BRES2014-108778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES2014-1087
c&t1t 4 4P Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 78695 AVENIDA LA FONDA
APN: 770171004
Application Description: NEW SINGLE FAMILY DWELLING
Property Zoning:
Application Valuation: $194,155.50
Applicant:
LENCH DESIGNS STUDIOS
P.O. BOX 450
LA QUINTA, CA 92247
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: License No.:
Date - Contractor:
`.
OWN ER -BU ILDE ECLARATION
I hereby affirm under penalty of perjury t I am exempt from the Contr or's State
License Law for the following reason (Se 031.5, Business and Professio Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code).or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 1, 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 contractors) 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 Address:
Owner:
VERNA LENCH
P 0 BOX 450
LA QUINTA, CA 0
Contractor:
VOICE (760) 777-7125'
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
A P LENCH II
P 0 BOX 450
LA QUINTA, CA 92253-0450
(760)578-1077
Llc. No.:
Date: 9/3/2014
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 ' ork for whit permit is issued.
IL I and will maintain workers' compensation insurance, as required by
Sec n 3700 of the Labor Code, for the performance of the work for which this permit
is i sued. My workers' 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 employ any person in any manner so as to becorpe subject to the workers'
compensation laws of California, and agree that, if'Fsh u b become subject to theworkers' compensation provisions of Section 3700 /Labor Code, I shall fcomply with those provisions. 7
Dat . -5' 1 Applicant:e9
WARNING: FAILURE TO SECURE WORKERS' 9OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO COIMINAL 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 a s relating to buildin
construction, and hereby authorize representatives of this city o nter upon thea o
ment�ed property for inspection purposes.)
Signature (Applicant or Agent):.- 1
r
c
Z
M
mo
o�
m
N L�
O
a
.�
T
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 ' ork for whit permit is issued.
IL I and will maintain workers' compensation insurance, as required by
Sec n 3700 of the Labor Code, for the performance of the work for which this permit
is i sued. My workers' 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 employ any person in any manner so as to becorpe subject to the workers'
compensation laws of California, and agree that, if'Fsh u b become subject to theworkers' compensation provisions of Section 3700 /Labor Code, I shall fcomply with those provisions. 7
Dat . -5' 1 Applicant:e9
WARNING: FAILURE TO SECURE WORKERS' 9OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO COIMINAL 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 a s relating to buildin
construction, and hereby authorize representatives of this city o nter upon thea o
ment�ed property for inspection purposes.)
Signature (Applicant or Agent):.- 1
DESCRIPTION
ACCOUNT
QTY AMOUNT. ..
PAID ".
PAID DATE.
BSAS SB1473 FEE
101-0000-20306
0 $8.00
$0.00
BSAS S81473 FEE
:'PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY."',
DESCRIPTION
DESCRIPTION
ACCOUNT
QTY
QTY
AMOUNT
PAID DATE.
PAID,
PAID"QAT.E
BSAS S81473 FEE
$942.00
101-0000-20306
PAID BY
0
$8.00
RECEIPT #
$0.00
CLTD BY
PAID BY-
CLTD BY
-,METHOD.
RECEIPT:#
DESCRIPTION -';
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
PAID -BY
y r METHOD,.
RECEIPT #
CHECK#
CLTD BY
CHECK # - ° :
CLTD BY
RECEIPT #
CHECK #.
DESCRIPTION
DESCRIPTION -';
ACCOUNT
C+TY
".AMOUNT: _ ...
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PA. 'BY.,
:. `PAID.BY
METHOD
RECEIPT #
CHECK #
CLTD BY
• DESCRIPTION ii., ..
:'ACCOUNT -1
QTY
.AMOUNT ' `
PAID
PAID DATE,
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
$40.00
PAID BY
METHOD ;..
RECEIPT #
CHECK #
CLTD BY
RECEIPT #
CHECK # - ° :
CLTD BY
RECEIPT #
CHECK #.
DESCRIPTION
ACCOUNT .
QTY
AMOUNT: ` ::
':' PAID '
PAID DATE-
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PA. 'BY.,
METHOD
:RECEIPT. #
,CHECK # . ,.
CLTD BY "
DESCRIPTION'
" ACCOUNT.
ACCOUNT
QTY,
AMOUNT:
PAID ...
PAID. DATE',
DIF - PARK MAINTENANCE
256-0000-43200
DIF - TRANSPORTATION.
0
$40.00
$0.00
$2,048.00
;. PAID, BY:METH;OD
$0.00
:. PAID' BY
RECEIPT #
CHECK # - ° :
CLTD BY
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PAID
PAID; DATE:
DIF - PARKS/REC
DIF - TRANSPORTATION.
251-0000-43200
250-0000-43200
0
$2,048.00
$0.00
$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
• _ '.,RECEIPT ,# CHECK.# CLTD BY
' DESCRIPTION ..='.,:ACCOUNT
'
QTY
AMOUNT:.
`PAID+
PAID.DATE
DIF - TRANSPORTATION.
250-0000-43200
0
$2,842.00
$0.00
PAID.BY
METHOD
RECEIPT:#
CHECK #
CLTD BY °,
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
DESCRIPTION
ACCOUNT
OTY
AMOUNT
PAID ,
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$23.83
$0.00
:PAID BY
METHOD _..._
RECEIPT:#:
CHECK#
CLTD BY
'DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.68
$0.00
" . PAIIJ BY.
