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BDEM2015-000878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: DANIELTORRES 51044 WASHINGTON LA QUINTA, CA 92253 T4tiv, 4 4� 091hro COMMUNITY DEVELOPMENT. DEPARTMENT BUILDING PERMIT SDEM2015-0008 51044 WASHINGTON ST ST 770141002 TORRES / COMPLETE DWELLING DEMOLITION LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: Dates Contractor 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).: (AFI—,as owner of the property, or my employees with wages as their sole 'jc6mpensation, 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 ocher 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, a 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 th ontractors' State License Law.). m exempt under Sec. . B.&P.C. for this.reason Date: 6/__ Owner: O 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: 111111111111 11111111 60 VOICE (760)777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 (760)567-0133 Llc. No.: . 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 wg for which this permit is issued. I ave 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: Policy Number: _ awj I certify that in the performance of the,work for which this permit is issued, I sha 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. Date: C - Applicant: 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 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned propertyfor inspection purposes. Date: ,./ �� f "r Signature (Applicant or Agent); Date: 1/14/2016 Owner: DANIELTORRES _ 51044 WASHINGTON LA QUINTA, CA 92253 N � z a� VJ Contractor: -J o DANIELTORRES = Q:' ~ LU 51044 WASHINGTON ` t LA QUINTA, CA 92253 (760)567-0133 Llc. No.: . 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 wg for which this permit is issued. I ave 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: Policy Number: _ awj I certify that in the performance of the,work for which this permit is issued, I sha 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. Date: C - Applicant: 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 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned propertyfor inspection purposes. Date: ,./ �� f "r Signature (Applicant or Agent); DESCRIPTION FINANCIAL INFORMATION ACCOUNT .: QTY AMOUNT ' PAID PAID:DATE DEMOLITION, FULL 101-0000-42404 0 $24.66 $24.66 1/14/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SPEEDY AC CHECK R12112 3784 SKH DESCRIPTION ACCOUNT QTY ° AMOUNT . ' PAID PAID DATE DEMOLITION, FULL PC 101-0000-42600 0 $87.02 $87.02 1/14/16 PAID BY METHOD r RECEIPT # • CHECK # CLTD BY. SPEEDY AC CHECK R12112 3784 SKH Total Paid for DEMOLITION: $111.68 $111.68 TOTALS: $111.68 $111.68 Description: TORRES / COMPLETE DWELLING DEMOLITION Type: DEMOLITION Subtype: SINGLE FAMILY Status: APPROVED Applied: 11/30/2015 SKH Approved: 1/14/2016 AOR Parcel No: 770141002 Site Address: 51044 WASHINGTON ST ST LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 90 Issued: Lot. Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ACTION DATE Details: DEMOLITION OF ENTIRE DWELLING AND PRIVATE SEPTIC SYSTEM [ALTERNATE SITE ADDRESS OF 51-044 CALLE OBISPO] 2013 CALIFORNIA BUILDING CODES. Printed: Thursday, January 14, 2016 8:51:08 AM 1 of 3 Emir srszcna ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE" STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAIL SENT TO ANTHONY MORENO REQUESTING MEETING TO DISCUSS ACTIONS NECESSARY. FOLLOWED UP WITH ANTHONY, DETERMINED THE BEST E-MAIL • AJ ORTEGA 12/8/2015 12/8/2015 COURSE OF ACTION IS TO ALLOW THE HOMEOWNER DANIEL TORRES TO RECONCILE THE ASBESTOS ABATEMENT AND CONSTRUCTION WASTE MANAGEMENT PER THE CALGREEN CODE PRIOR TO ISSUING OF CITATIONS. NOTE STEPHANIE KHATAMI 11/30/2015 11/30/2015 PLEASE NOTE -THE PLANS AND ASBESTOS REPORT LIST THE WRONG ADDRESS AS 51044 CALLE OBISPO. DROVE BY SITE OVER THE WEEKEND AND NOTICED SITE VISIT AJ ORTEGA 12/5/2015 12/8/2015 DWELLING DEMOLITION HAD ALREADY BEEN COMPLETED, WILL DISCUSS ACTIONS NECESSARY WITH CODE COMPLIANCE SUPERVISOR. Printed: Thursday, January 14, 2016 8:51:08 AM 1 of 3 Emir srszcna Permit Details PERMIT NUMBER City of La Quinta BDEM20155 0008 INSPECTIONS REVIEW TYPEREVIEWER SENT DATE OUE DATE RETURNED - STATUS REMARKS NOTES DATE ' Printed: Thursday, January 14, 2016 8:51:08 AM 2 of 3 Cg? . SYSTEMS FINANCIAL INFORMATION PHONED PROPERTY OWNER DANIEL TORRES AND INFORMED DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DEMOLITION, FULL 101-0000-42404 0 HIM THE CITY IS AWARE -OF THE DEMOLITION PROCEEDING $24.66 1/14/16 R12112 3784 CHECK SPEEDY AC SKH . DEMOLITION, FULL PC 101-0000-42600 0 $87.02 $87.02 PRIOR TO PERMIT ISSUANCE, HE IS STILL REQUIRED TO TELEPHONE CALL A) ORTEGA 12/8/2015 $111.68 $111.68 12/8/2015 OBTAIN THE PERMIT BY PROVIDING AN ASBESTOS ABATEMENT STATEMENT NOTING HOMEOWNER REMOVAL AND PROPER DISPOSAL AND PROVIDE A DEMOLITION WASTE RECYCLING REPORT PER CALGREEN. REQUIREMENTS, HE WAS ALSO NOTIFIED OF CODE COMPLIANCE INVOLVEMENT. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DANIELTORRES 51044 WASHINGTON LAQUINTA CA 92253 (760)567-0133 CONTRACTOR DANIEL TORRES 51044 WASHINGTON LA QUINTA CA 92253 (760)567-0133 OWNER DANIEL TORRES 51044 WASHINGTON LA QUINTA CA 92253 (760)567-0133 INSPECTIONS REVIEW TYPEREVIEWER SENT DATE OUE DATE RETURNED - STATUS REMARKS NOTES DATE ' Printed: Thursday, January 14, 2016 8:51:08 AM 2 of 3 Cg? . SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DEMOLITION, FULL 101-0000-42404 0 $24.66 $24.66 1/14/16 R12112 3784 CHECK SPEEDY AC SKH . DEMOLITION, FULL PC 101-0000-42600 0 $87.02 $87.02 1/14/16 R12112 3784 CHECK SPEEDY AC SKH Total Paid for DEMOLITION: TOTALS: $111.68 $111.68 $111.68 $111.68 INSPECTIONS REVIEW TYPEREVIEWER SENT DATE OUE DATE RETURNED - STATUS REMARKS NOTES DATE ' Printed: Thursday, January 14, 2016 8:51:08 AM 2 of 3 Cg? . SYSTEMS 1ST BLDG NS (1 WK) AJ ORTEGA 11/30/20151 12/7/2015 1 12/8/2015 INCOMPLETE PLEASE NOTE - THE PLANS AND ASBESTOS REPORT LIST THE WRONG ADDRESS AS 51044 CALLE OBISPO. ASBESTOS REMOVAL INFORMATION HAS NOT BEEN SUBMITTED WITH APPLICATION, ADDITIONALLY SEE CHRONOLOGY ENTRIES FOR URTHER INFORMATION FOR WORK PROCEEDING WITHOUT PERMITTING. 2ND BLDG NS (1 I AJ ORTEGA I 1/14/2016 I 1/15/2016 I 1/14/2016 I APPROVED I I OUTSTANDING INFORMATIONATTACHED. RECEIVED, SEE DAY) ROND INFORMATION Printed: Thursday, January 14, 2016 8:51:08 AM 3 of 3 CRWIYSTCMS ATTACHMENTS Attachment Type . CREATED OWNER DESCRIPTION PATHNAME SUBDIR : ETRAKIT ENABLED OWNER BUILDER- OWNER BUILDER - DOC 11/30/2015 STEPHANIE KHATAMI SUBLIST WITH NO SUBLIST WITH NO 0 SUBS.pdf. SUBS.pdf DOC 11/30/2015. STEPHANIE KHATAMI GRANT DEED 11-30- GRANT DEED 11-30- 0 15.pdf 15.pdf DOC 12/1/2015 STEPHANIE KHATAMI OWNER BUILDER 12-1- OWNER BUILDER 12-1- 0 15.pdf 15.pdf Printed: Thursday, January 14, 2016 8:51:08 AM 3 of 3 CRWIYSTCMS a 2502,Morongo Trail Palm Springs; CA 92264 (760) 327=8859 No. 23700 SOLD TO SHIPPED TO F.O.B. DATE / STREET STREET CITY STATE" ZIP CITY STATE ZIP CUSTOMER ORDER SALESMAN TERMS (� F.O.B. DATE / !-l.) Vl�i I� `.'f�LJ � • i �i�1 1�� i \ �i�l!! I�Li/1 f ) ' 1 , PAYMENT DUE UPON RECEIPT vVclunmAa 1 cn %,cm i IrR,AI c THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards 'of the California Department of Food and Agriculture. WEIGHMASTER' VIN# } N®1 4 3 3 0 1 iBURRTEC RECOVERY & TRANSFER 'EDOM HILL TRANSFER STATION WEIGHED AT. 70-100 Edom Hill Road • Cathedral City, CA 92234 • (760) 251-3649 ,r nvoice No.Cueteff4¢19Q7 Customer Name Date Time Truck No. License No. C�_� 8g OOIZII7+ M I SC DRIVE—UP CL1Sl"DIr1 12/05/15 12-42 000171100X 3ross Tons Tare T_o_ns _ Net Tons Vehicle Type Container Type Rate Cool Price er Tpn Disposal Fee c _ cca 6t; !—'o I e 1 /,o ].