BRES2018-030178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
C&hf 4 4V Quilltm
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
BRES2018-0301
78155 CALLE CADIZ
770156006
ANDERSON / 3360 SF DWELLING
$221,747.60
Applicant:
CALIBER DESIGN / CAROLINA LUNA
15034 PROCTOR AVE
CITY OF INDUSTRY, CA 91746
DP
QD
DEC 3 0 2019
CITY OF LA QUINTA
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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.::CONVA40528201-254096781
Da
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
Ws j [ the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 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
6e did not build or improve for the purpose of sale.).
j, 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
C tractors' State License Law.).
(I) 1 am exempt under Sec. B.&P.C. for this reason
��PDate: ` 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/30/2019
Owner:
ANDERSON, DEREK
78155 CALLE CADIZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER - ANDERSON, DEREK
78155 CALLE CADIZ
LA QUINTA, CA 92253
(206)399-9999
Llc. No.::CONV:140528101254096781
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Ca(j _ Policy Number: _
1IF—' 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. i n
Date: ��T`U Applicant:r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above -
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):.
Date: 12/30%019
Application Number:
BRES2018-0301
Property Address:
78155 CALLE CADIZ
APN:
770156006
Application Description:
ANDERSON / 3360 SF DWELLING
Property Zoning:
Application Valuation:
$221,747.60
Applicant:
CALIBER DESIGN / CAROLINA
LUNA
15034 PROCTOR AVE
CITY OF INDUSTRY, CA 91746
Owner:
ANDERSON, DEREK
78155 CALLE CADIZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER - ANDERSON, DEREK
78155 CALLE CADIZ
LA QUINTA, CA 92253
(206)399-9999
LIc. No.::CONV:140528101254096781
Detail: 3584 SF DWELLING WITH 500 SF ATTACHED GARAGE AND 700 SF COVERED PATIO,- DESERT CLUB TRACT UNIT 1 [VB/RES-3/CLASS A-FR/13D] THIS
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 0 $107.27
Total Paid for ADMINISTRATIVE: $107.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0
$54.37
Total Paid for ART IN PUBLIC PLACES - AIPP: $S4.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
1
$161.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - ESGIL PLANS EXAMINER
101-0000-42600
5
$450.00
Total Paid for BLDG CITY STAFF - PER HOUR: $611.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$9.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $9.00
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
0
$2,842.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$41.07
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$16.92
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$161.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$53.13
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $272.12
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN PC
101-0000-42600
0
$32.04
Total Paid for MECHANICAL: $264.16
DESCRIPTION ACCOUNT
QTY
AMOUNT
MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2018 UPDATE 101-0000-20310
0
$1,331.00
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,331.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$2,103.58
Total Paid for NEW CONSTRUCTION PERMIT: $2,103.58
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,421.08
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,421.08
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
FIXTURE/TRAP
101-0000-42401
0
$280.14
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$280.14
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$26.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
1 0
$8.00
Total Paid for PLUMBING FEES: $648.70
DESCRIPTION ACCOUNT CITY AMOUNT
RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$28.83
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $28.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($1,200.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,200.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,110.00
Total Paid for TUMF - RESIDENTIAL: $1,110.00
�W 62aiftra
VW- L),F-SEKT -
PERMIT #?MIAi
PLAN LOCATION:
Project Address: 4$ ISS CC Jk CCA1i
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: 77 GI M00'e-
r ew rtsa ck-e R a\ a� 1
Applicant Name: trpliyrx LuYY-4 `
Address: 1$0 42_
City, ST, Zip: C0il C to
Telephone: '�02
Email: epr�% ca% r . COfp
Valuation of Project $ 2-50 , 000
Contractor Name:
New SFD Construction:
Address:
Conditioned Space
SF
City, St, Zip
Garage
SF
Telephone:
Patio/Porch
I{Op SF
Email:
Fire Sprinklers
SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address: vssmGrading:
City, St, Zip
Telephone: I �ZU U
`
Bedrooms: 5
Stories: 1
# Units:
Email:
State Lic: s5349 City Bus Lic:
Property Owner's Name:-De,(Q,k Ai*r on
New Commercial / Tenant Improvements:
Address: 48(5s t11e coavt
Total Building' SF
City, ST, Zip L. X U`n)M 3
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
�.. .tea �. •�'' .. a�� a
' ��• s';.yea l� �, ,r+y� � .. � r`. � � ��
OFFICE USE ONLY
#
Submittal
Req'd
•Rec'd
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
Date: 12/19/2019
No.: 19-01573-1
Owner: Derek Anderson
Address: 78155 Calle Cadiz
City: La Quinta
Type: Single Family Residential
Lot # Street No.
