X_ Applican WARNING: FAILURE TO SECURE WO S' C NSATION COVERAGE 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 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 uilding construction, and hereby authorize representatives of this city to en r upon the Bove• mentioned property for inspection purposes. I Date: Oho o S Signature (Applicant or Agent- Lender's gent. DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $497.49 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN*PUBLIC PLACES - AIPP: $497.49 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 2.75 $192.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBLDG CITY STAFF - PER HOUR: $192.50 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $16.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $16.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $60.80 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,OOOSF, PC 101-0000-42600 0 $25.05 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION - ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL -NEW CONSTRUCTION: $276.04 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $95.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT ~` PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $95.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $107.28 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $42.93 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $643.54 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0• $1,292.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL• $1,292.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $684.87 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $684.87 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 $1,400.00 9/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY JODY JONES DEVELOPMENT CORPORA CHECK R917 1482 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $75.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,475.85 $1,400.00 DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000=42600 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE' FIXTURE/TRAP 101-0000-42401 0 $119.20 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $119.20 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $35.76 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $35.76 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $23.84 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.30 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPLUMBING FEES: $472.01. $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $51.87 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $51.87 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS: $14,476.61 $1,400.00 Description: 52885 LATROBE 28867 LOT 5 ADDITIONAL Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: SUBMITTED Applied: 9/2/2014 SKH FAMILY DETACHED STAFF NAME Approved: 11/13/2014 AAL Parcel No: 770340005 Site Address: ,CA Subdivision: TR 28867 Block: Lot: 5 PLAN CHECK COMMENTS Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $398,996.10 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 RECEIVED Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL, DRIVEWAY APPROACH, FIRE PIT, BBC, WATER FEATURES. THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. Printed: Wednesday, February 18, 2015 3:35:24 PM 1 of 6 CN?WSrsrEMs ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES y PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 9/29/2014 9/30/2014 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/30/2014 9/30/2014 JODY JONES. SK PLANS RECEIVED AT COUNTER BY PJ - STRUCTURAL SENT TO PLAN CHECK SUBMITTAL KAY HENSEL 9/2/2014 9/2/2014 YOUNG - DUE 9/23/14 STRUC TO YOUNG DUE 11/12 PLAN CHECK SUBMITTAL PHILIP JUAREZ 10/29/2014 10/29/2014 PM 10 SUBMITTED ROUTED TO MARY F. RECEIVED Jim De Ford came in aand signed plans. & gave him sheet of PUBLIC COUNTER VISIT PHILIP JUAREZ 11/20/2014 11/20/2014 issue checklist items left. RESUBMITTAL PHILIP JUAREZ 10/29/2014 10/29/2014 RESUBMITTED PLANS & PM 10 SUBMIITED ROUTED TO MARY F Printed: Wednesday, February 18, 2015 3:35:24 PM 1 of 6 CN?WSrsrEMs SENT