�� Ju JE. f 1k�.Ott' ,_ttJo `�/ RULES S DISCLAIMER OF WARRANTIES (CONTINUED ON BACK), DeputyWe' er �h! Taxes And Fees Evl RIZO I. ENTER AT YOUR OWN RISK. THIS FACILITY IS NOT RESPONSIBLE FOR DAMAGES TO VEHICLES OR EQUIPMENT. Commodity Additional Charges Additional Charges 2. Children must remain in vehicles under adult supervision at all times. td�'F tk 5 E 17141 3. All customers and passengers must remain in the immediate vicinity of.the vehicle being unloaded. 3. Anyone who is not engaged in the unloading of the vehicle must remain in the vehicle. Ro R=14810 14810 —111 TOTAL L AMOUNT r^'4 . 97 i. Tools, tailgates, etc. must be kept on, in or under your vehicle. We will not - accept liability for damage to these items by other vehicles and/or equipment. 3. Any claim of injury or damages to persons, vehicles and /or equipment must CUSTOMER'S SIGNATURE ON THIS TICKET ACKNOWLEDGES THAT CUSTOMER be reported to a facility supervisor before leaving the premises. HAS READ AND UNDERSTANDS ALL SAID CONDITIONS. T. The law prohibits disposing of Hazardous material or liquids at this transfer station. Violators will be held responsible and prosecuted. Driver's Signature X BILLING COPY FORM #5 HE FOLLOWING RULES MUST BE OBSERVED AT THIS FACILITY (CONTINUED ON BACK.) THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and Professions Code, administered by it of Measurement Standards of the California Department of Food and Agriculture. E81,01RT'EC VIN # NO. 42 WASTE INDUSTRIES, INC, WEIGHMASTER: SALT -ON CITY SOLID WASTE •'Re'L:Take care oflW WEIGHED AT: 935 W. Highway 86, Salton City, CA 92275 Invoice No. Customer No Customer Name Date Time Truck No. �� FS'�0 rl t?fi'l 3m1 �T3l l•.'i tiez_.�:.�L'nt .�b:1 .M: C'... ._._ �*_+__�:L�'.. :':i�-==`' i Gross Tons Tare Tons Net Tons Vehicle Type. Container Type Rate Code Price Per Ton Disposal F 1. ENTER AT YOUR OWN RISK. THIS FACILITY IS NOT RESPONSIBLE FOR Deputy weighmaster Taxes And I DAMAGES TO VEHICLES OR EQUIPMENT. 2. Children must remain in vehicles under adult supervision at all times. 3. All customers and passengers must remain in the immediate vicinity of the vehicle Commodity Additional Charges Additional C being unloaded. 4. Anyone who is not engaged in the unloading of the vehicle must remain in the vehicle. 5. Tools, tailgates, etc. must be kept on, in or under your vehicle. We will not accept liability for damage to these Items by othervehicles and/or equipment. Route TOTAL AMC 6. Any claim of Injury or damages to persons, vehicles and /or equipment must be reported to a facility supervisor before leaving the premises. CUSTOMER'S SIGNATURE ONTHIS TICKET ACKNOWLEDGES THAT CUSTOMER HAS READ AND UNDERSTANDS ALL SAID CONDITIONS. Driver's w� Signature x RULES & DISCLAIMER OF WARRANTIES CONTINUED ON BACK CUSTOMER t CORONET CONCRETE PRODUCTS; INC. (760) 398-7717 50-305 HIGHWAY 111, COACHELLA, CA 92236 ®9 PALM DESERT ROCK AND SAND QUARRY 7 J SOLD TODATE ' BILLING ADDRESS DELIVER TO �f TRK# Z- JOB# P.O.# WASHED CONC SAND @ APPROX. TONS = 1x4 ROCK @ APPROX. TONS = 318 ROCK @ - APPROX. TONS = . �..--�11�1BOUND DEMO @ APPROX. TONS FILL SAND @ - APPROX. TONS =Y tr r RECYCLED BASE @ APPROX. TONS = i TAXABLE DELIVERY @ _ TAXABLE SUB -TOTAL A i SALES TAX @ - TRUCK RENTAL @ TOTAL C.O.D. _ RECEIVED BY T- ` TOTAL" Customer agrees to pay late charge on past due balance of 1-112% per month or the maximum rate allowed in customer's State of residence, whichever is less; and further agrees to pay reasonable attorney's fees and costs if collection is required J NOTICE: Our drivers will make every effort to place material where customer designates but company assumes no responsibility for damage inside of curb or property.line. I am requesting the driver to go beyond the point designated in above paragraph and I will assume full responsibility. Signature Delivery Date z � r CORONET CONCRETE PRODUCTS, INC. (760) 398-7717 50-305 HIGHWAY 111, COACHELLA, CA 92236 24366 PALM DESERT ROCK AND SAND QUARRY SOLD TO ) ! Q DATE BILLING ADDRESS DELIVER TO Pi l RECYCLED BASE @ , APPROX. TONS = TAXABLE DELIVERY TAXABLE SUB -TOTAL SALES TAX (CD - TRK# JOB# P.O.