78155
Comments:
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760)771-8515
Email:
Jurisdiction: La Quinta
Tract #:
0)
DESERT
SANDS
UNIFIED
SCHOOL
RECEQ11T111J,T
DEC 19 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
Street Name Sq. Feet APN Permit No.
Calle Cadiz 3360 770-156-006
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement
mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.79 X 3360 S.F. or $12,734.40 have been paid for the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: Wire Transfer 1 Michelle Sebastian
Bank Name/Recipient of Certificate
By Scott L. Bailey
Superintendent
Fee Collected/ Exempted by: Rodney Slagle
Check No.: wire transfer
Telephone:
Funding: Residential
Certificate Fees Due: $12,734.40
Original Payment's) Rec'd: $0.00
New Payment Rec'd: $13,583.36
Over/Under: $848.96
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building pemiit has been submitted in your name listing yourself as the builder of the property
improvements specified at —169 Cntkt � (r_ ! _o• Out r►-k-k C -a2s'?
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS.- Read and initial each statement below to signs you understand or verb this information.
. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
W2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
W3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
� 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
�* 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
QA 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
RE% -7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
_�k 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
_bL9. I understand I may obtain more inforration regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
V*'10. I am aware of and consent to an Owner -Builder building_ permit applied for in my name, and understand that I am the
party legally and financially responsible - f' r proposed construction activity at the following address:
1 s5 Ga l� Caa �z � o. C �j� "ram °12253
�11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
W 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note. A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: k0hl i
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work): _
Project Location or Address:. _
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
1 declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to he presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: _ Date:
Plan Sub
Building Permit Number:
Project Description:
Exempt: o
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
12/19/2019
Job SiteAddressl 78155 CALLE CADIZ
Owner's N
Number, Street, or PO
City, State, Postal (
Owner's Phone Nur
Owner's E-Mail Add
Project Manager's N
Project Manager's Phone Nur
Project Manager's E-mail Add
Builder / Contra
Number, Street or PO
City, State, Postal C
Project Square Foo
DEREK ANDERSON
1670 1 OTH ST W
KIRKLAND , WA 98033
(206)399-9999
DEREK ANDERSON
(206)399-9999
osure3(@qmail.com
DEREK ANDERSON
1670 1 OTH ST W
KIRKLAND , WA 98033
4,004
City Approval ByL
Date of City Approval
Materials To Be ❑iscarded'
Product
Tons
Trash
15.001
Not recyclable
Asphalt
0.00
Recyclable
Brick/Block
0.00
Recyclable
Cardboard
1.50
Recyclable
Commingled
0.00
Recyclable
Concrete
20.00
Recyclable
Drywall
2.10
Recyclable
Donated / Reuse"
0.00
Recyclable
"Describe Items
Totals: Recycle Trash
37.4 15.0
Product
Tons
Masonry (broken)
0.00
Recyclable
Plaster
5.00
Recyclable
Scrap Metal
0.00
Recyclable
Tile (floor)
0.45
Recyclable
Tile (roof)
55
Recyclable
Wood80
PO-00
Recyclable
Landscape Debris
Recyclable
Projected Diversion:
71.37%
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 bimmonthly
reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.
i
Owner / Deneloper7 Ptojebt N 6ager !•Supedntendant Date
H_ OSS, WILLIAM & ASSOCIATES INC.
CONSULTING PLANNERS ENGINhERS AND LAND SURVEYORS
November 19, 2019
City of La Quinta
BRES2018-0301. Structural
Dated 08/29/2019
Subject: Approval of Foundation plan for the above project.
Dear Sir/Madam,
Please be advised that X confirming that the foundation plan, grading plan and specification have been
reviewed and that it has been determined that the recommendations in the soils report are properly
incorporated into the construction documents ( when required by the soil report ).
Sincerely;
Hoss Eftekhari P E, Principal
Q�SS10fT
�,q(
No. CS0ti 2
F,xP. �L�l
GzV��`�
OF C
RECEIVED
DEC 0 3 2019
CITY OF LA WNTA
DESIGN AND DEVELOPMENT DEPARTMENT
5100 E..LA PALMA AVENUE SUITE 205, ANAHEIM, CA 92807 TeL (714) 991 - 4411