TO PLAN CHECK CONSULTANT KAY HENSEL 10/29/2014 10/29/2014 CLTD DESCRIPTION ACCOUNT QTY AMOUNT STRUC TO YOUNG DUE 11/12 TELEPHONE CALL ARMEN ALTOUNIAN 9/30/2014 9/30/2014 WILL PICK-UP TODAY. TELEPHONE CALL ARMEN ALTOUNIAN 11/13/2014 11/13/2014 $0.00 SPOKE TO JODY. PLANS ARE READY FOR PICK-UP CONDITIONS YES Total Paid forBLDG CITY STAFF - PER HOUR: $192.50 $0.00 BSAS SB1473 FEE 1 101-0000-20306 1 0 CONTACTS 1 $0.00 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JODY JONES DEVELOPMENT CORPORA 78-060 CALLE ESTADO #9 LA QUINTA CA 92253 (760)285-8712 DIF - COMMUNITY 254-0000-43200 CONTRACTOR JODY JONES DEVELOPMENT CORPORA 78-060 CALLE ESTADO #9 LA QUINTA CA 92253 (760)285-8712 OWNER HARRY CEBRON 78060 CALLE ESTADO, SUITE 9 LA QUINTA CA 92253 (760)285-8712 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $497.49 $0.00 RESIDENTIAL Total Paid forART IN PUBLIC PLACES - AIPP: $497.49 $0.00 HOURLY PLAN CHECK - 101-0000-42600 2.75 $192.50 $0.00 YES Total Paid forBLDG CITY STAFF - PER HOUR: $192.50 $0.00 BSAS SB1473 FEE 1 101-0000-20306 1 0 1 $16.00 1 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $16.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF -FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 Printed: Wednesday, February 18, 2015 3:35:24 PM 2 of 6 RWSYSiEMS Printed: Wednesday, February 18, 2015 3:35:24 PM 3 of 6 CI?WYSTEMS CL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY By DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $60.80 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $25.05 $0.00 ADDITION 1,OOOSF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $143.00 $0.00 1,OOOSF RESIDENTIAL, FIRST 101-0000-42600 0 $47.19 $0.00 1,000SF, PC Total Paid for ELECTRICAL- NEW CONSTRUCTION: $276.04 $0.00 RESIDENTIAL FINISH 101-0000-426000 $143.00 $0.00 GRADING PC Total Paid forGRADING: $143.00 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $143.00 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $95.32 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $11.92 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.77 $0.00 FURNACE 101-0000-42402 0 $143.00 $0.00 FURNACE PC 101-0000-42600 0 $95.32 1 $0.00 Printed: Wednesday, February 18, 2015 3:35:24 PM 3 of 6 CI?WYSTEMS Printed: Wednesday, February 18, 2015 3:35:24 PM 4 of 6 CRWYS7EM5 ! CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY VENT FAN 101-0000-42402 0 $107.28 $0.00 VENT FAN PC 101-0000-42600 0 $42.93 $0.00 Total Paid for MECHANICAL: $643.54 $0.00 MULTI -SPECIES 101-0000-203100 $1,292.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid for MULTI -SPECIES RESIDENTIAL $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-42400 0 $684.87 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $684.87 $0.00 JODY JONES NEW CONSTRUCTION 101-0000-42600 0 $1,400.00 $1,400.00 9/2/14 R917 1482 CHECK DEVELOPMENT SKH PLAN CHECK CORPORA NEW CONSTRUCTION 101-0000-42600 0 $75.85 $0.00 PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,475.85 $1,400.00 BACKFLOW DEVICE 101-0000-42401 0 $11.92 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $0.00 BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 BUILDING SEWER PC 101-0000-42600 0 $11.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $119.20 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $119.20 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $35.75 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $23.83 $0.00 OUTLETS PC ROOF DRAIN 101-0000-42401 0 $35.76 $0.00 ROOF DRAIN PC 1 101-0000-42600 1 0 $35.76 $0.00 Printed: Wednesday, February 18, 2015 3:35:24 PM 4 of 6 CRWYS7EM5 PARENT PROJECTS REVIEWS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" RETURNED REVIEW TYPE REVIEWER CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY WATER HEATER/VENT 101-0000-42401 0 $23.84 $0.00 GARCIA WATER HEATER/VENT 101-0000-42600 0 $14.30 $0.00 9/2/2014 9/16/2014 9/16/2014 REVISIONS REQUIRED RFC 1ST PLAN CHECK RFC PC WATER SYSTEM 101-0000-42401 0 $11.92 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $11.92 $0.00 INST/ALT/REP PC Total Paid forPLUMBING FEES: $472.01 