# (a) @ WASHED CONC SAND @ APPROX. TONS = 1x4 ROCK .. @ APPROX. TONS .= 318 ROCK ' @ APPROX. TONS = INBOUND DEMO @ APPROX. TONS = , A -' t L E �T-iwc�- FILL SAND @ APPROX. TONS = RECYCLED BASE @ , APPROX. TONS = TAXABLE DELIVERY TAXABLE SUB -TOTAL SALES TAX (CD - (a) @ _. TRUCK RENTAL @ _, TOTAL C.O.D. RECEIVED BY �g TOTAL Customer agrees to pay late charge'on past due balance of 1-1/2% per month or the maximum rate allowed in customer's State of residence, whichever is less; and further agrees to pay reasonable attorney's fees and costs if collection is required NOTICE: Our drivers will make every effort to place material where customer designates but company assumes no responsibility for damage inside of curb or property line. I am requesting the driver to go bey r c t e point designated in above 1pragraph and I will assume full responsibility. Signatu �''` )Delivery Date INSPECTION REPORT ASBESTOS Conducted at 51044 Calle Obispo La Quinta, CA Prepared for Daniel Torres 51100 Calle Obispo La Quinta, CA Prepared by MASTERS ENVIRONMENTAL INC. 44719 ALEXANDRIA VALE INDIO, CA 92201 ASBESTOS CONSULTANT # 03-3365 — GREGORY MASTERS CALIFORNIA LEAD INSPECTOR/ASSESSOR #18638 RECEI'E® NOV 3 0 2015 CITY OF LA COMM NITY D&ELLOPMENT 61- November 19, 2015 IIE7MVDUIB1MMEW-TAUL,STERS ASBESTOS SURVEY DATE OF SURVEY: April 29, 2015 LOCATION: 51044 Calle Obispo La Quinta, CA ' BY: Gregory Masters California Certified Asbestos Consultant # 03-3365 Masters Environmental Inc. 44719 Alexandria Vale Indio, CA 92201 760-200-2900 Survey authorized by: Daniel Torres Methods: All materials in the structure that were suspected of containing asbestos were sampled according to specified protocols. Samples were sent to a NAVLAP accredited laboratory, Patriot Environmental Laboratory Services, Fullerton, CA — Lab code 200358-0. They were analyzed by Polarized Light Microscopy according to Bulk Analysis Protocol EPA 600/R-93/116. The laboratory report is attached to this message for your inspection. Collection of suspect ACM's followed the National Emissions Standards of Hazardous Air Pollutants (NESHAPS) protocol for sample collection for a demolition/renovation survey. Bulk Sampling of Asbestos Bulk samples of all homogeneous materials from identified areas containing suspect ACM were collected. A homogeneous material is defined as a surfacing material, thermal system insulation (TSI), asbestos -containing construction material or miscellaneous material that is uniform in use, color, texture and age of construction. As materials were identified, bulk samples were placed into individual sampling bags. Each sample was given a discreet identification number and recorded on chain -of -custody forms. d 1 p.2 Sampling Table: Sample Location Description Friable Quantity Condition Asbestos 001 Roof Black roll roofing F 750 sq.ft Good ND 002 Stucco Stucco F 900 sq.ft Good <1% Chrys 003 Windows Window putty F 300 lineal ft Good 2% Chrys 004 Liv. Rm Drywall & T.C. F 3000 sq.ft Good ND 005 Liv. Rm F Good <1% Chrys 006 Bedroom t F Good ND d 1 001R 002 003 004 005 006 RESULTS Sampling plan: All building materials that were suspected of containing asbestos were sampled, and the samples analyzed by Patriot Environmental Laboratory Services for asbestos content. 1. Stucco tested positive for Chrysotile asbestos at <1%. About 900 sq.ft, in good condition. This material will not have to be removed before demolition. 2. Window putty tested positive for Chrysotile asbestos at 2%. About 300 lineal ft, in good condition. This material must be removed before demolition, as it will not be accepted by an ordinary landfill. Customarily, the entire window is removed and trucked to the landfill that will accept asbestos materials. 3. One of the drywall/taping compound samples tested positive for Chrysotile asbestos at <1 %. The legal protocol states that if one drywall sample tests positive for asbestos, then all drywall in the house is considered to have asbestos )About 3000 sq. ft. in good condition. This material (<l% asbestos) does not have to be removed before demolition. It can go to an ordinary landfill. SUMMARY: All windows containing putty must be carefully removed without disturbing the putty, and then trucked to a hazardous waste landfill (such as in Azusa). No guarantees are offered or implied. We appreciate the opportunity to serve your asbestos needs, and look forward to working with you again. 77. P gE� STp` No. 03-3365 2'14z;r N P Masters Environmental Inc. 44719 Alexandria Vale 760-200-2900 760-200-2901 FAX Indio, CA 92201 gmaste . s _, sonic.net 14 Bin # �Perkit # City of La Q uin to ��.os . Building Si Safety Division 78-495 Calle Tampico uinta, CA 92253 - (760) 777-7012 Bu ing Permit Application and Tracking Sheet 7 7 g PP g Project Address: Owner's Name: A. P. Number:*Address: OQ O Legal Description: City, ST, Zip: Z S^ Contractor: o . T e hon el a —® P 6 3 Address: Project Description: City, ST, Zip: Telephone: State Lic. # : City Lie. #; .. Y7r1,� o' y-� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Con tructi n Type: Occupancy: State ic .# Project type (circle one • New Add'n Alter Repairair Demo Name of Contact Person: Sq. Ft.:, # Stories: # Units: Telephone # of Contact Person —Q� 3 Estimated Value of Project: ioftICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING ' PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plait Check Balance e 24 Cales. 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. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. NVks. Appr Date of permit issue School Fees, Total Pern l N 0 V 3'0 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 tIu�UGt/ COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7125 FAX (760).777-7011. DEMOLITION PERMIT REQUIREMENTS The following items are required prior to the issuance of a Demolition permit V • TWO sets of plans showing the complete scope of work. V m Proof of property ownership (e.g., Grant Deed). • Letter from property owner authoring demolition with scope of work. Asbestos Report for all pre- 1979 Properties. If asbestos is present, proof of removal by a licensed Asbestos Abatement Contractor. • Public Works PM -10 Approval._ • Building Department Management Approval. • A construction waste management plan per Section 4.408.1 of. the California Green Building Standards Code.. JOB ADDRESS30440�� CITY. OF LA QUINTA.SUB-CONTRACTOR LIST PERMIT, NUMBER TX�In)ICL_Ti25 BUILDER �bJ This form shall be posted on the.jo with the Building Inspection -dAWNER Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to comrriehcement of work. Failure to comply will result -in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not a.n acceptable response. Trade.l..Classificatio.n............................:.........Co.n.trac. :.:......................................................................................................................................................................................................................................... ....:.::....................................................State..Gontractor.s.License................................:::.:::::....:.::.....::.:....:.:::W.or.kers;:Co.m c:>.:; ^.>:.>::;<::::::: ».;..::;..:;:;>:;:;:s;.; .ensatiori:;Ins .............:.::.......... .. P .. if`"Business.. -- Li..:" rise::;::::>:'<.