09-0021 (DSF)Tity/ 4,4 Q
P.O. BOX 1504, " VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/09/09
Application Number:
0900000977 - Owner:
Property Address: 5'13-55—DESERT=CLUB DR DAVID MILLS
APN: 770-152-016- - - 13055 VENTURA BLVD
Application description: DEMO - SINGLE FAMILY STUDIO CITY, CA 9160 D
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 0 ^ �%
Contractor: A
Applicant: Architect or Engineer: GANN DEMOLITION IN R. f 0J
31521 PARK BLVDUJ
NUEVO, CA 92567 c��!-Auft"
(951)928-3138
`5 4-,
Y� Lic. No.: 701091
-
--------------------.----------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice n ass. A -C21 e s o.: 701091 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
G issued.
Date: -{ ontr.ctor: 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
OWNER -BUILDER 1ECLARATION insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0592716
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to he workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forth co ly with those provisions.
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 (5500).: ate: I q Applicant:
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
1-11
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSPYION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of compjetion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code:. The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 construct n, and ereby authorize representatives
of this c nt to enter upon the above-mentioned prop rty for inspec on purp s.
te: 9 gnature (Applicant or Agent):
_4
LQPEn11T
3 -
Application Number
Permit .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date
. . . . 09-00000021
DEMO PERMIT
45.00 Plan Check Fee .
Valuation . . . .
7/08/09
00
0
Qty Unit Charge Per Extension
BASE FEE 45.00
----------------------------------------------------------------------------
Special Notes and Comments
DEMO TO BARE GROUND SINGLE FAMILY
DWELLING. CAP SEWER AT PROPERTY LINE IF
NECESSARY
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 45.00 .00 .00 45.00
Plan Check Total .00 .'00 .00 .00
Grand Total 45.00 .00 .00 45.00
12/12/2008 04:46 7603237743 PAGE 01
SCOTT MORRI.SON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. 3 #507
Riverside, CA 92517 Cathedral City, CA 92234
(909) 624-1665 (760) 323-7743
INVOICE
Client: C.R. Gann Demolition, Inc.
31521 Park Blvd.
Nuevo, CA 92567
Project: 51355 Desert Club Drive
LaQuinta, CA
Inspection date: November 29, 2008
Date: December 04, 2008
Project/ P.O#
Filename- PLM1129#1212
asbestos inspection/ bulk sampling: (single-family home) fee total = $180.00
12 total bulk samples for analysis (PLM) @ $20.00 each = $240.00
# hours of travel time @ $ per hour = included
Total amount due $420.00
- $ 95.00*
Amount now owed = $325.00
*overpayment of PLM0814#10" Invoice
Please send payment to: P.O. Box 55329
Riverside, CA 92517
Thank you.
HP LaserJet 3050
Fax CallIR4port
C R GANN DEMOLITION
9519283474
Dec -12-2008 4:50PM
Job Date Time Type Identification Duration Pages Result
1889 12/12/2008 4:50:OOPM Receive 7603237743 0:33 1 OK
12/12/2008 04:46 7603237703 PAGE 01
SCOTT MORRISON & ASSOCIATES
P.O. Boit 55229 11855 Date Palm Drive, Ste. 2 0507
Riverside, CA 92517 Cathedral City, CA 92224
(909)624-1665 - (760)327.7742
IClle11-1=
Date: December 04, 2008
Client: C.R. Genn Demolition, Inc. Project/ P.O#
31521 Park Blvd.
Nuevo, CA 92587
PrOject: 51355 Desert Club Drive Filename: PLM1129A1212
LeOuinta, CA
Inspection date: November 29, 2008
asbestos inspection/ bulk sampling: (single-family home) fee total 0 $180.00
12 total bulk samples for analysis (PLM) @ $20.00 each = $240.00
# hours of travel time @ $ per hour - included
Totel amount due -S420.00
S 95.00•
Amount now owed -$325.00
'Overyeym6n1 Of PL4I08140110" Invoice
Please send payment to: P.O. Bo: 55329
Riverside, CA 92517
Thank you.
