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BRES2017-032278-495:CAU1.T"PIG0 C 'i � � VOICE (760) 777-7125 LA QUITV'fA,'CAt1FDRNlA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/21/2018 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2017-0322 SCOTT & SHANNON MCLENDON Property Address: 79195 TOM FAZIO LANE NORTH. 79195 TOM FAZIO NORTH APN: 766032027 LA QUINTA, CA 92253 Application Description: MCLENDON / 5,938SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $534,187.60 Applicant: Contractor: ANDREW PIERCE CORPORATION ANDREW PIERCE CORPORATION 44835 DEEP CANYON DR 44835 DEEP CANYON DR PALM DESERT, CA 92260 PALM DESERT, CA 92260 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B QLicense! No.: 671203 r Date: v Contracto OWNER -BUILDER D IARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property; or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold. within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (� I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: (760)346-3228 Llc. No.: 671203 WORKER'S COMPENSATION DECLARATION 1 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 ofth r which this permit is issued. ve 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 polity number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9134034 - 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 Cal ifomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with hose rovisions. . Date: A p p I i c aal� 4,Fw,�� WARNING: FAILURE TO SECURE WORKERS' CO/AL SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMtNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY.'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned .r�olper for inspection purposes. _ `��/��`� Date: (�� �� Signature (Applicant or Went Date: 2/21/2018 Application Number...__. BRES2017-0322 Owner:. �ropeirtq'�ddress`'' ` .4§`it3iVl�AZlOIANE NORTH """ SCOTT & SHANNON MCLENDON APN:. 766032027 79195 TOM FAZIO NORTH Application Description: MCLENDON / 5,938SF DWELLING/VB/RES-3/CLASS A-FR/13D LA QUINTA, CA 92253 Property Zoning:, Application Valuation: $534,187.60 Applicant: Contractor: ANDREW PIERCE CORPORATION ..ANDREW PIERCE CORPORATION . 44835 DEEP CANYON DR 44835 DEEP CANYON DR PALM DESERT; CA 92260 PALM DESERT, CA 92260 (760)346-3228 Llc. No.: 671203 Detail: 51938SF SINGLE FAMILY DWELLING [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL AND SPA, WATER FEATURES, BBQ OR SITE WALLS. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• • ., ::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 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.20 Total Paid for ELECTRICAL: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $106.08 DESCRIPTION ACCOUNT QTY AMOUNT. RESIDENTIAL, EA ADDITION 1,OOOSF, PC 101-0000-42600 0 $43.68 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,OOOSF, PC • 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $357.29 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $195.05 Total Paid for GRADING: $234.06 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $195.05 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $130.05 DESCRIPTION ACCOUNT QTY AMOUNT s•.,; .:z,;.FJ(HAUST HOOD 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $195.05 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $130.05 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $91.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $36.40 Total Paid for MECHANICAL: $795.80 DESCRIPTION ACCOUNT QTY AMOUNT MULTI SPECIES RESIDENTIAL 0-8 UNITS - 2017. UPDATE 101-0000-20310 0 $1,245.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,245.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $807.17 Total Paid for NEW CONSTRUCTION PERMIT: $807.17 DESCRIPTION. ACCOUNT QTY AMOUNT. 101-0000-42600 ($1,200.00) 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 $544.25 Total Paid for NEW CONSTRUCTION PLAN CHECK: $544.25 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $1,200.00 Total Paid for PLAN CHECK DEPOSIT- RESIDENTIAL: $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5:20 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.20 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $221.00. DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC , 101-0000-42600 0 $221.00 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 ROOF DRAIN 101-0000-42401 0 $52.00 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $52.