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BRES2018-0156
TAIT ^'! '^(V VOICE'(760) 777-7125 78-495 CALLETAMPICO FAX 760 777-7011 LA QUINTA, CALIFORNIA 92253 ( ) DESIGN &:DEVELOPMENT_DEPARTMENT' INSPECTIONS (760) 77.7-7153 BUILDING PERMIT . Date:8/14/2018 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING -SINGLE FAMILY DETACHED Owner: 'Application Number: BRES2018-0156 RICHARD C. & MICHELINE.A. VARNUM ' Property Address: 56185,,VILLAGE DR APN: 764030016 F— Application Description: VARNUM / 5,442 SF DWELLING/VB/RES-3/CLASS A-FR/13D w, Property Zoning:'', Application Valuation: $489,800.80 ' Applicant: Contractor:' N v'w SANTUCCI BUILDERS INC SANTUCCI BUILDERS INC 72529.BEAVERTAIL STREET 72529 BEAVERTAIL STREE a u. p PALM DESERT; CA 92260 PALM DESERT, CA 92260 _ ' _' �00 J�, (760)578-7757 ors Llc. No.: 820801 Q CD Z = ------------------------- ------------------------------------- ------ -------------� LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION. I hereby affirm' under,penalty of perjury that i am licensed under provisions of Chapter I hereby affirm under penalty of'perjury.one of the following declarations: ' 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consentto self-insure.for workers' and my License is in full force and effect. E tion, as provided for by Section 3700 of the Labor Code, for the performance License Cla B Li ense No!: 820801 — rk=f'or whichthis permit is issued. I have and will maintain workers' compensation insurance, as required by Contractor: 00 of the Labor Code, for the performance of the work,for which this permit is issued. My workers' compensation insurance carrierand policy number are: OWNER -BUILDER DECLARATION Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State 7600018977181 License Law;for the following reason (Sec. 7031.5, Business and Professions Code: Any I certifythat In the performance'of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any.person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that. he_or she is licensed pursuant to the provisions of the workers' co pensation provisions of Section 3700 of the Labor Code, 1 shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply withos provisions. 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 byany applicant fora Da a 7411 Applica permit subjects the applicant to a civil penalty of not more than five hundred dollar's ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,, (_) i; as owner of the property, 'or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not,intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100 000). IN'ADDITION TO THE COST OF ;(Sec. 7044, Business and Professions Code: The Contractors' State License Law'does not COMPENSATION,'DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work' INTEREST, AND ATTORNEY.'S FEES: 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,sol'd APPLICANT ACKNOWLEDGEMENT within one yearof completion; the owner-builderwill have, the burden of proving that 'IMPORTANT: Application is hereby made to the Building Official fora permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set'forth on this application. (� 1, as owner of the property; am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' : request and for whose benefit work is performed under or pursuant to any permit ' State License Law'does not apply to'an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to `shall defend, indemnify and hold harmless the City of La Quinta; its officers,'agents, and the Contractors' State License Law.). employees for any actor omission related to the work' being performed under. or . (_) I am exempt under Sec. B.&P.C. for this reason following; issuance of this permit. 2.'Any permit issued as a result of this application,15ecomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of Date: Owner: work for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that Lhaveread this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for: 1 agree' -to comply with all city and county.ordinances and,state laws relating to building the performance of the.work for which this permit is issued (Sec. 3097, Civ. C.). construction and h eby' authorize representatives of this city to er upon the above=me one ope yfor inspection purposes. Lender's Name:��/J Date / Signature (Applicant or Agent):f Lender's Address: % �' Date: 8/14/2018 Application Number:. BRES2018-0156; : Owner;. a: PropertVAddcess: 56185 VILLAGE DR RICHARDC:.