06-1082 (MFD5)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application Valuation:
Applicant:
06-00001082
43-100 -PALM"ROYALE DR BLDG 17
609-051-010- - -
DWELLING -'S OR MORE FAMILY
HIGH DENSITY RESIDENTIAL.
778239
• "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D
BAR � 12006
rchitect or Engineer: CI,IY()p WA T1
PiP1hit ��� :.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic d der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and ofes nals Code, and my License is in full force and effect.
License Cl s: 13 LicenseNo.: 825987
Date: ontractor:
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 (Sec. 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 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 ($500).:
(_ 1 1, 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 improvement 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 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 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 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/15/06
Owner:
Whiteco Residential, LLC
1000 E. 80th Place, Suite 70ON
MERRILLVILLE, IN 46410
I ontractor:
PM CONSTRUCTION -CA LP
000 EAST 80TH PLACE, #555 N.
MERRILLVILLE IN 46410
(219?680-5000
•Lic. No.: 825987
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, 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:
Carrier ZURICH Policy Number WC930464403
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I shouldpejTe subject to the workers' compensation provisions of Section
00 of the bor Codor Cod s forthwith comply with those provisioforthwith comply with those provisions.
eat
00 of
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 ($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, indemnify and hold harmless the City
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 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 the above i m ion is correct. I agree to comply with all
city and county ordinances and state laws relating to building co tru on, and hereby authorize representatives
Of ttIjW6i y t enter up the above-mentioned property fo ns tion purposes.
Date: Signature (Applicant or A
Application Number
06-00001082
Permit .
BUILDING PERMIT
Additional desc
Permit Fee
2876.50
Plan Check Fee
Issue Date
Valuation . . .
778239`
Expiration Date,
9/11/06
Qty Unit Charge
Per.
Extension
BASE
FEE
2039.50
279.00 3.0000
THOU BLDG
500,001-1,000,000
837.00
Permit 'MECHANICAL
Additional desc .'.
Permit Fee . . . .
•488.00
Plan Check Fee
30.50
Issue Date . . .
Valuation
0
Expiration.Date
9/11/06
--
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
14.00 9.0000
EA MECH
FURNACE <=100K
. 126.00
14.00 9.0000
EA MECH
B/C <=3HP/100K BTU
126..00
20.00 6.5000
EA MECH
VENT FAN
.130.00
14.00 6.5000
EA MECH
EXHAUST HOOD
91.00
Permit
ELEC-NEW RESIDENTIAL
Additional-desc .
- - - Permit Fee
425.71
Plan Check Fee
26.61
Issue Date . . .
Valuation . . .
- 0 .
Expiration Date
9/11/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13453.00 .0300.
ELEC
NEW RES - MULTI FAMILY
403.59
356.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
7.12
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
871.50
Plan Check Fee
54.4 7
Issue Date . . . .
Valuation
.0
Expiration Date
9/11/06
Qty Unit Charge
Per.
Extension
BASE
FEE
15.00
74.00 6.0000
EA PLB FIXTURE
444.00
1.00 15.00.00
EA. PLB BUILDING SEWER
15.00.
LQPERMIT
Application Number . . . . 06-00001082
Permit . . .•. PLUMBING
Qty Unit Charge Per
Extension
14.00 EA PLB WATER HEATER/VENT
105.00
.7.5000
14.00 3.0000 EA PLB WATER INST/ALT/REP
42.00
1.•00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
42.00 .7500 EA PLB GAS PIPE >=5
31.50
14.00 15.0000 EA PLB GAS METER
210.00
Permit . . . GRADING PERMIT
Additionai desk
`
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date .\ 9/11/06
Qty Unit Charge --Per
Extension
BASE FEE
11
15.00
---------------------------------------------- ------------------------------
Special Notes and .Comments
MFDS Multi Family Dwelling
Apartments,(14 units)
Building #17; Bldg Type #1. 13,453 sgft.'
75% REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE
----------------------- ----------------------------------------------------
.Other Fees ... . . . . . . . ART IN PUBLIC PLACES -RES
1445.59
DIF COMMUNITY CENTERS -RES
1022.00 `
_ DIF CIVIC CENTER - RES
1554.00
DIF FIRE PROTECTION -RES
448.00
DIF LIBRARIES - RES
4872.00
DIF PARK"MAINT FAC - RES
294.00
DIF PARKS/REC - RES
12264.00
STRONG MOTION (SMI) - RES
77.82
DIF STREET MAINT FAC -RES
546.00
DIF TRANSPORTATION - RES
13622.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 4676.71 .00 .00
4676.71
Plan Check Total 579.01 .00 .00
579.01
Other Fee Total 36145.41 .00 .00
36145.41
Grand Total 41401.13. .00 .00
41401.13
Certificate of Occupancy
a�w
4
Building &Safety
Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the.
provisions of the Building . Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 43-100 PALM ROYALE DR. BLDG # 17
Use.classification: MULTI FAMILY DWELLING Building Permit No.: 06-1082
Occupancy Group: R-1
Type of Construction: VN
Owner of Building: WHITECO RESIDENTIAL, LLC
Building Official
IN A CONSPICUOUS PLACE
Land Use Zone: RH
Address: 1000 E. 801h PLACE STE #700N
City, ST, ZIP: MERRIVILLE, IN 46410
By: STEVE TRAXEL
Date: January 14, 2008