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES C:190074-5641
AQMD USE ONLY SCREEN BY RECEIVED POSTMARK ENTERED BY NOTIFICATION #
COMPLETED BY Linda S. Broyles COMPANY C.R Gann Demolition, Inc PHONE (951) 928-31;::1
DATE 1/8/2009 CHECK # 343 FEE $ 52.06 PROJECT # 200E 23R2
NOTIFICATION TYPE ORIGINAL REVISION DATES CANCELLATION
PROJECT TYPEEMOLITIONX .? ORDERED DEMOLITION RENOVATION (removal) EMERGENCY REP, {)VAL PLANNED RENO (annual)
SITE INFORMATION SITE NAME SINGLE FAMILY DWELLING
SITE ADDRESS 51-355 DESERT CLUB DR CROSS STRI :ET AVENIDA LA FONDA
CITY LA QUINTA STATE CA ZIP 92553 COUNTY RIVI: RSIDE
DESCRIBE WORK AND LOCATION Entire Demolition
BUILDING SIZE (SQ FT) 4,000 SQ FT NUMBER OF FLOORS 1 BUILDING AGE (YEARS) 5+ I, UMBER OF DWELLING UNITS 1
BLDG PRIOR I PRESENT USE
COMMERCIAL HOSPITAL INDUSTRIAL Other OFFICE PUBLIC BLDG. HOUSI :x SCHOOL SHIP UNN/COLLEGE
SITE OWNER DAVID MILLS ADDRESS 13055 VENTURA BLVD
CITY STUDIO CITY STATE CA ZIP 91604 CONTACT DAVID MILLS PHONE (818) 439-5659
REQUIRED BUILDING
INFORMATION
ASBESTOS YES
PRESENT? Ox
ASBESTOS C YES
SURVEY? NO
ASBESTOSYESX
REMOVED?
BUILDING TO BE YESx
DEMOLISHED?
PROJECT DATES
START 1-9-09 END 1-15-09 "ORK SHIF (day, wing, night)
*ASBESTOS AMOUNT TO BE
REMOVED (in square feet)
FRIABLE
CLASS I
CLASS II
TOTAL AMOUNT (add row)
*ASBESTOS REMOVAL FROM
SURFACES PIPES COMPONENTS
*AMOUNT OF EACH TYPE OF
ASBESTOS (in square feet)
ACOUSTIC CEILING
LINOLEUM
INSULATION
FIRE PROOFING
DUCTI VG
STUCCO
MASTIC
FLOOR TILES (VAT)
DRY WALL
PLASTER
TRANSITE
ROOFING
OTHER (describe)
CONTRACTOR INFORMATION
CSLB LICENSE # 701091 OSHA REG # 647 AI lMD ID # 97539
NAME C.R Gann Demolition, Inc ADDRESS 31521 Park Blvd
CITY Nuevo STATE Ca ZIP 92567 SITE SUPVR Tony Broyles PHONE (951) 906-8334
WASTE TRANSPORTER #1
LANDFILL RIVERSIDE COUNTY LANDFII .L
ADDRESS
ADDRESS DATE PALM DRIVE
CITY DESERT HOT SPRINGS c')TATE CA ZIP
CITY
STATE
ZIP
* Not required for demolition notifications 1 asbestos surveys- are required prioi to Demolition and Renovation.
Forms, instructions, and the Rule 1403 can be obtained from AQMD web site http://www.agmd.gov Page 1 of 2
ti
SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, FILE 11155641, LOS ANGELES CA 90:74-5641
WASTE TRANSPORTER #2
* WASTE STORAGE SITE
ADDRESS 1
ADDRESS
CITY STATE ZIP
CII
Y STAI E ZIP
RENOVATION AND DEMOLITION SI I'E. Procedure # 1, 2, 3, 4, 5 or Other.
*CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE
For asbestos removals circle the combination of Rule 1403 procedures used. Procedure
I
4 and 5 submit plans for AQMD prior a: proval (See procedure 4/5 guidelines)
ASBESTOS DETECTION PROCEDURE: Circle the procedures and analytical methods
used to determine the presence of as: estos in the building. Survey, Bulk
Sampling, Inspection, PLM, PCM, TEM, Assumed as Asbestos-PACM, Describe Other (See
survey guidelines checklist):
I
FOR DEMOLITIONS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS
REMOVAL: UNDER 100 SQ FEET
FOR ORDERED DEMOLITION SEND A COPY OF THE ORDER AND GIVE THE AGENCY
I
NAME & PHONE #
AUTHORIZING PERSON: TITLE
DATE OF ORDER: DATE
ORDERED TO BEGIN:
FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARING/AUTHORIZING'rHE EMERGENCY, DATE AND HOUR OF
EMERGENCY AND DESCRIBE THE SUDDEN, UNEXPECTED EVENT (Disturbed /damaged as requires a procedure 5 plan approi, rt prior to clean-up):
EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS, EQUIPMENT DAMAGE 0R UNREASONABLE FINANCIAL BURDEN:
I
CONTINGENCY PLAN: DESCRIBE ACTIONS TO BE FOLLOWED IF UNEXPECTED ASBESTOS FOUND DURING DEMOLITION
IS OR /. :;BESTOS MATERIAL BECOME
DISTURBED, CRUMBLED, PULVERIZED, OR REDUCED TO POWDER. (Disturbed /damaged asbestos requires a procedure 5 plan app • wal prior to clean-up):
* TRAINING CERTIFICATION: I certify that an individual trained in the provisions of regulation AQMD Rule 1403 and NESHAP i sill be on site during the removal and
evidence that the required training has been accomplished by this pe will be available for inspection during normal businesE hours.
