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BDEM2019-002378-495 CALLE TAMPICO C� 0 D 4v LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: DEMOLITION/SINGLE FAMILY Application Number: BDEM2019-0023 Property Address: 53411 VIA MALLORCA APN: 777390007 Application Description: ANDERSON / DEMO ENTIRE HOUSE Property Zoning: Application Valuation: $47,500.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MARK & SUSAN ANDERSON 53411 VIA MALORCA LA QUINTA, CA 92253 Applicant: Contractor: MICHAEL JEHA CONSTRUCTION /y_\ MICHAEL JEHA CONSTRUCTION 53408 VIA PISA P z, 53408 VIA PISA 5EP 06 2019 LA QUINTA, CA 92253 LA QUINTA, CA 92253 (925)250-4038 CITY OF LA QUINTA Llc. No.: 410408 DESIGN & DEVELOPMENT DEPARTMENT 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 Licle No.: 4104Q,8 Date: l I i. / i (. L/1 Contractor OWNER -BUILDER DECLARATI� I hereby affirm under penalty of perjury that I am exempt from the ontractor's State License Law for the following reason (Sec. 7031.5, Busines an ofessions 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 Date: 9/5/2019 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the La Code, for the performance of the work for which this permit is issu . M e tloensation insurance carrier and policy number are: C r ee P Policy Number: _ I tify t t in the performance of the work for which this permit is issued, I shall not em loy an person in any manner so as to become subject to the workers' compensatio I of California, and agree that, if I should become subject to the workers' compensation pr isions of Section 3700 of the Labor Code, I shall forthwith .comply with those provi ' Date: .� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON C VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIE ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN A ONTO 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: 9/5/2019 Application Number: BDEM2019-0023 Property Address: 53411 VIA MALLORCA APN: 777390007 Application Description- ANDERSON / DEMO ENTIRE HOUSE Property Zoning: Application Valuation: $47,500.00 Applicant: MICHAEL JEHA CONSTRUCTION 53408 VIA PISA LA QUINTA, CA 92253 Owner: MARK & SUSAN ANDERSON 53411 VIA MALORCA LA QUINTA, CA 92253 Contractor: MICHAELJEHA CONSTRUCTION 53408 VIA PISA LA QUINTA, CA 92253 (925)250-4038 Llc. No.:410408 --------------------------------------------------- -- --------•----------------------- Detail: DEMO ENTIRE SINGLE FAMILY DWELLING INCLUDING FOUNDATION AND FOOTINGS..LOT TO BE LEFT CLEAN FROM DEBRIS. LOT TO HAVE 12- MONTH SOIL STABILIZER APPLIED WITH GREEN DYE. PER 2016 CALIFORNIA BUILDING.CODES. 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 t Q u r� �a PERMIT #8DEM f f�• —WGF.�t af1h, UFSF.