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BRES2018-0006
.78-495 CALLE TAY PICo LA QUINTA, CALIFORNIA 92253 Permit*Type/Subtype:, • pplication Number: ;Prope rty Aciclr6ss-. • APN; Application Dekription: Propefty,Zofiin.g: Application V516kion' Applica'nt: IVICCLURE a HOMES L[C 52165 CLARET COVE LA-QUINiA,-CA 92*253 fVia' ,4 I " " DESIGNA DEVELOPMENT DEPARTMENT 6UILDING. PERMIT, -BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED B.RES201.8-0006 53205 HUMBOLDT BLVD 707000*1:0 MC QLURE HOMES 7,5265F DWELLING $689,446.50 AUG 10 2018 CITYOFLAQUINTA DESIGN-ANDDEVELOPMENt-6t.ARTMENT rVOICE (760),777-7125 *AX'(760) 777-,7011r IN-SPIECTIONS`(760) 777-7153 Date: 8/10/2018 Owner: MCCLURE HOMES LLC 52765 CLARET COVE LA QUINTA, CA 92253 Contractor-. DISCOVERY BUILDERS CALIFORNIA INC, DBA DB 14605,N. 73RD STREET SCOTTSDALE, AZ'85260 (48 . 0)624-52W Llc. No.: 915336 - - - - - - - - - - - - - - - - - - - - - I - - - - - - - --- - - - - - - --- - - - --- - - - - - - - - - - - - - - - - - - - - - ----- — - - - - - - --- - - - - - - - - - - - - - - LICENSED I . CENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby. affir'm'u rider penalty of perjury that I am licensed under provisions of Chapter 9- 1 hereby affirm under penalty of perjury one of the fo'llowling declarations: (commencing with Se on.7000).of Division 3 of the Business and Professions Code, and I have and will maintain a certificate of consent to self -insure for workers' my License is'16 full force and effect. compensation; as provided for by Section 3700 of the Labor Code, for the performance License Class :B' License No.: 915B6 'o 9 5336 IV Tok I Cc �5c 0 w fo�which this permit is issued. I have and will maintain workers' compensation insurance, as required by, S the 3 7 S 00 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuranceSarrier.and policy number are: UIL OWNER -BUILD D LARATION Carrier- TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number: I hereby affirm under peAa*ltyof perjury-t t-i am exempt from the Contractor's State t YJUB4K05520218 License Law for the following reason (Se 7031.5, Business and Professions Code: Any.., (S 1 P I certify that in the performance of the work for which this permit is issued, I permit to 0 struct, alter, improve, , demolish, city or county that requiresa'permit to ognstruct, alter, improve, demolish, or repair ainy, shall empl' manner so as to become subject to the workers' all�n6t."' employ structure, priorA . o its issuance; also requires the applicant for the permit to file a signed' compensati6n laws of California, and agree that," if I'shod become I subject to the statement 604 he or she. islic6ns.ed pursuant tothe provisions of the. Contractor's State " wprkers'compensation,p'rovision's of Section 3700 of Labor Code, I shall forthwith License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business comply with hos, provisions. • and Professions tode)br that heor-she is exempt therefrom and the basis f6r the §7,ti 7j alleged exemption: Any violation of S6ction 7031.5 by any applicant for a,permit Dat7e Applicant: subjects the applicant to Scivil penalty of not more than five hundred dollars ($500).: )4, as owner of the property ;,or my employees with wages as their soleWARNING: FAILURE TO SECURE WORKERS' PENSATIO N COVERAGE IS UNLAWFUL, compensation, will',6 the work ;.and 'the structure'is not intended or offered:for sale. AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES,UP TO - (Sec. 7044, Busindss and Professions Code: The Contractors' StaieLicense La"iddevriot ONE HUNDRED THOUSAND DOLLARS($ 0001000).. IN ADDITION TO THE COST OF apply to an owner of property: who, builds or impro Ves there_on� and who does the work COMPENSATION, DAMAGES AS PFOR-IN FOR -IN SECTION 3706 OF THE LABOR CODE, himself or herself through his ocher own employeesi provided that the improvements INTERtsT,'AND ATTORNEY'S FEES. are not intencled'or offered for sale. If, however, -,the buildin&or improvement is sold ' within one year of completion, the owner -builder will have the burden of proving'that he APPLICANT ACKNOWLEDGEMENT t or she did nobu", fid of improve for the p . urpbse of sale.). IP . MOR I TANT: Application is hereby made'to the Building Official for a permit -subject to 1, as owner of the property, am exclusively contracting with licensed contractors1o. the cbndiiions and restrictions set forth onthis appli�ation. construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each,person upon whose behalf this application is made, each person at whose License Law does not apply io an owner of property who builds or improves thereon, request and for whos . e benefit work is performed under or pursuant to anypermit issued. a n,d who contracts for.the 1. projects with a contractor(s) licensed pursuant to the as a result ofth.i,s application , the owner, and the applicant, each agrees to,,and shall Contractors' State License Law.). defend, -indemnify and hold harmless the City of La- Quinta, its officers, agents; and I am exempt under-Sec.B.&P.C. for this reason emOIROes for*ainy actor omission related to the work being performed under or Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penaltyof perjury.t'hat there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. Q. Lender's Name: Lender's Address: following issuance of this'permit. 2. Any permitissuecl as a result ofthisapplication,becomes null and void if work is not commenced within n 186 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 withallcity and county ordinances and state law'syelating to building construction, and. hereby authorize representatives of this city to e J city_to upon the above - mentioned prope yty for inspection purp oses. Date:-' 0A � 'S�i-gn.ture Applicant or Agent) 6' a 0 DESCRIPTION ACCOUNT `QTY AMOUNT. ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,223.61 Total Paid for ART IN PUBLIC PLACES.- AIPP: $1,223.61 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-203'06 0 $2&00 Total Paid for BUILDING -STANDARDS ADMINISTRATION BSA: $28.00 DESCRIPTION ACCOUNT QTY. 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 QTY • AMOUNT DIF_. FIRE. PROTECTION 257-0000-43200 0 4$433.00 DESCRIPTION ACCOUNT CITY 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 25070000-43200 0 $2,842.00 0,, 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 CITY AMOUNT TEMP POWER SERVICE PC .101-0000-42600 0 $18.20 PTotal Paid for ELECTRICAL: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT .RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 .0 $92.82 DESCRIPTION ACCOUNT. CITY AMOUNT RESIDENTIAL, EA.ADDITION 1,000SF, PC 101-0000-42600 0 $38.22 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $156.04 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL; FIRST 1,000SF, PC 101-0000-42600 0 $51.49 Total Paid-forELECTRICAL- NEW CONSTRUCTION: $338.57 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $39.01 . DESCRIPTION ACCOUNT QTY AMOUNT RE-SIDENTIAL PRECISE GRADING = CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 f . $195.OS. Total Paid for GRADING: ' $234.06, DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $234.06 ' DESCRIPTION. ACCOUNT QTY1 'AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0. ^$156.06 . 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 - $234:06 DESCRIPTION ACCOUNT QTY AMOUNT ' FURNACE PC 101-0600-42600 :0. $1S6:06 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 ; ' $117.00 DESCRIPTION ACCOUNT CITY ''AMOUNT VENT FAN -PC 101-0000-42600 0. $46.80 Total Paid for MECHANICAL: $962.24 DESCRIPTION ' ACCOUNT: QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $898.62 Total Paid -for NEW CONSTRUCTION PERMIT: $898.62 r. DESCRIPTION ACCOUNT. CITY AMOUNT NEW'CONSTRUCTION-PLAN CHECK 101-0000-42600 0 $1,953.50 Total'.Faid,for NEW CONSTRUCTION PLAN CHECK: $1,953.50 QESCRIPTION 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 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 $390.00• DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $390.00 DESCRIPTION ACCOUNT QTY AMOUNT' ROOF DRAIN '101-0000.42401 0 $143.00 DESCRIPTION .. ACCOUNT QTY AMOUNT ROOF DRAIN PC w.. 101-0000-42600 0 $143.00. DESCRIPTION ACCOUNT QTY AMOUNT 4 WATER HEATER/VENT 101-0000-4.2401 0 $26.00 DESCRIPTION ACCOUNT. CITY AMOUNT 'WATER HEATER/VENT PC 101-0000-42600 0, $15.60 Total Paid for PLUMBING FEES: $1,151.81 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid: for RECORDS MANAGEMENT FEE - MAJOR: ,$26.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 '.0. $89:63 Total Paid for STRONG MOTION INSTRUMENTATION'SMI: $89.63 DESCRIPTION ACCOUNT CITY AMOUNT ` TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 f 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 a S 53-205 Huml Owner McClure Homes LLC ftling. k.ddre§§:. 52765 Claret Blvd. La Quinta, CA 922,U, pity; lZip, La Quinta, CA 922.53 k.ddress- & Classic ..Arch.; Eng�., ..... besj V McC1 lure Hoinesl CC 765-Clar -Coye4f,--�8 w 5 8-77 R� y . 6uiLb I N0':�tY_PE':d,0'_. N S _V__ 8 SED A.P,:NUmb6r;- _767J007010. IT61. gaiDesdiip�66Ot L 58 of Tract No. 33076-2 Map 393 Pages 61-80 l. 858-775-1032 Project Description:..C_onstruct_new_8X8_ft2_singleJa residennia wl dss66iateasite walls and 6,o6l afid i;6a under Sq. Fi: No N . 