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $51.87 1 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $51.87 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS: $14,476.61 $1,400.00 PARENT PROJECTS REVIEWS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" RETURNED PARENT PROJECTS REVIEWS RETURNED REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES DATE FIRE JACQUELINE 9/2/2014 9/16/2014 GARCIA NON-STRUCTURAL ARMEN 9/2/2014 9/16/2014 9/16/2014 REVISIONS REQUIRED RFC 1ST PLAN CHECK RFC ALTOUNIAN Printed: Wednesday, February 18, 2015 3:35:24 PM 5 of 6 RWSYSTEMS STRUCTURAL BUILDING 9/2/2014 9/16/2014 9/29/2014 REVISIONS REQUIRED RFC FROM YOUNG CREATED OWNER BUCKET PATHNAME SUBDIR 'ETRAKIT ENABLED DOC 9/16/2014 ARMEN ALTOUNIAN NON-STRUCTURAL ARMEN 10/29/2014 11/13/2014 11/4/2014 APPROVED 2ND PLAN CHECK APPROVED ALTOUNIAN CONSTRUCTION DEBRIS STRUCTURAL ARMEN 10/29/2014 11/13/2014 11/13/2014 APPROVED 2ND PLAN CHECK APPROVED 0 ALTOUNIAN MANAGEMENT PLAN PLAN.pdf 1ST PW GREEN AMY YU 10/29/2014 11/11/2014 11/13/2014 APPROVED 0 SHEET BRES2014-1099.pdf DOC 2/18/2015 Printed: Wednesday, February 18, 2015 3:35:24 PM 6 of 6 Cg?SYS7EMS BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR 'ETRAKIT ENABLED DOC 9/16/2014 ARMEN ALTOUNIAN NS 1ST REVIEW 52-885 LATROBE.docx 0 COMMENTS.docx CONSTRUCTION DEBRIS DOC 2/18/2015 STEPHANIE KHATAMI CONSTRUCTION DEBRIS MANAGEMENT 0 MANAGEMENT PLAN PLAN.pdf DOC 2/18/2015 STEPHANIE KHATAMI HOA APPROVAL HOA APPROVAL 0 BRES2014-1099.pdf DOC 2/18/2015 STEPHANIE KHATAMI SCHOOL FEE RECEIPT SCHOOL FEE RECEIPT0 BRES2014-1099.pdf Printed: Wednesday, February 18, 2015 3:35:24 PM 6 of 6 Cg?SYS7EMS 1-4 P.O. BOX 1504 Building 78-495 CALLS TAMPICO Address —V 'Se5 LATeoee LAP4E- LA QUINTA, CALIFORNIA 92253 pa.e3 to ire - 109q APPLICATION ONLY Owner A;:2Y 605ZO IJ BUILDING: TYPE CONST. ]I: OCC. GRP. Mailing Address 76 •Nbo eA� F=S -r,& 6w1TE / A.P. Number 770 -.-340. ODS C, Zip �Ter. Legal Description LM 5 Cf- T¢Acr A881,7 C., v 1 NTA 82253 Contractor Project Description City Zip ' Tel. 1�1 T4 9LZ53 . Z85 State Lic. Lic. & Classif. Lic. # 1 ZZ Arch., Engr., ,f 1� 1 Designer 4el-TO4 a rr or - D 4 L4560c A ES Address Tel. 17 1 eyiNtn E O Jq+V.q;tA. 3a5 CZip State tSTIt4 78o u°. #C 3a10,10 NSED CONTRACTOR'S DECLARATION I hereby the m Ii c sed under pr isions of Chapter 9 (commencing with Section 7000) Of Div' ' n 3 of Busin s and ProfesjKons Code, apd-My license is in full force and effect. I here affirm that I empt from the Contractor's License Law for the following reason: (Sec. 7 .5, Business an rofessi0ns Code: Any city or county which requires a permit to construct, alter, ' prove, 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 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 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 0.7- I `I A Sq. Ft. ,, II No. No. D N' Size `i� % 37 Stories Units NeWX Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical S.M.I. Grading Driveway Enc. Infrastructure TOTAL CONTACT INFORMATION NAME: PHONE: AMOUNT ZONE:. BY: Minimum Setback Distances: Front Setback from Center Line — Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line — FINAL DATE INSPECTOR Issued by: — Validated by: Date Permit Validation: YELLOW = APPLICANT PINK = FINANCE CERTIFICATE OF COMPLIANCE 4��Fso�o Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDADUNES r RANCHO MIRAGE Date 2/18/15 La Quinta, CA 92253 INDIAN WELLS No. 31716 760 771-8515 v> P QUINTAT 7 ( ) t�?IND O Owner Cebron APN # 770-340-005 Address Jurisdiction La Quinta City Zip Permit # Tract # r•r No. of Units 1 Type Single Family Residence f Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52885 Latrobe Lane 4637 Unit 6 Unit 2 Unit 7 Payment Recd Unit 3 Unit 8 $15 580.32 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 4,637 S.F. or $15,580.32 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/1 st Bank - Pam Dixon Bank Name/Recipient of Certificate By Dr. Gary Rutherford Superintendent Fee collected /exempod by Signature Check No. 1211652 Telephone Funding Residential ter, r•r f ' QA r- i,. Payment Recd ' $p,dp $15 580.32 G,iei;(Under �. N r NOTICE: Pursuant to Government Code Section -66020(d)(1), this All, s rve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on MaAh the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting December 11, 2014 Mr. Harry Cebron RE: Lot 5, Tr. 28867 at 52885 Latrobe Lane Construction Documents #2 Dear Mr. Cebron: This correspondence shall serve as notification from the Tradition Architectural Design Review Committee ("ADRC") that your revised, Construction Document submittal was reviewed at the December 4, 2014 Meeting. tiThe project was approved to start construction'subject to the following comments. 