> ce Name Classification License Number Ex . Date Carrier PolicYN tuber Exp.. Date LicenseNumber Exp.. Date A B C - 8) xx x x e. . State Fund C IComP (Format Varies) ) xx xx / xx)xxxxxx xxxx) (xx xx / xx )(e.9. EARTHWO:. K::, :::STRU.C.....:ST. C... -'1:.,:.... DR..YWALL C -9:)<:>y`: #zr:: I ...::::.:::::::::::.::::.:..::. I s E LECTRI CAL(:C-110 S HEETMETAL{G'.=4 3:)<' F:L O:O R I N G:` C'15 `:`:':zzzz:: <GLAZ .. ..(C....7.) ...................... i aNS:U:LATION C=2" ><<` . f1.:::. ,....::. . 2i:>: SEWAGE`D{SF 4 4IVEIX TAINTING: 'C`.=33 REC i ER.:. IVI.:.54.1::..:.: N • .V _ - COMMUP UI IN DEVELOPMENT L7a N.D S CA PIIV .P0,0 L.`::(C?-531.;;€ ' RECORDING REQUESTED BY AND WHEN RECORDED NWLTMa DEED AND TAX STATEMENTS To Daniel Torres ADDRESS 51100 Calle Obispo —STA,,& La Quinta, CA 92253 L Tide Order No. 12366221 Escrow No. 16287 -PC Assessor's Parcell No. 770-141-002 Date September 3, 2015 DOC # 2015-0401018 09/09/2015 08:00 AM Fees: $21.00 Page 1 of 3 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder *This document was electronically submitted to the County of Riverside for recording— Receipted by: SOPHIA #466 SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned declares that the county documentary transfer tax is $110.00 and is computed on the full value of the interest or property conveyed. The property is located in the city of La Quinta. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Anya B. Hudson, an unmarried woman... does hereby GRANT to Daniel Torres, a single man the following described real property in the city of La Quinta, County of Riverside State of California: Lot 90, of Desert Club Tract unit 5, in the City of La Quinta, County of Riverside, State of California, as per map recorded in Book 21, pages 61 and 62, of Maps, in the office of the County Recorder of said County. AKA: 51044 WASHINGTON STREET, LA QUINTA, CA 92253 Anya B. H See ERbilbk 4AW RECEIVED NOV 3-0 2035-' -- - --__.- CITY OF LA QUINTA COMMUNITY DEVELOPMENT A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA. COUNTY OF Orange Ss. On 09-03-2015 before me, Pat Coglietti No Publ c, personal appeared Anya 8. Hudson, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within Instrument and acknowledged to me that she executed the same in her authorized capac , and that by her signature on the instrument the person, or the entity upon be all of Whicft the person acted, executed the instrument. I Z under PENALTY OF PERJURY under the laws of the State of California that a foregoing paragraph is tfU9 and correct. WITNESS my hand and official seal. Sigosture 11 MAIL TAX STATEMENTS AS DIRECTED ABAVF SSBI Da 270 (Pon 30) 0-1.44 T4hf 4 4 a" 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 Considering Becoming an Owner -Builder? Important information you need to know BEFORE pulling your permit! The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner as Contractor" or "Owner as Employer" Understand each has Benefits or Risk, and it is possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken out in your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial risk due to worker injury. Benefit/Risk: Highest Benefits and the Least amount of Risk Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work, the permit is taken out in your name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: Possible Benefit with Low Financial Risk Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire unlicensed contractors to perform any of the work. Benefit/Risk: Possible Benefit and Significant Financial Risk Owner -as -Employer is a type of Owner -Builder where you pay any unlicensed individual to perform any construction work valued at more than $500.00, the permit is taken out in your name and you are personally responsible for their employment requirements, supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn -to serious financial risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker. Benefit/Risk: Possible Benefit with Significant Financial Risk 3 (Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide public interest in assuring" that contractors comply with Contractors' License Law, Business and Professions Code and Workers' Compensation Insurance requirements to ensure property owners are informed about, and protected from the following when improving their property as Owner -Builders: Fraudulent representations'.