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BRES2016-0068. s 78-495 CALLE TAM PICO U � � Vv/OIII E (760)�/77a` 125 LA QUINTA, CALIFORNIA 92253 �/�qq FAX (760);777-701r COMMUNITY DEVELOPMENT DEPARTMENT NSPECT(0NS,(760) 77 -r?3 BUILDING PERMIT �7�i, Cy < fi,Qate:o 6/1 /2 Application Number: BRES2016-0068 Property Address: 55350 CHERRY HILLS APN: 775170029 Application Description: • ROB & SHARON JACKSON / SINGLE FAMILY HOME Property Zoning: Application Valuation: $422,110.90 Applicant: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I 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 and Professions Code, and my License is in full force and effect. License Class: B License No.: 762889 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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.). (� 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 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: Owner: '111 V 0 F Ni ROBERT and SHARON JACKSON hATfl�yr Contractor: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 `PALM DESERT, CA 92211 (760)773-5205 Llc. No.: 762889 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: Carrier:_ Policy Number: _ _ 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. �f�l�i//1�1►�L7]lliIIi�`I`�I�I�Jr�JwLt�fP�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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agen �v IN • o • o ': 4'F :sem.. �^isv'k*?Y"�+ 2}'' .? r"Xt.L,.,.xl,FY-' k'{� d,r � .$ '^C ,:. .... Sv :t 4 ,}:.. ,� % .;4,JI, 4`R : 3 ,t✓i 5 :0 ;" %; 3x1,4.,`xiFC i?'.fL` f !' j( h��4Y u�'a• vh. ..: `�j,-v P... ACCOUNT` / K TY rE-0afi s PAID fi PAID DATE n x ART IN-PUBLIC PLACES ?RESIDENTIAL 270-0000-43201 0 $555.27$555.27 6/16/16 .yF :.{ :'Sex.. '4)'..'� < .. F '!°`'r A.)? i xL`tf'Y°�a SE- K. l l..S:: �.p'f'•�.,'Y z., �Y.:: i, x.Y : i , ,-_ .. ,? `:'Yn.33�,�1� x X.sYEn!>i: x ::'.<.. :Fd.Gt£X A, 3 P�Ay�tID BYE z��., xFkr €r k' METHOD ; .RECEIPT}.# CHECKS#` CLTD'Bl(;_ Y . t.r= .:.:f F -.e)Ya...E nh��lt�` , �a�.� .'°S rasa��G'T €'�x�G 3-,.1 ,2�; ., ,=*4rr,.,z'�xK:£M '�� ' t>s-s:m-o�`3>•aCC�r di l�wf.-.i4; fX;r w a!3 '� Rnxi�. 7..; L_ S_ �r�v+€�sc k€>.n�:�tt3E1 ..,"tYt4 , <`tt�.$v>§�� uw.fl-. . FEDDERLY'& ASSOCIATES CHECK R16405 _ 5000 MFA Total Paid for.ART IN PUBLIC PLACES - AIPP: $555.27 $555:27 .r' n ,x, d, -E: x� � t ext~'',::.„si�:�{ Y$ 'ssi z��iJ `� �' : f �, € x;:D,ESCRIPTION zR y €S aT' �'t'•9 v � ""�;. ;� jt 2 � .� €�. %; �' �. fv7 ACCOUNT , k a t M',s?�5 'r. QTY -tt�,Y�.:e"di:5 �k :: a' Y AMOUNT` +x. A i,,; .`C PAID t z s ,.h 101-0000-20306. 0 ; $17.00 $17.00 6/16%16' '. BSAS SB1413.FEE #�-?"x� t{ 'a r r''ti ,•E. ,, " *Eq>tl, , , 4 Y. 5x'&.:<s `�. '? i '""" Wit''. 1', ' ; ' x est �h. a 4.-= 9xr `,;:„§.�.,<-. s s'�'; y�' /Y^ ....:{ x. Y..:.:. .SK . e.::VC'S.'< ..�-n::.. d {'<.#:YY4`x ikx,:,: ,$ .:'ef .: w" ,' :KY�`.Y'�i.. :,�'.. •<n i!v-`,rY,?w"•4'. r.,w a::.,... '. eRECEIRg. +�.• :n,b-,t2''n'SI F": i.x'k T i, .CHECK# ..:•T•. t};.iY 4'15 ,L:.. ..,1:'v .Y6 v.: "...: i' <rLTDxBYt'( - FEDDERLY & ASSOCIATES CHECK R16405 -5000 MFA . Total Paid for.BUILDING STANDARDS ADMINISTRATION`BSA: $17.06'7. :-:{rT MR. f '�^ � •✓}^«P..lxFwv�p. rt • ki �WIF i'N' `I"Y' »"DE �U7;. s s"� 000UNT AMOUNT u.�¢PAID�� ti>, rQN, txP�IDrOATE DIF-CIVICCENTER.. 252-0000-43200. 0. $942.00 $942.00: 6/16/16 . 3'�',''¢hslkV,�S4 s--Ai.{� t� %S�,�'t4�;�"' �E .:'3 ,i,�:., ��,-: }:;map ..yy�:1.., a � �� :� Y ^ii *r '.- �i�aSti:Y7i'i4 aYk ;``-Y '+'r3 wi R. �: >° _�l c`:.!•{_x_fr'•s�..lt <S .`A i'n..; ,*.` } . ,x �:�-"!?.,,3 :�.:.. �...� .,�z'. 'lu.. _.4.. fiYay. _.m-_L _..h v:i!n �� :{,Z �::.T- �v=i.w��')..a.....�E✓;5..�!cS'cnw S!;�.,..xY._R.�.t'Faf2�r',L_a`r.5cr .'�.�.sss,�..:f.q v.v)i..x_ -.?a _?. 4+�3s_hT{Si,=i3?C4....��?-. N�``. it; �'r�vo>twv.. _.:..Y'-•--.wN2'.�.r- FEDDERLY & ASSOCIATES CHECK R16405 5000 :K .1°1 xs• `;z Yc Y7e si .»; vi`...�2.'.+r•Pv '2.., r1 QM• 6. NACCO.UNTI .nsnx '?u:, s•C.rn ,r'';3a Ty r� ttr AMOUNT -:.3 .)r i,..-.' -'x x;, x 7Ss ri PAID •a'n,'+:: - :-W4n5:5; _f, ��4 yt� a F s xe.'?:i.,,%:fiG'{"$-�i•�i.=ax.- PAID.DAT€' DIF - COMMUNITY CENTERS 254-0000-43200,. 0 $129.00 $129.00', 6/16/16 S 's- i Ss< 'xit.. .L'n ,Sy !-� Y"•"x Ri `1T,y�� i ✓, d� .E n Cy'. •Crt' '.4I.d3.:hT,7;i< x}, .: St.: x ➢ .`S`S; ty.:h'i i,., .�f..:-�:� iiy,. 1- .tY yy i t`} T•''i fd ';4Y °M ` E : Ff1 -_,.- £ L e•.E A x�tt 4`...,:x'•i,]va`S mak: a € RECEIPT -. nth '� . x._: f Y�.< Sr''� x xt ,. �. (�.�. A!' ?a J. iK=k: #. ,METHOD / .. NNW k #4 G. .vas ... ,..:-';uhf :T.�r:, �G,Fx,.>/s�•'rs*:;. �.+ : CHECKr# �._-.,,.i;..�„cf.3Y':x".,=��,x .. .:...,:, CLTDst3Y, �-.r'T.�iw:;..!rx�s �k,� :"FEDDERLY & ASSOCIATES CHECKR36405 : 5000 MFA . y!� *,.rt x� - tl 3 $ a s. x", x,3 z. . e•„C, x v 4+` 4. L„A v� 'Y � . v: l{Sr t :.'ACCVis? s -s ,_.r �. R✓ � f'i`"iC�r':?i ^S b ' ti� .: 'n:k;. s.,. ' i E `� tt' i ., �. b;� ak � m ax PAIOvDATE .K`17ESCRIPTIONP �1:.QTf�m `AMOUNTus $433.00 " 6/.16/16 DIF -;FIRE PROTECTION 257-0000-43200.:' 0 $433.00 . , P .i f�' N E ra I n.PAIOmBYxf P.F rY`d. S �3• METNOD'f ..,s .,a",..e}.-•r-E.,; ' , i. k r fi' `E=.RECEIPT°#. Fy,;=`l .'T`G" St.-c::.Y� �..: r CHECK<#A� <. 1. .' y y ��&r MY%P._..o-'e...SLf.•"s�:.i..`Wi-v�:u:.....wExd'AY,...tf>.trk'S.,:s:'."'`'':?a'`5'ueL'r'iexx'iv`v�•. Exa,ak$:.'�.I..�.n'�f•Y..A1 _!3', li kFi , v 1 "�, Y,v`.e:LIvS:f.i2%'Y`•`Af.�,eL.:. xS�,_T� 37✓ FEDDERLY& ASSOCIATES . .:, :`CHECK" R16405 . ' 5000 MFA y#.•� A� 1S '4: T...'" ii ""w� 5rY<f r: ° vOESCRIpT10N., z.Aps t r.A'•-_E �..'i'C e'9' ,>,Y.c.<�!r�` •�+i "`Yl4 4s1. ZZs ?qTY ":Y,-t "%3 !`: il,� ,P"n'1tl` rd5i�,d . 'i'r: A1IIIOUNT `„ r}PAID- P zs �: w- a3 .�r.;.:.: �::,;.�:.aurs��,lW"� az r- .aACCOUNT. ,: .: DIF-LIBRARIE5 . • . 253-0000-432000 . $344:00 $344.00 y .lvu.Y.Wyt-. t vg h z RECEIP,Tj#y CHECK #� BY a k hi S ka`.<. , k`�y, �`"�7�•J}.�74:4x5.'� h ¢ QTD FEDDERLY & ASSOCIATES CHECK `R16405 5000 MFA ' �.a,+' s ,L! nsx DESCRIPTION-3 ° - d 6xxX s Rpt . s:•,..: 4 ` t, ,.}`- '"5'�3sx•'3$ a frc r AMOUNT � ys w :.' k :' �.. xd"li`""'�-,: i . _ ,� R 411 x _'i,�T PAIp�� PAID DATE ,DIF -:t'PARKL MAINTENANCE ; 256-0000-43200 0 $40.00 • , $40.00, 6/16/16 n .�K�� 34Y`i..�'S� .R x'i..t;f _'`3>W k!`li i :.`t�Zf,.'�fi'na-yw"?f*3'LN�t s3fq'z`rs, SAID BY�rk k,", •f`4�% ,+�.s ,�k� "4a'c ,4r1:, �F ,. �`:'tt.� $ i c+'.�, -% �J. "s ."-t. ,. t� _....'1-5• �, " RECEIPTS# I`€�!:w ,,s�:=§v-. ' - L` N'*i'y � °�� „ � } .. .. I,F..;,;_: - �. fiF. $?...__..rte.... i. ..:x3asr:r9"x�,.: '.^t.asxs!°x•�".,a.4:3.xFz fv: .. ,.NE,�"�'E� ...`4 s. ?.a,�e ... ..+x.bt,:..-,:" :?�:$.+� �CHECK#�� [: 4.....x .a..r.:..,.: •x.;::Y is CLyTO?gY j9 ^i.,t.-,..3b.L':.z'h7 ;+x{".a ;FEDDERLY&:ASSOCIATES CHECK R164055000 'MFA ..'S?'Rs F,; t "'•pp,. -y»€i' ,...E,Y,':.se 5°f"a'"fLS: c .i�'vc'�y", ol.. y`'<*.;• ,: , A000UNTa.,.,�,`.kRTY ,•k.:,...¢Ep as as r, f' -":. x��„;_ :.,,,.a s: u._.X IPL �llg s;?aAMOUNA a..'�PAID�f,.PAIDUATEm DIF - PARKS/REC, , 25170000-43200s 0_ $2,048.00 $2,048:00 6/16/16 , 1�k�_4 k-!5� :T ti`s ,� s a�...r"§ aura METHOD_:•.aA..?�•.n . .. .RECE1PTr#� , x CHECI( #x F CLTD SY ..:s3::.i "'FEDDERLY &ASSOCIATES- CHECK R16405 5000 "MFA xAr�-' s; x. d DESCRIPTION rjji •s •>, ACCOUNT `%t7'R,�•2 Y, F:. ,Fw.^ 4 eC E i ka YAMOUNT)M h ¢W s: PAID r.,tY x''.'`i *!�'S.._.r_..ra4. x...3l,,.e'',.,., i':-3e :-je,P,s...at7t%i.`t ,f-.'".a a.:r•" .:14w"�i..'.i3:b,.a.roilzv +QTY :'?,/ ',j f ems, E PAID' DATE: S 5-AMORN 1..,+.�%i_..t�'�_..._ v S 5,:.,f.:kF_:nlint.tFss'jy:. DIF -STREET MAINTENANCE 255-0000-43200_. 0 $116.00 $116.00 6/16/16 V >£�•`�•'r�{, > - S x-,�aa .,G' 4" "*ice S? a-r x YJ'iF hY �f M✓ PAIDaBYa z±.:,. u •:::� i r e 3 - - 'A s{ sti:.:r, `.:+' -4 4. t� -L -s r .. i �:s y METHOD '.z •7^ ast'- _,,..: i a's .::.z._ h ��, e d.' .s_, *'z:. �. v,a:x =sc.- RECEIPT# < Y F r. :..�� :k",'' r,�?'.' E= H�,�; i e _.: ,.�crf Y,�...0 �?.. n_x.db. s"`?' <. .M" �T ! _u:r'.+a:.� ''> ? �,1CHECK:# CLTD BYE . _.,.«.tFsP�'.%'..,f�, W.:. •7>.£e;-'is°."?E a ..� x�*?54...,�.,...,,.,iaR?xzk� FEDDERLY & ASSOCIATES ' . CHECK '1116405 5000 MFA �,<;u ,�,a�y ,yL..� ask ,F..u2f:a n ��sF{L x-x\s• k+x+a< ". :4, 7x. ::. s, 'fi .$ .-�'sr4.::�; z;3�€a' Vis,:" � .t.c 5�x cr -?,., ....: t :c�Yr -.4>. .:,y - PAID�fx -aa-:�.,; �,• '.«4 «.a.. A g�{> 5 pACCOUNT g nkkQTxYAMOUNT - :... e. +za b ._i_i . ._... 'x.f,r. .c „x _ Sgt trEf C xs ire .: <.,. ..x, E:: _.;M, .e x ... tPAID DATE ,` >.,., i r 4r....,. kl . -DIF-TRANSPORTATION 250-0000.43200'' 0 $2,842.00' $2,842.00 6/16/16 Y•n" 01 _ C..,L- b if i r..,,n .'% - 'T. '7wYi, „�+ -k1 rn - q, sl h, <. M r : 4 x x.,.au ,'!..'' ?X¢,.€. e� '•Z�'�''S�<v.�xf s!:Yl�' 7=i�•i'�..Y;i . sP ,.-.t. 4u+. - .. , ..: n6.�, �.. �i' txC � .."v r°C•�.€ `_'tx .i _ €. 'CL`�TD �:��PAID,BY., ... _, k� 'S.xr .. <xa:>� 'A..:>:,�?�GCzf�?•,%:t�s•ri-.s: , METHODY F, .��s.-,.,t,:ft1r. a �RECEIPaT€#<�, rtf rsCHECK#�t�'� BYf •FEDDERLY &.ASS.00IA.TES CHECK, 1116405, 5000.:. MFA Total Paid for.DlF = SINGLE FAMILY DWELLING: $6,894:00. $6,894.00 >�t3'3: 4. ;:, c'z ''k,Yx :t t..p ...�,v*" :.?:�4as ".,5•s a- t ,i w� '.x?r- "PAID�.�'r'::.PAID:DATEa?: SitUESCRIRsTION ,tFACCOUNT ." �, „QTY, =;.„Lz.;AMOUNT e:8.... _%_:hE"` i Sue.r.n... .<.'x .s f;^.:'is" xraJ.<r 4 dr.r i.•o ,.a. ", o -a Yi:.'NPt' '.l 4 APPLIANCES, RES' 101-0000 42403; -0. $24.18 $24.18 6/16/16 k .A;J t f Jhi'` . a €�'h xq T# t .Y 4.`.,:1 : f R�: 0... `.,T"A-• :". Sa '.5b g.,.�. 001, .. :.:Y:F`', Y`}` .'fii:, .. a'3 1.` .: ia.. �a�<. 4 siv a . "t fA `x 3 3rp_.4 { RECEIPT"# . 'i; t M< ;PAID;B,•Y, N� r a 4 •x .. ,.,, . »? x €� r: k v x:. ,METH,OD.. .r,: .,< ..._ a ; ,a ;..:.,_,_,. <. .. ta,. NO: ..w , c x.rre. ,.� r. _ .: .CHECK ## •wx x CLTD BYE,, .FEDDERLY,& ASSOCIATES CHECK 1116405 5000 MFA }"�y, a� 4w,UESCRIPTION` 4[ SP r� �r x , MCID OUNTc: S>:: .PAID sPAIDFDATE' APPLIANCES; REiiS`PC101-0000 42600 0 $24.18 $24.18. 6/16/16 :. Af' PAID BY1 ,:.METHOD �..�r,..b�u � ";L � v=ABhHa t 3z: �7:=d. RECEIPT# �i S 1' rrhti zCHECK#�x.x S. �CLTD�BY�� .:..7- <,� w`4 ;�a�'. .a....:. 4:r.4��'.,H. �r_�� .. �°� x��a �� tars,.?v .: '�a �.s:.a ... .,.: �+ia.. i��. e3. �.ae.:..�e�f,M:rz;.. ,ia�:�u4<x.'�iif ,>....i?...:, r�e�.�r ".rt< MFA FEDDERLY & ASSOCIATES -'CHECK R16405 5000 sy-kw ,'4 ,:..n�sf•.:.x:xI �OESCRIP.TION :: �.. "i'4c 1+f �, `:`,;., �x<c,i'sF.,;t.Ch •;T w' a �•'•'x"r ., ,3n, ACCOUNT i�,a^"' Ce, rf :n sa:s.'.. "?;.;'x':. C><i QTY AMOUNT .5-:'' n<f¢�sza:k �s r .:: : Ti zx9 aa.#'... .....<.Y..:-eM.�&a"a.. ,,u z 1 Y ..,: "Pa'..zz 'NI .:S..v _., id..€",'?rx!'J'.tvx.3,'k'iT. u�-�.rf:� 5`sr-�a.,'�::�`�ik &,. p.w,iu:•>xx z•�.finm>.. ,�,x<... PAID, .Y°'�....,, �. .rx.,,. .: _. gPAID OATEN Sv-a:, x+.- TEMP.POWER.SERVICE 101-0000-42403, 0 ; $24.17,• $2417: 6/16/16 - �_,t,,.;��'�"�< �..,<��:<�,f,.�%<xr�,-��..��._P�,'A�w)�D,rg.B�Y.�,�,r �c, `, .<'.:�u� �r,«r,�•.:.__�<'3..�...<. �a .v:a-� -�":<°..M.�T..'.wO..:-nDmm ,> 1` �rER._ EC1E'P.nT . .',.,�_ .x�_��.�; ,� fik ...3. ..',��,_ 4S ¢. k, FEDDERLY,: & ASSOCIATES-. , CHECK 1116405. 5000' MFA 6 !d F „.f.-r"h+„+'�M7x t?r'?Yu `4 'Yg , * e aY _`4 �...,Sw S,rs ":1E t�S x� �t x,z z iefta s. ;a€' ^.xa; �sz- i'=i x'"a..:. ;'uxLt, a '�{'' xACGOUNTF i .q<«Sx, t!..-r.�'C?_s-c:�, ,, sF. a<L' Y. Q TY� sem._'?:i�.�.:`,:K:'�..,r.awa;k*K:.x_�_ a , Er,.s,'•; zil tSn 't4.:.6,' :YS. (� - AMOUNT�f U:.. PAIDPAIO kc�.:_,`u. .<•.;b__.,�7`t"�:�.ra' OATS .Fz:a�`h�s::'i�3.;�u.w.,�,,• TEMP,POWER'SERVICE PC " 101-0000=42606; .0 '$16.92: $16.92 6/16/16 'N,3',fy,R:F ,: <'F•ei'a'£y-x hG3 6"< >ti a•�f K Y' y l Xi Y"4i 'Lqf i .. UCa.A.:"Yh`f S t g a �a .CHECK# i �, r �Ci7�',D�BY� FEDDERLY &.ASSOCIATES CHECKI 1116405 5000 MFA Total.Paid for ELECTRICAL: .$89:45.: $89.45 r ah F OESCRIRTI N #,E r Ot rf:4, ' ,1 'a r:" z. A000UNT " +K11 y' s A sz . AMOUNTa PAID'„E;:PAID:DATC:w -. Y dQTY . :. �a ANT 4 r %. RESIDENTIAL, EA ADDITION 1,0005E 101-0000=42403: 0- $73.98.. $73.98 .6/16/16 >f'� s BY .s � SF,r fl$^:' �i.tb- .?< ,:"a tzr,._. ...�-a• Wit METHOD t1<. Y i •£,s'y"'":. .4"r< ". _5., x `saiiYxg d ', :4 ya f •Vm i k . Ys +a '.t..1 ` ,.„ ,X { �'3 <e G ^ sx ' 4 tta,PAID a 3 sY� t a� . x :-E :RECEIPT# # t CHECK# : z FEDDERLY.& ASSOCIATES CHECK 1116405 5000. MFA. ..'s. p'ac f �:c_rsF•a""i� 4 -iz x°Ta3,, r'4DESCRIRTION:: x %-iF'�Ft{ •�. ;$R -i. x .:. kap, i..-',-' a z 4 "ACCOUNTK� y TY C is..i, ET tX, F= 'AM �- `�z .� 4,a N PAID RESIDENTIAL; EAADDITION.I;000SF; PC 101-0000-42600: 0 $30.48. $30:48 6/16/16 METHOD, JA w i,. n...: Le } 2w'd`.x'S,i RE ECEIP7a# k S� 6 '! iA. $�{{ vv iT h t gg C'� •y59.-, n � ,.a_ 'x. `i�,w ,�. u"�L,:`..r�x,r,.:,-33=^....,.iri..<'9<.rc+x,+ CHECK MS¢CaCLTO BY FEDDERLY &ASSOCIATES ,_ CHECK j R16405,' --5000 MFA ,,,.a 7F F• 4's' '->,?i s £DESCRIPTION ', •'"Nta'.feC'<ia die ACCOUNTS °;s'� Q1Y� AMQUNT�? PAID _,>N''�. x+ q ¢PAID OATS a.;.. �,, _ .R srs,x.• _ _ y � - T_.- 1 r_>-.,�.0 �.. ,-�c,u.�x s�.. � c. i..s;z�;� 0' $145.03 $145.03 6/16/16 _ ,RESIDENTIAeL; FIRSTI;000SF . .1017Q00042403 i:: <Tvi.A ^'.C.i�1 +� X'ScyT..f:'SvY-'F...a^t; x. 3TC es-': PAID'BY 4 .: g _.. ��:. Si.`<. fiy, - �CHECIC #�x r few H ,_ a.: , _:. . s x. a=_. ... � ..sfis .:., ? a rs k .,METHOD. _ >xx x :.2 . r...... _.x�a , { g,'.' RECEIPfi'# FEDDERLY & ASSOCIATES CHECK 81,6405 5000: MFA Y"'`'jy1: 3�'•y- �„ T� .. y.[�-&,4 `n. S�' 4 S\.ct+,.m.vYa: rx DESCRIPxTION, ..:v .e,.., ✓£ .f' :aC_as!XE :x2<',_SiV .e...> P p f.. , l V )Hi %.. �, > sACCOUNTa� .<:-m..e_ o.n 4Z:<..L4.u.: ±�t.._.9:..:s F e<.a %x F i.. 1.W kl {.k'^Y`.YH �x QTY AMOUNT Y,g SY £1 •C:a .. ...�.4 £:u xY•v�P.,� F -+:...:' .\.f]°' =H: & PAID. 3 _., .0-:..t ii5<"r-J� pAID,•DAT.E: );, ;RESIDENTIAL; FIRSTI,000SF,:PC 101-0000;42600 'i . 0 $47.86 $47.86 6/16/16,,. M ,r PAID BY METWOD : fa<r�.-:'1s<. 4s RECEIPTS# CHECKa#1•- a r4' Y ia'i t Y'S2 r . n r Fz , a CLTD BY FEDDERLY &ASSOCIATES ". CHECK R164055000 MFA_ Total' Paid for ELECTRICAL -NEW CONSTRUCTION: $297:35 $297.35 fa<':•.P xS,� S-�...{t' Y,tx'tStyw**rx??"•F`4 ",rY'i`=i g�3 4-t fS-�'n ..5. w�(� a?q�,l<.- � A�?�W.�S��. `'+�' k ,...:t+'as:.�X �; 5"�� '-T 'v ! k !:f':I 9.'�..<��.,,s n.ik - �Ki-gr 4x�`'YkSF.�,i. ,7. Sa'°r�i'.'°;%-'� "kf lfx.:3v��vi .�.::1i.DE' ♦ ��iY,�u ¢•�.� £t Q�sxa .:�y'.f=� A000UNT..z,`3QTII.:AMOUNT ,h-�L,, .. '. . , ?<..,;SCRIPTI�OIV 1rt,,.#. _z; =,ova s a JPAID k PAID DATEF RESIDENTIAL PRECISE;GRADING - CUSTOM HOME LOT>7KSF 101-0000 42408: 0 $36.26 , .. $36.26 6/16/16 (' �1 W+4,"t pk1i�•4$5! � �F tL GS(4!e5' �y' Y PAID'+BY3e b°C�wMET110D _ ' _ s . :'i RECEIPT%#' ._< CHECK4#�prFqy CL4TD. :;FEDDERLY'& ASSOCIATES CHECK R16405, 5000, MFA . •:(+�:r .yLi:Rxm$�St ,..iF__`rr'h 3'...m,. 'FT, 5'"�K ryi> -#.'. UESCRfPT,ION f rs`, n."•F a2``.�„F.7a{Ap,I-\;,':,=f5(`}.: d�2 "`.S.., h ! Y+d + E/X�►v L F'x• ITCH A>A Y�y .,_k Y•i.. v.: +T i`_t` k R$: $ .fl "43.4:.' r _F $ :i it {ms #s„ {, ,yam, p� '� v: Y M_t ?.' ay.4.,::,>,:R'`i.,+.s�•;Y3sa$#.�•s�"1:_..i. ACCOUNT :;xfr-,ra:n;?.�.t.ACCOUNT G�+ss. n?.. .'rw f AMOUNTS, 4."s.._�,✓t..:,a�.'€:'�`_'r,.. PAID a PAID; : z,r .b. 3,a,.°i- P AID DATE ..:Y::.;� ...: ,>.?....0 .v.<a-err RESIDENTIAL'PRECISE:GRADING' CUSTOM HOME LOT >7KSF'P@ 101-0000-42600 0 $181 29 : :. $181.29 6/16/16', ;. f 3i. ? a:a,y A e• : { v N. �.x i' �v��9+.:. Q S T?�J Y: i C .: .: w RECEIPT#,�CHEGK tv tN:,S R 2 #� i 9 , erh 4 +. METHODR z ,Nv ..F.w,,:_.�> CLTD BYE >FEDDERLY'& ASSOCIATES :; CHECKR16405 5000. MFA Total Paid for GRADING: $217.55 $217:55, {x". h,.3.�;. '!, .R,.x,.h iva-r• �r ;Li> -'a � �'-:.. E?M•3 R �"A000UNTi _, QTiY �a AMOUNT,;F�',ju't�,t r PAID' r''P141D-DATE` (..„DESCRIPTIONry f 'moi,:: t'• ..�4..:.<:_:. 'k.•.:, ?a3x .,., .e:_<ix ._:`:...`?N' {.ln.. ...,G:S,>Y.:...W. >�4��x "Yf,'!'>'.. ..C...:,[sG :•.Y. .ifs Y<S':._`. .:�,.:i.i.::-%.:-s:.: ..'l.�Y. �.F^M:{: ...'f 6'`F`A` aE1n� 5�,4'C:S...h Z s�ty.,z1::�+Y Y. f.2..., i_� iP'•a.,,,2.w CONDENSER/COMPRESSOR 101y-0000-42402,;, 0.$145.04 :' $145.04 -6/16/16 Ily'..; METHOD!= RECEIPT# CHECKa#� CLT=U BY ,� _ f.4. ASr «.;. - x.4.'7'E,:::: �•FEDDERLY`&'ASSOCIATES .CHECK - . ` .' R•16405 5000 .: 'MFA - .��•w.:k .ft{ ,.n s s'Yer..P>1EX.EST�Y %'-,q'1 Tip ..ena `r -.�"4 : F°by. g DESCRIPTION�� x ss{ �.4' >,E•j'rY";Av's}.L x�h�.t�.e: Ei.?i " rE a ,.K M1 -•moi •i. "i 4. v.: N '£. _`:`,i } "`i(':�'(•Wif. ni{.._ E'� ry...�, x 4 PAID .`.xzR� :>.A000UNT:..QNi.>.:.AMOUNT,. :PAID:, DATE: 6/16/16 - CONDENSER COMPRESSOR PC; 101-0000-42600-' 0 $96.68 " $96,68' .. is aE°n ' aa3,.xrr 'i.-" 8 h xia y'` y.y; x 5.�x..: _.. rz:_ 'zc"..a•,M'�,„ '' &( t3:i? rzs ^',[, f c -u+ . i'}' �D. s _ 9-99 CHECYKLg #��> LLYY d_.. �.( ..Lr.: .rzxc_s>. _ :..�.. ��.. , YPeA'It"hO�.v"i?Bt«Y..�€� ��..:+A..�aL,i.%�TA4.�: 4�v2>r§..:_'_ >�:4�"��•RCz] iQ.M,i✓nE...T.=.Hx.rU">i�D,rY,.3.,�.�y.?k}=,.�ka��.• �v's?s�t ti3..: ._�a�"`r... ti �x.r.hxx �k BY x •.�`FEDDERLY &'ASSOCIATES .. ' CHECK - R16405.' .' .5000 .. MFA y .s.lF £.iC +v.1roei+Y"s`'�k..{I},Ra. r�.�'+^.Lr t 1k�. T % F..E v,. C;«'-^;'�b.. t �sYw'x'-'�'�•;i, MOUNTS i.,L,r 4,1 _4:. F:!y :I z.n .akF . ,w°. .�a`'xt'+, i�Ai�D:,kYE.'-rS„sCe. axcR:Efie�:,:xtk.k7q ,?:'F '{af-{ `Xi..l•S''ti:a,. s�u.w .x...:f"f.? n�:€.'�x...T,,n,> .', iL ' c ...5:::,av :,':K�. >ii�<i �.?S". ^.Sr,fij`F-Jd°:7ed�.'..'''" jVAIDLIDAA4 :EXHAUSTHO00�•� '101-0000-42402.., $12,09 •6/16/16., yt•�.y YIE?a�v,'f�1: "F'• �Y-SEm_ 3.;'k T'I ..' E �R'xMQ.'rt �sT rive.:�,F('}4"». PA10 BY_ ,,.�3... Ce. . ,�,.,.[;f:. tv:E' ;S , ,�-:-F'_ .'`:''S 4 -' iXF. : "jam, v".alµT'rc YWA METHUD,! 3i_3.RECEIPT#t ?h. cka.�_....;r ., �: 3 }� 5•, f4 :'-L:.iwG>Sl�..i' Rt: S '"P. i i \ "T: :tri.sh.;a€t�x.eCHECK#{aEI.'4DCLTDI$Y ' ,af('i 5'.: i,w5k H tt.eY.. J.LL4g '�* •':. x wr'� ''FEDDERLY,�& ASSOCIATES CHECK R16405 ' 5000. MFA x�rf$^.T5'R'r'�:r35:"x'F$'r X„ i.,::1ss. .v DESCRIPTION „� x " € x rE ' "`�-,TY >` ... s.„`•-_'v'+.J.-;i.:'=,v_ ..if4.LS.:IL ,T23.k..,d.,, .. , xl_ tnv , i`�s�ere, ,�4'�,°r ,� ACCOUNTS v.u�`..'�'��_✓.-3_. vM^`<:...ss.'P.tAv..-,v?'OiF. Sf`.,."nfrv.x.�_.1s1.: 'Y'rii •..., :-, . , "a.'•"C:i•:;b.. s Ctk rk �a�a AMOUNTS r :3..,.:.,-..-:::r._r},s .s..•,,i?,, r-si.v ' ; PAID ' i� : ... 'of' ...a.x.:Ph''__,....%`1:: xPA10 OAT£:: vu+c,_:t":3:,:ieC,rSue_. EXHAUST HOOD PC,' :, 101-0000=42600` 0. $4.83 $4.83 6/16/16> -w,k�,� - i -kms,. S -">n 'K'. s y,�S.1 Y "�i;':d-- T F X '"b` 4?. i. /f�'.k"C „ € a PATO BY 4>t x i -- .. § � � k..+-. ..ti � METI 10,D r TM ,� �, S E:i' � >�. :�F D 3 ':�. �" M F5z s _RN RECEIPT #x Jv>j-}'CHECK#u,_..__.C7Og; � £'w'? 1i"e �.=_ 7 ' ' n, ... C..C,.ni9..c ii. ..,P 'CS.e:.i..._. "a';__ ,z :. {t.J#u _ FEDDERLY &ASSOCIATES . _ .: CHECK R16405 ' 5000 MFA 'U ... .y-'.:m'fE^..,<orf SXiYY, siS 'a•&d' : .`4k'.:' -s E r::r ? tDESCRIPTION 4T.{j fF'; ..dr��nr '!h-..: .:. v: px r;. N 7 i ppm' �F f;. ,�' �f +'Ei*r�'•" �'s''� .im Sf ii.4 AMOUNT:: , :,;�, ;`r p E c Pt!11Q" .I: y _1`�:,��'�.. :: ATE . �PA140 -.FURNACE 101-0000-42402 0,,' $145:04. $145.04 6/16/16 ' ,,h r.gero."'. T``•`� Tr:M�:? ,•IiF,!.. - F {*E. u%: .Y, x w PA i, ... 3 ^`..::. , 2 :a;. �Y§f2, ,C.yi}"E r �i1•., :.: i 1... +''`h�.a, METHOD . "A _ :.. L`• i'g"Av` '�'.� i RECEIPT:# i k'} Y t a R' •» :,u'. .:._ £� >h�„ =� .:. " • . f ` .:.: E. �R .,., , . ... ;, q55; , .r r �, ��<��<, �� e :�� '• +'.ti F=�:Ew �CHECK�# `FEDDERLY &ASSOCIATES CHECK ' ' , j' R16405 , 5000 MFA �� s�•x-,_�'r'�ai-e .k-.'r�%'f ia'X?':'sYL'�-.c 3"-'-'_a.� N�.�i �. �1.Y DESCR! ON � t{ 'x: 4\ aj' �'$n':i.E"=.xL...; ,� ESi P- v. -w t a = § `:' '��x`� F'F`i'.Mk`:�`d:i ,4� 3 .Mom; QTcY AMOUNT ':!y>�i 2 rt ,l x� PAID PAID tyyACCOUNT c_v.,3tz�P.u.._ w.._r.a. K,x%xk -SS:,. 35- 4 �� ,� z <i, r..+a ... JSm,..:Ey _ 4b_i _v:.h.:4>' Tzx: �_ ��asa , ._r..x ..>�->ra..",4�n DATEF < 1010004260 0 6/16/16FURNACEPC p { t+SYSl vui 3 Mlazf: 5{,PRE "`3:.xPA�De$Yf,fi�ca'`CHECK!:^'x: YGl..^,84v--i•!'v''6Y.+ b4. ; 3 x.yga.:;F...'.4 �>h ff51,:�. FEDDERLY.& ASSOCIATES CHECK R16.405 5000: MFA xi.:• 5�,*da:r _s'7r i'c '' DESCRIPTION 3� r•.y.,,+V.'1 3 0; s' y_ ,.'n. . 7 'xk { ACCOUNT 3„s> ur": .:?'Sxrr.uu - k, n, y 'r SRR _� ,r R '"k? " `>' #"*.;4 `v�' 4 r x M. AMOUNTYR N <PAID PAID DAT£ <.. VENT.FAN : , 101-0000-42402 ' ' 0 . $84.63 $84.63 ' 6/16/16 ?.s'.< I . S - rte.' r '� }4 •.r« die !, xk{.x ri .'4::'�es. ,� Nh . :-� ';r x �! AID BY; .:a" ,£ -%z y E .?t.?`'4:..�;.{ '. �:>.�' > •" : Vii. +p i9 r , : c..s a x .c� .:�.Y.. �r u RECEIP, x,._s In gz 4 s' r,METHOODkr ati T �s�'�.ts._ CHECK # FEDDERLY.& ASSOCIATES CHECK R16405 5000 .'' MFA . t i ^.' q :'3i { x, a Y� "',DESCRIR<TIONr*g�> " R'.i�:L�S k L 'C,a'Ys. =,;�? SQw' E.sv', ,Y xstt.:�xz--e:C'bY_rS....-�+.(?rr..:v..a :aT�n�".:'_"'�2e..3 r v'3•t'= a?3„` .k nil "C,. -x% xDy� N T',,��a�.� S4..eMv_4 °F!_s�,... "� ...Lre:4y._HR*✓fl } �� 101-0000 42600 S„zx�R.. h 1'y' 'v 4 X,. '> "3: '•x; �tC,I,TaY ri AMOUNTS $%':;��_'�i i�'S'�...a_=r+=�: �: "��wvx•3»- .s 0. $33.81y., •qA, 'K`a� 'eRY :'i ':. '' .. +i � s PAID � �, q +_: Y..�' xbyS Ps2.5'_ J_: i..Yil $33:81 .S. a' Y' Y: PAID DATE•,.. . ,.Aik:i�s v'3.� 6/16%16 VENT FAN PC.. EhS Fv Y".(.C, r• ,�x P PAID.rBY �;;E. f'yGMETH eL> trywZ�.,;. Y-�YgjSS.v. :'{ , �. {y : �s; OD, ^i N .'+.y't•.E:�.,GT"AZF1' ..�� .SYC .... s kP RECEIPT # .pay CHECK: #h �' X,;< . ?z 0 .::."E M a a `CLTD BY 'FEDDERLY & ASSOCIATES :. CHEGK 1116405 5000 MFA y'Gtc'w�-x DESCRIPTIONz- E -z-1. +<"`_ $x xa. 1 A000UNT e �""':Ce £`xFN AMO,.UNT" ' an �' " Y'.«,.: : ,"'Sfr.➢ iA`; .ir.+:.Y r° ,, .. s ,. ,: H v . #`. r... ;'t;. ..n .r: ''r .+',s.. ..s;n w..3�r, y;. •s. ze EAs- :::rE �' y s.;:" ,.. t �: ....z..c.•, r ' :_'",:'rYr -r6E ._.......",_ v' QTY _... _ ^n• ¢? {�.:..... �'r.s',.r;4•,,. :..,'`M'' , rte. i .r PAID a .ai. ,'T v "'r!,-.t,::,..i 4 E PAID -D' ; « '�{ '+" ,�qTE." WALL HEATER 101-00004i402', 0 . $49-42'. $49.42 6/16/16 . '�-r< i y :_'3'�. Y'e'a Ya .x'Mi..9i ��.` ;..?!$ Sz vT �RC +:Y YxaPAID` BYE_ .i' '�w ,1� 'i]� '�-4'F�Li:"""3�fa t'r,:. .. ��'r`- ET y .'P '�.r .�^w. az. ,{ E� Xx� h'r;• 1'i5r,� F- .":- :aRECEIPT # :.. ��S. �y"a •5?�':Y''f_..:� Qrt,.Yr }�>�.� ii x .t ..�'rl%"�s"r'-'`:!:;a..�i Vii V FEDDERLY. & ASSOCIATES CHECK '; R16405 ; 5000 MFA yE` c "y:. "a;�s`,:,.' .> .a: t . ;5�.:..;.: `E..z� yT.. : � ,�'• '� ',S :� '. xt ,s '"fi"W i " x Y::u��1-Ir-z..>,:xY"'n S �UESCRIPTIONIf }�3.A000.UNT .s• TY. AMOUNT 4 �k PAID vPAID DATE' 'WALL HEATER PC' 101-0000-42600 0 . $24.18 $24.18 6/16/16 ° x '. Si��^}E•"I »` Ks�.Y r"PAIDsBY xf' : Iz ,X a arc '�.� METHODS #a r, wr,: +e •, Txj . 's b` Yr.._..:.. xN a� RECEIPT ti g, CHECKk# v_ .Kx< .a ,,. FEDDERLY &,ASSOCIATES v CHECK ..'. 11164055000 MFA Tota Paid forCMECHANICAL: $692.40 $692.40 �.�.5, 4 _. ( "}rl s-a4{•�y,.<4v..r'tw'2 - n ,iw S XI '.✓"T� EP> s �:r .,%'« as _ �D.ESCRIPTION� �x .�•3�.,,• ,: ...5�� .,xa .A000IINT' : y.: �xm_ . a,,.._,we.t' MULTI-SPECIESRESIDENTIAL 6-'8 UNITS `2015 101-0000720310 0 $1,301.00. $1,301.00 6/16/16 UPDATE }Sb4! of :`yy.. �H 'a'i -�'i' q�ir 4.' �?:a. Yq'gC ,�ryt•`:.i-`..�' 'LV+ a L ,,3 :3 y95e. aSir.Y •P''tTi, F _1::. p.wrf{h' 'E�i .:f r ._ t°f.Ei a>,$'"v x:,i`Y�E'"vP'l v:.�5 --•E RECEIPT # v.-:,k.''1'..`si .a^r Y ,.4 x x`". r5� r.• ,r:; '�'$' ''F 'EFMETHOD n.., r: E z rnxr�.r�nSr:,M.,°w2`. £CHECK #� - �."•.f Y.,_ CLTD BY :FEDDERLY &ASSOCIATES CHECK R16405 5000 MFA Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00'$1,301.00. y ati' j i 3 33aM•f 'R "'&.I: > i reeiS',v. ?S°N�`.s. '` 'F .I:�t' °° 4 n DESCRIPTION a'�In i ti' . f' '. .e y; ly.", x3' RMI.?....E s LICCOUNT �''v N .,AMOUNT e a 9r n get i• Q u.^t':M.-CssvSv,- s Z <t .?s a PAID .��✓s'r ��r, .tet ih�iz......X v:;c-$E??.�._.-S .,PLAID DATE? `' :NEW.CONSTR,0CTIbN,PERMIT � ° '1y0.1-0000-42400:.' .. 0 $706.45 -$706.45 6/16/16 - 5. y+' - &1- '4:' > • ;: :In'va ` 4 ' f �i{^'Yt: H `IY .' 4 G1'a� � ✓rh { # '1"s� f$ t!J� "r x,r �m :.`� PA10=BY a '_�'i'S+3.i V d. h� .` °''4'b - 'i`_ �' �'` .�' d'V fi- t Ft:�_RECfIPl - f 3 -- $:s `Z + '�iC' #�4 $ k YI' .f- {�' '.KS'Y .t"'.�r•,N n y,.METHUD Eli 'i;�.��` ,�.n�•.CHECK� a� r:'�:. Jn�CLTDBY��; fEDDERLY &:ASSOCIATES CHEmv CK R16405 5000 MFA Total Paid`for NEW' CONSTRUCTION PERMIT:, $706.45. $706.45 • {l: hn V k''E" is � . � � !: §�. F ^£ CCOUNT � �+ •q Y' TY � �v s .?{, � '. ns A �t MOUNTIE i X ' Yh��t'"�y-4v. �':.•1IK 'f �'�1 u 1 D;y r ( £•F : E.. 3�v-v }rg 4 "ti 3 � a��.. }}t Q �.. ��'k; ,, yyP_A � �'i €- �'s >> PA10 DATE 0 $10400.00 ` $1,400.00 3/8/16 NEW CONSTRUCTION PLAN;CHECK : , '401-0000-42606 $,"�k.`�°, 7,M R. Q y+5��` "d,YT °� .:e3:':�s S''; •meq y?t.. P ` SfSk ,Ca4> K'�X .alo By H . r�r�= x.:-�:'>r'R.�k..�e.,,x�...rr'i+.Y-.,,.�',��'.:,��:�'.,.....rFz:.yxr,:�t_+�.,°.�'ir'�',,_�ssm`k'(`'Y:E,..�+_',:.�'s.�.±;;_.w'_.�.>��"F�-..� 'r�:.A C"`L °iiX„x •,a e: x:.3, b ..f � x`1' !fit.i ° ! .,. J 1 i Y,ea ^S' e .' METHQD : C 4 L. -. `.;5., .^a' ylY ��*}`'t" 'i . SE F °ai . a°ii , Sfi = RECEIPT#� �cc ...Y' c:,�..-.li xi r•£1 t `\ .x,,' _ aCHECKaI�C1'TDBY; R � . 'v �' , ,� #% .FEDDERLY & ASSOCIATES :. ' CHECK 1113675 1737 RSE' as' x` 'i• t :' v:r5 µ'ii DESCRIPTlONS� k' ,qy. #trt .�- `r Xr �i;. ,r ;.�.:PC.�h' 6-i•"3�i r �a - .. S ."i -E y: :"6 f 4OUN AMOUNT#S�:s,+PAID;] . S3: hhEi:;s(,Y C$. m4"t as3k.s `N -b:S ...:-e'i ..'.1: r�Y,.. �._... i`s,.F M-...::.:� 3<.�_as�tix>7:...xw..�'_xu'..:vn,.'��Y,"!.'t:..�.:;:e�•r.Yn.�"�....s2•�'T"FY.�Y.:�a'.f'Y�?�°w:.:.,,3$Z:tf�_uC. ,ACCOUNTS rt �JQTYE �3�.#'%.Y�F;.".1":': :J'ri.'. 3i�aL. �..'�.�a•XS:+.:.. ?tR ...: <{.x..?.?,4.T a�- i�'di'•�:{�S�k�#�v5!..ieriSRfi�F��i,.f'ea P_AIDroATfs NEW CONSTRUCTION PLAN CHECK , '-'101-0000-42600,• 0 .' $852.92 $852.92 yJ } fit: - Sd.}r^.-r..>= 3� T'k kyr 1, t yr'E r:zn,. y?Q �' .,. Ci. ,..:,• Y METF1QD L. x..k.: k CLTD B FEDDERLY&ASSOCIATES':' : CHECK ; R16405 5000' MFA' Total Paid forNEW CONSTRUCTION'P.LAN CHECK: $2;252.92' $2,252.92 a � r � �.�s, r'° (��c',:'•y�- mhh.;,,�°� �� tt �;.v �f�iu�, �s� -ACE ACS000NT. f -s ;�; 1sgi'� , f �rr�t`�3' ��'-+a � `•' �. z ':�ty:. :y ,<a _. x.4TY k AMOUNTS . rill .'N" `,:.. .101-0000-42401'. :a $12.0b9 .. 0. 9Yr� . 6116Y/F.ec1u 6 `?.#fBA%CKFPLAOIDWSDEVICE ; :a �`��. 'S+y: i\,n # -�� p'f ,.I� ii•fAM't21 X44$1v W2'4 ✓�. �'. t •. b ,a�_: Y _rMETHUD Y# RECEIPT a ...a.: . ".a• 4 , CHECK:,# s" r1' "f`x 4� CL4TD 81' FEDDERLY &ASSOCIATES. CHECK 1116405 5000 MFA . ' "E. fi 1'w d� a..�,::„u's57=-kk _ "` �`t , ;" :: ni'" .?sp i DESCRIPTION, ,x� ..5:;�, #r a.ppSc�T,a i6•: fr'rE'rka `+s�rr��:�� `Sr l'N•i..'ft y.: :.,.< ACCOWhNTr, ,.:.:..s.. y;r -p.,' _ ki: "t ...E ¢Q AMOUNTx TYF k:. x� Y, Y ,: r 3a, y'3 '+' S' y PAID �:.r",a9 d'ME [',.:4`V_"h, PAID UAT€ J• BACKFLOW DEVICE.PC 101-0000-42600'. ' ` 0 $4.83 $4.83 6/16/16 aPAID:BY�r«'3,,_r��s< .... S.°e,-,"='�'-:E1�.yE:�Ms'�'G�_..5��•`:;- t Yi METHOD RECEIPT# ?cit Y b .�"'kba."°t n- -i, .:. ... mix>r'na 490,i..'�....a d§ :.rik, «iwa,.JT+,?k fs.�.::• '.✓'.m e3C1iECK# A,�.�y'�:.Y'k. :3.:t..,a. b t r CLTD' FEDDERLY & ASSOCIATES CHECK . ' :"'; R16405 5000 MFA :<'r'rr.S n z •'i lv.'4-.a '?,.-?3:�x.,a. c r : __,-,' a. S DESCRIPTIONS ? f .r">.-Exfy.4'rta7.pt:. . 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CSI.i. ya..Yi,.:. i'�..r d L ✓ T' �y: "'"'y,. r��30.y fu,'..Yur�_W'Yi•iYSS:r S^^� -'.•:. r.`t,+ iYy... .. &'.�'.#f+x.-. ... ,, .alai � 2 s.t a,_y+. _re€?:. X,..., . �4. ..;,rnL4.sw•�W FEDDERLY & ASSOCIATES:.CHECK R16405 5000 MFA r+.r.. -:xc� 1'r": , r � D� s k" tx�.�.��>r5��;„v .`. i;i.> i>: y x<.,zi'�..:.v'ssrri."z'f'+n e e ACCOUNT � ;,.�^no»r= c�i_>,=,-'`..'x tf r r QTN �� AMO,UNT.,�` ,.::�*1:.3T. s+`=a 3, .ESCRIPTI°ONc '�;,��;�� PAID ��,�`��y PAID 'FIXTURE/TRAP,, 10170000-42401 0 ' $24.1.80' $241.80 6/16/16 .'n`-^,i'il:ti'1',X ,,Y.-+�.'Ei Sf'TYtf`a.'24 eF'P^"'i"�N":Yi �•1 dS. ,<�Y+Ya .5..a 1y., 7•i. PAIp BY k"•pri"Yx1RtF YR'C�' I!a'i'1.�..n fr..z{ OZi,sV ,CYC>..i a .., '>,. :f f'H`ri ".I'..«?4 ;, .�:..R s%`.]. METLiQD "N i{t w, to RECEIPTu# ^ � _ E , � s FEDDERLY & ASSOCIATES CHECK R16405 5000: MEA. x U§` a axD.ESCRI?TION,g ��t:. 4r 4 y "Inn ACCOUNTS�1 r QTYv t.ad-t Se"' JG >.`i3 (6'Q :AMQUNT i< •PAID; �k x: . v''.� .., A:aL'+... FIXTURE/TRAP.PC 101-0000-42600- � D $241.80 $241.80 6/16/16.- . h'��?" 4��dEl>`-Y' 1 �:: •,ie Y.I. <,�*�'i": t'S-., i. S� �tY h. '�: 9: vE'. x54-1 -.k ... �1� -£. ...:5-�'yF 4.. s�{ � �7, �� .. : g - :.� TE`•G v�L -. "5'S i �5sh xN �CLTD FEDDERLY '& ASSOCIATES CHECK R16405 5000 MFA c si �>•''c n.PS+'x &�.: "kX a R" . S` 4.. 3 l.tS ACCOUNT QTYAMOUNT aw `iii s'E'.".'t"„�h^ .P,AID pc ,DESCRIPTION a { ?r i.,.m ._x..n.['-h. tS•SY,fifi�. 4_.a._ ,. tt z:,{ WY x .•l.fr .ti3T✓'�wlim;As:(4Gk�"r'.i f :i�Jrrh_,i i.. xf .S"i-r iuy s�£..:$i :kr._9i3. �,.. cf ,kr,:Lv�. _:, * ., ?.:. .'c -A '.,.a.dA nl✓.,,b.M i�,.it,.f. N -z P. , t gID GATE i ,_ _ro'f, n<w_ E-,,., GASSYSTEM; S+ OUTLETS 101=0000-42401c.' 0, . $36.26 $36.26- . 6/16/16 "n,+'E�`5•'L4'"§L+,'{ie, x tf.+d.F. . ; Ef Y- - u, .R• ._r i. �<> .#Py :}Tf F. x 'mak ' S . . L'h PAIOBY,z.x _ . "}-: P ��" �.. �. :fi.rn•'Yt .�i` a, x�' x.,METMOO t.£��4�z <d: 4. 1'wx .:. �t, ,N .x.t ''ate. H, �'45>k y R �i "1 'RECEIPT# y Ney,Y „ 'nP 'Gtsa r.4i Lx >F 'lr', 1sa M. M. -, ._ � <* :ACHE, FEDDERLY & ASSOCIATES CHECK R16405 5000: MFA.... ------- 2` �� : DESCRIPTION dw `!AM ACCOUNTS QTY AMOUNTP AIO � VAI x n� f� r a. � _.':.?S:. Elm DATE;� GAS SYSTEM, S+.OUTLETS PC ::101-0000-42600' ' 0 - $24.17 ; .: -. $24:17 _,Y C'zYL.:.:�. v.. .nn ;G3 'r --',- M i . IlMmlt -y£ : t, 'i''x.: �'' tGh k fir<y" "«,� PAID Ba < L<EX,xf3`,:.. ,-..<•z�{s ..,t;, v tx. if :>-v-.�:=:x�• s.- `? hr METHOD £, sX,d..�._''"3,'St'.d<��=L n.ID7?:.�?5�' !, s ,dx .€..-¢ ' RECEIPT'S#ff Y� x. { EuJ:+,`�"�,E.E ,Ts-�.:€L1 <hJ..:.>�.jc. Ysd!,sar : CiTD 8Y '.,FEDDERLY & ASSOCIATES :.- _ '- CHECK R16405 5000. MFA :.5� 4Y�_T �E Z'd .1e?4 .�> s•�S .s;: 'iYK.. »14-: ><f P"�"' "'. ."di.s ¢tDESCRIPTION t is :,. ^s+. :?'.r.3i„3T«x`"rM'+st•-<:S'.. s �i :ACCOUNT Y tv QTYAMOUNTa�PAID r. rx aF�Y. :. sou#,'�`�.I` :�.'t `�tiz"p.�}r-.' 34. ,:. �.. Witi , €- a.x?. c=E'n t..e.t., _ .x.s �. x' P u c3 5, i :. d �„xa,.>as cxfs.c_ PAIOflA7E ROOF DRAIN . 101-0000-42401' 0$241.80 $241.80 6/16/16 " �,._ s PAID BY Y ^ ' � '� � �METt1U0 T,' "+q i q k �fi.:x.-::s « t' X ,�_ t� RECEIPT # ?oaf' .r:�l.:,,n '� ,'�,,.'.:'�s. h 'e; a:u. �..stir':f•.: 2 t �- Gt 5?,...::X,S�..;,1�:��....tx'�Ek � f ,� ��:�_::3g rfra.:.:s;..:a"f ,.,. v, .'E�:.:.:.r _,. .,.�"t ,., .� , 4 ..,�q� ,;� :d;d;ls%z�; , -FEDDERLY &ASSOCIATES - CHECK R16405 - -5000 MFA ... . x2'S,.�Y,.•'C•C'.: X?.. `Y''3�� :-,."tSs A ..xjf.,ijs...d &x i.. ., 3xY"'Yv� �t,''?5i�Y•a rFtsDESCRIPTION , <sc'. �?,� F�"g',,.,th( . .<,-.->.. a dpi , w • 3 5}3; sS CCOUNT u£ „ wV QTY AMOUNT i MOM PAIDPAiO 1Y lFf 4 r >.a.> c ...�.. ..,_,.... .. :,.:.,r -::+.:'- `i,•52<'�::..rv..tk'.'„,i.h.riK .... �' �., .: ,-,X•, 'fS.>{'C:fo-.'.'a'wHl 6. _.`�, eri,l t'i. ek2.. =t3,t.:.t. s , �Y'''�k. ..i...F4. S>. S�'Sz•.,..�`4t �+,',i��-:'a x, a..1Y. ekx:» , e,.i :,t:.:?:.:. OATE;y `T-,r°x,Y-.`>. <?f'F +? `ROOF DRAIN a 101;0000-42600 0 $24'1:80 $241'.80 6/16/16" £'s'J'�IE k(. z 1j. �.. il�.h,+b''�£q ,,• �� P ��a�i��`Yd'l ,-xfifi't�-°"'0.E'Yxr.• w "�+4�.. I.D`; MINN {-�,s�rT-,+-' 4�')C�.'� ` f :K Mfk 9�_Ssv£s'y'^`y�vd� Z kj°t.,,t.,r;ye` ', 4:T4a{"�>!Y�S {F�'' �'�x..i�^A� �'Tf..:°> 5e.v'., x �.Se`,?I K:Y...-z>.`` y . tE�.f9�Yv...:: R ✓CHECS kYx` . .{£�B'x.`n,"w-yY ��bY�'q .P.-AJ�,'.,,�� _ �E �,`' ,�5.: s..._�� . �.,'RECEIPT ��E"K,#�� a-. $�.� �s$ �3ir � FEDDERLY & ASSOCIATES ' CHECK R16405 5000 MFA W �'�?b�°i r4•w s'd:``3�LM xx:e;bx5ms Si^ kI{PxS :. ,.st. '� t ''� P-TIONa<xwF` ' �C::i t<F� -ik �t K'�•�'SAu..` 'SE tr',£.: �r< K `td } H "E 1 ., ., Q1Y � : L'�rcx.<>cxi.�'^'�Y�».,^�r+, Yt4:P. ! r 4J AMOUNT ty�ji_x.�y{„¢. Yt't' X�v,- a.txF. 3-.�[� i - 4 £t b :� .. t �.'s°5�,. ,,4.'ul.... r , r sF3x Y ,ACCOUNT�s�� ? a�iPAID�t _, a,•xk.. rro-."�W.r�1 ., tea.«,, $24.18. tf _.+.aa,««">."�#C_•aat..t%�.u.€i:. $24.18 PAIO DATE P�i.a.¢d..w..'�.:s.a _'.x WATER HEATER/VENT 101-0000=42401 .0 6/16/16 •" £ys�,.n"4 h .,,' y f,�'_-: z{cSYie>„i, ME7HUOd ..ii4: .,§ ."+T`� :4 st3 wz zt k'•.: ail t RECEIPT# C r HE K. P/yE FEDDERLY &ASSOCIATES CHECK R16405 5000 MFA �'`�,,�� d, 70ESCRIP��•s °� r, �� ' : , � $ r TION '4�. S ' iih-,� � 3 , :N•;' Y< .^�'ii',C .,., . 'wsx$yy">.,. QTY s' AMOUNT' 'V Y '..•� j�.Ey `PAIWEN Y` _:: .:<1 , «T �PAIDD`ATE x u, _x'taee`,.?'*F i1-,.5..:: x ,47 -i�. h iiY 1 ! a.3. Y,a=...azP'T'fi'°aS .E x" a'F NH k¢ C.WATER.-HEATER/VENT.PC :' . 101-0000 42600.$14.50'. 0 '. $14.50 6/16/16 "•'-r�F'-i: s- 4.i..'3'a,wr rxi a.-'�J�c,.� as:.a^..w''« >«�,-...,s�c,k a a�PAID BY n ",; *c.., vz' l ,� �z.;3fs'r hrt+� q xzMETHOD °.�, RECEIPT r o CHECK .'iw`.A w # sCLTD81( w ; ; FEDDERLY & ASSOCIATES :, " . " CHECK R16405*5000 MFA _£ " EIM .-s• ;:._` N l ;�»xTCY.,�v�. yk5h ') a':t:X' t '4=ie.• ,.: 3 gaDESCRIPTION fix„ - ,° 9'k icC" 3-. - A^t£.v.t"...s`s'ta' S E s S ACCOUNT r .?,',•'> Y%,a ? <u:o,> ;, f QTY AMOUNT e r gS a 2S?..:w Via..__, 3..;,._ sxs _n �. :.tl..aakaf ��.. .:.�t-f;-.-_._..,v;sis_E�r"a„a.zs?aJ.,;.;...«:.'='s. �x P is ....�s. ><._.. &i x_k.' 1_,_-s16 �i ..,_ PAID « �..�_:�..._.._._...�wYa�'S_4.,..�..��ti� PAID3DATE, _,+.a.+s..;A WATER SYSTEM INST/ALT/Rt'P `: 101' 0 00-424081, 0 $12.09 - $12.09 b%16/16 5-"�..SS s PAID BY F M Y.U.g . x.53,, ''aS4"'f ;.1.-,4; k• Y . ., .:FT S r a METHOD ,,.�'Cr i {i...: f� '� �..[r" k i1'3,�;. m.T.,.c,: 1 iy 'i" 13 ✓ ECEIP:#�H X.ri cr.i y , �.. ,.•±'R y; S h ,., .4E �,:,: 4.,.,._v,. , F.3.:?3 a.,,.T :_^r �,R x E K�# � Ctr" �tCLTD Y B FEDDERLY & ASSOCIATES ' ', CHECK :' R16405 5000 MFA �xb k ter- DESCRIPTIONS* � _ ��*_ � : � �t � P�•r;ACCOUNTd< � � � � TY � AMOUNTS _� '2 �� °�- �`'�< � � ?� �- WATER SYSTEM INST/ALT/REP PC ' ; 101-0000-4260Q? 0 $12.09 :' $12.09' 6/16/16 ','{°%x,{fA�, zz ` 111-5 T.>�',lC.$,sIN, Rill zY� {PAID BYw, 111- METI QD x,E *ter. "E ht x #f M .,x -t�:a.. t,� < a x a ..RECEIPT x ;CHECK K,F' '.ze.....;:.e'� FEDDERLY &.ASSOCIATES CHECK , R16405 . 5000 MFA Tota) Paid•for PLUMBING FEES: $1,131.59 $1,131.59 ` key {Z k'TY ...=>,',.t..,.N 'KI SXS -'i' f• tCDESCRIPTION�a« Ell �Y$+r Z-. {i�c .r:ll,\-_ .Y {5- bc3.'' Ti Ty,s?,.f: 1 ACCOUNT, - QTY :.:N-... MZ .;»'S?s.42-" ..z�. AMOUNT. "i: �,.7..!s .:i. F� .: 0 6,•``' , a'�"... :"k.a3 <,l. _ rw :�QYk::w �. .... -r .• ', 5:.,.:..-:.:n> ; y.. A:'�<;„`%. x xxk &• s>i.r:_. «..--., ,. t 5 PAID DATE SMI -RESIDENTIAL : 101-0000-20308' • . 0 $54:87 $54.87 6/16/16 �`�— ii r". •,w'^'^Yv'^s..9YYiwor*'svwpye Y '.PAIL) BY x :.3 ' !W°'^x^y"wf'u""'..".4...pS.f.u°gv,W+.r+. "`YRECEIPt# ` '} ¢*. an+'E*'.v#+.�+,.,y:,•mn. _ `.w`.CHECK# Yvrh..'#wss_.0 >r.y.. 'XLTD'BY � ., METHOD _- r ?:", -' FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $54.87 $54.87 DESCRIPTION. QTY AMOUNT.k' u PAID ' PAID,DATE, SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 6/16/16 pw`� ! x, " i EIPT# CPAIDBY CH t CE BY,METHOD LTD FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:04 Description: ROB & SHARON JACKSON / SINGLE FAMILY HOME Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 3/8/2016 RSE FAMILY DETACHED Approved: 6/16/2016 MFA Parcel No: 775170029 Site Address: 55350 CHERRY HILLS LA QUINTA,CA 92253 Subdivision: TR 25397 Block: Lot: 29 Issued: 6/16/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $422,110.90 Occupancy Type: Construction Type: Expired: 12/.13/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 E-MAIL Details: THIS PERMIT DOES NOT INCLUDE POOL,SPA, BLOCKWALLS, DRIVEWAY APPROACH, BBQ, FIRE PIT, OR WATER FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. ADDITIONAL SITES Applied to Approved Approved to Issued* Printed:. Thursday, lune 16, 2016 2:06:08 PM 1 of 8 r 1..1 SYSTrms CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL BURT HANADA 6/14/2016 6/14/2016 EMAILED NICOLE OF FEDDERLY WITH OUTSTANDING ITEMS, SCH FEE AREA CERT AND BUILDING PERMIT FEE INVOICE. PLAN CHECK PICKED UP RAMSES SEVILLA 4/6/2016 4/6/2016 NICOL PICK UP PLANS PLAN CHECK SENT TO .OUTSIDE PC MARY FASANO 5/27/2016 5/31/2016 PLANS LEFT ON RAMSES DESK. I PROCESSED TO YOUNG PLAN CHECK SENT TO RAMSES SEVILLA 3/8/2016 3/8/2016 • OUTSIDE PC PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/8/2016 3/8/2016 RECEIVED TELEPHONE CALL BURT HANADA 3/29/2016 3/29/2016 notified Nicole that correction list and plans are ready for pickup. CONDITIONS Printed:. Thursday, lune 16, 2016 2:06:08 PM 1 of 8 r 1..1 SYSTrms CONDITION. CONTACT DATE DATE bATE ' STATUS REMARKS NOTES TYPE ADDED ` REQUIRED , SATISFIED HOA APPROVAL REQUIRED. RECD 6/14. BTH READY TO ISSUE ACCOUNT CITY ; AMOUNT PAID PAID DATE RECEIPT # NOTE: SCH. FEE AREA CERT FORM CREATED CHECKLIST BURT HANADA 6/13/2016 COMPLETE 6/13/16. SENT TO NICOLE 6/14. BTH BY ART IN PUBLIC PLACES - SCHOOL CERT RECEIVED. 6/16/16 0 F$555.27 $555.27 6/16/16 R16405 5000 CHECK FEDDERLY & MFA RESIDENTIAL CONTACTS NAME TYPE. NAME. -AbDRESS1 - CITY STATE ZIP pHbNE, FAX MAIL EMAIL- APPLICANT APPLICANT FEDDERLY & ASSOCIATES 78206 VARNER ROAD PALM DESERT CA 92211 (760)360-9998 (760)360- 101-0000-203060 $17.00 STE D #248 6/16/16 R16405 5000 CHECK 9903 MFA CONTRACTOR FEDDERLY &.ASSOCIATES 78206 VARNER ROAD PALM DESERT CA 92211 (760)360-9998 (760)360- ASSOCIATES STE D #248 $17.00 $17.00 9903 ENGINEER REZA ASGHARPOUR 77570 SPRINGFIELD PALM DESERT CA 92211 (760)360-9998 (760)360 - LANE SUITE D DIF - CIVIC CENTER 252-0000-43200 0 9903 $942.00 OWNER ROBERT and SHARON JACKSON 17827 159TH AVENUE WOODINVILLE WA 98072 (760)360-9998 (760)360 - NE ASSOCIATES 9903 DIF - COMMUNITY Printed: Thursday, lune 16, 2016 2:06:08 PM 2 of 8 sysTrms • FINANCIAL • CD DESCRIPTION ACCOUNT CITY ; AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 F$555.27 $555.27 6/16/16 R16405 5000 CHECK FEDDERLY & MFA RESIDENTIAL ASSOCIATES Total Paid for ART 1N PUBLIC PLACES - AIPP:• $555.27 $555.27 BSAS SB1473 FEE 101-0000-203060 $17.00 $17.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES Total Paid for BUILDING STANDARDS ADMINISTRATION $17.00 $17.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 6/16/16 R1640S SOO CHECK FEDDERLY & MFA ASSOCIATES DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA CENTERS .. ASSOCIATES Printed: Thursday, lune 16, 2016 2:06:08 PM 2 of 8 sysTrms Printed: Thursday, June Jc�8 c§~°w."'=" DIF FIRE PROTECTION 257-0000-43260 0 $433.00- $433.00 6/16/16 R1640 . 5 5006 CHECK FEDDERLY & MFA ASSOCIATES FEDDERLY & DIF LIBRARIES 253-0000-43200 0. $344.00 $344.00 6/16/16 R16405 5000 CHECK MFA' ASSOCIATES DIF - PARK 256-0000-43200 0 $40.00 $40.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA MAINTENANCE 'ASSOCIATES ASSOCIATES 255-0600-43200 0' $116.00 $116.00 6/16/16 R16405 5000 CHECK MI'A MAINTENANCE ASSOCIATES DIF - TRANSPORTATION 250�0000-43200 0 $2,842.00 $2,842.00 6/16/16 R16405 5000 CHECK MFA ASSOCIATES Total Paid for DIF - SINGLE FAMILY DWELLING:. $6,894.00 $6,894.00 APPLIANCES, RE5 101-000042403 0 $24.18' $24.18 6/16/16 R16405 .5000 CHECK IVIFA ASSOCIATES APPLIANCES, RES P.C. 101-0000-42600 0 $24.18 $24.18 6/16/16 R16405 5000 CHECK IVIFA ASSOCIATES TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 6/16/16 R16405 500.0 CHECK MFA ASSOCIATES TEMP POWER SERVICE 101-0000-42600 0 $16.92 $16.92 6/16/16 R16405 5000 CHECK FEDDERLY & IVIFA PC ASSOCIATES Total Paid for ELECTRICAL: $89.45 $89.45 RESIDENTIAL, EA 101-0000-42403 0 $73.98 $73.98 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ADDITION 1,OOOSF ASSOCIATES RESIDENTIAL, EA 101-0000-42600 0 $30.48 $30.48 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ADDITION 1,OOOSF, PC ASSOCIATES RESIDENTIAL, FZT-7r 101.0000-42403 0' $145.03 $14S.03 6/16/16 -1116405 5000 CHECK FEDDERLY & MFA Printed: Thursday, June Jc�8 c§~°w."'=" DESCRIPTION ACCOUNT QTY ........ AMOUNT. -.PAID PAID DATE RECEIPT # CHECK #: _ METHOD PAID BY CLTD BY RESIDENTIAL, FIRST 101-0000-42600. 0 $47.86 $47.86 6/16/16 R16405 5000 CHECK FEDDERLY & MFA 1,000SF, PC ASSOCIATES Total Paid for ELECTRICAL - NEW CONSTRUCTION: $297.35 $297.35 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 $36.26 $36.26 6/16/16 R16405 5000 CHECK FEDDERLY & MFA HOME LOT >7KSF ASSOCIATES RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $181.29 6/16/16 R16405 5000 CHECK FEDDERLY & MFA HOME LOT>7KSF PC . ASSOCIATES -Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 $145.04 $145.04 6/16/16 R16405 5000 CHECK FEDDERLY & MFA SOR ASSOCIATES CONDENSER/COMPRES FEDDERLY & 101-0000.42600 0 $96.68 $96.68 6/16/16 816405 5000 CHECK MFA SOR PC ASSOCIATES EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES FURNACE 101-0000-42402. 0 $145.04 $145.04 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES FURNACE PC' 101-0000-42600 0 $96.68 $96.68 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES VENT FAN 101-0000-42402 0 $84.63 $84.63 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES VENT FAN PC 101-0000-42600 0 $33.81 $33.81 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES WALL HEATER 101-0000-42402 0 $49.42. $49.42 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES Printed: Thursday, June 16, 2016 2:06:08 PM 4 of 8 i sys•rrMs DESCRIPTION ACCOUNT QTY AMOUNT PAID ?'PAID DATE RECEIPT# :CHECK #°� METHOD PAID BY .. :. BY -. WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 6/16/16 R16405 5000 CHECK FEDDERLY & MFA• ASSOCIATES . Total Paid for MECHANICAL: $692.40 $692.40 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-203100 $1,301.00 $1,301.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES - 2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00 NEW CONSTRUCTION 101-0000-42400 0 $706.45 $706.45 6/16/16 R16405 5000 CHECK FEDDERLY & MFA PERMIT ASSOCIATES Total Paid for NEW CONSTRUCTION PERMIT: $706.45 $706.45 NEW CONSTRUCTION 101-0000-42600 0 $1,400.00 $1,400.00 3/8/16 R13675 1737 CHECK FEDDERLY & RSE PLAN CHECK ASSOCIATES NEW CONSTRUCTION 101-0000-42600 0 $852.92 $852.92 6/16/16 R16405 5000 CHECK FEDDERLY & MFA PLAN CHECK ASSOCIATES Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,252.92 $2,252.92 BACKFLOW DEVICE 101-0000-42401 0 $12.09. $12.09 6/16/16 R16405 500 CHECK FEDDERLY &.0'. MFA ASSOCIATES BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 6/16/16 R16405 5000 CHECK FEDDERLY & MFA. ASSOCIATES BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES FIXTURE/TRAP 101-0000-42401 0 $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES FIXTURE/TRAP PC 101=0000-42600 0 $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 6/16/16 R16405. 5000 CHECK FEDDERLY & MFA OUTLETS ASSOCIATES Printed: Thursday, lune 16, 2016 2:06:08 PM 5 of 8 Uff SYSTEMS DESCRIPTION. ACCOUNT '. CITY ;AMOUNT PAID 'PAID DATE RECEIPT # 7. PAID BY BY ;. GAS SYSTEM, 5+ 101-0000-42600. 0 $24.17 $24.17 6/16/16 R16405 5000 CHECK FEDDERLY & MFA OUTLETS PC ASSOCIATES ROOF DRAIN 101-0000-42401 0 $241.80 $241.80. 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES ROOF DRAIN PC 101-0000-42600 0. $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES WATER HEATER/VENT 101-0000-42401 0 $ $24.18 6/16/16 R16405 5000 CHECK FEDDERLY &.24.18 MFA _ ASSOCIATES WATER HEATER/VENTFEDDERLY 101-0000-42600 0 . $14.50 $14.50 6/16/16 R16405 5000 CHECK & MFA' PC ASSOCIATES - WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 6/16/16 R16405 .5000 CHECK FEDDERLY & MFA INST/ALT/REP ASSOCIATES WATER SYSTEM 101-0000-42600 0 .$12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA INST/ALT/REP PC ASSOCIATES Total Paid for PLUMBING FEES: $1,131.59 $1,131.59 SMI - RESIDENTIAL 101-0000-20308 0 $54.87 $54.87 .6/16/16 R16405 SOOQ. CHECK FEDDERLY & 1 MFA ASSOCIATES Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $54.87 $54.87 SINGLE FAMILY 224-0000-203200 $1,837.44 $1,837.44 6/16/16 R16405 5000 CHECK FEDDERLY& MFA DETACHED ASSOCIATES Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1;837.44 TOTALS:i4$16,047.29 INSPECTIONS Printed: Thursday, June 16, 2016 2:06:08 PM 6 of 8 sysrrres 1ST BLDG NS (3 WK) BURT 3/8/2016 3/29/2016 3/29/2016 REVISIONS REQUIRED. BOND INFORMATION HANADA $UBDIR ETRAKIT.ENAB;LED Attachment Type 1ST BLDG STR (3 JOHN 3/8/2016 3/29/2016 3/29/2016 REVISIONS REQUIRED 1ST CHECK NON WK) THOMPSON DOC 3/29/2016 BURT HANADA STRUCTURAL DR.docx 2ND BLDG NS (2 BURT 5/27/2016 6/13/2016 6/13/2016 APPROVED WK) HANADA 1ST REVIEW 55350 CHERRY HILLS 2ND BLDG STR (2 BRONZ S/27/2016 6/13/2016 6/13/2016 READY FOR APPROVAL • WK) YOUNG SIGNED 1ST PW GREEN AMY YU 5/27/2016 6/6/2016 6/2/2016 READY FOR APPROVAL 6/13/2016 BURT HANADA SHEET mount.pdf 1 infratech-- referenceman Printed: Thursday, lune 16, 2016 2:06:08 PM 7 of 8 SYS7fMS BOND INFORMATION $UBDIR ETRAKIT.ENAB;LED Attachment Type tREATEO OWN Ft ATTACHMENTS OESCR(PTION . °� PAT HNAME 1ST CHECK NON 55350 CHERRY HILLS DOC 3/29/2016 BURT HANADA STRUCTURAL DR.docx 1 CORRECTION LIST 1ST REVIEW 55350 CHERRY HILLS DOC 3/29/2016 BURT HANADA CORRECTION LIST - DR..pdf 1 SIGNED INFRATECH -W-61-flush- INFRATECH -W-61-flush- DOC 6/13/2016 BURT HANADA mount.pdf mount.pdf 1 infratech-- referenceman infratech DOC 6/13/2016 BURT HANADA ual.pdf —referenceman ual.pdf 1 SCHOOL FEE AREA CERT SCHOOL.FEE AREA CERT DOC 6/13/2016 BURT HANADA FORM - 55350 CHERRY FORM - 55350 CHERRY 1 HILLS.pdf HILLS.pdf DOC 6/14/2016 BURT HANADA GRANT DEED - 55350 GRANT DEED - 55350 1 CHERRY HILLS.pdf CHERRY HILLS.pdf BURRTEC DEBRIS BURRTEC DEBRIS DOC .6/14/2016 BURT HANADA MANAGEMENT PLAN - MANAGEMENT PLAN = 1 55350 CHERRY HILLS.pdf 55350 CHERRY HILLS.pdf Printed: Thursday, lune 16, 2016 2:06:08 PM 7 of 8 SYS7fMS Permit Details PERMIT NUMBER e City of La Quinta BRES20%,z, 06$ s 'I ti Printed: Thursday, June 16, 2016 2:06:08 PM 8 of 8jJ ,sysrrnns ATTACHMENTS Attachment -Type - =:CREATED :. " " OWNER' tSCRIPTION PATHNAME SUBDIR ETRAKIT.ENABLED ._. DOC 6/14/2016 BURT HANADA HOA APPROVAL - 55350 HOA APPROVAL - 55350 1 CHERRY HILLS.pdf CHERRY HILLS.pdf DOC 6/14/2016 BURT HANADA SOILS REPORT - 55350 SOILS REPORT - 55350 1 CHERRY HILLS.pdf CHERRY HILLS.pdf BUILDING PERMIT FEE BUILDING PERMIT FEE DOC 6/14/2016 BURT HANADA INVOICE - BCOM2016- INVOICE - BCOM2016- 1 0068 - S5350 CHERRY 0068 - 55350 CHERRY HILLS.pdf HILLS.pdf 2ND CHECK - 2ND CHECK - DOC 6/13/2016 BRONZ YOUNG STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf DOC 3/29/2016 JOHN THOMPSON Soils_Report_Scope_BR Sol ls_Report_Scope_BR 0 ES 2016-0068.pdf ES 2016-0068.pdf 1ST CHECK - 1ST CHECK - DOC 3/29/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 1ST CHECK - 1ST CHECK - DOC 3/29/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc Printed: Thursday, June 16, 2016 2:06:08 PM 8 of 8jJ ,sysrrnns 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �r �F•�Q,�;,�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2016-0068 Property Address: 55350 CHERRY HILLS APN: 775170029 Application Description: ROB & SHARON JACKSON / SINGLE FAMILY HOME Property Zoning: Application Valuation: $422,110.90 Applicant: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 effect. License Class: B License No.: 762889 Date: lY Contract0 ��/j��1J/l/ls 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 applicarit 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).: (_) 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 thereorl, and who does the work himselfor 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.). (� 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 Lender's Address �irypF �lpp eke: 6//', Owner: ROBERT and SHARON JACKSON Fp99TtiiF,yT Contractor: FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 (760)773-5205 Llc..No.: 762889 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: Carrier:.. Policy Number: 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. � uDM1A/0L► 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 Quint a, 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 eriter upon the above-mentioned property for inspection purposes. / Date: �1 1 la Signature (Applicant or Agen : FINANCIAL INFORMATION' DESCRIPTION,: • ACCOUNT QTY `'' AMOUNT' PAIDt PAIDDATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $555.27 $555.27 6/16/16 y PAID BY . , -, METHOD ` ' RECEIPT # " ,, CHECK # N 4 CLTD BY.> FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for ART IN PUBLIC PLACES - AIPP: .$555.27 $555.27 DESCRIPTION':, :ACCOUNT`;' "QTY ",AMOUNT• ,'° x '' PAID PAID''DATE BSAS SB1473 FEE 101-0000-20306 0 $17.00 $17.00 6/16/16 PAID BY . .' METHOD , f;,. RECEIPT # CHECK # r, i' CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $17.00 $17.00 DESCRIPTION " _ ACCOUNT ` QTY - AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00: 6/16/16 PAID'BY METHOD s ' �' RECEIPT # CHECK # ° �' CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION:, .' _. �. ACCOUNT QTY^, `'AMOUNT-1- _ PAI Di IP AID:DATE:' DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 6/16/16 PAID BY °- METHOD .. M : RECEIPT # CHECK # CLTD. BY FEDDERLY & ASSOCIATES CHECK 1116405 5000 MFA .DESCRIPTION; °° ACCOUNT >;; `� -,QTY ., AMOUNT' PAID"'PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 6/16/16 PAID BY'.. :. =w T: METHOD p'= '' .' RECEIPT # CHECK # ay CLTD BY , FEDDERLY & ASSOCIATES -CHECK R16405 5000 MFA DESCRIPTION ' ACCOUNT Iw QTY._ AMOUNT; PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 6/16/16 PAID:BY, Y- . i MEHOD" sy'RECEIPT# t,. f BY .. FEDDERLY & ASSOCIATES CHECK 1116405 5000 MFA :.DESCRIPTION' ACCOUNT - �;� } QTY AMOUNTa. " '. PAID ' ,PAID DATE':' DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 6/16/16 `PAID; BY METHOD ` `RECEIPT # "',� CHECK # 'CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA E' 'DESCRIPTION "' " ` ACCOUNT: QTY . °'iAMOUNT `.4 PAID 'PAID DATE. DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 6/16/16 .r zR . PAID BY METHOD , ;:RECEIPT # CHECK44, '; , CLTD BY'" FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION. ACCOUNT` °:: f ,QTY , . AMOUNT.-- ' ` PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 '6/16/16 PAID BY :: " METHOD •` H`•,RECEIPT # - CHECK # r CLTD BY':e FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA - DESCRIPTION `4 " ACCOUNT ': QTY. ';.' AMOUNT :: PAID' , - "PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 6/16/16 �;.. g PAID`. BY ` . :' �, �.�H x METHOD � �� ; `RECEIP,T # ::� � r . CHECK:#.;, LTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894:00 $6,894.00 DESCRIPTION ;:' ACCOUNT :;` QTY AMOUNT ' PAID PAID..DATE` APPLIANCES, RES 101-0000-42403 0 $24.18 $24.18. 6/16/16 PAID .BY, METHODT ' "'RECEIPT #F �' CHECK # CLTDBY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA 3DESCRIPTION YACCOUNT . QTY• AMOUNT PAID ' PAID.`DATE: APPLIANCES, RES PC 101-0000-42600 0 $24.18 $24.18 6/16/16 ' ` PAID.BY ' w w k METHOD RECEIPT # T, t ;`z" CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA ACOUNT >, Nj —PAID PAIDDATEDESCRIPTION TEMP POWER SERVICE 101-0000-42403 • 0 $24.17 $24.17 6/16/16 . PAID:BY x :.;; P; METHOD RECEIPT # HECK # F C a a CLTD BY ` FEDDERLY & ASSOCIATES . CHECK R16405 5000 MFA DESCRIPTION ' `.ACCOUNT QTY AMOUNT° PARD "RAID DATE,'. TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 $16.92 6/16/16 `PAID.BY ' ~` ;'METHOD r RECEIPT# CHECK# .. CLTD BY " FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for ELECTRICAL: $89.45 $89.45 ' `"• ' a ,ACC Y AN° T PAID.PAID'DATEDESCRIPTION RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $73.98 $73.98 6/16/16 a PAID BY' a, x METHOD < RECEIPT # CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK .1116405 5000 MFA -';DESCRIPTION r. ACCOUNT '.F 1 QTY " AMOUNT' w RAID PAID DATE: RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600. 0 $30.48 $30.48 6/16/16 PAID;BY METHOD RECEIPT # CHECK # ; CLT FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA ' <'DESCRIPTION ''' " ACCOUNT '' QTY AMOUNT �, s 'PAID PAID.'DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 6/16/16 ` :BY PAIDg Y , xr METHOD :RECEIPT-4 ". CHECK # `CLTD BY . FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA 4 ;DESCRIPTION .. -ACCOUNT `-� , . `: <QTY AMOUNT. PAID PAID::DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 6/16/16 Y= PAID BY .� - "� METHOD -:RECEIPT # ; CHECK # CLTD BY9 FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $297.35 $297.35 ('DESCRIPTION ': ` ` ;ACCOUNT , '° QTY AMOUNTt PAI PAID. DATE:. RESIDENTIAL PRECISE GRADING -CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 $36.26 6/16/16 PAID BY:, ' METHOD s ` <" RECEIPT # CHECK # CLTD BY: i. FEDDERLY & ASSOCIATES CHECK. R16405 5000 MFA w�DESCRIPTION - , ...i a=. ACCOUNT" ;x.. QTY AMOUNT PAID PAID DATE. RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $181.29 6/16/16 HOME LOT >7KSF PC ' PAID'BY',• - ;Z. F a METHOD ' RECEIPT #c,' CHECK # _ CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA " Total Paid for GRADING: $217.55 .$217.SS DESCRIPTION e- w,. -:,,:ACCOUNT C:" QTY: AMOUNT a PAID PAID DATE h .. CONDENSER/COMPRESSOR 101-0000-42402 0 $145.04 $14S.04 6/16/16 PAID BY �' € _ < METHOD RECEIPT# CHECK # : CLTD BYx- ;"4� , FEDDERLY & ASSOCIATES - CHECK R16405 5000 MFA E ' DESCRIPTION = "ACCOUNT '' '' `QTY AMOUNT y 'PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $96.68 $96.68, 6/16/16 PAID BYE + ._ 4 METHOD r RECEIPT #'x�� ` CHECK # CLTD BY , , >_ • FEDDERLY.& ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION . _ r ACCOUNT ", .QTY; }� "-AMOUNT _; x PAID a '', FPAID DATE'I .EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 6/16/16 -" PAID.BY • METHODS' '`RECEIPT # r� , CHECK # CLTD BY : FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION :' ACCOUNT ' qTY ,' ,`AMOUNT s :PAID, ` PAID DATE' EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 6/16/16 PAID BY r - s. b •METHOD RECEIPT # ' '� aCHECK # BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA r . .DESCRIPTION ' -,4 ACCOUNT .:'; `QTY " ' •AMOUNT '° r " PAID ` A PAIDD"ATE' E ". FURNACE 101-0000-42402 0' $145.04 $145.04 6/16/16 PAID Bi ��'xMETHOD� � '�.�RECEIPT#:� r CHECK#.- �'CLTD BY' 'FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA :-DESCRIPTION-.Y �" u ACCOUNT T . QTY.. AMOUNT-`, PAID PAID DATE FURNACE PC 101-0000-42600 0 $96.68 $96.68 6/16/16 z PAID BY 1 `METHOD ` , ..,RECEIPT #. p �'° 'CHECK # 6 . CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION- ACCOUNT `.`AMOUNT ;5 PAID �.�;,. PAID DATE , _ VENT FAN 101-0000-42402 0 $84.63 $84.63 6/16/16 ` ' x PAID BY wa • �x METHOD`. = RECEIPT # y" CHECK # CLTD BY'- FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION •' '•: -ACCOUNT `" QTY AMOUNTFau �a,` : PAID PAID DATE �; VENT FAN PC 101-0000-42600 0 $33.81 $33.81 6/16/16 PAID`BY1 METHOD "RECEIPT # CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION -" "` ACCOUNT aQTY' AMOUNT, , . s ":. PAID ' ::'"� PAID: DATE; WALL HEATER 101-0000-42402 0 $49.42. $49.42 6/16/16. ,`� PAID BY '� METHOD CHECK # ` � ��CLTD BY-; FEDDERLY &ASSOCIATES CHECK R16405 5000. MFA n DESCRIPTION ` `ACCOUNT � :- AMOUNT PAID PAID DATE WALL HEATER PC 101-0000-42600 07 $24.18 $24.18 6/16/16 PAID BY. METHOD, . ` ` RECEIP,T #° s4CHECK # CLTD BY '. FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for MECHANICAL: $692.40 $692.40 r"DESCRIPTION s>' ' 'ACCOUNT,::QTY AMOUNT ;' &PAID PAIDDATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 101-0000-20310 0 $1,301.00 $1,301.00 6/16/16 2015 UPDATE BY ,r METHOD ` RECEIPT # CHECK # 'CLTD BY R FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00. $1,301.00 ACCOUNT QT 'AMOUNT..: PAID PAID}DATEDESCRIPTION g z NEW CONSTRUCTION PERMIT. 101-0000-42400 0 $706.45 $706.45 6/16/16 AID B) x METHOD :: RECEIPT # CHECK # :CLTD BY .: FEDDERLY & ASSOCIATES CHECK' R16405 5000 MFA Total Paid for NEW CONSTRUCTION PERMIT: $706:45 $706.45 DESCRIPTION ' x g ¢ ACCOUNT, ' :QTY ` AMOUNT PAID c PAID NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 $1,400.00 3/8/16 ,'�. ` RECEPT#PAIDBYti CHECK # -' CLTDMETHOD BY' . . FEDDERLY & ASSOCIATES CHECK R13675 1737 RSE r':DESCRIPTION :3 b F •. z ACCOUNT roQTY AMOUNT •;..,; ,PAID PAIDDATE. NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $852.92 $852.92 6/16/16 PAID BY METHOD ' ` ;RECEIPT # CHECK # CLTD BYE, f FEDDERLY & ASSOCIATES CHECK. R16405 5000 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $2,252.92 $2,252.92 � , DESCRIPTION ACCOUNT „QTY w. AMOUNT PAID PAID DATE BACKFLOW DEVICE .101-0000-42401 0 $12.09 $12.09 6/16/16 BY P " DSAID O e RECEIPT CHECK # CLTD BY " , FEDDERLY'& ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION. :"� F ACCOUNT i. ..y Aa' QTY r AMOUNT PAID ". .> . .e PAID'DATE? BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 6/16/16 PAID BY METHOD RECEIPT # CHECK # 'E : ,CLTD FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA ' �: DESCRIPTION , 'ACCOUNT QTY AMOUNTti: , r, . z PAID a:; PAID `DATE ". BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 6/16/16 PAID BYE METHOD$' RECEIPT # -' CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA - ;DESCRIPTION .":ACCOUNT •. QTY . AMOUNT`:: PAID ;PAID DATE' _;. BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 6/16/16 ' PAID BY METHOD 4 .' RECEIPT # CHECK # CLTD•BY• �. FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION y` ACCOUNTS: ` , ;,QTY.°f, AMOUNT °:$ ` PAID PAID DATE: FIXTURE/TRAP 101-0000-42401 0 $241.80 $241.80 6/16/16 PAID BY METHOD � �', ' -RECEIPT # ' CHECK #."e CLTD BY . FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION ACCOUNT..QTY AMOUNT := PAID P PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $241.80 $241.80 6/16/16 PAIDV BY E': , METHOD :.. RECEIPT.# CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA '` `DESCRIPTION ACCOUNT CITY .:, AMOUNT,-.,.,: PAID PAID DATE GAS SYSTEM, 5+ OUTLETS. 101-0000-42401 0 $36.26 $36.26 :6/16/16 PAID ,BY.'l METHOD' ;:: RECEIPT # . CHECK # CLTD .' FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION : ACCOUNT QTY '. AMOUNT."` PAID x .: PAIDE:DATE, GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600' 0 ..$24.17 $24.17 6/16/16 PAI D:]BY METHOD.:,RECEIPT #' CHECK # FEDDERLY & ASSOCIATES CHECK R16405 5000. MFA 'DESCRIPTION ACCOUNT $ QTY°; '. AMOUNT :. PAID s PAID'DATE' ROOF DRAIN 101-0000-42401 0 $241.80 $241.80 6/16/16 PAID.BY h METHOD „ . RECEIPT # CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION :' ACCO.UNTQTY AMOUNT PAID PAID DATE ROOF DRAIN PC 161-0000-42600 0 $241.80 $241.80 6/16/16 PAID BY METHOD RECEIPT # ;-CHECK # x ` CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION '- % ACCOUNT` <. QTY _ AMOUNT PAID PAID DATE' WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 6/16/16 PAID $Y _ . METHOD RECEIPT #: CHECK #'t ..<. , CLTD BY ' FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA '..DESCRIPTION ACCOUNT QTY ?, . AMOUNT, PAID °_: PAID:DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 6/16/16 PAID•BY j5 r`." _ - . METHOD ,RECEIPT# CHECK # CLTD BY FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION ",i ACCOUNT ATY AMOUNT" PAID PAID DATE' WATER SYSTEM INST/ALT/REP .101-0000-42401 0 $12.09 $12.09 6/16/16 • -PAID BY.,,.. METHOD : -: RECEIPT # CHECK # CLTD BY :. FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA DESCRIPTION'' :,ACCOUNT QTY AMOUNT PAID . PAIDDATE" WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 6/16/16 PAID BY METHOD `' RECEIPT # CHECK # CLTD BY, FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for PLUMBING FEES: $1,131.59 $1,131.59 DESCRIPTION ; ACCOUNT - . QTY,: AMOUNT-; PAID . PAID.DATE SMI - RESIDENTIAL 101-0000-20308 0 $54.87 $54.87 6/16/16 , art,: PAIDBY METHr OD �`'�REIPr ECT# CHECK#; BY; . c ,CLTD FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $54.87 $54.87 ,DESCRIPTION, ACCOUNT PAID 3.J +PAID DATE"rV; .'QTY,'AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 6/16/16 PAID BYeK !# METHOD °RCHECK# F CLTD BY ,`'RECEIP.T# FEDDERLY & ASSOCIATES CHECK R16405 5000 MFA Total Paid for TUMF - RESIDENTIAL: $1,837.44. - $1,837.44 TOTALS: ° ° Description: ROB & SHARON JACKSON /SINGLE FAMILY HOME Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 3/8/2016 RSE FAMILY DETACHED Approved: 6/16/2016 MFA Parcel No: 775170029 Site Address: 55350 CHERRY HILLS LA QUINTA,CA 92253 Subdivision: TR 25397 Block: Lot: 29 Issued: 6/16/2016 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $422,110.90 Occupancy Type: Construction Type: Expired: 12/13/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 EMAILED NICOLE OF FEDDERLY WITH OUTSTANDING ITEMS, Details: THIS PERMIT DOES NOT INCLUDE POOL,SPA, BLOCKWALLS, DRIVEWAY APPROACH, BBQ, FIRE PIT, OR WATER FEATURE. HOME IS FIRE SPRINKLED PER 2013 CRC CODES. Applied to Approved Approved to Issued r: t ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE . STAFF NAME ACTION DATE.. COMPLETION DATE NOTES E-MAIL BURT HANADA 6/14/2016 6/14/2016 EMAILED NICOLE OF FEDDERLY WITH OUTSTANDING ITEMS, SCH FEE AREA CERT AND BUILDING PERMIT FEE INVOICE. PLAN CHECK PICKED UP RAMSES SEVILLA 4/6/2016 4/6/2016 NICOL PICK UP PLANS PLAN CHECK SENT TO MARY FASANO 5/27/2016 5/31/2016 PLANS LEFT ON RAMSES DESK. I PROCESSED TO YOUNG OUTSIDE PC PLAN CHECK SENT TO RAMSES SEVILLA 3/8/2016 3/8/2016 OUTSIDE PC PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/8/2016 3/8/2016 RECEIVED TELEPHONE CALL BURT HANADA 3/29/2016 3/29/2016 notified Nicole that correction list and plans are ready for pickup. CONDITIONS Printed:. Thursday, June 16, 2016 2:06:08 PM 1 of 8 srsrrnns CONDITION '- DATE DATE DATE • CONTACT .: DESCRIPTION ACCOUNT STATUS1,! " REMARKS NOTES TYPE RECEIPT # ADDED' REQUIRED' SATISFIED' CLTD;. HOA APPROVAL REQUIRED. REC'D 6/14. BTH READY TO ISSUE ART IN PUBLIC PLACES - 270-0000-43201 0 $555.27 $555:27 6/16/16 NOTE: SCH. FEE AREA CERT FORM CREATED CHECKLIST BURT HANADA 6/13/2016 MFA RESIDENTIAL COMPLETE 6/13/16. SENT TO NICOLE 6/14. BTH ASSOCIATES SCHOOL CERT RECEIVED. 6/16/16 $555.27 $555.27 CONTACTS BSAS SB1473 FEE NAME TYPE NAME' �ADDRESSI .., .; CITY >, : SLATE ZIP PHONE; FAX ': EMAIL APPLICANT FEDDERLY & ASSOCIATES 78206 VARNER ROAD PALM DESERT CA 92211 (760)360-9998 (760)360- ASSOCIATES StE D #248 Total Paid for BUILDING STANDARDS ADMINISTRATION 9903 CONTRACTOR FEDDERLY & ASSOCIATES 78206 VARNER ROAD PALM DESERT CA 92211 (760)360-9998 (760)360- STE D #248 9903 ENGINEER REZA ASGHARPOUR 77570 SPRINGFIELD PALM DESERT CA 92211. (760)360-9998 (760)360 - 252-0000-43200 0. $942.00 LANE SUITE D 6/16/16 R16405 500 CHECK 9903 MFA OWNER ROBERT and SHARON JACKSON 17827 159TH AVENUE WOODINVILLE WA 98072 (760)360-9998 (760)360 - ASSOCIATES NE 254-0000-43200 0 $129.00 $129.00 9903 R16405 Printed: Thursday, June 16, 2016 2:06:08 PM 2 of 8 rp"f.,YSTEMS. FINANCIAL•• • DESCRIPTION ACCOUNT QTY 'AMOUNT PAID PAID;DATE '. RECEIPT # CHECK # METHOD - PAID BY CLTD;. v By'. ART IN PUBLIC PLACES - 270-0000-43201 0 $555.27 $555:27 6/16/16 R16405 5000 CHECK FEDDERLY & MFA RESIDENTIAL ASSOCIATES Total Paid for ART IN PUBLIC PLACES - AIPP: $555.27 $555.27 BSAS SB1473 FEE 101-0000-20306 0 $17.00 $17.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES Total Paid for BUILDING STANDARDS ADMINISTRATION $17.00 $17.00 BSA: �. DIF -CIVIC CENTER 252-0000-43200 0. $942.00 $942.00 6/16/16 R16405 500 CHECK FEDDERLY & MFA ASSOCIATES DIF -COMMUNITY 254-0000-43200 0 $129.00 $129.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA CENTERS ASSOCIATES Printed: Thursday, June 16, 2016 2:06:08 PM 2 of 8 rp"f.,YSTEMS. pl 'LINT '7777, 7-77"77 ;iz: l 41 . "--.-r+. - N ',: DESCRIPTION T-�.,Tr�ACCOUNT tt.IAM 0 -,7PAID PAID DATE' RECE PT # CHECK # METHOD'� itz .. BY -11 DIF - FIRE PROTECTION 257-0000-43260 0 $433.00- $433.00 6/16/16 R16405 5006 CHECK FEDDERLY & MFA ASSOCIATES DIF - LIBRARIES 253-0000-43200 0. .$344.00 $344.06 6/16/16 R16405 5000 CHECK FEDDERLY &MFA' ASSOCIATES DIF - PARK 'MAINTENANCE 256-0000-43200 0 $40.00 $40.00 6/16/16 R16405 .5000 CHECK FEDDERLY & MFA ASSOCIATES DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES DIF - STREET 255-0000-43200 0 $116.00 $116.00 6/16/16 -1116405 5000 CHECK FEDDERLY & MFA MAINTENANCE ASSOCIATES DIF - TRANSPORTATION 250-0000-432000 7—� $2,842.00 $2,842.00 6/16/16 Soo - 0 CHECK FEDDERLY & MFA ASSOCIATES Total Paid for DIF - SINGLE FAMILY DWELLING:. $6,894.00 $6,894.00 APPLIANCES, RES 101-0000 0 $24.18 6/16/16 R1640S -5000 CHECK FEDDERLY &742403 MFA, .$24.18 ASSOCIATES APPLIANCES, RES PC 101-0000-42600 0 .$24.18 $24.18. 6/16/16 R16405 5060 CHECK FEDDERLY &MFA ASSOCIATES TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 R16405 5000 CHECK FEDDERLY &MFA .6/16/16 ASSOCIATES TEMP POWER SERVICE 101-0000-42600 0 $16.92 $16.92- 6/16/16 1116405 5000 CHECK FEDDERLY & MFA PC ASSOCIATES Total Paid for ELECTRICAL: '$89.45* - $89.45 RESIDENTIAL, 101-0000-42403. 0 $73.98 6/16/16 R16405 -5000 CHECK FEDDERLY & - MFA ADDITION 1,OOOSF' .$73.98 ASSOCIATES RESIDENTIAL, EA 101-0000-42600 0 $30.48 $30.48 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ADDITION 1,000SF, PC ASSOCIATES RESIDENTIAL, FIRST. 101-0000742403 0 .$145.03 $145.03 6/16/16 -1116405 Soo . 0. CHECK FEDDERLY & MFA' 1,000SF I I . . . . .. .. ASSOCIATES Printed: Thursday, June 16, 20162:06:08 PIA 3 of 8 CBFw1YSTCM5' 'Z.0-1'1DESCRIPTION "° w `i�°ACCOUNTIWle,� qTY RESIDENTIAL, FIRST 101-0000-42600 0 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0 HOME LOT >7KSF RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC CONDENSER/COMPRES SOR CONDENSER/COMPRES S.OR PC EXHAUST HOOD EXHAUST HOOD PC FURNACE FURNACE PC' VENT FAN VENT FAN PC WALL HEATER %MOUNT a ,a PAID'�' ''PAID DATE` 3 RECEIPT # -'CHECK #' $47.86 $47.86 6/16/16 R16405 5060 $297.35 .$297.35 $36.26 $36.26 6/16/16, R16405, 5000 101-0000-42600 0 $181.29 Total Paid for GRADING: $217.55 101-0000-42402 0� $145.04 101-0000-42600 0 $96.68 101-0000-42402 0 $12.09 101-0000-42600 0 $4.83 101-0000-42402 0 $145.04 101-0000-42600 0 $96.68 101-0000-42402 0 "$84.63 101-0000-42600 0 $33.81 101-0000-42402 0 $49.42 . $181.29 I 6/16/16 I R16405 $217.55 , $145.04 6/16/16 R16405 $96.68 6/16/16 R16405 $12.09 6/16/16 R16405 $4.83 6/16/16 R16405 $145.04 6/16/16 R16405 $96.68 6/16/16 R16405 $84.63 6/16/16 R16405 $33.81 6/16/16 R16405 $49.42 6/16/16 R16405 1ETHOD" x ' PAID BY - —j`-" - ,, BY FEDDERLY & CHECK ASSOCIATES MFA CHECK 5000 I CHECK .FEDDERLY & MFA ASSOCIATES FEDDERLY & . ASSOCIATES MFA . MFA MFA MFA MFA MFA MFA MFA MFA MFA Printed: Thursday, June. 16, 2016 2:06:08 PM 4 of 8 SYSTEMS FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK _ ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES FEDDERLY & 5000 CHECK ASSOCIATES MFA MFA MFA MFA MFA MFA MFA MFA MFA Printed: Thursday, June. 16, 2016 2:06:08 PM 4 of 8 SYSTEMS yDESCRIPTION tACCOUNT QTY,, , RAMOUNT °; PAID PAID DATE 4RECEIPT #t 'tCHECK # - -METHOD {PAID BYxBY WALL HEATER PC 101-0000-42600 0 $24.18 $24.18 •6/16/16 R16405 5000 CHECK FEDDERLY & MFA, ASSOCIATES f Total Paid for MECHANICAL: $692.40 $692.40 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,301.00 $1,301.00 6/16/16 1116405 5000 CHECK FEDDERLY & MFA ASSOCIATES -2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: • $1,301.00 $1,301.00 NEW CONSTRUCTION 101-0000-42400 0 $706.45 $706.45 6/16/16 R16405 5000 CHECK" FEDDERLY & MFA PERMIT ASSOCIATES Total Paid for NEW CONSTRUCTION PERMIT: $706.45 $706.45 NEW CONSTRUCTION 101-0000-42606 0 $1,400.00 $1,400.00 3/8/16 R13675 1737 CHECK FEDDERLY & RSE PLAN CHECK ASSOCIATES NEW CONSTRUCTION 101-0000-42600 0 $852.92 $852.92 6/16/16 R16405 5000. CHECK FEDDERLY & MFA PLAN CHECK ASSOCIATES Total Paid for NEW CONSTRUCTION PLAN CHECK: . $2,252.92 $2,252.92 BACKFLOW DEVICE 101-0000-42401 0 $12.09. $12.09 6/16/16 R1640S 5000: CHECK FEDDERLY & MFA ASSOCIATES BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 ' $4.83 • 6/16/16 R16405 5000 CHECK FEDDERLY & MFA. ASSOCIATES BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA • ASSOCIATES BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES FIXTURE/TRAP 101-0000-42401 0 $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA . ASSOCIATES FIXTURE/TRAP PC 101-0000-42600 0 $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES GAS. SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 .6/16/16 R16405 5000 CHECK FEDDERLY & MFA OUTLETS' ' ASSOCIATES . Printed: Thursday, June 16, 2016 2:06:08 PM 5 of 8 •'�-��..:,_ _ .. _ RIPTION �. . .:; .. �`�. �, CCOUNT QTY '.,: T' .A.OUN o ,.» , ,�o-x PAID '"'""w"."'""""""'" PAID DATE 't RECEIPT :# �� r" „� CHECK #':METHOD rT`' - w PAID BYDESC ' CLTD r;r •'�,,,.� GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 6/16/16 1116405 5000 CHECK FEDDERLY & MFA OUTLETS PC ASSOCIATES . ROOF DRAIN 101-0000-42401 0 • $241.80 $241.80 6/16/16 R16405' 5000 CHECK FEDDERLY & MFA ASSOCIATES ROOF DRAIN PC 101-0000-42600 0 $241.80 $241.80 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 6/16/16 R16405 5000 CHECK FEDDERLY & MFA ASSOCIATES WATER HEATER/VENT . 101-0000-42600 0 $14.50 $14.50 6/16/16 R16405 5000 CHECK FEDDERLY & MFA' PC ASSOCIATES WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 6/16/16 R16405 .5000 CHECK FEDDERLY & . MFA INST/ALT/REP ASSOCIATES WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 6/16/16 R16405 5000 CHECK FEDDERLY & MFA INST/ALT/REP PC ASSOCIATES Total Paid for PLUMBING FEES: $1,131.59 $1,131.59 SMI -RESIDENTIAL 10170000-20308 0 $54.87 $54.87 6/16/16 R16405 5000. CHECK fEDDERLY& MFA ASSOCIATES Total Paid for STRONG MOTION INSTRUMENTATION SMI: $54.87 $54.87 SINGLE FAMILY 224-0000-20320. 0 $1,837.44 : $1,837.44 6/16/16 R16405 5000 CHECK FEDDERLY & MFA • DETACHED ASSOCIATES Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1;837.44 TOTALS: 0a IfNSPFCTIOhl PARENT PROJECTS Printed: Thursday, June 16, 2016 2:06:08 PM 6 of 8 SYSTEidS IST BLDG NS (3 WK) BURT 3/8/2016 3/29/2016 3/29/2016 REVISIONS REQUIRED OWNER_ DESCRIPTION PATHNAME. SUBDIR, ' ETRAKIT ENABLED r HANADA . 1ST CHECK NON 1ST BLDG STR (3 • . JOHN ' 3/8/2016 3/29/2016 3/29/2016 REVISIONS REQUIRED STRUCTURAL ' WK) THOMPSON DR.docx . 2ND BLDG NS (2 BURT 5/27/2016 6/13/2016 6/13/2016 APPROVED WK) HANADA 1ST REVIEW - 2ND BLDG STR (2 BRONZ 5/27/2016 6/13/2016 6/13/2016 READY FOR APPROVAL WK) YOUNG DR..pdf 1ST PW GREEN AMY YU 5/27/2016 6/6/2016 6/2/2016 READY FOR APPROVAL BURT HANADA INFRATECH -W-61-flush- SHEET 1 mount.pdf mount.pdf . Printed: Thursday, June 16, 2016 2:06:08 PM 7 of 8 CBFWYSTEMS BOND INFORMATION 'Attachment Type CREATED• OWNER_ DESCRIPTION PATHNAME. SUBDIR, ' ETRAKIT ENABLED r . 1ST CHECK NON DOC 3/29/2016 BURT HANADA STRUCTURAL 55350 CHERRY HILLS 1 DR.docx CORRECTION LIST 1ST REVIEW DOC 3/29/2016 BURT.HANADA CORRECTION LIST- 55350'CHERRY HILLS 1 DR..pdf SIGNED DOC - 6/13/2016 BURT HANADA INFRATECH -W-61-flush- INFRATECH -W-61-flush- 1 mount.pdf mount.pdf . DOC 6/13/2016 BURT HANADA infratech',referenceman infratech eferenceman 1 ual.pdf ual.pdf SCHOOL FEE AREA CERT SCHOOLTEE AREA CERT DOC 6/13/2016 BURT HANADA FORM - 55350 CHERRY FORM - 55350 CHERRY 1 HILLS.pdf ' HILLS.pdf DOC 6/14/2016 BURT HANADA' GRANT DEED - 55350 GRANT DEED - 55350 1 . CHERRY HILLS.pdf CHERRY HILLS.pdf BURRTEC DEBRIS BURRTEC DEBRIS DOC .6/14/2016 BURT HANADA., MANAGEMENT PLAN - MANAGEMENT PLAN : 1 55350 CHERRY HILLS.pdf 55350 CHERRY HILLS.pdf Printed: Thursday, June 16, 2016 2:06:08 PM 7 of 8 CBFWYSTEMS ATTACHMENTS ,,Attachment Type'.: " CREATED '-fi�OWNER ;: g DESCRIPTION! "' PATHNAmi 7-C ; '° SUBDIR =,_; } -�ETRAKIT ENABLED, x DOC 6/14/2016 BURT HANADA HOA APPROVAL -55350 HOA APPROVAL -55350 1 CHERRY HILLS.pdf CHERRY HILLS.pdf DOC 6/14/2016: BURT HANADA SOILS REPORT - 55350 SOILS . REPORT - 55350 - 1 CHERRY HILLS:pdf CHERRY HILLS.pdf, BUILDING PERMIT FEE BUILDING PERMIT FEE DOC 6/14/2016. BURT HANADA INVOICE - BCOM2016- INVOICE - BCOM2016- 1 0068 - 55350 CHERRY. 00.68 - 55350 CHERRY HILLS.pdf HILLS.pdf " 2ND CHECK - 2ND CHECK - DOC 6/13/2016. BRONZ YOUNG STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf Soils_Report_Scope_BR Soils_Report_Scope_BR DOC 3/29/2016 JOHN THOMPSON 0 . ES 2016-0068.pdf ES 2016-0068.pdf 1ST CHECK - 1ST CHECK - DOC - 3/29/2016 JOHN THOMPSON -STRUCTURAL' STRUCTURAL 0 ' TRANSMITTAL.pdf TRANSMITTAL.pdf 1ST CHECK - 1ST CHECK - DOC 3/29/2016 JOHN THOMPSON, STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc PO. BOX 1504 APPLICATION ONLY BuildingrJ 35 78-495 CALLE TAMPICO Address erg q � ((S LA QUINTA, CALIFORNIA 92253 vwnci � Flo Slna.�aan Jac-k.s o� Mailing Address CityZip Tel. Contractor PMA&4y � &-ss06a;tes IQ52_0 o VGWNu "9 4 fe- D 2148 Aa! nn Dea, + I State Lic.Q City & Classif. �to2�pjq /� ILic.# OIC19 `1 1 Arch., Engr., " 1 Designer Fp d ,4eyi y kC�S�GGtw C$ "7 2vtn V'a Vler Idol 1i3 J City Zip State PaArn t>-e:say4- I '127-11 Lic. # I herebya ' t I ' e e a rgvl�i�ns o C ter 9 (commencing with Section 000 Division 3 usi es r ions e, and my license is in fultorce and ereby affirm that Main exempt from the Contractor's License Law for the following son: (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 file a signed statement that he is licensed pursuant to 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 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). ❑ 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 Profes- sions 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, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensatio`n- jnsurance, r a rtitied cop thereof. (Sec. 3800.Labor Co e. Policy No. �"C o company gQ A �„s• to. Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if 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 Workers' Compensation taws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of 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 hereby 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 WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. v V OCC. GRP. P-22 A.P. Number L Legal Description Lai 211 d 1 �Yavll�'� '�Z�J3�-1 Project Description 5i1n�,c_ ► �+�1 �Gsi GQ.t?�V�GQ- I w16iroif cay+ Sq. Ft. '' II� �l No. No. Dw. Size Stories ( Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ I Estimated Valuation $ I a 2 S r MUD �V PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District 'This Box For District Use only, 83-733 Avenue 55, Thermal, CA , 92274 ' " DEVELOPER FEES PAID' (760) 398-5909 — Fax'(760) 398-1224 . AREA: AMOUNT - - LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK#: �" INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) - Project Name: Rob & Sharon Jackson Date: June 16, 2016 Owner's Name: Phone No. • ti Project Address: 55-350 Cherry Hills, La Quinta; CA 92253 Project Description: Single Family Dwelling Unit ` APN: 775-170-029 ' Tract #: r� Lot #'s: Type of Development: Residential-- XXCommercial Industrial ' Total Square Feet of Building Area: 4,733 sq.ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. ` Dated: I U' y Signature:, 'SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN " ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) •, x Education Code Gov. Code Project Agreement Existing Not Subject to Fee ' 17620 ? 65995 Approval Prior to 1/1/87, Requirement eNote: Specific Plan 83-002 (PGA West) Sunrise Agreement 1986 states that all residential untis within this area are to be Number of $q:Ft.' • 4,733 ,- ,, ',• � � charged a fee of $628.00 for each unit constructed regardless Amount per Sq.Ft. PER AGMT , Mof_the_square footage. Amount Collected $628 - 1 Building Permit Application Completed: Yes/No " By: Elsa F. Esqueda, Director of Facilities and Maintenance ' Certificate issued by: Leticia C. Torres, Facilities Analyst Signatu e: • NOTICE OF 90 DAY PERIOD FOR PROTEST OF FE ANDS ATEMEOF FEES strict Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that t ' provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these - Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause,.as determined by the;School District, and up to three (3) such extensions may be granted. , Y1V:c/mydocs/detitees/ceriilicateofcompliancefolmupd-med.3-2007. `.11/2010 , j RECORDING REQUESTED BY: LAWYERS TITLE Lawyers Title WHEN RECORDED MAIL DOCUMENT AND TAX STATEMENT TO: Robert D. Jackson APN: 775-170-029-6 TITLE ORDER NO.: 615694515 ESCROW NO.: 28360-004 -rtia OLo• 0Z.