BWFE2014-115078-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number: BWFE2014-1150
Property Address: 55765 CHERRY HILLS
APN: 775170016
Application Description,
Property Zoning:
Application Valuation:
Applicant:
FEDDERLY & ASSOCIATES
38-747 NOPALES ROAD
PALM DESERT, CA 92211
145 LF BLOCK WALL
$14,000.00
Twit 4 4 49wo
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9'(commencing with Section70DOI of Division3 of the Business and Professions Code,
and my License is'Infull force and effect.
License Class: B License No.:. 9
Date: 2 �Z contractor:
OWNER-BUI R, RATION
1' hereby affirm under penalty of perjury that I am exemptfrom-the Contractor's State
Licenselaw for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit toconstruct,'alter, improve, demolish, or repair
any structure, priortoits 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 is exempt therefrom and the
basis for the alleged,exemption. Any violation of Section 70315byany applicant -for a
permit subjects the;applicant to a civil penalty of not more thanfive:hundred dollars
($500)::
L ),I, as owner of the property, or my employees with wages astheir 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 ownemployees, provided that the improvements
are„not intended or'offered'for sale. If, however, the building or improvementlis sold
within.oneyear of completion, the owner -builder will.have the burden of proving that
he or she did notbuil&or improve:for the purpose of sale.).
(-1 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 notapply to an owner of property who builds or improves
thereon; and.who contracts for the projects with a contractor(s),licensedpursuant to
the;Contractors' State License Law.).
(_J1I 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
Lender's Address:
DEC 22
Owner:
WILLIAIV BRITT CITY OF LA
6,460 Tkq&qkgTP61WP1
EXCELSIOR, MN 92253
Contractor:
FEDDERLY & ASSOCIATES
38-747 NOPALES ROAD
PALM DESERT, CA 92211
(760)773-5205
Llc. No.: 762889,
VOICE (760)'777-7125
777-7153
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1'have and wliimalntaina 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 permitis issued.
['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:
Carrier:_ Policy Number: _
I certify that in the:performance of the work for which this permit is issued, l
shall not employ any' person In anymannerso 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 Section3700 of the Labor Code, l shall forthwith
comply with'those provisions.
Date:'/ Z Z Applicant:
WARNING:TAILURE TO. SECURE WORKE MPENSATION'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 ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT'
IMPORTANT: Application Is hereby. made to the Building Officlal'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
requestand for whose:benefit work is:performed under or pursuant to any permit
issued as a result of this application , the owner, andthe applicant, each agrees to, and
shall defend, Indemnify and hold harmless .the Cityof La Qulnta, its officers, agents, and
employees for any act or omission related to thework being performed underor
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
workfor 180 days will subject permit to cancellation.
I cer4ifV4hat 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 Ing
construction, and hereby authorize representatives of this.ci upo the ove•
mentioned prope for Inspection -purposes.
Date: 2 Z� Signature (Applicant or Agent):
Description: 14S1F BLOCK WALL
Type: WALL/FENCE
Subtype:
Status:,UNDER REVIEW
Applied:12/22/2014 MFA
Approved:
Parcel No: 775170016 Site Address: 55765 CHERRY HILLS LA QUINTA CA 92253
Subdivision: TR 25397
Block:
Lot: 16
Issued:
Lot Sq Ft:,O
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $14,000.00
Occupancy Type:.
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
Printed: Monday, December22, 20141:49:40 PM 1°of 2 CnW."..
PROJECTS
a
Printe&Monday, December 22, 20141:49:40 PM 2 of 2 C . s.I.
Bin.#'
City of La Quints
Building a[ Safety Dh4slon
P.O. Box 1504,78-495 Calle. Tampico
la Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project.Address: 55,1(05
CAAV"iL
Owner's Name: %J111 jWjv% 4PJ l JJ-%
A. P. Number: 6 - },D ' Q (p
Address.(000 'laxotgeys Pow+
Legal Description: Lot lo of TY-gLc+ 20 b i l
City, ST, Zip: t Y.Ce (siov', Mw V953,311
Contractor. Fe d Q1 W 4 A-sepG{ Aft s *
Telephone:
Address: ?J�'j 1.(�VJORWS
Project Description: 5F Res i tevie
City,;ST, Zip: P
_"vn Des(,� CA- 47,2-11
8( oc*k
Telephone: N00 -173 - 62W
State Lie. # City Lic.
`w"(S
l S'
Arch., Engr., Designer: Ftddel/( SC -S
Address:
City, , ST, Zip: PMvna� Om -i(
Telephone: 1(00 113 - 5 Z0s5
Construction Type: V ep : Occupancy:
Project type (circle one): ew , Add'n Alter Repair Demo
State Lic. #: 1(p 2 01
Name of Contact Person: J OSCi Car( GS C q. Ft::
#"Stories-. `
# Units:
Telephone # of Contact Person: &dmated Value of Project: (U OoD
APPLICANT: D&NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Reed
TRACKING
PERMIT FEES'
Plau,Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed,.ready: for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Tide 24.Cslcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M.I.
H.O.A..Approval
Pians resubmitted
Grading
IN HOUSE:-,
kd Review, ready for correctionadissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees