08-1339 (CRES) Carport 6P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00,001339
Property Address:
47795 DUNE. PALMS RD
APN:
6QO-020-0.30- - -
Application description:
CARPORT - RESIDENTIAL
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
24472
T4hf 4 4 aghtm
Applicant: Architect.or Engineer:
00111 a/A
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division -3 of the Business,and Professionals Code, and my Licerise is in full force and'effect.
Ucense Class: B Lioense No.:" 396120
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemptfrom the Cormactor's.State License Law for. the
following reason (Sec. 703 1.5, Business and Professions Code: Any city or county that requires a permit to
construct; alter, improve, demolish, or repairany`structurs, prior to its issuance; also requires the applicant forft
permit to file a signed statement that he:or she is licensed pursuant to the provisions of the Contractor's State
Ucense.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 ($5001.:
L_ 1 I, 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 (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 improvement4s 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 1, a&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 whmcontracts for the projects'with a contractor(s) ' licensed
pursuant to the Contractors"State License Law:).
I—) I am exempt under Sec. , B.&P . reason
CONSTRUCTION (ENDING AGENCY
1 hereby offirm,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 "dress::
LQPERMLT
Owner:
COACHELLA VALLEY
45701 MONROE ST
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
HOUSING COALI
1-G
Contractor:
BROWN CONSTRUCTION,
PO BOX 9,80700
WEST SARAMENTO, CA
(916)373-9300
Lic. No.: 396120
Date: 8/06/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of thefollowing declarations:
I have and will maintain. a certificate of consent to sett -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,policy number are:
Cartier ZVRICH AMERICAN Policy Number WC596614800
I certify that, in the performance of the work for which thispermitis issued; I shell not employ any
,person imany manner so as to becomwsubjectto the workers' compensation laws, of'Califorrtia,
and agree that, if I shoyijecome,subjectto the workers' compensation provisions of Section
3700.of the Lobe e; I shagliWhwith cam ' with:those provisions.
icant:
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 1$100,000). IN ADDITION TO THE COST 0FLCOMPENSATION, "DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE,.INTEREST, AND ATTORNEy'STEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby'made to the Director.of Building and Safety for a 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 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.Ouinta,. 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 state that thea ' formation is correct.. I agree to comply with all
city and - my ordinances and,state'laws relatin "I building constructi nd hereby authorize representatives
of'thil �nt ,to entZe
he'ab ove-menti rope inspection purp s.
ate:. (/ ee (Applicant or Agent):
Application Number . . . . . 08-00001339
Permit . . ELECTRICAL-CARPORT/GARAGE
Additional desc .
Permit Fee . . . . 51.80 Plan Check Fee
12.95
Issue Date . . . . Valuation
0
Expiration Date 2/02/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1840.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
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36.8.0
Permit . . . CARPORT/GARAGE
Additional desc . .
Permit Fee . . . . 252.00 Plan Check Fee
163.8.0
Issue Date . . . . Valuation . . . .
24472
Expiration Date 2/02/09
Qty Unit Charge Per.
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,001-25,000
207.00
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Special Notes and Comments
10 STALL TILE ROOF CARPORT #6, 1840 SF.
Q BLDG. 6200, PARALLEL TO AVENUE 48
Fee summary Charged Paid Credited
Due
Permit Fee. Total 303.80 .00 .00
303.80
Plan Check total 176.75 .00 .00
176.75
Grand Total 480.55 .00 .00.
480.55
LQPERMre