1. The Variance Requests provided to the Board of Directors were approved as submitted. 2. As a reminder, all materials are subject to review in the field prior to installation. 3. Please submit specifications for the exterior sconces prior to purchase and installation. Exterior sconces must not exceed 40-wattes per fixture (combined bulb wattage). 4. Illuminated address boxes are not permitted. 5. All visible class "B" flues must be properly screened. 6. Please remove detail #4 if not applicable as the HVAC systems were not shown on the Mechanical sheets. 7. Please provide actual sizes and heights for the finished chimney details as there were no dimensions found in the plan set. 8. Courtesy comment: Concrete finishes may not hold up well and are not a preferred finish due to the soil conditions within the community. A high-strength mix that resists corrosion may be needed. The committee suggests an alternate material be chosen. if you chose to proceed with the concrete finish, please provide verification from a soils engineer that the mix is designed to the applicable soil conditions. 9. Courtesy comment: Exterior lighting is subject to field review prior to final acceptance of the residence by the committee. As LED fixtures have evolved, the light intensity has increased and may not be consistent with existing homes within the community. A field test should be conducted by the Landscape Designer to verify the lighting levels are consistent with the guidelines prior to installation. 10. Courtesy comment: The driveway slope may be problematic with regard to ingress/egress of vehicular traffic. A modification is not required; however, if any changes are made to accommodate a lesser slope revised plans will be required for review by the committee. Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any questions or to schedule your Pre -Construction Meeting once a Building Permit has been obtained. Sincerely, TRADITIONARCUITECTURAL AND DESIGN REVIEW COMMITTEE LIN Title: Date: cc: ' Jody Jones; Helton DeFord; ADRC File Pursuant to Cal. Civil Code any rejection by the ADRC may be appealed to the Board of Directors for the Association. If you wish to pursue an appeal, please contact the Association's property manager so that you may be put on the next meeting agenda. Plan Submittal Building Permit Number. Project Description: SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Job Site Address Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owners E -Mail Address Project Managers Project Managers Phone N Project Managers E-mail Ai 10/15/2014 52-885 Latrobe Ln Harry Cebron $9 La Quinta, Ca. 92253 Jody Jones 760-285-8712 om.lonesdeveloomentCDomail.com Builder/ Contractor Jones Development Corp Number, Street or PO Box 78060 Calle Estado #9 City, State, Postal Code La Quinta, CA. 92253 Project Square Footage Approx. 5788 sq ft City Approval By Date of City Approval Materials To Be Discarded: Product Tons Trash 23.