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07-3248 (MFD5) Type BP.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00003248 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 363.289 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force°and effect. Lice Class: B License No.: 396120 Date: 71. Contractor. R 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 ISec. 7031.5, Businessand 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 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 thealleged exemption. Any violation of Section 7031.5 by any applicant permit subjects the applicant to a.civil penalty of not more thanfive, hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages:as their sole compensation, will dothework; and the structure is not intended or offered for sale (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 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 notbuild or improve for the purpose of sale.). f _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct,the project (Sec. 70", 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—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION. LENDING AGENCY hereby affirm under penalty of perjury that there,isa construction lending agency for the performance of the work for which this permivis'issued (Sec. 3097, Civ. C.). Lender's Name: I 1h Lender's�Address: 71 LQPEP-MIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date- 1/25/0.8 Owner: COACHELLA VALLEY HOUSING COALI 45701 MONROE ST 1-G INDIO, CA 92201 Contractor: BROWN CONSTRUCTION, INC:. PO BOX 980700 r p WEST SARAMENTO, CA 9579, 25 �OQp (916)373-930,0 rfi�► Lic. No.: 396120 _.....re --------------------------- _ WORKER'S COMPENSi 'DEC ffi I hereby arm.underpenalty of perjury -one of the following declara ns: _ Lhave.and will maintain a certificate of consent to self-insurefor workers' compensation,as provided for by Section 3700 of the,. Labor Code, for the performance of the work for which this permit is issued. l� I,haveand will maintain workers' compensation insurance, as -required by Section 3700 of the Labor T Code,.for the performance of the work for which this permit is1ssued. My workers' compensation insurance carrier and policy number are: Carrier AMER INC Policy Number 3424477 I certify that, in the -performance of the work for which this:permit is.issued, l shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California; and agree that, if I should become subject to the workers' compensation provisions. of Section 3700 of forthwith comply with those provisions. atei,� icantiW� WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE.IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTOONE HUNDRED THOUSAND DOLLARS ($100,000). 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 the Director of Building and Safety for a permit subject to tate 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 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 Quinta, its officers, agentsandemployees 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 permitto cancellation, I certify that I have read this application and state that the above information is correct. I -agree to complywitall city and county ordinances andstate laws relating to buildin constructi�andeby authorize representatives of�tfiis county t timer upo the above-mentio rty for i - -tio%. Dateri � ignature (Applicant. or Agen • — Application Number . . . . . 07-00003248 -----= 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 1.563.50 Plan Check .Fee 254.07 Valuation. 363289 7/23/08 Qty Unit Charge Per Extension BASE FEE 639.50 264.00 3.5000 THOU BLDG 100,001-500,000 924.00 Permit . . . MECHANICAL Additional desc . Permit Fee. . . . . 194.50 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 45.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-:500KBTU 16.50 8.00 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 .0.300 ELEC NEW RES - MULTI FAMILY 188.40 96.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 1.92 LQPERM[T Application Number . . . . Permit . . . . . . PLUMBING Additional desc . Permit Fee . . . . 393.00 Issue Date . . . . Expiration Date . . 7/23/08 07-00003248 Plan Check Pee . . 24.56 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 32.00 6.0000 EA PLB FIXTURE 192.00 1.0.0 15.0000 EA PLB BUILDING SEWER 15.00 6.00 7.5000 EA PLB WATER HEATER/VENT 45.00 6.00 3.0000 EA PLB WATER INST/ALT/REP 18.00 1..00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 .7500 EA PLB GAS PIPE >=5 9.00 6.010 15.0000 EA PLB GAS METER 90.00 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 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: 7200 - TYPE.: B]" December. 28, 2007 4:18:38 PM AORTEGA Other_ Fees . . . . . . ACCESSIBILITY PLAN REVIEW 25.40 ART IN PUBLIC PLACES -RES 408.22. DIF COMMUNITY CENTERS -RES 438.00 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 25.40 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 . . . . . 07-000.03248 Other Fees . . . . . . . DIF STREET MAINT FAC' -RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Permit Fee Total 2371.32 .00 Plan Check Total 303.61 .00 Other Fee Total 16965.34 .00 Grand Total 19640.27 .00 LQPERMrr Credited Due .00 2371.32 .00 303.61 .60 16965.34 .00 19640.27