& MICHELINE A. VARNUM AM: 764030016 "Application Description: . VARNUM / 5,442 SF DWELLING/VB/RES73/CLASS A-FR/13D . Pro peit ' Zor4ing: Application Valuation:, $489,800.80 Applicant Contractor: SANTUCCI;BUILDERS INC SANTUCCfBUILDER5INC 7,2529-BEAVERTAIL STREET • 72529:•BEAVERTAIL STREET, •.'PALM DESERT, CA.92260 PALM.,DESERT, CA 92260' (760)578=7757 , --- LIC No.:820801 . - ----------------------- -------- --- - - - -- -11 ----- - -- - - -- ------------------ Detail: 5,442 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES`NOT.INCLUDE, POOL SPA,iBLOCK WALLS OR DRIVEWAY-APPROACH..TRUS$ SUBMITTAL HAS4BiEN DEFERRED AND MUST BE APPROVED PRIOR TO FOOTING INSPECTION. 2016 CALIFORNIA BUILDING -CODES: F FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $724.50 DESCRIPTION BSAS SB1473 FEE Total Paid for ART IN PUBLIC PLACES - AIPP: $724.50 ACCOUNT CITY AMOUNT 101-0000720306 0 $20.00 ` Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: `$20:00 DESCRIPTION ACCOUNT CITY 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 CITY. AMOUNT DIF FIRE PROTECTION 25.7-0000-43200 0 $433.00 DESCRIPTION - ACCOUNT CITY AMOUNT `DIF -'LIBRARIES 253-0060-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0, $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200. 0 $2,048.00 DESCRIPTION ACCOUNT CITY. AMOUNT DIF - STREET MAINTENANCE .,255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 DESCRIPTION ,TEMP POWER SERVICE DESCRIPTION .TEMP POWER SERVICE PC DESCRIPTION RESIDENTIAL, EA ADDITION 1,000SF DESCRIPTION RESIDENTIAL, EA ADDITION 1,000SF, PC DESCRIPTION RESIDENTIAL, FIRST 1,000SF DESCRIPTION, RESIDENTIAL, FIRST 1,000SF; PC DESCRIPTION RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF DESCRIPTION Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 ACCOUNT CITY AMOUNT 101-0000-42403 0 $26.01 ACCOUNT QTY. AMOUNT 101-0000-42600 ;,. 0 $18.20 Total.Paid for ELECTRICAL: -$44.21 ACCOUNT CITY. AMOUNT 101-0000-42403 0 $79.56 ACCOUNT CITY AMOUNT 101-0000-42600 0 $32:76' ACCOUNT 'QTy AMOUNT 101-0000-4.2403• 0 $156.04 ACCOUNT CITY AMOUNT 101-0000-42600 0 ' $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $319:85 ACCOUNT 'CITY AMOUNT. 101-0000-42408 0 $39.01 ACCOUNT CITY AMOUNT. RESIDENTIAL PRECISE GRADING - CUSTOM.HOME LOT >7KSF PC 101-0000-42600 0 $195.05 Total Paid.for GRADING: $234.06 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0. $156.04:-.. DESCRIPTION ACCOUNT QTY. AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 . $104.04 DESCRIPTION ACCOUNT CITY AMOUNT . EXHAUST HOOD 101-0000-42402.. 01 • • $13.00 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0- ." $5.20. . DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 , 0 $156.04 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC. 101-0000-42600 0 - $104:04• 'DESCRIPTION ACCOUNT CITY AMOUNT VENT.FAN 101-0000-42402 0 $104.00' DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC .. 101-0000-4.26.00 0 $41.60 Total Paid for. MECHANICAL: $683.96 DESCRIPTION ACCOUNT CITY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE 101=0000-20310 ° 0.4 •$1,290.00 Total Paid for MULTI -SPECIES -RESIDENTIAL: $1,290.00 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION'PERMIT 101-0000-42400 0 $780.62 . Total Paid.for NEW CONSTRUCTION PERMIT: $780.62 . . DESCRIPTION• ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1;683.50 Total Paid for. NEW CONSTRUCTION PLAN CHECK: $1,683.50 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK•DEP,OSIT=RESIDENTIAL 101-0000-42600 1 . .$500.00 Total,Paid for PLAN CHECK DEPOSIT, -:RESIDE NTIAL: $500:00 DESCRIPTION . ACCOUNT CITY AMOUNT BACKFLOW.DEVICE 101-0000-424,01 0 $13.00 . DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600. 0. $5.20 DESCRIPTION ACCOUNT- CITY AMOUNT BUILDING SEWER. 