- Liability for worker's injuries • Liability for material and labor costs unpaid by contractors • Licensing requirements • Employers tax liabilities Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. Following are alarming examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. ■ Owner/Builder permit pulled to rebuild structure. • Unlicensed contractor built substandard structure — must be torn down and replaced. ■ Estimated financial injury is $225,000. ■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year. Example 2: Brother-in-law had active license but filed an exemption from Workers Comp. ■ Owner -Builder hires brother-in-law to install a new roof. ■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and remains in a coma to this day. ■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. • The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit .a claim. • The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building permit which erroneously implies that the property owner is providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? Did you know — if you are considered an "employer" under state and federal law, you must register with the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee"? Did you know —that if you fail to abide by these laws you may be subjected to serious financial risk? OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR YOUR CONSTRUCTION PERMIT P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY -DEPARTMENT - PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner-Builders.Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildin rrut has beef submitted in -y ur name listing yourself as the builder of the property improvements specified at 1.6Z 4 W Ct�� We are providing you with an Owner -Builder AcknowledgmenHnd Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signer you understand or verify this information. t�!1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. __W2. I understand building permits are not required 'to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. K4. I understandContractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. �5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential si uctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. X8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an. "empldyer" from the Internal Revenue. Service, the United States. Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. W10. Fam aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially resPpusible for proposed construction activity at the following address: 61 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 4712. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can'be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. A Signature of property owner 2&"aa Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Pemyt for my project. nA Scope of Construction Project (or Description of Work): dl Lo/0f) N -e Project Location or Address: V �+ Name of Authorized Agent: `G�� a�L Tel No Llli� d Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented wN6ahen the erm't is issued to verify the property owner's signature. Property Owner's Signature: Date:. ZZb D�� ,ir urcly ice,. DRIVER LIC U DLB398040 LXP 0 510 51201 8 "END NONE LN TORRES FN DANIEL 52335 CALLE EMPALME ~ COACHELLA, CA 92236 QOB 05/05/1976 ,kBTW NONE 050519 i N f�w,z:�dtLal SEX M Hi4NJ*� EYES BRN HGT S-05" WGT 19816 `13007/31 1363320100MM ID731l201!