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $15.60 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $741.03 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI -.RESIDENTIAL 101-0000-20308 0 $69.44 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $69.44 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 79715/79775/79785/dlft/79 5/7935/79845 HIGHWAY 111 P.O. BOX 1504 78-495 CALLE TAMPICO Building ` LA QUINTA, CALIFORNIA 92253 Komar Investments, LLC Address 23 Corporate Plaza, Suite 247 City Zip Tel. Newport Beach, CA 92660 1(949) 718-4844 P & Classif. Lic. # Arch., Engr., Designer SGPA Architecture and PlanninI4 1545 Hotel Circle South Stu. 200 Clt:Y P Zi State San Diego, CA 1 92108 1 Lic. # C-1716 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect, sraNkTua& HATE OWNER -BUILDER DECLARATION I hereby affirm that I am exampt from the Contractor's l.lrunsa Law for the following reason: (Sec. 1031.5, Business and Prelesslons Code: Any city or county whrch requfres a permit to construct, alter: improva. domclish, or repair any slruc[uro, prior 10 fl:. i�:,ruamCo also r�(l0iras tho applfCan[ far such parm if ro n7rr a sipprred state that he fs licensed pursuan! [e the Provisions pf the Can[rtrclor's LTG ense Law, Chaplet 9 (commencing with Section 700tl) of Aivslon 3 dl the sus fnass arad A ofessloras Code, pr that he is exam pt therefroirt, and the basis for the alleged exemption. Any vfofatfon of $ectlpn 703T.5by arty applicant tore permit subjects the applicant fo a civil penally of not more than live 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who [foes such work hirnswlf or through his awn emplpyaeS, provided :hat such 1111provamerrts arc not intended Or offered for sale. It. however, the building or frn- .provernent 1s ',Old within one ytrar pf completion, the aurnar-bufidar Will have tha burden of proving that he did nor build or improve to, the purpose of sale), ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sac. 7044, Business and Professions Cade: The Contraclor's Licence Law does nor apply "Ian owner or properly n who builds w improves thereon, and who contracts for such pro%9cls W1th a Cent.-Io ro l�=sed P=uanr [0 he Contractor's LJcense Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compersatror Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not empoy any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. certify that I have read this application and state that the above information is correct. I agree to comply with all city and courty ordinances and stafa laws relating td building construction, and hereby authorize representatives of this city to errter the above -mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip W, "014 mv._. OFFMI APPLICATION ONLY sr BUILDING: TYPE CONST. OCC. GRP. A.P. Nu Legal Description Project Description -701 S Z5_ ' ` 1, SI 606 o -1 - &AO 79 83 /r L 7V20 o7- $ZI 79gys fr J (,5)0 0-7 - SZZ Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 71 ] g.S le jy 9'_W 0 7-$ Z 3 7g-775'f F 4 73S o ? - 8 a4 79-71Y '' tr 14 0 -7 - S a 5' x 33 , Estimated Valuation PERMIT AMOUNT Plan Chk. Pep. Q - 60 Plan Chk. Bal. Z (p -50 Const. 0-7. $ Z Z. (p 5 0 Mech. - 7- , oo Electrical 0 7 • S a,4 (p Q Plumbing 0 -1 4100 S.M.I. Grading Driveway Enc. Infrastructure , TOTAL cl REMARKSII`d� ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:_ Validated b., Date Permit WHITE = BUILDING DEPARTMENT 1 Validation: YELLOW = APPLICANT PINK = FINANCE CO ichelia 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: The Quarry This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: IMTIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Scott A McLendon & Shannon P. McLendon 79-195 Tom Fazio Lane North, LQ Project Description: SFD APN: 766-032-027 Tract #: Type of Development: Residential xx Total Square Feet of Building Area: Date: February 7, 2018 Phone