MfTHOD.
•
RECEIPT,# .
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $40.51 $0.00
DESCRIPTION::
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$36.48
$0.00
PAID BYMETHOD
RECEIPT # • .
CHECK #
CLTD BY .
DESCRIPTION
ACCOUNT
QTY
AMOUNT,
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$15.03
$0.00
PAID BY
METHOD
RECEIPT #
CHECK.#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
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
QTY
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: $241.70 $0.00
DESCRIPTION • ' . _ ,
ACCOUNT
QTY
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
QTY`
AMOUNT.
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$71.50
$0.00
PAID BY
METHOD
RECEIPT #,. ..
CHECK #
CLTD BY,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$47.66
$0.00
PAID BY
METHOD ..
RECEIPT #
CHECK # :
CLTD. BY
.V DESCRIPTION
ACCOUNT
QTY
AMOUNT •
PAID
PAID DATE,
EXHAUST HOOD
101-0000-42402
0
$23.84
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'-' _
ACCOUNT " ..
;QTY
_,AMOUNT•
PAID
PAID DATE:
EXHAUST HOOD PC
101-0000-42600
0
$9.54
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
.. ACCOUNT '.
QTY•
AMOUNT ;;
PAID:
PAID •DATE
FURNACE
101-0000-42402
0
$71.50
$0.00
PAID BY
METHOD
RECEIPT #'
CHECK #
CLTD BY
DESCRIPTION
`."ACCOUNT :.: . '
QTY
AMOUNT ..
PAID
PAID-bATE
FURNACE PC
101-0000-42600
0
$47.66
$0.00
PAID BY `
METHOD ..
RECEIPT # , ,
CHECK #
CLTD BY .
- . DESCRIPTION '
.ACCOUNT--': .:
.QTY
AMOUNT., :
PAID
PAID DATE
VENT FAN
101-0000-42402
0
.$59.60
$0.00
PAID BY
METHOD
RECEIPT # -
CHECK #
CLTD BY
. ,.DESCRIPTION
ACCOUNT
QTY_
. AMOUNT
'PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$23.85
$0.00
PAID BY
METHOD.
RECEIPT #' -,
CHECK #
CLTD BY
Total Paid for MECHANICAL: $355.15 $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
$569.56
$0.00
PAID BY
METHOD
RECEIPT #
CHECK•#
CLTD BY
Total Paid forNEW CONSTRUCTION PERMIT: $569.56 $0.00
" .DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,202.95
$0.00
-PAID-BY
METHOD
RECEIPT #
CHECK #:
CLTD BY
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,202.95 $0.00
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
_... PAI D,BY.
°.. METHOD
RECEIPT:#, " .
CHECK # •
'CLTD BY
DESCRIPTION
ACCOUNT
;QTY..
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-000042401
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
$190.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
: DESCRIPTION
ACCOUNT,
QTY
AMOUNT.
PAID
PAID:DATE
FIXTURE/TRAP PC
101-0000-42600
0
$190.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY.
DESCRIPTION
ACCOUNT
CITY,
- 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
$59.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY,
AMOUNT
- ': PAID.
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$59.60
$0.00
PAID BY .
METHOD
RECEIPT #
- CHECK #
CLTD BY '
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$11.92
$0.00
PAID BY :
METHOD
RECEIPT #
CHECK #
CLTD BY'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.15
$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: $643.66 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$25.24
$0.00
PAID BY
METHOD.
RECEIPT#
CHECK #.
CLTD BY
DESCRIPTION
ACCOUNT.
QTY"
AMOUNT
PAID -
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$25.24
$0.00
PAID BY -
METHOD
RECEIPT #
CHECK #
CLTD BY.
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $50.48 $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: $13,286.45 00
Description: NEW SINGLE FAMILY DWELLING
CONDITIONS
'ACCOUNT QTY AMOUNT 'PAID
DESCRIPTION 'ACCO
Type: BUILDING, RESIDENTIAL Subtype: DWELLING -SINGLE
Status: APPROVED
Applied: 8/19/2014 PJU
FAMILY DETACHED
Approved: 8/19/2014 JJO
Parcel No: 770171004 Site Address: 78695 AVENIDA LA FONDA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block:
Lot: 147
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $194,155.50 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
LA QUINTA CA
Details: NEW SFD THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCKWALLS, DRIVEWAY APPROACH, BBQ -PIT, WATER FEATURES. HOME IS
FIRE SPRINKLED PER 2013 CRC CODES.
CHRONOLOGY
CONDITIONS
'ACCOUNT QTY AMOUNT 'PAID
DESCRIPTION 'ACCO
CLTD
PAID DATE RECEIPT:# CHECK # METHOD PAID BY
',
CONTACTS
BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00
NAME TYPE
', :..' . Y NAME -:
'ADDRESSl
CITY t `STATE
ZIP.
PHONE=.`
FAX
EMAIL.
