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06-1086 (MFD5)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: r Ir 4 BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT rchjtect or EngineeV� ti -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am li d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ionals Code, and my License is in full force and effect. License Class: B License No.: 825987 r/ Date: Contractor: 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 Codel 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 1$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 _ 1 1, 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.). 1 1 I am exempt under Seca B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY i 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: ' i - 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 706N MERRILLVILLE, IN 46410 11 Contractor: WPM CONSTRUCTION -CA LP 1000 EAST 80TH PLACE, #555 N. MERRILLVILLE, IN 46410 (219)680-5000 Lic. No.: 825987 ------------------------------------------------ WORKER'S COMPENSATION DECLARATION 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 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 tobeco subject to the workers' compensation laws of California, and agree that,, if I should beco ject to the workers' compensation provisions of Section 3700 of the Labor Code, I sh I fo ith comply with those provisions. 85te:Applicant: - 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 info pn is correct. I agree to comply with all city and county ordinances and state laws relating to building con uctio { and hereby authorize representatives - of this court y tttoo/yntteerr upon the above-mentioned property for i ur oses. ignature (Applicant or Agei Application Number: 't. 06-00.001086 - - Property Address: 43100 PALM ROYALE DR BLDG 15 APN: 609-051-010- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: HIGH DENSITY RESIDENTIAL Appliootion valuation) 688332 1 Applicant: r Ir 4 BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT rchjtect or EngineeV� ti -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am li d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ionals Code, and my License is in full force and effect. License Class: B License No.: 825987 r/ Date: Contractor: 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 Codel 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 1$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 _ 1 1, 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.). 1 1 I am exempt under Seca B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY i 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: ' i - 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 706N MERRILLVILLE, IN 46410 11 Contractor: WPM CONSTRUCTION -CA LP 1000 EAST 80TH PLACE, #555 N. MERRILLVILLE, IN 46410 (219)680-5000 Lic. No.: 825987 ------------------------------------------------ WORKER'S COMPENSATION DECLARATION 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 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 tobeco subject to the workers' compensation laws of California, and agree that,, if I should beco ject to the workers' compensation provisions of Section 3700 of the Labor Code, I sh I fo ith comply with those provisions. 85te:Applicant: - 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 info pn is correct. I agree to comply with all city and county ordinances and state laws relating to building con uctio { and hereby authorize representatives - of this court y tttoo/yntteerr upon the above-mentioned property for i ur oses. ignature (Applicant or Agei Application Number . . . . . 06-00001086 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 ^/11/06 �- 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 62:08 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 15.00 LQPERMIT Application Number 06-00001086 Permit . . •PLUMBING F 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 PermitGRADING PERMIT Additional desc" . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 9/11/06 - Qty -Unit Charge Per --, Extension -BASE FEE 15.00 -- ------------------- Special Notes and Comments MFD5 Multi Family Dwelling Apartment (11 units) Building 15 Bldg Type IV -REV. (10,827sgft) w/garages (3,104sgft). 75% REDUCTION TO PLAN CHECK FEES DUE TO' MULTIPLE ISSUANCE OF SAME PLAN TYPE ----------------------------------------------- -------------------------------- - Other --- ---------------------------------------`--------------------------- 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 4 LQPERMIT . - - Certificate of Occupancy RRATM `-� G� 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# 15 Use classification: MULTI FAMILY. DWELLING Building Permit No.: 06-1086 Occupancy Group: R-1 Type of Construction: VN Owner of Building: WHITECO RESIDENTIAL, LLC Building Official 19013 gin�•1.�� r�iZ•1�� Land Use Zone: RH Address: 1000 E. 801h PLACE STE #700N City,. ST, ZIP: MERRIVILLE, IN 46410 By: STEVE TRAXEL Date: December 19, 2007