No. Lot #Is: Commercial M Gu%ill: ft. FEB 2 1 2018 Certification of Applicant/Owners: The person signing certifies that the above information is co �i�tAMWT der penalty of perjury and further represents that he/she is authorized to sign on behalf of tl owner/de �. �I�ITY DEVELOPMENT Dated: January 7, 2016 _ 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 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 5938 $3.48 $20664.24 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: William A. Aguirre, Director Facilities Dev. & Planning Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Lauri, Howard, Secretary Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES 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. MV ofconipli,wcc form updated 3-2007 11/2010 .( ,, PLAN LOCATION Project Address: 37,p� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 76!,�- oa 77 AA - s si Applicant Name: Address: City, ST, Zip: 416As� d Telephone: Email: Valuation of Project S Contractor Name: 1901 ] Q`-"Y" i1 L News 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/I ng Name: a GN Construction Type: Occupancy: Address: 35 r iZ. Grading: �ity, St, Zip Telephone: y �/ ` Bedrooms: Stories: # Units: mail: kC J R[[ ;tale Lic: City Bus Lic: rr/L/ 'roperty Owner's Name: �� - d New Commercial / Tenant Improvements: address: Total Building SF :ity, ST, Zip Construction Type: Occupancy: elephone: mail: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 - �KESZo�7-o3ZZ 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: Developer: Developer: �Gc� tA G Tract No.: 1 Tract Name: V' Y Lot No.(s). Address(s): ��_ ���j 'rfC[`sL !)..A%�}-r Phone Number: (71-ZO AJ40 41 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 BUILDINGSIOTHER: 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 graded residential_ developments which have a, previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title.information/.gr_ant 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-cluinta.ocq/PianCheck/m search.asox 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 staff. o' Recommended by Date: / 7-3 / D 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 A reement <1 acre/lot or Infill Project Project Information Project Contractor: Project Phase (check one) RfConstruction Demolition Project Name: G W- , ` t>07 4 RO� Project Tract/Lot Numbers: Project Street Address: Tbm F*'40 ktA±f C■� Total Acres in Active Construction (<1 acre per Lot): Anticipated Start Date: �/ l�%Ahticipated Completion Date: I� �/ Jib PM10 Contact Information Please 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: Title: V 6p Company Name: rL GO1�PU tGa' Mailing Address: tGP G�Nr a!^� P'B4'.D City, State, ZIP Code: L*C �+ ZZlat7 Prima Phone M (vQ V,74b Fax M Zbfl ZJ�b 6240 24 Hour Emergency Phone#: Cell Phone #: Email Address: PM10 Certificate #: IV/ 1d The above stated property owner or authorized re resentative 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 the City/County and its representatives from liability for any actions related to this dust control plan or any City/Cou inty, initiated abatement activities. nature op'roperty Owner or Authorized Representative Date TAChecklists -Forms & Appkationswarms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs 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) Yes No 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% orgreater? 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? e Entitlement or construction of new home subdivision(s) with 10 or more housing units? / r 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? j Applicant Information Name and Title PP4&e7l DV+4--r Company A4t>i��f rpi Phone 7 pj Email Project Information Project Name Type (SFH, Multi -Family, Commercial, Etc.) lsa� Location or Street Address 779 14145P TOW F%-L O L � Nearest Cross Streets Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) vV 1 -&t7 463 Other Location Information Watershed I Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 0 CjLj 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 ordinance or policy? Name of the Entity that will implement, operate, andFr��O