BRES2016-02994 4a
78-495 CALLE TAMPICO r C% Qumro
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0299
Property Address: 78670 AVENIDA NUESTRA
APN: 770172009
Application Description: MORRIS RESIDENCE / NEW SFD
Property Zoning:
Application Valuation: $233,877.50 f'1 %1
GABAppIRIEL RIOS DEC 1 V ZO16 V
49901 CINNABAR .----
COACHELLA, CA 92236 CITYOFLAQUINTA
COMMUNITY DEVELOPMENT EPARTMENT
LICENSED CONTRACTOR'S OryN
I hereby affirm under penalty of perjury that I am Ii sed u d r rovisions of Chapter
9 (commencing with Section 7000} of Division 3 f Busi s a d Professions Code,
and my License is in full force and effect.
License ClassaB I License No.: 867583
DaWl Itrl IV 1 `W Contractor
OWNER -BUILDER DECLARATION V
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, 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/2016
Owner:
ROPER MORRIS CONSTRUCTION INC
50855 WASHINGTON ST STE C-216
LA QUI NTA, CA 92253
Contractor:
ROPER MORRIS CONSTRUCTION INC
50855 WASHINGTON ST STE C-216
LA QUINTA, CA 92253
(760)272-9292
Llc. No.: 867583
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.
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: EXEMPT Policy Number: _
I certify that in the performance of the work for wh'9h this permit is issued, I.
shall not employ any person in any manner so as to be meJ�'
j t t�be
compensation laws of California, and agree that, if I s uld o a sworkers'compens tion provisions of Section 370 o e d ith
comply with hose rovisions.
WARNING:FAILURE TO SECURE WORKERS' COM INS-ATIV COVIMAGE I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI NES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION Tbl< 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 abovrN
I agree to comply with all city and county ordinances and state construction, and hereby authorize representatives of this city t
above-mentio ed r`operty for inspection purposes.
Date. �6 1 Signature (Applicant or Agent)
off Jill
Application Number:
BRES2016-0299
Property Address:
.78670 AVEN IDA NUESTRA
APN:
770172009 _
Application Description:
MORRIS RESIDENCE/ NEW SFD
Property Zoning:
Application Valuation:
$233,877.50 .
Date: 12/16/2016
Owner:
ROPER MORRIS CONSTRUCTION INC
50855 WASHINGTON ST STE C-216
LA QUINTA, CA 92253
Applicant: Contractor:
GABRIEL RIOS ROPER MORRIS CONSTRUCTION INC
49901 CINNABAR 50855 WASHINGTON ST STE C-216
COACHELLA, CA 92236 LA QUINTA, CA 92253
(760)272-9292
LIc. No.: 867583
-------------------•--------------•------------------------------------------------------------
Detail: NEW 3498 SQ. FT. SFD, THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, BBQ, WATER FEATURE OR FIRE PIT.
HOME IS FIRE SPRINKLED PER 20313 CRC CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201 0 $84.69
Total Paid for ART IN PUBLIC PLACES - AIPP: $84.69
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$10.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - LIBRARIES
253-0000-43200
0
$344.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
. DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
.DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TEMP POWER SERVICE
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TEMP POWER SERVICE PC
101-0000-42600
0
$17.73
Total Paid for ELECTRICAL: $43.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,OOOSF, PC
101-0000-42600
0
$21.28
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
RESIDENTIAL, FIRST 1,OOOSF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $275.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF
101-0000-42408
0
$38.00
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC
101-0000-42600
0
$190.00
Total Paid for GRADING: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$76.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$30.42
Total Paid for MECHANICAL: $377.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MULTI-SPECIES RESIDENTIAL 0-8 UNITS - 2016 UPDATE
101-0000-20310
0
$1,221.00
Total Paid for MULTI-SPECIES RESIDENTIAL: $1,221.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$629.58
Total Paid for NEW CONSTRUCTION PERMIT: $629.58
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,000.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$337.90
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,337.90
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BACKFLOW DEVICE PC
101-0000-42600
0
$5.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$228.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$228.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ROOF DRAIN
101-0000-42401
0
$76.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ROOF DRAIN PC
101-0000-42600
0
$76.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
'DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $760.18
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$30.40
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $30.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SINGLE FAMILY DETACHED
224-0000-20320.
