The URL can be used to link to this page

BRES2017-02574 78-495 CALLE TAMPICO Ct 0 D -� LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2017-0257 Property Address: 80670 VIA MONTECITO APN: 777400016 Application Description: HIDEAWAY / DAVITYAN /SINGLE FAMILY DWELLING Property Zoning: Application Valuation: $574,279.00 Applicant: ALBERT DAVITYAN 8160 MCGROARTY SUNLAND, CA 91040 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: License No.: Date: O — ( O— Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors 'to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' . State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U 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: Owner: ALBERT DAVITYAN Contractor: OWNER BUILDER Llc. No.: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS -(760) 777-7153 �,_ D a te.:_ 10/ 10/ 2 0'17 f'V „ cfj R '00 , L:3 J c:J ® z � 1 LU Q WORKER'S COMPENSAI'ON DECLARATION I hereby affirm under penalty of perjury one oa the following declarations: (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 Winfor which this permit is issued. I have and will maintain workers' ccmpensation insurance,.as required by 0 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:_ Policy Number: I certify that in the performance of _he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section _700 of the Labor Code, I shall forthwith comply with those provisions. �7 G Date: 0,— .—j Applicant: WARNING: FAILURE TO SECURE WORKERS' CCX,VIPENSATION COVERAGE'IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIrlIAL 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 ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on th-s application. 1. Each person upon whose behalf this appl cation 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 !ie work being performed under or. following issuance of this permit. 2. Any permit issued as a result of this appli -ation becomes null and void if work is not commenced within 180 days from date o6 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 or&nances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection punoses. Date: l Signature (Applicant or Agent): Date: 10/10/2017 Application Number . BRES2017-0257 Owner: Pr erty Xd�ress'.' ' `"`'' 80670 VIA`WfflNTECITO ALBERT DAVITYAN APN: 777400016 Property Zoning: ' Application Valuation: $574,279.00 Applicant: Contractor: ALBERT DAVITYAN OWNER BUILDER 8160 MCGROARTY SUNLAND, CA 91040 Llc. No.: Detail: NEW SFO 6534SF (PREVIOUS PLAN CHECK BRES2016-0047) THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS DRIVEWAY APPROACH, BBQ, FIRE PIT OR WATER FEATURES. HOME IS FIRE SPRINKLED PER CALIF RES CODES. FINANCIAL • ' + • ,• :: �ESCRIf TION ACCOUNT QTY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 0 $101.84 Total Paid for ADMINISTRATIVE: $101.84 DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES.- RESIDENTIAL 270-0000-43201 0 $935.70 Total Paid for ART IN PUBLIC PLACES - AIPP: $935.70 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $23.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $23.00 DESCRIPTION . ACCOUNT QTY AMOUNT • DIF - CIVIC CENTER' 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $17.73 Total Paid for ELECTRICAL: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $92.82 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $38.22 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 CONSTRUe?ION: . $338.57 DESCRIPTION ACCOUNT QTY AMOUNT • .AES1DEN1JAL,P. REC1SF_ 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 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $101.32 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 b $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 $101.36 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $40.56 Total Paid for MECHANICAL: $666.30 DESCRIPTION ACCOUNT QTY , AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $830.77 Total Paid for NEW CONSTRUCTION PERMIT: $830.77 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,910.09 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 $291.50 Total Paid for NEW CONSTRUCTION PLAN CHECK: $3,701.59 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 QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73 DESCRIPTION. ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 .0 $405.44 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $405.44 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 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $25.34 DESCRIPTION. ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $38.0.1 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $22.80 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: $1,073.53 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $74.66 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $74.66 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 �1,041f5 OAIZ*# sacs 0-4011 -04XST Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: I I I Owner's Name A.P. Number Address: 1 Legal Description: City, S , ip: Contractor: V Telep c Project scrip ' n' Address: O' / /\ n ^ �j v \ ' ' ICJ City, ST, Zi : J }�Q w c t Telepho State Lic. #: r� City Lic #: ti Arch, Engr. n i� �J Address: City, p: ( Jo Telep ��99 Construction Type: Occupancy: State L•c. Proj. Type New Add'n Alter Repair Demo Name rt CA SgFt:J P�' s #Stories # Units: Telepho — ot LT ICANT: DO NOT WRM BELOWHIS LINE # Submi 1 Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees f T4tyl 4 4QaMrw LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT (760) 77 7-712 5 FAX (760) 777-7011 TRANSMITTAL TO: OV.OUNG ❑ESGIL ❑VCA RUCTU ' ATTN: TODAY'S DATE: PERMIT NUMBER - PROJECT ADDRESS- V I7 I AAA APPLICANT NAME: SUBMITTAL ROUND: INCLUDED HEREWI LANs TRUCT RUSS SOILS ❑ENERGY DUE BATE. l D fNED PLANS -]REVISED PLANS ❑AP ROVED PLANS L �-G �L I V� ❑REDLINED STRUCT ❑REVISED STRUCT []APPROVED STRUCT-� ❑REDLINED TRUSS ❑REDLINED SOILS ❑REVISED ENERGY ❑CORRECTION Llz-r ❑REVISED TRUSS ❑REVISED SOILS []APPROVED TRUSS []APPROVED SOILS ❑CUSTOMER RESPONSES OTHER Q �,1/I�tJS ��► 1'V I �r CAI YLL�?7�' ��" �'-1 •U1'Vl. av11'�C� t CAD 61 -BUILDING DEPA TMENT SE ONLY ilAWby # _t.,C- te5?A f GREEN SHEET TO: ❑CDD ❑(w/Plans) [-]PUBLIC WORKS [:]COVE CHECK (w/App i-catoi�on(�� ASSIGN NON-STRUCTURAL TO: COMMENTS: Jim Johnson W From: Burt Hanada Sent: Sunday, September 03, 2017 1:57 PM To: Tommi Sanchez; Stephanie Swanstrom; Mary Fasano; Armando Magallon Cc: AJ Ortega; Jim Johnson; Jacob Fuson Subject: Albert Davityan - 80670 Via Montecito expired permit BRES2016-0047 Albert Davityan will be submitting plans for the above address. Please create a new application number. Frank and I have allowed Mr. Davityan to have the architectural, structural and plumbing plans remain at the 2013 Code standards; • However, the Energy and CalGreen code aspects of the project must be updated to the 2016 Code standards. Since all plans and documents must be resubmitted, the seals and wet -signatures must be current and valid; He will be responsible to pay any additional plan review and current permit fees; A 90-day period (from the date of acceptance) will be set for Mr. Davityan to obtain a building permit. If you have questions, please contact me regarding this issue. Thanks, Burt Hanada I Building Official Design and Development City of La Quinta 78495 Calle Tampico - La Quinta, CA 92253 Ph. 760.777.7023 bhanada@la-quinta.org Website: www.la-quinta.org I�Io,c�q Cacp PG�rt� i3fZ�5 2v(i�-GG� COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 80-670 VIA MOTECITO APN: 777- 400 - 016 DESCRIPTION OF WORK: NEW SFD SQUARE FOOTAGE: 6534 SQ. FT. OWNER'S NAME: DAVITYAN For questions regarding this letter, please call. - City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P0Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LA QUINTA BUILDING & SAFETY DEPT. FOR PROVED RUCTION Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: 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) Davityan ( Residence (a; Hideaway) CHECK #: Date: October 10, 2017 Owner's Name: Davityan Phone No. 818-822-6864 Project Address: 80-670 Via Montecito La Quinta, CA 92253 Project Description: Single Family Dwelling Unit APN: 777-400-016 Tract #: Type of Development: Residential XX Commercial Total Square Feet of Building Area: 6,534 sq. ft. Lot #'s: Industrial INITIALS 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 on behalf of the ownerldeveloper. Dated: 1 _ r 1 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 Project Agreement Existing Not Subject to Fee 65995 Approval Prior to 1/1/87 Requirement 6534 $3.48 $22738.32 Building Permit Application Completed: Yes/No By: Andy Jenkins, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Note: Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires at t 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 th 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. %'I\ d,:%1 "LCI-UHC;Ik:01 wwpliancc loi-nl updalcd ;-?L{(i' 1112010 I-1n t- -> Gv/ b - UUY, CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/26/2009 Green Sheet aoorovals 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 orapplicationswhich cannot be processed will be returned to applicant. Date: ? I ,/ Developer: Tract No.: Tract Name: 1110il't.ti WJ Lot No.(s): _ Address(s): T , A -I D l!I(A MOY)�e-r.O�p- _ Phone Number: (r r _,'>-12-lr--AA Q'`r 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 Oe COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS M. 92, 93,95 & W titWw 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/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM 10 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.org/PlanChecklm search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: s I j 2` 116 ow. vt �e) 01- HC r-; y mb Public Works Distribution: ( '—�) Green Sheet to Building & Safety V ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T, C �i.-7 t"T- Q[L T:\Chsckllsts - Fors 8 AppllcationsTonns 8 AppllcatlonsWEEN SHEET cover 9 PM10 less then 1 Acre Revised 9-2"9.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Project) Project Information Project Contractor: _ Project Phase Project game: (check one) ProjectTract/Lot Numbers: Construction Street Address: �� \ � 1 a Mo O nU L\- Demolition Project V _ - Total Acres in Active -- - Construction (<1 acre per Lot): lr),?� --.... Anticipated Start Date: / / Anticipated Completion Date: PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours. Name: ) Title: r �. `" - l _ �. ---- -- - --- - -- --- — Company Name: Mailin Address: City, State, ZIP Code: i �� Primary Phone Fax _ 24 Hour Emergency ((. fn � p 2- l c� Q) ( �J K ) Cell Phone #: Email Address: CX �3t)4 _- OB _. 