07-3250 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
T__C7-00003.250
53034 VIA DONA
772-410-999-13 -298944-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL'
484018
Architect or Engineer:
PIP
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: B License No.: 671203
Date:ntractor:. - -
OWNER -BUILDER DECLARATION .
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).:
(_) 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.).
1 _) 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/31/08
Owner:
GARY & DIANE LOHMAN
Contractor:
PIERCE CORPORATIOtRjANU^���P.O. BOX 3420PALM DESERT, CA 9
(760)346-3228 FIMA LA6lliIN
tic. No.: 671203 EL,8pr
------------------
WORKER'S COMPENSATION DECLARATION
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 Cbde, 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 DELOS INS CO Policy Number 01DKRM12003819
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 provisions.
plicant:
WARNING: FAILURE TO'SECURE WORKERS' COMPENSATION 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 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 Ouinta, 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 thi/s county to enter up a above-mentioned property for,inspection purposes.
pd{e: ignature (Applicant or Agent): -
LQPERMIT
Application Number .
. . . 07-00003250
----_-- *Structure Information
5,446SF DWELLING/V-NR/RES-3/CLASS
A -FR -----
Other struct info . .
. . . CODE EDITION 2001/2004/2005
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
840.00
PATIO SQ FTG
2069.00
----------------------------------------------------------------------------
NUMBER OF UNITS
•1.00
Permit
BUILDING PERMIT ,
Additional desc .
Permit Fee . . . .
1987.00 Plan Check Fee
1291.55
Issue Date
Valuation
484018
Expiration Date
.6/28/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
385.00 3.5000
THOU BLDG 100,001-500,000
1347.50
Permit . . . . MECHANICAL
Additional desc .
Permit Fee
162.50 Plan Check Fee
40.63
Issue Date . . .
Valuation . .
0
Expiration Date ".
.6/28/09.
Qty Unit Charge
Per,
Extension
BASE FEE,
15.00
2.00' 9.0000
EA MECH FURNACE <=100K
18.00
2.00 11.0000
EA MECH FURNACE >100K
22.00
1.00 4.51000
EA MECH VENT•INST/ DUCT ALT
4.50
2.00 9.0000
EA 'MECH B/C-<=3HP/100K BTU
18.00
2.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
33.00
7.00 6.5000
EA MECH VENT FAN
45.50
1.00 •6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . .
220.61 Plan Check Fee
55.15
Issue Date
Valuation
0
Expiration Date
6/28/09
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
5446.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
190.61
1.00 15.0000
EA ELEC TEMPORARY POWER POLE
15.00
LQPERMIT
LQPERMIT
Application Number . . . 07-00003250
Permit . . . PLUMBING
Additional desc
Permit Fee 252.75 Plan Check Fee ..
63.19
Issue Date Valuation . . .
. 0
Expiration Date 6/28/09
Qty- Unit Charge Per
Extension
BASE FEE,
15.00
25:00 6.0000 EA PLB FIXTURE
150.00
1.00 15.-0000 -EA PLB BUILDING SEWER
15.00
5.00 6.0000 EA PLB ROOF DRAIN
30.00
1.00 7.5000 EA' PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA. PLB WATER INST/ALT/REP
3.00
1.00 9.0,000 EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500 EA PLB GAS PIPE >=5
8.25
1.00 15.0000 EA PLB GAS METER
15.00
Permit .. GRADING PERMIT
Additional desc
Permit Fee. . . 15.00 Plan .Check Fee
.00
Issue Date . . . . Valuation . . .
. 0'
Expiration Date - 6/28/09
Qty Unit Charge ..Per
Extension
BASE FEE-
15.00
---------------------------------------------------
-------------------------
Special Notes and Comments
--------
5,.446SF DWELLING/V-NR/RES-3/CLASS A -FR
THIS PERMIT DOES NOT INCLUDE BLOCKWALLS,
POOL, SPA, WATER -FEATURES OR DRIVEWAY
APPROACH. (2) DETACHED CASITAS.APPROVED
PER HIDEAWAY SPECIFIC DEVELOPMENT PLAN.
