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BRES2016-0062
78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0062 Property Address: 81600 SHACKLETON WY APN: 767870020 Application Description: MADISON/SUMMERS/SINGLE FAMILY Property Zoning: Application Valuation: $530,781.90 Applicant: FRANK STOLZ 13 CORPATE PLAZA NEW PORT BEACH, CA 92660 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 Wsiness and Professions Code, and my License is in full force and effect. License Class: B License No.: 799449 Contractor: OWNER -BUILDER DECLARATIO I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a' permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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 Address: VOICE (760) 777-7125 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Date: 9/14/2016 Owner: SUMMERS FAMILY TRUST - ROBERT & CAROL 81600 SHACKLETON WAY LA QUINTA, CA 92253 Contractor: PETER JACOBS HOMES INC P 0 BOX 356 LA QUINTA, CA 92247 (760)880-1761 Llc. No.: 799449 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S TE COMPENSATION INSURANCE FUND Policy Number: 9013633 ~ ertify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if Ahould become subject to the workers' compensation provisions of Section 370 t Labor de, I shall forthwith comply with those provisions. Date: / �� Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSAT N 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 r Ang to b Ming construction, and hereby authorize representatives of this city to en u on th above-mentioned property for inspection purposes. Date: �� Signature (Applicant or Agent): Date: 9/14/2016 �sr r Application Number: BRES2016-0062 Owner: Property Address: "81600 SHACKLETON WY SUMMERS FAMILY TRUST- ROBERT & CAROL APN: 767870020 81600 SHACKLETON WAY Application Description: MADISON /SUMMERS /SINGLE FAMILY LA QUINTA, CA 92253 Property Zoning: Application Valuation: $530,781.90 Applicant: '. Contractor: FRANK STOLZ PETER JACOBS HOMES INC 13 CORPATE PLAZA P 0 BOX 356 NEW PORT BEACH, CA 92660 LA QUINTA, CA 92247 (760)880-1761 ----------=---------------------------------------------------------------------------------- Llc. No.: 799449 Detail: 5,968 SF 2 STORY SINGLE FAMILY DWELLING. R-3 OCCUPANCY, TYPE V-B CONSTRUCTION W. FIRE SPRINKLER PER 2013 CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL / SPA, FIRE PIT AND WATER FEATURES. 1 J FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $826.95 Total Paid for ART IN PUBLIC PLACES - AIPP: $826.95 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY PLAN CHECK - YES 101-0000-42600 2.5 $175.00 Total Paid for BLDG CITY STAFF - PER HOUR: $175.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $22.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $22.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES _ 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION• 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 Total Paid for ELECTRICAL: $41.09 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $98.64 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $40.64 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $332.17 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING -CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 Total Paid for GRADING: $217.55 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $290.08 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $193.36 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $253.82 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $169.19 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $169.26 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $67.62 Total Paid for MECHANICAL: $1,160.25 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $766.93 Total Paid for NEW CONSTRUCTION PERMIT: $766.93 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,500.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $135.96 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,635.96 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $495.69 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $495.69 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $12.09' DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $1,124.35 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $69.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $69.00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY. DETACHED 224.-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 } I U i AW: a15,luz.by 6- 0 62, Titif 4 . a QUIJEM P.O. BOX 1504 APPLICATION ONLY Building r, L 78-495 CALLE TAMPICO Address o c3 - lA QUINTA, CALIFORNIA 92253 Owner "4 L 61�6a i<�p BUILDING: TYPE CONST. OCC. GRP. . Mailing 76 7 `' 370 `' 020 Address A.P. Number City Zip Tel. Legal Description Contractor Project Description) Address City. Zip Tel. State Lic. City Sq. Ft. No. 2 No. Dw. & Classif. Lic. # Size Stories Units Arch., Engr., New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer G Address Tel. 7 Z O 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 DAT 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 Profa3sfonS Code:.Any city or county which requires a permk fd construct, alter, improve, demolish, or repair any structure, prior to its issuance also requiros the applicard 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 703 1, 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). ❑ 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 Profes- sions Code: The Contractor's License Law does not appply to an owner of property who builds or improves therean and who does such work himself or rhrough his own employees,. provided that such 1 provements are not bounded or olfdred for sale. If. Iwwavei;. the building or imprommont 4s sold w7thirr pna yaarol compfaffon, the.owner-bulfder wO have the burden of pravfng that he did not build or improve for the purpose of sale). ❑ 1, 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.) 