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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 Page .1 of 2 12 Outlook Type here to search Entire Mailbox l Privacy T � I Options I0 I Sign out I Mail Reply Reply All Forward1.M[�JX FcJunkose W. 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 ' SnailVne 8 ExsTMGGATE FROM HOUSE TONO" WALL TOBEREMDWED Shrub Cacti TOT&LAPD5CAPEAND POOL TOBEREMDvED ! EbSTNG GRADE TO REMAN TIE SAFE LEvEL 1 CCactct sRO . Barrel &{'PERDRAMAGETVftOIX,,HOUTPROPB y ' t F LA QUINTA �. [a Yucca, s ! - C DEVELOPMENT - ��. �._ � � ' \y � ,'?' -Qa,� \/.\'3• — / _ ,rte /�\,t--\- \ \ /_�•{ - C_ ! BLi� /e 't \ Sl4f1R.WvfiGQLD GCtD t •\ —� n _ n \ _ ' 38 DE5�T.,GrCcLetb�. / _� 1 \ I T' �,jj t- o 0 0 .0117 RE FfT TUFT TURF 17 ZSA 0 �. �` '� (OFA�+QUIN�i�+ o ' DEPT. o' B�!lI^OING & SAFEiY. a p a P F1f' �• . t �:. FOR CONSTRVED­ UCTION D o O O` , GA5 UIEr l' SIZE h {. �� M# �-'' �— ` DATE""'-"Dd511NGPWLINBLtIE,DEMOREMWE,C 'PACT,RELAN05CAPE .i' - -..,-jam--•--�-.J F 1 ,Revision #: { Date: 8/16/16 a� }, . Scale: landscape Plan: 1, ' , _1 r _, Landscape Design by: _Miles Myers., , 1 -'3 Pierce Residence RGM&N t