6... . Dw. e: giz 8868 ft2 � "s'. 1 Unhs� 1 t ,orie New 1)( Rep6ir 0: -D.emol.itionD ;signer).. 2132 4, f6uthii(eason.- N rn N I� Copy is filed,- ' 'q:CEF�TIF.ICATEFOF:EXEMPTIPN'*ktiM-��-'TOTAL-- - :.WORKERS '.'COMPENSATION .INSURANCE .:not becomplep NTA . CT' MA y tfi�! �h4ia �erfo' anc , the work for this �ermit is,issued . rm shall hbf employ: % AME, in ahymanri ef'so 6s to.tie6oft4s6bjeict to workers - Compensation laws of Cal"othis: PHONE: : ... . . .... .. NOTICE APPLICANrlf, e1ter:'p?sRij9,(his cibExgmpdon.'you should .becbme.' Co rponsallon. provisionp:of the. Labor Code,: ychi ifidst forthwith compi s pro!15 ..;�ch . .,ZONE: BY - .... ... ... ...... : Minimum Sdtback D" istances'. 'CONSTRUCTION LIENDIN&AGEN& FiontSetback: from Centerl-j'he yattirmthatt ere.*� j hemb- h a�60hstriucti6n lehdirig 6geA&y,:for the. 0.4orniance,of the %��rkjbi Rear'Setbackfiorn-Rear Pro Line jQii&K Len -..........Side StreeVSeibaCk froni-Centet Line Landers Atldress 6' ad is 9 Oct to. :a building permit w an properly,ii led:otn, - si gn 0 U Side Setback from Line T - . 'day .oxpirathori H Work'thereuiid& is s. I Gently:that,l have read It -iisi-i�pplidaIio6:and st6ie��thifthe .i6dvo..iniorinatibnis66i,ici. FINAL DATE INSPECTOR. .1 with: 611. 611y� and:cqvntq laws relating to'.building. consiruirtioni-a . rid. h'ereby"authorize representatives 61'this..6ity tb.jeriter: the above-meintioned property to iiispp coon I su6d.by. Signature of applicant .. ... .Dale mai6` gAddless.—:: Vi6hdated by:_ VAlidittion'.. WHITE i:.SUILDING DEPARTMENT YELLOW —APPLICANT PINK FINANCE — Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909- � M&RED 41PN AUG 08 2018 This Box Vor District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT. COMM IND. AMOUNT. DATE: RECEIPT: CHECK #: INITIALS - 1• CITY OF LA QUINTA UNITY DEVELOPMENT CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: McClure Homes, LLC (Madison Club) Owner's Name: McClure Homes, LLC Project Address: 53-205 Humboldt Blvd., La Quinta, CA 92253 Project Description: Single Family Dwelling Unit Date: August 8, 2018 Phone No. APN: 767-700-010 Tract #: Lot #'s: Type of Development: Residential Commercial XX Total Square Feet of Building Area: 7,526 SQ. FT. Industrial Certification of Applicant/Owners: The person signing certifies that the above information is rr nd makes this statement under penalty of perjury and further represents that he/she is auth o i o oper. Dated: l� Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. Amount per Sq.Ft. Amount Collected 7,526 $ 3.48 $26,190.48 Building Permit Application Completed: Yes/No By: William Aguirre, Director of Facilities Certificate issued by: Leticia Torres, Facilities Analyst Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. 11 2010 Taf sep " DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 53-205 HUMBOLDT BLVD APN: 767-700-010 DESCRIPTION OF WORK: NEW DWELLING SQUARE FOOTAGE: 7,526 SF OWNER'S NAME: MCCLURE HOMES LLC For questions regarding this letter, please contact: City of Lc Quinta Permit Center (760) 777-7125 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. APPROVED FOR CONSTRUCTION DATE? �4 �1b BY 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. °DOC:#•20.14-0493,405 12/26/2014 01:31 PM Fees ,W.00 IIIZ.i�I� �C�Y.` Page 1 of°5 Doc T Tax Paid . D ONDEPARTU Recorded in Official Records SUBM County, of Riverside G 3 ,0 3�l ^ L Larry W. Ward.1 'T [� Assessor,. County Clerk & Recorder. WHEN. -RECORDED MAIL TO: McClure Homes LLC 52647 'Via° Savona —This docuinent was electronically submitted Ia Quinta CA : 92253 to the County of Riverside'for recording* Receipted by: MRUIZ MAIL TAX -STATEMENT TO- , SAME AS ABOVE APN • 7 6 7 7 0 0 - 010 (This space for"Recorder's use only) -MR- 02-0-2-0.5. DOCUMENT TRANSFER TAX $ 1 ,-100.00 XX Computed on the consideration or valueof property conveyed; OR' Computed on the consideration or value less liens or encumbrances remaining at the time -of sale. -> Signature of Declarant gent'determining tax - Firm Name GRANT DEED ,. FORVALUABLECONSIDERATION; receipt of which is hereby acknowledged, EAST OF MADISON,, LLC, a Delaware limited liability company ("Grantor"), hereby GRANT(S) to McClure . Homes LLC , a California limited liability company (.,� .Grantee„ ), the real property located in the City of La'Quinta, County of Riverside, State of California, described as: See Legal Description attached hereto and incorporatedherein,as Exhibit':`A". SUBJECT TO ;all matters of record.including, without limitation, the covenants and agreements described in Exhibit "A" attached hereto. Dated: 10 % 23 / 13 EAST ORMADISON;,LLC, a,Delaware limited liability company By: 120 Acre Partners, LLC, a Delaware limited; liability company Its:., Managingt lvlember By: _ Discovery La Quinta Investors; LLC, Co"AERVED0 A Delaware limited.ltat ilityrcomp MAY 2 2018 Its authorized Represe ve • By: uf' CITY OF LA QUINTA L. Arenson. COMMUNITY DEVELOPMENT Its: AiAhorized`Representative . ;, UBnTV S�(��DEP WHEN RECORDED.MAIL TO: McClure Homes.-LLC .52647 Via Savona La`-Qiiinta` `CA 92253 ti MAIL°TAX STATEMENT TO: SAME -AS ABOVE "ATP`N 7 &7 - 7 0 0 - 01 0 ;a (This space for Recorder's use only);; 05 `'DOCUMENT TRANSFER TAX $ 1 10 0.0 0 XX Computed on the consideration or value of property conveyed; OR_ Computed on the consideration or value' less liens or encumbrances; remaining at the time of sale. , Signat6re of Declarant 6agent determining tax - Firm Name s' -GRANYDEED .. FOR A' VALU.ABLE,,CONSIDERATION, receipt of which is hereby acknowledged; EAST:,OF MADISON, LLC, a Delaware -limited liability company ("Grantor"), hereby`GRANT(S) to ,,- McClure".Home.s LLC , a California limited liability company-(, « Grantee„ ),the real property located in the City of La Quinta, County of Riverside, State of California, described as: See Legal Description attached.hereto"and incorporated herein as. Exhibit "A": SUBJECT TO all matters of record including, without limitation, the covenants and agreements .described in' Exhibit "A"attached hereto. _Dated: TO % 2 3 / 1 3 EAST OF MADISON, LLC, , a Delaware limited liability company `By: 120 Acre `P.artners,.LLC, a Delaware limited' liability company Its: Managing Member By: Discovery La Quinta Investors; LLC, A'Delaware limited liability comp Its authorized Represefe.ve By: 'r L.:Arenson ``its: Authorized.Representative Y CALaFORNIA ALL-PURPOSE;ACKN®WLE®GEMEN$ A notary public or, other officer completing: this certificate s, -verifies only thedentity of the individual who signed the. document to whichthis certificate is attached,,and not the truthfulness, accuracy,, or, validity of that document. STATE OF Arizona )SS COUNTY OF' Maricopa ) On 12/23/2014 before me, Maria -Vargas , Notary Public, personally appeared Joseph L. Arenson who proved to me on. the -basis of satisfactory evidence' to be the person whose' -name is subscribed .to the within' instrument and. acknowledged:to me that he executed the same in his authorized. capacity, and'ahat°by his 'signature on the, instrument the person, , 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 paragraphs isarue and correct. WITNESS my hand and official seal. MARIA1 UARGAS. tmotary PubUc -Arizona Maft 3 County. Signature a .MyC.dmin: npyns;"9.10.2018 This area for official notarial seal. . EXHIBIT «A» Leal Description. 47 Parcel No. 1.: Lot 58 (the "Lot") of Tract No. 33076-2 as shown on Subdivision Map.(the "Map")'recorded on Novemb'ei 29, 2005, in Book 39,3, Pages 61<.to 80, inclusive, of Maps,.in the Office'of the , Riverside, County Recorder and as amended in that certain Certificate of Correction' recorded May 4, 20`1,0, as Instrument No. 2010-0204536 of Official Records: EXCEPTING AND RESERVING THEREFROM TO GRANTOR;. and, its successors, 'assigns, invitees, licensees and employees, together with the right to grant and transfer all, or a portioniof the: same ,,all easements and rights of access, ingress, egress; encroachment, A, maintenance, drainage; support, and for other -purposes over the` Association Maintenance -Areas ., M: and other portions of the'lot; but`only to the extent of such r ghts-are reserved to -the' Grantor in the following instruments: N I. The Declaration of Covenants, Conditions and Restrictions. and Reservation of Easements : for The.Madison Club.Owners Association (the "Declaration" ), recorded on September' 13;,2005, as Instrument No. 2005-754387, of Official Recoids'of Riverside County; California (the s ".Official'records"); Parcel No: 2: . -Nonexclusive easements for access, ingress; egress, drainage, maintenance, repairs and 'for other purposes; all as described in the Declaration.' w e SUBJECT TO: 1. Non delinquent general, special and supplemental real property taxes and assessments. - 2. All -other covenants, conditions, restrictions', reservations; easements, rights -and rights -of - way of record including, without limitation, the Declaration of Map for Tract No. 33076-2. Grantee; by .acceptance and recordation of this -Grant Deed, hereby (a) accepts and approves all of the foregoing in.this Grant Deed, (b) grants to;Grantorand The Madison Club Owners Association such powers and rights as are-, set- forth in the Declaration, and (c) accepts', covenants and agrees to be bound by and assume performance of all, the application provisions and requirements set forth in the Declaration, including Section 13.15 establishing the procedure for resolving disputes .with Grantor, and the notice, which provisions and requirements are, acknowledged to be�reasonable and incorporated herein by this reference thereto. This 'grant is conditionedupon the performance of such provisions and requirements as are to be performed by Grantee under the -Declaration. The restrictions on' -use and occupancy of the Lot are set forth in ythe Declaration t6which this Grant Deed is specifically and,expressly made subject. f t ,GRANTEE HEREBY ACCEPTS AND APPROVES THE 'FOREGOING, granting unto ,. ,< Grantor and The • Mad ison Club Owners Associatioh such powers a' d rights which area .set forth ` in the"Declaration defined above, on \ , 2014: a ' , Mc 'Iure o e ' f �B.y�.MarkIvlcClw aManagtngVleber CA'LIFORNIA'ALL.PURPOSE ACKNIOWLEDGEMENT State of County of On i22" 2 before TTTLPoptomc R-E.G_'JANE qM NOTARY PU9UC personallY'aPpeared .. NAMP.