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07-3238 (MFD5) Type C-3P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-000.0,3238 Property Address: 4779.5 DUNE PALMS RD APN: 600-020-030- - - Application description:. DWELLING - 5 OR MORE FAMILY ,Property Zoning: REGIONAL COMMERCIAL Application valuation: .546754 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: COACHELLA VALLEY 45701 MONROE ST INDIO, CA -92201 VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760)'777-7153. HOUSING COALI 1-G Contractor: BROWN CONSTRUCTION, PO BO_X.980700 WEST SARAMENTO, CA (916)373-9300. Lic.:No..: 396120 INC. 95798 Date: 1/25/08 D ° JAN 2 5 2008 CITY OF LA QUINTA FINANCE DEPT. --------------------- --------- -------------------------------------------------------------- --- — - LICENSED CONTRACTOR'S DECLARATION LICENSED WORKER'S COMPENSATION DECLARATION I hereby affirm.underpenalty of perjury that I am.licensed under provisions of Chapter 9 (commencing'With I hereby affirm under penalty of Perjury oneof the following declarations: Section 70.00) of Division 3 of the,Business and Professionals Code; and my License isin full force and affect. _ I. have.and'will maintain a certificate of consent to self-insure!for workers' compensation, as provided License C ss: $. .License No:: 396120 AO for by Section 3700 of theLabor Code,for the performance of the work for which this permit is issued j have and will maintain workers' compensatioWinsurance, as requirecCby Section 3700: of the Labor Code for the performance ofthe work for -which this permit is,issued. My workers' compensation OWNER -BUILDER, DECLARATION insurance carrievand 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 34244,77 fol.owing,reason (Sec. 7031.5, Business:and Professions Code: Any city or county that:requires•a permitto_ I certify that, in the performance ofthe+work:forwhich this:permit.is(issued, I shall not employ any 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 files -signed statement that he. or she�,js licensed pursuant;to theprovjsians of the'Contractor's State - and agree that; if'I should become subject to the workers' compensation proyjsionsof Section_' 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 violationof'Section 7031.5 by 37Q0 of th* II forthwith comply with those provisions. any applicant for a permit subjects the applicant to civil penalty of not more than'five.hundred dollars ($500).: D�can� 'r'L%1• I _ j 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law dces.not applyto an owner of property who builds or improvesthereon, 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 (S100=0). 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one-yearof completion, the.owner-builder will have the.burden of provingthat tie: or she did not build or improve for the -purpose, of -sale:): (_ 1 I, -as owner of the property, amexclusively contracting withficensed 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 foi the,.projects with a contractors) licensed pursuant to the Contractors' State,Ucense Law:): (_) I am exempt under Sec. , B.&P.C. ,for this,reason Date: Owner:, CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjurythat there is�a construction lending agency for the performance of the work for which this permibis,issued, (Sec; 3097, Civ: C.). Lender's:Name: i I_ - Lender's�Address: Allit .LQPERMTf 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 behalfthisapplication is made, each person_at:whose request and for whose benefit work is performed under or pursuant to any permit issued as aresult of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify. and hold harmless -the City of Laf 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. Anypermit issued as a re suit,oVthis app licationlbecomes 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 agreeto comply with all city;and-countyordinances.and state laws relating to build' ruction, and hereby authorize representatives of thi -co ty to n r upon the: above=mention�d�prr for inspe ion purposes: . ` Data:ZXJ §nature (Applicant or Agent): � V Application Number . . . . . 07-00003238 ------ Structure Information 8,823SF [TYPE: C-3'1/V-1HR/RES-1/6-DU ----- Other struct info . . . . . CODE EDITION 2001/2004/2005 #$ BEDROOMS 18.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG 99.00 PATIO SQ FTG 1351.00 NUMBER OF UNITS 6.00 18T FLOOR SQUARE FOOTAGE 2439.00 2ND FLOOR SQUARE FOOTAGE 2.467.00 3RD FLOOR SQUARE FOOTAGE 2467.00 Permit BUILDING PERMIT Additional desc .. . Permit.Fee . . . . 2180.50 Plan Check Fee 354.33 Issue Date . . . Valuation . . . . 546754 Expiration Date . . 7/23/08 Qty Unit Charge. Per Extension BASE FEE 203,9.50 47.00 3.0000 THOU BLDG 500.,001-1,000,000 141.00 Permit MECHANICAL Additional,des_c . 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 6.00 9.0000 EA MECH B/C <=3HP/1.00K 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 RESIDENTI-AL Additional desc . Permit Fee . . 2.38.17 Plan Check_ Fee 14.88 Issue Date . . . . Valuation . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 7373.00 .0300 ELEC NEW RES - MULTI FAMILY 221.19 LQPERMIT Application'Number . . . . . 07-0000.3238 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty. Unit Charge Per Extension 99.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 1.98 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 525.00 Issue Date Expiration Date 7/23./08 Plan Check Fee . . 32.81 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 54.00 6.0000 EA PLB FIXTURE 324.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 8,8239F [TYPE:C-3]/V-1HR/RES-1/6-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERS [3STORIES/42,060SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE LIGHTING, CARPORTS ,OR TRASH ENCLOSURES. 2001 CBC., CPC, CMC,.2004 CEC, 20_05 -ENERGY, CODE. **REDUCED FEE** [BUILDING: 3200 - TYPE: C-3] December 28, 2007 3:32:15 PM AORTEGA ------------------------------------ -1 ---------------- - ---------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 35.43 ART IN PUBLIC PLACES -RES 866.88 DIF COMMUNITY CENTERS -RES 438.00 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 35.43 LQrERMrr Application Number. . . . . . 07-00.003238 Other Fees . . . . . . . . . D.IF 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 54.67 DIF STREET MAINT FAC -RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited Due Permit Fee Total 3171.67 .00 .00 3171.67 Plan Check Total 415.3'3 .00 .00 415.3.3 Other Fee Total 17462.41 .00 .00 17462.41 Grand Total 21049.41 .00 .0.0 21049.41