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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 --------------------------------------------------- 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 --------------------------------------------------------------------- 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'