(51 OF SIG.IMR(S) ,. who proved to me on the basis of ,satisfactoryY evidence , to.. be the' person(s)whose names) j�a e.subscribed to the wtttiin mstrupent and �.<M. DURAN acknowledged to me tha{he/they'`exec ted the same in W/her/their authorized_ capacity(ies)-and that. by /her/their signature(s)on''the . cotnmission ,te 2053337 : V z No9atty PuDik - Cahfomia a instrument , the;; person(s), or the entity upon behalf of -4hich the 'Y Rivet'side Coup ' person(s) acted,.exe.cuted the instrument: ty F,. Corttnt. ►a Dec 26 2011. [certify under -PENAL? Y OF PERJURY un er the.laws of=the "State ' of California that the foregoing paragraphis,tnte and correct. WITNESS'.my.hand and'official seal, Signature .�G01/ERNMERITCODE27361.7_ u certify under: penalty of perjury that notary seal on the. document to which this e:' statement is attached reads as follows: A, Name of NotaryQ1'�. • V A� G1`� :�� Notary.'Identification Number 47 ,. s �'�Fs� i. • Vender. Identification Number County Where. Bond Is. Filed Date "Co' Mmission Exp r_ Fi A • �0 , u/��S "� t . Place of Execution IVU, k� SPL, Inc.,as a ent DATE. I� I <'Signature'; .GOUERNIVIENTCD`[1E27361.7 =_ a.. _ k t t I -certify ,under penalty of perjury that the notary seal,on the document.to which this statement is attached>reads-as follows: a. Name of°Notary: " NotaryIdentification Number YIY1 Agin\ ' Vender Identification Number. County Where Bond1s Filed Date Commission Exp C '%�0, �.D'11• Place of -,•Execution: 1 y"+ I Y SPL, Inc.'a'sagerA DATE: r ,. Signature Revised 9/6/,06 R.I DR 002 2 x Notary Seal Declaration Rl.doc > `4 BOE-S02-A-(P1).REV. 12 (05'13) PRELIMINARY CHANGE OF OWNERSHIP REPORT LARRY W. WAR0,00UNTY OF RIVERSIDE ASSESSOR COUNTY CLERK Octnamcn; T6,be completed by,thi transferee. (buyer) priortto a•transfer of subject property; In accordance "with 'iection- 480'.3 of'the.Reven6e,'and Taxation Code. A. )' .reiimlnaryi.C.hangg.of9,Wner-,zhlp Reportmustfilec!'Witli'ekh conveyance in the County Recorder's 'office for the county where;the - property is located. NAME AN6'MAJLING ADDRESS OF BUYER/TRANSFEREE. v�tions to the pnnnametad n&and mai6i7g address)McClure Homes LUC SQUID 1--9\- ko P(j, BOX 12064,, RIVERSIDE; 6'0502-72204 (951) 955-6200 www,*.rlversideacr.c6rn 4, ASSESSOR'S PARCEL NUMBER 767 no-010 SEU-EVWNSFEROR -� East of Madison LLC' BUY'ERS DAYTIME TELEPHONE . NUMBER BUYER'S EMAIL ADDRESS ❑ YES NO property is intended as`my principal residence. If YES, please Indicate the date MCI DAY YEAR ;This' A 4 r. ' PART 1: TRANSFER INFORMATION: z P/ease complete ; aff-statements. �:This sectio 'contains possible exclusill ns from reassessment: The c6�zi&tvpes of transfers. YES El - NO A.' • This transfer is solely between spouses (addition or spouse, removal of a deathofa'spouse, divorce sefflemen etc.). 1.14 r❑'1' B. , This transfer,is solely between domestic partners currently.r.egistered with the California Secretary of State �addidon� ramo�al of a. partner, death of a parb7er, termination settlement etc). *C. This is a tr'ainsfe'. between parents) and child(ren) E] from grandparent(s) and grandchild(ren). 1D.- This b-ansferis the result of a cotenant!s death. Date of death It E. This transaction Is'to replaceeicpn alresiden,cebyaperson55,yearsofaqeo�'older. D F❑ *F. r Within the same county? 7NO ES F This transaction Is to replace a principal residence by'a h is severely _person who rely disabled as defined by Reverrue4nd Taxation Code sealon 69.5: Within the,san�e F� county? YES F—] NO ❑ G, Tin's transaction is only a'correction of the name(s) of the person(s) holding title t6the prop&L� a name change upon marriage), If YES, please explain:., El E 1, H. iThe recorded document creates, terminates, or " econveys a lender's Interest in tive property, 1:1 E Y I. AThis transaction' is recorded only as a iequirement for financing purposes or to create, terminate, or remnvqy a security interest (e.g., - cos,�,he�)-If YES; p!ease explain: F I. The recorded other simh'-" orded dDc�rnent substitutes a trustee of a trust, mortgage, or ar document. K. "This -is a transfer of:proper . FIT E 1 1. to/from a revocable trust that may be revoked. by the transferor and Is for the bene6of the transferor,. and/or ❑t4transferor's spouse, EJ registered domestic partner. I ❑ 2. to/froma trik'that maybe. revoked by the creator/grantor/trusto J r who. is also a I joint tenant, and which names the other)"oirit tenant(s)'as beneficiaries when the creator/granbor/trustor dies' 11 M 3to/from an Irrevocable trust for the benefit of the EJ crea r/grantoir/trustor and/or trustor's spouse to E] grantor's/ grantor's/trustor's registered domestic partite I;❑ L This'property is subject to a' lease with a remaining lease term. of 35 years or more�lnclucllng written options. ❑ M. This is a transfer between parties in which proportional interests-61' the transferor(s) and transfere-es) in each and every parcel • being transferred remain exactly,the same after the transfer. ❑ W. This is airahsf&subject to subsidized low-income housing requiremer�ts wlih gove4rnmentally,imposed restrictions. This transfer is,to the first purchaser of a new building containing an acti V45olar eA ergy system. , Please refer to the instructions for Part 1. Please provide anyother information that will help th—e Assessor understand the nature of the transfer THIS DOCUMENT IS NOT SUBJECT TO, PUBLIC, INS'PECT- ION to f BOE-502-A (P2) REV: 12.(05-13) PART 2. OTHER.TRANSFER INFORMATION Chec* and complete as applicable. A. Date of.transfer,, if other than recording date: B. Type of hansfer. X❑ PurLkase ❑ Foreclosure _ ❑ Gift [],Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-I00='B) ❑ Contract of sale. Date of contract: • ❑ Inheritance. Date of death: 0 Sale/leaseback ,•. ❑ Creation of a lease 0 Assignment of a lease ❑ Termination of'a lease. Date lease began: Original tertr`ih years (including written opdonsj. _ Remaining,terT In years (Including w{itten options). Other: Please,6plain: C. Only a partial interest in the property. was transferred. ❑ YES ❑X NO . 1f,YES, indicate the, percentage transferred: % PART,,3:`PURCHASE'PRICE AND TERMS OF SALE Check, andcnmplete asapplicab/e. A` TotaCpurdhase pace $ °1,OD0,000OD? B. Cash dow6 payment or value of trade;or exchange excluding closing costs Amount �$ 2t> ,W C. First deed of trust @J % interest for years. ` Monthly payment $ Amount $ ❑` Fl-I LDlseount Points) ❑ Cal -Vet VA (-_Discount Points) Fixed rate. 0 Variable rate ❑ Bank/Savings& Laan/Credit Union roan carried by seller Balloon payment $ Due date: D. ;Second deed of trust @ ,. %Interest for _years. Monthly payment, Amount $ Fixed rate ❑Variable rate ❑ Bank/Savings &Loan/Credit Union ❑"Loan carried by,seller Balloon payment_$ • Due date: E. was an Improvement Bond or other public financing assumed by the buyer? ❑YES ` []NO' Outstanding balance, F. Amount, If any, of real estate commission fees paid by the buyer which are not included in the purchase price $ Gi The property was purchased: rough real estate broken Broker name: Phone number: ( ) °Direct from seller • From a family member -Relationship ❑ Other, Please explain: •3. H. Please explain any special terms teller concessions,,broker/agent fees waived, financing, and any other infomhation (e.g., buyer assumed'the existing loan:'> balanoe) that would assist the Assessor in the valuation of your property, PART 4 PROPERTY INFORMATION Check and complete as. applicable. A. Type'of property transferred ❑ Single-family Fesidence ❑ Co-tip/Own-your-own ❑Manufactured home ❑ Multiple family residence. Number of unitsi ❑ Condominlum unimproved of ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) ❑:Timeshare ❑ Commercial/Industrial 'B. ❑ YES . NO . ``'Personal/business property, or incentives,. provided.byseller to buyer are included in the purchase price. Examples of personal property, ' s'are furniture; farm,equipment, mectrinery, etc .lxa pies of:incentives ere dub memberships; etc. Attach Ilst if, available.