The URL can be used to link to this page

BRES2019-003878-495 CALLE TAMPICO Tint D 4-v Qu&M VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/16/2019 Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY ATTACHED Owner: Application Number: BRES2019-0038 LOT 18B MADISON, LLC. Property Address: 52355 MERIWETHER WY 2980 BEVERLY GLEN STE 203 APN: 767690010 LA QUINTA, CA 92253 Application Description: LOT 18B MADISON, LLC / NEW 10,447SF DWELLING Property Zoning: Application Valuation: $899,472.00 Applicant: Contractor: RICHARD DOAN CONSTRUCTION RICHARD DOAN CONSTRUCTION P 0 BOX 8011 q RANCHO SANTA FE, CA 92067 MAY I t-' 2019 _ RANCHO SANTA FE, CA 92067 CITY OF LA0UINiA (858)756-4930 DES11311 & ()EALOPMENT DEPART(,JENT LIc. No.: 374118 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 374118 Date: Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ- C.). Lender's Na Lender's Add WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the orkforwhich thisperm itIsissued. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 1908709 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 Cade, I shall forthwith comply with those provisions. •_.�w.ar�� r_ti1';JW;9=F.F."TTf7%W � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 1N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 5ECTI0N 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FFES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the condit(onS and restrictions set Forth on this application. 1. Each person upon whose behalf this application (s 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 resuItof 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. Darc 5A� Signature (Applicant orAgen Date: 5/16/2019 Application Number: BRES2019-0038 Property Address: 52355 MERIWETHER WY APN: 767690010 Application Description: LOT 18B MADISON, LLC / NEW 10,447SF DWELLING Property Zoning: Application Valuation: $899,472.00 Applicant: RICHARD DOAN CONSTRUCTION P 0 BOX 8011 RANCHO SANTA FE, CA 92067 Owner: LOT 18B MADISON, LLC. 2980 BEVERLY GLEN STE 203 LA QUINTA, CA 92253 Contractor: RICHARD DOAN CONSTRUCTION P 0 BOX 8011 RANCHO SANTA FE, CA 92067 (858)756-4930 Llc. No.: 374118 Detail: 10,447 SF DWELLING - [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK. WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. e FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,748.68 Total Paid for ART IN PUBLIC PLACES - AIPP: $1,748.68 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $36.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $36.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 1 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $163.32 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $67.20 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $443.45 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $200.12 Total Paid for GRADING: $240.14 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $200.10 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $133.40 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $173.42 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $69.42 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE 101-0000-42402 0 $200.10 DESCRIPTION ACCOUNT CITY AMOUNT FURNACE PC 101-0000-42600 0 $133.40 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $10.68 Total Paid for MECHANICAL: $947.20 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $1,075.99 Total Paid for NEW CONSTRUCTION PERMIT: $1,075.99 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $2,354.83 Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,354.83 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $1,200.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $1,200.00 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $466.90 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $466.90 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN 101-0000-42401 0 $186.76 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $186.76 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT I CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $16.00 T�a�l n�7J L_.. nwwnwr rrrc. .1 wnn DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $116.93 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $116.93 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($1,200.00) DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,110.00 DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,200.00 Total Paid for TUMF - RESIDENTIAL: $1,110.00 ZeaQazptra PERMIT # 9501%WM 'Moo 38 PLAN LOCATION: Project Address: 52355 Meriwether Way Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 779-410-009 new single family dwelling with landscaping and lot 18 of tract no. 33076-2 precise grading Applicant Name: Richard Doan Address: PO BOX 8011 City, ST, zip: Rancho Santa Fe CA 92067 Telephone: 858 756 