07-3236 (MFD5) Type C-1P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003236
Property Address: 47795 DUNE PALMS RD
APN: 600--020-030- - -
Application description: DWELLING - 5 OR MORE FAMILY
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 538582
Applicant: Architect or- Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED
----------------------------------- --- ----- -
LICENSED CONTRACTOR'SrDECLARATION
I'hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division of'the Business and Professionals Cade,and my Licensees infull force and effect.
License Class:. BLiceriseNo., 3961120
ate 1 C tactor: 'TVR
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,: Business and Professions'Code: Anycityorcounty 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 he or, she -is exempt therefrom and the basis for the alleged exemption.. Any violation of Section 7031 .5-liy
any applicant for permit subjects the applicant to a civil, penalty of not more than five hundred dollars ($500):
(_) 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 year of completion,the owner-builderr.willhave the burden ofproving that he or she did not build' or
improve for the purpose of sale.).
l _ 1 I, as owner of theproperty, am exclusively contracting' with licensed contractors to construct theproject (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply town 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.).
1 ) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/25/08
Owner:
COACHELLA VALLEY HOUSING COALI
4.5701 MONROE ST 1-G
INDIO, CA 92201
Contractor: D �ooa
BROWN CONSTRUCTION, 1AN 25
PO .BOX 980700
WEST SARAMENTO, CA 95 98 _ orLAQV� A
(916)373-.9300 C' �pp1(iEfl� r�
Lic. No.: 3,96120
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate -of conse6t 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.
V-1 have and will maintain workers' compensation insurance, asrequired 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
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'tothe workers compensation iawsof'California,
and agree=that; if I should become subject to the workers' compensation provisions'of,Section
700 of t e, I s orthwith=comply with those provisions.
Date' 'icent•
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER'TO CRIMINAL PENALTIES AND CIVIL FINES UP70 ONE HUNDRED THOUSAND.
DOLLARS ($100,000). IN ADDITION TO THECOST 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 andSafetyfor a permit,subject to the
conditions and restrictions setforthon 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, indemnifyand holdharmless 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 result of this application becomes null and void if workis not commenced
Within 180,day3 from date of issuance of such'permit, or cessation of work for 180 days will subject
permit to cancellation.
1 certify that,! have read this application: and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin construction, and hereby authorize representatives
of this cowZiAignature
pon the above -mention for insp ion pur oses.
/: (Applicant or Agent):
Application Number. . . . . . 07-000.03236
------ Structure Information 8,4.98SF [TYPE:C-1]/V-1HR/RES-1/6-DU -----
Other struct info . .
CODE EDITION
2001/2004/2005
# BEDROOMS
1.8.00
FIRE SPRINKLERS
FULLY
FLOOD ZONE
NO
GARAGE SQ FTG
10.7.00
PATIO SQ FTG
1085.00
NUMBER OF UNITS
6.00
1ST.FLOOR SQUARE FOOTAGE
3639.00
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2ND FLOOR SQUARE FOOTAGE
3667.00
Permit . . .
BUILDING_ PERMIT.
Additional desc . .
Permit Fee . . . .
2156.50 Plan Check Fee
350.43
Issue Date . . . .
Valuation . . .
. 538582
Expiration Date
7/23/0,8
Qty Unit Charge
Per
Extension
BASE FEE
2039.50
39.00 3.0000
THOU BLDG 500,001-1,000,000
117.00
Permit . . .
MECHANICAL
Additional desc .. .
Permit Fee . . . .
213.00 Plan Check Fee
13.31
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
61.00 9.0000
EA MECH B/C <=38P/100K BTU
54.00
12.00 6.5000
EA MECH VENT FAN
78.00
6.00 6.5000
EA MECH EXHAUST HOOD
39.00
Permit ELEC=NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
236..3.2 Plan Check Fee
14.77
Issue Date . . . .
Valuation . . .
. 0
Expiration Date .
7/23/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
7306.00 .0300
ELEC NEW RES - MULTI FAMILY
219.18
107.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL 2.14
L.QrERMrr
Application Number . . . . . 07-00003236
Permit . . PLUMBING
Additional desc..
Permit Fee . . . . 510.00 Plan Check Fee
31.87
Issue Date . . . . Valuation . . .
0
Expiration Date 7/23/0.8
Qty Unit.Charge Per
Extension
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
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90.00
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
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Special
Special Notes and Comments
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8,49RSF [TYPE:C-1]/V-1HR/RES-1/6-UNITS
- ALLOWABLE AREA INCREASES: MULTISTORY /
FIRESPRINKLERS [3STORIES/42,O'OOSF MAX]
THIS PERMIT DOES NOT INCLUDE SITEWALLS,
SITE LIGHTING, CARPORTS OR TRASH
ENCLOSURES. 2001 CBC, CPC, CMC, 2004
CEC, 2005 ENERGY CODE. **REDUCED FEE**
[BUILDING: 8300 - TYPE: C-11
December 28, 2007 3:18:11 PM AORTEGA
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
35.04
ART IN PUBLIC PLACES -RES
846.45
DIF COMMUNITY CENTERS -RES
438.00
DIF CIVIC.CENTER - RES
1374.00
ENERGY REVIEW FEE
35.04
DIF FIRE PROTECTION -RES
192.00
DIF LIBRARIES - RES
2088.00
DIF PARK MAINT FAC - RES
12.6.00
DIF PARKS/REC - RES
52.56.00
STRONG MOTION ('SMI) - RES
53.85
LQPERMIT
Application Number . . . 07-00003236
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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
410.38
.00
.00
410.38
Other Fee Total
17440.38
.00
.00
17440.38
Grand. Total -
2O98I.58
.00
.00
.20981.58
LQPERMIT