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 6.25 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0.50 Recyclable Concrete 26.00 Recyclable Tile (roof) 0.75 Recyclable Drywall 2.50 Recyclable Wood 6.50 Recyclable Donated / Reuse' 0.00 Recyclable Landscape Debris 0.00 Recyclable 'Describe Items 11 Totals: Recycle Trash Projected Diversion: 1 42.51 1 23.0 1 F 6-4-89% I understand it Is the property owners 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 se 'ng as agent of the owner may obtain a DMP for the owner. However, the DMP is still Issued in the name of the p rty o er(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhereproperty o er(s) and general contractor shall be kept informed of the diversion progress through bi-monthly rts. If el hauling, refuse material from this project site must be taken to an approved recycler or transfer f1 Zo/S Owner evel er P ct r A66perintendant Date 77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 772-5107 fax (760) 345-7621 Letter of Transmittal To: City of La Quinta Today's Date: 11-12-14 78-495 Calle Tampico City Due Date: 11-12-14 La Quinta, CA 92253 Project Address: 52-885 Latrobe Lane Attn: Kay Plan Check #: BRES 2014-1099 Submittal: ❑ 1St ❑ 4th ® 2nd ❑ 55th ❑ , 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup 'Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans 1 Revised Structural Plans ® 1 Structural Calculations ® 1 Revised Struct. Calcs 1 Truss Calculations Floor and Roof ❑ Revised Truss 1 Soils Report ❑ Revised Soils Report ® 2 Structural Comment List ❑ Approved Structural Plans ® 1 Redlined Structural Plans _ ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable.' If you have any questions, please call. Time = 2.75 HR f This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 RE (" DVED Other: ❑ NOV 12 2014 CITY 0, i -A QUINTA COMMUNITY DEVELOPMENT 1 bT 6ra�hh :OCC,User :3600 L V PLEASE COMPLETE THIS IIiFORMATION -RECORDING REOUESTED By. FIRST AMERICAN TITLE INSURANCE CO. AND WHEN. RECORDED MAIL TO. Comment: t -1-710 - Y D -UO J— TRA: O 10 c) — 1,)1 - DTT• 3, jS Title of Document I • I THIS AREA F -701D) Doc a 1999-803302 11/17/1999 08:00A Fee:12.00 Pape 1 of 3 Doc T Tex Paid i Racordad In Ofllclal R�corda County of Rlvaralde assessor, County jllGaryl L. ore* s I�illill�llllllllllllllllllll lark 6 Recorder II IIIIIIII III IIIII IIII IIII M I S I U A R C COor 101iG C[/Nq Iq�p CORD Er`,'R___rtvS U SSE 1' OJ N L) (// THIS PAGE AODED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION ' (53.00 Additional Recording Fee Applies) ST; I i RIVERSIDE,CA Page 1 of 3 Document: DD 1999.505302 Station Id :G7DC i LI I i T-, AK Printed on 10/21/2014 3:43:05 PM .r ' B,a,�tch :OCC,User :3600 Comment: Station Id :67DC P 1• 2130805 .Jw No. P2414 All No. WHEN RECORDED MAIL TO: i' First American Title 45-200 club Drive, Suite D Indian Wells, CA 92210 MAIL TAX STATEMENTS TO: Space above this line Cor Recorder's Use DOCUMENTARY TRANSFER TAX 38S..00 XX Computed on the consideration or value of property conveyed-, OR SAME AS ABOVE Computed on the consideration or value less liens or encumbrances remaining at time of sale The Undersigned Grantor Signature of Declarant or Agent determining tax -Firm Name APN:'77o •3 O-005- TRA: 'D Zc7 -OI 1 GRANT DEED 00 O FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, A M TRADITION CLUB ASSOCIATES LLC., a Delaware limited liability company hereby GRANT(S)to Barry J. Cebron and Carol B. Cebron. trustees of the Cebron Family Trust dated September 13. 1990 :he real property in the City of La Quinta County, of Riverside State of California. descnbcd as Lot 5 Tract 28867 (See Exhibit "A" Anached Hereto) Dated:October 1, 1999 State of California ) n ) ss. Coon oret' -�+�� 0 berate me, TRADIT N Wilitompany LLC.. a Dela re li te personally appeare_ personally known to me .ory -wideseejto be the person( whose name(a) is/meaubtcribed to the B1': within instrument and acknowledged to me that hcAaheFNrey executed the — same in hislkvhhcir authorized capacity(iesj, and that by hisRt Ndrei: signaturc(4on the instrument the personH or the entity upon behalf of ITS, EXECUTIVE VICE PRFS1DFNT which the person acted, executed the instrument. WITNESS qty I WD AND OF SE Signature r CHRLSi1NA J. DORS Conv"`26M" 1127459 No'p'y I'utQc . Cdtlario overslde County MM Carnn fa�lm Faber toot II��III�II�IIII�I��Illlf +IIII�,II��I�IIIII��II�IIIIII�I tt /19932 of 9?e2sen r'Ilnsareafor utlic:al notarialseal l r t t I k RIVERSIDE,CA Page 2 of 3 Printed on 10/21/2014 3:43:05 PM Document: DD 1999.505302 Br'hch :OOO,User :3600 Comment: EXHIBIT "A" Lot a of Tract No. 28867, as shown by map on file in book 276 pages 69 through 78 ofmaps, records of Riverside County, California. THIS DEED IS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING: 1. Non-dclinquent real estate taxes and assessments. 