101-000042401 0 .. $26.01 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.2.0 3 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 .0 $299.00 ^ DESCRIPTION ACCOUNT QTY AMOUNT FIXTU.RE/TRAP PC 101-0000-42600 0 $295.001 DESCRIPTION ACCOUNT QTY. AMOUNT., •. GAS SYSTEM, 5+ OUTLETS .101-0000-42401' r 0; $39.01 . DESCRIPTION" V',.,ACCOUNT, QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0" $26.01 - 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 J DESCRIPTION ACCOUNT QTY AMOUNT, 0WATER SYSTEM INST/ALT/REP ` r101-0000-42401 0 $13.00 . DESCRIPTION " ,ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP.PC. 101-0000-42600 .0 $13.00 . Total Paid for PLUMBING FEES: $793.03 DESCRIPTION ACCOUNT QTY AMOUNT SMI = RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONGMOTION INSTRUMENTATION SMI: $0.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid forTECHNOLOGY ENHANCEMENT FEE: $•S:00 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED `.22470000-2'0320 0 $1,837.44'.. .'TotaF-Paid for.T UMF RESIDENTIAL: $1,83744' . ,. . e � 78-495 CALLE TAMPICO C& 0 D 4 Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Application Number: BRES2018-0156 Property Address: 56185 VILLAGE DR APN: 764030016 Application Description: VARNUM / 5,442 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $48%800.80 Applicant: SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET 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 License No.: 820801 Date: Contractor: OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold Within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason. Date Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 21 LU Owner:LU Z RICHARD C. & MICHELINE A. VARNU M Contractor: SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET PALM DESERT, CA 92260 (760)578-7757 Llc. No.: 820801 00 G Q WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: BLEMEST NATIONAL INSURANCE COMPANY Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 property for inspection purposes. Date: Signature (Applicant or Agent): Date: 8/14/2018 Application Number: BRES2018-0156 Property Address: 56185 VILLAGE DR APN: 764030016 Application Description: VARNUM / 5,442 SF DWELLING/VB/RES-3/CLASS A-FR/13D Property Zoning: Application Valuation: $489,800.80 Applicant: SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET PALM DESERT, CA 92260 Owner: RICHARD C. & MICHELINE A. VARNUM Contractor: SANTUCCI BUILDERS INC 72529 BEAVERTAIL STREET PALM DESERT, CA 92260 (760)578-7757 Llc. No.: 820801 Detail: 5,442 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. TRUSS SUBMITTAL HAS BEEN DEFERRED AND MUST BE APPROVED PRIOR TO FOOTING INSPECTION. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $724.50 Total Paid for ART IN PUBLIC PLACES - AIPP: $724.50 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $20.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $20.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 J DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.20 Total Paid for ELECTRICAL: $44.21 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $79.56 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $32.76 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,0005F 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $319.85 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING -CUSTOM HOME LOT >7KSF 101-0000-42408 0 $39.01 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $195.05 Total Paid for GRADING: $234.06 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $104.04 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST 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 $156.04 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $104.04 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $104.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $41.60 Total Paid for MECHANICAL: $683.96 DESCRIPTION ACCOUNT QTY AMOUNT MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE 101-0000-20310 0 $1,290.00 Total Paid for MULTI -SPECIES RESIDENTIAL: $1,290.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $780.62 Total Paid for NEW CONSTRUCTION PERMIT: $780.62 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,683.50 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,683.50 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $500.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $500.00 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 $299.