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06-4134 (MFD5) Type CP.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004134 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 715537 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of. Division 3 of the Business and Professionals Code, and my:License is in full force and effect. License' I ss: B License fJo:; 3 9612 0 ate: `� w raCto,. Ty r• OWNER -BUILDER DECLARATION I hereby affirm under penalty.ot 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 therefromand 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 16500).: (_ 1 I, as owner of the property, or my employees with wages as their'sole compensation, will do the work, and the structure is not intended or offered for sale, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply toren 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 issold within one year of completion, the owner -builder will have.the burden of proving that he or she did not build or improve forthe 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 contractsfor. the projects with a contractor(s) licensed pursuant to the Contractors' State License Low.). (_) I am exempt under Sec. , B.&P.C. for this reason. Date:: Owner: CONSTRUCTION LENDINGAGENCY I hereby affirm under penalty of perjury that,there: is a.construction lendingagency for the performance of the 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 COALS 45701 M_ONR_OE ST 1-G INDIO, CA 922.01 Contractor: BROWN CONSTRUCTION, INC. PO BOX 980700 WEST SARAMENTO, CA 95798 O ACJ 100 (916)373-9300 L' Lic. No.: 396120 ------------ r ---- 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 carrievand policy number are: Carrier .AMER INC, Policy Number 3424477 _ 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�Calftrnia, and agree that, if I should becom&subject to the workers' compensation' provisions of Section 3700 of the Cdft4woall forthwith comply with those provisions. f lice WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL -AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (9100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF7THE LABOR CODE, INTEREST, AND ATTORNEY'&FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application,is herebymadeto the.Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application: 1. Each person upon whose behalf this application ismade, 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 agrees10, and shall defend, indemnify andholdharmless the City of La Ouinta, 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 permitissued as aresuli of this application becomes null and void if'work is not commenced within IS0 days from date of issuance of such permit, or cessation of work for 1a0 days will subject permit to cancellation. 1 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 this county Ip. enter upon the above-mentioned pro y or action purposes. Jia: y2riob ature(Applicant or Agent): C-aw3\ k. Application Number . . . . . 06-00004134 Structure Information 11,125SF [TYPE:B]/V-lHR/RES-1/8 - DU Other struct info . . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 2-4.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG .00 PATIO SQ FTG 12.33.00 NUMBER OF UNITS 8.00 1ST FLOOR SQUARE FOOTAGE 3639.00 2ND FLOOR SQUARE FOOTAGE 36.67.00 3RD FLOOR SQUARE FOOTAGE 2467.00 Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . BUILDING PERMIT 2687.50 7/23/08 Plan Check Fee 1746.88 Valuation . . . . 7.1553.7 Qty Unit Charge Per Extension BASE FEE 2039.5.0 216.00 --------------------------------------------------------------- .3..0000 THOU BLDG 500,001-1,000,000 648.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 279.00 Plan Check Fee 69.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 4.5000 EA MECH VENT INST/ DUCT ALT 36.0.0 8.00 9.0000 EA MECH B/C <=3HP/100K BTU. 72.00 1.6.00 6.5000 EA MECH VENT FAN 104.00 8.00 6.500.0 EA MECH EXHAUST HOOD 52.00 Permit . . . Additional desc . . Permit Fee'. . . . . Issue Date . . . . Expiration Date . . ELEC-NEW RESIDENTIAL 310.57 Plan Check Fee . Valuation . . . . 7/23/08 Qty Unit Charge Per BASE FEE 9773.00 .0300ELEC NEW RES - MULTI FAMILY LQPERMIT 77.64 0 Extension 15.00 2:93.19 Application Number . . . . . 06-000.04134 Permit . .. . . . ELEC-NEW RESIDENTIAL . Qty Unit Charge Per Extension. 119.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.38 ------------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 687.00 Issue Date . . . . Expiration Date 1/23/08 Plan Check Fee 171.75 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 72.00 6.0000 EA PLB FIXTURE 432.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 8.00 7.5000 EA PLB WAT-ER.HEATER/VENT 6.0.00 8.00 3.0000 EA PLB WATER INST/ALT/REP 24.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 16.00 7500 EA PLB GAS PIPE >=5 12.00 8.00 15.0000 EA PLB GAS METER 120.00 Permit . . . GRADING PERMIT Additional desc . ` Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments 11,125SF [TYPE:C]/V-1HR/RES-1/8-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [3STORIES/4'2,000SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES.. 2001 CBC, CPC, CMC., ,2004 CEC, 2005 ENERGY CODE. [BUILDING: 1200- TYPE,: C] December 26, 2007 3:54:33 PM AORTEGA ------------------------------------------------------------------------------- Other Fees . . . ACCESSIBILITY PLAN REVIEW 174.69. ART IN PUBLIC PLACES -RES 1288.84 .DIF COMMUNITY CENTERS -RES 584.00 DIF CIVIC CENTER - RES 1832.00 ENERGY REVIEW .FEE 174.69. LQPERMIT Application Number . . . . . 06-00004134 ------------------------------------------------------ Other Fees . . . . . . . . . DIF -------- FIRE PROTECTION -RES -- 256.00 DIF LIBRARIES - RES 2784.00 DIF PARK MAINT FAC - RES 168.00 DIF PARKS/REC - RES 7008.00 STRONG MOTION (SMI) - RES 71.55 DIF STREET MAINT FAC -RES 312.00 DIF TRANSPORTATION - RES 9016.00 Fee summary Charged Paid Credited -- Due -- - -- - Permit Fee Total ---------- 3979.07 -------- ----- ---------- .00 .00 3979.07 Plan Check total 2066.02 .00 .00 2066.02 Other Fee.Total 23669.77 .00 .00 2.3669.77 Grand Total 29714.86 .00 .00 29714•.86. LQPEK IIT