0
$1,837.44
Total Paid for TUMF - RESIDENTIAL: $1,837.44
IUTALb: ,13,/i3.ti/
Gu
PO. BOX 1504 APPLICATION ONLY
Building 78-495 CALLE TAMPICO
Address I LA QUINTA, CALIFORNIA 92253
Owner
BUILDING: TYPE CONST. OCC. GRPi
Mailing � -)-16 AddressA.PNumber
1 /
City
Zip JTel
Legal Description
Project Description
Contractor
Ad re
l�
Ci
Zip
,
Tel.
Sq. Ft.4 ` "4 •No. No. Dw.
Size Stories Units
State Lia
& Classif.
City
Lic. #
Arch., Engr.,
Designer
Ne Add Alter❑ Repair❑ Demolition
nK -
L r J L OL4 q
Address Tel.
jty
Zip
X
State
Lic. #
/ 1
v
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions ofiChapter 9 (commencidgwith 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
Estimated Valuation -
I hereby affirm that I am exempt from the Contr�.tor's License Law for the following reason:
(Sec. 7031.5, Business and Processions Code: Any city:)r county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior o its issuance also requires the applicant for
such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Processions Code, or that he is exempt therefrom, -no the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a pernit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk, Bal, +
❑I, as owner of the property, or my employees witr wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Proses-
sions Code: The Contractor's License Law does no; apply to an owner of property who builds or
improves thereon and who does such work himself Dr through his own employees, provided that
such improvements are not intended or offered for ;,ale. If, however, the building or improvement
is sold within one year of completion, the owner-buifier will have the burden of proving that he did
not build or improve for the purpose of sale).
O I, as owner of the property, am exclusively contraczing with licensed contractors to construct the
project. (Sec. 7044, Business and Processions Code- The Contractor's License Law does not apply
to an owner of property who builds or improves thepon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractorz License Law.)
❑ 1 am exempt under Sec. B. & PC for this reason
Const.
Mech.
Electrical
Plumbing i
S. M. L
Grading
Driveway Enc.
Date owner
Infrastructure
WORKER'S COMPENSA77ION DECLARATION
hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy there3f. (Sec. 3800, Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF E1,EMPTION FROM
WORKERS' COMPENSATION INSURANCE
TOTAL
CONTACT INFORMATION
(This section need not be completed if the penrit is for one hundred dollars ($100) valuation
or less).
1 certify that in the performance of the work fa- which this permit is issued, I shall not employ
NAME:
any person in any manner so as to become subject to Workers' Compensation Laws of California.
PHONE:
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.
_
ZONE: BY:
Minimum Setback Distances:
CONSTRUCTION LENDING AGENCY
Front Setback from Center Line
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 Con.)
Rear Setback from Rear Prop.Line
Lender's Name
Side Street Setback from Center Line
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
Side Setback from Property Line
expiration if work thereunder is suspended for 1 E 0 days.
1 certify that I have read this application emd state that the above information is correct.
FINAL DATE INSPECTOR
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.
Issued by: Date Permit
Signature of applicant Date
Mailing Address
.. /
Validated by: �/
Validation: rA
= APPLICANT PINK = FINANCE �1
City, State, Zip
WHITE =.BUILDING DEPARTMENT YELLOW
J
CERTIFICATE OF COMPLIANCE
�N�1ep s
c
Desert Sands Unified School District
2 yo
47950 Dune Palms RoadH:
6ERMUDAO!)IJESr
OMRA
DA
-
La uinta, CA 92253
Date: 12/16/2016 Q
F IN� WEUSS, bl
ii PJLLM SERI ' y
•CDa�EItA ��
�•vlovlNw.
