BDEM2016-001078-495 CALLE TAMPICO C� 0 DNtiMCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT.
BUILDING PERMIT
Application Number:
BDEM2016-0010
Property Address:
56163 PEBBLE BEACH
APN:
775131078
Application Description:
JEFF PIERCE / POOL DEMOLITION
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
RANDY G MYERS & NURSERIES
74773 JONI DR STE 4
PALM DESERT, CA 92260
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: C27 License No.: 562935
Date: <g_2y - Contractor:VFV�alC>`) lQS_
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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves .
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/2016
Owner:
ROBINSON, JEFFREY L & SHIRLEY
11215 LAS PALMAS CT
DUBLIN, CA 945I68I
AUG 24 2016
Contractor:
RANDY G MYERS &
74773 JON I DR rS.TNURSEIEES(;CErIiTPiDfEA?'A
3?IENTE4TRcP'
PALM
DESERT, CA 92260
(760)776-4834
Llc. No.: 562935
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
&A^ I have and will maintain workers' compensation insurance, as required by
ection 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: ACE AMERICAN INSURANCE COMPANY Polity Number: RWCC48820785
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. �s o
Date: <;� -2y - 1 Applicant. _SIBS P't)ER�
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 property for inspection purposes.
Date: o V14 - t I -P Signature (Applicant or Agent)
Date: 8/24/2016
Application Number:
BDEM2016-0010
Owner:
Property Address:
56.163 PEBBLE BEACH
ROBINSON, JEFFREY L & SHIRLEY
APN:
775131078
11215 LAS PALMAS CT
Application Description:
JEFF PIERCE J POOL DEMOLITION
DUBLIN, CA 94568
Property Zoning:
Application Valuation:
$8,000.00
Applicant:.
Contractor:
RANDY G MYERS &NURSERIES
RANDY G MYERS & NURSERIES
74773 JONI DR STE 4 "
74773 JONI DR STE 4
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)776-4834
Llc. No:: 562935.
Uetail"DEFAGLITION OF POOL AND INSTALL NEW LANDSCAPE.BBQ AND FIRE PIT UNDER ANOTHER PERMIT..
t
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT QTY
AMOUNT
DEMOLITION, EXTERIOR
101-0000-42.404 0
$36.26
DESCRIPTION
ACCOUNT CITY
AMOUNT
DEMOLITION, EXTERIOR PC
101-0000-42600 0
$108.77
Total Paid for DEMOLITION:
TOTALS:
$145.03
$145.03
r
�
1
Bin .#
Crty. 0f Quintd
Building 8L Safety Division
P.O. Box 1504,'78-49S Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
'— . Building Permit Application and Tracking Sheet
Permit #
ME ► 6
ProjectAddmm: -` b E��I-
Owner's Name:. S,(zQCe
A. P. Number.
Address:�j(o
Legal Description:
Contractor. �-V\RS E5
City, ST, Zip: (_.A Qt_ , A t CA
Telephone: �s - s - 2 c, G
Address:, %Ili?) �jNs bRS OC' 5Tl .�
Project Description: �.
City, ST, Zip:: :`RA,\nom tCA c `t22( -.b
1\AiZ9SC-,Qk-=
Tele hone: �'$�-.��dl� ;� °��`�,,•.'�<"
P
�MO Eki'S"C��(r- X001
sx s�� cA-.� flswec
State Lic. # : C-2-7 Sff,Zq g City Lic. 9. 763 �
Esu.
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone: `.
Y ` a
State Lic. #: .. y
Name of Contact Person:
Construction Type:. LAt)5LAq C Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
# Stories:
#Units:
Telephone It of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd'Ree'd
TRACKMG
PERMI[T FEES
Plan Sets
Plan Cheek submitted
Item Amount
Strncturai Cates.Reviewed,
ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance _
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted, .