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $299.00 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 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: $793.03 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 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 • • r. . �v PERMIT PLAN.:L-OCATION:. .Pr oject:Address: �s' �'� e ,aYj i/C' .ProtectDescription: Pool, Remodel, Add''t, Elect, Plumb;^Mech . . APN4: Applicant.Name: /'G�:.'.. /GhP��ize. l�Qrna�. aY. co... of:. io%er .. OS 1' - Address: �1�g0 1Tc CCi�t2a C�iGt �. Tel 7 S' �f City, ST, Zip: C Y�SS .Telephone: 0_1 Email: Valuation of Project $ Contractor Name: �� /cG � �j � .r�� y j`' Nm SPIJ Construction: Address: Conditioned+Space F City, St, Zip .' �a n-. De�2 v�� Garage /l `7/ SF Telephone`�70 -7� -� T-<'7 Patio/Porch.'SF Email: n C . 9Y,G ` 'LG'r►'� .. Fire Sprinklers SF State Lic: , g 2p City Bus Lic: Arch/Eng Name: corgi �cG���% eG�s. Construction Type: Cbh Jeh�fOh Occupancy.: Address: 7l f �� , l M)'/2O. CG j�Yai, d Grading: City, St, zipCICf vL .. Gl�� 9 2 7S Telephone: �jCg7— b a3 Bedrooms: % Stories: / # Units: Email: State Lic: C ,City Bus Lic: Property Owner's Name: `� UC{Yh 1.r New.Commercial / Tenant_Improvements:' Address:, O .� / Building SF City, ST; Zip.. '(,,' r� Type: Occupancy: Telephone: of U� CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 # Submittal ..Req'd-- Rec'd , . Plan Sets Structural Calcs.: Truss Calcs Title 24 Calcs. Soils Repoit Grading•,Plap (PM10) - Landscape Plan _ Subcontractor List Grant Deed HOA:Approval School .Fees. is Burrtec Debris Plan, Planning. approval ' Public Works approval Fire approval City Business.License Coachella Valley Unified Sch®.o1 District J This Box For District Use Only 83 Avenue `55 Thermal: CA` z92274 DEVELOPER FEES PAID (760) 398=5909 = F'ax .(7'60) 398-1224 q, ,n a i AREA: AMOUNT LEVELON EAMOUNT: LEVEL TWO AMOUNT: MITIGATI6N1AMOUNT: COMM/IND.AMOUNT: . DATE: - RECEIPT: CHECK#:,, INITIALS =-- CERTIFICATE'OF COMPLIANCE f (California Education Code 17620) -Project Name: Richard,& Micheltne Uarnum Date: August 9, 2018 a Owner's•Nanie: Richard& Micheline Varnum,. Phone No. �J'�,p ', 57 -. 7%,5 % Project Address: " 5611 85,Village Dr.,Xii Quinta, CA 92253 Project,Descriptioni Single Family Dwelling Unit AP,_Nc 764-030-016 Tract#: Lot #'s: Type of Development: _ . Residential Xx Commercial Industrial's' ' . Total Square Feet of Building Area: 5,442_ stj. it. 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 owner/developer. Dated: � ` � ` � � Signature: fA V. SCHOOL, DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATIS'FIED'IN ACCORDANCE WITH'.ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval ..Prior to 1/1/87 Requirement Note: -Number of Sq.Ft. 5,442 Amount per'SgFt $3.48 Amount'Collected . :$18,938.16 Building Permit Application, Completed: Yes/No By: Andy Je'nkins,:Director of Facilities and Maintenance Certificate.issuedby: Leticia Torres; Tacilities Analyst Signa re: t' NOTICE OF 90 DAY PERIOD. FOR PROTEST.OF ` . S A D S MENT OF FEES Section 66020 oEthe Government -Code asserted by Assembly;Bilf 3081effective.January l; 1997; requires that this District,provide (1) a written notice to°the project appellant, at the Rime oupayment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period' to protc$t.thc 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 pay . en D,o r Mie ny other requirements asdescribed in section,66020 of the Government code.. Additionally, the amount of the fees imposed is a E at this timeor.in.wholc or in part prior to issuance of .a Certificate of Occupancy. As.in the latter, the 90 days starts oL' Tficate 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.' A U G 1 0 20113, \i1':i.hny:i•: c 'cic�'I c;;::i.rtil'iezilc 0i'(r11IJ)J ancC I"rnl ulrlalcd :� 2007 11/2010 H CYTY OFLA QUINTA' COMMUNITY DEVELOPMENT • Desert Resort ( anagement -October'16, 2017 Richard & M. Varnum RE:,. Village at the Palms- New Home Construction 5.6-185 Village Drive Dear: Richard & M. Varnum, 3 .e Your architectural request for the new`• home construction has been approved per the plans submitted on'. October 6, 2017. Me trust that only