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07-3242 (MFD5) Type CP.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/08 Application Number: 07-00003242 Owner: Property Address: 47795 DUNE PALMS RD COACHELLA VALLEY HOUSING COALI APN: 600-020-030_- - - 45701 MONROE ST 1-G Application description: DWELLING - 5 OR MORE FAMILY INDIO; CA 92201 Property Zoning: REGIONAL COMMERCIAL Application valuation: 715537 Contractor: Applicant: Architect or Engineer: BROWN CONSTRUCTION, INC. PO BOX 980700 JAI WEST SARAMENTO, CA 957-9. (916)313-9300 croCftv or. tA Lic. No.: 396120 LICENSED CONTRACTOR'SDECLARATION WORKER'S COMPENSATION DECLARATION I'herebyaffirm underpenaltyof perjury that 1 am licensed under provisions of Chapter'9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent,to self -insure for workers' compensation, as provided License s:. B for by Section. 3700 of the Labor Code,, far the performance'of the work for which this permit'is ��L�icpnseNo.:396120 issued. I I have and will maintain workers' compensation insurance, as required by,Section 3700 of the Labor '7t' Code, for the performance of the work1or which this:permit is issued. .My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are:! I hereby affirm. under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AMER INC Policy Number 3424477 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that; in the performance of the work for which thispermit 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 subjectto the workers' compensation laws;of California, permit to file a signed statement that he or she is licensed pursuant to the provisionsof the Contractor's State and'agree.that, if Lshould become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000).of Division.3' of the Business•and.Professions Code) or 3700 of theJa �13ffa1 yi that he she islexempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by s � _ , �withhoseprovisions. any applicant for a permit subjects the. applicant to a civil penalty of not more than five hundred dollars (5500).:isr*40 Ap ' ant: ix[+�% (:_ I I, as ownerof. the Property'ror my employees with swagesas 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 does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and whoAoes the work himself orfierself through his or her own employees,• provided that the DOLLARS ($100,000); 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 year of completion, the owner -builder will have the burden of provingthathe or she;did not build or . . improve for the purpose,of sale.). (_) I, 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 Lawdoes not apply to an owner of property who builds or improves thereon,. and who contracts for the projects with contractor(s) licensed pursuant'to the Contractors' State License Law.). 1 _ 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.i. Lender's Name: Lender's°Address: LQPER-MTT 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 and employees for any act or omission related to the work being performed underor following, issuance of this permit. 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 1 have read this application and state.that therabove 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 my enter upon the above -menti fors es. / �u�S' ature (Applicant or -Agent): Application Number . . . . 07-00003242 ------ Structure Information 11,125SF [TYPE:C]/V-IHR/RES-1/8 - DU ----- Other struct info . . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 24.00 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 . . . BUILD-ING 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 2039.50 2.16.00 3..0000 -------------------------------------------------------------------------- THOU BLDG 500,001-1,000,0.0'0 64.8.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 279.00 Plan Check Fee 17.43 - 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/1008 BTU 72.00 16.00 6.5000 EA MECH VENT FAN ' 104.0.0 8..00 6.5000 EA MECH EXHAUST HOOD 52.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 3.10.57 Plan Check Fee 1.9:41 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 . . . . . 07-00003242 Permit . . . .. ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension Extension 119.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.,38 Permit . . . PLUMBING - ALLOWABLE AREA INCREASES: MULTISTORY / Additional desc . THIS PERMIT DOES NOT INCLUDE SITEWALLS, Permit Fee . . . . 68.7.00 Plan Check Fee 42.93 Issue. Date . . . . Valuation . . . . 0 Expiration Date 7/23/08 December 28, 2007 3:56:02 PM.AORTEGA Qty Unit Charge Per ----------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY Extension 43.67 ART .IN PUBLIC 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 PLB GAS PIPE >=5 12'.00 8:00 15.0000 EA PLB GAS METER 120.0.0 Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue. Date .Expiration Date . . 7/23/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments 11,125$F [TYPE:C]/V-1HR/RES-1/8-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [3STOR,IES/42,000SF 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: 8100 - 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 LQPERMrr Application Number .. . . . . 07-00003242 -------------- - -- Other Fees . ---------- . . . . . . --- DIF FIRE PROTECTION -RES 256.00 DIF LIBRARIES - RES 2784:00 DIF PARK MAINT FAC - RES 168.00 DIF PARKS/REC - RES 7008.00 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 .00 397.9.07 Plan Check Total 516.49 .00 .00 516.49 Other Fee Total 23407.73 .00 .00 2.3_407.73 Grand Total 27903.29 .00 .00 27903.29 LQPERMIT