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07-3241 (MFD5) Type CP.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003241 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description; DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 715537 Applicant: Architect or Engineer: , . MW /IMF. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 'I hereby affirm under penalty ofperjury that I am licensed under provisions of Chapter (commencing with Section 7.000) of Division 3 of the:Business and Professionals Code, and my License is�in full force and effect. License I ss: B license No:: 396611200 ate: tractor 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: 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 file a:signed:staiementthat heor 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 sheds exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031,:5 by any applicant for a 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-asrtheir sole compensation, will do the work, and the structureis not intended or offered for sale (Sec. 7044;. Business and Professions Code: The Contractors' State License Law does not apply to an ownerof 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 or she -did not build or improve for the purpose of'sele:). (_ ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'<State License. Law does not applyto an ownerof property who.builds or improvesthereon, and who contracts for theprojects 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 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: it LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 1/25/08 Owner: COACHELLA VALLEY HOUSI I 45701 MONROE ST 1- ` INDIO, CA 92201 t� )� 25 203 - 1 �aN Contractor: BROWN CONSTRUCTION, IANC. PO BOX 980700 } ` WEST SARAMENTO, CA 95798 (916)373-9300 Lic. No.-: 396120 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintaima certificate. of consent to self -insure for workers' compensation, as provided for by:Section 3700 of the Labor Code, for, the performance of the, workfor which this permit is issued. I 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 insurancecarrier and policy number are: Carrier AMER INC Policy Number _ 3'424477 _ I certifythat, in the.performance of the work for which this permit is issued, I shall not employany person in any manner so as to become subject,to the workers' compensation laws of California, and agree that, ill should become subject to the workers' compensation provisions of Section 3700 of the 1iabe forthwith comply with those provisions. ��� ate: IDS Ap ' nt: Foe4 r WARNING:. FAILUF O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IMADDITION 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 for a permit subject to the conditions and restrictions set forth on 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, indemnify and hold harmless the City of La Ouinta, its officers, agents andemployeesfor-any: act or omission related to the work being performed under or following issuance of this•peimit. 2. Any permit issued as a result of this application becomes null and void if work is not 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 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of/thJi.5 my ttooepnter uponthe: above-mentio - y o pection purposes. ���,_y� F7 ate: �/La� Otnature (Applicant or Agent • � O�"�� Application Number . . . 07-00003241 --•---- Structure Information 11,1258F [TYPE:C]/V-1HR/RE8-1/8 - DU ----- Other struct info . . . . . CODE EDITION 2001/200`4/2005 # BEDROOMS 24.0'0 FIRE SPRINKLERS FULLY FLOOD ZONE. NO GARAGE SQ FTG .00 PATIO SQ FTG 1233.00 NUMBER OF UNITS 8.00 1ST FLOOR SQUARE FOOTAGE 3639.00 2ND FLOOR SQUARE FOOTAGE 3667.00 3RD FLOOR SQUARE FOOTAGE 2467.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 2687.50 Plan Check Fee 436.72 Issue Date . . . . Valuation 715537 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 203.9.50 216.00 3.0000 ------------------------------------------------------------------------------ THOU BLDG 500,001-1,000,000 648.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 279.00 Plan Check Fee 19_43 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 4.5000 EA MECH VENT INST/ DUCT ALT 36.00 8.00 9.0000 EA MECH B/C <=3HP/1OOK BTU 72.00 16.00 6.50.00 EA MECH VENT FAN 104.00 8.00 6.5000 ------------------------------------------------------------------------------- EA MECH EXHAUST HOOD 52.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 310.57 Plan Check Fee 19.41 Issue Date Valuation . . . . 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 9773.00 .0300 ELEC NEW RES - MULTI FAMILY 293.19 LQPERMIT Application Number . . . . . 07-00003241 Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 11.9.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.38 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 687.00 Plan Check Fee 42.93 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 72.00 6.0000 EA PLB FIXTURE 432.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 8.00 7..5000 EA PLB WATER HEATER/VENT 60.00 8.00 3.0000 EA PLB WATER INST/ALT/REP 24.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 16.00 .7500 EA IPLB GAS PIPE >=5 12.00 8.00 15.0000 EA PLB GAS METER 120.00 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 Special Notes and Comments 11,125SF [TYPE:•C]/V-1HR/RES'-1/8-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [3STORIES/42,0.00SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES'.. 2.00.1 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. **REDUCED FEE** [BUILDING: 3100 - TYPE: C] December 28, 2007 3:56:02 PM AORTEGA -------------------------- -- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 43.67 ART IN PUBLIC PLACES -RES ;1288.84 DIF COMMUNITY CENTERS -RES 584.00 DIF CIVIC CENTER - RES 1832.00 ENERGY REVIEW FEE 43.67 LQPERMIr Application Number . . . . . 07-00003241 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF FIRE PROTECTION -RES 256.00 DIF LIBRARIES - RES 2.784.00 DIF PARK MAINT FAC - RES 168.00 DIF PARKS/REC - RES 1008.00 STRONG MOTION (SMI) - RES 71.55 DIF STREET MAINT FAC -RES 312.00 DIF TRANSPORTATION - RES 9016.00 Fee summary Charged Paid. Credited ----------- Due ------------ ------ Permit Fee Total ---------- 3979.07 ----- --- .00 .00 3979.07 Plan Check Total 516.49 .00 .00 .516.49 Other Fee Total 23407.73 .00 .00 23407.73 Grand Total 27903.29 .00 .00 27903.29 LQPERMIT