�RF — Project Address: I. APN #: Applicant Name: Address: f --Pis a City, ST, Zip: L Telephone: Email: PLAN LOCATION: ec Description: Pool, Remodel, Add't, Elect, Plumb, Mech Valuation of Project $ i� Contractor Name: Gp%r tom tdse- New SFD Construction: Conditioned Space SF Address: City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lie: ill ()co City Bus Lie: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie: Property Owner's Name: New Commercial / Tenant Improvements: Address: P' Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: /84y15 CALLS IAMPICO LA QUINTA, CA 92253 760-777-7000 Building Permit Number: Project Description: SFR demo Exempt: ❑ (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date 9/5/2019 Job Site Address 53411 Via Mallorca Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number Owner's E-Mail Address c/o Mike Jeha 53411 Via Mallorca La Quinta, CA. 92253 Project Manager's Name Chris Bloch Project Manager's Phone Number 760-200-7097 Project Manager's E-mail Address cbloch dernounlimited.com Builder/Contractor Demo Un Number, Street or PO Box 51350 Desert Club Drive City, State, Postal Code La Quinta, CA. 92253 Project Square Footage Approx. 5,000sf City Approval By Renado Gouldlock-DEC/Burrtec Waste Date of City Approval 0$ / / 9 Materials To Be Discarded: Product Tons Trash _28.50 Not recyclable Product Asphalt 0,00 Recyclable Masonry (broken) i Brick/Block 0,00 Recyclable Plaster Cardboard 0.00 Recyclable Scrap Metal Commingled 0.00 Recyclable Tile (floor) Concrete 0.00jj Recyclable Tile (roof) Drywall 0.00 Recyclable Wood Donated / Reuse' 0.00 Recyclable Landscape Debris 'Describe Items ,Totals: Recycle Trash Projected Diversion: 53.5 L 28.5j S5.2d9�o ! 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 ty mrmthiY reports,jLaQ,hauling, all refuse material from this project site must be taken to an approved recycler or transfer Tons 0.00 0.00 Recyclable 0.75 Recyclable 22.50 Recyclable 4-00 Recyclable 0-00 Recyclable Owner 1 Deveepaf ! F' AAa qer 1 Supor tandant 9i7W! RECORDING REQUESTED BY Lawyers Title - IE WHEN RECORDED MAIL THIS DOCUMENT AND TAX STATEMENTS TO: The 2018 Anderson Family Trust, 15600 Glen Una Drive Los Gatos, CA 95030 DOC # 2019-0170273 05/15/2019 03:53 PM Fees: $17.00 Page 1 of 2 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording— Receipted by: MARIA #309 APN: 777-390-007-0 Escrow No: PDL17068-LT139-CM Title No: 619641049 W-�"'� ,/r► O C'Space above this line for Recorder's use Z am/ a'q<, -� GRANT DEED y THE UNDERSIGNED GRANTOR(S) DECLARE(S)/ 'DOCUMENTARY TRANSFER TAX IS $2,310.00, UITY TRANSFER TAX $0.00 0 computed on full value of property conveyed 0 City of La Quinta, AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Steven B. Rafael and Elizabeth S. Rafael, Trustees of Rafael Living Trust dated March 26, 2009� hereby GRANT(S) to Mark Anderson and Susan Anderson, Trustees of The 2018 Anderson Family Trust J the following described real property in the City of La Quinta, County of Riverside, State of CALIFORNIA: For legal description of the real property herein, see Exhibit A attached hereto and made a part hereof. Commonly known as: 53411 Via Mallorca , La Quinta, CA 92253 Dated: Aril 1& 2019 Rafael Living Trt�datWa A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFO RNIA ) )SS. COUNTYOF ) On 0O-q 31Oyl9 before me, ',S- ... Notary Public, personally �� who proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature 4 S. GUERRA Notary Public - California a = Riverside County n Commission a 2166911 My Comm. Expires Nov 3, 2020 J DOG #2019-0170273 Page 2 of 2 Exhibit A THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL 1: LOT 45 (THE "LOT") OF TRACT NO. 29894-3, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 351, PAGES 35 THROUGH 48, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. PARCEL 2: NONEXCLUSIVE EASEMENTS FOR ACCESS AND INGRESS, EGRESS, DRiAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION RECORDED ON DECEMBER 13, 2002, AS INSTRUMEW NO. 2002-745938, OF OFFICIAL RECORDS. ASSESSOR'S PARCEL NUMBER: 777-390-007-0 August 27, 2019 Mark & Susan Anderson, Trustees 2018Anderson Family Trust 15500 Glen Una Drive Los, Gatos, CA, 95030 lehai Construction La Quirvta, CA, 92253 Mike: Please continue with the demolition of the home on 534111 Via Malllorca, La Quints.,, CA, 92253 at your earliest convenience. Thanks for your attention in this matter. Thanks, Mark and Sue Anderson Mark Anderson Sue Anderson 4 �/ ��+ Lam,'/ � �^'�• � F��r�'i/ 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 wilt be returned to applicant. Date: 5 /;7/R Developer: AC — L Tract No.:� Tract Name: Address(s): -54-o )Loro&iu Lot No.(s): Phone Number: (M) z7 4- V�) The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❑ WALLS, SIGNS OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http:l/www,la quinta.orQ/PlanChecl(/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: Date: q / S / Public Works Distribution- ( V1 Green Sheet to Building & Safety - Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecklists Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc J "e'r ((24 em -IC? 0 0L 55 - City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM 10 Aareement (< 1 acre/lot or Inf ill Proiect) Project Information I Project Contractor: Project Phase (check one) ❑ Construction IW, Demolition Total Acres in Active Construction (< 1 acre per Lot): F PM10 Contact Information Name: Title: Project Name:akcAkAEL Project Tract/Lot Numbers: Project Street Address; V'pr Anticipated Start Date:// Anticipated Completion Date: 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. �c'_+ g_U4 Company Name: Mailing Address: t State, ZIP Code: Primary Phone #: Fax #: 24 Hour Emergency Phone#: Cell Phone #: _0 Cat) OVA_ 2S- 2s O - UO 22 S3 Email Address: �,) r��I'� 1�C'r t.kJ v _LEI [_()_' ' PM10 Certificate #: CV' 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 ho Harmless the City/County and its representatives from liability for any actions related to this dust co of plan any 1 County initiated abatement activities. cr Signature of Prop ty Cw er or Authorized Representative Date City of La Quinta - PM 10 Fugitive Dust Control Plan (< 1 acre per Lot or Inf ill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: • Visible dust emissions >20% opacity • Visible dust emissions that travel > 100 feet from the source (within site) • Visible dust emissions that cross any property line EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure 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. 