2. All matters of record, including without limitation, that certain Declaration of Covenants, Conditions, Restrictions and Reservation of Easements for the Tradition Community, recorded on July 25, 1999 as Instrument No. 262677 and re-recorded August 15, 1997 as Instrument No. 292176 both of Official records of Riverside County, California, which is incorporated by reference herein as if fully set forth at length (the "Declaration"). The Declaration includes, among other matters, certain architectural and development guidelines and restrictions which will apply to the construction of a residence on the above-described lot. i M I I��III Illil� ILII IIII 19I�II I� IIIDIIII III i�lll IIII I9II 999 52 11.111/199908 OCR of I f Station Id :G7DC J t RIVERSIDE,CA Page 3 of 3 Printed on 10/21/2014 3:43:06 PM Document: DD 1999.505302 i r fi tiw' DAE Zvi 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 & 3afety,Department directly by Public Works. Please DO NOT subi 't - the ,Green 'Sheet •(Public Work"s , Ciearantei` Packet to the Public Works Department until ALL requirements listed beloyv are complete. Incomplete• applications or, applications which cannot be processed will be returnedttoapplicant. Date: 10 4-161A Developer: .�hlE.S > ENT Gr—P. Tract No.: ZBB67 Tract Name: Fte-461T1i6* ' ' t Lot No. (s): S Address(s): Jro� 8185 (,�,TQ.o ,E`". �' 1. • ' • ' Phonc'Nurnber: r.. -Vows 1 City of La Quinta - PM 10 Fugitive Dust Control Project Information Construction Phase PM 10 Aareement (< 1 ar_re/Int or Infill PrniPr_t) Project Information Project Contractor:DEYELO CoP_PoQAT*Io11L Project Phase Project Name:T (check one) Project.Tract/Lot .Ngmnbers: 28867• 5• Construction ❑ Demolition ProjecVStreet Address: Sol • $$s- I ATti+08E " -A, QV iA7-A • CA Total Acres in,Active Construction (< 1 acre per Lot): Anticipated Start Date: IO /31 / 14 Anticipated Completion Date: 10 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 duSing business and non -business hours. Name: .1k>DY J.' FJ as Title: "RMGS I t> IE N T Company Name: Jot l'ES 't�-P_v E Lo PH E NT ac -PO IzATI O Mailing Address: 78 •Obo CL.LLE FSTAoo Surra 9 ` City, State, ZIP Code: LX QUIFJTA $ Primary Phone #: Uo • Abs - $ / Fax #: 1("0 • 63(09 24 Hour Emergency Phone#: ri 1 foo aiBrJ • `f Cell Phone #: 7120 • 85 Email Address: *%);?OnCS arrag CDM PM 10 Certificate #T CV 13 — D - ++15 The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four. (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary,; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control pl ny Cit County initiated abatement activities. IOI ZI � I1� Signat of ert wner or Authorized Representative Date ' Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue; Beaumont, CA 92223 (951.) 845-7143 Fax (95 i) 845-8863 -800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777.Fax (951) 766-8778 September :9; 2014 Project.No. 544-14231 14-09-347 Jones Development 78-060 Calle Estado #9 La Quinta, California 92253 Subject: Geotechnical Update Project: Proposed Custom Residence Lot 5 Latrobe Lane Tradition Golf Club La Quinta, California Ref: Report of 'Testing and Observation During Rough Grading prepared by Sladden Engineering dated July 30,1997; Project No. 522-6138G1 Geotechnical Update report prepared by Sladden Engineering dated December12, 1996; Project No. 444-6130 As: requested, we :have :reviewed the :referenced geotechnical_ reports as they relate to the design and construction of the proposed custom residence: The project site is located on :Latrobe Lane (identified as Lot 5) within The Tradition Golf Club .development in the City of La Quinta, California. A is our understanding that the ,proposed residential structure will be of relatively lightweight wood -frame construction and will ' be. supported by conventional shallow spread footings and concrete slabs on grade. The. loot was previously graded during the .initial rough gradinrof,the Tradition Golf Club