4930 Email: richiedoan@yahoo.com Valuation of Project s 2, ! O O , Doc Contractor Name: Richard Doan Const. Address: PO BOX 8011 city, st, zip Rancho Santa Fe CA 92067 Telephone: 858 756 4930 Email: doanconstruction@yahoo.com State Lie: 374118 City Bus Lie: Arch/Eng Name: Mark Radford Architecture Address: 2282 Via Cascabel city, St, zip Escondido CA 92027 Telephone: 760 432 0348 Email: markarc@sbcglobal.net State Lic: C18230 City Bus Lie: New SFD Construction: Conditioned Space 10,447 SF Garage 1765 SF Patio/Porch 2392 SF Fire Sprinklers SF Construction Type: VB Occupancy: R3/U Grading: Bedrooms: 6 1 Stories: 1 1 # Units: Property Owner's Name: Lot 18B Madison LLC New Commercial / Tenant Improvements: Address: PO BOX 8014 Total Building SF City, ST, zip Rancho Santa Fe CA 92061 Construction Type: Occupancy: Telephone: 858 756 4930 Email: doanconstruction@yahoo.com 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 RECEIVED APR 2 6 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Project Name: Lot 18B Madison, LLC Owner's Name: Project Address: Richard & Kelly Doan This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: I COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) 52-355 Meriwether Way, LaQuinta Project Description: SFD APN: 767-690-010 Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 10,447 s . ft. Date: April 24, 2019 Phone No. 760-766-5450 Lot #'s: 18B Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: April 24, 2019 Signature: ************************************41�******************************* SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code 65995 10447 $3.79 $39594.13 Building Permit Application Completed: Yes/No By: Larry Moen, Director Facilities Dev. & PI Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Administrative Spec. Signature: qmu—,�� q±�k 4 NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. 11/2010 34 G��Nt RECORDING Rt=QUESTED Ely; Ndetlty National Tttln AND WHEN RECORDED (NAIL TO: Lot 18B Madison, LLC PO BOX 8014 Rancho Santa Fe, CA 92061 Order No,: 212264 Escrow No.: F82700 A•P•N.: 787-69a.010•8 TRA: 020-172 'Q. Dffa 2018-0500924 17/27/2018 02:27 PM Fee: $ 17.00 Page 1 of 2 Rocorded In Official Records County OF Riverside Pat- Rldana sor-Courtly Clark —Recorder . _ . • •� "'•` `p r►.+r� r THE UNDERSIGNED GRANTOR(S) DECLARE(S) GRANT []Ei;C3 DOCUMENTARY TRANSFER TAX IS S 1 , 485.00 IX I computed on full value of property OOnveyed, or [ ] computed on full value Less value of !tens or encumbrances remaining at time of sale. unincorporated area [ x I City Of La quanta FOR A VALUABLE CONSIDERATION, recelpt Of which is hereby acknowledged, 20 Madison Club, LLC, a California Limited Liability Company hereby GRANT(S) to Lot 188 Madison, LLC a California Limited Liability Company the following described real property in the County of Riverside, State of California See Exhibit "A" attached hereto and made a part hereof. Commonly known as: 52365 Meriwether Way, Lot 188, La Quinta, CA 92263 Dated: December 11, 2018 A notary public or other agfcer complettng thla c:editicete varlhea only the Identity of the individual who signed the document to which thta certiiicele Is attached, and not the truthfulness, accuracy, nrvatidi oum dvcurnenL STATE OF -a COUNTY OF On before me, POrsonaliY aPPeared Who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that halshe/they executed the same in hislherltheir aulhodzed capeolty(les), and that by hlslharltheir slgnature(s) cn the instmment the person(s), or the entlly upon behalf of which the person(g) acted, executed the Instrument. I certify udder PENALTY OF PERJURY under the laws of the State of !h t the foregoing Paragraph is true and correct. 9 WITNESS:ny dan� olfielal seal. Signature q'i~1 USE FEB 15 2019 20 Madison Club, LLC, a Callfornla Limited Llablllty Gornpany 1 BY: Oberfe►d 0 OP ant Corporatlon, A j Ss, Callf to R[N �t{v manager BY: Maurla10 ObOrfeld, Authorized RePrasenlaiive jacomViCTCRIA LE DENN (seal) otary public, State of NeW YorkNo. ai LIE6284235rRlaslon Qualffled EX ires June iT, 20 STGa for MAIL TAX sTATEmENTS AS DIRECT1ED ABOVE clel notary seal) ltt% PRELIMINARY REPORT YOUR R13FERENCE: Vacant Land EDIT A LEGAL DESCRII'um 111delity National Titus CoMpony ORDER NO,: 40212354-994-VNQ-RR 1 THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF LA QUINTA` 1N THE COUNTY OF RIVERSIDE, STATE OF CALMORNIA, AND IS DESCRIBED AS FOLLOWS: .PARCEL 1: LOT 18 Of? TRACT NO. 330?6.2, IN THE CITY OF LA QUiNTA, COUNTY OF RIVERSIDE, STATE OI' CALIFORNIA, AS SHOWN BY MAP ON PILE IN HOOK 393, PACiE(S) 61 TI3ROUGH 80, INCLUSIVE OF MAPS, IN THE O FICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA, AND AS AMENDED IN THAT CERTAIN CERTIFICATE OF CORRECTION, RECORDED ON MAY 4, 2010, AS INSTRUMENT 140 20I0- 0204536 OF OFFICIAL RECORDS. PARCEL 2: NONEXLLUSiVE EASEMENT'S FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION RECORDED SEPTEMBER 13, 2005, INSTRUMENT NO.2005.07543S7, OFFICIAL RECORDS, APN: 7-690-010-6 CLTA PrellmInury Report Form —Modified (11/17w) Pace 3 Building Permit Number: jrQ(q —d�3 Project Description: ISFR Exempt: ❑ (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 Owners Phone Number Owners E-Mail Address Project Manager's Name Project Manager's Phone Number Project Managers E-mail Address Builder I Contractor Number, Street or PO Box City, Slate, Postal Code 5/16/2019 52355 Meriwether Way Richard Doan P.O. Box 8011 Rancho Santa Fe, Ca. 92067 c/o Jose Zavalas 760-766-5450 zavalastoyz@?aol com Richard Doan Const 82071 Airport Blvd Thermal, Ca. 92274 RECEIVED MAY 16 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Project Square Footage/ Approx. 10,477 sf City Approval By Renado Gouldlock-DEC/Burrtec Waster r . Date of City Approval Materials TO Be Discarded: Product Tons_ 41.00 Not recyclable 0.00 Recyclable 0.00 Recyclable _0.00 Recyclable 0.00 Recyclable 45.00 Recyclable 5.00 Recyclable 0.00 Recyclable Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items Totals: Recycle Trash 80.5 41.0 Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons 0.00 Recyclable 12.00 Recyclable 0.00 Recyclable �1.10 Recyclable 1.40 Recyclable 16.00 Recyclable 0.00 Recyclable Projected Diversion: 66.26°/a 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 their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly re s/sel auling, all refuse materi m this project site must be taken to an app vved re yrior or transfer v ope P agar u rin en _ _ �_ Dat`eb. BKF5 ';1-U 1 `1 00a 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: 2 / 12 / 19 Developer: Tract No.: 33076-2 Tract Name: Richard Doan Construction Address(s): 52355 Meriwether Way Lot No.(s): 18 Phone Number: ( 858 ) 756-4930 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: X CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or inf ill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: littp'//www.la-quinta.org/PlanGheckitn search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: _ Date: �_ Ilk Public Works Distribution: ( ''Green Sheet to Building & Safety -i�l v FEB 15 2019 f ► Green Sheet to Planning Department j�p A r Declined fora approval for reasons as follows lease correct and resubmit: I /�� s pp 1 1 1 ), p a , TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12 doe �nj � City of La Quinta - PM 10 Fugitive Dust Control Project Information Construction Phase PM 10 A regiment t < 1 acre/lot or Infill Project) Project Information Project Phase (check one) X Construction ❑ Demolition Total Acres in Active Construction (< 1 acre por Lot): .83 AC (36,330) Contractor: Project Name: Madison Club 18b Project Tract/Lot Numbers: 33076-2 lot 18 Project Street Address: 52355 Meriwether Wy Anticipated Start Date: 5 / 15 / 19 Anticipated Completion Date: 12 / 1 / 19 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 T,,J) G.4i OuA Title: Company Name: G/ij-APO .Li�,1QI IUk_V1VS �V MailingAddress: �� v ' (�k UV ' _ City, State, ZIP Code: �S 90IN Primary Phone #: '76 b ' / Hour Emergency Phone#: N /,4 60- -)kb - #: W b— 20t)AUAS #: Cv The above stated property owner (or authorized representative): i ❖ 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 hol a less t e City/County and its representatives from liability for any actions related to this dust control any y/County initiated abatement activities. 2 1Y Signature of Property Owner or Authorized Representative Da Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square X feet, or more, of impervious area where the pre -development natural slope is 25% or greater? 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 X where erosive soil conditions are known? X 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 X Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 75391? Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square X feet? Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing X greater than 5,000 square feet? X Entitlement or construction of new home subdivision(s) 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 X more parking spaces, and potentially exposed to Urban Runoff? Applicant Information Name and Title _ Company Phone 9 71 _ Email d Project Information Project Name Madison Lot 18b (SFH) Type (SFH, Multi -Family, Commercial, Etc.) Location or Street Address 52355 Meriwether Way Nearest Cross Streets Ave 52 La Quinta Municipality/County/Zip Code Tract Numberls) and/or Assessor Parcel Number(s) APN 779-410-009 Other Location Information Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 1.3 Project Area managed with Site Design or Low 8 Impact Development (LID) BMPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordinance or policy? Name