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BRES2017-017378-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 c&t!t 4.4 Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING Application Number: BRES2017-0173 Property Address: 77505 CALLE POTRERO APN: 774294026 Application Description: KIRKLAND / NEW SFD Property Zoning: Application Valuation: $210,9.55.00 Applicant: LENCH DESIGN STUDIO INC PO BOX 450 LA QUINTA, CA 92253 SINGLE FAMILY DETACHED D Q jl� JAN 0 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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 in s nd Professions Code, and my License is in full force and effect. License Class: B License No.: 867583 Date: e — 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).: (_) 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 Address: _ VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/4/2018 Owner: MARK AMD SUSAN KIRKLAND 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: AEM PT Policy Number: 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 l should becople subject to the workers' compensation provisions of Section 3700 b e, I shall forthwith comply withtthose provisions. Date: ® 7 �` 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. i 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 law relating to.building construction, and hereby authorize representatives of this city t upon the above-mentioned property for inspection purposes. Date: -� O_ Signature (Applicant or Agent) Date: 1/4/2018 Application Number: BRES2017-0173 Owner: Property Address: 77505 CALLE POTRERO MARK AMD SUSAN KIRKLAND APN: 774294026 Property Zoning: Application Valuation: $210,955.00 Applicant: Contractor: LENCH DESIGN STUDIO INC ROPER MORRIS CONSTRUCTION INC PO BOX 450 50855 WASHINGTON ST STE C-216 LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)272-9292 Llc. No.: 867583 Detail: 3,298 SF SINGLE FAMILY -DWELLING (2,830 MAIN LIV, 468 GUESTHOUSE + 432 GARAGE, 564 PATIO) PERMIT DOES NOT INCLUDE DRIVEWAY APPROACH, BLOCK WALLS, POOL / SPA, FIRE PIT. 2016 CODES. FINANCIAL DESCRIPTION ,1. ACCOUNT QTY AMOUNT . ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $27.39 Total Paid for ART IN PUBLIC PLACES - AIPP: $27.39 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 3.5 $420.00 Total Paid for BLDG CITY STAFF - PER HOUR: $420.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE . 101-0000-20306 0 $9.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $9.00 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- 129.00DESCRIPTION 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 SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC '101-0000-42600 0 $12.67 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: $81.06 DESCRIPTION. ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION-1,000SF 101-0000-42403 0 $53.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $21.84 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $282.41 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 $63.35 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $25.35 Total Paid for MECHANICAL: $359.76 DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017 UPDATE 101-0000-20310 0 $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL >14 UNITS - 2017 UPDATE 101-0000-20310 0 $17.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,262.00 DESCRIPTION .ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000=42400 0 $200.00 ' DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $416.01 Total Paid for NEW CONSTRUCTION PERMIT: $616.01 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,300.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK .101-0000-42600 0 $6.85 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,306.85 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOU.NT QTY AMOUNT BUILDING SEWER . 101-0000-42401 .0 .$2S.33 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $215.39 DESCRIPTION ACCOUNT CITY. AMOUNT FIXTURE/TRAP PC. 101-0000-42600 0 $215.39 DESCRIPTION' ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26:01 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN 101-0000-42401 0 $76.02 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $76.02 DESCRIPTION ACCOUNT CITY AMOUNT . WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $754.25 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $27.42 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $27.42 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 .0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44. TOTALS: $14,130.59 Bin # 1 5 Q t y of Q uin to Buifding 8t Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet i'crrtlit r' twzv . ProjcctAddress: 3T_�tsame: A. P_ Number: Address: Legal Description: City, ST, Zip• Contractor: - Tele hone: - aF 411,:1 7Adress: Project Description: City, ST, Zip: TelepXQ hone: State Lic. # : City Lie. #; Arch., Engr., Designer: O t k3c` Address: City, ST., Zip LA { Z�o Telepho- 7© �;:;;•, j _...;-: ;; Construction Type: Occupancy: Project type (circle c}: Add'n Alter Repair Demo State Lic_ #:., Natne of Contact Person: _�V_L Sq. t. Dries: #Units: Telephone # of Contact Person:/e9 stimated Value of Projccf. t (`3!