09-0908 (CRES)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000908
Property Address:
47795 DUNE PALMS RD
APN--
600-0.20-041- - -
Application.description-
CARPORT - RESIDENTIAL
Property Zoning:
REGIONAL COMMERCIAL.
Application valuation:
278529
Tityl 4 4 Quik&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applic nt: / Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
Lhereby affirm under penalty of perjury that) am licensed under provisions of Chapter9 (commencing with
Section 7000) oUDivision,3,Of the Business and Professionals Code, and my -License is in full force and effect.
UcenseC B C60 ns-eNo.: 396120
Data G�Contractor:
OWNER -BUILDER DECLARATION
Lhereby affirm under penalty Of jury.that l am exempt from the Contractor's State.License Law for the
following reason (See..7031.5, Business and 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 exempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five.hundred dollars (8500)=i
(_ 1 I, as owner of the property,. or my employees with wages as,their sole compensation, -will doIthe work; and
thwstructure is not intended or offered for sale (Sec. 7044,.Business and Professions Code: The
Contractors":State License Law does not apply to an ownerrof 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 soldwithin
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 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 -doss -not apply�to an owner.of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuam:to the- .Contractors' State License Law.).
(_ 1 I am.exempt under Sect B.@P.C. for this reason
Data: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is 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:
LQPERMIT
Owner:
COACHELLA VALLEY
45701 MONROE ST
INDIO, CA 92201
HOUSING
1-G
Contractor:
BROWN CONSTRUCTION,
PO BOX 980700
WEST SARAMENTO, CA
(916)373-9300
Lie. No.: 39612.0
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/09
-------------------------------------------------
WORKER'S COMPENSATION DECLARATION
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, asrprovided
for by Section 3,700 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 21700 of the Labor
Code, for the performance of the work for whichAhis permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier ZURICH AMERICAN Policy Number MC96614800
I certify that, in the,performance;of-the work for which this permit.is issued, I shallnotemploy any
person in,any'menner so;as.to become,subjectto the workers' compensation, laws of California,
and agree that, if I should became subject to the workers' compensation provisions of Section
3300 of'the Labor Code, I shall fo i ply with-thos rovlsions.
Date: Applicant:
WARNING: FAILURE TOS UR ORKERS' COMPENSATION COVERAGE'IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T IMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 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, irdemnify.and hold harmless the City
of La Ouinte, its officers; agentsand'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.
[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 building constru , —and-h-Ubbiq authorize representatives
of this coup to terupon the above-mentioned proparty for' p io ses.
Date: Signature (Applicant or Agent(: -
.Application Number . . . . . 09-00000908
------ Structure Information 19 CARPORTS (2,0,942SF) Q INTERIOR SITE -----
Other struct info . . . . . CODE EDITION 20.07CBC
FLOOD ZONE NO
GARAGE SQ FTG 20942.00
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
CARPORT/GARAGE
1266.,00
3/20/10
Plan Check Fee .. . 822.90
Valuation . . . . 278529
Qty Unit Charge Per Extension
BASE FEE 639.50
179.00 3.500.0 THOU BLDG 100,001-500,000 626.50
--------------------------------------------- ------ -----------------------
Special Notes and Comments
(19) CARPORTS AT VARIOUS INTERIOR SITE
LOCATIONS (20,942SF TOTAL) [ENGINEERED]
THIS PERMIT DOES NOT INCLUDE ELECTRICAL
INSTALLATIONS. 2007 CALIFORNIA BUILDING
CODES. [REFER TO APPROVED SITE PLAN FOR
CARPORT LOCATIONS]
September. 18, 2009 3:13:22 PM AORTEGA
-------•---- ----.. -- ----------------- .-----------------
-----
Other Fees • . . . . . . . BLDG STDS ADMIN (SB1473) 12.00
STRONG MOTION ('SMI) RES 27.85
Fee summary Charged Paid Credited Due
Permit Fee Total 1266.00 .00 .00 1266.00
Plan Check Total 822.90 .00 .00 822.90.
Other Fee Total 39.85 .00 .00 39.85
Grand Total 212.8.75 .00 .00 2128.75
LQrERmff
90-,-27
City of La Quinta
Btdkgng &r SafetyDivlslon Q
P.O. Box 1.504, 78-495 Calle Tampico
La Qtllnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit ff
ISO
Project Address -? �5 -DO,-Le rr'q /e5 ?,(4Owi7er'Name:
A. P. Number:
Ga i , J, _ voi l
u a�� _
Address:' 7 E, ,A / �KkI�IVGC' S w
Legal'Descriptions
Contractors row
City, ST Z' a`
t3' � : �h 7D
Telephoige: '76o- 32�/'L 3/(s
Project'Deseription:
Address: I14_15e$ 4
City, ST, Zip: ST . �t2GV !.t✓ l s6
Telephone: 3 0�
/J /� �7
C_,�-� 1
State Lic. # : 3CI t0 I D- t� City Lic. #; 103 1
Arch., Engr., Designer.
_`
Address:
City., ST, Zip:
Telephone.Construction
State tic. #:
,lope: Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Name of Contact Person: o„C.i, C 14.
Sq. Ft :
#Stories:
#Units:
Telephone# of Contact Person: Esfin.A+tet yatuaof Project: 00c)
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
N Submittal Req'd Reed TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cake.
Reviewed, ready for corrections Plan Check- Deposit r�
Truss Cale&.
Called Contact PeMR Plan Check Balance
Title 24 Cales.
Flood plain plan
Plans picked up Construction SO 1
Plaus.resubmitted Mechanical .�—
Grading plan
2`! Review, ready for correctionossue Electrical
Subcontactor list
Called Contact Person Plumbing
Grant Deed
Plans picked up. S -MI.
H.O.A. Approval
Plans resubmitted Grading �•
IN HOUSE:-
'^' Review, ready for correctiou Developer Impact Fee
Called Contact Person A.I.P.P.
Planning Approval
Pub. Wks. Appr
School Fees
Date of permit issue
Total Permit Fees
90-,-27
CITY OF LA QUINTA
BUILDING & SAFETY DEPI
APPROVED
FOR CONSTRUCTION
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