07-2356 (CONR) Type KP.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002356
Property Address: 47795 DUNE PALMS RD
APN 600 -020 -030 -
Application description: NEW COMML - OTHER NON-RESIDENTIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 53,173
Applicant:
Architect or Engineer:
Owner:
COACHELLA VALLEY
45701 MONROE ST
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
BROWN CONSTRUCTION,
PO BOX 980700
WEST SARAMENTO,, CA
(916)373-9,300
Lid. No.: 396120
INC.
95798
125/08
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury,one,of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and myLlcense is in full force and.effect.
_ I have and will maintain a certificate of consent to self-insure.for workers' compensation, as€provided
License Class: B License No.: 3x96120
for by Section 3700 of the Labor Code, for the performance of the work for -which this permit is
ate: 1 C rector: i7�'o"'��
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
OWNEWBUILDER DECLARATION
insurance carrier and policy number are:,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier _AMER INC Policy Number 3424477
following. reason (Sec. 7031.5, Business:and Professions Code: Any city or county.thatrequires a permit to
_ I certify that, in the performance of the work,for which this permit,is,issued, 1 shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its .issuance, :also requires the applicant for the
person -in any manner so as to become Subject to the workers' compensation laws of California, '
permit to file a.signed statement,that he;orshe is licensed pursuant;to the,pr visions of the Contractor's State
and agree that,. if I s_ hould.become;subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the.Business and Professions Code) or
3700 of th a!*'17h forthwi lywith those provisions.
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).:
ate:
(_ I 1, 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION'COVERAGE.IS UNLAWFUL, AND SHALL
Contractors' State. License Law does not apply to an owner of property who builds:orimproves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL, PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does.the work himself or herself through his or her own employees, providedthat the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS. PROVIDED FOR IN
improvements. are not intended or offered for sale. If, however, the building or improvement.is sold within
SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she didnotbuild or
improve for the purpose of sale.).
(_ 1 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 town 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,).
1 _ 1 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 performanceof the
work for which this permit is issued (Sec. 3097, Civ..CJ.
Lender's Name:
Lender's Address
LQPERMrr
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made.to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this,applicatiomis 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 Quints, 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 thisapplication 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 tocancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
cityand county ordinances and state lawsrelating to but struction, and hereby authoriie.representatives
of this co my enter upon the above -mention _ ._ for ins
te: S' tura (Applicant or Agentl:
Application Number . . . . 07-00002356
Structure Information 1,397SF [TYPE K]/V-NR/F-1 OCC/6 -OL
Other struct info . .
. . . CODE EDITION
"2001/2004/2005
FIRE SPRINKLERS
NO
MIXED-USE OCCUPANCY
F-1
OCCUPANT LOAD
6.00
PATIO SQ FTG
623.00
-----------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
774.00
Permit . . .
BUILDING.PERMIT
Additional desc .
Permit Fee . . . .
432.5.0 Plan Check Fee
281.13
Issue Date . . . .
Valuation . .
. . 5,3173
Expiration Date ..
7/23/08
Qty Unit Charge
Per
Extension
BASE FEE
414.50
4.00 4.5000
THOU BLDG 50,001-100,000
18.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
50.50 Plan Check Fee
.. 1-2.63
Issue Date . .
Valuation . .
. . 0
Expiration Date
7/23./08
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE.<=100K
9.00
1.00 4..5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9:00
2.00 6:5000
EA MECH VENT FAN
13.00
Permit . . .
ELEC-NEW COMMERCIAL
Additional desc .
Permit Fee . . . .
3'0.48 Plan Check Fee
7.62
Issue Date . . . .
Valuation
0
Expiration Date
7/23-/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
774.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL 15.48
Permit PLUMBING
Additional desc .
LQPERMIT
Application Number . . . . . 07-00002356
Permit .
. . .
PLUMBING
15.00
-------------------------------------------------------------------------------
Special.Notes and Comments.
Permit Fee
. . . .
249.75
Plan Check Fee
62.44
Issue Date
INCLUDE SITEWALLS, SITE LIGHTING,
Valuation
0
Expiration
Date
7/23/08
[BUILDING: 3300 - TYPE: K].
Qty Unit Charge
Per
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
Extension
ART IN PUBLIC PLACES -COM
245.•86
BASE FEE
15.00
27.00
6.0000
EA PLB
FIXTURE
162.00
1.00
iS.0.0.00
EA PLB
BU-ILDING SEWER
15.00
1.00
1.5000
EA PLB
WATER•HEATER/VENT
7.50
1.00
12.0000
EA PLB
INTERCEPTOR
12.00
1.00
3.0000
EA PLB'WATER
INST/ALT/REP
3.00
1.00
9.0000
EA PLB
LAWN SPRINKLER SYSTEM
9.00
15.00
.7500
EA PLB
GAS PIPE >=5
11.25
1.00
15.0000
EA PLB
GAS METER
15.00
Permit . . .
Additional d_esc . .
Permit. Fee . . .
Issue Date . . . .
Expiration Date . .
GRADING PERMIT
15..00
7/23/08
Plan Check Fee .. .0.0
Valuation . . . . 0
Qty_ Unit Charge Per
Extension
BASE FEE
15.00
-------------------------------------------------------------------------------
Special.Notes and Comments.
1 397S [TYPE:K]/V-NR/.F-1 OCCUPANCY/6-01,
[NO ALLOWABLE AREA INCREASES 2STORIES,
8•,000SF.MAX] -THIS PERMIT DOES NOT
INCLUDE SITEWALLS, SITE LIGHTING,
CARPORTS, OR TRASH ENCLOSURES. 2001 CBC,
CPC, CMC,, 2004_CEC, 2005 ENERGY CODE.
[BUILDING: 3300 - TYPE: K].
December 27, 2007 8:32:58 AM.AORTEGA
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
28.11
ART IN PUBLIC PLACES -COM
245.•86
DIF CIVIC CENTER - COMM_
73.53
ENERGY REVIEW FEE
28.11
DIF FIRE PROTECTION -COMM
24.76
STRONG MOTION (SMI) - COM
11.-16
DIF STREET MAINT FAC -COMM
17.80
DIF TRANSPORTATION - COMM
1334-37
Fee summary Charged Paid Credited
Due
Permit. Fee .Total 778.23 .00 .00
778.23
LQPEmrr
Application Number
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
. . . . 07-00002356
363.82 .00 .00 363.82
1763.70 .00 .00 1763.70
2905.75 .00 .00 2905.75