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07-3224 (MFD5) Type A-2L , 4 P.O. 'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: my),10 07-00003224 47795 DUNE PALMS RD 600-020-030- - DWELLING - 5 OR MORE REGIONAL COMMERCIAL 1048506 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner:. COACHELLA VALLEY HOUSING COALI - 45701 MONROE ST 1-G FAMILY INDIO, CA 92201 Architect or Engineer: Date: 1/25/08 Contractor: rl�JAN BROWNCONSTRUCTION, P.O BOX 980700 WEST SARAMENTO,. CA 95 't008(•916.)373 -93D02' Lie. No.: 396120 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I 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 tit siness and Professionals Code, and my License is in full force and effect. 1 have land will maintain,a certificate of consent to self -insure for workers' compensation,.as provided License G s: B' . LicenseNo.: 396120 _ for by Section 3700 of the. Labor Code,for the performance of the work for which this permit is e; iS P Contractor. Cir. issued. 1 have and wilLmaintain'workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance ofthe 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 StateLicense Law for the Carrier AMER INC Policy Number 3424477 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that:requires a permit to _ d certify that, in the performance of the work for which this.permit is issued, I shall not employany 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 or she is, licensed pursuanttothe provisions of the :Contractor's State and agree that, if I 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 the - shall forthwith comply with those.provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by � isaw., IcAwS `. any applicant for a permit subjeemthe applicant to aLcivil penalty of not more than five hundred dollars ($500).: e: pplicant: 1 _) I, as owner of the property, or myemployees with wages as theirsole compensation, will do the work, and the structureis not intended or offered for sale (Sec. 7044, Business, and Professions Code: The 0000 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property whoibuilds,or improves 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, provided that the DOLLARS (slo0,o0o). 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or jmproveJor the purpose -of'saleJ. (_) 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 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 there is construction lending agency for the performance of the work for which this permit is issued (Sec..3097, Civ. C.): Lender's Name: Lender's Address: LQPER-MIT 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,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 hermlessithe City of La Quints, its officers, agents and.employeesfor 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 cessationof work for180days 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 cityand county ordinances and state laws=relating to building construction, and hereby authorize representatives of this coy(y(my t enter upon the above-mentioned propertyflrrina coon S. te: � 8 lure (Applicant or Agent): s*` aoy i i Application Number . . . . . •07-00003224 Structure Information 17,333SF [TYPE:A-2]/V-lHR/RES-1/12-DU Other struct info CODE EDITION 2001/2004/2005 ## BEDROOMS 30.00 FIRE SPRINKLERS FULLY_ FLOOD ZONE NO .GARAGE SQ FTG 1980.00 PATIO SQ FTG 1362.00 NUMBER OF UNITS 12.00 1ST FLOOR SQUARE FOOTAGE 5106.00 2ND FLOOR SQUARE FOOTAGE 6631.00 3RD FLOOR SQUARE FOOTAGE 2094..00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 3637.50 Plan Check Fee 23.64.38 Issue Date . . Valuation . . . . 1048506 Expiration Date 7/23/0'8 Qty Unit Charge Per Extension BASE FEE 3539.50 49.00 2.0000 THOU BLDG 1,000,001 - UP 98.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 3.59.00 Plan Check Fee 79.75 Issue Date . . . . Valuation' 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 4.5000 EA MECH VENT INST/ DUCT ALT 54.00 12.00 9.0000 EA MECH B/C <=3HP/100K BTU 108.00 16.00 6.5000 EA MECH VENT FAN 104.00 12.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 78.00 Permit . . Additional desc . Permit Fee Issue Date . . . Expiration Date . . Qty Unit Charge 13831..00 .0300 LQPERMIT ELEC-NEW RESIDENTIAL 472.13 Plan Check Fee . Valuation 7/2.3/08 Per BASE FEE ELEC NEW RES - MULTI FAMILY 118.18 0 Extension 15.00 414.93 N Application Number . . . . . 07-00003224 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 2140.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL --------------------------------------------------------------------------- 42.80 Permit PLUMBING Additional desc . . Permit Fee . . . . 867.00 Plan Check Fee 203.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 84.00 6.0000 EA PLB FIXTURE 504.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 12.00 7.5000 EA PLB WATER HEATER/VENT 9.0.00 12.00 3.00'00 EA PLB WATER INST/ALT/REP 36.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 24.00 .7500 EA PLB GAS -PIPE >=5 18.00 12.0.0 15.0000 EA PLB GAS METER 1.80.00 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 -. ----- ----- 17,333SF [TYPE':A-2']/V-IHR/RES-1/12-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY % FIRESPRINKLERS [3STORIES/42,000SF MAX] THIS PERMIT DOES NOT'INCLUDE SITEWALLS', SITE LIGHTING., CARPORTS OR TRASH ENCLOSURES. 2001 CBC, CPC, CMC, 2004 CEC, .2005 ENERGY CODE. [BUILDING: 2100 - TYPE: A-21 December 28, 2007 10:44:14 AM AORTEGA - ----------------------------------------------------------------- ----------------------------------------------------------- O Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW ------------- 236.44 ART IN PUBLIC PLACES -RES 212.1..26 DIF COMMUNITY CENTERS -RES 876.00 DIF CIVIC CENTER - RES 2748.00 ENERGY REVIEW FEE 236.44 LQPERMIT Application Number . . . 07-00003224 -------------------------=-------------------------------------------------- Other Fees . . . . . . . . . DIF FIRE PROTECTION --RES 384.00 DIF LIBRARIES - RES 4176.00 DIF PARK MAIN.T FAC - RES 252.00 DIF PARKS/REC - RES 10512.00. STRONG MOTION (SMI) - RES 104.85 DIF STREET MAINT FAC -RES 468.00 DIF TRANSPORTATION - RES 13524.00 Fee summary Charged Paid Credited Due Permit Fee Total 5351.23 .00 .00 5351.23 Plan Check Total 2765.56 .00 .00 2765.56 Other Fee Total 35638.99 .00 .00 35638.99 Grand.Total 43755.78 .00 .00 43755.78 LQPERMIT