07-3232 (MFD5) Type C-1P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003232
Property Address: 47795. DUNE PALMS RD
APN: 6.0'0-020-030- - -
Application description: DWELLING -_ 5 OR MORE FAMILY
Property Zoning: REGIONAL OMMERCIAL
Application valuation: 538582
Applicant: Architect or Engineer:
r'
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury -that 1 am licensed under provisionsofChapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License.is in full force and effect.
License Class: 13 396120
1 i C
ete; IL DO ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm underpenalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7631.6, Business and Professions Code: Any city or county that requires a permitto
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 Codel or
that he or she is exempt therefrom and the basis forthe alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more thanfive hundred dollars (8500)::
1 _ 1 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
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 that he-..orshe did not build or,
improve for the purpose of sale.).
( ) 1, as: owner of the property, p perry, am exclusively contracting with,licensed contractors to construct the project.(Sec.
7044, Business,and'Professions Code: TherContractor"State License Law does not apply to an owner of
property who'buildsor improves thereon, andwho contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
(_) I.am exempt under Sec. rB.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a constructionlendingagency for the performance of the
work for which this permit is issued (Sec: 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPER-MIT
VOICE (760) 777-7012
FAX (760) 777-70.11
INSPECTIONS (760) 777-7153
Date: 1/25/08
Owner:
COACHELLA VALLEY HOUSING COALI
4570:1 MONROE ST 1-G
INDIO, CA 92201
J &
BROWNtCONSTRUCTION, INC.JAN P. 5 1008
PO BOX 980700
WEST SARAMENTO, CA 95798• i3M1 OF'LAQUINTII
(916.)373-9300 NCE DEPT
Lit. No.: 396120
------------------
WORKER'S COMPENSATION DECLARATION
Ihereby 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.
K I have;andwill maintain workers' compensation insurance, as required by Seetion,3760 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
_ I certify that, in the performance of thework for which this permitis 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, if I should become subject to the workers' compensation provisions of Section
t 3700 of tI forthwith comply with those provisions.
te: 1 pplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINESUP TO ONE HUNDRED THOUSAND
DOLLARS IS 100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AsPROVIDEDFOR 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 a permit subject to the
conditions and restrictions, Set forth on this application:
'1'. Each personuponwhose behalf this:application:is made,:each-person at whose request and for
whose benefit work is performed under or pursuant toany permit issued,as a result of this application,
the owner, and the-applicarn, each agrees to, and shall defend, indemnify and hold harmless the City
of'" Quinta, its.offioers, agents',and'employees forany act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as aresult ofthis .application becomes null and void if work is not commenced
within 180 days from date, ofissuanceof.:such permit, or cessation of work for 180 days will subject
permitto cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city andcountyordinances.and.state laws relating tot ' _ construction, and hereby authorize representatives
of this.co1unty to mer upon the above-nientio - for in ion purposes.
s
ate: -` 3'� nature (Applicant or Agentl:
. t �.
Application Number . . . . . 07-00003232
------ Structure Information 8,498SF [TYPE:C-1]/V-1HR/RES-1/6 DU -----
Other struct info . . . . . CODE EDITION 2001/2004/2005
# BEDROOMS 18.00
FI.RE SPRINKLERS FULLY
FLOOD ZONE. NO
GARAGE SQ FTG 107.00
PATIO SQ.FTG 1085.00
NUMBER OF UNITS 6..00
1ST FLOOR SQUARE FOOTAGE 363, 9.00
2 -ND FLOOR SQUARE FOOTAGE 3667.00
Permit
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
BUILDING PERMIT
2156.50
7/23/08
Plan Check Fee 1401.73
Valuation •5385.82
Qty Unit
Charge
Per
Extension
BASE FEE
2039.5.0
39.00
3.0000
THOU BLDG 500,001-1,000,000
117.00
Permit .
. .
MECHANICAL
Additional desc
. .
Permit Fee . .
. .
2.13.00_ Plan Check Fee
53.25
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
. .
7/23/08
- Qty Unit
Charge
Per
Extension
BASE FEE
15.00
6.00
4.5000
EA MECH VENT INST/ DUCT ALT
27.00
6.00
9.0:00.0
EA MECH B/C <=3HP/100K BTU
54.00
12.00
6.5000
EA MECH VENT FAN
78.0'0
6..00
6.5:000
EA MECH EXHAUST HOOD
39.00
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date .
Qty. Unit Charge
7306.00 .0300
107.00 .0200
LQPERMIT
ELEC-NEW RESIDENTIAL
236.32 Plan Check Fee .
Valuation . . .
7/23/08
Per
BASE FEE
ELEC NEW RES - MULTI FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
59.08
0
Extension
15.00
2.19.18
2.14
Application Number . . . . . 07-00003232
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 510.00
Issue Date . . . .
Expiration Date 7/23/08
Plan Check Fee . . 127.50
Valuation . . . . 0
Qty
Unit Charge
Per
BASE FEE
Extension
---------------------------------------------------------------------
Special Notes and Comments
BASE
FEE
15.00
54.00
6.0000
EA
PLB
FIXTURE
324._00
6.00
7.5000
EA
PLB
WATER HEATER/VENT
45.00
6.00
3.0000
EA
PLB
WATER INST/ALT/REP
18.00
1.00
9_.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
12.00
.7500
EA
PLB
GAS PIPE >=5
9.00
6.00
15.0000
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
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Special Notes and Comments
8,498SF [TYPE:C-1]/V-1HR/RES-1/6-UNITS
- ALLOWABLE AREA INCREASES: MULTISTORY /
FIRESPRINKLERS [3 STORIES/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:_ 8200 - TYPE: C-11
December 28, 2007 12:50:39 PM AORTEGA
Other Fees . . . . . . . . . ACCESSIBILITY
PLAN REVIEW
140.17
ART IN PUBLIC
PLACES -RES
846.45
DIF COMMUNITY
CENTERS -RES
438.0'0•
DIF CIVIC CENTER - RES
1374.00
ENERGY REVIEW
FEE
140.17
DIF FIRE PROTECTION -RES
192.00
DIF LIBRARIES
- RES
2088..00
DIF PARK MAINT FAC - RES
126.00
DIF'PARKS/REC
- RES
5256.00
STRONG MOTION
(SMI) - RES
53.85
LQPERMIT
Application Number . . . 07-000032.32
-------------------- ---------------
Other Fees . . . . . . . DIF STREET MAINT FAC --RES 234.00
DIF TRANSPORTATION - RES 6762.00
Fee summary Charged Paid Credited Due
Permit Fee Total 3130.-82 .00 .00 3130.82
Plan Check Total 1641.56 .00 .00 1641.56
Other Fee Total 17650.64 .0.0 .00 17650.64.
Grand Total 22423.02 .00 .00 22423.02
LQPERMIT'