APPLICANT
LENCH DESIGNS STUDIOS
P.O. BOX 450
LA QUINTA CA
92247
(760)578-1077
CONTRACTOR
A P LENCH II
P O BOX 450
LA QUINTA CA
92253--
0450
(760)578-1077
OWNER
VERNA LENCH
P O BOX 450
LA QUINTA CA
0
(760)578-1077
FINANCIAL INFORMATION
'ACCOUNT QTY AMOUNT 'PAID
DESCRIPTION 'ACCO
CLTD
PAID DATE RECEIPT:# CHECK # METHOD PAID BY
',
BY
BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00
Printed: Wednesday, September 03, 2014 2:42:16 PM 1 of 5
j?�SYSTEMS
Printed: Wednesday, September 03, 2014 2:42:16 PM 2 of 5
Uff SYSTEMS
`
CLTD
DESCRIPTION
ACCOUNT �.
CITY `
: AMOUNT,.:
PAID
PAID DATE "
RECEIPT #
CHECK.#.
METHOD
PAID By
BY
BSAS SB1473 FEE
101-0000-20306
0
$8.00
$0.00
Total Paid forBUILDING 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
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
TEMP POWER SERVICE
101-0000-42403
0
$23.83
$0.00
TEMP POWER SERVICE
101-0000-42403
0
$16.68
$0.00
PC
Total Paid for ELECTRICAL: $40.51 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$36.48
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$15.03
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$143.00
$0.00
1,000SF
Printed: Wednesday, September 03, 2014 2:42:16 PM 2 of 5
Uff SYSTEMS
Printed: Wednesday, September 03, 2014 2:42:16 PM 3 of 5 Cg? -
W-
CBYD
DESCRIPTION
ACCOUNT
QTY
AMOUNT'
PAID
PAID DATE
RECEIPT.# '
CHECK #
METHOD.
-PAID BY
RESIDENTIAL, FIRST
101-0000-42600
0
$47.19
$0.00
1,000SF, PC
Total Paid forELECTRICAL - NEW CONSTRUCTION: $241.70 $0.00
RESIDENTIAL FINISH
101-0000-42600
0
$143.00
$0.00
GRADING PC
Total Paid forGRADING: $143.00 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$71.50
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0
$47.66
$0.00
SOR PC
EXHAUST HOOD
101-0000-42402
0
$23.84
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$9.54
$0.00
FURNACE
101-0000-42402
0
$71.50
$0.00
FURNACE PC
101-0000-42600
0
$47.66
$0.00
VENT FAN
101-0000-42402
0
$59.60
$0.00
VENT FAN PC
101-0000-42600
0
$23.85
$0.00
Total Paid for MECHANICAL: $355.15 $0.00
MULTI -SPECIES
101-0000-20310
0
$1,292.00
$0.00
RESIDENTIAL 0-8 UNITS
Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00
NEW CONSTRUCTIONPERMIT
101-0000-42400
0
$569.56
$0.00
Total Paid for NEW CONSTRUCTION PERMIT: $569.56 $0.00
NEW CONSTRUCTION
101-0000-42600
0
$1,202.95
$0.00
PLAN CHECK
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,202.95 $0.00
Printed: Wednesday, September 03, 2014 2:42:16 PM 3 of 5 Cg? -
W-
DESCRIPTION
ACCOUNT'
QTY.
AMOUNT
PAID
PAID DATE
RECEIPT~#
CHECK#
METHOD
PAID, BY-:
BY
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
$190.72
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$190.72
$0.00
GAS SYSTEM, 5+
OUTLETS
101-0000-42401
0
$35.75
$0.00
GAS SYSTEM, 5+
OUTLETS PC
101-0000-42600
0
$23.83
$0.00
ROOF DRAIN
101-0000-42401
0
$59.60
$0.00
ROOF DRAIN PC
101-0000-42600
0
$59.60
$0.00
WATER HEATER/VENT
101-0000-42401
0
$11.92
$0.00
WATER HEATER/VENT
PC
101-0000-42600
0
$7.15
$0.00
WATER SYSTEM
INST/ALT/REP
101-0000-42401
0
$11.92
$0.00
WATER SYSTEM
INST/ALT/REP PC
101-0000-42600
0
$11.92
$0.00
Total Paid for PLUMBING FEES: $643.66 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$25.24
$0.00
SMI - RESIDENTIAL
101-0000-20308
0
$25.24
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $50.48 $0.00
SINGLE FAMILY
DETACHED
224-0000-203200
$1,837.44
$0.00
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:•0
Printed: Wednesday, September 03, 2014 2:42:16 PM ' 4 of 5
RWS YSTEM S
PARENT PROJECTS
Printed: Wednesday, September 03, 2014 2:42:16 PM 5 of 5 CRWYSTEMS
BOND INFORMATION
ATTACHMENTS
4S &9, DII = "ETRAKIT ENABLED
r`AttachmentFHNAIVIE
-R-20MR,
L'
REVIEWS.*.
