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BRES2017-021578 Y495.CALLE TAM P.1CQ r LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: �r4•�4�rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/8/2017 BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: BRES2017-0215 MICHAEL BEF MAN 52355 ROSS AVE 297 PILGRIM DR 767670027 EDWARDS, CO 81632 BERMAN / 5,325 SF DWELLING/VB/RES-3/CLASS A-FR/13D $464,041.80 Applicant: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 DEC 0 8 2017 CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: B License No.: 762889 Date: Contractor: U OWNER -BUILDER O GARATION 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).: (_J 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.). ( 11, 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 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 Addre: Contractor: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 (760)773-5205 Llc. No.: 762689 WORKER'SCOMPEOSATION DECLARATION hereby affirm under penalty of perjury ore of the following declarations: I have and will maintain a certificate of consentto self-insure.for workers' ompensation, as provided for by Section -2700 of the Labor Code, for the performance f the work for which this permit is issued. eia I have and will maintain worker:' compensation insurance, as required by ection 3700 of the Labor Code, for the pe-formance of the work for which this permit is ;sued. My workers' compensation insurance carrier and policy number are: . :arrier: SECURITY NATIONAL INSURANCE COMPANY Polity Number: 762889 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any marine. so as to become subject to the workers' compensation laws of California, and agre a that, if I should become subject to the workers' compensation provisions of Secti :)n 3700 of -the -Labor Code, I shall forthwith comply with those provisions: r _ Date: Applicant: WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRMINAL 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 ACYNOWLEDGEMENT IMPORTANT: Application is hereby made no the Building Official for a permit subject to the conditions and restrictions set forth or this application. 1. Each.person upon whose behalf this application is made, each person at whose request and for whose benefit work is perormed 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 en pon . e above- mention�ed�pro�pe�rrtyyfforr inspection purposas. Date: Signature (Applicant or Agent): - w Date: 12/8/2017 Application Number: BRES2017-0215. Owner: PropeftV*fdrm-. /%'52355 ROSS AVE MICHAEL BERMAN APN: 767670027 297 PILGRIMIDR Application Description: BERMAN/ 5,325 SF DWELLING/VB/RES-3/CLASS A-FR/13D EDWARDS, CD 81632 Property Zoning: Application Valuation: $464,041.80 Applicant: Contractor: FEDDERLY & ASSOCIATES FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 PALM DESERT, CA 92211 - (760)77375205 -------------------------------------------------------------------------------------------- Llc..No.`. 762889 Detail: 5,325 SF DWELLING - MADISON CLUB LOT 7 ]VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE FIRE SPRINKLERS, POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. r t.,. ::,,�<DESCRIPTION -ACCOUNT QTY. AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $660.10 Total Paid for ART IN PUBLIC PLACES - AIPP: $660.10 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $19.00 . Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $19.00 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 256-0000-03200 0 $40.00 DESCRIPTION ACCOUNTQTY a AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-00001-43200 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 $77.52 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $31.92 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $152.00 DESCRIPTION ACCOUNT QTY :AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 •$50..16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $311.60 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $38.00 DESCRIPTION ACCOUNT CITY AMOUNT v RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 I 0 I $190.00 Total Paid for GRADING: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT - QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $101.32 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 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101=0000-42600 0 $101.32 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $126.70 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $50.70 Total Paid for MECHANICAL: $701.78 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $765.87 Total Paid for NEW CONSTRUCTIONIPERMIT: $765.87 DESCRIPTION ACCOUNT QTY AMOUNT . NEW CONSTRUCTION PLAN CHECK . 101-0000-42600 0 $1,500.