No.: 16-00451-2 (760)771-8515
�
o A* r
Owner: Roper Morris Email:
Address: Jurisdiction: La Cluinta
City: Tract #:
Type: Single Family Residential
Lot # Street No. Street Name Sq. Feet APN Permit No.
78670 Avenida Nuestra 3498 770-172-009
Comments:
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential adai:;'�'
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replaceine^t
mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.48 X 3498 S.F. or $12,173.04 have been paid for the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: CC/Bank of America - Roper Morris
Bank Name/Recipient of Certificate
Check No.: 1295707532
Telephone:
Funding: Residential
By Dr. Gary Rutherford
Superintendent
Fee Collected/ Exempted by: Shar
,/,q McGi re Amount ?due:
$1=2,173:04' i
-1
Original Payprarsnt(s) Rec'& $O.0
New Payment ttec'd:.,, $1-2.,173.04 l
O�eiJUnder: $0.Q'0,
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you Nat the 90 -day approval period in which you may protest the f2
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date c.:
which those amounts are paid to the District(s) or to another public entity authorized to collect.them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.
RECORDING REQUESTED BY:
Orange Coast Title of California
AND WHEN RECORDED MAIL TO:
Roper Properties, LLC
50855 Washington Street Ste. C-216
La Quinta, CA 92253
���• azo
Title Order No.: 210-1675000-10 Escrow No.: 150202 -JR AP#: 770-172-009-9 TRA: 020-016
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $151.80
[X] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of La Quinta AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
NormAnn Apartments LLC, a California Limited Liability Company
hereby GRANT(s) to:
Roper Properties, LLC, a California Limited Liability Company
the real property in the City of La Quinta, County of Riverside, State of California, described as:
Lot 170, of Desert Club Tract Unit No. 5 as shown by map on file in Book 21, Pages 61 and 62 of Maps in the
office of the County Recorder of Riverside County, California.
Also Known as: Lot on Avenida Nuestra APN: 770-172-009-9, La Quinta, CA 92253
NormAnn Apartments LLC, a California Limited Liability
Dated June 25, 2015 Company
By:
Douglas N. Johnso uthorized Signer
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached. and not the truthfulness, accuracv. or validity of that document.
STATE OF CALIFORNIA
COUNTY OF C Vj Attic, .f ]�
On �- I, - (S before me, C6, rtS f-JrCI-6 A Notary Public
personally appeared Douglas N. Johnson*** who proved to
me on the basis of satisfactory evidence to be the person(p whose name() is/aye' subscribed to the within instrument and
acknowledged to me that he/�e// Key executed the same in his/her/Meir authorized capacity(/h
), and that by his�r/toir
signaturep) on the instrument the persono or the entity upon behalf of which the person($) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and
correct.
WITNESS my hand and official seal. CHRIS MITCHELL
COMM. #2019601 W
Vlea
Notary Public - Califomia
mLOS ANGELES COUNTY t�
y Comm. Exp. Apr. 13, 2017
Signature (Seal)
s
MAIL TAX STATEMENTS TO PARTY SHOWN BELOW; IF NO PARTY SHOWN, MAIL AS SHOWN ABOVE:
Plan Submittal
Job Site
Owners N
Number, Street, of PO
City, State, Postal C
Owner's Phone Nun
Owner's E -Mail add
Building Permit Number.