78-695 AVE. LA
E it PEZ `
E T
E, Flo
8/19/2014
JIM JOHNSON
FONDA.docx
FONDA.docx
DOC
NON-STRUCTURAL
JIM JOHNSON
8/19/2014
8/19/2014
9/19/2014
APPROVED
N/S APPROVED BY JJ 8/19/2-14 3RD PLAN CHECK
AVENIDA LA FONDA.pdf
AVENIDA LA FONDA.pdf
DOC
9/3/2014
APPROVED BY YOUNG ENGINEERING 8/19/2014
STRUCTURAL
JIM JOHNSON
8/19/2014
9/3/2014
APPROVED
3DR PLAN CHECK
FIRE
FIRE BUCKET
8/19/2014
9/3/2014
1ST PW GREEN
BRYAN
8/27/2014
9/2/2014
9/2/2014
I
APPROVED
I
KHATAMI FILED IN BUILDING FILE (SK)
SHEET
MCKINNEY
I
Printed: Wednesday, September 03, 2014 2:42:16 PM 5 of 5 CRWYSTEMS
BOND INFORMATION
ATTACHMENTS
4S &9, DII = "ETRAKIT ENABLED
r`AttachmentFHNAIVIE
-R-20MR,
L'
78-695 AVE. LA
78-695 AVE. LA
0
DOC
8/19/2014
JIM JOHNSON
FONDA.docx
FONDA.docx
DOC
8/21/2014
STEPHANIE KHATAMI
SCHOOL FEES 78695
SCHOOL FEES 78695
0
AVENIDA LA FONDA.pdf
AVENIDA LA FONDA.pdf
DOC
9/3/2014
STEPHANIE KHATAMI
I
PM10 APPROVAL 78695
I
PM10 APPROVAL 78695
0
AVENIDA LA FONDA.pdf
AVENIDA LA FONDA.pdf
Printed: Wednesday, September 03, 2014 2:42:16 PM 5 of 5 CRWYSTEMS
77PI
P.O. BOX 1504 APPLICATION ONLY
Building78-495 CALLE TAMPICO
A 7Jj • &5<74-V19.. jLi4 r% UINTA CALIFORNIA 92253
Ad ress
r`
Owne.,6 �/ / P
Mailing
Address PQjC(�
cyy _ C?. Zit 22. x- T-
J
Tel.
State Lic. I City I
& Classif. Lic. #
Designer e-> AJ &STZc >l t ,
-76a, 1;7tal
pity Z4State
(` '�• 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).
OI, 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 or completion, the owner -builder will have the burden of proving that he did
not build or improve for the purpose of sale).
O 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.)
O1 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
O Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not employ
any person in any manner so as to become subject to Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 3 /0 — 0(54—r'
Legal Description
Project Description
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
FINAL DATE
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
PINK = FINANCE
Sq. Ft*� /_
Size
No. No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
FINAL DATE
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
PINK = FINANCE
Date
8/20/14
No.
31516
Owner
Lench
Address
78-695 Avenida La Fonda
City
La Quinta Zip
Tract #
Type
Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
�Q�o
47950 Dune Palms Road
BERMUDA DUNES r
La Quinta, CA 92253
RANCHO MIRAGE d
JINDIAN WELLS
(760) 771-8515
wcy� P LM DESERT
L QUINTA y
s�QINDIO
APN # 770-171-004
Jurisdiction La Quinta
Permit #
No. of Units 1
Lot # No. Street S.F. Lot # No. Street
Unit 1 78695 Avenida La Fonda 2916 Unit 6
Unit 2 Unit 7
Unita Unit 8__ --- --- -- -- --
Unit 4 Unit 9
Unit 5 Unit 10
S.F.
Comments COC created on 9/18/14 as software crashed since 8/14. Original to be mailed to Bldg & Safety and copy to be
mailed to A.P. Lench II, PO Box 450, La Quinta 92247
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 2,916 S.F. or $9,797.76 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC- Rabobank - Burt Hanada
BY Dr. Gary Rutherford
Superintendent
Fee collected /exem
Signature
Bank Name/Recipient of Certificate
Sh4on1�lc,�ilvrey'
Check No. 008005082
Telephone
Funding Residential
Payment Recd
$9,797.76
'I$0.00
r Over/Under
r �
NOTICE: Pursuant to Government Code Sectiotr86f20(d)(1), this will sd/ve 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 which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
RECORDING REQUESTED BY:
Ticor Title Company
AND WHEN RECORDED MAIL TO:
Verna B. Lench
P.O. Box 450
La Quinta, CA 92247
TICOR TITLE
RIVERSIDE
DOC # 2011-0501990
11/09/2011 02:42 PM Fees: $21.00
Page 1 of 3 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
"This document was electronically submitted
to the County of Riverside for recording"
Receipted by: SGOMEZ
Title Order No.:
I Nis STAGE FOR RECORDER'S USE ONLY:
�) Escrow No.: 23169 -LJ
—GSAW
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $73.70
[X) computed on full value of property conveyed, or
(] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ) Unincorporated area [X] City of La Quinta AND
FOR A VALUABLE- CONSIDERATION, receipt of which is hereby acknowledged,
Modesto Garcia, a Married Man, as his sole and separate property
hereby GRANT(s) to:
Verna B. Lench, a Married Woman, as Her Sole and Separate Property.
the real property in the City of La Quinta, County of Riverside, State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF
Also Known as: Vacant Land, APN: 770-171-004,,La Quinta„ CA
AP#.,770-171-004-1 --
020- NO
DATED October 10, 2011
STATE OF CAL ORN
COUNTY A�1F D odesto Garcia
On
before me, t(Y\
A Notary Public Ad (o�r said S ate person Ily appeared
V � �-
who proved to me on the basis of satisfactory evidence to be
the person whose name�arf'&re subscribed o the within LAURA JIMENEZ
instrumen(and acknowledge to me that h 01MX
COMM. #1858657 rn
executed the same in Is authorized capacity i}9efi wNotary PuhlicCditomie a
and that by his/her/the ,signature�J on the instrument the CmRIVm.E q. COUNTY
erson Comm.Ex .JULY 23, 2013
p ,(6), or the entity upon behalf of which the perstinj8r
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State
of California that the foregoing paragraph is true and correct.
