13-0670 (BLCK)4 P.O. BOX 1504 S�pNN VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT TIONS (760) 777-7153
BUILDING PERMIT
te: 5/29/13
Application Number: 13-00000670 Owner:
Property Address: 53351 VIA STRADA JOE CVETAS AQ
APN: 772-520-052- - - LA QUINTA, CA 92253 p v P
Application description: WALL/FENCE (562) 706-5976 �� oJ��c•
Property Zoning: LOW DENSITY RESIDENTIAL ts.
Application valuation: 2000
Contractor:
Applicant: Architect or Engineer: FEDDERLY & ASSOCIATE
38747 NOPALES ROAD
PALM DESERT, CA 92211
(760)773-5205
Lic. No.: 762889
0001,
------------------------------------------------------------------------------------------- - - - -
--
LICENSED CONTRACTOR'S DECLARATION
1 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 anProf es$ypnals Co�nd m License is in full force and effect.
License Classy B Lic a �b 62889
OWNER-BUILk0 DECLARATION
I hereby affirm under penalty of perjury that I am exempt f the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions ode: Any city or county that requires a permit to
construct, atter, 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).:
1 _ 1 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.).
(_ 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 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—) 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 Name:
Lender's Address: \ V\
LOPERMIT
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
is
sued.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
W � Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EVEREST INS Policy Number 760000440081
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 tot orkers' compensation laws of California,
and agree that, if I should b meF
t or c pensation provisions of Section
00 of the laborCode, shal fo a provisions.
Dat App.
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND C VIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 Director of Building and Safety 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 r 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above inforemas''corre I r t comply with all
city and county or inances and state laws relating to buildin on ruch y au i representatives
of this co ty to nt r upon the above-mentioned propert r ' ecs
Dat ignature (Applicant or Agent):'{
Application Number . . . . . 13-00000670
Permit . . . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee 15.75 Plan Check Fee
3.94
Issue Date . . . Valuation . . .
. 0
Expiration Date 11/25/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00, .7500 PER ELEC DEVICE/FIXTURE 1ST.20
----------------------------------------------------------------------------
.75
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 18.00 Plan Check Fee
4.50
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/25/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
----------------------------------------------------------------------------
3.00
Permit . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 61.49 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 2000
Expiration Date . . 11/25/13
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
1.00 14.3000 EA MISC WALL, ADDL 50 LF
14.30
----------------------------------------------------------------------------
Special Notes and Comments
90LF OF 6' GARDEN AND 49LF OR 2 [ORCO
SPECIFICATIONS] AND 6LF OF N GAS LINE
FOR BBQ W/ELECTRICAL PRECISION CONCRETE
BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2010
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
LQPERA11T
Application Number . . . . . 13-00000670
Permit Fee Total 95.24 .00 .00
Plan Check Total 8.44 .00 .00
Other Fee Total 151.63 .00 .00
Grand Total 255.31 .00 .00
LONERAUT
95.24
8.44
151.63
255.31
Bin.#
.. w Of. b Qu%nta
Bullding 8r Safety Dwon
P.O. Box 1504,78-495 Calle Tamploo
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet r
Permit #
fl
-(;�C C)
Project Address: 5 3 3 5 I V1 A S"1 ► jk d&
O mer'. Nam.:. G✓ fet S Joe :
A. P. Number. '7 77 -./ 80 ��y
Address: 7e35c/ &afis heAd D/'✓e
Legal Description: tbt 2R9 .
City, ST, Zip: h �•n �a'�1'1 9
Contractor. Fodder/ SSOGt,&LYt'g
Telephone: '
Address: 3 8 I -f 7 N es
Project Description: O r
City, ST, Zip: r'Y1 *CS604' 4* q2.2-11
Telephone: 7G--773 -S20r
1
State Lie. #: I iv Z ggq City'Lic. #; 171
�4 r r 1
Arch, Engr., Designer. kd 41MASSOC. .
Address: 38-7y'1 No al. S Rd
City, ST, Zip: a l m U S& * Cf} q 22- It
Telephone: -740 '%'73 ' SIAM.
Construction Type:. Occupancy: R3.
project type (circle one): ew Add'n Alter Repair Dean
Sq. Ft : S �j Z� #Stories: Z # Unity: r
State Lie. #: -7 to 2 $$q A.-
Name of Contact Person:La.17 F� CI' 1
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Ree'd
TRACKING
PERMIT FEES
Pian Sets
Plan Cheek submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechaaiical
Grading plan
2T'! Review, ready for correctionstissue
Electrical
Subcoutattor List
Called Contact Person "'
Plumbing
Grant Deed
Plans picked up
S M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review; ready for correedonsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees