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BRES2017-0063S 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JOHN PEDALINO &ty/ 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2017-0063 . 78101 SAN TIMOTEO . 646160007 TERRY / 4,536SF DWELLING/VB/RES-3/CLASS A-FR/13D $405,175.50 . VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MICHAEL TERRY Contractor: ® RIMCREST DEVELOPMENT INC 3419 VIA LIDO SUITE 455 FEB 2 3 20.-18 NEWPORT BEACH, CA 92663 CITY OF LA QN(NTA (949)466-0900 DESIGN AND DEVELOPMENT DEPARTMENT uc. No.: 85s893 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 Bus' ess and Professions Code, and my License is in full force and effect. License CI ss: B License No.: 858893 Date: Contractor:`: OWNER -BUILDER DE RATION' 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 Date: 2/23/2018 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 issu ".workers' compensation insurance carrier and policy number are: C rie : EMPT Policy Number: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any man become subject to the workers' compensation laws of California, an agree that, if I s uld Itcome subject to the workers' com ensation provisions o Section 3700 oft a La or Code, I shall forthwith comply with hosse�provisions. Date: �/ • Applicant: WARNIN : FAILURE TO SECURE WORKERSC MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000 . IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR I SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to; and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of --- to a ter upon the above- mentione�fd' operty for inspection purposes. Date: v �3 Signature (Applicant o ent Date: 2/23/2018 Application Number: BRES2017-0063 Owner: Property Address: 78101 SAN TIMOTEO' MICHAEL TERRY . APN: ' 646160007 Property Zoning: Application Valuation: $405,175.50 Applicant: Contractor: JOHN PEDALINO RIMCREST DEVELOPMENT INC. 3419 VIA LIDO SUITE 455 NEWPORT BEACH, CA 92663 (949)466-0900 --------------- -------------------------------------- Llc. No.: 858893 --=---- - Detail: 4,536SF SINGLE FAMILY DWELLING [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES ------------------------------- NOT INCLUDE POOL, SPA, WATER FEATURES, BLOCK WALLS OR DRIVEWAY APPROACH. DEFERRED SUBMITTAL OF 4.OkW PHOTOVOLTAIC SYSTEM APPROVED BY AOR. 2016 CALIFORNIA BUILDING CODES. T. • FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 0 $104.55 Total Paid for ADMINISTRATIVE: $104.55 DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $512.94. Total Paid for ART IN PUBLIC PLACES - AIPP: $512.94 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1.5 $234.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 . 1.5 $234.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 . DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 2 $190.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 3.5 $332.50 Total Paid for BLDG CITY STAFF - PER HOUR: $1,010.50. DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $17.00 Total Paid for BUILDING• STANDARDS ADMINISTRATION BSA: $17.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $242.68 Total Paid for Credit Card Fee:) $242.68 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 $66.30' DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $27.30 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: $301.13 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 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $75.99 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 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $75.99 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $101.36 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $40.56 Total Paid for MECHANICAL:. $539.64 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 $731.06 Total Paid for NEW CONSTRUCTION PERMIT: $731.06 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0. $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $370.10 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,570.10 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 FIXTURE/TRAP 101-0000-42401 0 $291.41 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $291.41 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT SEPTIC SYSTEM 101-0000-42401 0 $12.67. DESCRIPTION ACCOUNT QTY AMOUNT SEPTIC SYSTEM PC 101-0000-42600 0 $5.07 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 10.1-0000-42401 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: $728.93 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $52.67 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $52.67 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 l TOTALS: r em # City of La Quin to Buftw aT Sdtty Dbhibn P.O. Box 1504, 78.495 Cage Tampico La QuhU, CA 922S3 . (760) 777-7012 Building Permit Application and Tracking Sheet Perralt p ProW Addrm- Owmes Noma: VIA LWO 41,4155 A- P. llml r. __b Ala - 1. fo LcgW nri{J at: c�r, Sr, z�: - `�iC[St�'i:1C� k�N IF _ Prgjeci Da�ripdoa: W ��.. } e ` {� coctrac r: -R �L_LIi-rmi- Y���, Address: M 1 - 1 via � 5-- C*. ST. AP: r 3 T fth.: _ - -- - - - Sate Lk- 0 : $ Cay Lis. *: Ate � � Ct U `'ddrm: c1ty, sT, up: 0 . Telepnmc: q — _ . w C«>ntuction T p<- 0), U stale Lis is N= typo tdreto one}: Add'a Alit Rgmk Damn sea. iZ : s} a sooaiGs: j r uoa�- Name oiCanb4?awe: T-Jenhar a Af of Cow= Pamw� ~_ G 9i � F�timated V.ltto ,f ��,��� APPLICANT: DO NOT WRITE BELOW TM UM { Sohastmi He 'd ilae'd TRAQ13NG PERIM FUS !Uo 8s0 alas Clk"I wt,mitlld [sow AmeaoA $trveRoe�l Gla. R,evlowed, ready >br aunty om no Cheek DepoeN Tram CkL c lied Comb" Pesos Pl u C 16A Holmes C'a�cirardlN Meelualeal Title24 C" M- pitted of T Pfaoo reaaam tied %fir pki, plan - Grading plan P"Redew, readl6K cw,actloavA"*e tJeetrtesl PluarWug Sw, sa w, um Called Cootaet Pa"S Grsat Dena Plan F&td rap - — tl-)♦d.L Grading ELO.A. Apt? l'lom rreo0mlpeQ qV E O=;- ft-W, Approval '"' Retlsw, ru* der toerenumAme, Called Contest Perron Dewdoper rapact Pee A.t-PY, Pub. W ha. APpr Dan of permit !mane School re" Tout Permit Yee 1. �S zz)n - ccc 3 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updatwi a .110C ve SOsrz000 Gt!en Shggij122vj15 are forwarded 10 the BuMinq_& Safety Deortment directly by PI b4LT&Jy%. 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: q 1 '1- 1 / 17 Developer Michael and Elizabeth Tract No.'. Tract Name. La ❑ulnta Golf Estates ;L Lot No.(s) Address(s). 78101 San Tlmoteo St. Phone Number. ( The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department O CUSTOM HOMES: PROVIDE, ITEMS Ail, 03, 04, #5 & 107 BE {mow 0 TRACT HOMES: PROVIDE ITEMS X1, #Z 93 & #6 BELOW O COMMeRCIAL B DIN SIOTHER: PROVIDE ITEMS A:1 #4 X3 #6 & 07 QELQW • WALLS SIGNS, OTHER: PR VIDE 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)_ It 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 comfication of grading plan compliance including compaction reports from a Licensed Soils Engineer Recently rough graded residential developments which have a previously approved geotechnlcal certification are exempt from this requirement. 3 Attach recorded final map or title information/grant deed showing proposed t uftng locations are legal lots. 4 Complete the attached <1 acre per lot or infdl 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 plants & are subject to additional requirements. A current PM 10 certification number is required. 5 Attach a copy of the rough or precise grading plan to the Public Works Department showing buikting location(s) for pad elevation verification AO flood zone developments will rewire an approved flood plain development plan 6 Attach supporting documentation for wall plan, monument sign, grease trap or special facility inatsllations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require AME a WQMP or a completed WQMP exemption form. Approved mapsfplans may be viewed at the following link- htip-rr -gknxa <_q,PanL search.awx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buikfings/structureslwasshsigns on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City . Recommended by: Date 9 1 161 1-7 Public Works Distribution i 1 Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T Crrctdau - Fvna t nFv6:ronW ums a /cpwwr *GA w SHEET oa r 6 PWO tW itw i Acre Raba fl..?