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07-3247 (MFD5) Type BP.O. BOX 1504 78-495 CALLE TAMPICO .LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003247 Property Address: 47795 DUNE PALMS RD AP -N: 600-020-030- - Application description:- DWELLING - 5 OR MORE Property Zoning: REGIONAL COMMERCIAL Application valuation: 363289 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/25/08 Owner: COACHELLA VALLEY HOUSING COALI 45701 MONROE ST 1-G FAMILY INDIO, CA -92201 Contractor: Applicant:Architect or Engineer: BROWN CONSTRUCTION, PO BOX 98.0700 WEST SARAMENTO, CA ic. 37.3-9.3,6 Lic. No._ 39961'20 ----------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty, of perjury that I am licensed -under provisions of Chapter 9 (commencing with Section 7000), of Division 3 of the+Business and Professionals Code, and my License is in full force.and effect. - License lass B'. License No.: 396120 _ `t ate: ''W �i ntracior. Tryl- OWNER-BUILDER DECLARATION, I hereby. affirm under penalty of perjury that L am exempt from the Contractor's State.License Law'for'the, following reason�(Sec. 7031.5, Business;and-Piofessions,Code: Any city or county thatrequiresa 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 statement -.that he or she is+licensed, pursuant to the provisions of therContractor.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,forthe alleged exemption. Any violatiomof'Section 7031.5 by any applicant for a..permit subjects the applicant to.a civil penalty of not.more tfian five hundred dollars ($500).: (_) 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;andIProfessions Code: The Contractors' State1icense Law does -not applyto an owner of property who builds,or improves thereon, and whodoes the work himself or herself through his ,orher 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•havethe burden of proving that heor she did not build or improve.for the purpose -of sale.). 1 _ 1 .l, 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 anownerof property who,builds�or improves>thereon, and who contracts for the.prolects°with a contractor(s)rlicens_ed pursuant to the, Contractors' State License Law.). (_) I am exempt under Sec. ,'B:&P.C. for this reason Date: Owner: CONSTRUCTION LENDING.AGENCY Lhereby affirm under penalty of perjury that there is a constructionlending agency for the performance of the. work for which this permit is issued (Sec., 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT INC.. 95791 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under' penalty ofperjury one of the following declarations: _ 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. 0(I.havetand will maintain workers' compensation insurance; as required_by Section3700,of the Labor Code; for the performance of the work for which this permit is.issued. My workers' compensation insurance'carrierand policy number are: Carrier AMER INC Policy Number 3424477 I,certify that, in the performance of the..work,for which this permitis,issued, I shall nut employ any person in any manner so as to become subject to thwworkers' compensation laws of California, and agree that; if'I should become subject to:the workers' compensation provisions of Section 3700 of'th - Q s a rthwith comply with those provisions, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE1S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDrCIVIL FINES UP TO ONEHUNDRED,THOUSAND DOLLARS 45100,000). IN ADDITION 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 theMirector. of Building and Safety for a permit subject to the conditions and restnctionsset forth on this, application. 1. Each person upon Whose behalf this, application is made; each persomat whose request and for whose benefitwork is performedlunderor pursuant want' 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' 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. - Any permit issued as a result°of this applicatiom 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 toybuilding,construction, and hereby authorize representatives of thiscounty to e-nter upon bove-mentionpfp tI:O S. Kate: , %- C gnature (Applicant or Agent): -- - Application Number . . . . . 07-00003247 ------ Structure Information 6,725SF [TYPE:B]/V-NR/RES-1/6-DU ----- Other struct info . . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 15.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG .00 PATIO SQ FTG 349.00 NUMBER OF UNITS 6.00 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . BUILDING PERMIT 1563.50 7/23/08 Plan Check Fee . . 254.07 Vaivation . . . . 363289 Qty Unit Charge Per Extension BASE FEE 63.9.50 264.00 3.5000 THOU BLDG 100,001-500,000 924.00 Permit . . MECHANICAL Additional desc . .. Permit Fee . . . . 194.5.0 Plan Check Fee 12.15 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 5.00 9.0000 EA MECH B/C.<=3HP/100K BTU 4:5.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 8.0.0 6.5000 EA MECH VENT FAN 52.00 6..00 6.5000 EA MECH EXHAUST HOOD 39.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit. Fee . . . . 205.32 Plan Check Fee 12.83 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 6280.00 .0300 ELEC NEW RES - MULTI FAMILY 188.40 96.00 ------------------------------------------------------------------------ .0200 ELEC GARAGE 09 NON-RESIDENTIAL 1.92 LQPERMIT Application Number . . . . . 07-00003247 Permit . . PLUMBING BASE FEE Additional desc . . 6,725SF [TYPE:B]/V-NR/RES`-1/6-UNITS: Permit Fee . . . . 393.00 Plan Check Fee 24..56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 ENCLOSURES. 2001 CBC, CPC, CMC, 2004 Qty Unit Charge Per Extension [BUILDING: 71.00 - TYPE: B] BASE FEE 15.00 32.00 6.0000 EA PLB FIXTURE 192.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 6.00 7.5000 EA PLB WATER HEATER/VENT 45.00 6.00 3.00.00 EA PLB WATER INST/ALT/REP 18.0.0 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00• .7500 EA PLB GAS PIPE >=5 9.00 6.00 15.000.0 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 6,725SF [TYPE:B]/V-NR/RES`-1/6-UNITS: - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [2STORIES/24,000SF 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: 71.00 - TYPE: B] December 28, 2'007 4:18:38 .PM AORTEGA - - ------------ Other Fees . . . . . . . . . ACCESSIBILITY - _ PLAN REVIEW - ---- 25.40 ART IN PUBLIC PLACES -RES 408.22 DIF COMMUNITY CENTERS -RES 438.0'0 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 25.4.0 DIF 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 36.32 LQPERMIT Application Number . . . . . 07-00003247 ---------------------------------------------------------------------------- Other Fees . . . . . . _ . . I DIF STREET MAINT FAC -RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited Due Permit Fee Total 2371.32 .00 .00 2371.32 Plan Check Total 303.61 .00 .00 303.61 Other Fee Total 16965.34 .00 .00 16965.34 Grand Total 19640.27 .00 .0.0 19640.27 LQPERMrr