- If; S, enter value�of the personal/business property: $ Incentives $ C,._"",[ YES NO I A manufactured home Is Included In the purchase price. If YES, enter the lue attributed to the manufactured home: $ ❑ YES, ❑ The manufactured home is subject to local property tax. If NO, enter decal number: D. ❑ YES NO. The property produces rental or other income. )f,YES,'the Income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: E. The condition of the property at the time of sale was: ❑Good []'Average • • .❑ Falr ❑Poor Please describe: ` •• ICATION - • I teddy (or declare at 06 fort�nmg a all info �°n n, ud/ any aca vmpanying statements or documenm, is fte and correct to Me best of my know and , iel. i i'/ / rvAiemt-vr rtW itt it uF C / DATES TELEPHONE t� t� .,•' "' ,gyp ki_ k"''%`d` cs- -c,Y�1,,�zS +"' x.;.ss. 3 ( ) NAME OF BUY SFER LEGAL RESENTATIV0 ORPORATE OFFICER (PLEASE PRINT) TITLE I E-MAIL ADDRESS The Assessor's office may`contact you foc additional information regarding this transaction. ' If this transaction is exempt from Documentary TransferTax, the reason must -be identified below. I CLArm.- THAT THIS riuNSAC'TroN r5'EXEMPT FROM DOCUMENTARY:TRANSFER TAX BECAUSE: _: he Sections listedbelow. are taken from'the Revenue and Taxation Code with. the exception of items 9 and 10 which are taken frrom. Riverside County Ordinance 5.16),Please check one or explain in "Other- 1. . _ Section 11911. :The'consideration or value of the Property,' exclusive of any liens and encumbrances Is $100.00 or less and there is no additional consideration received by the grantor. 2. _ Section 11911. The conveyance transfers bo a revocable living trust by the grantor orfrom a revocable living trust to a beneficlary. 3. _ Section.11921. Theconyeyance was'gtven to secure a -debt. 4.. Section.12922. The conveyance ,is to a, governmental entity or political subdivision. 5: _ Section 11925. Thetransfer is between individuals,and a legal entity or partnership, or between legal entities, and does not change the proportional Interests held. 6.' Section 11926. The conveyance' is to a grantee who is the foreclosing beneficiary and the consideratlon pald'by the foreclosing beneficiary does not'exceed the unpaid debt. 7. Section.41927. The conveyance relates to a dissolution of marriageor.legal separation. .(A spouse must sign awritten recital in order to claim this exemption. This form may be used for that purpose.) 8. _ Section 11930. The conveyance Is an inter vivosgift* or a ;transfer by. death. *Please be aware that information stated on -this document may be given to and used by govemmental Agencies, Including the Internal Revenue Service. Also,. certain gifts in:excess of -the annual Federal gift tax exemption may'trigger a Federal.Gif# Tax. In such cases,.the Transferor (donor/g"rantor) may be ' requlred.to file F6rm'709 (Federal Gift Tax -Retum).with the Internal Revenue service., 9. _ Section 8. The easement is p21 perpetual, permanent, or for life. 10.. Section 9. The document is a,lease for a term of less than (35) years (including written options). 11. _ other (Include explanation and authority) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorder's Use: Affix PCOR label Here AQi 521 (Rev. 11/2014) Available in Alternative Formats ea 5/22/18 PLAN CHECK #t: BRES2018=0006` MADISON CLUBS86 — 53205' HUMBOLDT;B_ LVD 1 BLDG Submittal 1- Plan Check -Corrections SECTION A — GENERAL 1. The items,required to be under'separate permit have been removed from the "scope of work" section and added to'the "separate permits" section on sheet G1 . 2. Each sheet and.copy of bound calculations has now,been-signed and includes the preparers. contact number and, signature 3. All notes=r.eferencing c( de:prior to the 2016.CRC, Mechanical, Electrical, Plumbing; Green, Building and EnergyCodes and La Quinta Municipal Code have been removed. or.updated to ,.reflect the current code editions. See red -line corrections on'all sheets. 4. AddedNote 44 on sheet G1 5: See note 45 on sheet.G1 .6. See attached completed and approved PM-10.from Public Works.Division 7.''See attached,completed and approved waste management planfrom_•Burrtec Waste SECTION B - PRECISE / SITE PLAN / ZONING 1. "Based on conversation with the city plan -checker, a landing is not required outside of the guest casitadiving room as initially requested.A shallow water feature of 18" is acceptable in this'' circumstance. All other concrete flatwork (such>as:landings at required Igcations);has been dimensioned on, the site plan sheet A1.1. SECTION C - ARCHITECTURAL 1. All windows on the.window schedule sheet °A10.2,have been modified so that they indicate required safety glazing. ' 2. Attic access, openings of 22"x30"have been provided on the RCP sheet A5.1 3. Landings_are provided at each side'of each"exterior door,with the required dimensions (see sheet All),. Per conversation with the city plan checker, -no landing is required at the guest casita living room due to the adjacent shallow 18" deep water feature: r 4. The -proposed decorative chimney byAniericariChim'ney Shroud (UL#'MH30042)'has been indicated on the roof plan sheets A4.1'and A4.2. 5. All proposed fireplaces are Artisan Model ASL 120 and indicate ANSIZ21.50 / CSA 2.22-2016: Standard for "Decorative Gas Appliance". See attached pre -approved letter from:engineer for model.type and testing requirements. SECTION D - MECHANICAL (SEE-MECH. RESPONSE SHEET ATTACHED). 1. 'Mech exhaust ventilation fans are shown at -all bathrooms now on sheet MI -and, ceiling plan sheet AS.1 2.. A'disconnect is shown at each a/c unit on the mechanical plan sheet M-1 as well as the power . Plan E1.0 3. A receptacle: for service maintenance within 25 ft of mech equip. has been added4o the -power plan,sheet E1 4. A framing section through mecK space on.`roof:is shown on section 4 A7.2 and structural sheet s2:2 and detail 2 sd5' ry SECTION.E'= ELECTRICAL. 1. Sub panel locations; have now been properly labeled and located on',the.floor;plan sheet A3:1 .^ and-electrical''sheet E1.0 2. Overcurrentdevices are no longer shown in:the vicinity of easily. ignitable material such as r closets (see sheet E1.0 for'locations) 3.: Added°note 14`on sheet E1.0 4;' Refer to updated. single -Dine diagram onsheet'E1:0 5.. The. lighting _fixture•legend with types, wattages, efficacy,, etc. has been updated:and is shown on sheet LTG0:1. This also includes how light switching controls comply -with CEC: a Refer.to LTG-0.2 & LTG-0.3 for the fixture schedule. b. Refer to LTG-2.1 & LTG-2.2 forth Zone plans:: 6. ,.Telephone hacks are shown in each habitable room see sheet;,E1.0 for locations 7. Cable television outlets are shown in all, habitable rooms except kitchen and dining.area'see sheet E1.01" _. 8.:. Added note 15 on'sheet E1.0 " 9. ' :Added note 16.on sheet E1.0 10. Added note 17.on sheet E1.0 `11. Added note 18`on sheet E1.0 J2. GFCI-protection for branch circuit outlets that supply dishwashers has beerradded to electrical plan sheet E1.0 "L ; 13. Added note 10:on sheet E1.0 14. Receptacle ,outlets at each wall counter have',been added to the electrical plan sheet E1-.0 15: -Added note 1Y on sheet E1.0 16 See.`electrical plan sheet,E1.0 for updated required outlet locations / wall spacing per red -line corrections marked on initial, submittal plans 17. Wall switch; -controlled' lighting.outlets have been provided at exterior sides of outdoor entrances or exits per power plan sheet E1,0. 18, Refer "to lighting-plans.LTG2.1 & LTG-2.2 for how luminaires in clothes closets conform' 19. See�note 7 on reflected ceiling plan sheet A5.0.. . 20 ;;Required smoke alarms are shown on the'reflected.ceiling plan sheet A5:0 21 'See note 9 on sheet A5,0- 22.. See ''note 10,on sheet A5.0 Required carbon monoxide alarm locations are shown on the reflected ceiling,plan sheet A5D ' 24. See note 10-c on sheet A5.0 SECTION F-PLUMBING 1. See •plumbing plan sheet 01.1 which includes piping permitted under the dwelling unit. SECTION:G -ENERGY EFFICIENCY o t 1. See revised title-24 energy calculations attached 2. See revised "title-24 energyacalculations attached". 3. The section drawings sheet A7.1 now indicate the. specified R-20 and.R-38,batt insulation specified per,Title.-24 calculations. Per,government chart at 4 httgs://www.enerpy.gov/ener�Vsaver,%weatherize/insulation/tVpes-insulation#batts all roof cavities have enough space for.minimum• 12"thickness (plus airspace) required for R-38 in the ,..roof cavities and 5.25" in walls. 4. Conditioned floor area on plans has now been updated and the title-24 calculations is . coordinated with this area tabulation per sheet A1:1 5. See -revised title-24 energy calculations and.M-1 she et 6. See re'vised.title-24 energy calculations attached - 7.:• Refer to LTG-0:2 &•LTG-0.3 lighting schedule and cutsheets. in separateattachment. K. Refer to LTG 0s2 & LTG70.1lighting schedule and cutsheets in separate attachment. 9: Refer to LTG-2.1 & LTG-2.2. 10. Refer to LTG-0.2 & LTG-0.3 lighting schedule.and,,cutsheets-in separate attachment. 11. Refer:to LTG'-2'.1 & LTG-2.2. 12'. See revised "plumbing sheets P1.0 13.. See revised plumbing sheets P1.0 14.