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07-3223 (MFD5) Type B-2E `t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: CXf__1 07-00003223 47795 DUNE PALMS RD 600 -020 -030 - DWELLING - 5 OR MORE REGIONAL COMMERCIAL 3654'93 BUILDING& SAFETY DEPARTMENT BUILDING PERMIT Owner: COACHELLA VALLEY 45701 MONROE ST FAMILY INDIO, CA99-901 � lull VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 HOUSING COALI 1-G Contractt7- 5 Z008 Architect or Engineer: BROWN RUC N? NC. PO BOX WEST S EN 1QI Ng T �1 (9.16) 3 u rt Lic. No.: 396120 Date: 1/25/0.8 -------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of, perjury that I am licensed under provisions of Chapter (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 my License is in full force and effect. _ I have. and will maimaima certificate of consent to self-insureJor-workers' compensation, as provided License Class: BLicense No.: 396120 _ _ for by Section 3700 of the Labor Code; for the performance of the work for which this permit is G.. issued. ate: �1.� ontractor: _ Tvn- %�- I have:and will maintain workers' compensation insurance, as:required by Section. 3700 oftheLabor Ytt Code, fortheperformance of the work for which this permit is:issued. My workers' compensation 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, Businessland 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 heror-she is exempt therefrom and the basis for the alleged exemption- Any violation of Section 7031.5 by any applicant for a permitsubjects.the applicant to a civil penalty of not more than five: hundred dollars (5,500).: 1 _d 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 yearof 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, a's 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 notapplytoan owner of property who builds or improvesthereon, and who contracts for the projects with a contractods) licensed pursuantto the Contractors' State LicenseLaw.). (_) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: PIK 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, I shall not employ any person. in any manner so as to become subject to the workers' compensation laws of California, and agree that,41 should becomesubject to the workers" compensation provisionsof Section X3`700 of the.La Cipd�hallhwith comply with those rovlsions. ate: t ^e Ap ertt:•J WARNING: FAILU4 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES' AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR€r($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 fora permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose.behalf this, application is made, each personat whose request and for whose benefit work is performed:under or pursuantto,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 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 permit issued as a; resuli.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 thisapplication and state that the above information is correct. I agree to comply with all city and county ordinancesand,state laws relating.to buildin construction, �andherebv�authorize representatives of wuntty. o enter upon a above-mentione�tp r or in ctio Date; O ignature (Applicant or Agent): Application Number . . . . . 07-0000322.3 ------ Structure Information 6,833SF [B-2]/V-NR/RES-1, F-1/5-DU+1+1 ----- Other struct info.. . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 13.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG 152.00 PATIO SQ FTG 452.00 NUMBER OF UNITS 5.00 2ND FLOOR SQUARE FOOTAGE 1865.00 ----------------------------------------------------------------------------- Permit . . . BUILDI=NG PERMIT Additional desc . .. Permit Fee 1570.50 Issue Date . . . . Expiration. Date . . 7/23/08 Plan Check Fee . . 1020.83 Valuation . . . . 365493 Qty Unit Charge Per Extension BASE FEE 639.50 266.00 3.5000 THOU BLDG 100,001-500,000 931.0'0 Permit . . . MECHANICAL Additional desc . Permit Fee 202.00 Issue Date . . . . Expiration Date . . 7/23/08 Plan Check Fee . . 50.50 Valuation . . . . 0 Qty Unit. Charge Per Extension BASE FEE 15.00 6.00 4.50'00 EA MECH VENT INST/ DUCT ALT 27.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 2.00 -16.500.0 EA MECH B/C >3-15HP/>100K-S00KBTU 33.00 9.00 6.5000 EA MECH VENT FAN 58-50 5.00 6..5000 EA MECH EXHAUST HOOD 32.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 5322.00 .0300 1.0.58.0 0 .020.0 LQPERMIT 1-95.82 Plan Check Fee 48.96 Valuation . . . . 0 7/23/08 Per Extension BASE FEE 15.0.0 ELEC NEW RES - MULTI FAMILY 159.66 ELEC GARAGE OR NON-RESIDENTIAL 21.16 Application Number . . . . . 07-00003223 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 530.25 Issue Date . . . . Expiration Date . . 7/23/08 Plan Check Fee . . 132.56 Valuation . . 0 Qty Unit Charge Per 15.00 ------------------------------------ I ------ ----------------------------------- ---------------- -- Special Notes and Comments Special Extension 6.,833SF [TYPE:B-2.]/V-NR/RES-1, F -1/5° -DU +1 MAINTENANCE/LAUNDRY - ALLOWABLE AREA BASE FEE 15.00 52.00 6.000.0 EA PLB FIXTURE 312.0,0 1.00 15.000,0 EA PLB BUILDING SEWER 15.00 6.00 7.50.00 EA PLB WATER HEATER/VENT 45.00 1.00 12.0000 EA PLB INTERCEPTOR 12.00 6.00 3.0000 EA PLB WATER INST/ALT/REP 18.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 19.00 .7500 EA PLB GAS PIPE >=5 14.25 6.00 ----------------------------------------------------------------------------- 15.0600 EA PLB GAS METER 90.00 Permit . . Additional desc . Permit .Fee . . . Issue Date . . . Expiration Date . GRADING PERMIT 15.00 7/23/08 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------ I ------ ----------------------------------- ---------------- -- Special Notes and Comments Special 6.,833SF [TYPE:B-2.]/V-NR/RES-1, F -1/5° -DU +1 MAINTENANCE/LAUNDRY - 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: 6200 - TYPE.: B-2] December 28, 2007 10:23:42: AM AORTEGA -----------------_-- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 10.2.08 ART IN PUBLIC PLACES -RES 413.73 ART IN PUBLIC PLACES -COM 1807.46 DIF COMMUNITY CENTERS -RES 365.00 DIF CIVIC CENTER - RES 1145.00 DIF CIVIC CENTER - COMM 86.07 ENERGY REVIEW FEE 102.08 DIF FIRE PROTECTION -RES 160.00 LQPERMIT Application Number . . . . . 07-0000.3223 ------------------ Other Fees . . . . . . . . . --- DIF FIRE PROTECTION -COMM - 28.9.9 DIF LIBRARIES - RES 1740.00 DIF PARK MAINT FAC - RES 105.00 DIF PARKS/REC - RES 4380.00 STRONG MOTION (SMI) - RES 36.54 DIF STREET MAINT FAC -RES 195.00 DIF STREET MAINT FAC -COMM 20.83 DIF TRANSPORTATION - RES 5635.00 DIF TRANSPORTATION - COMM 1561.94 Fee summary Charged Paid Credited Due -- - Permit Fee Total Permit -------- 2513.57 ------- - ---------- .00 .00 - - 2513.57 Plan Check Total 1252.85 .00 .00 125.2.85 Other -Fee Total 17884.72 .00 '.00 17884.72 Grand Total 21651.14 .00 .00 21651.14 LQPERMIT