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $144.35 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,644.35 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 $25.33 DESCRIPTION ACCOUNT I QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION ACCOUNT QTY AMOUNT FIXTU.RE/TRAP 101-0000-42401 0 $304.08 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $304.08 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT 5+ OUTLETS PC 101-0000-42600 .0 $25.33 101-0000-20308 DESCRIPTION ACCOUNT QTY AMOUNT 'ROOF DRAIN 101-0000-42401 0 i $190.05 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600. 0 $190.05 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401, 0 $25.34, DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.20 ` 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 PLUM®NG FEES: $1,178.27 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $60.33 Total Paid for STRONG MOTION INSTRUMENTA-ION SMI: $6033 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 . k I 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 Bin # City of La Quinta Building Sr Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 2- S 5 S RtOSS A-/ e, Owner's Name: rn' Lh4 r 0. A. P. Number: 71p 7 - �? Q - D Z 7 Address: 22- G% % pi I rim D r. 7rAC a Legal Description: Lbf 7 of - ,3 - / City, ST, Zip: 176 Contractor: e d ,d e4-I A SS 6& &L -� • qi?Aa>Ra •7.i4:O�ax� Telephone: 66 ' 2 6 2 2-IL Project Description: S i h ''L F-9 m 1 Address: 7 2- (p Y a r'll a f' " -4_b-24 FJ City, ST, Zip: Pa iM A CA 12211 GV Yd l9%'Y1S Telephone: ...x.v. City Lie. M. ,77/ � a�1S I harf bAY-h State Lic. # : -7(o2_5%J Arch., Engr., Designer: FQdd.Go t A-5SOGI. QJT Ca r' Address: 7$2p(p V _ZYS City, ST, Zip: alp, eSe�+ G� 922r1 Telephone: %�" %%3 ZOS :m� t`:,':?' j;`. `:£:;: �:'':::'::2� a'?`..`:,tom r? '. {.:r .:: ;:f:: , r r.:< r;;._<...: ; Construction Ty Occupancy: State Lie. #: 7(y 2,61 j 9 Project type (circle one): New Add'n Alter Repair Demo I Sq. Ft.: 5 37, S I # Stories: f # Units: ' Name of Contact Person: Mate- Gha ron Telephone # of Contact Person: 1 &0 73 -6265 X 1671 Estimated Value of Project: boo Ow . 0Q Ni23IG C_ P Cd e4Y_ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2n! Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.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. Wks. Appr Date of permit issue School Fees L Nil= Total Permit Fees AUG 2 12017 CITY OF LA QUINTA COMMUN117Y DEVELOPMENT 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 Date) 9/20/2017 Job Site Address) 52-355 Ross Ave (Lot 7A) Owner's Name Number, Street, or PO City, State, Postal C Owner's Phone Nur Owner's E-Mail Add Michael Berman 297 Pilgrim Dr Edwards, CO. 81632 c/o 760-773-5205 x100 Project Managers Namel Fedderly & Assoc Project Managers Phone Number 760-773-5205 x100 Project Managers E-mail Address I catalinaCa)fedderly.com Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage City Approval By Fedderly & Assoc 38747 Nopales Rd Suite A Palm Desert, CA. 92211 Approx. 6,340 sq ft (CFA total and garage) R. Gouldlock-DEC/Burrtec Waste I - Date of City Approval 01J u J -1 Materials To Be Discarded: Product Tons Trash 25.00 Not recyclable Asphalt 0.00 Recyclable Brick/Block 0,00 Recyclable Cardboard 0.00 Recyclable Commingled 0.00 Recyclable Concrete 27.00 Recyclable Drywall 3.00 Recyclable Donated / Reuse* 0.00 Recyclable *Describe Items Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 7.00 0.00 0.60 0.84 10.00 1 0.00 Totals: Recycle Trash Projected Diversion: 48.4 25.0 65.96% 1 understand It is the property owner's responsibility to submit copies of weight tickets or receipts to the District Now Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the ti Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is C=) diverted from landrilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining N mum 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 F issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the to. The C-)DMP 0 are adhered property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. Ifs hauli II r se a rial from this project site must be taken to an approved recycler or transfer 9-Zz 17 r / pylectM a- n —ag-e-ff 9 upe tendant Date Bkt51Q0-0_1IS Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: _ Owner's Name: Project Address: Michael Berman Michael Berman This Box For District Use Only DEVELOPER FEES PAID AREA I AMOUNT LEVEL ONE AMOUNT: I LEVEL TWO AMOUNT: I MITIGATION AMOUNT: I COMM;IND. AMOUNT: DATE: I RECEIPT: CERTIFICATE OF COMPLIANCE (California Education Code 17620) (Madison Club) 52-355 Ross Avenue, La Quinta, CA 92254 Project Description: 1 Single Family Dwelling Unit APN: 767-670-027 Type of Development: Residential Tract #: YY Commercial Total Square Feet of Building Area: 5,325 SQ. FT. CHECK #: I INITIALS Date: December 8, 2017 Phone No. Lot #'s: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign ehalf oft e o veloper. Dated: Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 5,325 RECEIVED Amount per Sq.Ft. $ 3.48 Amount Collected $18,531.00 DEC 8 2017 Building Permit Application Completed: Yes/No --CM OF LA QUINTA By: William Aguirre, Director of Facilities 1 AOMM ITY DEVELOPMENT Certificate issued by: Leticia Torres, Facilities Analyst Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. 