� rr� Hrrui.Hry I: UU NUT W KI I L IiLLUV11 1 HIS LIM: LA) # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Revicived, 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 Electrical Grading plan 2"' Review, ready for corrections/issue Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval flans resubmitted Grading IN HOUSE:- '`� Review, ready for corrections/issue Developer Impact Pee Planning Approval I Called Contact Person A.I.P.P. Pub. Wks_ Appr Date orpermit issue School Fccs, I Total Permit Fees Date:12/18/2017 No.: 17-00814-1 Owner: Mark & Susan Kirkland Address: 2947 Melrose Ln City: Kelso, WA 98626 Type: Single Family Residential Lot # Street No. 77505 Comments: CERTIFICATE OF COMPLIANCE '�'trlrb Desert Sands Unified School District NZhJl�s�� 47950 Dune Palms Road La Quinta, CA 92253 1- INMM WELLS q v� c .K .b'' IHB1 (760)771-8515 Email: Jurisdiction: La Quinta Tract #: Street Name Sq. Feet APN Permit No, Calle Protrero 3298 774-294-026 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement 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 3298 S.F. or $11,477.04 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. Check No.: 027905683 Fees Paid By: C iti k - r iTelephone: 760272- Name/Recipient of Certificate Funding: Residential By Scott L. Bailey Superintendent Fee Collected/ Exempted by: Sharon Mc it re Certificate Fees Due: $11,477.04 Original Payment(s) Rec'd: $0.00 C New Payment Rec'd: $11,477.04 Over/Under: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify ykp that the 90-day approval period in which you may protest the fees or 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 on 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. N L� tment: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. r5r C 7 z� �7 i� I/K 2o17.-o-1/73 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date:./2- / ZQ / /7 Developer: /GOPO ' l or As d wj?- ,P-n) Al Ws1C_ Tract No. A IWO Tract Name: Address(s): 7 7 - 9-Or 641149 7?Pirtir0 Lot No.(s): /f} Poe 30 Phone Number: ( '76V) a17 &*X • 9a �O� The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 '#5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1 #2 #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS_#1, #2, #3, #5 & #7 BELOW ❖ WALLS SIGNS OTHER: PROVIDE ITEM 06 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad.for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.arg/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City s# Recommended by: Date: 12 / Zr/ 1-7 Ff_ PW I --ID Public Works Distribution: ( )Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T:\Checklists • Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre -Revised 9-25-09 doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement <1 acre/lot or Infill Project Project Information Project Contractor: I ",t> 12s 1owcA- Project Phase Project Name: (check one) Project Tract/Lot Numbers: Construction Demolition Project Street Address Total Acres in Active Construction (<1 acre per Anticipated Start Date: / / / �8 Anticipated Completion Date: / �B Lot): PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours..y� A*'Pe'✓ %Po xa�s Name: Title: T3a a, it ovV6s &o-aster Com an Name: Mailing Address: 5 005r�g City, State, ZIP Code: �°�' � CA 9a-a`s'3 Primary Phone Fax 24 Hour Emergency Phone#: Cell Phone M -716 a 'Fd-I �` opeY, A10 rrA'X G %10"4vV 60 ft�L Email Address: v k 0 y- 0 0 0 L I && S9 PM10 Certificate #: The above stated property owner for authorized representative): Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD • Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; Shall hold harmless City/ my and its representatives from liability for any actions related to this dust control plan or any City y i i i ement activities. // 3F_ Signature of Property Owner or Authorized Representative Date TAChecklists - Forms & Applications\Fors 6 Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9 25-09.doc Water Quality Management Plan (WQMP) Exemmion Form - Whitewater River Reaion Documentation of Project Not Requiring a WQMP but Requiring_ Site Design and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 25% or greater? Yes No Y Entitlement or construction of new single-family hillside residence(s) that create 10,000,square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? Entitlement or construction of new automotive repair shop(s)_including body, upholstery, paint, exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 75391? Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square feet? ✓ Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing greater than 5,000 square feet? Entitlement or construction of new home subdivision(s) with 10 or more housing units? Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or more parking spaces, and potentially exposed to Urban Runoff? Applicant Information Name and Title rvpea molce� Company ZVCV JW0 V"1V' 5 NJ , Phone X7a•94� ,— Email A411111SO A,#00. A', Project Information Project Name Type (SFH, Multi -Family, Commercial, Etc.) `F� �J Location or Street Address 77SaS e.44le ICI * Nearest Cross Streets AV. Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) Other Location Information Watershed Whitewater River _ Source Control BMP Information Size of Project Area (nearest 0.1 acre) . O Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordnance or policy? Name of the Entity that will implement, operate, and maintain the Source Control BMPs 00 �P,G t � or Contact Name Street or Mailing Address '5­0 City Zip Code Check Item To be Perform d Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees Activity Restrictions — Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain, Closed Trash Lids, Restriction of Vehicle Washing _ Ongoing Street Sweeping at Private Streets and Private Parking Lots Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit Subdivisions, < 5,000 Square Ft. Parking Lots, Etc. Structural BMP (See Appendix H, Section 4.5.2.2) Storm Drain Inlet Stenciling and Signage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Check Item To be Provided Multi -Family Project Use of Community Car Wash Racks Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design ;& Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks- (Design &,Mairitenance)*icl'uding Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas '(Design & Maintenance) Including Canopy & Containment Outdoor Material StoTage•Areas • (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowledgement The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge "p►e.rmit, LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region Board Order No. R7-20O8-0001'arid the State Water Resources"Control Board's Order No. "99-08-DWG.". Signature: Print Name: er*a Title:�t/ ` - Date: l �vl Applicant Certification I certify that I have read this form in its entirety and understand the City's submittal and review process and the Signature: requirements for this form. I understand and agree that if during the the form, it is determined 4BAW �o�Irs processing of the Print Name: information contains errors or omissions, clarification and/or supplemental information may be the �u required and Title: preparation of such information may be considered, in the Community Development Director's judgment, an Date: unreasonable delay and will result in a suspension of processing time limits in accordance with the California Code a Cj a2 a' of Regulations, Title 14, Section 15109. phone: 17ZO) Owner Certification 1 certify under the penalty of the laws of the State of California that I am the property owner of the propert that is the subject matter of this application and I am au arixing and hereby do consent to the filling of this applic Ton and acknowledge that the final approval by the Cit of La Quinta, if any, may result in restriction, limitations a construction obligations being imposed on this real prop y. Signature• Print Name: Title: Date: Phone: ( I �E o � ? o CD CL �. Crco M CD CL CD ' + CCOL p y ram•► -4 to W C CD -inm3ro c� CD 0.. 0 'p N win r-M c� CD ,aco 0 0 w o R. � CD -* �+ ' CL , c u c -� as CD 0 • Qo a N� 1+ CL fir+ Di g 2 � d z `y C �-. !D 4 CD 0 SY� CD' (A rt o• 0• _ MrCD CD C� O'er 'G � �- 3 �D � . O 0 -6 [D M N � r+ CD CD n o C? N C CD O T 3 U 3 �' c� ,fit' in 5 cn a "'% 4b IN CL cn i • M . N o iQ �' 0 -h C .'h (n a t o � Ct �-% " =' � @ =0o m � o,� _.�c� w � G o - cn fl. 3 m C. 0 CD -� Q. O m CD a m C7 cil ft- E EsGil Corporation In eartnership with Government for Buifding Safety DATE: 12/5/ 17 ❑ APPLICANT ,>_kT JURISDICTION: La Quinta PLAN REVIEWER ❑ FILE PLAN CHECK NO.: BRES2017-0173 SET: II PROJECT ADDRESS: 77505 Calle Potrero PROJECT NAME: Kirkland Residence ( Structural Review) j� The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ® The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have structural deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. ❑[� The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑� The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted,. ---- Email: Fax In Person Date contacted Mail Telephone Telephone #: ® REMARKS: The designer stated that the Building Official would not require a soils report for this project. Please verify. By: Kurt Culver Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 11/29/17 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Building Permit Number: Project Description: ,SFR Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Job Site Add Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mail Address 10/19/2017 77505 Calle Potrero Mark & Sue Kirkland Project Manager's Namel Skip Lench (Lench Design Studio) Project Manager's Phone Number 760-578-1077 Project Manager's E-mail Address I IenchdesianCa7aol.com Builder / Contractorl Roper Morris Const Number, Street or PO Box1 78670 Avenida Nuestra City, State, Postal Codel La Quinta, CA. 92253 Project Square Footage) Approx. 3,730 square feet City Approval By Renado Gouldlock-DEC/Burrtec Wast 4JX1 Date of City Approval RD /P 9 ! / Materials To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items Tons 15.50 Not recyclable 0.00 Recyclable 0.00 Recyclable 0,00 Recyclable 0.00 Recyclable 17.00 Recyclable 1.75 Recyclable 0.00 Recyclable Totals: Recycle Trash 29.8 L 15.5 Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 Recyclable 4.25 Recyclable 0.00 Recyclable 0.25 Recyclable 0.50 Recyclable 6.00 Recyclable 0.00 Recyclable Projected Diversion- 65.75% I understand it is the property owner's 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 65% 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 / Superintendant Date 77Sa�"1/e yC 0 CITY OF LA O.UINTA SUB -CONTRACTOR. LIST DB ADDRESS PERMIT NUMBER OWNER, /+�'�'►Q�EL�rrrl� BUILDER' its form shall be posted on 1hejob with tie Buildirr(li?sr�OCtion Card•, at III timed in a c ans(�ir.t�nr )ace_ Only persons appearing on this list or their employees are authorized to work i this job. Any changes to this list must be approved by the Building Division prior to commencement of work_ Failure to comply will result in a stoppage of work and/or the voidance building permit. For each applicable trade, all information requested below must be completed by applicant.. "On File" is not an acceptable response. .. 1 11 --.: Tr:,z si[icz�.o..-.:. -:. - ••.-.:•:;::.:.. ,.COi7ir1C�' r-- .... .: .-.-•-- Q.... .... W • --'-::::..-. 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