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07-3212 (MFD5) Type B-1P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: 07-00003212 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 25073'4 Applicant: Architect or Engineer: � I = BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 7.77-7153 Dater 1/25/08 Owner: COACHELLA VALLEY HOUSING COALI 4570,1 MONROE ST 1-G INDIO, CA 92201 0 Contractors D 20fl� BROWN CONSTRUCTION, INC PO BOX 980700 WEST SARAMENTO, CA 95798 C�OF�QUIn (916) 373-9300 FMp►NCF'�E�. Lie. No.: 396120 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that.l am licensed under provisions of Chapter 91commencing with I hereby affirm under.penalty of perjury one of the following declarations: Section,7000) o_ f Division 3 o the.Business and Professionals Code, and my License is in full. force and effect. — I have and will maintain a'certificate a,f consent to self -insure for workers' compensation, as provided License Glass: B License Na.:' .396.120 for by Section. 3700 of the Labor Code, for the: performance of the: work for which this,permitis � t issued. ate: �Y fractor:._��YT I have,and will maintain workers compensation insurance, .as, required bySection 3700 ofthe Labor Code, for the performance of the`work for which this, permit is issued. My workers' compensation OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that,I ani exempt from the Contractor's State License, Law for the following reason, ISec: 7031:5; Business and Professions�Code: Anyoity-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 totile a signed statement that he or,she.is licensed,. pursuant to the provisions•of'the Contractor'sState License Law (Chapter9 (commencing with Section 7000) of Division;3 of the Business.and Professions Code) or that he or she, it exempt therefrom and the basis for the, alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the.applicant to a, civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the-property,.ormy employees with wages as their sole compensation, willdo the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If; however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving thathe or she did not build or improve for thepurposeof'sale.). (._ 1 1, as owner of the property, am exclusively contracting with licensed contractors`to construct the project (Sec. 7044,Business and Professions°Code: The Contractors' State License Law does: not apply to an owner of property who builds or improves thereon, and who contracts for the projects withya contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: - Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under, penalty of perjury that there,is arconstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT insurance carrier and policy number are: Carrier AMER. INC Policy Number 3424477 I certify that, in the performance,of the work for which this permit is issued, 1 shall not employ any person in any manner so:as to become subjectto the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation, provisions of Section 3700 of the Ggd shall forthwith comply with those provisions. plicani: t t'�• 9 x20%4&4 G.1$ t 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 Director of Building and. Safety for 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, andshall 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 asa result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, orcessation of work for 180 days will subject permit to cancellation. I certify that.l have read this applicationand 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 offtth/isr, /� tyto enter upon the above-mentioned' r ms tion purposes. Date: ! nature (Applicant or Agent): �N C�N=� I' LQPERMIT Application Number . . . . . 07-00003212 ------ Structure Information 4,661SF[TYPE:B-1]/V-NR/R-1,F-1/4+1MAINT ----- Other struct info . . . . . CODE EDITION 2001/2004/2005 #.BEDROOMS 9.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG 415.00 PATIO SQ FTG 243.00 NUMBER OF UNITS 4.00 1ST FLOOR SQUARE FOOTAGE 2138.00 2ND FLOOR SQUARE FOOTAGE 18'65..00 Permit . . . BUILDING PERMIT Additional desc . .. Permit Fee . . . . 1168.00 Plan Check Fee 759.20 Issue.Date . . . Valuation . . . . 250734 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 639.50 151.00 3.5000 THOU BLDG 100,001-500,000 528..50 Permit . . . MECHANICAL Additional desc:. Permit Fee 127.50 Plan Check Fee 31.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 4.5000 EA MECH VENT INST/ DUCT ALT 18.0.0 4.00 9.0000 EA MECH B/d <=3HP/100K BTU 36.0:0 5.00 6.500.0 EA MECH VENT FAN 32.50 4.,00 6..5000 ------------------------------------------------------------------------------- EA MECH EXHAUST HOOD 26.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 143.39 Plan Check Fee 35.85 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 4003.00 .0300 ELEC NEW RES - MULTI FAMILY 120.09 415.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.30 LQPERMIT Application Number . . . . . 07-00003212 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 318.00 Plan Check Fee 79.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 28.00 6.0000 EA PLB FIXTURE 168.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 4.00 7.5000 EA PLB WATER HEATER/VENT 30.00 5.0.0 3.0000 EA PLB WATER INST/ALT/REP 15.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM_ 9.00 8•.00 .7500 EA PLB GAS PIPE >=5 6.00 4.00 15.0000 EA PLB GAS METER 60.00 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 4,661SF [TYPE:B-1]/V-NR/RES-1, F;1/4 -DU +1 -MAINTENANCE - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERS [2STORIES/24,000SF MAX] THIS PERMIT DOES NOT INCLUDE.SITEWALLS, SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES. 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. [BUILDING:. 1'100 - TYPE.: B-11 December 27, 2007 9:16:04 AM AORTEGA Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 75.92 ART IN PUBLIC PLACES -RES 126.83 DIF COMMUNITY CENTERS --RES. 292.00 DIF CIVIC CENTER - RES 916.00 ENERGY .REVIEW FEE 75.92 .DIF FIRE PROTECTION -RES 128.00 DIF LIBRARIES - RES 1392.00 DIF PARK MAINT FAC - RES 84.00 DIF PARKS/REC - RES 3504.00 LQPEP-MIT Application Number . . . . . 07-00003212 --------------_-_-------------------- -------_----------- Other Fees . . . . . . . STRONG MOTION (SMI) RES 25.07 DIF STREET MAINT FAC -RES 156.00 DIF TRANSPORTATION - RES 4508.00 Fee summary Charged Paid Credited Due Permit Fee Total 1771.89 .00 .00 1771..89 Plan Check. Total 906.43 .00 .0.0 906.43 Other Fee Total 11283.7.4 .00 .00 1128.3.74 Grand Total 13962.06 .00 .00 13962.06 LQrERmrr