01 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'COMPENSATIONINSURANCE (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 became subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT 11, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions at the Labor Code, you must forthwith comply with such provisions or this permitshst( 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 tliat 91a above Information Is correct. I agree to comply with all city and county ordinances and Mato laws relating to bulding construction, and hereby authorize representatives or this city to enter the above-manli.oned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip i' 1I L 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: 4W,_ ► 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 WHITE = BUILDING DEPARTMENT Validation: YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: I COMNVIND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Robert & Carol Summers Owner's Name: Project Address: Robert & Carol Summers 41 Bell Canyon Trabuco Canyon, CA 92679 Project Description: SFD 0 WA Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 5,968 Sq.ft. Date: September 14, 2016 Phone No. Lot #'s: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized t�?ign on beWf of the owner/developer. Dated: September 14, 2016 Signature: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * f * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 5968 $3.36 $20052.48 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Secretary Signature: -- of Ltri`, _ R , s a k 1 NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ('Fees' ), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c nnLk", : (Ic\fl- > ce;ail'ic:uc ol'coaiplianc�� [ixm nl)t{;li�d i-s!li) % 11/2010 Braneh:A14 User:2147 DOC #2015-0165783 Page 3 of 3 04/23/2015 02:00 PM Notary Seal Under the provisions of Government Code 27361.7, I certify under the penalty of perjury that the Notary Seal on the document to which this statement is attached reads as follows: Name of Notary: Commission # Date Commission Expires: County where Bond is filed Vendor: "�/bq �5-4-0 J . 2 � Place of Execution: San Bernardino Date: 22I15 Signature: A.Salters V�1l RIVERSIDE, CA Document:DD 2015.165783 Page:3 of 3 Printed on:9/7/2016 7:50 AM 6 March 18, 2016 Mr. and Mrs. Robert and Carol Summers RE: Lot 44B at 81600 Shackleton Construction Document Submittal #1 Dear Mr. and Mrs. Summers: RECEIVED MAY 0 4 2016 R N -N-05 V I � � This correspondence shall serve as notification from The Madison Club Design Review Committee (DRC) that your construction document submittal was reviewed at the March 10, 2016 meeting. The project was approved and construction may commence subject to the following comments being addressed prior to the start of framing. 1. The request to add a path from the lot directly to the Golf Club requires written permission from the Club. 2. Courtesy comment: The gas meter is proposed between the side Garage door and a yard wall in a 2' x 2' space which does not appear to be adequate. It is the understanding of the committee that a 5' clearance is required by the City on the side yard for emergency access. Any changes necessary during construction to properly accommodate the service areas must be submitted for review prior to implementation in the field. As a suggestion, the wall could be extended towards the front of the lot to allow more room for the placement of utilities and meters. 3. There are windows and doors at the Bedroom Suite 4, Laundry Room, Sitting Room/Bedroom 2, Garage side door, Electric Room/second floor and the Casita Suites 1 and 2 which do not conform to the required recessing as noted in the guidelines. Please correct the plans and details. 4. Courtesy comment: The wood awning in the courtyard may not weather well in the extreme summer temperatures. The committee suggests the use of metal which will require less maintenance (Detail 2/AD.1). 5. Please provide a detail showing a more dense mesh for the chimney caps so the flue cap is properly screened (Detail 15/AD1.0). 6. The kitchen exhaust on the side yard must be properly screened. The use of a cap that matches the chimney cap design may be an acceptable alternative. 7. Courtesy comment: Many of the plans and trees are planted too closely together (Roses are 24" on center, Cypress are planted close and under tree canopies, etc.). 8. There are only six of the required ten canopy trees indicated on the planting plan. Please modify the plans as necessary. 9. The golf course planting must be detailed on the plan for review of the transitional planting within the lot boundaries. 10. Rhapiolepis will grow to a height taller than 3' and therefore cannot be utilized in the rear yard view corridors without written permission from the adjacent neighbors. Please provide an alternative plant for this area. 11. Courtesy comment: The committee suggests removing the small turf area to the West of the driveway which seems out of character with the planting layout. 