11/2010 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,Buildina & 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 ap `plicatio ns which cannot be processed will be returned to applicant. Date: _/�/� � e.r Developer: !A Tract No.: MM Tract Name:, ? , _ i< A- cvL Lot No.(s): Address(s): 6k- 355 OSS Age,. Phone Number: 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 #6 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 g(�aded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/gmht 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.orq/PlanCheck/m search.aspx 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 staff. Recommended by: Date: 0 / (7 Public Works Distribution: ( V ) 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 & ApplicationMGREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity ■ Visible dust emissions that travel >100 feet from the source (within site) ■ Visible dust emissions that cross any property line ❖ EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. ❖ WEATHER MONITORING: Wind predictions shall be monitored. ❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. ❖ TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. ❖ PARKING: Parking is nbt allowed on pad. All vehicles must park on street at designated areas only. ❖ TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. ❖ DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. I ❖ FENCING: Provide PM10 fencing at perimetep of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. ❖ EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. ❖ EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. ❖ DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. ❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. ❖ RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of project. Check Item To be Performed 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 f9r 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 Check Item To be Provided 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 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 & Maintenance) Including 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 Storage 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 permit, Signatu LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), Water); Z �e�� LArct and 13.24.170 (Clean Air/Clean Print e: Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region e�G Title: Fes' Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. Date: Phone: Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777 www.Sladdenengineering.com July 5, 2017 Project No. 544-17194 17-07-288 Fedderly & Associates 78206 Varner Road, Suite D #248 Palm Desert, California 92211 Subject: Geotechnical Update Project: Proposed Custom Residence 52-355 Ross Avenue The Madison Club — Lot 7A La Quinta, California �f✓ S Zap 7- 02l � CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE I ? -/BY Hein% S. r D. Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 As requested, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of the proposed custom residence to be to be constructed on Lot 7A located at 52-355 Ross Avenue within the Madison Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood -frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. 'Vhe subject lot was previously graded during the rough grading of the Madison Club project site. The rough grading included over -excavation and recompaction of the native surface soil along with the placement of engineered fill material to construct the building pads. The site grading is summarized in the referenced report of Testing and Observation During Rough Grading along with the compaction test results. Because the lot has been previously rough graded, the remedial grading required at this time should be minimal provided that the building area that falls within the previously assumed building envelope. The building areas should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted to a minimum of 90 percent relative compaction prior to fill placement. The previously removed soil and any fill material should be placed in thin lifts at near optimum moisture content and compacted to at least 90 percent relative compaction. ' . I .`�{4Ew%' .._ Jim - WOW, -V h; r:;,f: . COMMUNITY DM&ANIFeering d 14+ July 5, 2017 -2- Project No. 544-17194 17-07-288 The referenced reports include recommendations pertaining to the design and construction of residential structure foundations. The previous reports also address the potential for liquefaction, subsidence and differential settlement. Based upon our review of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. The allowable bearing pressures recommended in the referenced Geotechnical Investigation report remain applicable. Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1500 psf and 2000 psf, respectively. Allowable increases of 300 psf for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic loading. Lateral forces may be resisted by friction along the base of the foundations and passive resistance along the sides of the footings. A friction coefficient of 0.48 times the normal dead load forces is recommended for use in design. Passive resistance may be estimated using an equivalent fluid weight of 300 pcf. If used in combination with the passive resistance, the frictional resistance should be reduced by one third to 0.33 times the normal dead load forces. The bearing soil is generally non -expansive and falls within the "very low" expansion category in accordance with the 2016 (CBC) classification criteria. Pertinent 2013 CBC Seismic Design parameters are summarized on the following page. Sladden has reviewed the 2016 California Building Code (CBC) and summarized the current seismic design parameters for the proposed structure. The seismic design category for a structure may be determined in accordance with Section 1613 of the 2016 CBC or ASCE7. According to the 2016 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The 2016 CBC Seismic Design Parameters are summarized below. Risk Category (Table 1.5-1): I/II/III Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1):1.516g Si (Figure 1613.3.1): 0.714g Fa (Table 1613.3.3(1)): 1.0 Fv (Table 1613.5.3(2)):1.5 Sms (Equation 16-37 {Fa X Ss}): 1.516g Sml (Equation 16-38 {Fv X S11): 1.072g SDS (Equation 16-39 {2/3 X Sms)): 1.011g SD1 (Equation 16-40 12/3 X Sm1}): 0.714g Seismic Design Category: D Sladden Engineering July 5, 2017 -3- Project No. 544-17194 17-07-288 In addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate content as it relates to selecting appropriate concrete mix designs. Testing indicates that the site soil is generally considered to be severely corrosive with respect to concrete. The testing indicated soluble sulfate content of 7600 ppm (0.760 percent) that corresponds with the "severe" exposure category in accordance with ACI 318-08, Table 3. Based upon the test results, the use of sulfate resistant concrete mixes will be required. Structural concrete in contact with the soil should have a minimum compressive strength of 4500 psi and a maximum water -cement ratio of 0.45. We appreciate the opportunity to provide service to you on this project. If you have any questions regarding this letter or the referenced reports, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Q pF S/p "Y L Fy Brett L. Anderson ND�38N n Engineer Principal En p• 9/30/18 p g CIVIL ENGINEERING SER/gvm Copies: 4/Fedderly & Associates Sladden Engineering -1 i -v'l - z,&1�- Please verify that soils reports contain all of the above information. In addition, to assure continuity between the investigabon/reporting stage and the execution stage, please use the following checklist to verify that the conclusions and recommendations in the report cover all the required elements. Only then can we be assured that the construction documents address all of the site soil conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section of the report address each of the following criteria? "Address" means: (a) the criterion is considered significant and mitigation measure(s) noted, or; (b) the criterion is considered insignificant and explicitly so stated. Y s -No Criterion ® Foundation criteria based upon bearing capacity of natural or compacted soil. ® Foundation criteria to mitigate the effects of expansive soils. 0 Foundation criteria based upon bearing capacity of natural or compacted soil. ® Foundation criteria to mitigate the effects of liquefaction. Foundation criteria to mitigate the effects of seismically induced differential settlement. X® Foundation criteria to mitigate the effects of long-term differential settlement. ® Foundation criteria to mitigate the effects of varying soil strength_ ® Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the above checklist should be noted as specific required corrections. Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 Date: June 30, 2017 Account No.: 544-17194 Customer: Fedderly & Associates Location: Madison Club, Lot 7A, 52-355 Ross Avenue, La Quinta Sulfate Series Analytical Report Soluble Sulfates per CA 417 ppm 7600 Soluble Chloride per CA 422 ppm 9550 Sulfate 544-17194 063017 -TABLE 19-A-2—REQUIREME-NTS FOR SPECIAL EXPOSURE CONDMO14S [ t[HIMUM 1, MAXIMUM FfORb{At -WE[G AND . WATER-CE MENTCT[pus : :UG 3tiE)GFT - MATERtAIS_ RAi10, BY . ; AGGREG 4TE EONCAET� EXPOSURECONDMON -WB7-. ORMAGWOGHT• AGGREGATE CORCRE-rE Lc Con;retc intended to have low permeability when 0.00589-rorMPa exposed to water Concrcic exposed to•frcczing and thawing in a moist O SQ - 4,000 condition or to deicing chemicals For corrosion protection for reinforced 0.45 4,S00 concrctc exposed to chlorides from deicing chemicals, salts or brackish water, oespraY-CTl]m tfiese'sourccs 0 5,000 TABLE 19-A-3—R EQUMEMEhf_TS.FOR CONCRETE EXPOSED TO SULFATE -CONTAINING -SOLUTIONS - NORMAL-WEIGHT'A WEIGHT - [JGHTREGATE GG - AGGREGATE :CONCRETE - WATER-SOLUBLE Max[murnWiktar- Camandtlous 1,-Normal- •NFetpht-and SULFATE Matenets z Rs tforby:. .