1 Q` PM10 Certificate #: The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with ail 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/County initiated abatement activities. nature &( Property Owner or Authorized Representative TAChecklisls - Forms & Appllcellons\Fors & AppllcationslGREEN SHEET cover & PM10lowher 1 Acre Revsed W-2.C9 doc f �- ate 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 most 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 not 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. FENCING: Provide PM10 fencing at perimeter 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. TACheckllsts - Forms & AppllcationsWorms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-2"9.doc DOC #2015-0200330 Page 2 of 4 RECORDING REQUESTED BY: Title 365 AND WHEN RECORDED MAIL TO: Khachatur Davityan at W. 9545 Hillrose St. Sunland CA 91040 order No.: 510450186"1 Eserow No.: FS918 A.P.N.: TTT-400-0164 TRA 020-160 SPACE ABOVE THIS LINE IS FOR RECORDERS U51= GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 330.00 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Palm Desert M I, LLC, A Limited Liability Company hereby GRANT(S) to Khachatur Davityan a married man as his sole and separate property and Albert Davityan, a married man as his sole and separate property as joint tenants the following described real property in the County of Riverside, State of Calffomia See Exhibit "A" attached hereto and made a part hereof. Commonly known as: Lot 70D (80670 Via Montecito - APN 777-400-016) , La Quinta, CA 92-253 Dated: April 15, 2015 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document STATE OF CALIkORNIA COUNTY OF _ PV ivi A rl L O y1 �`3 Ut� before me, notary Public, personally appeared r ffiffim tome on the basis of satisfactory evidence to be thhose names} islare subscribed io the withinand acknowledged to me that he/shefthey executed hisit►erttheir authorized capacity(ies), and that byir signature(sj on the instrument the personisj, or the behalf of which the persons) 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. WAU;dd ' Singner } SS. Ke eth R. D*°rsWiZ-- r - - - - " "" *06'M"dVERONICA RODRIGUEZ COa .A.11. ! 2096440 NOWY f}Ak - CaMon0a Rh MWG COuoty COMM.MY E in 2� 201 so WITNESS my hand and official seal. 1 (Seal) Signatur (This area for official notary seal) MAIL TAX sTATEMENTS AS DIRECTED ABOVE RECORDING REQUESTED BY: TMe366 WHEN RECORDED MAIL TO: Akhachatur Davityan 9645 Hillrose St. Sunland CA 91040 1501864 4S L E FOR RECORDER'$ USE ' Grant deed APN: 777400-016-8 TM 020.180 TrmeW Tax MOO This page was added to provide adequate space for recording information. Cover Page Palm�D�esprt M I �-LC I* Authvn' Signer } SS. Kenyieth R. Dic rspn I@ VERONICA RODRIGUEZ Coaunla:lon #r 2095440 Notary Pubk - Catitornia 01 My Rlvemide County Comm. E fires Jan 27. 2019 (Seal) RECORDING REQUESTED BY: Title 365 AND WHEN RECORDED MAIL TO: Khachatur Davityan et al. 9545 Hillrose St. Sunland CA 91040 Order No.: 510-1501864-51 Escrow No.: FS978 A.P.N.: 777400-016-8 TRA 020-160 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 330.00 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Palm Desert M I, LLC, A Limited Liability Company hereby GRANT(S) to Khachatur Davityan a married man as his sole and separate property and Albert Davityan, a married man as his sole and separate property as joint tenants the following described real property in the County of Riverside, State of California See Exhibit "A" attached hereto and made a part hereof. Commonly known as: Lot 70D (80670 Via Montecito - APN 777400-016) , La Quinta, CA 92253 Dated: April 15, 2015 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF y, I.` v i ,'._ <�� ..___ On , �'�� ``o 11 �; before me, r' ! E ,I i ,., r. .�f k. 7 , _ a notary public, personally appeared ,` a1.-� < •I. I: - who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) 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. 5igngtu �1 1 t �. (This area for official notary seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE U EXHIBIT A Legal Description The land hereinafter referred to is situated in the City of La Quinta, County of Riverside, State of CA, and is described as follows: Parcel 1: Lot 70 of Tract No. 29894-4, in the City of La Quinta, as shown by Map on file in Book 351, Page(s) 49 through 57, inclusive, of Maps, in the Office of the County Recorder of Riverside County, California. Excepting therefrom to grantor, and its successors and assigns, interest in all water, minerals, oil, gas, petroleum, other hydrocarbon substances and all geothermal energy sources in or under said land or which may be produced from said land. Parcel 2: Non-exclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes, all as described in the Declaration. APN: 777400-016-8 510-1501864-51 RECORDING REQUESTED BY: Titte365 WHEN RECORDED MAIL TO: Akhachatur Davityan 9545 Hillrose St. Suntand CA 91040 1501864 ' Grant deed APN: 777-400-016-8 Tru 020-160 TransW Tax 330.00 DOC # 2015-0200330 05/13/2015 04:16 PM Fees: $24.00 Page 1 of 4 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was eiectronically submitted to the County of Riverside for recording" Receipted by: UJONES FOR This page -was -added to-providee-adequatespace for recording information. Cover Page