`An area has been designated for future 'solar panels on'the'r`oof that, is a minimum of 250 s.f. and located'.on sheet A4.0 SECTIONY H-'GALGREEN a I. See note4 on CalGreen sheet G2.0 2. ,.;See note 4 on CalGreen sheet G2.0 SECTION] — STRUCTURAL;: 1 -1. See attached structural response sheet for structural corrections SECTION J -SOIL /FOUNDATION 1. See attached structural response sheet for structural corrections 41 s' 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: Tract No.; 107�'Z Tract Name! Ci X0 Lot No.(s):... S 6 1 S Address(s):53-Z05' N,,.�.���Z� 7j(��, - �,. ('�2��-�'11-� Phone Number: (..3ko :)31Z - 1-11( 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. Attach geotechnical certification of grading plan compliance includingcompaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 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. Q 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. 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-ouinta.o[g/PlanCheck/m 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: Public Works Distribution Date ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for -.approval for reason;(s) as foliow(.$); please correct and resubmit: TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12,doc 01 City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement.(<1 acrellot or Infill Project)' Project Information Project Contractor: Project Phase (check one) 6" Construction 0 Demolition !� Project Name: 4�LCcJ �,a � C� Jl ��1 � Project Tract/Lot Numbers: -- c7 C' p Project Street Address: 5734- Total Acres in Active Construction (<1 acre per Lot): Anticipated Start Date: p 1 / / Anticipated Completion Date: Y 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: I Title: l �✓� Company Name: A-< ,f. `CI,�S C����v�'>n `ri` ►tiC- Mailing Address: City, State, ZIP Code: C C� �„-..� C,1� c\ -L-L � Primary Phone M % p Fax M 1 6 O " 35-1- So'Lo 24 Hour Emergency Phone#: •-l� °� n - 2-,7 (7 Cell Phone M �0 ( Gl - 1 CO3 -2.Z- Email Address::. G��^'^�� ��7Co v e/ ., ����5 i' IG . C.�•^� PM10 Certificate M C V 60 Z • 00 -3 Occ S- 3 ( (p•} '.,a•. �..,.w..� 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 inspection and/or abatement purposes; •:• Shall hSoW harmless the City/County and its representatives from liability for any actions related to this dust control pla r ity/County initiated abatement activities. Signa� e f Pr erty Owner or Authorized Representative Date 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 obtairf: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 rriethod must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. WEATHER.MONITORING: Wind predictions shall be monitored.-. SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed. of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. ❖ PARKING: Parking is 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.' ee 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. Water Qualitv Manaaement Plan (WQMP) Exemption Form - Whitewater River Reqion 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 re-develo ment 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 7539 ? Entitlement or construction of new retail gasoline outlets 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? Entitlement or construction of new home subdivisions with 10 or more housing units? 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? Applicant Information Name and Title idct 04.0 ,r-ft- Company Phone Email r,....t �'kLrs t t. Project Information Project Name Type (SFH, Multi -Family, Commercial, Etc.) kA k L E d •+- 5FHI Location or Street Address S _Los Nearest Cross Streets 5 %,( tti h- Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) 31 O l 6 -2 %h%-100 -O O 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) S Z- Is the project subject to onsite retention by City ordinance or policy? 00 Name of the Entity that will implement, operate, and maintain the Source Control BMPs Contact Name Street or Mailing Address CityF�- Zip Code C1 tj;5 Phone 0_ Check Item To be Performed Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training 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 Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy &Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowledgement The applicant shall comply with listed BMPs and applicable provisions. of the City's NPDES stormwater discharge permit, Signature: LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Print Name:�.�.��i Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region C "�-�� �i�L� Title:/-3 \ c,"L G►�5; Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. Date: S I 'Z l Phone: i90 7 l - 2� w. A Applicant Certification certify that I have read this'form in its entirety and understand the City's submittal and review process and the requirements for Signature: 7DWL this form. I understand and agree that if during the processing of the form, it is determined the information contains errors or Print Name: omissions, clarification and/or supplemental information may be required and the preparation of such information may be Title �? �'LS �`�c � l� L� . considered, in the Community Development Director's judgment, an unreasonable delay and will result in a suspension of Date: S I Z I processing time limits in accordance with the California Code of Regulations, Title 14, Section 15109.. 76 ��3 _ �2i e Phone:( _). Owner Certification 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 Signature:-//,-w matter of this application and I am authorizing and hereby do consent to the filling of this application and acknowledge that the Print Name:. Mom' CLy' final approval by the City of La Quinta, if any, may result in n L restriction, limitations and construction obligations being ! Title: Y� �-J •-;,�"� imposed on this real property. Date: 5 l Z lI f5 Phone:��-- 7 Building Permit Number: Project Description: SFR Exempt: 0 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date 3/9/2018 ,lob Site Address 53-205 Humboldt Blvd. Lot 58B Owners Name McClure Homes, LLC Number, Street, or PO Box 53-965 Humboldt Blvd. City, State, Postal Code La Quinta, CA 92253 Owners Phone Number Owner's E-Mail Address _ Project Manager's Name Zach D. Hanan Project Manager's Phone'Number 760-393-5271 Project. Manager's E-mail Address zhananod iscovervbuilderslic.com Builder / Contractor Discovery Builders, LLC Number, Street or PO Box 53-965 Humboldt Blvd. City, State, Postal Code La Quints; CA 92253 ProjectSquare Footage 7,526 City Approval By Date of City Approval �_F> RECEIVED MAY 2 3 2018 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Materials To. Be Discarded: Product Tons Trash 14.30 Not recyclable - Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 1.51 Recyclable Cardboard 2.48 Recyclable Scrap Metal .0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 1.28 Recyclable Concrete 0.60 Recyclable Tile (roof) 0.00 Recyclable Drywall 0.44 Recyclable Wood 18.82 Recyclable Donated / Reuse" 0.00 Recyclable Landscape Debris I .0.00 Recyclable *Describe Items Totals: Rec cle Trash Pro'ected Diversion: 25.1 1 14.31 E63.71/6. I understand it is the property owner's 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 Manageent Plan'(DMP) for the above named project shall. guarantee that at least 50% of the jobsite waste is diverted. fmrom 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 iii 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 owners) 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 recycier or transfer Owner / Developer / Project Manager / Superintendant Date Design and Development Department - Building Division 78-495 Calle Tampico, La Quinta, CA 92253 PH: (760) 777-7125 Fax: (760) 777-7011 Website: www.la-quinta.org DEFERRED TRUSS SUBMITTAL FORM Date: 12/29/2017 _ Application Number: Project Street Address: 53-205 Humboldt Blvd. La Quinta; CA 92253_ - - "...s ! .`S �`ea •• lid:. -a • J- ��Aonhcant DArchitect o'r.f Contractor: of Project (Pl`ease:checkid15Iropnate Policy Conditions r..�Y- � �.�iK .. •� rva - c �� t ' ^tee ed roof�pro�ects on a��__��� ician,(payment:.required at'the. :aL ,;,,::..:: tx+a ••• ,.« F i! r 9f- n t t 1- -n `— l t l.rN .tlme,OfiflSp2CtlOn r� '•"t2 wk':s� w ----1` - ""t-"1L:Y-.•-- n:� A ,.... ...... ..... .. _., ... ndrew McClure ...: Y.j.. _ ...