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BRES2021-0707DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Building Residential BRES2021-0707 50695 CALLE GUAYMAS 770094005 $212,959.40 Declaration / Acknowledgement BUILDING PERMIT Ottigta CALIFORNIA PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 09/27/2021 ISSUED DATE: 03/22/2022 Owner: 41 CALLE GUAYMAS LLC 50795 CALLE GUAYMAS, LA QUINTA, CA 92253 Applicant: STEPHEN D KEALER P 0 BOX 1418, LA QUINTA, CA 92247 Contractor: HAVEN ENTERPRISES INC PO BOX 1418, LA QUINTA, CA 92247 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.Ieg info.ca.gov/calaw. html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS' COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 7/5/24 9:54 am Page 1 of 5 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2021-0707 50695 CALLE GUAYMAS Use of Permit MELKESIAN / 3,365SF SINGLE FAMILY DWELLING *** 3,365SF DWELLING - LOT 41 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2019 CALIFORNIA BUILDING CODES. Construction Details Residential Work Type Dwelling - Single Family Detached Patio Square Footage 508 Code Edition 2019 Number of Units 1 Dwelling Units per Acre (CVMSHCP) Electrical Service? Number of Condenser(s) Miscellaneous Mechanical Water System Install or Alteration? 3.48 Yes 2 1 Yes Conditioned Square Footage Fire Sprinkler Square Footage Number of Floors 1 Building/Unit Occupancy Classification(s) Number of Flag or Light Pole(s)? Miscellaneous Electrical Number of Ventilation Fan(s) Number of Plumbing Fixtures/Traps Number of Gas 8 Outlet(s) 3365 4058 R-3: 1 &amp; 2 Family Dwellings, U: Utility/Misc Structures 0 2 5 19 Garage Square Footage Construction Type 693 V-B Number of Bedrooms 3 Grading Required? Yes, New Dwelling New Electrical Square Footage Number of Forced Air Furnace(s) Number of Exhaust Hood(s) Number of Water Heater(s) Sewer Connection? Yes 4566 2 1 1 Valuation Details Sq Ft Value Printed: 7/5/24 9:54 am Page 2 of 5 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2021-0707 50695 CALLE GUAYMAS Financial Information Invoice No. PERMIT-BRES2021-070 7 Fee FIXTURE/TRAP BUILDING SEWER NEW CONSTRUCTION PERMIT 2019 RESIDENTIAL, FIRST 1,000SF PC FIRE NEW RESIDENITIAL PC FURNACE PC VENT FAN DIF - COMMUNITY CULTURAL FURNACE DIF - LIBRARY FIRE NEW RESIDENTIAL FIXTURE/TRAP PC TECHNOLOGY ENHANCEMENT FEE SMI - RESIDENTIAL MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2021 UPDATE RESIDENTIAL, FIRST 1,000SF GAS SYSTEM, 5+ OUTLETS BSAS SB1473 FEE WATER HEATER/VENT PC DIF - MAINTENANCE FACILITIES DIF - PARK IMPROVEMENTS RESIDENTIAL, EA ADDITIONAL 1,000SF PC OTHER MECHANICAL EQUIPMENT GAS SYSTEM, 5+ OUTLETS PC TUMF 2021 - SINGLE FAMILY DWELLING RESIDENTIAL - CUSTOM HOME >7KSF PC DIF - FIRE PROTECTION DIF - CIVIC CENTER EXHAUST HOOD RECORDS MANAGEMENT FEE - MAJOR CONDENSER/COMPRESSOR CONDENSER/COMPRESSOR PC OTHER MECHANICAL EQUIPMENT PC BUILDING SEWER PC NEW CONSTRUCTION PLAN CHECK 2019 VENT FAN PC ART IN PUBLIC PLACES - RESIDENTIAL RESIDENTIAL, EA ADDITIONAL 1,000SF DIF - TRANSPORTATION RESIDENTIAL - CUSTOM HOME >7KSF WATER HEATER/VENT EXHAUST HOOD PC Total for Invoice PERMIT-BRES2021-0707 Fee Amount $254.98 $26.83 $2,066.32 $53.13 $250.00 $53.66 $67.10 $956.00 $80.50 $397.00 $167.00 $254.98 $5.00 $27.68 $1,400.00 $161.00 $40.25 $9.00 $8.05 $313.00 $2,106.00 $22.56 $40.25 $26.83 $2,358.00 $201.25 $369.00 $1,230.00 $13.42 $21.00 $80.50 $53.66 $40.25 $18.78 $1,399.57 $26.85 $32.40 $54.76 $4,009.00 $40.25 $13.42 $5.37 Amount Paid $254.98 $26.83 $2,066.32 $53.13 $250.00 $53.66 $67.10 $956.00 $80.50 $397.00 $167.00 $254.98 $5.00 $27.68 $1,400.00 $161.00 $40.25 $9.00 $8.05 $313.00 $2,106.00 $22.56 $40.25 $26.83 $2,358.00 $201.25 $369.00 $1,230.00 $13.42 $21.00 $80.50 $53.66 $40.25 $18.78 $1,399.57 $26.85 $32.40 $54.76 $4,009.00 $40.25 $13.42 $5.37 $18,754.60 $18,754.60 Grand Total for Permit $18,754.60 $18,754.60 Printed: 7/5/24 9:54 am Page 3 of 5 BUILDING PERMIT Permit Type: Building Residential Permit Number: BRES2021-0707 Property Address: 50695 CALLE GUAYMAS Workflow / Inspections Workflow Step / Action Name Inspections v.1 FINAL"" v.1 FINAL INSPECTION v.1 TEMP USE OF PERM PWR v.1 DRYWALL NAIL v.1 INSULATION v.1 ROUGH ELEC v.2 ROUGH PLBG v.2 ROUGH MECH v.2 OKAY TO WRAP v.2 FRAMING v.2 FRAMING v.1 ROUGH ELEC v.1 OKAY TO WRAP v.1 SHOWER PAN v.1 ROUGH MECH v.1 ROUGH PLBG v.1 OVERHEAD ROUGH PIPING v.1 ROOF NAIL v.2 ROOF NAIL v.1 UNDERGROUND ELEC v.1 FOOTINGS v.1 TEMPORARY POWER v.3 TEMPORARY POWER v.2 TEMPORARY POWER v.1 SEWER CONNECTION v.1 UNDERGROUND PLBG v.1 Action Type Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Inspection Start Date End Date 09/27/2021 0:00 Inspections Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Printed: 7/5/24 9:54 am Page 4 of 5 BUILDING PERMIT Permit Type: Permit Number: Property Address: Building Residential BRES2021-0707 50695 CALLE GUAYMAS Certificate of Occupancy A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Service Utilities A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 7/5/24 9:54 am Page 5 of 5 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 912512009 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 fisted below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: Z 1 ZZ/ 2_2-Developer: STE PIlEfi) h, 1(CA LEA Tract No.: 5 Tract Name: T tL tie lot No.