11071 (SFD)jfy� 4 �� • j��
P.O. BOX 1504
7&105 CALLE ESTADO
Address 79-200 Bighorn Trail LA QUINTA, CALIFORNIA 92253
Owner
Mike Fedderly
Mailing
Address 44-108 Elkhorn Trail
City Zip Tel.
i.fJ. 9.2260
Contractor
Fedderly Comnanzes
WING: TYPE CONST
A.P. Number
Legal Description_
Project Description
No. 11071
OCC: GRP.
SFD
same as above
BY:
Minimum Setback
City
Zip
Tel.:
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
State Lic. ,� {
& Classif. i
City
Lic. # .
Sq. Ft.
No. No. Dw.
Validated by:
rye
Size 302a
Stories Units
Arch., Engr.,
• ,�'
Designer. /
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Permit does
riot include block wall. or
City
Zip
State
poo
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmfthat 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
N1
.effect.
SIGNATURE - - "" DATE
-
�7 OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractors License Law for the following
Estimated Valuation
240,811.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also
requires the applicant for such permit to rile a signed statement that hes licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License 'Law, Chapter 9 (commencing with Section 7000) of
-
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis'
'any
Plan Chk. Dep.
p
1.y 50.00
for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit
' subjects the applicant to a civil penalty of not more than rive hundred dollars (5500).
Plan Chk. Bal.
.00
❑ 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, Buisness and
Const.
1013. l5
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon and who does such work himself or through his own employees,$9.50
Mech.
provided that such 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
Electrical
- 203.20
of proving that he did not build or Improve for the purpose of sale.)
Plumbing
187.50
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec.• 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
S. M. 1.
- tJ
Y �} . 10
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
- 20.00
0 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
i .00
Date owner
Infrastructure.
5279.40
Arts in PUBTle.
352.03
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poli No Company
Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM 1
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT: It, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I=
affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-.
mentioned property for inspection purposes.
Signature of applicant -Date
Mailing Address
City, State, Zip
s
Oki� ?~5 `4 L7 fit! 3
TOTAL 5218:85 7165.88
REMARKS
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
ROUGH WIRING.
DRAINAGE PIPING
WALL SO. FT.
ROCK STORAGE
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
HEATING (FINAL)
WATER PIPING
NOTE: Not to pe used as property tax valuation
GAS (FINAL)
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SERVICE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER, B.T.U.
SO. FT. ® c
BATH TUB
/ —e7
C_f
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE FPLUMBFEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
�G$OLIND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR./
FINAL INSP.
AMING /� ti
FINAL INSP.
eff4ROOFING -� 672_,
Ole, 76-1
,�) /U-
/ —e7
C_f
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 12
MESH
G.(�I ��NSU LATI ON/SOU N D16-7-19
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WAIL FINAL
CITY OF LA OUINTA
Nof DEPARTMENT OF PLANNING & DEVELOPMENT
L BUILDING DIVISION
564-2246
A -HOUR NOTICE FOR INSPECTIONS
Owner .Mike Fedderly
Contractor Feddp r Ly Ce -
Permit Number 11071
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 7 -200 Bighorn Trail
Permit does not include block wall
or pool
TYPE OF INSPEC , ION DATE INSP.
7
FOUNDATION & SETBACK
FOOTING STEEL Q
- ' k MAIN GROUND SYSTEM
GROUND PLUMBING 4.
PRE-GUNITEI i.
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB '
JOISTS & GIRDERS k
ELECTRICAL GROUND WORK ,- 'Y.
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED,:,'
ROUGH ELECTRIC
ROUGH PLUMBING • 't — — —
ROUGH GAS & GAS TEST
1 HEATING & VENT- A/C ;
- f
•FIREPLACE
ROOF,
O D BEAM
O.K. TO WRAP G
i
GROUT ❑ •4' ❑ 8'
i
FRAMING
4.
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS B
:.
DRYWALL INTERIOR -(
}
EXTERIOR LATH
I
POOL PRE PLASTER
POOL FENCE & GATE
M
e
HOUSE NUMBERS
" JOB COMPLETED
�a
i1BOVEr ROV t.NC�1T{,NCI,UDERIGHT
14 A� RY BUILDIN(
4/88
y
stn ,:., • �.• _ _ .:.�..� t ;i
SEWER SEPTIC TANK
i
ELECTRICAL .
i
PLUMBING
FINAL GAS TEST"
i
HEATINGA/C'
HOUSE NUMBERS
" JOB COMPLETED
�a
i1BOVEr ROV t.NC�1T{,NCI,UDERIGHT
14 A� RY BUILDIN(
4/88
y
stn ,:., • �.• _ _ .:.�..� t ;i
SHEEHY - IVERSON and associates inc.
architecture
P.O. box 880 laguna beach, ca. 92652
September 3, 1992
Mr. Tom Hartung
Director of Building
City of La Quinta
Building Department
P.O. Box 1504
La Quinta Ca. 92253
Re: Lot 22
Tract 25429
79-200 Big Horn Trail
La Quinta, Ca.
Dear Mr. Hartung ...
land planning
(714) 661-7805
fax (714) 661-7925
We have been informed by Mr. Ken Cates of the Fedderly.Company
that the residence designed by this firm at the subject lot is
to be constructed with a roof framing system and a mechanical
system that is not of our design.
As we feel that these changes are substantial in nature and have
been undertaken with no review or approval by our firm, we would
like to request that our firm be removed as the "Architect of
Record" for the project:
Should you have any questions, please do not hesitate to contact
me by phone.
Carl Iverson architect
SHEEHY - IVERSON and associates inc.
0 9 �9
COACHELLA VALLEY WATER DISTRICT pMp =�r_Q�
CASH RECEIPT DETAIL t�
Received From: GL - tT a -� t Date: 7-3?`
�
Address:
� �^� C' L- C14. Z
Account No. �-705ZIF 61pQ i 00,40 Lot(s) �i Z 2► Tract
Service Address / -/ " �.7�3_ gam% j%/� L G.A. Code o�
eters) $ SO
❑ Service(s)
❑ Backflow(s)
❑ House Laterals)
❑ Detector Check (s)
❑ Meter Surcharge
W-ga'nitation Capacity Charge 2.t l
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
Remarks:
❑ Copy to:
Cash c^
Check sq7
Money
Order
TOTAL $ 19 7
Water Service
Cashier
CVWD-438 (11/89)