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BRES2016-0072 Revision 27;t 02 Q�iQum& 78-495 CALLE TAMPICO Td4t D VOICE (760) 777-7125 LA gUINTA, CALIFORNIA 92253 FAX (760)777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/11/2017 Application Number: BRES2016-0072 Owner: Property Address: 53805 VIA BELLAGIO PETER BORDEN APN: 777170013 1609 VIA LAZO Application Description: BORDEN / 6,142SF DWELLING/VB/RES73/CLASS A-FR/1313 PLS VRDS EST, CA 0 Property Zoning: Application Valuation: $546,426.90 Applicant: Contractor: FEDDERLY & ASSOCIATES 9 FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D#248 AUG A 1 2017 78206 VARNER ROAD STE D#248 PALM DESERT, CA 92211 Dj,'PALM DESERT, CA 92211 CITY OF LA QUINTA (760)773-5205 DESIGN AND DEVELOPMENT DEPARTMENT Llc. No.: 762889 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 nd ssions Code, and my License is in full force and effect. License Class: B License No.: 762 c ,','Date:' Contractor: 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 70.00) 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 ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) 1, 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 Na Lender's Address: 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 wgXk for which this permit is issued. I V 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number: 762889 _ 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 sub' workers' compensation provisions of Section 3700 of the Labor Code, I shall fo comply with th se provisions. Date: Applican �- #Oj � �- (1,ost.0" WARNING: FAILURE TO SECURE WORKER ' 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 t construction, and hereby authorize representatives of this city to enter upon he ve- mentionje�d rp opertb yfor inspection purposes. Date: '' g t'� Signature (Applicant orAgent),, Date: 8/11/2017 Application Number: BRES2016-0072 Owner: Property Address: 53805 VIA BELLAGIO PETER BORDEN APN: 777170013 1609 VIA LAZO Application Description: BORDEN / 6,142SF DWELLING/VB/RES-3/CLASS A-FR/13D PLS VRDS EST, CA 0 Property Zoning: Application Valuation: $546,426.90 Applicant: Contractor: FEDDERLY & ASSOCIATES FEDDERLY & ASSOCIATES 78206 VARNER ROAD STE D #248 78206 VARNER ROAD STE D #248 PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)773-5205 Llc. No.: 762889 -------------------------------------------------------------------------------------------- Detail: 6,142SF DWELLING WITH 1,102SF GARAGE AND 1,2215F OF PATIO COVERIVB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $866.06 Total Paid for ART IN PUBLIC PLACES - AIPP: $866.06 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.5 $76.00 Total Paid for BLDG CITY STAFF - PER HOUR: $76.00 . DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $22.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $22.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY' AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 Total Paid for ELECTRICAL: $41.09 DESCRIPTION ACCOUNT QTY AMOUNT . RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $86.31 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $35.56 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 Total Paid. for ELECTRICAL - NEW CONSTRUCTION: $314.76 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $181.29 Total Paid for GRADING: $217.55 DESCRIPTION ACCOUNT QTY -AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $145.04 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $12.09 DESCRIPTION . ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $145.04 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $96.68 DESCRIPTION ACCOUNT. QTY AMOUNT VENT FAN 101-0000-42402 0 $108.81 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 10170000-42600 0 $43.47 DESCRIPTION ACCOUNT QTY AMOUNT WALL HEATER. 101-0000-42402. 0 $98.84 DESCRIPTION ACCOUNT QTY' AMOUNT WALL HEATER PC 101-0000-42600 0 $48.36 Total Paid for MECHANICAL: $799.84 DESCRIPTION , ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $775.89 Total Paid for NEW CONSTRUCTION PERMIT: $775.89 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,400.00 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $276.92 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,676.92 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $374.79 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0, $374.79 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 DESCRIPTION ACCOUNT QTY. AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN 101-0000-42401 0 $84:63 DESCRIPTION ACCOUNT QTY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $84.63 'DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.25 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC, 101-0000-42600 0 $12.09 Total Paid for PLUMBING FEES: $1,063.89 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $71.04. A Total Paid for STRONG MOTION INSTRUMENTATION SMI: $71.04 DESCRIPTION ACCOUNT QTY AMOUNT SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid for TUMF - RESIDENTIAL: $1,837.44 A