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. •3 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 Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or 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 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 75391? Entitlement or construction of new retail gasoline outlet(s) 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 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 more parking spaces, and potentially exposed to Urban Runoff? Applicant Information Name and Title , Company Phoner— Email Project Information Project Name Type (SFH, Multi -Family, Commercial, Etc.) Location or Street Address a �, Nearest Cross Streets Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) Other Location Information Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) y Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordinance or policy? Name of the Entity that will implement, operate, and maintain the Source Control BMPs Contact Name Street or Mailing Address A07 City �. Zip Code Phone Check Item To be Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Performed 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 Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit 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 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 Print Name:��] Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Title: Region Board Order No. R7-2008-0001 and the State Water�� Resources Control Board's Order No. 99-08-DWQ. Date: 1 1 Phone: (2✓`D qD Applicant Certification 1 certify that I have read this form in its entirety and d' un erstand 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 Name: Title: Date: �-/2? �9 Phone: (tS 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: Ueo—k ANDS Title: 01WA4 Date: / AV ` Phone: (`� rp% Jg P.O. Box 55329 3 t855 Date Palm Drive, Ste. 3#507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 (760)323-7743 ASBESTOS SURVEY REPORT Completed On September 02, 2019 Client: Demo Unlimited, Inc. Attn: Chris Bloch 81-350 Desert Club Drive, #13 La Quinta, CA 92253 Project: 53411 Via Mallorca La Quinta (house with attached garage to be demolished) On August 28, 2.019 an asbestos inspection and bulk sampling was conducted at the above project address location. Bulk samples were taken of all .,uspect asbestos -containing materials of house with attached garage to be demolished at the request of the client named above. Bulls samples were taken/ analyzed by Scott Morrison & Associates (DOS# #92-0248) and submitted to LA Testing (upon request) located at 520 Mission Street, South Pasadena, CA 91030 (NVLAP Code 101384-0 and Cal. Env,ron. Lab. Cert. #1406) to estimate the percentage of asbestos by volume and determine the type(s) present LA Testing determines percentages and type of asbestos by using EPA approved method 600/R-93/116 Interim Method for the Determination of Asbestos in Bulk Samples. Bulk samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified using the visual arena estimation technique and can only determine the