(s): Address(s): 500 5 e 14 G L 61143 Phone Number: ('74O) 9 `l P Li? S3 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 4:- 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 +1- 0.1 foot). Pad Elevation Certificates must be current (within 5 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 fin& 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. PM1 a plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM 1 0 certification number is required. `f5. 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, 5. Attach supporting documentation for wall planr monument sign, grease trap or special facility installations. ,j7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable_ PW approved building construction projects require either a WQI'VMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http:llwww.la-quinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lat(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: 1 Public Works Distribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as fol€ow(s), please correct and resubmit: T-Cnecklisks - Forms & ApplIcations1Forais 8 ApplicationslGREEN SHEET cover & PM10 less lien 1 Acre Revised 9-25479,doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or lnfill Ppect) Project Information Prot Contractor: Project Phase (check one) re& Construction ni Demolition Total Acres in Active Construction (<1 acre per Lot): ill 2, 4 Project Name: rEPli.E-Ai 1>i k u1t - Project Tract/Lot Numbers: DE3cre r e nzfrcT 5- IDT- S e)f 15 1-* 4)0 TA- q 2 2 3 Anticipated Start Date: 3 I 1 O /2-2—Anticipated Completion Date: / -/ 3i / Project Street Address: PM10 Contact Information Name: 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. Title: Company Name: Mailing Address: City, State, ZIP Code: Primary Phone Fax #: 24 Hour Emergency Phone#; Cell Phone #: I Email Address: S Si • /EA-GErL. /Pr✓&r0 E7 P/5E51 ANIG, P .0 O-- r a 922_47 (760 qqz- s.s "76D) qq Z• 4L SS PM10 Certificate #: 47 ) l 92 T `1-?cS CV2-6/1- f Iq7- tOr 7 requirements of the approved dust control plan; for any actions relit plan or any City/County initiated abatement activities. Date T: Chocki:sts - Forms & applicalio' ,-i jrti R A hrAti,:r•.s',GHEF, SHEET cow)r a PPS:❑ less than t Acr, Re�;setl Signature4f Prop rty Owner or Au horized Representative S-2G-119.doc The above stated _property owner (or authorized representative): ❖ Shall act as hisfher acknowledgement of dust control requirements and their enforceability, Rules 403, 403.1, 401, 402, 201, 203 and PERP; pursuant to SCAQIND 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 Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; representatives from liabilitynecessary; City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAOMD 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. Al 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 absolutelyIf vehicles necessary. rY 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. 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. T;1Checklists - Forms &ApAlications',Forms & Appi€catI 4,$ CREEN SHEET cover & PM.90 less than 9 Acre Revised 9-25-09 A'.oc 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) 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 feel, or more, of impervious area where the pre -development natural slope is 10°/0 or greater where erosive soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? Entitlement or construction of new automotive repair shop(s) including body, upholstery. paint, exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 7539]? Yes El El 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? El Entitlement or construction of new home subdivision(s) with 10 or more housing units? Entitlement or construction of new parking let(s) of 5,000 square feet or more, or with 25 or more parking spaces, and potentially exposed to Urban Runoff? Applicant Information lip! Name and Title Company Phone /fi4V-rr' LPiejSIG (-7r)`iz 5 Email .510E14-[.eZ % F dL 1-4 