2001 CALIFORNIA BUILDING, MECHANICAL,' -
PLUMBING, 2004 ELECTRICAL, 2005.ENERGY
CODES
APPROVED BY AO FOR JIM JOHNSON.
December 30, 2008 4:13:10 PM AORTEGA
Other Fees . . . ART IN PUBLIC PLACES -RES.
,710.04.
DIF COMMUNITY CENTERS -RES
74-00
DIF CIVIC'CENTER - RES
995.00
--ENERGY- •REVIEW --FEE
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
355.00
LQPERMIT
Application Number
. . . . .
07-00003250
------=----------------------------------------------------------------------
' Other Fees . . .
. . . . . .
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES-
892.00
STRONG MOTION (SMI) - RES
48.40
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
2637.86
.00 00
2637.86
Plan Check Total
1450.52
7.50.00 .00
700.52 ,
Other Fee Total
5377.60
.00 .00
5377.60
Grand Total
9465.98
750.00 .00
8715.98
i
.
LQPERMIT -
T74
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 51® o V iA, LA QUINTA, CALIFORNIA 92253
,i r' i' i' /.c 'I'
CityZip Tel.
State Lica City
& Classif.AA fiLf Lic. #44 L
Designer ��� �g j
W_M1?=M1% M110 -11t
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 Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
07-- 32SZ7
APPLICATION ONLY
BUILDING: TYPE CONST. tz- * OCC. GRP.
A.P. Number III - W- ®`' - �z
Legal Description
Project Description
Sq. Ft. No.
Size Sto
No. Dw.
New l< Add ❑ Alter ❑ Repair ❑ Demolition ❑
' Estimated Valuation 2. ox. ®. D®
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Eno,
Infrastructure
TOTAL
REMARKS
�} AMOUNT
i
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: Date Permit
Validated by:
Validation:
YELLOW = APPLICANT PINK = FINANCE
( I
APPLICATION#
ADD
- .ESS EY
t VALUATION. SQ . F7.
UNIT COUNTS
lst FLOOR p
TOILETS
2�d FLOOR
BIDET .
COVERED PATIO �
SFi'OWERS
GARAGE.
I
BATHTUBS. .
TYPE CONST
SINKS
OCCUPANCY°
BAR SINK
A/ C'
- -.
FIRE SPRINKLER.ilD
0V
#. OF BEDROOMFq TRANGE
{ FLOOD ZONE ..
COOKTC
# OF Ii3IT5 �;
DR.TNi INC. FOUN
' CODE EDITIONola 64 1 t66
WASHER
ROOF TYPE .
-.DRYER
WATER HEATER
MECHALVXCAL
ROOFDRAINS
--
FLOOR. DRAINS (-
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Design Mind Studio
75-175 Merle Drive, Suite 200
Palm Desert, CA 92211
(760) 773-4488
PLAN CHECK NO. 07-3250
ADDRESS 53-034 Via Dona
SCOPE OF WORK NSFR
December 10, 2008
THIRD/FINAL CHECK (Structural)
OCCUPANCY R -3/U-1
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and
regulations adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO
OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS,
AGENCIES, AND ASSOCIATIONS.
Plans checked by:
Quynh Nguyen" V
VCA CODE GROUP
2200 Orangewood Avenue, Suite 155
Orange, CA 92868
(714) 363-4700
1
VCA File No. LQ -20653.3A
'Coachella Valley Unified School District
83-733 Avenue 559 Thermab CA 2 4274
(760) 398-5909 — Fax (760)
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
LEVEL ONE AMOUNT:
DATE:
LEVEL TWO AMOUNT:
RECEIPT:
AMOUNT
MITIGATION AMOUNT: COMM/IND. AMOUNT:
CHECK it: I INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620) Date: December 30, 2008
Project Name Gary &Diane. Lohman phone No.
Owner's Name: Gary &Diane Lohman
Project Address: 53-034 Via Dona
LaQuinta, CA 92253
Project Description: SFD
Lot #'s: 13D
APN: 777-380-011-02
Type of Development:
Tract #:
Commercial
Industrial
Residential XX
Total Square Feet of Building Area: 5,440
licant/Owners: The person signing certifies that the above
information nis correct
and makes this statement under
Certification of App
penalty of perjury and further represents that he/she is authorized to sign on y
'=`� ..