WITNESS my, hand and official seal.
Signature v _ (Seal)
MAIL TAXTT SMNT
ES TOP S N BELOW: IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE:
Building Permit Number:
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Datel 7/16/2014
Job Site Addressl 78695 Calle La Fonda
Owner's Name Skip Lench
Number, Street, or PO Box P.O. Box 450
City, State, Postal Code La Quinta, Ca. 92247
Owners Phone Number
Owners E -Mail Address
Project Managers Name
Skip Lench/Owner
Project Managers Phone Number
Builder / Contractor
Skip Lench/Owner
Number, Street orPO Box
P.O. Box 450
City, State, Postal Code
La Quints, Ca. 92253
Project Square Footage
2,900 sq ft
City Approval By
Date of City Approval
Materials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse`
*Describe Items
Tons
12.75 Not recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
13.00 Recyclable
1.25 Recyclable
0.00 Recyclable
Totals: Recycle Trash
L_21.751 1 12.75
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
0.00 Recyclable
3.00 Recyclable
0.00 Recyclable
0.25 Recyclable
0.25 Recyclable
4.00 Recyclable
0.00 Recyclable
Projected Diversion:
63.04%
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 approved recycler or transfer
Owner / Developer / Project Manager / Superintendant Date
77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 772-5107 fax (760) 345-7620
Letter of Transmittal
To: City of La Quinta Today's Date: 8-13-14
78-495 Calle Tampico City Due Date: 8-5-14
La Quinta, CA 92253 Project Address: 78-695 Avenida La Fonda
Attn: Angelica Plan Check #: 14-757
Submittal: ❑ 1st ❑ 4th
® 2nd ❑ 5th
❑ 3rd ❑ Other:
We are forwarding:
® By Messenger ❑
Includes:
# Of
Descriptions:
Copies:
®
2
Structural Plans
®
2
Structural Calculations
❑
1
Truss Calculations Floor-,,
❑
and Roof
❑
Soils Report
®
3
Structural Comment List/
Responses
By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes:
# Of
Descriptions:
Copies:
❑
2
Revised Structural Plans
❑
2
Revised Struct. Calcs
❑
Revised Truss
❑
Revised Soils Report
❑
Approved Structural Plans
❑ Redlined Structural Plans ❑ Approved Structural Calcs
❑ 2 Redlined Structural Calcs ❑ Approved Truss Calcs
❑ Redlined Truss Calcs ❑ Approved Soils Report
❑ Redlined Soils Reports ❑ Other:
Comments: Structural content, signed and dated on 8/13/14, is approvable. Architect was contacted
regarding additional structural plan check comments. Architect provided two copies of the revised
structural plans and calculations. Please,replace City's copy of structural content.
n yvu nave ally yueaucna, PICase can.
rime = 2.5 HR
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
By: Kathryn Samuels
Palm Desert Office: ® (760) 772-5107
Other: ❑
® Per Your Request
❑ Approval
❑ At the request of:
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 cor-iplete. Incomplete applications or applications which cannot be processed will be
returned to applicant.
Date: I 1 + / Developer: • 1 " • j 1 '
Tract No.: Traci Imam V� Tot No.(s): I l
Address(s): ��5 0;• ,�,Qa Phone Number: (/�) �8• /�/
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 W#7 VELOW
❑ TRACT HOMES: PROVID= ITEMS #1',W'#3'9- #3 B W
❑ COMMERCIAL BUILDINGS/OTHER:-PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW
❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
\ Attach geotechnical certilication of grading plan compliance ineJuding compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have. a previously approved
Q5 geotechnical certification are exempt from this requirement.
3. Attach recorded final map or title information/grant t deed showing proposed building locations are legal lots.
Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10
plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with
grading plans & are subject to additional requirements. A current PM10 certification number is required.
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.
Complete and sign the attached water quality management plan (WQIVII2) exemption form, if applicable. PW
approved building construction projects require either a WQMP or a completed WQMP exemption form.
Approved maps/plans may be viewed at the following link: http://www.la-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 complete City staff. 'Ru' 011 1n e /
Gig\
Recommended by:1�41� Date: � / Z/ �� W��I tae � C'�!'/
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:
TAChecklists - Forms & ApplicationsWo..rgms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc
City of La Quinta - PM 10 Fugitive Dust Control Project Information
Construction Phase PM 10 Aoreement (< 1 acre/lot or Infill Proier_t)
Project Information
Project Contractor:
Project Phase
(check one)
W Constructiona•>
Demolition
Project Name: 4:57/ tf\,j Cp—L6
Project Tract/Lot Numbers: I �--1 W r*
> / , -
Project Street Address: ^7 j . (01 c�
-- QV l �Ar
TotalAcres in Active
Construction (< 1 acre per
Lot):
a
Anticipated Start Date: /24 / Anticipated Completion Date:/31
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=businesshours.
Name:
a)J
Title:
Company Name:
.__..
Mailing Address:
��-- (7 �M0K�_l � %' V& .
