07-3244 (MFD5) Type A-14
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/25/08
Application Number: 07-0000,3244 Owner:
Property Address: 47795 DUNE PALMS RD. COACHELLA VALLEY HOUSING COAL
APN: 600-020-030- - - 45701 MONROE ST'1-G IVAN
Application description: DWELLING 5 OR MORE FAMILY INDIO, CA 92201
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 909234 720'80
Contractor: r
Applicant: Architect or Engineer: BROWN CONSTRUCTION, INC. CRY O�at�,
INTA
PO BOx980700 FINAPT
WEST SARAMENTO, CA 95798
(916)373-9300
1I� LiC- No.: 396120
LICE_ NSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I 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._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 396120 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ 'J ` - t `/ issued,
ta: retractor:_ �++� ���{�iy 1Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
TTTttt Code, for the performance of'the work for which,this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION insurance carrier and policy numberare:
I hereby affirm under penaltyof 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 fovwhich this permit isiissued, I shall not employ any
construct,. alter,, improve, demolish,. or repair any structure, prior to its7issuance, also requires the applicant:forthe person. in any manner so as to become subject to the workers' compensation laws of California,
permit to file,a signed statement that he or she is -licensed pursuant,to the provisions of the Contractor's State and agree that, if I should 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 tly withtjjose provisions.
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 (5500).: ate: y� scant:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the -structure -isnot 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 ONEHUNDRED THOUSAND
and who does the. work, himself or herself through his or her own employees, provided that the DOLLARS J$1 00.000). 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 improvementis soldwithinSECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S. FEES.
one yearpf completion, the owner -builder will have'the burden of, proving that he or she did not build or
improve for°the purpose of sale:).
f _) 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 Law does not apply to an owner of
property who builds or improves thereon; and who contracts foe the projects with a contractor(s) licensed
pursuantto the Contractors' State License. Law.).
1 _ I 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:1.
Lender's Name:
Lender's Address:
LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Applicationis hereby made to the Director of,Building and Safety for a permit subject to the
conditions and restrictions set. forth on this application.
t . 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 anypermibissued 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:Quinta, 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 thisapplication and state thatthe above: information is correct. I agree to comply with all
city and county ordinances and,state.laws relating to building construction, and hereby out horize,representatives
of thin”' ' enter upon t Applicant or
er gBction ur oses. � ��
I.,
(•� nature (Applicant or Agent):
r�\J
• f �
Application Number . . . . . 07-00003244
------ Structure Information 15,306SF [A-1.]/V-1HR/RES-1/10-DU -----
Other struct info . . . . CODE EDITION 2001/2004/2005
## BEDROOMS 28.00
FIRE SPRINKLERS FULLY
FLOOD ZONE NO
GARAGE SQ FTG 1980.0.0
PATIO SQ FTG 1298.00
NUMBER OF UNITS 10.00
1ST FLOOR SQUARE FOOTAGE 5106.00
2ND FLOOR SQUARE FOOTAGE 6790.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 3269.5.0 Plan Check Fee 531.29
Issue Date . . . . Valuation . . . . 909234.
Expiration Date . . 7/23/08
Qty Unit Charge Per Extension
BASE FEE 2039.50
410.00 3.0000 THOU BLDG '500,001-1,000,000 1230.00
-----------------------------------------------------------------------------------
PermitMECHANICALAddtional�d'es'c . .
Permit Fee . . . . 319.00
Issue Date . . . .
Expiration Date . . 7/23/08
Plan Check Fee . 19.94
Valuation . . . . 6
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
10.00
4.5000
EA MECH
VENT INST/ DUCT ALT
45.00
10.00
9.0000
EA MECH
B/C <=3HP/100K BTU
90.00
16.00
6.5000
EA MECH
VENT FAN
104.00
10.00
---------------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
65.00
Permit
ELEC-NEW RESIDENTIAL
Additional desc
. .
Permit Fee . .
. .
414.12
Plan Check Fee
25.88
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
7/23/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.1896.00
.0300
ELEC
NEW RES - MULTI FAMILY
356.88
2112.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
42.24
LQPERMIT
Application Number . . . . . 07-00003244.
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 777.00 Plan Check Fee 48.56
Issue Date . . . . Valuation . . . . 0
Expiration Date 7/23/08
Qty Unit Charge Per
Extension
BASE FEE
1.5.00
78..00 6.0000 EA PLB FIXTURE
468.00
1..00 1.5.0000 EA PLB BUILDING SEWER
15.00
10.00 7.5000 EA PLB WATER HEATER/VENT
75.0.0
10.00 3.0000 EA PLB WATER INST/ALT/REP
30.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
20.00 .7500 EA PLB GAS PIPE >=5
15.00
10.00 15.0000 EA PLB GAS METER
--------------------------------------------------------------------------------
150.00
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
15,306SF [TYPE:A-1]/V-lHR/RES-1/10-UNITS
- ALLOWABLE AREA I-NCREASES: MULTISTORY /
FIRESPRINKLEREES [3STORIES/42,000SF 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: 4200 - TYPE: A-11
December 28, 2007 4:05.:54 PM AORTEGA
Other Fees . . . ACCESSIBILITY PLAN REVIEW
53.12
ART IN PUBLIC PLACES -RES
1773.08
DIF COMMUNITY CENTERS -RES
730.00
DIF CIVIC CENTER - RES
2290.00
ENERGY REVIEW FEE
53.12
DIF FIRE -PROTECTION -RES
320.00
DIF LIBRARIES - RES
3480.00
DIF PARK MAINT.FAC - RES
210.00
DIF PARKS/REC - RES
8760.00
LQPERMIT
Application Number . . . . . 07-000.03244
--------------------- -
Other Fees .
. . . . . .
STRONG MOTION (SMI) - RES
90.92
DIF STREET MAINT FAC. -RES
390.00
DIF TRANSPORTATION - RES
11270.00
Fee summary
Charged
Paid Credited
---- ------ ----------- ------------
Due
-----------------
Permit Fee Total
Permit
----------
4794.62
- - -
.00 .00
4794.62
Plan Check Total
625.67
.00 .00
625.67
Other Fee Total
29420.24
.00 .00
29420.24
Grand Total
34840.53
.00 .00
34840.53
LQPERMFr