project site. The rough grading:included over excavation and/or recompaction of the native surface soil along with the placement of engineered fill material to construct the building .pads. The site grading is summarized,in the referenced. grading report along with the compaction test results. The referenced reports include recommendations pertaining .to the design and construction of residential' structure foundations: Based upon our review of .the referenced reports, it is our opinion that the structural values, included inthese reports remain applicable for the design and construction of the :proposed residential structure foundations. 'September 9, 2014 -2- Project No. 544-14231 14-09-347 Conventional shallow spread footings should be bottomed into properly compacted fill material <a minimumTofx12-inches below--lowest_adjacert-grade: Continuous footings should be at least I23 finches wide and isolated pad footings should be atjeast_:2-feetmide. Continuous footings and isolated pad.footings should be designed utilizing allowable bearing pressures oft1800:psf.and> 2000 psf; respectively. Allowable increase of 200 psf for each additional l foot of width and 250 psf for each additional 6.inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 300.0:VR The recommended allowable bearing pressures may be increased by one-third .for .wind and seismic loading. Increases in allowable bearing .pressures may be realized with increased footing size. Resistance to la. feral loads can be provided by a combination of friction acting at the base of the slabs or foundations and :passive earth 'pressure along the sides of the foundations. A coefficient of frictioh of 0.48 between soil and concrete may be used with dead load forces only..A passive earth pressure of 300 pounds per square foot, per foot of depth, .may be used for the sides of footings, which are placed against properly compacted native soils. 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 recorimmend a minimum floor cslab--thickness:of 4A -i chn es. All slab reinforcement should be supported on concrete chairs to ensure that reinforcement is placed at slab mid -height: Because the :lot has .been previously graded, :the remedial .grading required at. this time for. the :proposed residence should be minimal. The building areas should be cleared of surface vegetation, scarified and moisture conditioned .prior to precise grading. The exposed surface should be compacted so -that 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. Based ori .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). The seismic design category for a structure may be determined in :accordance with Section 1613 of the .2013 CBC or .ASCE7. According to the 2013 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The 2013 CBC Seismic Design Parameters are :summarized on the following page. Sladden Engineering September 9, 2014 Risk Category (Table 1.5=.1): I/11/III Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1): l .500g Si (Figure 1613.3:1):.0.605g ' :Fa (Table 1613:3.3(1)):1.0 Fy (Table 1613:5.3(2))::1:5 SMS (Equation 16-37(Fa X Ss}):.1500g Simi (Equation 16-38 (FV X SM:0.904g 'SDs (Equation 16-39 (2/3 X Sms)): LOOOg SM (Equation. 16-40 .(2%3 X Sint.}): 0.600g Seismic Design Category:'D -3- Project N6.544-14231 14-09-347 I I.n addition, we have sampled .the surface soil -on. the, subject lot to .determine the soluble sulfate. content as .it relates io.'selecting appropriate .concrete mix designs. Testing indicates that the site sol'is generally considered non- corrosive with respect to concrete. The testing indicated. soluble sulfate content of c60_ppin�(0:006—pe'�rcent)=that corresponds with the ''negligible" exposure category in accordance with ACI 318-08, Table 3. Based upon this, the :use of sulfate resistance :con.crete_m..ixes isnot required. We appreciate the opportunity to ;provide service to you on this project, if you have any questions -regarding this`letter or the referernced.reports.please contactthe undersigned. Respectfully submitted; SLADDEN ENGINURING StiETT L. ` ANDERSON No. 045389 Brett L. An s►3oi16 