City, State, ZIP Code:-I-•Jv
�I CA
Primary Phone #:
`& ' &vt • ro7 9
Fax #:
24 Hour Emergency
Phone#:
-7(60
Cell Phone #:
7%O •Go J -f2-15
Email Address:
14UI /A✓r Coo Te .6 a4s ?>I VA doeD • C-6
PM 10 Certificate #:
�(ip"'�% "' �'Z•
The above stated nronertv owner (or authnri7erl ranrasantativaL-
❖ 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 har 'ss the City/County and its representatives from liability for any actions related to this dust
control plan ny City/Count sated batement activities.
Signatu of Property Owner or 6uthorized Representative Date
M
(Validator / Operations Administrator)
Solar Industries
P.O. Box 27337
Tucson, AZ 85726-7337,
Attn: Carl -Shelton
AAMA
CERTIFICATION PROGRAM
AUTHORIZATION FOR PRODUCT CERTIFICATION
The product described below is hereby "approved for listing in the next issue of the AAbtA Certified Products Directory. The approval
is based on successful completion of tests, and the reporting to the Administrator of the results of tests, accompanied by related drawings,
by an AAMA Accredited Laboratory.
1. The listing below will be added to the next published AAMA Certified Products Directory.
SPECIFICATION
RECORD OF PRODUCT TESTED
AAMAMIDMA/CSA 101/l.S.2/A440-08
CW-PG654262x1261 (SOx50)SKP
COMPANY AND PLANT LOCATION
CPD NO.
SERIES MODEL PRODUCT
MAXIMUM SIZE TESTED
T ION
DESCRIPTION
Solar Industries
.5262 CURB MOUNT (SOLAR)
FRAME
Code: SI
7327
(PVC)(0)(ACRYLIC)
1262 mm x 1261 mm
(412" x 41211)"
2. This Certification will expire June 2; 2015 and requires validation until then by continued listing in the current AAMA Certified Products
Directory. • '
3. Product Tested and Reported by: Architectural Testing, Inc.
Report No.: A7993.01-301.44 Rev.1
Date of Report: June 27, 2011
Date: September 22, 2011
Cc: AAMA
SBS
ACP -04 (Rev. -1/11)
Validated for Certification
Associated Laboratories, Inc.
Authorized fo Certification
America Architectural Manufacturers cation
I
PROFESSIONAL GRILLS
July 11, 2008
To Whom It May Concern,
This is to amend and clarify the instructions in the Lynx Care and Use Manual with
respect to locating Lynx'gillsiunder�au�overliead�combustiblesuiface:'The manual
currently states "Do not use this appliance under overhead combustible surfaces". This is
being amended to read "DO notIlocaLeuthis' 4-liince underYovert ead unp o ecce ' `: .
`couibystible�surfaces' This revised statement is identical to the requirement printed on
the certification plate shipped with the grills.
Lynx"offers_outdoor=rated:ventilation hoods for. installation ovei.Lynx Grills 1`hese
products are non-combustible in construction and would satisfy the above requirement
However, in�suchzinstallations =care�must;ibe�taken,to eliminate3any unpr_o�tected,�:
co nbush'bleimafenals4ov the griU All other clearances to combustibles IIiust be
observed, as specified on the ratingplate.
*Note: Check with local codes for definition of non-combustible surfaces.
Engineering Manager,
Lynx Grins Inc. fim AftE,
VED
JUN 0 3 2014
CORNPgUNM DEVELOPMENT
6023 East'Bandini Blvd.
Commerce, CA 90040
Phone (323) 838-1770
Fax (323) 838.1778
wwwAWw4ft-Lcom
- -r `stf'T`F
rwr ����So
_ ..
Ml
4tY' .�i Y
vi '4 v..�krM��P
`
'' � IS��`1'.y
- 4i��+,•IJUI�r�l�,�,����I.��`DtVlFiitPl�i�:1'KI�Ft'H
,'(.� - 41--{ �
•7
� _+QUI
T_
._
Fla
�.� ��•a'�1L'+�tt>if4F
Qae�;���;;��a�rortsia��r
wi�l��r�yw
..�11iS:_R{tliVn pp
cR��gccfkThl�PaQfY
A1CDTfrT "!' <C
.:111�Gfi>{ L LC Sr
1 r rS�A�PPI.l�`t��l�CE J
T
i1 0ii0
LYNX FREESTANDING 30"
W/ DIMENSIONS
FRONT VIEW
(BOORSOPENAT 90')
TOP VIEW
RIGHT SIDE VIEW
(DOORS OPEN -AT 90')
13
Buyers Guide — FAQ « YroLine Range Hoods
• Loo In
• Contact Us
• Home
Search for: Search
Buyers Guide - FAQ
rage i or o
• Store
_'
• Overstock Sale Items
l�
Blowers & Accessories
_
• Raggee Hood Inserts
28" Ranae Hood
Insens
• 34" Range Hood�r:
Inserts
• 40" Range Hood
•'' "
Inserts
• 46" Range Hood
r,
ME
Inserts
1
• 52" Range Hood
Inserts
1,11151,
• 58" Range Hood
x '
Inserts
Frequently Asked Questions
• BBQ and Outdoor Kitchen
Hoods
• 30" BBQ Range
Size
Hoods
• 36" BBQ Range
What size range hood should I choose?
HoodsHow
•
tall does my chimney need to be?
t• 42" BBQ Range
How high should my hood be mounted?