�. ..... _ ..... _ Print name: - - Nate: signed by Andrew McClure - Andrew McClure Nate: 2017.12.3111:53:56-08100' Signature: _ By singing this form, the applicant acknowledges and agrees to all conditions and requirements. Approved By: Title: Date:12/29/28 "Note to Permit Technician: Do Not Accept submittal without Approval of Form. 78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.ors DIVISION: 10 00 00—SPECIALTIES SECTION: 10 3100—MANUFACTURED FIREPLACES REPORT HOLDER: EARTHCORE INDUSTRIES, LLC 6899 PHILLIPS INDUSTRIAL BOULEVARD JACKSONVILLE, FLORIDA 32256 EVALUATION SUBJECT: JUL 2 0 M8 CITY OF LA QUINTA COMMUNITY DEVELOPMENT ISOKERN STANDARD MODELS 36-INCH, 42-INCH AND 46-INCH FIREPLACE AND DM CHIMNEY SYSTEMS; ISOKERN MAGNUM FIREPLACE SERIES MODELS 28, 36, 42, 48, 60 AND 72; ISOKERN FIREPLACE WITH FIRE-LITE APPLICATION; MODELS VF-36, VF-42, AND VF-46 UNVENTED GAS APPLIANCE ENCLOSURES; AND MODELS IBV-36 AND IBV-46 VENTED GAS APPLIANCE ENCLOSURES oe CITY OF LA QUIP PA T. BUILDING ����® ICC ICC ICC APPROVED FOR CONSTRUCTION C I(PPMG C LISTED DATE 'G°$ BY Look for the trusted marks of Conformity! _ 20 k0 - b00V "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiary of ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes notIM 3Z specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as ISOIIEC 17085 to any finding or other matter in this report, or as to any product covered by the report. Product cpm� Ibn Body At Copyright 0 2017 ICC Evaluation Service, LLC. All rights reserved. ICC-ES Evaluation Report ESR 1316 Reissued October 2017 This report is subject to renewal October 2018: www.icc-es.org 1 (800) 423-6687 1 (562) 699-0643 A Subsidiary of the International Code Council® DIVISION: 10 00 00—SPECIALTIES Section: 10 31 00—Manufactured Fireplaces REPORT HOLDER: EARTHCORE INDUSTRIES, LLC 6899 PHILLIPS INDUSTRIAL BOULEVARD JACKSONVILLE, FLORIDA 32256. (904f 3,63-3417 www.isokern.net EVALUATION SUBJECT: ISOKERN STANDARD MODELS 36-INCH, 42-INCH AND 46-INCH FIREPLACE AND DM CHIMNEY SYSTEMS; ISOKERN MAGNUM FIREPLACE SERIES MODELS 28, 36, 42, 48, 60 AND 72; ISOKERN FIREPLACE WITH FIRE- LITE APPLICATION; MODELS VF-36, VF-42, AND VF-46 UNVENTED GAS APPLIANCE ENCLOSURES; AND MODELS IBV-36, AND IBV-46 VENTED GAS APPLIANCE ENCLOSURES 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2012, 2009 and 2006 International Building Code® (IBC) ■ 2012; 2009 and 2006 International Residential Code® (IRC) ■ 2012, 2009 and 2006 International Mechanical Code® (IMC) ■ 2012, 2009 and 2006 International Fuel Gas Code® (IFGC) Properties evaluated: ■ Fire resistance ■ Seismic resistance 2.0 USES The Isokern fireplaces are wood -burning or gas -burning fireplaces that are constructed in the field using prefabricated cementitious blocks. 3.0 DESCRIPTION 3.1 Solid -fuel -burning Fireplaces: Isokern Standard Models 36-Inch, 42-Inch, and 46-Inch with DM Chimney; and Magnum Fireplace Series Models 28, 36, 42, 48, 60 and 72 with DM54 Chimney: Isokern fireplaces and DM54 chimney systems are modular refractory units designed for field assembly. The units consist of interlocking precast parts that are fitted together in the field using a premixed mortar called Earthcore mortar, supplied with the units, to form a solid - fuel -burning fireplace and chimney system. The refractory parts are manufactured using a proprietary mixture of volcanic pumice aggregate and aluminate cement. The firebox, smoke dome and chimney outer casing are manufactured with medium -density material, and the flue liner with high -density material. High -temperature refractory firebricks, a minimum of 11/8 inches (28.6 mm) thick, are provided to line the interior of the firebox. The firebox is available in sizes noted in Table 2. See Figures through 5 for further details. 3.2 Fire-Lite Systems: 3.2.1 General: The Fire-Lite systems consist of Standard Models 36-inch, 42-inch, and 46-inch fireplaces and Magnum Series Models 28-inch, 36-inch, 42-inch 48-inch, 60-inch and 72-inch fireplaces, described in Section 3.1, and a factory -built chimney. All conditions of fireplace manufacture and installation noted in Section 3.1 apply, except as noted in Section 3.2.2. 3.2.2 Factory -built Chimney: A listed and labeled factory -built chimney is used with the fireplaces, subject to the following requirements: 1. The factory -built chimney is listed by an approved agency for compliance with the requirements of UL 103 for continuous use at 1000°F (537°C) and intermittent use at 1700°F (927°C). 2. The factory -built chimney is for use only with an open combustion chamber and must be marked "Residential Type and Building Heating Appliance Chimney." 3. The chimney is either solid -pack insulated, . a combination of insulation and air space, or noninsulated, completely thermal siphoning, double - wall air-cooled. 4. Listed chimney liners conforming to the 1700°F (927°C) requirements of UL 1777, ULC S635, or ULC S640 may be used. 5. Chimneys and chimney liners must be installed and terminated in accordance with the manufacturer's installation instructions and under the terms of the manufacturer's listing for use with open-faced, masonry fireplaces. 6. A minimum 2-inch (51 mm) clearance to combustible construction and 3-inch (76 mm) clearance to insulation is maintained. As an alternative, a listed and labeled Security Chimneys International (Lennox) FTF-13 factory -built chimney may be used . with the fireplaces, subject to the following requirements: ICC-F_.S Evaluation Reports are not to be construed as representing aesthetics or any other attributes not spec•ificully addressed, nor are they to be construed l„` as an endorsement of the subfccl of the report or a reconnmendalion for its use. 'There is no warranty by /CC Evaluation Service, LLC express or implied, us GEEa to any finding or other matter in this report, or as to any product covered by the report. - Copyright © 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 9 ESR-2316 I Most Widely Accepted and Trusted I Page 2 of 9 1. The factory -built chimney must be installed and terminated in accordance with the report holder's installation instructions and under the terms of the report holder's listing for the fireplaces. 2. A minimum 2-inch (51 mm) clearance to combustible construction and insulation is maintained. 3.3 Models VF-36, VF-42; and VF-46 Unvented Gas Appliance Firebox Enclosures: The enclosures consist of materials similar to those Used for the Isokern solid -fuel -burning fireplaces. The enclosures are recognized as complying with ANSI Z21.91 and are for use with unvented decorative gas logs listed and labeled as complying with ANSI Z21.11.2, and having a maximum heat input of 40,000 Btu/h (11 700 W). The gas logs must be factory -equipped with a listed oxygen - depletion safety shutoff system (ODS) and must comply with 2012 and 2009 IFGC Section 621.6 and 2006 IFGC Section 620.6 (2012, 2009 and 2006 IRC Section G2445.6). The enclosure must only be installed within a room that has a primary source of heat, and use of the units is prohibited in locations defined in IRC Section G2406.2 and IFGC Sections 303.3 and 621.4. Combustion air must be provided in accordance with IRC Section M1702 and IFGC Section 621.5. The room in which the units are installed .must have a free -air volume equal to or greater than 50 cubic feet per 1000 Btu/h (4.8 m3/kW) of the aggregate input rating of all appliances within the room. The base, sides, rear and top of the firebox consist of preformed refractory components that interlock together to form the enclosure. Assembly of the firebox is as described in Section 4.3 of this report, except that a 1/2-inch-wide (12.7 mm) mortar joint is used; and 11/8-inch-thick (28.6 mm) (minimum) refractory firebrick, conforming to ASTM C1261, is used to line the hearth, side walls and back wall. The unit must be anchored in accordance with IRC Section M1307.2 and IFGC Section 301.12. The firebox is illustrated and dimensions are noted in Figure 2. The firebox may be installed on combustible construction when installed as described in Section 4.3, and at zero clearance to combustible construction on sides, back and top. Minimum clearances are 151/2 inches (394 mm) to side walls, 42 inches (1067 mm) to ceilings and 12 inches (305 mm) to combustible mantles. 3.4 Models IBV-36, and IBV-46 Vented Gas Fireplaces: 3.4.1 General: Vented gas -fired fireplace models IBV-36 and IBV-46, with dimensions and weights as described in Figure 5, comply with ANSI Z21.50 and are for connection to listed Type B gas vents as described in Section 3.4.2. 3.4.2 Gas Vent: The gas vent system consists of a nominally 1 0-inch-dia meter (254 mm), Type B gas vent complying with Chapter 8 of the IMC and Chapter 5 of the IFGC and Chapter 24 of the IRC. 3.5 Factory -built Chimney: The firebox units, described in this report, may be used in conjunction with factory -built chimneys listed and labeled as complying with UL103, and must be used with one in Seismic Design Categories C, D, E, and F. The factory - built chimneys must comply with Type HT requirements of UL 103 and be marked "Type HT" and "Residential Type and Building Heating Appliances." As an alternative, a listed and labeled Security Chimneys International (Lennox) FTF-13 factory -built chimney may be used with the fireplaces. The chimneys are limited to a maximum height of 80 feet (24380 mm) and a minimum height of 14 feet (4270 mm); except that where offsets are used, the minimum height is 17 feet (5180 mm). The maximum number of offsets is two. 3.6 Grout and Mortar: Grout used in construction of the fireplace unit is Ouickcrete Concrete Mix #1001, 4000 psi concrete mix or equivalent. Mortar used with the fireplace unit is Earthcore mortar. 4.0 DESIGN AND INSTALLATION 4.1 General: The fireplaces must be installed in accordance with this report, the manufacturer's instructions and the applicable code. A copy of 'the manufacturer's published instructions must be available at the jobsite at all times during installation. The fireplaces are not recognized for use with doors. 