� DOC # 2015-0401174 09/09/2015 08:00 AM Fees: $21.00 Page 1 of 3 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording" Recei IME MAY 272016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT THIS SPACE FOR RECORDER'S USE ONLY GRANT DEED The undersigned Grantor(s) declare(s) that the DOCUMENTARY TRANSFER TAX IS: $ 715.00 County XX computed on the full value of the interest of property conveyed, or _ computed on the full value less -the value of liens or encumbrances remaining thereon at the time of sale. OR transfer is EXEMPT from tax for the following reason: Pacific Coast Escrow Corporation Signature of declarant or agent determining tax Firm Name FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Herbert Hafif and Kay Hafif, Husband and Wife as Community Property HEREBY GRAII to Robert Donald Jackson and Sharon Ray Jackson, Trustees of the Robert Donald Jackson and Sharon Ray Jackson Revocable Trust Dated September 4 2015 All that real property situated in the City of La Quinta, County of Riverside, State of California, described as: Lot 29 of Tract 25397, in the City of La Quinta, County of Riverside, State of Califomia, as per Map recorded in Book 218; Pages 20 through 25, Inclusive of Maps, in the Office of the County Recorder of said Cougty. Commonly Known As: 55350 Cherry Hills, La Quinta, CA 92253 Dated: June 22, 2015 A notary public or other officer completing this certificate verifies only identity of the individual who signed the document to which this oerMC99 is attached, and not the truthfulness. accuraa or validitv of that docume STATE OF COUNTY OF On personalty appeared Hafif anOYKay Hafif before me, a Notary Public who proved to me on Me ba ' of satisfactory evidence to be the person(s) whose name(s) is/are sub d to the within instrument and acknowledged to me that he/she/theVexeed the same in his/her/Meir authorized capacity(ies), and that by his/henature(s) on the instrument the person(s), or the entity upon behalfe person(s) acted, executed the instrument. I certify and PENALTY OF PERJURY under the laws of the State of California PA the foregoing paragraph is true and correct. my hand and official seal. i W A� . M M'1 _ mllllliiii (SEAL) 1 _ MAIL TAX STATEMENTS AS DIRECTED ABOVE V LB WVery Tif to DOC #2015-0401174 Page 2 of 3 ACKNOWLEDGMENTCALIFORNIA ALL-PURPOSE •. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) Cou nty ofP e S ) On before me, �f LD!/1 Se...�Q �Z— ND p� 6 %I Date Insert Name and Title ofhOfficer personally appeared 'T }- Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. TRACY LotASE LOPEZ Co 1*111fon ! 2055751 '•y )I Putfe - C>1t ondn Z } Los Mp w JM 21 201n f Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. I Signature Sign re of Notary 150b46557— OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Docunt Title or Type of Document: bepj=i Document Date: Number of Pages: �_ Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: L-) Corporate Officer — Title(s): - F. Partner — .A Limited C General rl Individual Attorney in Fact i_:] Trustee Guardian or Conservator v Other: Signer Is Representing: Signer's Name: Corporate Officer — Title(s): Partner — : I Limited General Individual : Attorney in Fact '_;Trustee ; Guardian or Conservator i i Other: Signer Is Representing: (,<'✓<\�!<�.L<\_!L'✓<\!<�6\,L;✓<\✓L\J_,C\J<\!L✓,L\r!«.L!L;✓.<;'!L�<\✓,<�✓,<\%«.:\;:.<\•�'. <;�L�L;_iL�:\u<`✓<�L\✓<�✓:\'/;' QNationalNotary• •www.NationalNotary.org(1-800-876-6827) DOC #2015-0401174 Page 3 of 3 GOVERNMENT CODE 27361.7 I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE DOCUMENT TO WHICH THIS STATEMENT IS ATTACHED READS AS FOLLOWS: NAME OF NOTARY: Tracy Louise Lopez COMMISSION NO: 2055751 PLACE OF EXECUTION: Los 'Angeles DATE COMMISSION EXPIRES: 1-24-18 MANUFACTURER/VENDER NO: NNA 1 SIGNATURE• DATE: 9' . ' Diane Livingst -CITY O_F'LA QUINTA -PUBLIC WORKS DEPARTMENT GREEN.SHEET PUBLIC WORKS CLEARANC..E EOR RELEASE10F 13UILDING PERMIT �� - - — - ;Porth updated 8'eHective x125/2008 3 ,Gre6n-Sheet apordtitals,are`forwarded to�fhe,Buildin.M&Safety Degartinent dieectlyrby'Public Works.'Please-DOlNOT' submit th6,Green"Sheet (Public Works Clearance)`Packet'to,the PUblic'Works,Depaitmerit+unfit ALL-repuiremenfs.Listed, I below are complete: !Incomplete applications or applications which cannot be processed will be returned to applicant:. I 1�./- Developer t ' Date: / ` rl�f��ct i � �.. �i�c�►>��.�s - Tf6dt No ia�526'1 Tract Name ,� ,r,; Lot No. i Address(s).3 .y tr'k4s�QR �1t i S 1�'R.lVi'. Phone 'NumbehZ( tvp TheEj6llowing:are,the requirements for"Publ1c•.W6rks:Clearance to authorize,Essuance of a, building permit fromth'e 'Building 8'Safety,Department 1. Attach, PadElevation'Certificates in compliance with,the approved; design,elevau6n�for=building pad (maximum allowable deviation of.+% -,6;1 foot).. PadlElevationCertificates must be current`(within6,months ofcurrent,date). it. a -precise grading; plan creates the pad. for approval, please withhold green sheet submittal -until fa PadlElevation t Certificate'canbe'provided. 2. Attach,geotechn'ic - certification of�grading;plan compliance including compaction reports from,a licensed Soils Engineer Recently :rough graded+residential developments which have a previously approved geotechnical certificatiomare iexempt-from ttiis requirement: 3_- Attach.recorded,final map or.title infoi; k&gfant defib showing proposed building locations are IegaLlots: 4. 'Complete.the attached <1 acre per lot or infill'proje'ct Fugitive,Dust`Control project nformation`form PMiO plan"8� agreeFnent or`providg alternative &valid City approved, PM10 plan set` reference number or^hard copy pian. FM10 plans fog commercial &'resYdential deveioprnents (beyond,,1 !ot) are submdted;separate"ly witfi;grading plans & are;subiect to additionaCrequirements. A cuirent'PM10'ceriificetioii number is regui- 5. ,Attach;a;copy of the..rough or precise}grading,pEan to the PubUc Wo forrks Department showing building location(s) ,.pad'elevatio'n verification. AO flood ione'developrrients.Will require an approved. flood plain development plan. 6.°Attach supporting documentation for.wall plan, monument sign grease trap;;or,special facility<installations: 7. '.Complete d,sign the, attached water quality°management plan (WQMP) exemption form, if;applicable: 'PW tapprovedbiiilding,constnjction projects require either4WQMP:or:a completed,WQMP exemption form. 'Approvedmaps/plans may be,viewed at the following link: htta://www.Ia quinta:o`rq/Plancheckim search:asox `I haveireviewedand confirmed the. requirements -listed above., as, presented and:findlthejimprovements,to be suffibenMy ;complete forconstiuction of the proposed build ngs/Wuctures/walls/signs onittie;subject'lot(s). Pursuant to'my findings, ,ttie above projectmay be released for building permit issuance: 'This section completed byy`ka : CEtff. r - Recommended tiy:.. '.Date;12. :Public,Works Distribution:' (, t!) iVreen,Sheet,to Building'&;,Safety (.. ) Green ;Sheet to Planning Department ,Declined .for approval for reasons) as follow(s); please correct and resubmit: '.T_4Ched�sis- Fartnc B AW cedwiMForms d AWiiUons%rREEN SHEET 6 � 8 PiA10Iesc Wh i'Acte Revlseo &2509 Ooo r • City of L -a Quinta=,PM10:Fugitive,Dust Control'P.rojectInformation . _ . _ _ IConatruction`Phase;PM1O-A -den ent 51:ac�e/lot or:Infill;Pro'ect Project Information iPro est Contractor:_ . b NT _. Pro est Phase Project Name: - (check one) Project Tracf/LotNumbers Construction Demolition Project Street Address: SS 3S0' %A A 111.5 'Total Acres in'Active Construction _" 151- re,per , 'Lot) . 55 __ . AnticipatedlStart DateQ / / Anticipated Completion Date: [ / / i t ;PM10 Contact - Please, note: -Dust -control is `required 24 hours a day, Ydays a- week;` regardless of information constructionstatus. Ferson`listed.�below,is responsible for•;dust•controiduring business and ` _ -- _ non -business hours. _ _ _ 4 t Name: - _ � -. Com` an Name: '� • ,.. 1 : _ - - _ raaihri 1Address: , t. ..City,State, ZIP Code::, lj J _-Primary Phone M __1 olw_ _Ijk00 • Fax # 1:OL06,S-1 OYS 24 Hour Emergency „ { Phone#• ._ o Erra&Address.: �N lJ� LCX7K _ ;PM10.Certificate'#:...` i The above stated'property•owner (or, authorized representative): s• Shall act as hislher acknowledgement'of dust,control requirements -and ;their,enforceability, pursuant to-SCAQMD I Rules.403 403]1; 401, 402;201, 203 and PERP; , s• Shall con - 1. - , @g'Agreementto comply -:with all project conditions as'identified in the approved dust control plan. - -- ❖ (Acknowledges that dust control is:required twenty-four (24);hoursa day,,seven(7) daysaa week,,throughout•the y period of project performance, regardless of project size or. status; -.. '• T hat east- and every contractor,• subcontractor, and all other`persons associates with'the project shall • c --•_ A - Shall ensure t l ••• be in continuous compliance;with all requirements of the approved_dust control plan;. Shall take all riecessary�precautions.to minimize dust; even'if additional"measures:beyond.those listed in,tiie dust control plan are necessary;? - Shall authonze;repr'esentatives of City/County to eAter'the peoperty�for,inspection and/6rabatement purposes; Shall hold harmless t Ci /Coup - - , - ty ty `d its representativesfrom'liability for=any actions related to;ttiis dust control plan or any,City%Co i rnent'activities. t Zi attire — OwnerorAOth_ zed Re resentatiGe 'Date i - T:1Chedfsis ams `pllcetionstFarms d AppllmtionslCiREEN SH ..cover & PM10less Man 1 Ase Ravi' ' 9.25�940c ' l March 21, 2016 Mr. & Mrs. Jackson R� E I V E D MAY 9 6 2016 CITY OF Lia QUINTA COMMUNITY DEVELOPMENT Re: Custom Home to be built at 55-350 Cherry Hills, La Ouinta Dear Mr. & Mrs. Jackson, Page I of 2 The Architectural Committee has reviewed your submittal of complete drawings and specifications. The proposed custom home and related site development is as shown on submittals of drawings submitted by Fedderly and Associates. Sheets: G1 dated 2/11/2016,T1, A 1.0, A2.0, . A3.0, A4.0, A5.0, A6.0, A7.0, AT 1, A8.0, A8.1, A8.2, A9.0, A9. I, A9.2 dated 2/23/2016; AD 1 , AD2, AD3, AD4 & AD5 , AD6 & AD7 dated 2/22/2016; Sheets G.N., S.I.T.GP, S.1, S.2, SDA, SD.2, SD.3 dated 2/23/2016; HFXI-FDN & HFX2-FRMG dated 4/11/2014; E1.0 dated 2/22/2016; M1.0, M2.0 & M3.0, PLO, P2.0 & P2.2 dated 2/5/2016; L-1, L-2, L-3, L-4, L-5, L-6 & L-7 dated 11/15/2015. The project is acceptable in accordance with the Architectural Guidelines and the Association's CC&R's. Prior to any construction, a final set of Plans is to be furnished, with the City of La Quinta building and safety stamp, to the HOA. All pre -construction requirements to be completed prior to starting construction including contractor's insurances. The following comments and/or requirements are pertinent to the execution of this project: I _ Provide the HOA with a copy of the city permits for pool/spa, site walls, and street work. 2. The review of the mailbox is pending a submittal. 3. Contact the HOA prior to starting the foundation to verify setbacks. 4. The HOA recommends a chain link fence with wind screen to prevent loose debris and materials from blowing into street and lake. 5. The homeowner and contractor should review the Custom Home Guidelines in reference to the various schedules, milestones and inspection requirements. 6. The project time period is one year. 7. The Association is not responsible for locating easements and underground utilities on the site. 8. The contractor and homeowner must make provisions throughout the project for traffic control to prevent traffic disruption and accidents. The construction employee parking and vehicles must park on one side of the street. 9. The contractor is not allowed to stockpile any material, equipment or construction debris in the street. All debris must be cleaned up daily. 10. The owner and contractor must maintain a dust free construction site to avoid arp oiect stop notice. 54-320 Southern Hills, La Ouinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125 Page 2of2 11. The street gutters cannot be used for concrete wash out and the contractor is responsible 'for keeping the gutter clear and free of debris. 12. All exterior house and yard lighting is to be compatible with the nightscape and not cause problems for the adjacent neighbors. 13. Upon completion of the project, the homeowner is required to provide a signed copy of the city inspection card and the Contractor Certification letter (enclosed). 14. The building slab elevation to be 493.7 to be certified by Civil Engineer/surveyor. 15. The rear property line to be staked and maintained. The area between the rear property to the lake shore be landscaped to blend with rear yard. Landscaping Notes i The sheets L1 thru L7 are not reviewed as of this letter and pending; We reserve the right to make a final inspection of this change to make sure that it matches the original request. An approval is based only on the aesthetics of your proposed plan and should not be taken as any certification as to the construction worthiness or structural integrity of the proposed change. We appreciate your cooperation in submitting this request for approval. If I may be of further assistance, please contact me at the HOA office, (760) 771-1234, Extension 15. Cordially, b I Ke ffcGaalliarCCAM PCAM Operations Manager For the Architectural Committee KM/bvf Enc. 1 Cc: Architectural Committee Pian Submittal Job site Building Permit Number. Project Description: SFR Exempt: O (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Owner's Name Number, Street, or PO Box City, State, Postal Code Owner's Phoria Number Owner's E -Mail Address Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Address Builder / Contn Number, Street or PO City, State, Postal C Project Square 5/2/2016 55-350 Cherry Hills Dr (parcel 9775-170-029) Rob & Sharon Jackson Fedderly & Assoc 760-773-5205 x105 diana0fedderN.com Fedderly & Assoc 38747 Nopales Rd suite A Palm Desert, CA. 92211 approx. 6,540 sq ft City Approval By t `me, / 8io&J26 watb.- Date of City Approval 05/02//6 RECEIVED MAY 6 [016 CITY Ut- ah QUiNTA COMMUNITY DEVELOPMENT Materials To Be Discarded: Product Tons Trash 27.00 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 7.25 Recyclable Cardboard 0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 0.50 Recyclable Concrete 27.50 Recyclable Tile (roof) 0.75 Recyclable Drywall I 3.00 Recyclable Wood 9.25 Recyclable Donated /Reuse•I 0.00 Recyclable Landscape Debris 0.00 Recyclable *Describe Items Totals: Recycle Trash Projected Diversion: 48.3 1 27.0 64.12% 1 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 50% of the jobsite waste is diverted from landfilling. The remaining material will be recycled or reused. l w01 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 owners) 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 recycter or transfer Owner / Developer / Project Manager / Superintendant Date Structural Plan Review Time = 1.5 HR k YUUNC;" A ENGINEERING tw. `• a9@ o ° 4 - o Letter, of Transmittal- To: City of La Quinta Today's Date: 6-09-16 - 78-495 Calle Tampico City Due Date: 6-13-16 La Quinta, CA 92253 Project Address:. 557350 Cherry Hills .Attn: Ramses Sevilla Plan Check #: BRES2016-0068• Submittal:'El 1st 0 4th ® 2nd •❑ cJth ❑ 3.a . ❑ 'Other ' We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS), ,. ❑_ Your Pickup Includes: Descriptions: ". Includes: # Of Descriptions: Copies: ® 1 Structural Plans ❑, Revised Structs Plans 0 .1 Structural Calculations = ❑ Revised'Struct. Calcs ❑ 1 Truss Calcs . ❑ Revised Truss Calcs El 1 Soils Report Update El-. Revised Soils Report t " - ® 1 '= Structural P/C Comments ❑ - 1 Approved Structural Plans El 1 Redlined Structural Plans ❑ 1 - `Approved Structural Calcs ❑ Redlined Structural Calcs ❑ 1 Approved Truss Calcs - ❑ Redlined Truss Calcs - ❑ Approved Soils Report ❑ Redlined Soils Reports k . ; ❑ Other`. Comments: STRUCTURAL. CONTENT APPROVABLE Structural Plan Review Time = 1.5 HR k e - r J; Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 97201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 i May 6, 2016 Project No. 544-16110 C EF� �� a NW/ E D 16-05-169 R Fedderly & Associates 78-206 Varner Road, Suite #248 Palm Desert, California 92211 - MAY 6 2016 } Project: Proposed Custom Residence CITY OF LA QUINTA 55350 Cherry Hills Drive i COMMUNITY DEVELOPMENT La Quinta, California r Subject: Geotechnical Update r Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated May 14, 2014; Project No. 544-14102, Report No. 14-04-177 As requested, we have reviewed the above referenced geotechnical reports as it relates to the design and construction of the proposed custom residence. The project site is located at 55350 Cherry Hills Drive with in the PGA West Stadium Course in the City of La'Quinta, California. It is our understanding that the proposed residence will be a relatively lightweight wood -frame structure supported by conventional shallow spread footings and concrete slabs on grade. The above referenced report was prepared for a nearby lot and should be applicable to the subject project In order to provide uniform foundation support, we recommend over -excavation and re- compaction throughout the proposed ;building areas. The building areas should be over - excavated to a depth of least 3 feet below existing grade or 2 feet below the bottom of the footings, whichever is deeper. The exposed soil should'than be scarified, moisture conditioned and recompacted to at least 90 percent relative compaction. The excavated material may then be replaced as engineered fill material. Over -excavation should be observed by a representative of Sladden Engineering and compaction should be verified by testing. The referenced reports include recommendations pertaining to the construction of residential structure foundations. Based upon our review of the referenced reports, it is our opinion that the structural values included in the referenced report grading report prepared by Sladden Engineering remain applicable the desien and construction of the proposed residential structure foundations. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE' V5 VP 13Y Sladden Engineering www.Sladdenengineering. coin May 6, 2016 -2- Project No. 544-16110 16-05-169 In our opinion, the structural values recommended in the referenced geotechnical report remain applicable for use in foundation design. Conventional shallow spread footings should be bottomed into properly compacted engineered fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings may be designed utilizing allowable bearing pressures of 1800 psf and 2000 psf, respectively. Increases in allowable bearing pressures may be realized with increased footing size. Allowable increase of 200 psf for each additional 1 foot of width and 200 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 2500 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic, loading. Resistance to lateral loads can be provided by a combination of friction acting at the base of the slabs or foundations and passive earth pressure along the sides of the foundations. A coefficient of friction of 0.40 between soil and concrete may be used with dead load forces only. A passive earth pressure of 250 pounds per square foot, per foot of depth, may be used for the sides of footings, that are placed against properly compacted native soil. The bearing soil is non -expansive and falls within the "very low' expansion category in accordance with 2013 California Building Code (CBC) classification criteria. Slab thickness and reinforcement should be determined by the structural engineer. We recommend a minimum floor slab thickness of 4.0 inches and minimum reinforcement of #3 bars at 24 inches on center in both directions. All slab reinforcement should be supported on concrete chairs to ensure that reinforcement is placed at slab mid -height. Slabs with moisture sensitive surfaces should be underlain with a moisture vapor retarder consisting of a polyvinyl chloride membrane such as 10 -mil Visqueen, or equivalent. All laps within the membrane should be sealed and at least 2 inches of clean sand should be placed over the in to promote uniform curing of the concrete. To reduce the potential for punctures, the membrane should be placed on a pad surface that has been graded smooth without any sharp protrusions. If a smooth surface can not be achieved by grading, consideration should be given to placing a 1 -inch thick leveling course of sand across the pad surface prior to placement of the membrane. Based on our field observations and understanding of local geologic conditions, the soil profile type judged applicable to this site is SD, generally described as stiff soil. The following presents additional coefficients and factors relevant to seismic mitigation for new construction based upon the 2013 California Building Code (CBC). Sladden Engineering May 6, 2016 -3- Project No. 544-16110 16-05-169 The seismic design category for a structure may be determined in accordance with Section 1613 of the 2013 CBC or ASCE7. According to the 2013 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The 2013 CBC Seismic Design Parameters are summarized below. Risk Category (Table 1.5-1): I/11/111 Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1): 1.500g S1(Figure 1613:3.1): 0.637g Fa (Table 1613.3.3(1)): 1.0 Fv (Table 1613.5.3(2)):1.5 Sms (Equation 16-371Fa X Ss)): 1.5008 . Smi (Equation 16-38 1Fv X Si)): 0.9558 SDS (Equation 16-39 (2/3 X Sms)):1.000g SDI (Equation 16-4012/3 X Sm1)): 0.637g Seismic Design Category: D In addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate content as it relates to selecting appropriate concrete mix designs. Testing indicates that the site soil is generally considered extremely corrosive with respect to concrete. The testing indicated soluble sulfate content of 800 ppm (0.080 percent) that corresponds with the "negligible" exposure category in accordance with ACI 318-08, Table 3. In accordance with ACI 318-08, special sulfate resistant concrete mix designs will not be required. If you have questions regarding this letter or the referenced reports, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson Principal Enginee. SER/clb Copies: 4 / Addressee BRETT L. ANDERSON Vow/ No. C45389 rr 9130116 R x d CIVI Q� ENGINEERING OF C Sladden Engineering Sladden En ineerin g, g 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 { Date: May 6, 2016 Account No.: 544-16110 Customer: Feddedy & Associates Location: 55350 Cherry Hills, La Quinta Analytical Report Sulfate Series I 1 ' Soluble Sulfates per CA 417 ppm 800 i Soluble Chloride per CA 422 ppm 240{ Sulfate 544-16110 050616 TABLE 19=A-2—REQUIREME-.NTS FOR SPECIAL EXPOSURE CONDITIONS' 1 tINIMUM I", MAXIMUM YOR AL` WETGI& AND . - WATER -GJ f ENTfTj•OUS UGHij1rEIGFTf• - MATERIAE- RAbO;*BY:.. AGGREGATECORCREfE, EXPOSURECONOMON WOGNT?NORItAL'-WEIGF{T• AGGAEGATE CONCRETE = Congrete intended to have low perme"Ability when x 0.00689•forMPa exposed to water ASO Concrete cxposcd to•freezing and thawing in a moist 4,000 condition or to deicing chemicals 0.45 For corrosion protection for reinforced concrete 4.500 exposed to chlorides from deicing chemicals, salts or '%_ brackish atcr, orspray-from these'sources 0.40 5,000 TABLE 19-A-3--REQUIREMENTS:FOR CONCRETE EXPOSED TO SULFATE-CONTAINING-SOL•UTIONS NORMAL -WEIGHT UGHT.WEIGHT :AGGREGATE AGGREGATE CONCRETE • Maximum Water- WATER- SOLUBLE CementfUoua f" 'Normal- . 1 pa1gM-an d SULFATE Mdtarlals-RetIo;bj% ((SO��)),,IN SOIL Wh4 i SULFATE P9CE?{TAGEBY Whtwelght' -A9gropat8 Concaete,.ps11 SULFATE SO IN tjWelgltl EXPOSURE WEIGHT.t. WATER. ppm' CEMENT7YpE gnc�retar x 600689'forMPa Negligible 0.00 a.10 0-150 Modctatc2. 0.10-020 150-1.500 ff, IP(MS). LS OSO 4.000 Scvcce 0.20-2-00 1,500-['0,000 V 0.45 4,$00 Very severe 0vet2.00 Over 10,000 V plus0.45 4500 • pozzolan3 - IA lowerwa[errcancntitious materials ratio orhigherstfength Z againEZmay be-mquired for low permeability'orforproteetion ' sion'of embedded items or &cczing and thawing (rabli 19—A-2). Seawa 3PozzoIas bcea determined by test orServiee r=rd toimprove sulfa LxU ng'Type V cement te trsistance when used in concrete con - 2 -264 sqq - IG 110 La Quinta 14-763 06/17/14 Please verify that soils reports contain all of the above information. In addition to assure continuity between the investigation/reporting stage and the execution stage,please use the following checklist to verify that the conclusions and recommendations in the re ort cover all the required elements. Only then can we be assured that tP documents address all of the site soil conditions. he construction ----------------- La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section the re: ort ad following criteria? of p dress each of the "Address" means: a) the criterion is considered significant and mitigation measure(s) noted, or; (b), the criterion is considered insignificant.and explicitly so stated. Yes No Criterion IKI ❑ Foundation criteria based upon bearing ca a P city of natural or compacted soil. ❑ Foundation criteria to mitigate the he effects of expansive soils. ❑ Foundation criteria based upon bearing capacity of natural or compacted soil. ❑ Foundation criteria to mitigate the effects of liquefaction. ❑ Foundation criteria to mitigate the effects of seismically induced differential settlement. ❑ . Foundation criteria to mitigate the effects of long-term g differential settlement. ❑ Foundation criteria to mitigate the effects of varying soil strength. ❑ Foundation criteria to mitigate expected total and differential settlement. Any "Non answers to the above checklist should be noted as specific required corrections. • q d