Hoods
• 48" BBQ Range
Ducting
Hoods
54" BBQ Range
What is the difference between ducted and ductless hoods?
Hoods
Which is better, ducted or ductless?
• 60" BBQ Range
Hoods
Finers
• Professional Series Range
• What are the different types of filters used?
Hoods
• 30" Professiona!
CFM
Series Hoods
• 36" Professional
What is CFM?
Series Hoods
What CFM do I need?
• 42" Professional
How do I calculate the CFM requirements for my range top?
Series Hoods
`//hat is considered a Professional level CFM?
• 48" Professional
vel hood?
Series Hoods
54" Professional
Sones
Series Hoods
• 60" Professional
What is a sone and how is it measured?
Series Hoods
Island Range Hoods
• 24" Island Hoods
• 30" Island Hoods
• 36" Island Hoods
• 42" Island Hoods
L--. 11.. ......_.t:. ._.....>, .a /1 on1 ()III Zncni .•...,,..«/..,t... -- c/1)1)/7()1A
Buyers Wide — rAQ (< YrOLihe Kange Hoods
rage z of o
• 48" Island Hoods
Size
• 54" Island Hoods
INDOOR: For indoor hoods, it depends on the height of your ceiling. Most of our unaltered hoods accommodate 8-9'
• 60" Island Hoods
ceilings. If your ceiling is taller, an extension can be added to your hood for up to 12'. For shorter ceilings, we offer
Hoods
What size range hood should I choose?
• Wall Mounted Range
trimmed down.
Hoods
INDOOR: Indoor Island hoods are recommended to be 1 size larger than your cooktop size (overlapping the cooktop by 3
• 24" Wall Hoods
to 6 inches on each side). For example, if your cooktop size is 30", the ideal size would be a 36" or 42" hood.
• 30" Wall Hoods
ventless or ductless hood. This type of hood filters the air with a charcoal filter and recirculates it instead of redirecting the
• 36" Wall Hoodsti
KOUTDOOR: Hoods used for grilling outdoors are recommended to be 2 sizes larger than the cooking surface
z
• 42_' Wall Hoods
� �.x�•r�.�. `; ` � s,
(ovedapping-the ceoktop by 616 12 inches. on each side). Forexample,if your cooktop Is 30', the ideahs¢e would be a l
• 48" Wall Hoods
42" - 54' hood. --
• 54" Wall Hoods.
structures. If your structure is taller, an extension can be added to your hood for up to 12'. For shorter clearances, we
• 60_Wall Hoods
offer custom cuts to get the perfect ft. Note: If you are using your hood outdoors, it must be sheltered in some way.
Hoods
How tall does my chimney need to be?
Under Cabinet Range
above the cooking surface.
Hoods
INDOOR: For indoor hoods, it depends on the height of your ceiling. Most of our unaltered hoods accommodate 8-9'
• 30" Under Cabinet
ceilings. If your ceiling is taller, an extension can be added to your hood for up to 12'. For shorter ceilings, we offer
Hoods
custom cuts to get the perfect fit. Check the minimum chimney height on a hood to see the lowest it can be
• 36" Under Cabinet
trimmed down.
Hoods
prevent damage to the outdoor mounting
• 42" Under Cabinet
If your hood can't be vented through the ceiling (if you live in an apartment or condo), you may want to consider a
Hoods
ventless or ductless hood. This type of hood filters the air with a charcoal filter and recirculates it instead of redirecting the
• 48" Under Cabinet
air to the outside.
Hoods
• 54" Under Cabinet
OUTDOOR: It depends on the height of your outdoor structure. Most of our unaltered hoods accommodate 8-9'
Hoods
structures. If your structure is taller, an extension can be added to your hood for up to 12'. For shorter clearances, we
60•• UnderCabinet
offer custom cuts to get the perfect ft. Note: If you are using your hood outdoors, it must be sheltered in some way.
Hoods
cooking is pulled into the Fiood, removing grease and odors through a charcoal filter. The cleaned air is then re -circulated
Privacy Statement
How high shou.ld my hood be mounted?
• Charcoal Filters/Ductless
Kits
Which is better, ducted or ductless?
• Why Buy From Us?
INDOOR: If cooking indoors, we recommend allowing 28-36" between the bottom of hood and your cooking surface. Less
• Chimney Extensions
than 28" from the cooktop will be too hot, and more than 36" from the cooktop will start to decrease the efficiency of your
Duct Transitions
hood. Adjust your hood anywhere within the 28-36" range to bring it to the desired eye level. The average height is 32'
• Support
above the cooking surface.
• Pages
Generally, if you have the option to duct to the outside of your home, ducted is the ideal way to go. Ductless hoods are a
• Common Questions
OUTDOOR. We suggest you mount your outdoor hood no closer than 36" from your cooking surface. Outdoor grilling
Customer Submitted
radiates intense heat, so the distance from the cooking surface should be farther than recommended for indoor cooking to
Cooktops and How to
r
hood. The, averaga height'ia 36-40 6646 the cooking surface:,,.
Photos
prevent damage to the outdoor mounting
• Ordering
be installed as ductless or ducted, depending on your needs.
• Range Hoods - Proline
Ducting
Range Hoods Overview of
Filters
Sizes. Types and Range
Hood Tios.