maintain the Source Control BMPs Contact Name &A4Lr Street or Mailing Address GJ p",Z:P 4&0yC7t -+ City Zip Code r M Check Item Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control To be Performed Non -Structural BMP (See Appendix H, Section 4.5.2.1) i 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 Check Item Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit To be Subdivisions, < 5,000 Square Ft. Parking Lots, Etc. Provided Structural BMP (See Appendix H, Section 4.5.2.2) l— 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,(Desigo & Maintenance)Jncluding PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage.(Design & Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Mai'ntenance) Including Attached Lids, Storm Water Controls Loi riding Dock's (Design &'Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning ` Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle%nd-Eouiprnent V1/ash'Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas:'(Desigri & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment h 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) F_ BMP Acknowledgement The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stgrmwater.discharge permit, LQMC Sections 8.70.010 e't 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 Ofderil No. 13722068=0001 anti fhe State Water Resources'Corittol Boiard's Ordbt No.'99-6&-DWO-: Print Name: AAA-Y, 4-4*p4" Title: V Ltd Pal Pr4U '- Date:/L-/ -0 f 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 processing of the form, it is determined the Print Name: information contains errors or omissions, clarification and/or _ supplemental information may be required and the Title: preparation of such information may be considered, in the Community Development Director's judgment, an Date: /1o/ unreasonable delay and -will result in a suspension of processing time limits in accordance with the California Code , phone: -Teo 1 *b 2 of Regulations, Title 14, Section 15109. 1 Owner Certifica I 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 filling of this application and acknowledge that the final- approval by the City of La- Quinta, if any, may result in restriction, limitations and construction obligations being imposed on this real property. tion Signature: Print Name: G✓G� %7JfGiI�I�a Title: ow)X� Date: t / l & / It Phone: (�&o 1710 - S PrDfiessionally Mon�ajed by THE QUARRY AT LA QUINTA SONALI` ED HOMEOWNERS ASSOCIATION 68950 Adelina Road PROPERTY Cathedral City, CA 92234 MANAGEMENT Phone: (760) 325-9500 Fax: (760) 325-9300 The Como helhi lWhn''s Comunmi(i 11,111opleme w comlym I January 12, 2018 Scott & Shannon McClendon 79195 Tom Fazio North La Quinta, CA 92253 Re: 79195 New Construction Dear Mr. & Mrs. McClendon: The Board of Directors and Architectural/Landscape Committee appreciate your recent submission of plans for new construction. We thank you for your patience during the review process to ensure the HOKs Architectural Guidelines are being followed. The Architectural Committee and Board of Directors have approved the plans as submitted. With receipt of this letter you may move forward with your project with approval, which should also assist in guaranteeing your compliance with all City of La Quinta building statutes. P Thanking you in advance for your assistance in this matter and all the best to you in your exciting endeavor. Sincerely, Caren Oliva Caren Carnine Oliva Community Manager, The Quarry at La Quinta HOA I�� Personalized Property Management RE cc: Board of Directors, File. JAN 17 2018 cTTY OF LA QUINTP' CC)MMUNM 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 12/27/2017 Job Site Address, 79195 Tom Fazio Ln north Owners Named Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mail Address Project Manager's Name' Project Managers Phone Number Project Manager's E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Scott & Shannon McLendon 79195 Tom Fazio Ln north La Quinta, CA. 92253 Gary Lohman 760-880-3228 gary.1ohnaan andre lerceCorp.corn Andrew Pierce Corp P.O. Box 3420 Palm Desert, CA. 92261 Project Square Footage) Approx. 5,940 square feet City Approval By Renado Gouldlock-DEC/Burrtee Wa Date of City Approval Materials To Be Discarded Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items Tons 25.00 Not recyclable 0.00 Recyclable 0.00 Recyclable 0.00 Recyclable 0.00 Recyclable 27.00 Recyclable 3.00 Recyclable 0.00 1 Recyclable RECEIVED JAN 17 2018 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 Recyclable 7.00 Recyclable 0.00 Recyclable 0.65 Recyclable 0.80 Recyclable 9.25 Recyclable Totals: Rec cie Trash Projected Diversion: 47.7 25.0 65.61 % 1 I understand it is the property owners 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 010 a — Y oO O Pl A 4 id o C J z s � � Jerson 7 1 i�CY$gH Agt r nth i 1 p "mj a'Qi a ❑ c KA 5��11 W Sa N+�iehi m a �z 2 n 13) i og �Sy a?o A� �•- C 25�� A La Quinta BRES2017-0322 1/24/18 VMEsGi A S.AFEbUIR Company DATE: 1/24/ 18 JURISDICTION: La Quinta PLAN CHECK #.: BRES2017-0322 PROJECT ADDRESS: 79195 Tom Fazio N. SET: II ❑ APPLICANT ❑AURIS. PROJECT NAME: Structural -Only Plan Check for McClendon SFR u 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 structural portions of the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. i] The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. L 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 staff did not advise the applicant that the plan check has been completed. ❑ EsGil staff did advise the applicant that the plan check has been completed. Person contacts Telephone #: Date contacted: *1nerson Email: Mail Telephone Fax ® REMARKS: Plans should show drainage away from the building as required by Section R401.3. 6" in 10' is required (5%) for pervious areas. 2% is required for impervious areas. Note #13 on the precise grading plan does not comply and 1 % is shown at the patio at the south side of the house towards the pool. Thank you! By: Tamara Fischer (Enclosures: EsGil 1/18/18 -Sulpsaa �q pagr.ran aq p[noL[s uopoedwoJ •uogoedwoo anpefaa 4uaoaad 06 aseal le oa paaoedwoo pue auaauoo a.rrysrow wnwpdo aeau le sa1tl urLfa ur paoe[d aq pinoL[s seaie Surplrnq atp utLla[M paoe[d lepaaew [[rj Xuy •suopeiado Supea[o Suunp an000 few jap aoueganasrp Cue aoaiioa of paaoedwooal aq p1nOL[s aoelans atp pue pa.raaem aq P1noL1s 1los @De3.Ins at{L •swaasXs loot paaeroosse aL[; pue uoraeaasan Supsrxa @T 10 paddu4s aq p[noLls aoejans aLp 'SUrpeag 01 aoud •fewrurw aq p[noLls awry srtp 4e daessaoau >[aoM Surpeag [erpawaa aqa 'paper LISnoa k1snornaad uaaq set[ 101 Ioafgns at{a asneoag :SurpeiL) ferpatuau 'sapoo Surpelg a[georldde pue a.IodaN Suraaaursug feoruL[oaaoaq paouaaalaa aL[a 10 suoraepuawwooaa at[) LIJIM aoueploDoe ur pawaolaad seM Burped g2noa at{a jetp sw.Irluoo pue suoraeaado Surpeag aqa 10 uopeivawnoop sapinoid podai SUIpr?B M L •slol }uaoefpe pue jo[ pal ns all aongsuoo 01 [er.raaeLu 11rj paaaaursua 10 auawaoeld aLp pue lros aaelans anr;eu atla 10 UOIIDLdLuooa.i pue uolaeneDxa-iano papnlour SurpuA snornaad •ou['slaaursug euang Aq pareda.rd 4aodai SurpeA L12noa a ui pazriewwns a.Ie pue Surpe.rg L1Sno.r aLp Supnp pawloj.iad aaaM Sugsaa uopoedwoo pue suOIILIAIasgo [eorutpaaoa f) •a.Irs aoafo.Id eaurnb e,1 ie kueno aLp 10 4uawdof0Aap [ePIUI aLI; Suranp papeaS L12110a seM 101 ferauaprsal aLfL •juawdo[anap 01 roud aars paford eaurno eZ 4e Xnuna 3.IIIU@ aLp ao1 paledaad seM aaodau Supaaurgug leorut[oaaoaE) paouaaajaa aLly •eruaoJrfeJ 'elurn6 eZ 10 XID @44 ur auaLudO[anap ejurnb eZ ae Xneno aLf,l LIIL[JIM L11-TO f aueZ orze3 wql Suo[e paaeool LS io-I ao1 pasodoid aouaprsaa uroasm ay} Io uopanpsuoo pue ugrsap aL11 oa sajefa.rar se paprnoad sr uogeuuolut 2urnto1loj aLp `paasanbaz sy I£S-0I-6S 'ON IsodaU 'Id-S0f7I-L9 'ON qof -'696I 'Z sagwano(\I paIep •out 'saaaursug euang Aq paaedaad Iaoda21 Suraaaurgug [eorutpaaoaq :lax 1N3WdO-IIA3a AlINnWWOo d1NIna to jO Alit SIOZ L t Ndr £S£-80 6I ISZGI-yys'ON aoafoad aIepdn feorutpajoa f) :aoafgns eru.IopleJ 'e;urnb eg eaurno e-I ae kiaeno atfl L[41ON aue-I OIZUJ wo.I. - LS I0'1 aauap(saa uopuaD:)W pasodoad :loaford tZ iA £SZZ6 erua0l1[eJ 'orpul AIIQ 043 VG _ osoigLS ouruMD G996£ f u$lsaa ura4s uop.roD op Nouona1SNOO BOA Uopua[D:)w •says n� -NN G3A0Hddd 'Id30 A13JVS'? 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