_S,x aoc 14, V1 c)4%�— 0,\ I -•Pe, iV4s t i City of La Quints - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (i1 screllot or Infill Project P od Information Protect Phase (check one) Q Construction ❑ Demolition Total Acres in Active Construction (0 acre per Lot): 38 acre PM10 Contact Information Contirasfor: Rimcrest Development, Inc. Project Name: Michael and Ekzabeth Terry Project Traa&ot Numbers_ Lot 7 San Timoteo Project Street Address: 78101 San Timoteo St Anticipated Start Date: / / Anticipated Completion Date: / 1 Pbase note: Dust control Is required 24 hours a day, 7 days a week, regardless of construction status Person listed below is responsible for dust control during business and non -business hours Name: I John Pedalino Title: 'I President my Name: Desert Estates Development, Inc. Address: 78401 Hwy. 111 Suits X ZIP Code: La Qulnta, CA 22253 r Phone d: 1 760 777-9920 Fax #-. 24 Hour Emergency pt ,,...&- 1 780 578-6915 780 578-8915 Emall Address: I desertestates&c-rr,com CV1801-003053-3135 1h2 above ,§W�W 12Mp= gwrar au r,orgea reareaent yg): O Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rubs 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 oontrd plan. O 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: d Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compaanee with all requirements of the approved dust control plan; • Shall take all reorrssary precautions to minimize dust, even if additional measures beyond those listed In the dust control plan we necessary; O Shall authorize representatives of CitylCounty to enter the property for inspection and/or abatement purposes; 6 Shall h ess the City/County and its representatives from liability for any actions related to this dust control plan or, Cj/County initiated abatement activities. Signaluts of Propeny Owe*i or Authorized Representative 04M.1 r ICniw.t. - on 1w , Aa. N ."W %2! M ex Wager Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Protect Not Requiting a WOMP but Reguiring.5ite Deftn eMPs 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 Anewered "No" To Exempt Project) Yes : No Entitlement or oonstruction of new single-family hillside raW ience(s) that create 10,000 square feet, or Elmo RL re. of im�ervfous area where the Pm-develo merit f slopeis 25% or Entitlement or constriction 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 109E or greater where erosive ❑ ❑✓ soil conditions are known? Entitlement or oonstruction of new commercial and Industrial developments) 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 Industrt� Classification SIC codes 5013, 7532, 7533. 7534. 7537. 7538. and 75391? ❑ Entitlement or construction of new retell gasoline outlet(s) disturbing greater than 5.000 square feet? Entitlement or construction of new restaurants) (or potential restaurant shall space) disturbing greater ✓ than 5 000 care feet? ✓ Entitlement or construction of new home subdrvision(s) with 10 or mom housiN units? Entitlement or construction of new parking W(s) of 5,000 square feet or more, or with 25 or mom ❑ parldng spaces, and potentially exposed to Urban Runoff? Ap Ilcant Infomtstion Name and Title Michael and Elizabeth Terry Company Rimcrest Development. Inc. Phone 949 486-0900 Email P t Infomnation _ Project Name Michael and Elizabeth Terry Type (SFH, Multi -Family, CommsrcW. Etc.) SFH Location or Street Address 78101 San Timoteo St, Nearest Cross St soft Eisenhower Dr- and Avenida Fernando Municipality/County0p Code La Quints Tract Number(s) and/or Assessor Parcel Numbers) 646-160-007 Other Location Information Watershed 1/Vhitewater River Source Control BMP Infonrwtion Size of Project Arne (memK o_t acre) 38 acre Project Area managed with She Design or Low Impect Development (LID) BMPs (nearest a. i acre) Is the project subject to onelte retention by City -- No ordinance or policy? Name of the Entity that wNl implement. operate. and maintain the Source Conti I amps Desert Estates Development, Inc. Contact Name John Pedalino - -- Streat or Mall" Address 78401 14". 