4.2 Design: Installation is limited to Seismic Design Categories A and B, except that when installation is in accordance with Section 4.3 of this report, the fireplaces may be installed in Seismic Design Categories C, D, E and F, provided the seismic design factors are limited to the values noted in Table 1. The seismic design must be in accordance with Sections 15.3.2 (1) and 13.3, 13.4, 13.5 and 13.6 of ASCE 7. Fireplace systems used in Seismic Design Categories C, D, E, and F are limited to those incorporating listed and labeled factory -built chimneys. Structural design calculations and construction plans prepared by a licensed design professional are required to determine the requirements for the fireplace foundation and anchorage of the fireplace to the foundation. When installation is on wood floor construction, the licensed design professional must determine the requirements for support and anchorage for the combined gravity and seismic loading. The applicability of the seismic design parameters in Table 1, for Seismic Design Categories C, D, E and F, must be verified with due consideration of the flexibility of anchorage and supports. In. addition, the calculated long-term deflection of the wood members supporting the fireplace must not exceed the values shown in IBC Table 1604.3 for floor members. Under the IRC, an engineered design must be provided in accordance with IRC Section R301.1.3. 4.3 Installation: 4.3.1 General: A noncombustible foundation, adequate to 'support all required loads, is necessary and must be approved by the building inspector. Fire-Lite Series and Models IBV-36 and IBV-46 Vented Gas fireplaces and Models VF-36, VF-42 and VF-46 may be installed on combustible systems. For combustible supporting systems, installation of a 3-inch-thick (76 mm) Earthcore base plate is required before placement of the firebox hearth components. The Fire-Lite system firebox is assembled following the manufacturer's published instructions. For Seismic Design Categories C, D, E and F, anchorage of the fireplace unit to the foundation or supporting floor must be designed as described in Section 4.2. Units are assembled on the foundation by installing the base plate, firebox wall sections, damper assembly and smoke dome. Earthcore Mortar is mixed with water until smooth and without dry spots, and is then poured into the supplied Earthcore application bag and applied to one adjoining component face of each joint. A 1/2-inch-wide (12.7 mm) line of mortar is applied '/2 inch (12.7 mm) from all edges of the face with two longitudinal lines between. Mortar must be exposed at the joints when components are joined, and the excess must be smoothed out. The firebox hearth, side walls and back wall are then lined with approved refractory bricks a minimum of 11/8 inches (28.6 mm) thick, except for the Magnum Models 60 and 72, which require minimum ESR-2316 I Most Widely Accepted and Trusted Page 3 of 9 4-inch-thick (101.6 mm) approved refractory bricks, complying with ASTM C27 or ASTM C1261, at the side walls using a refractory mortar, complying with ASTM C199, recommended by Earthcore Industries, LLC. 4.3.2 Clearances: Minimum clearance from the fireplace opening to side walls is 26 inches (660 mm). Sheathing and trim must be kept at least 8 inches (203 mm) from the opening. Combustible mantles must be at least 14 inches (356 mm) above the opening. A noncombustible hearth extension is necessary and must extend a minimum of 20 inches (508 mm) in front and 12 inches (305 mm) beyond each side of the fireplace opening. For the Magnum Series Models 60 and 72, minimum clearance from .the fireplace opening to side walls is 48 inches (305 mm). Sheathing and trim must be kept at least 9 inches (228 mm) from the opening. Combustible mantles must be at least 38 inches (965 mm) above the opening. A noncombustible hearth extension is necessary and must extend a minimum of 33 inches (838 mm) in front of and 12 inches (305 mm) beyond each side of the fireplace opening. 4.3.3 DM54 Chimney Systems: The DM54 chimney system must be supported from the top plate of the smoke dome. The chimney is assembled starting with a 6-inch- high (152 mm) liner that offsets the joints in the octagonal inner Earthcore liner from those in the square outer chimney casing. The mortar mix is applied in all joints as previously described. The outer chimney blocks have provisions for installation of reinforcing bars. Chimneys may include offsets with a maximum horizontal distance of 6 feet (1829 mm) which is 24 offset blocks in sequence. The offset blocks are supplied by Earthcore Industries, LLC. The fourth and sixth offset blocks and every third block thereafter must be supported by a concrete block support wall. Where required by the code official, details of the support wall construction must be provided. The portion of the chimney exposed to the exterior must be covered with weather protection material such as exterior plaster or brick veneer, in accordance with the applicable code. Terminations must comply with IBC Section 2113.9 and IRC Section R1003.9. Where required by the code official, an approved spark arrester complying with 2012 IBC Section 2113.9.2 or 2009 and 2006 IBC Section 2113.9.1 must be used. Under the 2012 IBC and IRC, a chimney cap must be installed in accordance with IBC Section 2113.9.1 and IRC Section R1003.9.1. For installations with vertical chimneys, the fireplace and chimney may be installed with zero clearance to combustibles, except that the Magnum series units require a minimum 02-inch (38 mm) clearance on the sides and back of the firebox and smoke chamber. When offset blocks are used, the system must be installed with minimum 11/2-inch (38 mm) clearance on the sides and back of the firebox and smoke chamber, and with zero clearance on the top; the chimney is. installed at zero clearance to combustibles. Except as noted in this section for clearances to combustibles, chimney fireblocking must be in accordance with IBC Section 2113.20 and IRC Section R1003.19. 4.3.4 Gas Vent Installation: Gas vents are installed through a 10-inch-diameter (254 mm) hole cut into the top plate of the fireplace enclosure, centered from each edge. The Isokern Anchor Plate/Downdraft Diverter component is placed over the hole using either a bed of Earthcore mortar, or an approved ceramic blanket gasket. The Anchor Plate/Downdraft Diverter hood component is then secured to the top plate using masonry screws. The Type B gas vent must be connected to the Anchor 4.3.5 Plate/Downdraft Diverter component and installed in accordance with the vent manufacturer's instructions. 4.3.6 Unvented Gas Appliance 'Firebox Enclosures: Models VF-36, VF-42 and VF-46 unvented gas appliance firebox enclosures must be installed in accordance with IFGC Section 621, IRC Section G2445 and the manufacturer's published installation instructions. 4.3.7 Vented Gas Fireplaces: Models IBV-36 and IBV-46 vented gas fireplaces must be installed in accordance with IFGC Section 604; IRC Section G2434 and the manufacturer's published installation instructions. 5.0 CONDITION OF USE The Isokern fireplaces and chimney systems described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The fireplaces must be installed in accordance with this report, the manufacturer's published installation instructions and the applicable code. In the event of a conflict between this report and the manufacturer's instructions, this report governs. 5.2 Structural design and calculations from a registered design professional must be provided to the code official to justify the supporting structure for all applicable loads, including gravity, wind and earthquake loading, and applicable load combinations per IBC Section 1605. 5.3 An analysis shall be provided to the code official establishing that the seismic conditions for the installation site do not exceed the specified seismic limitations. 5.4 The fireplaces must not be installed with doors. 5.5 Compliance with the fireplace air leakage provisions found in 2012 International Energy Conservation Code (IECC) Section R402.4.2 and Table R402.4.1.1; 2012 IRC Section N1102.4.2 and Table N1102.4.1.1; 2009 IECC Section 402.4.3; and 2009 IRC Section N1102.4.3, are outside the scope of this report. 5.6 The wood -fired fireplaces and unvented gas -fired units are manufactured in Chesapeake, Virginia, under a quality control program with inspections by ICC-ES. The IBV vented gas -fired fireplaces are manufactured in Chesapeake, Virginia, under a quality control program with inspections by ICC-ES. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC-ES Acceptance Criteria for Field -constructed Fireplace Systems Using Prefabricated Blocks (AC375), dated February 2012. 