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06-3410 (MFD5) Type B1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-0000341,0 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 363289 Applicant: Architect or Engineer: ------------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my,Ucense'is in full force and effect. License Class: Btt Ucense N�o.:A39966112200 ntractor% 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 Cade: Any city or county that requires a permit to construct,, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuantto-theprovisions of the,Comractor's"State License Law (Chapter 9 (commencing with Section 70001 of Division:3 ofthe Business and Professions Code] or that he,orshe 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 fivehundred dollars ($5001::. (_ 1 1, as owner of the property, or my employees with wages,as their sole compensation, will do the, work, and the structureis not intended offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an.ownerof property who builds or improves thereon, and who does the work himself or herself through his or her own.employees, provided that the improvememrare 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 shedid,nor 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 applyto 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 thereis a construction lending agency for the performanceofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/08' Owner: COACHELLA VALLEY HOUSING COALI. 45701 MONROE ST 1--G INDIO, CA 92201 D° Contractor: BROWN CONSTRUCTION, INC. JAN 2 5 2008 PO BOX 980700 WEST SARAMENTO, CA 9579 CIT1f'OF W 4UINTA (916)373"9300 'FINANCE DEPT. Lic. No.: 396120 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 TTT Code,.for the performance of the work for which this permit.is`issued. My workers' compensation insurance, carrierand policy number are: Carrier AMER INC Policy Number 3.424477 _ I. certify that, in the performanceof 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 l should become subject to the workers' compensation provisions of Section 3700 of the- - hall forthwith comply with those provisions. .. ,115ate: r pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE:IS UNLAWFUL, AND SHALL 'SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND 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 Directocof Building_ and Safety for a permit subject to the conditions and restrictionsset 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 buildin construction, and hereby authorize representatives of thi co my t enter upon the above-mentigpaaLp arty for _ ecti - -s. cru' 2 ate: S' ature (Applicant or f� Application Number . . . . . 06-00003410 ------ .Structure Information 6,725SF [TYPE:B]/V-NR/RES-1./6-DU ----- Other struct_ info CODE EDITION 2001/2004/2005 # BEDROOMS 15.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG .00 PATIO SQ FTG 349.00 NUMBER OF UNITS 6.00 -------------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . Issue Date . Expiration Date . BUILDING PERMIT 1563.50 Plan Check Fee . . 1.016.28. Valuation . . . . 363289 7/23/08 Qty Unit Charge Per Extension BASE FEE 639.50 264.00 .3.5000 THOU BLDG 100,001-500,000 924.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 1.94.50 Issue Date . . . . Expiration Date . . 7/23/08 Plan Check Fee . . 48.63 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15-00 6.00 4.5000 EA MECH VENT INST/ DUCT ALT 27.00 5.00 9.0000 EA MECH B/C <:=3HP/100K BTU 45.00 1.00 16.5000 EA . MECH B/C >3-15HP/>100K-500KBTU 16.50 8.00 6.5000 EA MECH VENT FAN 52.00 6.0D 6.5000 EA. MECH EXHAUST HOOD 39.00 Permit . . . ELEC-NEW RESIDENTIAL .Additional desc . Permit Fee . . . . 205.32 Plan Check Fee 51.33 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge. Per Extension BASE FEE 15.00 62.80.00 .0300 ELEC NEW RES - MULTI FAMILY 188.40 96:00 ------------------------------------------------------------------------ .0200 ELEC GARAGE OR 140N -.RESIDENTIAL 1.92 LQPEP-MIT Application Number . . . . . 06-00003410 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 3.93.00 Plan Check Fee Issue Date . . . . Valuation Expiration Date . . 7/23/08 98.25 0 Qty Unit Charge. Per BASE FEE Extension ----------------------------------------------------- Special Notes and Comments BASE FEE 1.5.00 32.00 6.0000 EA PLB FIXTURE 192.0.0 1.00 15.00"00 EA PLB BUILDING SEWER 15.00 6.00 7.5000 EA PLB WATER HEATER/VENT 45.00 6.00 3.0000 EA PLB WATER INST/ALT/REP 18.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 :7500 .EA PLB GAS PIPE >=5 9.00 6.00 15.0000 EA PLB GAS METER 90.00 Permit . . . Additional desc . Permit Fee . . . . Issue Date . . . Expiration Date . GRADING PERMIT 15.00 7/'2.3/08 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------- Special Notes and Comments 6,725SF [TYPE:B]/V-NR/RES-1/6-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [2STORIES/24,600SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS,. .SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES. 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. [BUILDING: 5200 - TYPE: B] December 26, 2007 3:38:40 PM AORTEGA -------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILIT.Y PLAN REVIEW 101.63 ART IN :PUBLIC PLACES -'RES 408.22 DIF COMMUNITY CENTERS -RES 43.8.00 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 10.1.63 DIF FIRE PROTECTION -RES 192.00 DIF LIBRARIES - RES 2088.00 DIF PARK MAINT FAC -.RES 126.00 DIF PARKS/REC - RES 5256.00 STRONG MOTION (SMI) - RES 36.,32 LQPERMIT 4, Application Number . . . . . 06-00003410 ------------------------ - ----- 7 ----------------------------------------------- --------------------------------------------- Other Fees . . . Other . . . . . . DIF STREET MAINT FAC -.RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited Due Permit Fee Total 2371.32 .00 .00 2371.32 Plan Check Total 12.14.4.9 .00 .00 1214.49. Other Fee Total 17117.80 .00 .00 17.117.80 Grand Total 20703.61 .00 .00 20703.61 LQPERMIT