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06-1087 (MFD5)C& , otyl . 4 4 BOX 1504 `' h . , •z; y". VOICE(760)'777-701.2.- P.O. :. .78-495 CALLE TAMPICO ..` Y==.�J�� _ FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT. INSPECTION_ S (760) 777-7153 ` • BUILDING PERMIT1. = 7•y . „Y ° - .Date'. 3/15/06 Application Number: 06-00001087 �- , Owner, Property Address: 43100 -PALM -ROYALE DR BLDG 16. - Whiteco' Residential, LLC APN:609-051-010- - - - 1000 E: 80th Place, Suite 700N. Application description: DWELLING - 5 OR MORE -FAMILY• , Property Zoning: . HIGH DENSITY RESIDENTIAL D e Application valuation: 688332 Applicant: Architect or Engineer: BAR 1 CITY ®F LA Q1 FINANCE CE • L.- C.` 'err. r GOR SOURR.. Fi A. . • . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr ss' als Code, and my License is in full force and effect. •� UcenseClass: B License No.: 825987 / ✓ Date: 3 31 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 4 , 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).: 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 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.). 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 • •- t Date: Owner CONSTRUCTION LENDING AGENCY _ 1 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: I• L6MRMIT e ^ 'r. } - - _ . . • .. - .. MERRILLVILLE,-IN 46410; 6 Contractor: WPM,CONSTRUCTION-CA LP rA 1000 EAST 80TH PLACE, #555 N. MERRIT•T,VILLE, IN 46410 �. (219)680-5000 Lic. No.: 825987 WORKER'S COMPENSATION DECLARATION _ I hereby affirm under penalty of perjury one of the following declarations: - 4 - I haveandwill 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 a --- 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, ,r and agree that, if I should bec a ubject to the workers' compensation provisions of Section _ Cet�`1 �/,.�, �• 33�7-y0-0 of the Labor Code, I s II f hwith comply with those provisions. ' t"�Ii APPlicanY WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 4 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. I , 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. 1 certify that I have read this application and state that the abo/5�on is correct. I agree to comply with allcity and county ordinances andstate laws relating to buildin . ,and hereby authorize representatives of thi/s/c9u y to ter upon the above-mentioned grope foroses. • y, . � Dame: ~y�.Signature (Applicant or Agent).-*"'- Application Number 06-00001087 Permit . . BUILDING PERMIT Additional desc . •Permit Fee . . . - 2606_.50 Plan Check Fee 423.56 '. Issue Date Valuation . . . 688332 Expiration Date 9/11/06 Qty Unit'Charge Per Extension BASE FEE 2039.50 ;189.00 3.0000 THOU BLDG 500,001-1,000,000 567.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 388.50 Plan Check Fee 7.13 Issue Date . . . . Valuation . . . . 0 Expiration Date Qty Unit Charge Per Extension BASE FEE 15.00 11.00 9.0000 EA MECH FURNACE <=100K 99.00 11.00 9.0000 EA MECH B/C <=3HP/100K BTU 99.00 16.00 6.5000 EA MECH VENT FAN• .104.00 11.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 71.50 -Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 401.89. >_--. Plan Check.Fee 25.12 Issue Date Valuation . . . . 0 - - Expiration Date 9/11/06. Qty Unit•Charge Per Extension, BASE FEE• 15.00 10827.00 .0300 ELEC NEW RES - MULTI FAMILY 324.81 3104.00 - ..0200 ELEC GARAGE OR NON-RESIDENTIAL 62.0.8 Permit . . PLUMBING Additional desc . Permit•Fee . 698.25 Plan Check Fee 43.64 Issue Date ." . . . Valuation- 0 Expiration Date 9/11/06 Qty .. Unit Charge Per. Extension _ BASE FEE 15.00 59.00 6.0000 EA PLB FIXTURE 354..00 1.00 15.0000 EA PLB BUILDING.SEWER 15.0.0 • LQPERMIT - Application Number . . . . 06-00001087 Permit PLUMBING Qty Unit Charge Per Extension 11.00 7.5000 EA PLB WATER HEATER/VENT 82.50 11.00 3.0000,EA PLB WATER INST/ALT/REP 33.00 ..1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 33.00 ..7500 EA PLB.GAS'PIPE >=5 24.75 11.00 15.0000 EA PLB GAS METER 165.00 Permit.GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/11/06 Qty Unit Charge Per E__tension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments MFD5 Multi Family Dwelling Apartment (11 units) Building 16 Bldg Type IV (10,827sgft) w/garages .(3,104sgft). 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE -------------------------------------------------- --------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES 1220.83 DIF COMMUNITY CENTERS -RES 803.00 - - -. DIF CIVIC CENTER - RES -1221.00 DIF FIRE PROTECTION -RES 352.00 DIF LIBRARIES - RES 3828.00 DIF PARK MAINT FAC - RES 231.00 DIF PARKS/REC - RES 9636.00 STRONG MOTION (SMI) - RES 68.83 DIF'STREET MAINT FAC -RES 429.00 DIF TRANSPORTATION - RES 10703..00 Fee summary Charged Paid Credited Due --- ---------- ---------- Permit Fee Total 4110:14 .00 .00 4110.14 Plan Check Total 499.45 .00 .00 499.45 Other Fee Total 28492.66 .00 .00 28492.66 Grand Total 33102.25 .00 .00 33102.25 r LQPERM[T Coil Certificate of-Occupancy0 - g f 4 4 um& OF9 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 # 16 Use classification: MULTI FAMILY DWELLING Building Permit No.: 06-1087 Occupancy Group: R-1 Type of Construction: VN Owner.of Building: WHITECO RESIDENTIAL: LLC Building Official POST IN A CONSPICUOUS PLACE Land Use Zone: RH Address: 1000 E: 801h PLACE STE4700N City, ST, ZIP: MERRIVILLE, IN 46410 By: STEVE TRAXEL Date: December 19, 2007