Princi al Engineer Civ. P g ENGINEERING SER /gvm Copies: 4/ Jones Development , t. Sladden Engineering ISA QUItNTA 5`l�- IG�z31 Please verify that soils reports contain all of the above information. In addition, to assure continulty 'between'the Investigation/reporting stage and the execution stage, please use the following checklist to verify that the concluslons and recommendations in the report corner all the required elements. Only then, can we be assured that the construction documents address all of'the site soil conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section :of the report address each of the following criteria? "Address" means;. . (a) the criterion is considered significant and mitigation measure(s) noted, or; (b) the criterion 1s considered Insignificant and explicitly.so stated. Yes- No Criterion V .0 'Foundation criteria based upon bearing capacity of natural or compacted poll. D Foundation criteria to mitigate the effects of expansive soils. Foundation criteria based upon bearing capacity.of natural oreornpacted soil. ®' Foundation criterla to mitigate :the effects of liquefaction. .0 Foundation criteria to mitigate the effects of seismically induced differential settlement. ® Foundation criteria. to mitigate the effects of long-term differential settlement. ® Foundation criterla to mitigate the effects of varyng soli strength.. Foundation :criteria to mitigateexpected 'total and differential settlement.. Any "ikon answers to the -above checklist should be noted as specific .required coirrections. J ineerin Sladden E. ng.. g 6782 Stanton Ave.,. Suite.A, Buena Paik, CA 90621 (714) 623-0052 Tax (714) 52371369 45000;Golf Center Pkwy, Suite F,.Indio, CA 922011(7610) 863-D713 Fax (760) 863-0847 450 Egan AVenUe.,.Beiaumqht,'CA 92223 (95 . 1) 845-77.43 Fax (951) 845-8863 Date: September 8, -2014 Account No.-: .544-14231 Customer: Jones Oev6fopment Location- Traditions, Lot 5., Latrobe Lane., La Quinta Analytical Report ,861fate -Series Soluble Sulfates per CA 417 PPM 60 Soluble Chloride pet CA 422 ppm 120 Sulf.at.e 544-14231- 09.0814 TABLE 19-A-3—REQUIREMENTS-FOR CONCRETE EXPOSED TO SULFATE -CONTAINING SOL•UT10NS MAXIMUM' • MINIMUM le, NORIAAL'-WEIGMAND .: WATER=CEMEI(TiTI0U5 MATERIAES'.'RAilO; 8Y; UGFfijYEIGHT. AGGREGAT .0 IC ET •WE1GIfT,'NORMtAL-WEIGHT• EXPOSURE CON6IT10N AGGREGATE CONCRETE x 0.0o689•lor Mpg Conrrete intended to have low permeability .wlien expo'scd to water 0.30 4;000 Concrete exposed to'freezing and thawing in a moist f",,Hormal- condition or to deicing chemicals 0.45 4,500 'For corrosion protection for reinforced concrete WATER-SOLUBLE exposed.to chlorides from deicing chemicals, salts or, Cementltloua Mftedala.Retlo;by.. '•151'elpht and ?,1Jphtwelpht' 'braekish water, or, spray. from these sources' 0.40 5000 TABLE 19-A-3—REQUIREMENTS-FOR CONCRETE EXPOSED TO SULFATE -CONTAINING SOL•UT10NS A lower water eetncnupousmatenals ratio orhigher strength inay be requircd.for low pcmeabilitybr forprotection against eorrosion'of cmWdcd items or freezing and'thawing ('Pante 19-A-2). ZScawater ?Pozzolan that has been determined by test or service tecoed'to improve sulfate resistanee.when used in concrete con- taitiing Type V cement. 2-26.4 UGITMEIGHT NORMAL -WEIGHT :AGGREGATE AGGREGATE CONCRETE M�clmum Y.0 &r- f",,Hormal- WATER-SOLUBLE Cementltloua Mftedala.Retlo;by.. '•151'elpht and ?,1Jphtwelpht' SULFATE SULFATE �g0;), $OIL, PRC ..Wdgh4..� Welgtit•- ADCrD9ate; . �oerete�;Patt EXPOSURE. AGE BY WE1GKr , SU[FATE'(SO4) INT^e1 WATER, ppm CEMERT TYPE 00repate Concretes : z 600689'for MPA. Negligible .0.00-0.10 ., 0-150 Modcratc2, 0.10-0.20 150-1,,500 II,`1P(MS),1S . '050• 4,000 (MS) Scvcrc 0:20-3.00 l.50o-10,000 V 0.45 4,500 Very SCVC[L Over lOd Over 10,000 ` V plus 0.45 4;500 pozzolanl 1 A lower water eetncnupousmatenals ratio orhigher strength inay be requircd.for low pcmeabilitybr forprotection against eorrosion'of cmWdcd items or freezing and'thawing ('Pante 19-A-2). ZScawater ?Pozzolan that has been determined by test or service tecoed'to improve sulfate resistanee.when used in concrete con- taitiing Type V cement. 2-26.4