BDEM2019-000978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&ht 4 4 Qu&M
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
DEMOLITION/COMMERCIAL/OTHER
BDEM2019-0009
78505 OLD AVENUE 52
770250019
TRADITION GOLF CLUB / DEMO IN PREPARATION OF REMODEL
Applicant:
JOHN HOPKINS - TRADITION GOLF CLUB
78505 OLD AVENUE 52
LA QUINTA, CA 92253
11
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MAY 02 2ois D
ffr� OF LA Q'I'JiNT111
Li`:Jll','�) !� i�F�•/%L1 %:i' "i fvT Cis('°'•.i�;':"'c�
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.: 29
1
ate Z ��f Contractor:
s
OWNER -BUILDER ❑ LARATION
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 Nan7e'
,Lender's Addres
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/2/2019
Owner:
TRADITION GOLF CLUB
78505 OLD AVENUE 52
LA QUINTA, CA 92253
Contractor:
HAYHOE CONSTRUCTION CORPORATION
17821 EAST 17TH STREET
STE 150
TUSTIN, CA 92780
(714)508-2400
Llc. No.: 519186
WORKER'S COMPENSATION DECLARATION
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 th rk for which this permit is issued.
_- I kaveandwill 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: STATE COMPENSAT10R INSURANCE FUND Policy Number: 9223625
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: ( vu,` -m
WARNING: FAILURE TO SECURE WORKERS'CO SATiON VERAGE 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: , 5/2/2619
Application Number:
BDEM2019-0009
Property Address:
78505 OLD AVENUE 52
APN:
770250019
Application Description:
TRADITION GOLF CLUB / DEMO IN PREPARATION OF REMODEL
Property Zoning:
Application Valuation:
Applicant:
JOHN HOPKINS - TRADITION
GOLF CLUB
78505 OLD AVENUE 52
LA QUINTA, CA 92253
Owner:
TRADITION GOLF CLUB
78505 OLD AVENUE 52
LA QUINTA, CA 92253
Contractor:
HAYHOE CONSTRUCTION CORPORATION
17821 EAST 17TH STREET
STE 150
TUSTIN, CA 92780
(714)508-2400
Llc. No.: 519186
Detail: TRADITION GOLF CLUB IR / DEMOLITION AT CLUBHOUSE IBHO ISE IN PREPARATION FOR REMODEL + ADDITION. REMOVE VARIOUS NON-STRUCTURAL
ELEMENTS, FIREPLACES, AND MECHANICAL, ELECTRICAL, AND PLUMBING ITEMS. DOES NOT INCLUDE DEMOLITION OF AREAS REQUIRING SHORING.
REFERENCE REMODEL/ADDITION PERMIT BCOM2019-0003.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
DEMOLITION, FULL
101-0000-42404
0
$27.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEMOLITION, FULL PC
101-0000-42600
0
$96.06
Total Paid for DEMOLITION: $123.28
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
PermitTRAK
ACCOUNT•
$136.08
BWFE2019-0081 Address: 51660 AVENIDA CARRANZA Apn: 773125008
$136.08
BLOCK WALL
$120.08
WALL/FENCE - FIRST 100 LF PC
WALL/FENCE - FIRST 100 LF
101-0000-42600 0
101-0000-42404 0
$66.71
$53.37
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
RECORDS MANAGEMENT FEE
$10.00
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
TECHNOLOGY ENHANCEMENT FEE
$5.00
TECHNOLOGY ENHANCEMENT FEE
TOTAL FEES PAID BY RECEIPT: R48700
502-0000-43611 0
$5.00
$136.08
Date Paid: Thursday, May 02, 2019
Paid By: G RISELDA TAMAYO
Cashier: AHI
Pay Method: DEBIT 0001
Printed: Thursday, May 02, 2019 3:30 PM 1 of 1 hi_ li j
DESCRIPTION
PermitTRAK
ACCOUNTQTY
PAID
$236.08
BWFE2019-0081 Address: 51660 AVENIDA
CARRANZA Apn: 773125008
$136.08
BLOCK WALL
$120.08
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$66.71
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$53.37
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306 0
$1.00
RECORDS MANAGEMENT FEE
$10.00
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
TECHNOLOGY ENHANCEMENT FEE
$5.00
TECHNOLOGY ENHANCEMENT FEE
• : 1 1
502-0000-43611 0
$5.00
1.
Date Paid: Thursday, May 02, 2019
Paid By: GRISELDA TAMAYO
Cashier: AHI
Pay Method: DEBIT 0001
Printed: Thursday, May 02, 2019 3:30 PM 1 of 1
Contractor Name: !�� ( New SFD Construction:
Address: Conditioned Space SF
City, St, Zip Garage SF
Telephone: Patio/Porch SF
Email: Fire Sprinklers SF
State Lic: City Bus Lic:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
V � ,
OFFICE USE ONLY
# Submittal � Required � Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
0
April 30, 2019
Mr. Jacob Fuson
City of La Quinta
78495 Calle Tampico
La Quinta, CA 92253
Re: Tradition Golf Club demolition permit
Dear Jacob:
Please consider this letter as the owner's authorization for the scope of work to be performed
under the above -referenced demolition permit. Kindly issue the permit to the representative of
our general contractor, Hayhoe Construction Corporation. upon their request.
Thank you for your assistance. Should you have any questions, please feel free to contact me at
(619) 993-2723.
Sincerely.
Brad Forrester
Tradition Golf Club President
Cc: Kyle Hayhoe
John Hopkins
Heidi Risk
RECEIVED
MAY 0 2 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
Building Permit Number: q — 060�
Project Description: large remodel (w/demo)
Exempt: 1711
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date
Job Site Address
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E-Mail Address
Project Manager's Name,
Project Manager's Phone Number
Project Managers E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
City Approval By
5/2/2019
78505 Ave 52
Traditions Golf Club
78505 Ave 52
La Quinta, CA. 92253
760-275-4995
Kyle Hayhoe
949-230-5155
cataconiaggeol.com
Hayhoe Const
17821 E. 17th Street #240
Tustin, CA. 92780
Approx. 4,000 sq ft
1
Renado Gouldlock-DEC/Burrtec Waste a�
Date of City Approval 512,))()
Materials To Be Discarded:
Product
Tons
Trash
8.00 Not recyclable
Product
Tons
Asphalt
0.00 Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00 Recyclable
Plaster
0.00 Recyclable
Cardboard
0.00 Recyclable
Scrap Metal
0.00 Recycable
Commingled
0.00 Recyclable
Tile (floor)
0.00 Recyclable
Concrete
5.00 Recyclable
Tile (roof)
0,00 Recyclable
Drywallt733
0 Recyclable
Wood
3.75 Recyclable
(Pavers) Reuse*0
Recyclable
Landscape Debris
0.00 Recyclable
*Describe Items
Totals: Recycle Trash Projected Diversion:
42.8 8.0 84.24%
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 Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP is issued in the name of the property owner(s) and shall remain thelr property throughout the construction and/or
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
r �'Z Zola
Ownef 1 Ioper ect M`57fnerfSuperintendant Date
V
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction
of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in
accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to
come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise
hauler. If you choose to self -haul any recyclables or trash, you must
provide copies of all weight tickets and/or receipts from the transfer
station, landfill, or recycler as the job progresses. Clean-up companies
and other haulers are not permitted to haul waste or recyclables from the
City of La Quinta. Self -haul weight tickets should be submitted to:
Renado Gouldlock, District Environmental Coordinator -
rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to:
41575 Eclectic Street, Palm Desert, CA. 92260.