Mechanical
Grading plan
tad Review, ready for correcfionslissue
Electrical
Subeontactorldst
Called ContactPerson
Plumbing
Grant Deed
Pians picked up
H.O.A. Approval
Plaus resubmitted
Grading
IN ROUSE:-
'^' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
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56-163 Pebble Beach Landscape and Pool removal
Calendar
Calendar
Miles Myers [rgmnlandscape@gmail.com]
Sent, Tuesday, August 23, 2016 8:45 PM
Is—it I Contac
•••••.•••
To: Randy Myers [Rgmnursery@msn.com]
RECEIVED
Deleted Items (11)
Drafts [52]
AUG 2 4 2016
Inbox (4121)
---------- Forwarded message ----------
From: Jeff pierce <utahuteip@gmail.com>
Junk Email [6]
Date: Tuesday, August 23, 2016
Subject: 56-163 Pebble Beach Landscape and Pool removal
CITY Of LA QUINTA
Sent Items
To: Miles <Rgmnlandscape@gmail.com>, Sam Myers <Sam.rgmn@gmail.com>
COMMUNITY DEVELOPMENT
............................................................
Cc: Jeff Pierce <utahuteip@gmail.com>
Click to view all folders
To Whom it May a Concern: My name is Jeff Pierce and I am the owner at 56-163
Pebble Beach,
...............
La Quinta CA 92253.. We are planning some basic landscaping and pool removal for this property and have
Manage Folders...
contracted with Randy G. Myers Nurseries.. Please provide them with the necessary permit.. Thanks so Much..
Jeff Pierce
805-551-2095
56-163
Pebble Beach
La Quinta CA 92253
Sent from my iPhone
8/23/2016
Opilding Permit Number: _ -
Projed Doscrlp5ont IonclscgpAcaol improvement
Exempt: Q -
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date 8/17/2016
Job Site
Owners N
Number, Street, or PO
city, State, Postal C
Owners Phone Nun
Owner's E -Mall Add
56163 Pebble Beach
Jeff Pismo
56183 Pebble Bead
Le Quinta, CA. 92253
805-551-2095
Projed Manager's Namel Miles Myers
Project Manager's Phone Number 760-835-1893
Project Manager's E-mail Address ramnlandscaoedamail.com
Builder / Conte
Number, Stmt or PO
City, state, Postal C
Project Square
Randy G. Myers & Nurseries
74773 Joni Dr suite 4
Palm Desert, CA. 92260
Approx. 3,800 square feet
City Approval sty — ��$u
Date of City Approval cal /1 /«
To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse'
'Describe Items
Tons
6.75 Not recyclable
0.00 Recyclable
r
s: Recvcle Trash
9.3 6.8
RECEIVED
AUG 2 3 2016
CITY OF: Ra pPMENT
TA
COMMUNITY
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Projected Diversion:
57.81°�6
I understand it Is the property owners responsibility to submit copies of weight tickets or receipts to the District
EmArommentai Coordinator as these hauls occur. I hereby car* that canpletlon. Implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste Is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the find day of the project through the compistbn of the project in accordance with this plan. This
DMP Is issued In the name of the property owner(s) and shall remain their property throughout the construction and/or
demolition pr*cL A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
Issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shag be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
Owner / Developer / Project Manager / Superintendent Date
a
IF �4
Construction .Debris Management Plan
Summary of Requirements
As of January 1, 2011, The Green Building Standards Code: (CALGreen) requires that the construction
of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in.
accordance with Assembly Bill 939 requiring that no more'than 50% of Jobsite waste be disposed of asp
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of Le Quints Is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to
come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise
hauler. If you choose. to self -haul any recyclables or trash, you:must
provide copies of all weight tickets and/or receipts from the transfer
station, landfill, or recycler as the job progresses.: Clean-up companies
and other haulers are not permitted to haul waste or recyclables from the
City of La Quinta. Self -haul weight tickets should be submitted. to:
Renado Gouldlock, District Environmental Coordinator
rgouldlock a@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to:
41575 Eclectic Street, Palm. Desert, CA. 92260.
fiet'o *:-,
Le end
j RECEIVED = ;
NOES ,
' • --I Common Name I -PAvER BCRDE R CCNGE'PRYlL, ACTUAL. BORDER TO BE DETE WI EDON SITE WITH HOFS msr
Flower Vne EXSTNGNORTH WALLfiAMERTOBEREMON/MAPDWALLREPAIMWFDAMAGEDAPDPANTEDTOMATCH t
- Jasmine Wi 4 Ems"M�R I ! ' AUG 2 3 2016
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,Revision #:
{ Date: 8/16/16
a� }, . Scale: landscape Plan: 1, ' , _1 r _, Landscape Design by: _Miles Myers., ,
1 -'3 Pierce Residence RGM&N
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