of the Entity that will implement, operate, and maintain the Source Control BMPs Contact Name O Street or Mailing Address City Zip Code Phone Check Item Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control To be Performed Non -Structural BMP (See Appendix H, Section 4.5.2.1) X Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees X X 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 Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit Check Item To be Subdivisions, < 5,000 Square Ft. Parking Lots, Etc. Provided 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 X 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 X 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 X 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 Print Name: 1 Water); Riverside County Ordinance No. 457; the California -ate- Regional Water Quality Control Board — Colorado River Basin Region Board Order No. 117-2008-0001 and the State Water Title: 014)A Resources Control Board's Order No. 99-08-DWQ. R Date: a --/IV Phone: (A_) Applicant Certification I certify that I have read this form in its entirety and understand the City's submittal and review process and the requirements for this form. I understand and agree that if during the processing of the form, it is determined the information contains errors or omissions, clarification and/or supplemental information may be required and the preparation of such information may be considered, in the Community Development Director's judgment, an unreasonable delay and will result in a suspension of processing time limits in accordance with the California Code of Regulations, Title 14, Section 15109. Signature: Print ame: Z Title:5 of 2 Date: 6-IJ49/11 Phone: (7p/—O—) ;?�6 G/ 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 matter of this application and I am authorizing and hereby do consent to the filling of this application and acknowledge that the final approval by the City of La Quinta, if any, may result in restriction, limitations and construction obligations being imposed on this real property. Signature: Print Name: Title: OLk Date: 18 / Phone: � (/ - y9C3 Z Coachella Valley Water District 75515 Hovley Lane East Domestic Water System Flow Analysis Palm Desert, CA 92211 Domestic Water=System Flow Analysis (HydraUlIc Model) Requested By: MARK,RADFbRD ARCHITECTURE Date: 3/18/19 Address: 52355 MERIWETHER WAY, APN: 767690010 LA QUINTA, CA 92253 Req. Fire Flow: gpm at 20psi for hours. Contact Name: KARL VOIGTLANDER Project Name: MADISON CLUB, LOT 18B, MERIWETHER WAY Phone: 760-877-8248 Email: karl.mra@sbcglobal.net Cell: Domestic Water System FIRE FLOW ANALYSIS -HYDRANT AT LOT 18 ON MERIWETHER WAY, MADISON CLUB, LA QUINTA, Flow Analysis Location: GEO 06-07-10-2, PZ 19-9776 Made] Information Flow Analysis Description CVWD Domestic Water HydraulicModel 1 Test 2 Test 3 Results Test 4 RequestedTest Flow Domestic Elevation (Ft): -4 None system flow available withoutexceeding Steady State, Dynamic (psi): 78.6 Residual Pressure (psi): 46.15 Fire Flow Tested (gpm): 51000 N/A CVWD's Combined Total: N/A criteria. Tested Model Junction: J2266 Duration: 2 hours Demand Conditions: Peak Day Demand (PDD) Reservoir No./Level (s): Reservoir 6726/27,39' Pumps Operating No's: Pumps On Pressure Zone and HGL: Cahuilla (145') Model: Merl FF-CVWD_DomesticWater_012616 ;Comments:.. The•dorriestic water system is capable of providing 5,000 gpm for 2 hours that satisfies CVWD's minimum pressure;.velocity, and/or head: loss criteria. This flow can be achieved by using multiple fire•hydrants. This. simulated system fflow analysis may not Include all facilities that may be required:foir this development/project.. . Please:check .with=Development Services for further information. on all required facilities.: These results are based on hydraulic modelling and not a guarantee that CVWD's domestic water system will have the capacity to supply water to the project at the flows or pressures indicated. It is important to note that the capacity of the on -site fire system, meters, service lines, backflow assemblies and other appurtenances were not considered in this analysis, which may alter actual flows or pressures. Due to continuous changes in the system, CVWD only considers this system flow analysis valid for six months from date of modelling/analysis. These system flow analysis comments are for plan check purposes only. The ultimate design responsibility resides with the Engineer -of -Record for this Project. Should you have any questions or need additional information, please contact me at (760) 398-2661, ext. 2397. RECEIVE[ Completed By: APR 2 6 2019 Date: rr CITY OF LA QUINTA Page 1 of 1 ENG DS 016 Ter (8/31/15) agar +� 6-7-3-3 LAST ACCOUNT Nl1NBM DELETED Nl1N0ERi� A. - pi = = = x 2 ;1 Account No. - 0607102 i M i i i A-7-in_1 SCALE BAR IN FEET: