04-7076 (DEMO)Tdf- 4 4 auhqL
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
z Number . . .0 4 - 0 Q0_0_7_0_7_6
Property Address . . . . . . 51350 --DESERT_ CLUB DR
APN: 770-155=010-10 -000000-
Application description . . . DEMO - COMML/OTHER
Property Zoning . . . . . . . VILLAGE COMMERCIAL
Application valuation . . . . 0
Owner Contractor
Date 11/05/04
JOHN R DIXON 1, OWNER
51350 DESERT CLUB DRIVE
LA QUINTA CA 92253
(760) 564-7400
-------------------------------------'----------------------=----------------
Permit . . . DEMO PERMIT
Additional desc
Permit Fee 45.00 Plan Check Fee _ .00
Issue Date - Valuation . . . . 0
Qty' Unit Charge Per „ _ Extension
BASE FEE 45.00
------------------------=-----=---------------=-----------------------------
Special Notes and Comments
DEMO TO BARE GROUND OF EXISTING GARAGE
IN PREPARATION OF NEW ADDITION.
Fee summary Charged Paid Credited Due
-------------------------------------------------------- :
Fee Total 45.00 .00. .00 45.00
Plan Check Total .00 .00 .00 .00
Grand Total 45•.00 .00 .00. 45.00
P.O. Box 1504�� VOICE (760) 777-7012
Twyl
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: G 7 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engj eer's Address:
A 1/44-
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 Professionals
Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. ,,&.kP.C,,for thi VeMn
Date—/ '
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury o 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:
Cartier Policy Number
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those p visio
Date 2! —�' Applicant
WARNING: FAILURE TO SECURE WOR E 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THO AND 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.
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
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state 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 couoned property for inspection purposes.
Date CZE 7 _ Signature (Applicant or Agent): to enter p e bove-menti
EXISTING SITE PLAN
SCALE: 1! 16r=1' -0r
DESERT CLUB DRIVE
9
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J
5
4
3
2
C oPy
F LA QLy'l4,y..1
& SAFE
3 R®VE h. �
i"i: ,
i
DATE !Z- i of BY
6 I
Z -o•
S MOH STUCCO
ERED BLOCK WALL
IS t2' -Or
City of La Quinta 11-01-04
Re: 51350 Desert Club Dr.
La Quinta, Ca 92253
Dear Building Dept. Personnel,
I hereby authorize the demolition of the existing garage structure at the
above noted address. ' I am the property owner of public record since
11-17-03.
Sincerely
10 RIVERSIDE COUNTY SECURED PROPERTY TAX BILL
For Fiscal Year July 1, 2004 through June 30, 2005
Offices in Riverside, Palm Springs and Temecula
Website: www.countytreasurerorg E-mail addressAtc@co.riverside.ca.us
Property LOT' -10 _BLK'6_MB=019/07.5'..DESERT—CLUB_TR _UNIT, 1
Data
Addresst51350 DESERT__CLUB DR tA:-QUINTA-92253.
Owner, JANUARY -1, 2004—,DIXON,_JOHNIR-&`JANNA C
DIXON, -- JOHN -R, & .JANNA }C _
3 0-1 . DURANGO ,
PALM DESERT; CA,92260-2110 `
Tax bill requested by — — Loan Identification — Multiple Bills — --
UHARGhS LEVILIJ KY-IAXI]Ngi Ab_L_ NUIL'a (bee item_arv_ on reverse)
425,000
AMUUN 1 _
1% TAX LIMIT PER PROP 13
TAXES
$4, 830.32
Special Assessments
4250.00
UNIFIED SCHOOL DEBT SV
Add 10% penalty plus.�ygS
$5,015.40
407.19
COMMUNITY COLLEGE DEBT SV
See Item #1 on reverse
if over $25,000
84.74
COACHELLA VAL WATER DEBT SERV
(760)
398-2651
88.40
CSA 152—LA QUINTA STORMWATER
(951)
955-1100@
9.98
CITY OF LA QUINTA LDS & LTG
(760)
777-7000@
35.60
CITY OF LA QUINTA WASTE DISP
(760)
340-2113@
129.60
COACHELLA VALLEY REC &PK AD93-1
(760)
347-3484@
9.90
PLEASE KEEP TOP PORTION FOR YOUR RECORDS
(NO.RECEIPTS WILL BE ISSUED - YOUR CANCELLED CHECK IS YOUR RECEIPT).__..,
Pay this bill at: WWW.COuntytreasarer ors 092404
SEND THIS STUB WITH YOUR 2nd INSTALLMENT PAYMENT ASSESSMENT NUMBER
RIVERSIDE COUNTY 770155010-6
2004-2005 SECURED PROPERTY TAX BILL Bi11 Number
PARTIAL PAYMENTS WILL BE RETURNED —- 000456070
PAUL McDONNELL, TREASURER12925
4080 Lemon St (1st Floor) Riverside, California
(P.O. Box 12005, Riverside, CA 92502-2205)
Telephone: (951) 955-3900
or, from area codes 951 and 760 only
toll free: 1(877) RIVCOTX (748-2689)
Bill Number ASSESSMENT NUMBER
000456070 770155010-6
Tax Rate Area Parcel Number
020-016 770155010-6
0 09/21/2004
IMPORTANT INFORMATION
ON REVERSE SIDE
UNPAID PRIOR -YEAR TAXES
(See Item #6 on reverse)
.:...12 7 5.0 0
STRUCTURES ; 297,500
TRADE RDCTURES; r s
TREES '& VINES
CITRUS PEST VALUE .
BUSINESS'PERSONA.L
FULLvALUB 425, 000
EXEMPTIONS
NET vALUE'
425,000
TAX RATE PER $100 VALUE
1.13655
TAXES
$4, 830.32
Special Assessments
$18 5 . 08
8t Fixed Charges
Add 10% penalty plus.�ygS
$5,015.40
TOTAL AMOUNT _
See Itetu •#1 o >t ve a _a>)Inplunt dlglg -J s: pier; _ PRO 1
See Item #1 on reverse
if over $25,000
$2,507.70
$2,507.70
Add 10%
penalty after
12/10/2004
$2,507.70
Add 10%
penalty plus cost
after 04/10/2005
$2,507.70
PPAY
DUE FEBRUARY 1, 2005
BY APRIL 10 2005 $2,5 07.70
BF PAID AFTER �a:`" ,. " ' y t. •. fil`
APRIL 10 2IX15
?t
(A
i ..w ro+, +Y4 .r.€N�j'fF3 ''"�.•"f
w.
Yet t..Ow, 75
Add 10% penalty plus.�ygS
2nd INSTALC14tRdTAMvumr
�W"
See Itetu •#1 o >t ve a _a>)Inplunt dlglg -J s: pier; _ PRO 1
111 IN 1111 1111 I"I 11111111 I' 11111
PLEASE DO NOT WRITE ON STUB ND
2INSTALLMENT
CANNOT BE PAID UNLESS
FIRST INSTALLMENT IS PAID
00000250770 022004 000456070 01
0220047701550106000002507700410200500000277845242'
T4hf 4 4Quha
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To Customer: /f /.- o4
Permit #:
Public Works .
Fugitive Dust Control (PM -10) Plan Approval
Instructions to Applicant:
Public Works Department approval of a fugitive dust control plan is required prior to Building
Permit issuance for the following project. Please:
1. Fill out the attached forms, then;
2.' Submit this entire packet to the Public Works Department for review.
If you need help completing the forms, contact the Public Works Department at 760-777-7075.
The Public Works Department will review and, when approvable, forward the approved plan to
the Building & Safety Department, approving the issuance of Building Permit(s). If the Public
Works Department has questions or concerns, an attempt will be made to contact the person
whose name and telephone number appear below.
Project to be permitted: DE=/tl0 T ���-�/1.�UN� c�� ��� ST` ^'� CF_AU
Project Street Address: 3 b `� �c s C:[Vb
Applicant Contact & Telephone Number. T)'_� • _�o
Public Works Department Findings
To: Greg Butler, Building & Safety Manager
From John Freeland, Senior Engineer
The Public Works Department has reviewed the attached Fugitive Dust Control Plan for the
above-mentioned project and finds that:
❑ ...issuance of this Building Permit does not require Public Works Department approval.
t),( ..issuance of thi Permit is approved by the Public Works Department.
t*0ZU'r/0AG
0/1 oV
Date
o� o
U �
`SOF T4�
Site Specific
Construction Phase PM 10 Plan
The signature of the property owner (or authorized representative):
■ Shall act as his/her acknowledgement of dust control requirements and their
enforceability, pursuant to AQMD Rules 403 and 403.1;
■ Shall constitute an agreement to comply with all project conditions as identified
in the approved dust control plan;
The property owner (or authorized representative):
■ Acknowledges that dust control is required 24 hours a day, 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 representative of the City/County to enter upon. the above
mentioned property for inspection and/or abatement purposes; and
■ Shall hold harmless the City/County and it's representatives from liability for any
actions related to this dust control plan or any City/County-initiated abatement
activities.
Please fill out this section:
Property Owner or Authorized Representative
Title:
Company: LA U L) t^-ruek t ►2o .7Z AJ L I I -TI O
Signature:
Printed Name: �jc��l.`1 e— r lco
Date: I-/— — O
Project Contact Information for (check one)
o Owner
o Owner's Authorized Representative
o Environmental Observer
o General Contractor
o Sub-Contractor(s) involved in earth movement and/or soil stabilization
Instructions: Please enter information below,
Name:
Title: (If Applicable)
Company Name: (If Applicable)
Mailing Address:
City:
State:
Zip Code:
Primary Phone:
Fax:
24 Hour Access/Emergency Phone:
Cell Phone:
Email Address:
Responsible for dust control during construction activities? (circle one)
Yes No
Responsible for dust control during off hours? (circle one)
Yes No
5 .
*Where property owner is NOT the lead contact for the project, his/her
authorized representative is responsible for ALL dust control actions.
Remember... DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK,
REGARDLESS OF CONSTRUCTION STATUS.
Project Name:_
Contractor Name:
YE
DUST CONTROL ACTIONS
Instructions: Please complete this form for each phase of the construction project.
Identify the Phase by number (e.g., Phase 2 of 5) in the spaces provided below.
Phase of
Instructions to Applicant: Please enter information below as requested.
QF TSF 2 ii%i o/
o Clearing / Grubbing
Project Phase (check):
o Mass Grading
o Finish Grading
4
o Construction Phase
Other (specify):
POINOLI 710[✓ e94C ' "i ('
WI [v
Anticipated Start Date:
QF TSF 2 ii%i o/
'Anticipated Completion Date:
Number of Acres under active
construction:
4
�iF
WArat ose E NaAo.9?A# n 6e Alewo Ar ALS 7th?EJ PvlU-4
t7k mo v�at?i4T���S
Oft -Al 7 -OP VVit4te 70-VeeS TO 41�6 k/f,T DOVAf i? iteEP PRtW- To
• T9me- Tv hk Ag.srizicroo FRoin (PEs"T Cave) pketfE
100 _ 1f T/ ek ova DOES wl&t//L, rlZ 05 T
V�N 9 POWA! MM&914761-Yy
PLAN REVIEW CHECKLIST
CONSTRUCTION PHASE
FOR APPLICANT INFORMATION ONLY!
• PLEASE REVIEW...
❖ Water applied continuously to all disturbed portions of the site by means of
water truck/water pull is necessary to maintain sufficient visible moisture on
the soil surface. For reference, one 2,000 -gallon water truck can treat
approximately 4 acres of active construction per hour. Touch and visual
contrast are reasonably good indicators of soil moisture. Surface areas that
are dry to the touch and appear lighter -colored require the application of
additional water to prevent visible or fugitive dust. Require the applicant to
specify the number of watering vehicles available for dust control during the
construction phase and during off -hours as well as availability of back-up
water trucks if the site experiences dust control problems.
❖ Wind fencing is necessary between the sites and nearby residences or
businesses. Off-site upwind fencing and on-site wind fencing for larger
projects can also keep blow sand from being deposited onto the site or
traveling through the site. Block walls, if part of the final project, can replace
wind fencing during the construction phase.
❖ Chemical dust suppressants are to be applied at a concentration of at least
20 to 1 to finish graded areas once final elevations have been reached. For
areas that will remain inactive for longer periods, vegetation can be a cost
effective alternative to chemical stabilization. Wind fencing or other
obstructions can keep the stabilized area free from future disturbances.
❖ Construction site accesses are to be improved with 1.5" gravel, maintained
to a depth of 4", with a width of at least 20' extending 100' into the project
site. Paving internal roadways can substitute for gravel.
❖ Internal roadway networks are to be paved as early as is feasible in the
construction phase. Street sweeping of the internal and/or the external
access roads will likely be required to control entrained road dust.
Employee parking areas are to be treated with chemical dust suppressants,
at a mix ration of no less than 4 to 1 and re -treated on a monthly basis or
more frequently if fugitive dust is observed. If internal roadway is complete,
employees are to be instructed to park on paved roads.
❖ Other:(please specify)
fi r
Distance and location of nearest:
Section 1 Simplified Sample Site Plan Residence
Business N
Existing Residential
Existing;
Residential
(S.
Wind.Fencing
slat Bence) .
Equipment Staging
Area
(Is" gravel rrlaintalned to
`depth of 47)
Total Site Acreage.
Maximum graded area per day
Water
/ Tower
K
Water
Source
W/m)
Parking,Area Existing.
(monthly application Residential
of chemicai'stabilizer
at 4 to 1 concentration
or greater to control
dust)
Site.
1.5"Gravel Access.
(maintained to 4"
extending 100' Into site)
Prevailing Wind
Vacant Land �)
Remember...
DUST CONTROL IS REQUIRED 24 HOURS A DAY, 7 DAYS A WEEK,
REGARDLESS OF CONSTRUCTION STATUS
Page 2 of 21
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Oscar Orci, Planning Manager
��wQ�rw
A*
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
To CDD: 11-5-2004
Due date: 11-10-2004
Status: I" Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Demo of Existiniz Garage in preparation for new addition.
Address or general location: 51350 Desert Club Drive
Applicant Contact: John R. Dixon
The Community Development Department finds that:
...these Building Plans do not require Community Development Department
approval.
❑ ...these Building Plans are approved by the Community Development
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the attached
corrections to the applicant. When the corrections are made please return them to
the Community Development Department for review.
Oscar Orci, Planning Manager
ll/,/J��J
Date
Fr, 4". L,
L,L,05-1�
2502 Morongo Trail
Palm Springs,, CA 92264
(760) 327-8859
.0 No. 012814
SOLD TO
SALESMAN
SHIPPED TO
DATE
STREET
STREET
C1,'STAT
ZIP
CITY STATE ZIP
CUSTOMER ORDER
SALESMAN
DATE
1.
PAYMENT DUE UPON RECEIPT