licerised, insured contractors -.will be performing.the work. Please be°remind'ed a F thari.ny damage to the common area due to construction should be repaired in a timely manner. Thankyou for your cooperation .in filing:for architectural approval. Please contact our.office when this'project has been completed so a final, inspectionTof the project is performed for'the return of _ -your Architectural +deposit: If you have any questions or concerns, please do not hesitate to call our office at (760) 346-1161. ' Sincerely, F Christina Enriguez, CIVICOAMS. On Behalf of the Architectural Review Committee Village at the Palms, Inc. EC D J AUG' 10 2018 cm OFLA gUINTA COWiNI JPIITI'DE.VELOPMENT 42-635 Melanie Place; 8uite.103 Palm Desert; CA 92211 Te iephooe 760-346-1161 Fax 760'346-9918Web www.drminternet.com Associa' The leader in communit association:mana ement Y g ( www.associaonline.com SFEt7uilt'Comp'any ` y DATE: 08/22/2018 El APPLICANT ❑ JURIS: JURISDICTION: LA QUINTA PLAN CHECK,#..-BRES2018 0,1546 SET: IV PROJECT ADDRESS` 66185 VILLAGE DRIVE PROJECT NAME: SFD FOR VARNUM (STRUCTURAL -ONLY) ❑ The'plans.transmitted Herewith have been corrected where necessary and substantially com ' withi.the jurisdiction's buildingcodes. ® The plans transmitted herewith wilt sufstantially comply: with the jurisdiction:'s 'building codes when minor deficiencies.identifiedbe'l 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 corrlplete. recheck. The check.list,transmitted "herewith is fo.r.your iriforrri'ation. The plans:are being held at EsGil Until corrected plans are submitted for recheck:' The applicant's copy of the check list is enclosed for the -jurisdiction to forward to the applicant .contact person. The applicant's copy of the check list has been sent to: i 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. contacted: Telephone #: D6t&;cbnta' te'd: (b ) Ernai1 Mail - Tel'ephone Fax In Person REMARKS- Please have the protect Engineer of.'Record,provide'review stamp:on truss, layout, ,or letter stating he has °reviewed the truss calculation package prepared:by others prior to final approval at the.jurisdiction. 13y: Ryan Mur.phy.:(ffor'.B.D,:,) Enclosures: EsGil 08/15/2018 9320 Chesapeake Drive.,Suite 208 ♦ San:Diego, California 92123 ♦ (858) 560=1468 ♦ Fax (858) 560-1576 s hkFs Z0/8-- 0/51h 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 applicatio s or applications which cannot be processed will be returned to applicant. Date: �_/ /A�/ Developer: (,fivt ty G�—t t��l� 1�`e S ►'► C Tract No.: �v�7 Tract Name: !�6 �g�/ 7& �$2, Lot No.(s). Address(s): 5 8S ( f a 4 e 491- 1 Phone Number: The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❖ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1.. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1. foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently . rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan &" agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. , Approved maps/plans may be viewed at the following link' http://www.la-guinta.org/PlonCheck/m search.asp 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: 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\Fonns & Applications\GREEN SHEET cover &_ PM10 less than 1 Acre Revised 9-25-09.doc CITY OF LA QUINTA - COMMUNITY DEVELOPMENT PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement <1 acre/lot or Infill Project 'Project Information Project Contractor: 5a-Vt+(U L6-� P4__> LA. to'-Q r 3 hG Project Phase Project Name: K k? u (check one) q Project Tract/Lot Numbers:. S -3 ' , Ty'c'd-mo' f P I �J , 8��7�¢ Construction Demolition ' f / 2 Project Street Address: 1 S V l I I Total Acres in Active Anticipated Start Date: '�P /�/� Anticipated Completion Date: le / A / l Const uction <1 acre per Lot): �S �n . at*e . 