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07-3228 (MFD5) Type A-3P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003228 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 979782 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force. and effect. Licens lass:. B Eno License No.: 396120 ate: C actor: O W N ER:BUI LDER' DEC LARAT ION I hereby affirmunder penalty of perjurythat 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 filen signed statement that he or she-islicensed pursuantao the provisions of the. Contractor's State License Law (Chapter 9 (commencing with,Section 7000) of Division of the Business and Professions Code) or that he or she is exempt therefrom and the..basis for the alleged exemption. Any violation of, Section 7031.5 by any applicant for permit subjects the applicant, to a.civil penalty of not more than five hundred dollars 155001:: (_) I, as owner of the property, or my employees with wages'as their sole compensation, will do the work, and the structure is notintended 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 herselfthrough 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 provingthat he or she did not build or improve for the purpose.of;sale.). (_) I, asowner of the property, am exclusively contracting with licensed contractors to construct the project (Sec: 7044, Business and Professions Cade: 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 a 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:. gig LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/08 Owner: COACHELLA VALLEY HOUSING COALI 45701 MONROE ST.1-G INDIO, CA 922,01 Contractor: 0 BROWN CONSTRUCTION, ID PO BOX 98070.0 WEST SARAMENTO, CA 957 SAN 25 2008 (9.16)373-930.0 Lic. No.: 396120 I CITY pF LA QUINTA 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 carrier and policy number are: Carrier AMER INC Policy Number 3424477 1�L 1 certify that, in the performance of the,work for which this permrt:is issued,.I shall not employ any V� person in any manner -so as to become subject to the workers' compensation laws of California, and agree that, if I should_ becomessubject to the workers' -compensation provisions of Section 3700 of the Labor C hall -forthwith complywith those provisions. 'F ftgft" 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 (8100;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 thisapplication. 1.. Each person upon whose behalf thjs'applicationis 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, indemnifyand 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 this application becomes null and void if work isnot 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.this application and state that the above information is correct. I agree to comply with all cityand county ordinances and state laws relating to, buit ' uction, and herebyauthorize representatives of this co my enter upon theabove-mentione pro y for inspe 'on purposes. fY � J bate: `• �� ature (Applicant or Agent): Application Number . . . . . 07-00003228 Structure Information 16,333SF ITYPE:A-31/V-1HR/RES-1/11-DU Other struct info . . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 29.00 FIRE SPRINKLERS -FULLY FLOOD ZONE NO GARAGE SQ FTG 1980.00 PATIO SQ FTG 1330.00 NUMBER OF UNITS 11.00 IST FLOOR SQUARE FOOTAGE 5106.00 2ND FLOOR SQUARE FOOTAGE 67.10.00 3RD FLOOR SQUARE FOOTAGE 1047.00 Permit . . . BU_ILDING PERMIT' Additional desc Permit Fee . . . . 3479.50 Plan Check Fee 2261.68 Issue Date . . . . Valuation . . . . 979782 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 2039.50 480.00 3.0000 THOU BLDG 500,001-1,000,000 1440..00 Permit . . . MECHANICAL Additional desc . . Permit_ Fee . . . . 339.00 Plan Check Fee 79.75 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 4.5000 EA MECH VENT INST/ DUCT ALT 49.50 11.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.9.00 16.00 6.5000 EA MECH VENT FAN 104.00 11.00 6.5000 EA MECH EXHAUST HOOD 71.50 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . Expiration Date . Qty Unit Charge 12863.00 .0300 LQPERMIT ELEC-NEW RESIDENTIAL 443.6.9 Plan Check Fee Valuation 7/23/08 Per BASE FEE ELEC NEW .RES - MULTI FAMILY 110.92 0 Extension 15.00 385.89 Application Number . . . . . 07-00003228 Permit . . . . . ELEC.-NEW RESIDENTIAL Qty Unit Charge Per Extension 21.40.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .42.80 ---------------------------------------------------------------------------------- Permit . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 822.00 7/23/08 Plan Check Fee . . 19.8.75 Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension - Special Notes and Comments - .- - BASE FEE 15.00 81.00 6.0000 EA PLB FIXTURE 486.00 1.00 15.0000 EA PLB BUILDING SEWER 1-5.00 11.0D 7.5000 EA PLB WATER HEATER/VENT 82.50 11.00 3:0000 EA PLB WATER INST/ALT/REP 33.00 '1:00 9_.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 22.00 .7500 EA PLB GAS PIPE >=5 16.50 11.00 ------------------------------------------------------------------------------ 15.000.0 EA PLB GAS METER 165.00 Permit GRADING PERMIT Additional desc . . Permit Fee . . . 15..00 Issue Date. Expiration Date 7/23/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 - Special Notes and Comments - .- - 16,333SF [TYPE:A-3]/V-lHR/RE8-1/11-UNIT8 - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERS C3STORIES/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: 2200 - TYPE: A-3] December 28, 2007 11:13:22 AM AORTEGA -----------------_-_---------------------------------- Other Fees . . . . . . . ACCESSIBILITY -- ------------------ PLAN REVIEW 226..17 ART IN PUBLIC PLACES -RES 1.949.45 DIF COMMUNITY CENTERS -RES 803.00 DIF CIVIC CENTER - RES 2519.00 ENERGY REVIEW FEE 226.17 LQPERMrr Application Number . . . . . 07-00.0.03228. --------------------------.--------------- Other Fees . . . . . . . . . - ---- DIF FIRE PROTECTION -RES --- 352.00 DIF LIBRARIES - RES 3828.00 DIF PARK MAINT FAC - RES 231.00 DIF PARKS/REC - RES 9636.00 STRONG MOTION -(SMI) - RES 97.97 DIF STREET MAINT FAC -RES 429..00 DIF tRANSPORTATION - RES 12397.00 Fee summary Charged Paid Credited Due Permit Fee Total 5099.19 .00 .00 5099.19 Plan Check_ Total 2651,.10 .00 .0.0 2651.10 Other Fee Total. 32694.76 .00 .00 32694.76 Grand Total 404.45.05 .00 .0'0 40445.05 LQPERM[T