111 Suite X Chy La Quints Zip Cods 92253 Phone 949 466-MO T s^.hecLwa • Foms K AW6ta wf-o & F Ap41gtvwW_4tXW SHEET mw A Pu1C *mow ` Am NSA a,TrW We Check Item To be Performed Source Control RMP Requirements - Ali Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.8-2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection 8 Maintenance EducationfTraining for Property Owner, Operators, Occupants, or Employees Act" Restrictions - Prohibition of Debris BlowinglSweepinglWashing into StreeUStorm Drain, Closed Trash Lids, Restriction of Vehicle Washing Ongoing Street Sweeping at Private Streets and rP wale Parking Lots Source Control BMP Rsquiremonts - Small Sloped Lots, Small Commercial, 410 Unit SubdMalons, <5,000 Square Ft. Parking Lots, Etc. Structural BMP (See Appendix H. Section 4.5.22) Storm Drain Inlet Stenciling and Sgnage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Vel 6el &/ Check To be Provided Poem Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Rados Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention AirAftter Supply Area Drainage (Design & Maintenance) Including Spill Area Containment Trash Storage Aress (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry S Frequent Cleaning Procedures Maintenance Bays (Design S Maintenance) Including Indoor Location 8 Storm Water Containment ❑ Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy S Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CCBR'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 CCr3R or Maintenance Agreement for recordation at Riverside County, (Optional Requirement to be reviewed on a Project by Project basis) ❑ BMP The applicant shall comply with listed BMPs and applicable provisms of the City s NPDES storrnwater discharge permit. LOMC Sectaons 8 70 010 et seq (Stormwater Management and Discharge Controls). and 13.24 170 (Clean AirlClean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board - Colorado River Basin Region Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-13M. Signature: Print Name: Michael Terry nft: President Dow I"'r-. Phone.1949 ) 486.0900 T 1CMK461, FOms L AopYoa wwfamu a A0P=U99"0i8Mt% S EEl 00M • FMIO W" thin t Ipf Fiw.lwd 4SM am -- - — - — Applicant Certification I certify that I have read this form in its eat'rety and understand the City's submittal and review process and the signature: requirements for this form. I understand and agree that if Miciaael Terry during the processing of the form, it Is determined the pdnt Men -. information contains errors or omissions, clarification and/or supple mantel information may be required and the This:President preparation of such Information my be conatderad, in the Community Development Director's judgment, an Dats: unreasonable delay and will result In a suspension of processing time Limits in accordance with the California Code Phone: 1 %9 41 48M9W of Regulations, Tide 14, Section IS 109. Owner Certification certify under the penalty of the laws of the State of California that I am the property owner of the property that Is the subject matter of this application and 1 am authorizing and hereby do consent to the fining of this application and acknowledge that the final approval by the City of La Quints. If any, may result In restriction, limitations and construction obligations being imposed on tht real property. M el Tony Print Hems: PresiCent Me: P1wns:1 949 1488.0900 COUJnty of Riverside DEPARTMENT OF ENVIRONMENT .� AL HEALTH wwrw riwweh.otg L4 b 4- L7 LAND USE AP'PLICAT{OH 3W LpmanSlreel Sucre 200 - Rivar �-T 62✓71 •ONal 11aSP - Z [73 'UTRIPrA 70 iZ li���L AN: L uLF e. r FW5 Z ! ��r e f US0 C.F PFRW SECTION C7'NNER' Atic7e-it • 4 AGENT? C-u ar. hall CnvCarrtl�clpr �Ci L + �1 i CONTRACTOR city f.mei GS r�3 �e,rr Gon. PROPERTY INFO: Wit. ff ❑/ J - �+arer SECT)ON B SATE: Y CHeC1s J REi2lIfRED 8N4w- orOffl— U. 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No coma mmuon b l7ermRDkd in t M ndqul� Jac % IN ON plan ussrq uV regW"ll sat fum IR 7AP.9d+% 1MSIr -dLLa DEC 1 1,2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT March 23, 2017 Mike Terry Delivered via email: Dear Mike, .. - The Architectural Committee for the La Quinta Golf Estates Homeowners Association has reviewed the plans you submitted, dated 2./9/17, for the new construction located at: Lot No. 7-2 78-101 San Timoteo, La Quinta, CA 92253 Please remember that the approval is for these plans only (pages initialed) and should any changes be made to your plans that fall within the purview of the HO& they will need to be resubmitted for review and approval. Cari Barrett La Quinta Golf Estates Architectural Committee Chairperson CC: via email: John Pedalino R E C E I D APR 0 5 Z017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT C 48750 San Lucas Street La Quinta, CA 92253 Email: ernailcari mac.com Mbl: 760.401.2636 Fax: 760.406.6045 m Q CU C G) O O C. 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