What is the difference between ducted and ductless hoods?
• About Proline Range
What are the different types of filters used?
Hoods
Ducted hoods vent outside of the home through the ceiling. Ductless hoods are not vented outside. Instead, the air from
Conditions of Use
cooking is pulled into the Fiood, removing grease and odors through a charcoal filter. The cleaned air is then re -circulated
Privacy Statement
back into the home.
• Shipping and Returns
• Warranty
Which is better, ducted or ductless?
• Why Buy From Us?
• Contact Us
You must have a ducted hood in your home if you require a professional level hood with a high CFM.
• Support
• Buyers Guide - FAQ
Generally, if you have the option to duct to the outside of your home, ducted is the ideal way to go. Ductless hoods are a
• Common Questions
great alternative in other circumstances, such as if you live in an apartment or condo without access through the ceiling
• Electric Vs Gas
directly above your stove. While duct -free filters trap grease and odors from normal cooking, the humidity and heat will be
Cooktops and How to
re -circulated back into the home. Ductless charcoal flters must be replaced regularly (after 150 hours of cooking, or every
Size your Range
3-6 months) to continue to protect your home from impurities. We have several convertible hoods which conveniently can
Hood
be installed as ductless or ducted, depending on your needs.
• How much does it
cost to install my
Filters
Range Hood?
• How to Install a
Proline Brand Range
What are the different types of filters used?
Hood
L.a_. //......... «-,.1:«,.....«....1......7....--/1 QA1 .071 -1 00 0 /--tAwl,o}-C;7P-ranryo-li nrl-Ali-;-nP S/ii/7n14
36 Island Range Hood - ProVI.36 [ProVIsland.36] - $1,449.95 : ProLine Range Hoods, R... Page 1 of 3
1 `!6J�jy t
f
NIS''-:
rtw>f,r wra+6 boa a•.•,••.•••,
Ca ler,01'le£
Overstock Sale Items
Blowers & Accessories
Range Hood Inserts
3-t" Range "•co -J InserE
40*' Ran.^,•e Ho,:,:i inserts
.-V mange i'1:.Un Inserts
69" Raine -:cod Ins-aS
:F" Range Hoa: Ins - 303
880`and Outdoor Kit chon
Hoods
36` BBO Range Hoods
36" 600 Rangy! Hcods .
J Range Hoods
Hoon,
Sci) Ran: e. HnJC1.!:
BBQ Raoz-e Hosos
Professional Series Range
Hoods
Hot :.!s
'i J.. it :lin551:111;1:..•:r:cl I r:i Jam'
5e" Professiri Se,ir!_ Hcoe
rql" ni r,It:55'v"r,3i c^r,ES !'-..I:ts
Island Range Hoods
"!Stan.: Hoodi
N:" Island Hoccs
3n•' Isi::nd Feeds
. 15- island
'." IStanJ 14000_
•;t .Island !'!r:ads
6l)', island Hoods
Wall Mounted Range Hoods
�. i:ll!iiUUdS
.U' 1•Vall HOJGS
3,3' Wall Hoods
,3"'vlall Hasa
6a" w:dl HnU:L>
Under Cabinet Range Hoods
30" under Cabine! Hoods
36" Under Cabine: Hands
42" Unoer Cairnc...;,?d;
sa" Under Cabine) 'oafs
Uadcr Cabine! FlrGtilS
36" ISLAND RANGE HOOD - PROVI.36
Starting At:
$2:0Qj;j QF,
$1.449.95
With the all-new PioV Island range hood• we've finally brought all the incredible
featues. power, and versatility or our ProV range hoods to your kitchen island.
We',,e also added brings you won't see in any of our other hoods. including our
new energy efficient "A•arm" LED lights with high and low settings. .
Incicded with the hood Is a Iwo piece telescoping ,-himney extension. A powerful
110a CFM blower is offered with your purchase at an additional cost. bul it that's
not enough to get the lab done. you can purchase our optional upgrade to a 1200
CFA1 blower or our optional chimney extensions, allowing you to mount your hood
to a 10 or 12' Ceiling.
Product Features
-4 - Warm LED Lights with hhoh and Low setting
8- Duct Outlet
Variable speed Control
Hood Measurements x 33 3/4 d x 18 1i4 h
Cnimney Measure rents - 17 314 x 13I
w2 T� d x 19 31
2 Piece Telescoping Chimney Extension
Ho!nt; ! Conlact Us i Lac !n
Search se ,; :1,
Shopping Carl
Your can is empty.
Testimonial-,
rr
as a pr,'nr nsfuunurr
uu:ner;. you guys are r'ighr on
In'VVIT! %ire FhIC:F is right.
n
Can not yet speed'...
JANICE WOMACK. LaJ
Enterprises
:r
The
be.;: tastomer senlice
vver!! the Chat feature.. isjust
like. walking into div stare! r
v
will...
Jody Barton. Balco
r:
I've had the hand iastutled
flee n fGL' nionths rieLL•. and I
coidd not be more plcoserl.
n
It's ri ;lr,Squor...
,lean Tiole;
View All Testimonials
Add New Testimonial
Tele A Friend
.r
Tell someone you know abOUl
thiS prodtiCl.
Currencies
US Dollar
httn://www.r)rolinerangehoods.com/index.php?train_page=product_info&cPath=71 _73&p... 5/20/2014