7.0 IDENTIFICATION The components of the fireplace and chimney are supplied to the jobsite on shrink-wrapped pallets bearing a label with the Earthcore Industries, LLC, name and address; the product name; the address of the manufacturing plant and the evaluation report number (ESR-2316). A permanent label must be attached to the fireplace and to the vented or unvented enclosure, bearing the Earthcore Industries, LLC, name; the product name; the manufacturing location; the date of manufacture and the serial number; the clearances to combustibles; other information required by UL 127; (for wood -fired fireplaces and unvented gas appliance firebox enclosure models VF-36, VF-42 and VF-46; or PFS Corporation for vented gas fireplace models IBV-36 and IBV-46); and the evaluation report number (ESR-2316). ESR-2316 I Most Widely'Accepted and Trusted Page 4 of 9 TABLE 1—SEISMIC DESIGN FACTORS FOR SEISMIC DESIGN CATEGORIES C, D, E AND F 'FACTOR VALUE Amplification Factor, ap 1.0 Component response modification factor,.RP 3.0 Z%h factor, where Z is the height in structure of point of attachment with respect to the base; and.h is the average roof heightofstructure with respect to the base 0.65 Spectral response acceleration parameter, SD� . 2.0 Weight, Wp (lbs) See Figure-1 Fundamental period. of fireplace unit, Ts 0.35 For SI: 1 foot = 305 mm; 1 lb = 4.45 N. TABLE 2—ISOKERN FIREPLACE DIMENSIONS MODEL OVERALL SIZE (inches) FIREBOX OPENING SIZE (inches), Width x Height HEARTH EXTENSION SIZE (inches), Width x Depth CHIMNEY MINIMUM SIZE (inches), I.D. INSTALLED HEIGHT, FIREPLACE AND CHIMNEY DM SYSTEM (feet) Width Depth Height Minimum Maximum 36-Inch 43 25'/, 63/, 37 x 32 58 x 20 123/4 18 80 42-Inch 49 25/, 631/4 42 x 32 64 x 20 123/4 18 80 46-Inch 53 25'/4 63'/4 47 x 32 68 x 20 123/4 18 80 IBV36 43 25'/4 71 37 x 32 58 x 20 10 15 46 IBV42 49 251/4 79 42 x 32 64 x 20 10 15 46 113V46 53 251/4 71 47 x 32 68 x 20 10 15 46 VF-36 43 25'/4 38 36 x 302 N/A N/A N/A N/A VF - 42 49 251/4 38 43 x 311/2 N/A N/A N/A N/A VF - 46 53 251/4 38 47 x, 31 % N/A N/A N/A N/A Mag - 28 351/2 28 601/, 31 x 28% 57'/2 x 20 12 18 80 Mag - 36 43 28 693/4 381/2 x 38 60% x 20 123/4 18 80 Mag - 42 48% 28 693/, 441/2 x 38 61/2 x 20 123/, 18 80 Mag - 48 53 28 693/4 481/2 x 38 70'/2 x 20 123/, 18 80 Mag - 60 731/2 28 853/4 69'/2 x 38 91 x 33 123/, 18 80 Mag - 72 85'/2 28 1 853/4 804 x 38 101'/, x 33 123/4 18 80 For SI: 1 foot = 305 mm; 1lb = 4.45.N. ESR4316-• I Wdst Widely Accepted and.Tru&ed Page,5-of 9 8 G, C w 0 01, H J q smtrcaa noan�ita. i+uv�er MODEL- A. 8 C' 0 E F G • 1 J MINIMUM FRAMING 1', WEIGHT,,. 36 43' 2S,1t4". 63J%4. 311/2' 361/8' 27 1/, ',33' 201/4' S' (46'UNjz(65'H)ic(263/4'D) 120SIDs 42 49' 2SA/4' 631/4' 311/2' 431/8' 33;1/4' 33' 20�1/4' S' (5njic(6S". 4(263/4'0) 132SIt►s 4S3' 25,1/,4' 631/4" 311R' 471/8' 371/4' 43' 201/4' S' (S6' Wix 'NX(20/4'0) '14SOIbs For Fire-Lite Units — Add 4 inches to C and to minimum framing height H. Top Plate - Medium Nh[ ko: Model oty Top Dlate = large M77, 36 1 Part No. Model . Qty M77 42 1 M81 46 1 4 3/4' 4 3/4' FIGURE 1—STANDARD SERIES DIMENSIONS ESR-2316 I Most Widely Accepted and Trusted Page 6 of 9 w � IM V 26 W s' W Side View CO B Front View Plan View Model A B c MINIMUM FRAMING WEIGHT 36' 43' 361/8' 271/4' 43'Wx371/2'Hx251/4'D 715lbs 42' 49' 431/8' 331/4' 49'W x 371n'H x 251/4'D 820lbs 46' S3' 471/8' 371/4' S3'W x 371/2'H x 251/4D 880 Ibs See -Thru Models 8 I_ A I c Model A B c 36' 43' 37' 53' 42' 49' 43' 59'. 46' 53' 47' 63' FIGURE 2—UNVENTED GAS -FIRED SERIES DIMENSIONS ESR-2316 I Most Widely Accepted and Trusted Page of 9 a 510E VZN A fROATi�i1Y w, Too R MV116Y O O m WAN Sft:f10T)AA '8' Y` 1 Tl •. 3SU! ;,:29 .. 6011P SItQ' 31' °193C 221l4• 39tiYs61'.t/21ts29tQ'A' ` DtOW3 3S oJ'. _ 28' 693P IP 3855 =2T1N' SJ ibRYi7tlti�,t/:p t30D� 4r .. 49, 21Y C9l'P N' 4&W 33ttf 3T Ml%?Vkx29.t?D :1t200s ta' S3 �3 69 . 41• c' W 371d4' s3' 58tiYr71?It291/L1D. 1600tCa '28' mmeetwjiCree(3)d*63m 'For Fire-Lite Units — Add 4 inches to C and to minimum framing height H. FART PUMP ACE OItANW. NO- SM W 30VI t hm 42SY t TOPPtATE, SMU loos SM w 48W t 44r4' FIGURE 3—MAGNUM 28, 36, 42 AND 48 SERIES DIMENSIONS 4434' ESR-2316 I Most Widely Accepted and Trusted Page 8 of 9 T D �-4-j Right Section c E F f A 'I Front Elevation 11milmill I Top Plan View TK 1 T e L E Plan Section Model A B C D E F G H 1 J K M N O 60" 731/2' 28" 85 3/4" 41' 69' 571/4' 5512" 25'/." 4 3/4" 5" 8' 14 114" 11' 551IT 72 951/2' 28" 85 314 " 41' 81 1/4' 69 3/4" 651I2' 25'/." 4 3/4' 5" 8' 14 1/4" 11" 6512" Minimum Framing Weight 761/7 W x 871/2' H x 291N 2500 lbs. 8812"W x 8712" H x 29'A" 2900 lbs. Pan Fireplace Quantity. No- Sue M77 6o'W 2 M77 72'W 2 TOP PLATE FIGURE 4—MAGNUM 60 AND 72 SERIES DIMENSIONS ESR-2316 I Most Widely Accepted and Trusted Page 9 of.9 Side View Front View, Plan View B. c . ;D E F,.. ,.. G' A. I , Minimum Frikri : Wei htf �36.' 43"' ; 251/4" 71,1/4' 31 1/Y 361/8- 271/4, 211E 20'/4 5'_, 43 Wx:711/4aHX263/4"D 1500Ibs 46'• 53': 15% 711/4' 31:1/Y 471/8' 37,1/9' 32' 30'/4 5° 53'Wx71 1/4'Hx2631Y4"Q 1706lbs. •To achieve height,dimensron'D"in table above, a'100' (&3) mirnmum flue height with l0" I.D:,B Vent'is required 36".; 43, 2Si/4" 81 3/4' "42 361 /8 271 /.4' ., 211h " 20'/4° 5 ' 43. , z'81 s 3/4, H x 26 314' D 1650 lbs. 46"' S3' 25Ye 81'3/4' '42' 471/8' 371/4' . '.329 20Ya `5° 53'4N.z813/4'.Hx263%4'D 18501bs. •To achieve height'dimension'Min' able above, a 9'mirnmum,flue height with l0v l'D. B-Vent is required; 36' 43' 25V4 ' 92'1/4— ' '52.1%2" 361/8' 2711 %4" 21 h' 20'14' S' ` 43 W.x 92'174' H x 263/4'D 1800 Ibs 46,' S3'° t251/4 .92;1/4' -S21/2• 471/8' . 371/4' . 32: .201!i .5' S3 VUx921/4'H.x263/4'D 20001bs •To;achieve'height diinension'D' in table above, a 12'rhinimurn'flue height with 10° I.D.-,B-Vent'is required FIGURE 5—VENTED IBV SERIES DIMENSIONS RECEIVED July 12, 2018 AUG 0 S 2018 Mr. Mark McClure CM OF LA QUINTA COMMUNM DEVELOPMENT McClure Homes 52765 Claret Cove La Quinta, CA 92253 RE: Lot 58B at 53205 Humboldt Blvd. Construction Documents #3 (Partial Submittal) Dear Mr. McClure: This correspondence shall serve as notification from The Madison Club Design Review Committee (DRC) that your revised plan submittal sheets (received last week) were reviewed between meetings per your request on June 28`h. While it was noted in the meeting that the grading plan had been corrected, the plan submitted still appears to indicate errors and discrepancies that have been questioned by the DRC several times. The committee is grantin an approval for the purpose of receiving your Building Permit; however, a revise set of plans with a correct grading plan, is required prior to the start oconstruction. The remaining comments are as follows: 1. The BBQ counter appears to be 36" relative to the adjacent outside grade which puts the grill at an approximate height of 4'-3" which exceeds the allowable height limit in the view corridor. Please note, the landscape and architectural plans callout a 30" cabinet (with no BBQ grill) and the grading plan calls out 36-inches. Per your last visit with the DRC, the grading plan had been updated to reflect the proper callouts but the plan received still does not appear to have been updated. 2. The grading plan calls out the Finish Floor at the same height as the pad at the lower portion of the house. Please clarify as there appears to be an error. 3. The Site plan indicates a wall height near the rear/bottom portion of the sheet; however, there is no wall drawn. Please clarify. 4. The pool coping is noted as 985.10 (not 984.93 as indicated in the response letter) and the water surface as 984.93. This is a difference of 2" as opposed to the industry standard of 6-inches. The lower step area, with a brick slot drain, is noted at an elevation of 983.26 which puts the surface 20" below water surface level. The grading information for the rear yard appears to repeatedly have errors which need to be resolved. 5. The wall ends at the property lines are required to have a minimum 24" return and the current design indicates an 18" return. Please modify to meet this minimum guideline requirement. 6. The gate wall at the driveway is 7.61 (T-7 3/8") high but per the guidelines is not allowed to be higher than 5'-0" within the 30' setback. The privacy wall on the west/front side is 6' high; however, in this location the maximum height is 3-feet. If the wall is relocated 3- '/2' (to inside of the building setback) the wall can maintain the 6' height desired. If the wall remains in the same location the heights must be modified. 7. The plans still do not include a detail for the wall material at the planter between the guest casita and the main house. Please clarify. 8. It appears there is proposed off -site grading being proposed on the golf course property which required approval from the Golf Club. In addition, it appears there is offsite grading proposed on/adjacent to Lot 59 (985 contour) which cannot be allowed without permission from the neighbor. 9. Courtesy comment: A pedestrian trash gate has been included; however, some additional room to access the gate through the planting may be necessary. Please contact Brook Marshall at 760-219-8057 or by email at DRCFacilitator@gmail.com with any questions. Sincerely, MADISON CLUB DESIGN REVIEW COMMITTEE WE Title: cc: Tammy Jenkins Zach Hanan DRC File Date: Pursuant to Cal. Civil Code, any rejection by the DRC may be appealed to the Board of Directors for the Association. /f you wish to pursue an appeal, please contact the Association's property manager so that you may be put on the next meeting agenda.