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07-3249 (MFD5) Type B— . i6. P.O- BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address:: APN: Application description: Property Zoning: Application valuation: Applicant: C fl 07-00003249 47795 DUNE PALMS RD 600-020-030- - DWELLING - 5 OR MORE REGIONAL COMMERCIAL 363289 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I Owner: COACHELL_A VALLEY 45701 MONROE.ST FAMILY INDIO., CA 92201 Architect or Engineer: �W_ ------------------ 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_Ucense is in full force and effect. Licens ass: B. License No.: 396120 ate: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Lam exempt from the Contractor's State License Law for the following reason(Sec. 7031 .5, Business and Professions. Cede: Any city or county that requires,a permit to construct, alter,; improve, demolish, or repair anystructure, 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 andlProfessions Code) or that.he or she is exempt therefrom and the basis for thwalleged 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 ($5001..- 1, $5001.:I, as owner of-the.property, or my employees with wages"as their sole compensation; will do the work, and thestructure 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,orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 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.Ucense Law does not,apply to an owner of property who builds or improves thereon, and who contraetsJor the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) 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.). Lender's Name: _ Lender's Address: Vr LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/08 HOUSING COALI 1-G t� t Contractor: ' 1 BROWN CONSTRUCTION, INC. D ; PO BOX 98,0700 fjkspoml l l ` WEST SARAMENTO; CA 95798 JAA (916)373-9300 Lic. No.: 396120 _ r _mac 1 � WORKER'S COMPENSATIONDECLARATION 'I hereby affirm under penalty of perjury 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. 1 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 policy number are: Carrier AMER INC' Policy Number 3424477 I certifythat, in the performance of the work for which this permit is issued, I shall not employ any person in any manner se as to become, subject to the workers' compensation laws of California, and agree that, if I sh become subject to the workers' compensation.provisions of Section 3700 of the /. ode; I s 11 omply with those provisions. /:icant: WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS'UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION'3706 OF THELABOR CODE, INTEREST, AND•ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building.and'Safety fora 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 requestand for whose benefit work.is performed under or pursuam: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 theCity 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 permitissuedas,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 state.that the: above information is correct: I agree to comply with all. city and county ordinances and state laws relating to buildi struction, and hereby authorize representatives of this collYmy 11en�ter upon the above -menti for insp i ature.(Applicant or Agent): al • — — Application Number . . . . . 07-00003249 ------ Structure Information 6,725SF [TYPE:B]/V-NR/RES-1/6-DU •----- Other struct info . . . . . CODE EDITION 2001/2004/2005 # BEDROOMS 15.0'0 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 Valuation . . . 363289 Qty Unit Charge Per Extension BASE FEE 639.50 264.:00 3..5000 THOU BLDG 100,00.1-500,000 924.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 194.50 Plan Check Fee 12.15 Issue.Date . . . . Valuation . . . . 0 Expi"ration_.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 6.8000 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 --------------------------------------------------------------- .020.0 ELEC GARAGE OR NON-RESIDENTIAL 1.92 LQPERUff Application Number . . . . . 07-00003249 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 CEC, 2005 ENERGY CODE. **REDUCED FEE** Extension [BUILDING: 6100 - 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 1.5000 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.-0.0 12.00 .7500 EA PLB GAS PIPE >=5 9.00 6.00 15.0000 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: 6100 - 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 Vs r_, LQPERMIT Application Number . . . . . 07-0000324.9 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited. Due Permit Fee Total 237.1..32 .00 .00 2.37.1.32 'Plan Check Total 303.61 .00 .00 303.61 Other Fee Total 16.965.34 .00 .00 169.65.34 Grand Total 19640.27 .00 .00 19640.27