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: C Y l r 5 16LY ►/o I Title: rY 2 vt e Y C' 1 VL.Gc Company Name: Fro r' 10 -rklC Mailing Address: City, State, ZIP Code: Z Y14i 0 CA Primary Phone #:y- Fax #: 71,o O) l Lt 24 Hour Emergency ' L L-7&0) 3 S Phone#: Cell Phone #: E-70) 3 ( i - 2 Email Address: u, v1 S( ✓' Y o t 1 7 0 0. C or,-, PM10 Certificate #: C © g ��3$ S� — 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 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 inspectionand/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan r any City unty initiated abatement activities. a�1'k LAAA,4- Signevre of f4operty Owner or Authorized Representative Date T:\Checklists - Forms & Applications\Fonns & 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 of impervious area where the pre -development natural slope is 25% or greater? Elmore, 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? ❑ Ef 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, transmission, engine or- other automotive specialty repair. [Standard Industrial Classification SIC codes 5013, 7532, 7533, 7534, 7537, 7538, and 7539]? Elexhaust,•tire, Entitlement or construction of new retail gasoline outlet s. disturbing greater than 5,000 square feet? ❑ GT_ Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing greater than 5,000 square feet? ❑ Entitlement or construction of new home subdivisions with 10 or more housing units? ❑ 2r, Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or more parkingspaces, and potentiallyexposed to Urban Runoff? ❑ Applicant Information Name and Title ,2VV Gv� Company S' uGw t, o� art S I^C Phone Email �S �ji H C . YV►u,:� Co r`' Projec nformation Project Name Type (SFH, Multi -Family, Commercial, Etc.) / (� V Location or Street Address S ip 9 57 v, I Q RY , Nearest Cross Streets Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) („ D S 3 (e TY-0 & Other Location Information Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 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, and maintain the Source Control BMPs 1 Contact Name) 4Y (,tIl,_Ye( Street or Mailing Address — 5 5-0 PaCk40 �4 City 4) Zip Code '22 Phone G P TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10less than )'A -re Revised 9-25-09.doc Check,ltem To be Performed .. ,Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training 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 To be Provided Source Control BMP Requirements — Small Sloped Lots, Small Commercial, <10 Unit Subdivisions, <5,000 Square Ft. Parking Lots, Etc. Structural BMP (See Appendix H, Section 4.5.2.2) Storm Drain Inlet Stenciling and Signage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Racks VA Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design &.Maintenance) Including Spill Area Containment. Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowledgement The applicant shall comply with listed BMPs and applicable �M provisions of the City's NPDES stormwater discharge.permit, Signature: LQMC Sections 8.70.010 et seq. (Stormwater Management and —t- r Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Print Name: -z ,YKJ A I A+t4cCb Riverside County Ordinance No. 457; the California Regional 1 Water Quality Control Board — Colorado River Basin Region Title: �r�sld�'Q /"� �0N- rrG`o`r Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. Date: I/4� 7/ Phone: ( I 5-7, —T 7 � 7 T:\Checklists - Fonns & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc "w. Applicant Certification 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: C',✓ `T (CA information contains errors or omissions, clarification and/or information be supplemental may required and the Title: preparation of such information may be considered, in the Community Development Director's judgment, an Date: unreasonable delay and will result in a suspension of processing time limits in accordance with the California Code Phone: (A0 ) S of Regulations, Title 14, Section 15109. Owner -Certification certify under the penalty of the laws of the State of . California that I am the property owner of the property that Signature: is the subject matter of this application and I am authorizing '^ and hereby .do consent.to the filling of this application and Print Name: 1t L4 �'►� acknowledge that the final approval by the City of La Quinta, if any, may result in restriction, limitations and construction Title: 0 W IT ✓ 6 Y m per obligations being imposed on this real property. d Date: � /2 7/ 1 O Phone: () ` l Building Permit Number: Project Description: SFR (. Exempt: O (Materials may contain hazardous wastes and ere not subject to recycling provisions) Construction Debris Management Plan RECEIVED Plan Submittal Date . 7/24/2018 • A U G 10.2018 Job Site Address 56185 Village Drive Owners Name Rick & Micheline VamUim CITY OF L&QUINTA 'Number, Street, or PO Box 56185 Village Drive COMMUNITY DEVELOPMENT City, State, Postal Code -La Quinta, CA. 92253 Owner's Phone Number c/o Owner's E-Mail Address Project Managers Name Jerry Santucci Project Manager's Phone Number 760-578-7757 Project'Managees E-mail Address iasbinc(a) mail.com Builder / Contractor Santucci Builders Number, Street or PO Box 72529 Beavertail St City; state; Postal Code Palm Desert, CA. 92260 Project Square Footage Approx. 5,442 sq.ft . City Approval By Renado Gouldlock-DEC/Burrtec Waste Date of City Approvals Materials To Be' Discarded: Product Tons Trash 22.75 Nof recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 6.50 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable . Commingled 0.00 Recyclable Tile (floor) 0.59 Recyclable Concrete I 24.7.5 Recyclable Tile (roof) 0.76 Recyclable ` Drywall 2.75 Recyclable Wood I 8.25 Recyclable Donated /Reuse' L 0.00 Recyclable Landscape Debris L 000 Recyclable 'Describe Items Totals: Rec cie Trash Projected_ Diversion: 43.6 1 22.8 F65.71% I understand it -is the; property owner's responsibility to submit copies of weight ticketsbr 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. Tlia remaining material wilDbe recycled or reuseda will divert, for recycling or re -use, remaining materials generated from the firsf'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 rernaWtheir'property throughout the constructjon and/or demolition project. A contractor serving as agent of the owner obtain a DMP for the owner. However, the DMP is still issuediin the name.of the property owner(s) and the owner retains legal responsibility for ensuring that the provislons 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 V,' Design and Development Department =Building Division 78-495 Calle Tampico, La*.Quints, CA 92253 .:. JUN 2 2O�$ PH: (760) 777. 7125 Fax •(760) 777=7011 Website: www.la-quinta.org. CITY OFLNOUINTA COMflIlUNETVDEVELOPNi�iV7 _ 'DEFERRED TRUSS•°.SUBMITTAL FORM Date: � �2 SAg Application Number: Project Street Address: _t�/LLA G,g Applicant - XI Architect or 13 Contractor of Project (Please check appropriate box) Policy -Conditions: 1. Limited to Custom residentiaFpre-fabricated.wood .trussed roof projects on a case by case basis; 2. This form will be completed and submitted to the` Building Division for.apProval prior to the.. secondsubmittal, ** The approved form will be submitted as:part of the second -submittal package; . 3. Deferred Truss Submittal will Consist of two sets wet stamped Truss Calculations, Roof Layout and Engineer of Record's Acceptance stamp:"or letter; 4. Review timeframe is 10 working,days; 5. •Service Fee of plan review and processing based on -actual hourly cost of plans examiner; structural consultant, permit technician (payment req'uired'at the time -of pickup of approved truss calculations; 6. The deferred,truss submittal review. and approval will be required prior to'a foundation. / footing inspection (no exceptions). 7. The approved "JOB"`Copy of Truss Calculations isregUired.to be,onsite'at the time of inspection. Print name: Igna ure.. By singing .this for , the applicant acknowledges and" agrees to all conditions; and requirements. :Approved By: �iiA Wa f7V5eN Title-ap4. %NS�P+��rvi� Dater **Note ta.Permit,"Techniciam-Do Not Accept submittal without -Approval of form 78-495 Calle Tampico I La Quinta I California 92M. 1 .760.777:7000 1 www.La-Ouinta.org Mc GEE SURVEYING,.INC. 45-100 Golf Center Pkwy, B1dg:F, Ste.G, Indio, CA 92201 Phone. (760)' 342-2249 — Fax.(760) 342-5044 July 25, 2018 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Re: 56-185 Village Dr. Pursuant to your request a field survey was conducted on the above referenced project to determine the vertical location of the building pad. The above mentioned was found as follows: LOT, PAD (DES) PAD (FIELD)' DIF. 36 58.3' 58.3' 0.0' 9dyne �OA.R .Ss499 . McGee L.S. 5479 F •,C: RECEIVED AUG 1 ®.20; CITY OF LA QUINTA COMM9. N M, DEVELOPMENT