approximate percentage of asbestos present. After a thorough search is conducted and no asbestos is detected "none detected' will be noted in the report. The essence of polarized light microscopy is not to emphatically determine that no asbestos is present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample. When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be called for on additional samples to confirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling to be conducted according to the A.H.E.R.A. protocol provisions of 40 CFR Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable surfacing samples from a homogenous area be collected and analyzed before any building material is determined to be non -asbestos containing Scott Morrison & Associates conducts asbestos inspection surveys following the A.H.E. R.A. inspection protocol. ASBESTOS INSPECTION BY: Scott C. Morrison, DOSH # 92-0248 The results on the following page(s) indicate that asbestos (greater than 1.0%) was detected in of the samples analyzed. (1} Scott Craig Morrison 92-0248 ,� 07/31/20 South Coast Air Quality Management Distriet 2065 Copley0-.,ve, a+ars eaCA 3rm9i,;3? PhD— 109) 395.2nk Nodfication *umi ber W Ww.agmd Sou ke ,1403 Notification Of Raubirre i[ emoMofl Please mrairitain,acopy;ofithiis;falotii9aation,attlheIjah'sihe,,ether KdOGT7.ohic tor pqper. P,nojjeat Ty Rrojeet Type Demdligan Pro)eot lUrgency Routine :completed B,y fayoyara Vazquez Phase INwmber (A;fil(I)) 795,5,884 Gontraator Information (Company flame DENO UNLIMITED INC Address 51390 DESERT Cit)8 DR city LA QUINTA State Zip 92253 CA ,CSLB License i� 473328 05NA RFG 7 'Supervisor #1 Chris Bloch 9o5571 Phone (760) 300,7097 Site Information Site Name Hideaway douse Demo Projects Site Street : 53411 1,9a30 Street Name Yia Mallorca Gross Street Site County Riverside City La Qurntr' Stale zip 92253 CA Gontaot Name Mike Jeha Contact Phone (935)2510-4036 Site Owner Mike Jeha Owner Address city 53411 Via Mallorca La Quirrta State Zip 92253 CA Project Start Date 9110,1201:9 Project End :Date 9/2012019 Project'Work Sfiif�s; :Ray Building Size in Sq.ft 500a Number of Floors 2 rBuilding Age !(years) sip �Number,of 1Buildir)gf,Dwelkng �Wmits 1 �Building,Rriw Use ,ionise ,Asbestos Survey Y es Asbestos iFo.wnd NA ,-Asbestos Removed flA iBulldimg Ito be Demolished Y4eZ Describe Work Demoliahlmdjlding Describe YVorlk :LacaCion IResidentdail Project Linfamattion Damofitlari &farrnatian Al Asbestos ,con>ainin9 mateniafs must ide memoved prior to ;any AemcdFp'on activity 5ize;af Demolition Project in sq. Ift 500o L4Work Practices at D.emoJition Site '$Pray Water Contingent' Demolition plan Stop WIPrk , Isolate Work Area , No6ry Owner . 5t3hilixe , Secure , Characterize Wabie , 5urvey Waste information Waste Transporter ❑o= Unlimited Inc Address 513SO Desert Club Drive, Suite 3 ON la Quinta State Ca Zip 92253 iandf H Salton City Landfill Address 935 West iiighwaym Cit} Salton City State. CA t l -• 92275 Fete payment Shoe of DBMdM= P40jed im §g.It Tracking Number PM)aa Size fe Asdddlioadl FM Total Fee Payment'Made Balance 0w By clicking the Sign & Submit button, I Certify that an individual trained in the provisions of SCAQMD Rule 1403 and the Asbestos NESHAP {CFR TMe 40, part 61, Subpart M] will be onsite during the dera oFtion or renovation and evidence that the required training has been accomptlshed byOlft perwo00be availablelfiw inspection durinp normal business hours. In addition, I certify that all of the information contained herein and information submitted with this Notification is true and correct, 5000 3517992 1 O !� 7;9Skt3 $O GENERAL NOTES 1 ANY GRADING PERFORMED TO ESTABUSH DR RE-ESTABIISI THE BUILDING PAD OEVADON SHALL BE PERFORMED IN ACCORDANCE WIN THE APPROVED ROUGH GRADING PLAN AND A SEPARATE POINT ISSUED BY THE CITY OF LA GUINEA PUBLUC WORKS DEPARTMENT. 2- THE CONTRACTOR IS AUTHORIZED TO PROCFID WTH FlNE GRADING ACTIVITY RELATED M EIEVARONS SHOWN ON THIS RAN, OR ANY SPECIFIC LOT ON THE PLAN, ONLY IF, A VALE BUILDING PERMIT HAS RONISUED BY NNE LA OUINTA FUNDING AND SAFETY' DEPARTMENT FOR CONSTRUCTION OF THE PRIMARY STRUCTURE ON THAT PARTICULAR LOT. 3 A SEPARATE PERMIT STALL RE OBTAINED FROM THE LA QUINTA BURNING AND SAFETY DEPARTMENT FOR ANY BLOC( M AIMS NINN ON THIS RAA 4. THIS PUN IS FOR ON -LOT CONSTRUCTION ONLY. ALL OFF -LOT CONSTRUCTION ACTIVITY SUCH AS DMVEWAY IPPROAM IN OTHER NPROVELEHTS IN THE STREET PoOIT OF WAY, SHALL BE PERFORMED 6119011ATE PUNS AND PERMIT ISUED BY THE LA QUINTA PUBUC WORKS DEPARTMENT. a THE E✓hONACTCR a ICSF'mw IN 01TAWK NL lewR O PEANTS E THE CONTRACTOR, AND ITS SUBCONTRACTORS, ARE RESPONSIBLE FOR ENSURING THE DRAINAGE CONCEPT SHOWN ON THIS PUN IS NOT COMPROMISED BY LANDSCAPING FEATURES OR OTHER APPURTQIANCES NOT SHOWN ON THIS PLAN i- XIQI RIIARNO RAy! GRBllal A6 ONO1 DIAEIp1OLES YAiEIeA APO9 TI[ M L NG PAD, 1K CRDpq 5»A� ■REIN IEQ RM➢rIC OPIELOPE 9W1 BB SC'.V6TED 76 A YNMAN OF W' AAp DpH C'AN'+pN p NEEI]' NFNEVIS [IN1TN WRA➢'E OEASIY ATA ASlM '9ECNYCAO[NS L THE NYTEACTOL TE1ALl RIOT O51WB ETAS TiG SIMI,, MrylVyH 15 OR DOICN MINIS NOTED ON THE NANW� aE ICAO DIHTwi WRSTR1/CaCN, WQVMOVAL AND— 1 SHAu BE "ME BY A REGISTERED I]N EMGIOA WWM AAF TlCL RIAIBER BELOW LAVWS. OR A IKON= LAN➢ SURYZYOI D!t E ALL STEL[r5• RIBiK 1x NSYAR. SNARL BE CILAA[D DRAY d CAI}. w0, AAA7 DEEMS 001OSIf tE9ATtl¢ Feral pry ACUMDY [LAID) 10 CONS&NKRION wGUM ON THE Lon %M ON 1WT RAN WAMRC SHALL K RAYORMID 1b a[ SAr.VmtoE O THE RROW OTKM OW OTT 0010131L 10. THE COITE! CTDR SHALL PROVIDE WIND EROSION AND DUST CONTROL MEASURE AS REQUIRED BY THE FUGITIVE DUST CONTROL PLAN APPROVED FOR THIS PROJECT. 11 CONSTRUCTION OPERATORS AND MAINTENANCE OF EQUIPMENT WINN ONE HALF MILL OF HUMAN OCCUPANCY SHALL BE PERFORMED ONLY DURING THE TIME PERIODS AS FOLLOWS 01 IRE TO APIA NTH MONDAY-MAY 7.00 AM TO 5:30 PM SATURDAY 8:00 AM TO 5,.00 PM MAY 15 7 TO S7RT�R 3VK MONDAY-FAIDAY 6:00 AI TO 7:00 PY SATURDAY 8:00 AN TO 5:DO PM M M 91A L n PROMM ABLE TR[ OI UnNy Lp TEOFRN MmV 12. MAXIMUM CUT AND FILL SLOPES - 2:1, 1]. LDINW ■NOWMI PAD DRAINAGE STALL BE 9L DRAINAGE SHALES STALL BE A MINIMUM OF 0.3' DEEP MO ME CONST11111M A MINIMUM OF 2' FROM TIE TOP OF OUT OR FILL SLOPES MINIMUM SLOPE OF SWAIES ani IE 070E LEGEND FlNISHED SURFACE .............. . FS HIGH POINT . . . ............. . , . HP LOW POINT ...... LP GRADE BREAK .................. GB INVERT ......... . .. . . . . . . .. IRV TOP OF WALL --- - - - - -- ----- TW - PAD ELEVATION . .. .. FINISHEDION.. NISHED FLOOR ELEVATION ..... FF FF FLOWUNE ........ FL PROPERTY LINE - - ........ — AL — CLEAN OUr ................. C.C. TOP OF CURB . ............. ... TC TOP OF FOOTING , .. , , , , , .... IF IN THE CITY OF LA QUINTA, STATE OF CALIFORNIA PRECISE GRADING PLAN THE HIDEAWAY LOT 45C FINISHED GRADE ................. TOP OF GRATE .. ... . .. . . .. . .... FG TO mc �� 1 ff (%%%,ENO OF PAVEMENT ............ %%), ............. RIGHT OF WAY . ............. PLANTER AREA ...EP ,EXIST. ELEV. R/W CITY �� I�q QUINTA . WATER METER SEWER LATERAL PUBIC ... _ . _ .... • • • • • • "SL ........ WM SL BUILDING DIVISION L! E EASEMENT.. SETBACK LINE FLOW GRADE . ................. ..... ... ......... .. . __ f� REVIEWED 1 OI A FOR TOP OF SLOPE . . . . ........... OF SLOPE .. ............ �Si CODETOE EXISTING SEWER LINE ............ • —5— EXISTING WATER LINE BLOCK WALL ..... ...... yW_ COMPLIANCE . . . . . .. . .... .... . 06A70 ekih& 41wacL111t, ""am N RAGE) ' RNCAST naraaBv taADrE+AIc ]/a' 1D 514' WASTED ROK Ad -KNOW RHEA FABRIC TER SFG a. w G4! STO SEi EHAU mama CARMEN' RE MASER RUCK AND UNISIUY®ED 5311. OR 1 eiwevEn %a1W U' NOW WYE AN "Es ABOE R! I7AOWAF mom SWI of AWMIIAE 9JVA➢ W,SCT" W7 DRYWELL DETAIL NOT M SATE BUBB7Im 2AER2 A4 Ll TER FABRIC BOXTOVILE OVER 6' COMPACTED 1' ROCK Underground Service Alerl Call: TOLL FREE 1-600 227-2600 TWO WORKING DAYS BEFORE YOU O0 VICINITY MAP N.T.i ENGINEER'S NOTE CONSTRUCHON SBIIBIC STWLL R DOTE FROM APPROVED ARCHITECTS oNDcrlm RAY Olr. FT%TIPRINT SHOWN HEREON IS FOR REiFAONCE ONLY. LEGAL DESCRIPTION LOT 45C OF TRACT 2011 AS SINMN IN AUP BOON 351. PAGES 35-48, OF CUPS. RECORDS OF RIVERSIDE COUNTY, STATE OF CAUFOFHk NOTE: DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT AND INSPECTION FROM CITY OF LA OUNTA PUBLIC WANKS DEPARTMENT LOT COVERAGE: 10IAA EOr ilEA 14.310 SF Wl2WC MIMb{i AX[A ffC'pA,11ED PATIO AND GARAGE HOLUM) = 5,7102 SF OHLITS INAEA�LEr ✓MIEN . 40.1% APPROVED FOR PERMITTING f PLANNING AND ZONING COMPLIANCE- TDM HARTUNG DATE aDURAL R CVAA6 ➢ATE BUILDING AND SAFETY DIRECTOR CONMMITY DEVELOPMENT DIRECTOR CITY OF LA QUINTA CITY OF LA QUINTA CONSTRUCTION NOTES Q INSTALL YAM DRAIN, NDS 105, E' SM GREEN GRATE OR EQUAL 0 INSTAL 5' PVC PIPE, (SOE-55) S-IX UNLESS OTHERWISE NOTED ON PLAN. O INSTALL YARD DRAIN, NOS 1910B, 4' OLl SATIN BRASS GRATE OR MAL O CONSTRUCT WILL PER SEPARATE PUN AND PERRT, SO GERM 6'MI' TEE (PLC-SDR-35) © CONSTRUCT 5' MN THICKNESS P.C.0 DRIVEWAY. 7O INSTALL 9UBBLLR BOX WITH GRATE TOP, NYOPIAST 12' DARN BASIN PER DETAIL ON SHFFI 1. O CONSTRUCT 10' DEEP DRYNEIL PER DETAIL ON SHEET I 9O CONSTRUCT YARD WAN. NOS 1270, 2' DA ATRIUM GENRE OR EQUAL SCALE 1'=10' 0 5 A 20 30 APR: 777-390-007 53-411 VIA MALLORCA 10/1/00 UNDER THE SUPERVISION OR iSTN WALTERS RESIDENCE DESIGN: DRAFT: SHTAUNDEH AA ]Y —rssl , PRECISE GRADING PLANa aN& ATa9A T ]W ND +783+ LA�NG]NEERING HIDEWAY LOT 45C CHECK: DATE: �` D.'vnro �ZNC• p �, TRACT 29894-3, M.B. 351/35-4B Essl oc_oe caA PORFAIN or 11 0. T.63.. asp, wary 94 No. PG105001 ENE. Nil °ATE _ _ CITY OF LA QUINTA 01 1� v s o w 241 3D AF, P SCALE: 1' 10' l � ., rrcq•�E7ii I fs✓ s\J S t hW'L} 1 Ill ' rroW 09cr,1 tA� Nr1 } mar , fry r9ccJ T 1-11k'-V9 �¢F LA Qu NTA � ,gcra 44 9gg ¢_ _BUILDING DtV15lN t�}$ REVIEWED FAR ` CODE COMPLIANCE DATE BY: 1 I .1 Y�;oTN■T tl?Y,RIh; fP ti 7 I 1y II (sss.safc, i i�- ri L.. i_ - - -- � •- -�� . _ _ � ,' P�+l.-.fly ` , ri �i � ,_ �. .�1 ZAAtI�_�4��r �30-uC,`. 9➢L`•E4. ! I��7_ _—_✓=39. TtfS: 1NE4'9'SB E 162 M 1�¢►j SURVEY EXHIBIT IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE ll t STATE OF CAUFORNIA BOUNDARY AND sw,—' TOPOGRAPHIC SURVEYUm z P LOT 44 & 45, TRACT NO. 29894-3 rAN MB 351/35-48 53411 VIA MALLORCA > `t �p t� LA QUINTA, CA 92253 m = 64 IAA N '1 • �orrr 5 l'1J a q l= : i< 6 7Siv. s7 w) a LU TE P — { (16.59) .vAr MIR HMka,,," J (16-50') 'I VICINM a n°SSvm cP G, 9 • ���� r PROPERTY ALY.ffS2 HIDEAWAY LOT 44 AND 45 Z S 53-379 VIA MALLORCA 53-411 VIA MALLORCA sy x S V rx g G $ 2 ift w 1 1 1 LA QUINTA, CA 92253 A BKFARfO F47, qWt+ 77,570USPRINGFIELD LANE SUITE C ,I,VON f7� `jp'• PALM DESERT, CA 92211 ABY 777-390-006 W ) 777-390-007 LEGAL LLWIPTILW yOWi a LOT 44 AND 45 OF TRACT NO. 29894-3, AS SHOWN BY A MAP ON '� F C FILE IN BOOK 351, PAGES 35 THROUGH 48 OF MAPS, INCLUSIVE, OFFICIAL RECORDS, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, w — z\ SLRYEY WTES 1.•j, •�,1'1 • INDICATES FOUND 1" IRON PIPE WITH PLASTIC PLUG El I 0 ° p EI IL n T :11ir 3[, STAMPED "LS 7557'. PER MB 351/35-48 AND "CERTIFICATE < o r7 h+l 9� • OF CORRECTION - TRACT MAP NO 29894-3 - YONWAENT g '" tll t N �P SUBSTITUTION REC. 11/29/2005 AS DOC /2005-0982905, y g g �u 1 �I � ACCEPTED AS CORNER UNLESS OTHERWISE NOTED WE 9 SP1 O INDICATES FOUND LEAD AND TAG IN TOP OF CURB STAMPED 114 �►H.�.�..1� "LS 7557", PER 16 351/35-48 AND "CERTIFICATE OF CORRECTION -TRACT MAP N0. 29894-3 - MOAWENT it A � � I � w t�C SUBSTITUTION REC. 11/29/200.5 AS DOC. 02005-0982905, II ACCEPTED AS PROPERTY LINE PROLONGATION p,, 1 ltj og!:I w c93T Q DENOTES RECORD DATA PER TRACT NQ \ �'•I',�.Y 1 29894-3. MB 351/35-40. AND MEASURE0. \ y� I T 1y 515T .� \ wr I ELEVATION. N.. 996 84 IC \ _ ►�+ 4 OESCR IPTIOt <g ¢N '1L TOP OF CURB AT CATCH BASIN 017 STATION 11a15.62 AT THE INTERSECTION OF VIA SAVONA AND VIA MALLORCA AS SHOWN ON PAGE 11 OF 14 CITY CIF 1 Ji -�w17 LA QUINTA - STREET IMPROVIDENT PLMYFDR TIE HIDEAWAY -TRACT No- QUINTA 5 29894-3•, AS SHOWN BY A PLAN ON FILE AS CITY OF LA QUINTA RAN SETNO 4 j 52 IN THE DEPARTMENT OF PUBLIC WORKS IN THE CITY OF LA BASIS OF BEARINGS WOE BEARINGS SHOWN HEREON ARE BASED ON THE NO TH11Y LOT LINE -BF LOT 44 0 33 s9tia ,• ,tl 1 ]A� OF TRACT NO 29894-3, AS SHOWN BY A MAP ON FILE 1N BOO( 351. PAGES 35 THRO" 48 INCLUSIVE OF MAPS, RECORDS OF THE COUNTY OF RIVER5IDE, m9R}3+ (PWIY 5. STATE of CALIFORNIA, BEING: NORTH 55'05P34'EAST. " a LY IV, 2019 :ml S H E F T I � .ypc1 0 DATE OF FIELD SURVEY: 7/08/2019 OF SHEETS DATE EXHIBIT PREPARED: 7/19/2019 m g FILE NO 20190337