Project Information Project Name Type (SFH, Multi»Fancily Commercial, Etc.) Location or Street Address Nearest Cross Streets Municipality/County/Zip Code Tract Number(s) and/or Assessor Parcel Number(s) Other Location Information 7' rnPic, 5e6of S ELL C j -Vm* 5 La Quinta Watershed i Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) 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 2(to 116- - 6 iVo HF V ,JoviLlziPro se5fjto& City (A- 40143Th Zip Code q (76D) q l - — ` 6-5 TACheckiisfs - Forms & Appilcations\Forms & Applications'GREEN SHEET cover & f M 16 less than I Acre Revised 9-25-c9.doc Phone 1 Check Item To be Performed Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees Activity Restrictions -- Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain, Closed Trash Lids, Restriction of Vehicle Washing Check Item To be Provided Ongoing Street Sweeping at Private Streets and Private Parking Lots Source Control BMP Requirements - Small Sloped Lots, Small Commercial, <10 Unit Subdivisions, <5,000 Square Ft. Parking Lots, Etc. Structural BMP (See Appendix H, Section 4.5.2.2} Storm Drain Inlet Stenciling and Signage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Racks Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, maintenance, funding, transfer and implementation of the project -specific WQMP requirements, Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowledgement The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge permit, LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24,170 (Clean Air/Clean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board - Colorado River Basin Region Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 9g-08-DWQ. Signature: te6g4kAi Print Name: 57ft� J P. kC ,4L _ Title: Date: `2- 1'Lf 2- Ct 711-14"L J r Phone: (72 ) ss T:iChecklists - Forms & ApplicationSIFOrms & ApplicationsIGREEN SHEET cover & PM 16 less than I Acre Revised 9-25-09,doc Applicant Certification certify that I have read this form in its entirety and understand the City's submittal and review process and the requirements for 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: J YQ l), kebte , Title: Elate: 2. 1)-ZI7-Z Phone: i t I c! 7 `j &� 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: /60AN / Print Name: STEPtfeW7. k d t Title: /V Date: 122_I Phone: 060 I S 5 cettit •efiQtildad DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 50695 CALLE GUAYMAS APN: 770-094-005 DESCRIPTION OF WORK: NEW SINGLE-FAMILY DWELLING SQUARE FOOTAGE: 3,365 OWNER'S NAME: 41 CALLE GUAYMAS, LLC 1058 RAILROAD ST. CORONA, CA 92882 For questions regarding this letter, please contact: City of La Quinta Permit Center (760) 777-7125 Coachella Valley Unified School District 83-733 Avenue 55 P O Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE 02/14/2022 BY 1 C Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. Building Permit Number: Project Description: SFR 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 Owner's Phone Number Owner's E-Mail Address Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Address Builder / Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage Approval By Burrtec Date of City Approval tz.- 3c 7o4( :la l 9 Cc.(.6. &Int Y 06 t. [ i,•1744- 972 53 1 hUtervayiriA c- /oS # RA,i_izas4 Di et l.Dr� S e4`k' q21'z t, k EA £ 76rj (9Z tt tf iS" S K1 R L ?. A ate, c-c m 1 1 Eid reI t P / c 5 / Are, ` S rz ke#4,e71- O. Dik 110 g r v1 , t;kt yyZt 9-7 ?a,3c 54rY Materials To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse* *Describe Items Tons 12.5 , i�, a-� 0.00 Not recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Product Masonry (broken) Plaster Scrap Metal Tile (floor) Tile (roof) Wood Landscape Debris Tons Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable Recyclable 0.00 0.00 7,-- 0.00 Projected Diversion: #DIV!©! 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 landfitling_ 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 reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer P W Owner / eveloper / I=rojedt Manager / Superintendent / 2/3o f 20 zJ Date 1 Certificate of Occupancy Design and Development Department GEM of the DESERT — This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 50695 CALLE GUAYMAS Use classification: RESIDENTIAL - SINGLE FAMILY DWELLING Permit No.: BRES2021-0707 Occupancy Group: R3/U Type of Construction: VB Land Use Zone: RL Code Edition: 2019 Sprinkler Installed: YES Sprinkler Required: YES By: TAYLOR TUVELL Owner of Building: 41 CALLE GUAYMAS LLC Date: 7/27/2023 Address: 50795 CALLE GUAYMAS Building Official: A] ORTEGA City, ST, ZIP: LA QUINTA, CA 92253 POST IN A CONSPICUOUS PLACE