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07-3243 (MFD5) Type CP.O- BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 07-00003243 47795 DUNE PALMS RD 600-0,20-030- DWELLING 00 0,20 -030 -DWELLING - 5 OR MORE REGIONAL COMMERCIAL 715537 BUILDING &. SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: COACHELLA VALLEY HOUSING COALI 45701 MONROE ST 1-G FAMILY INDIO, CA 9220.1 Architect or Engineer: aha ------------------- LICENSED CONTRACTOR'S -DECLARATION I hereby affirm under penaltyW perjury that I am licensed under provisions of Chapter 9 (commencing with Section7000) ofDivision 3 of the Business and Professionals Code,. and my License is in full force and effect.. License_ lass: ��Htt License Nor: 396120 ate: Y Contractor. 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, orrepair 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 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 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 Ism. 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 henown employees, provided:that the improvements are not intended or offered forsale, If, however; the. building or improvement is sold within one year of completion, the owner -builder will havethe burden of proving that he or she did not build;'or improve for the purpose of sale.). (_) 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 -apply to an 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.). (_) I am exemptunder Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQP'ERAIIT Date: 1/25/08 Contractor: BROWN CONSTRUCTION, INC. PO BOX 980'700 WEST SARAMENTO, CA 957.9 D e (916)373-9300 III LiC. No.: 396120 III JAN 2 5 2088 WORKER'S COMPENS41110N•DECLAPIAWCE )Ep1. I hereby affirm under penalty of perjury one of the following dec aro i - _ 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. I have and will maintain workers' compensation insurance, as required 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.pol_icy 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 to the workers' compensation laws of California, and agreethab if I should become:subject to the workers' compensation, rovisions of Section 00 of thea , s fo with those provisions. WARNING: FAILURE'TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE.HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES, AS PROVIDEDFOR IN SECTION3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S,FEES; APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for apermit subject to the conditionsand restrictions set forth on this application. 1. Each person upon whose behalf this application is made; each person at whoserequest'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'hold harmless the. City of La Duinta,, 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' 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, statethat the above information incorrect: I agree to comply with all city and county ordinances and;.state laws relating to building construction, and hereby authorize representatives of this county to enter upon the -above -men -- tt Dater Si f. -'re (Applicant or Agentl: FOL �V Application Number . . . 07-00003243 ------ Structure Information 11,125SF [TYPE:C]/V-IHR/RES-1/8 - DU ----- Other struet 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 . . . Additional desc . . Permit Fee . . Issue Date . . . Expiration. Date . . BUILDING PERMIT 2687.50 7/23/08 Plan Check Fee 436.72 Valuation . . . . 715537 Qty Unit Charge Per Extension BASE FEE 2039.50 216.00 3.0000 THOU BLDG 500,001-1,000,000 648.00 Permit . . . MECHANICAL. Additional desc Permit Fee . . 279.00 Issue Date Expiration Date 7/23/08' Plan Check Fee . . 17.43 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 4.50.00 EA MECH VENT INST/ DUCT.ALT 36.00 8.00 9.0000 EA MECH B/C <=3HP/100K BTU 72.00 16.00 6.5000 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 LQPE%MIT Application Number . . . . . 07-00003243 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 119.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.38 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 687.00 Issue Date . . . Expiration Date . . 7/23/08 Plan Check Fee . . 42.93 Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension Special Notes and.Comments BASE FEE 15.00 72.00 6.0000 EA PLB FIXTURE 432.00 1.0D 15.0000 EA PLB BUILDING SEWER 15.00 8.00 7•.500.0 EA PLB WATER HEATER/VENT 60.00 8.0.0 3.0000 EA PLB WATER INST/ALT/REP 24.00 1.00 9..0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 16.00 .7506 EA PLB GAS PIPE >=5 12.00 8.00 15.0000 EA PLB GAS METER 12.0.00 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 11,125SF [TYPE:C]/V-IHR/RES-1/8-UNITS` - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [3STORIES/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: 8400 - 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 LQPER-MIT Awl Application Number . . . . . 67-00003243 -- - - Other Fees . . . - - - - - . . . . . DIF FIRE PROTECTION -RES - - 256.0.0 DIF LIBRARIES - RES 2784.00 DIF PARK MAINT FAC - RES 168.00 DIF PARKS/REC - RES 7008:.00 STRONG MOTION (SMI) -_RES 7.1.55 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 -------- 3_:97.9.07 Plan Check Total 516.49 .00 .00 516.49 Other Fee Total 23407.73 .00 .00 23407.73 Grand Total 2.7903.29 .00 .00 27903.29 LQPERMIT