12. Courtesy comment: The area drains are indicated on the grading plan in conflict with some of the tree locations shown on the planting plan. Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any questions regarding this review or to schedule a Pre -Construction Meeting at the lot prior to the start of construction or preparation of the lot. Sincerely, MADISON CLUB DESIGN REVIEW COMMITTEE I0 Title: cc: South Coast Architects Eric Puls DBC DRC File Date: Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. ]f you wish to pursue an appeal, please contact the Association's property manager so that you maybe put on the next meeting agenda. 5EE , 2ini1b 00b2- 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 Job Site Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mali Address 9/9/2016 81600 Shackleton Way Robert Summers P.O. Box 356 La Quinta, CA. 92247 c/o 760- Manager's Name Peter L. Jacobs Project Manager's Phone Number 760-880-1741 Project Managers E-mail Address neterllmearthiink.net Builder / Contra Number, Street or PO City, State, Postal C Project Square Peter I. Jacobs P.O. Box 356 La Quinta, CA. 92247 5,968 square feet City Approval By L3�[C 1fv Date of City Approval 0 7 109 1-- Z w✓ --4 .4 r' 0 0 rials To Be Discarded: Product Tons Trash 24.75 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 6.50 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled Recyclable Tile (floor) 0.50 Recyclable ConcreteRecyclable Tile (roof) 0.75 Recyclable DrywallRecyclable 48acyclable Wood 8.50 Recyclable Donated / Reuse" Landscape Debris 0.00 Recyclable "Describe Items Totals: Recycle Trash 42.51 24.8 Projected Diversion: 63.20% 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 jobstte 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 provislons 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 recyceer or transfer station. Owner / Developer / Project Manager / Superintendent OPYOUNG ENGINEERING To: City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Attn: Ramses Sevilla Letter of Transmittal Today's Date: 5-19-16 City Due Date: 5-19-16 Project Address: 81600 Shackleton Way Plan Check #: BRFS2016-OO62 Submittal: 0 1st ❑ 4th 2nd ❑ 5th ❑ 3rd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) Includes: Descriptions: Includes: # Of Copies: ❑ Structural Plans ® 1 ❑ Structural Calculations ® 1 ❑ Truss Calcs ❑ ® 2 Soils Report Update ❑ ® 1 Structural P/C Responses ❑ / Responses ® 1 Redlined Structural Plans ❑ ® 1 Redlined Structural Calcs ❑ ❑ Redlined Truss Calcs ❑ ❑ Redlined Soils Reports ❑ 1 Comments: Structural content is. Structural Plan Review Time = 2.75 HR This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Office: ® (760) 772-5107 Other: ❑ ❑ Your Pickup Descriptions: Revised Struct. Plans Revised Struct. Calcs Revised Truss Calcs Revised Soils Report Approved Structural Plans Approved Structural Calcs Approved Truss Calcs Approved Soils Report Other: Site Drainage Calcs © Per Your Request ❑ Approval ❑ At the request of: d klIA, 19 2016 0 ollm l Ev=LJ�f+t�iu �. Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 rax (760) 863-0847 6782 Stanton Avenue, Suite C, Buena Park, CA 9062I (714) 523-0932 Fax (714) 523-1369 450 Egan Avenue, Beaumont CA 92223 (951) 945-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 August 30, 2016 Project No. 544-16024 16-08-351 Mr. Robert Summers c/o South Coast Architects, Inc 13 Corporate Plaza, Suite 210 New Port Beach, California 92253 Project: Proposed Custom Residence 81-600 Shackleton Way The Madison Club — Lot 44B La Quinta, California Subject: Foundation and Grading Plan Review Ref: Geotechnical Update prepared by Sladden Engineering dated February 1, 2016; Project No. 544-16024, Report No. 16-02-052 Geotechnical Investigation Report prepared by SIadden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 As requested, we have reviewed the Precise Grading Plans prepared by Feiro Engineering, Inc. along with the Foundation Plans and Details prepared by Right Engineering. The plans reviewed were prepared for the proposed custom residence to be constructed on the subject lot (Lot 44B) located at 81-600 Shaddeton Way within The Madison Club residential development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update as well as the previous geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo or the above referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. And son Principal En in N'NR�CRPNSGC '1OEr'o953ag Letter/clb `�N G7 cA l_ WU�,y� Copies: 4/Mr. Robert Summers CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. - Date: 9/ to /_ Developer: PL+CJ' � a, At �19�,j_L7/IG, Tract No.: 3 V'qL 9/ Tract Name: _tJr�6Z-1/1 Lot No.