12/30/08 Signature: ;
Dated:
****************
WILL BESATISFIED IN**
SCHOOL DISTRICT'S REQ0REMTHE(C RCE NEPROJECT HAVE BEEN O
ACCORDANCE WITH ONE OF THE FOLLOWING
Not Subject to Fee
Project Agreement Existing Requirement
Education Code Gov. Code Approval Prior to 1/1/87
17620 65995
Note::;
Number of Sq.Ft. 5,446
Amount per Sq.Ft. $3.78
Amount Collected $20,585.88
Building Permit Application Completed: Yes/No
By: Y p
Care M. Carlson, Asst. Supt., Support Services
Certificate issued by: Laurie Howard, Secretary III
Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES 'AND h'1 A' �lvl�l,er►od to protest the imposition of these
Section 66020 of the Government Code asserted by Assembly Bill 30 y effective January 1,
1997, requires that this District provide (1) a written notice to the
is Notice shall serve V
project appellant, at the time of payment of school fees, mitigation payment or other eofe Government
commences with the payment of the fees or performance of any othe
2 the amount of the fees. Therefore, in accordance with
the validity thereof,
the Government code and payothement
s of thehereif et forth, applicable law, whether payable at the
Fees and () protest period in regard to such Feeshe fees imposed is
advise you that the criday p P
ount Of t eof,
requirements as described in section 66020 of the Government code. occupancy. As
,bee ra ted only for good cause, as determined by the School District, and u
in whole or in part prior to issuance of a Certif►caf Extension As g the latter, the 90 days starts on issued for the project heat is thelsubjel
time or days from the date of issuance.ot
Compliance is valid for thirty (30) y
to three (3) such extensions may be granted. At such time as this Certificate expires, if a buildingcae permit has ce
'nate the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance less 3% for administration fees to process tt
of this Certificate, 3/9/07
reimbursement.
MV:c/mydocs/devfces/certificate of compliance form updated 3-2007
gf
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE- OF BUILDING PERMIT
OM
Form updated & effective 612612008
Green Sheet approvals are forwarded to the Building & Safe1y 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: - "o Developer: e0 �$
Tract No.: Tract Name: Lot No.(s)
_
Address(s): . ® Phone Number:l�0•
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
(wilding & Safety Department-
4 CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW
ti• TRACT HOMES: PROVIDE ITEMS #1 #2 #3 #4 (AS APPLICABLE) AND #6 BEL01 ECEVED
44 COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 AND #5 BELOW
�o WALLS: PROVIDE ITEMS #7 BELOW DEC
•9 SIGNS: PROVIDE ITEMS #8 BELOW
0OTHER: PROVIDE ���Ic
'
ITEM #9 BELOW VGjlOpine—
f
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.
i 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. o4 f 11~f 6D A-Vf
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
t� Final maps may be viewed at the following website: 60 f W ea d-1411
! htto://www.la-guinia.orgiPlanCheck/m search aspx
4. Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information form, PM 10
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 precise grading plan to the Public Works Department showing building location(s). AO
flood zone developments will require an approved flood plain development plan.
6. Attach an approved rough or precise grading plan for the building location(s) for pad elevation verification or
City plan set number if available. Plans may be viewed at the following website:
http://www.la-auinta.org/PlanChock/m search.asox
7. Attach wall plan & related approved grading plan.
8. Attach sign layout/plan & related precise grading/landscape plan.
9. Attach supporting documentation for grease trap or special facility installations.
have reviewed and confirmed the requiren3ents listed above as presented and find the improvements to be
l sufficiently complete for construction of a proposed buildings/structures/walls/signs on the subject lot(s).
Pursuant to my fi the a ojec ay be released for building permit issuance.
Recommended by: Dated:
Public Works Distribution: ( LGreen Sheet to Building & Safety
(�) Green Sheet to Planning Department V
Declined for approval for reason(s) as follow(s), please correct and resubmit:
Page 1 of 4
!
i
City of La Quinta, California
PM 10 Fugitive Dust Control Project information I< 1 acre/lot or Infill Project)
(Form Updated & Effective 6-26-08)
Project Information
Project Contractor:
Project Phase
(check one)
Construction
0 Demolition
Project Name: 1.
ve-
Project Tract Number: q�Q
Lot Numbers:
Project Street Address: tl,10"
Anticipated Start Date:
�.®
Anticipated Completion
Date: - -_(o
Total Acres in Active
Construction (< 1 acre
per Lot): • ��
Project 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:
t9A,41tV
Title:
C
Company Name:
Malling Address:
ro. ML4 542Q
City:
State:
46.
Zip Code:
0
Primary Phone #:
1 W •
Fax #:
r
24 Hour
Access/Emergency
' bone#:
0.
1b 3�Lb•32�
Cell Phone #•
160-!Z50- 4401
Email address:
t7Mt. , CD
PM10 Certificate #:
C6.41. 1244
' �
VTa.
Expanded PM 10 plans for commerc al and residential developments > 1 acre are required by the
City of La Quinta.
Page 2of4
Fugitive Dust Control PM 10 Plan (< 1 acre per Lot or Infill Project)
Plan Updated 6-26-08
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
PM 10 class and obtain PM 10 certificate number prior to construction activity (training information
may be obtained by contacting SCAQMD at (909) 396-2183).
•S CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Control
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.
4:• WEATHER MONITORING: Wind predictions shall be monitored.
•S SIGNAGE: Approved signs shall. be installed at a highly visible location. Please refer to the
Coachella Valley Fugitive bust Control Plan Handbook for Construction Signage Guidelines.
•S 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 1 6vmph 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 FILES: 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 PM 10 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.
Page 3 of 4
4
f
......_.._.._.._........ .._..........---....._........._._.._.._�..._ . ... . - - --- - .
Fugitive Dust Control PM10 Plan (< 1 acre per Lot or Infill Project)
Plan Updated 6-26-08
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.
City of La Quinta — Site Specific Construction Phase PM10 Agreement
Agreement Updated 6-26-08
The signature of the property owner (or authorized representative):
4- 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.
The property owner (or authorized representative):
•S 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;
4• 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 upon the property for inspection and/or
abatement purposes; and
❖ Shall hold harmless the City/County and its representatives from liability for any actions related to
this dust control plan or any City/County initiated abatement activities.
Signature of Property Owner or Authorized Representative Date
Printed Name of Property Owner or Authorized Representative Title of Property Owner or Representative
-now
Company Name
i
i
i
Phone Number
Page 3 of 4
November 6, 2008
Gary Lohman
Lohman, Gary
c/o Andrew Pierce Corporation
Palm Desert, CA 92261
Regarding: 13323 Lohman Residence
Subject: Structural Truss Shop Drawing Review
Dear Mr. Lohman,
Accompanying this letter, we are returning (4) sets of shop drawings bearing the same imprint as
at the base of this letter. The drawings were reviewed for general conformance with design
concept of the project as indicated by the structural documents prepared by our office. We have
not reviewed quantities or dimensions. We have not reviewed fabrication processes, techniques
of construction, or coordination of the work with that of any other trade. We have not reviewed the
manner in which the work would be performed or if it may be performed in a safe and satisfactory
manner. Should we have made any comments or corrections on the drawings, these comments
or corrections do not relieve the contractor from compliance with the structural documents. In as
much as we have reviewed the drawings only for general conformance with the design concept,
unless deviations from the design intent have been clearly indicated as such, we may not have
made note of them and the contractor is not relieved from compliance with the structural
documents. Our review of these drawings is not an indication of their preparation under our
supervision.
These shop drawings are being returned with no objection taken to their use.
If you have any questions, please contact our office.
Very truly yours,
BORM ASSOCIATES, INC.
7<5ca� �v
Brandon Winter
Project Engineer
BW: 1/13323 110608 Truss Review
Distribution:
(4) Jim Deford via overnight
(1) Jeff @ Trussworks via fax
(1) File 13323
Encl.:
(4) "Roof Truss Shop Drawings," dated 11/04/2008
"n nC� Fj e
Structural Shop Drauvmgs
Beier io letter hearing this imprint for infiorniation
r cf -
F°r:`x low