C.R Gann Demolition, Inc Linda S. Broyles na a ,res' nl Date 11812009
INFORMATION CERTIFICATION: I certify that the abo formati correct and I hiv enclosed y required attachments.
C.R Gann Demolition, Inc Linda S. Broyles g sident Date 1/8/2009
of I s than 100 square feet are E!;empt from notification and fees.
Notifications can not be accepted without the required(Rule 301). Asbestos remSndv
Please make checks payable to 'SCAQMD". Fees are per notification, not refundable, according to the project size. F.ees are as follows:
PROJECT SIZE in square feet DEMOLITION OR REMOVAL
I
ADD-1—TE—JAL SERVICE CHARGES
1,000 or less --------- $ 52.06 ------------
Special handling Fee --- $ 52.06
1,001 to 5,000 ------- $ 159.15 --------------
Revision o Notification- - $ 52.06
5,001 to 10,000 -------- $ 372.51 ------------
Returnec. Check Fee -- - $ 25.00
10,001 to 50,000-------- $ 584.11 ------ ------
Planned I tenovation -- - $ 584.11
50,001 to 100,000 ---- $ 846.52 ----------------
Proceduo , 4 or 5 Plan---$ 584.11
100,001 or more ------ $1410.86 — --- -------
ATTENTION: Keep a copy of your notification. State law requires that you provide a copy of the demolition notification to E; iilding and Safety before issuance of a
demolition permit. For questions call 909-396-2336. Please mail the form and fee to AQMD. Mailing saves time, money and rE, luces traffic and air pollution
MAIL FORM AND FEE TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641 Pg 2 of 2
FORMS, INSTRUCTIONS, AND THE RULE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT http://www.agmd, :Lv_
SCAQMD is located at 21865 Copley Drive, Diamond Bar, CA 91765-4182 PHONE: (909) 396.2336 FAX: (909) 391;-3342 REV20070606
Bin #
City of La Quinta
Building 81 Safety. Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #`
�
0�
Project Address:�j -- 3 �j 5 D'��SEI�"' GSL -IAB P Owner's Name: G I p F („� C� •.� 1
A. P. Number: Address: 8 r r5 <�:,A j—Lz— 'l—%4r I'� (?
Legal Description: S I SW I ity, ST, Zip: L_A Qy t Pj rA C -A c=1 -2Z-S
Contractor: G -=cz�C.. Tele hone: -5
Address: ?J 1 S Z I 490&0" • :F>A� p.V S Project Description:
City, ST, zip: N U S—=V O—� 2's(p"1 p 1.-15 tt S V cTU
Telephone: 9 S 1 -3139
- G q. S�aN EYE @.r
State Lie. # :
City Lie. #:
Arch., Engr., Designer: T:�V t o " I %-A-- S
Address: l 3055 V E -I- ry JZ►- 19"0
City, ST, Zip: S IV A t 0
Telephone: ('0115) -' 39 J5(0 Construction Type: Occupancy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: DA \1 ID (r"'"1 I L`S Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: $ Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd-
Recd-
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3,d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
MEMORANDUM
TO: Building and Safety Department
FROM: Andrew J. Mogensen, Associate Planner*
DATE: 11/27/2006
RE: 51-355 Desert Club Drive Partial Demolition
1. Demolition plans are approved as submitted.
2. By demolishing the garage, the applicant shall be made aware that a
residential use of the building will be non -conforming. In order to
return the property to conformance with residential standards, the
garage shall be replaced.
3. This permit is approved with the understanding that a Village Use
Permit application for commercial use of the subject property is
pending.
If you have any questions, please contact us at (760) 777-7125.
P:\Andy's\Plan Check\Demo Desert Club Fountain Shop.doc
C: PW, The WUU, PM, File
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
i
From: Doug Evans, Director -CDD
4 .fwQ�rw
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: November 21, 2006
Due Date: November 27, 2006
Status: . 1 St 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:
Address or General Location:
Applicant Contact:
Demolition of Part of a Residence
51-355 Desert Club Drive
Skip Lench (
The Community Development Department finds that:
❑ ...these. Building Plans do not require Community Development
/Department approval.
2-- ..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.
Evans, Director -CDD
//- Z'7 -.o6
Date