(s): 7 7� /n_ Address(s): -1 0 44A Phone Number':( The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: 9, CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❑ WALLS. SIGNS. OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: littp://www.la-cluinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed ty staff. Recommended by: Date: 'F / Z / /L Public Works Distribution: ( ) Green Sheet to Building & Safety { ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T:\Checklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM 10 Agreement (< 1 acre/lot or Inf ill Project) Information Project Phase (check one) o' Construction 0 Demolition Total Acres in Active Construction (< 1 acre per Lot) : Contractor: Project Names Project Tract/Lot Numbers: L;,/ ! A 2 Yj!4f Project Street Address:O/i Anticipated Start Date: _t/ / / / Anticipated Completion Date: 41_/ / /__.,_/,? PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non -business hours. Name: Title: Company Name: Mailing Address: ty, State, ZIP Code: Primary Phone #: Fax #: 24 Hour Emergency Phone#: Cell Phone #: V ire L. J 4 11) iv prof. c w) 6 ie If Email Address: I !.loll! s/ y2 2y7 PM10 Certificate #: I GV JWV & - 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 harm s the C't ICounty and its representatives from liability for any actions related to this dust control plan or ity o my initiated abatement activities. Signature of Property 0 f r or Authorized Representative Date City of La Quinta - PM 10 Fugitive Dust Control Plan (< 1 acre per Lot or Inf ill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: • Visible dust emissions >20% opacity • Visible dust emissions that travel > 100 feet from the source (within site) ■ Visible dust emissions that cross any property line EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. WEATHER MONITORING: Wind predictions shall be monitored. ❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. ' FENCING: Provide PM10 fencing at perimeter of ,public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. ❖ EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. ❖ EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. DUMP TRUCKS: Open top dump trucks shall be wet,down, moist and covered with a tarp prior to leaving site. ❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of project. Water Quality Manaaement Plan (WQMP) Exemation Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions - WQMP Required for the Listed Change of Land Uses Lor for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes — No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square � X feet, or more, of impervious area where the pre -development natural slope is 25% or greater? Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? Entitlement or construction of new automotive repair shop(s) including body, upholstery, paint, exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 75391? Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square feet? Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing greater than 5,000 square feet? _ I �' Entitlement or construction of new home subdivision(s) with 10 or more housing units? i Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or more parking spaces, and potentially exposed to Urban Runoff? Applicant Information Name and Title f („ Company _ Phone Email F �` I t% a 11AZ .r �G . L/7 Project Infor ation Project Name Type (SFH, Multi -Family, Commercial, Etc.) Location or Street Address Nearest Cross Streets Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) L f Other Location Information Watershed I Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) LN dL Irt Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordinance or policy? Name of the Entity that will implement, operate, and maintain the Source Control BMPs f( Contact Name Street or Mailing Address I city 14- 21 %1,� / Zip Code -- - Phone 4 Check Item Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control To be Perform Non-Structural BMP (See Appendix H, Section 4.5.2.1) jOngoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees Activity Restrictions — Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain, Closed Trash Lids, Restriction of Vehicle Washing Ongoing Street Sweeping at Private Streets and Private Parking Lots Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit Check Item To be Subdivisions, <5,000 Square Ft. Parking Lots, Etc. Provided Structural BMP (See Appendix H, Section 4.5.2.2) Storm Drain Inlet Stenciling and Sig nage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Racks Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement -to be reviewed on a Project by Project basis) BMP Acknowledgi The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge permit, LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region Board Order No. 137-2008-0001 and'the State Water Resources Control Board's Order No. 99-08-DWQ. ,ment Signature: Print Name: Title: Date:J i Phone: Applicant Certification certify that I have read this form in its entirety and understand the City's submittal and review process and the requirements for this form. I understand and agree that if during the processing of the form, it is determined the information contains errors or omissions, clarification and/or supplemental information may be required and the preparation of such information may be considered, in the Community Development Director's judgment, an unreasonable delay and will result in a suspension of processing time limits in accordance with the California Code of Regulations, Title 14, Section 15109. Signature: Print Name: I W. Title: //r-/ Date: Llkl& Phone: ( —2,1-d) [1%��� Owner Certification certify under the penalty of the laws of the State of California that I am the property owner of the property that is the subject matter of this application and I am authorizing and hereby do consent to the filling of this application and acknowledge that the final approval by the City of La Quinta, if any, may result in restriction, limitations and construction obligations being imposed on this real property. Signature Print Name: Title: Date: Phone: ( )