-.Whhvelght - jSOC tit SOI SULFATE PtFtc EAGEBY SULFATE(50�}IK wa- ht. 1ior*nat Wetgti[ A9gt?4gte Cbncr?ta; , EXPOSURE WOGHT WATER, ppm AO(jmgata CEME1fTTYPE Coneretal pill = - x 000684"forMPa Ncgligib[c 0.00-0.I0 0-I50 Modctatc2. 0.1"20 I50-1,500 • 4.000 if. IP(MS), LS -050- (MS) , Seven 0.20-ZA0 4,500 0-45 - Ycry scvcrc Ovcr 2.00 Ovcr I0,000 V [us P • , •0.45 pozzolan3 - 4,500 _ IA lowcc wa[cr ccmcnti[ious matcri _ als ratio orhighcr s4r-n gth 2 against eotrosion of embedded items or Ete¢ing and rhaWing [y(a6 19LA 2o r low Permeability orfor�coteetion Scawa[cr_ ?Pozao[an that has bcea determined by rest orservice record tai ng -f}epc V ccmcnt ro improvcsulfate resistance when used in concrete eort- 2-264 RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL DOCUMENT TO: The Berman Living Trust 297 Pilgrim Drive Edwards, CO 81632 A.P.N.: 767-670-027-0 GRANT DEED T.R.A. No.020-172 DOC # 2014-0206172 06/05/2014 08:00 AM Fees: $21.00 Page 1 of 3 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "'This document was electronically submitted to the County of Riverside for recording— Receipted by: AGARRETT Above This Un a for Recorder's Use 0* The Undersigned Grantor(s) Oedare(s): DOCUMENTARY TRANSFER TAX $768.90; CITY TRANSFER TAX $; X computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale, unincorporated area; (X j Cityof to Qulnta, and File No.: RIW-4635420 (SE) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Terrence A. Larsen, a married man as his sole and separate property hereby GRANTS to Michael Berman, trustee of The Berman Living Trust the following described property in the City of La Quinta, County of Riverside, State of California: PARCEL NO. 1: LOT 7 OF TRACT NO.33076-1, IN THE CITY OF LA QUINTA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGE(S) 57 THROUGH 79, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA. AMENDED PURSUANT TO THAT CERTAIN CERTIFICATE OF CORRECTION RECORDED MAY 04, 2010 AS INSTRUMENT NO. 2010-204535 OF OFFICIAL RECORDS. PARCEL NO. 2: NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. Mail Tax Statements To: SAME AS ABOVE RECEIVED OCT 11 2017 STY OF LA QUINTA OM14UH TYDEVELOPMENT Qitrs1.a17-O'2..15 RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL DOCUMENT TO: The Berman Living Trust 297 Pilgrim Drive Edwards, CO 81632 Above This Line for Recorder's Use Only GRANT DEED A.P.N.: 767-670-027-0 T.R.A. No.020-172 File No.: RIW-4635420 (SE) The Undersigned Grantor(s) Deciare(s): DOCUMENTARY TRANSFER TAX $768.90; CITY TRANSFER TAX $; X } computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale, unincorporated area; [ X ] City of La Quirrta, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Terrence A. Larsen, a married man as his sole and separate property hereby GRANTS to Michael Berman, trustee of The Berman Living Trust the following described property in the City of La Quinta, County of Riverside, State of California: PARCEL NO. 1: LOT 7 OF TRACT NO. 33076-1, IN THE CITY OF LA QUINTA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGE(S) 57 THROUGH 79, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA. AMENDED PURSUANT TO THAT CERTAIN CERTIFICATE OF CORRECTION RECORDED MAY 04, 2010 AS INSTRUMENT NO. 2010-204535 OF OFFICIAL RECORDS. PARCEL NO. 2: NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION. Man Tax aia[emenrs io: bAMt Its At$Uvt Notary Seal Under the provisions of Government code 27361.7, 1 certify under penalty of perjury that the Notary Seal on 'the document to which this statement is attached reads as follows: Name of Notary: T`D M V-�-Om (A 1 1 Commission Number:2 OZ�b!e�,5 County where Bond is filed: Date Commission Expires: PLACE OF EXECUTION: SAN BERNARDINO DATE: SIGNATURE: PRINTED NAME: _Ashleigh Salters dt- 5 / 27 /2t►1 rrence A. arsen STATE OF Cb f : b(n i ef )SS COUNTY OF inarr'A ) On /Vay 2.74 Z o I `f , before Public, personally appeared 1' e r re -A CZ! Grant Deed - continued Tom RoyQ/1 Date: 05/ 27 / 2014 Lim who proved to me on the basis of satisfactory evidence to be the person(( whose name(a5.is/aK subscribed to the within instrument and acknowledged to me that he/.%WtbW executed the same in his/OoQUx4f-authorized capacity(05� and that by his/h4/tbt**-signatureK on the instrument the person(, or the entity upon behalf of which the personK 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. Signature X7 Z My Commission Expires: Url `i r 2017 totit aovau ,f 242768b �� C�Ctr�twRlo �b'�sn.Rf4�17 This area for off dal notarial sea/ Page 2 of 2 Za PERMIT # PLAN LOCATION: Project Address: 5 2"35S J;av� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Applicant Name: RwE ¢-A-55 v(!- t Address: 3 8 - 74 7 /mod PkLcs City, ST, Zip: PkWDcST g22 Telephone: ?6o • Email: t4' etc@�/ t lI n Valuation of Project $ Contractor Name: D,� ` 58 t K.V New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000