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
12/16/2016
PO
78M Avenida Nuestra
Roper Morris
50855 Washington St #0216
Le Qutnta, CA 92253
Project Manager's Namel Roper Morris
Project Manager's Phone Number 760-272-9292
Project Manager's E-mail Addressl roper morrisOlvahoo.com
Builder / Contractor Roper Monis
Number, Street or PO Box 50855 Washington ST C216
CRY, State, Postal Code La Quanta, CA 92253
Project Square
City Approval By
Date of City Approval
Materials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse*
*Describe Items
3,498 sq ft
Renado Gouldlock-DEC/Burrtec
121�ct,lrto
Tons
15.50 Not recyclable
0.00 Recyclable
Totals:' Rec cle Trash
24.311-15.5
Recyclable
Recyclable
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
1 4.001
Projected Diversion:
61.01%
1 understand It Is the property ownees responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, 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 first day of the project through the completion 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 project. 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 shall 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
ou
ENG ER NG �� aN,
P -r4 +�`1 '".m. '� k�. _ .sr ,,,�a� a kw"•y-'Pc.°a rt.'.', a -Q-x„�..:✓ a`t.., sg°4
k • . k ��.'
5 „
.s i t . , itx -tea"
Letter of Transmittal s
To: City of La Quinta Today's Date:
10-28-16 _
78-495 Calle Tampico City Due Date:
11-3-16
La Quinta, CA 92253 Project Address: - 78670 AVENIDA NUESTRA t ;
Attn: MARY Plan Check #:
BRES2016-0299
Submittal: 0 1st
❑ 4m
❑ 2nd
5'" ,
❑ 3'd
❑ Other:
We are forwarding: El By Messenger .. ❑ By Mail (Fed Ex or UPS) " ❑ Your Pickup
Includes: Descriptions: Includes: # Of Descriptions:
.Copies:
• ❑ Structural Plans
Ca Revised Struct. Plans
-❑ Structural Calculations
Revised Struct. Calcs
❑ Twss Calcs
'Revised Truss Calcs
❑ Soils Report - Update
CI : Revised Soils Report
❑ Structural P/C Responses
C� Approved Structural Plans
/ Comments
1
❑ Redlined Structural Plans
C` 1 Approved Structural Calcs
❑ Redlined Structural Calcs
Cl. Approved Truss Calcs
❑ Redlined Truss Calcs
G Approved Soils Report .
O Redlined Soils Reports
Ci Other:
Comments: Structural contEnt is approvable once the"Engineer of R --cord writes a letter approving Truss calculations.
Truss calculations and letter from Engineer of Record can be reviewed at the city by AJ or Burt. '
Transit Per Diem=
Admin Time = 0.25. hrs.
" Structural Engineer/Principal Review_ Time = .0.0 his.
Plan Review Engineer Time = 3.5 his.
This, Material Sent for:
❑ ' Your Files
Q Per Your Request
❑ Your Review,
❑ Approval
❑ Checking
❑ At the request of:
Other. ❑
By: Joe Venuti
Office: El (760) 772-5107
Other : E LQPC@VALUENGR.COM
CITY. OF LA QUINTA SUB-CONTR.1-ACTOR. LIST -
JOB ADDRESS 10 c) 11V�V� IvUQS CJ ;PERM_ IT NUMBER,V�5�(--Q? °l OWNER j ��L.w�r � BUILDEi
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41 JHA ENGINEERS
CIVIL ENGINEERS • LAND SURVEYORS • LAND PLANNERS
December 2, 2016
Counter Technician
City of La Quinta, Public Works Department
PO Box 1504
La Quinta, CA 92247-1504
RE: Pad Certification
APN: 770-172-009
Legal Description: Lot 170 Desert Club Tract Unit 5
Site Address: 78670 Avenida Nuestra
Dear Counter Technician
This letter is to verify that the locations and elevation of the building pad were field checked by JHA -
Engineers and found to be in substantial conformance with the City of La Quinta Standards. The results
are as follows:
Pad Elevation 101.0
High Side Top of Curb 100.00
Mid Top of Curb 99.94
Low Side Top of Curb 99.88
Pad is 1.00 foot above Mid Point (Finish Floor 100.90)
If you have any questions, please contact our office.
Respectfully,
� LAP
�1 Hacker R.C.E. 14614
Exp. 3/31/17
JHH/SBG
165003p.001 Pad Certification
72875 FRED WARING DRIVE, SUITE C
PALM DESERT, CA 92260
760.345-1352