06-1085 (MFD5)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Applieetion valugtign:
Applicant:
• 40"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760.) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
j� 06-00001085 Owner:
43100 PALM ROYALE DR BLDG 13 Whiteco Residential, LLC
609-051-010- - - 1000 E. 80th Place, Suite 70ON
DWELLING - 5 OR MORE FAMILY MERRILLVILLE, IN 46410
HIGH DENSITY RESIDENTIAL
688337
ntractor.
rchitect or Engineer:M CONSTRUCTION -CA LP
1000 EAST 80TH PLACE, 4555 N.
MERRILLVILLE, IN 46410
(219)680=5000
Lic. No.: 825987
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed 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: License No.: 825987
at4tractor:
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—) 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.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 contractors) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 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
Date: 3/.15/06
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 should be jubject to the workers' compensation provisions of Section
00 of the Labor Code I a rthwith comply with those provisions.
Da� pplicant:
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$100,0001. 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 780 days will subject
permit to cancellation.
certify that 1 have read this application and state that the above inf ion is correct. I agree to comply with all
city and county ordinances and state laws relating to building co ruc n, and hereby authorize representatives
of 15't'h!
y to nter upon the above-mentioned property for' sp rpe
ate: nature (Applicant or Agent):
Application Number
06-00001085
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
9/11/06
"
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 BTU99.00
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
w 324.81
3104.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
62.08
Permit:'
PLUMBING
Additional desc .
Permit Fee698.25
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 06-00001085
Permit . . . . . . PLUMBING'
a
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 d(8SC .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date.. 9/11/06
Qtj-, Unit Charge .Per
Extension
BASE FEE
15.00
----------- ---------------------- - - --------------_------------
Special Notes and Comments
MFD5 Multi Family Dwelling Apartment
(11 units) Building 13 Bldg Type IV
(10,8279gft) 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
LQPERMTT
Certificate of Occupancy
oF�9wS 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 # 13
Use classification: MULTI FAMILY DWELLING Building Permit No.: 06-1085
Occupancy Group: R-1 Type of Construction: VN Land Use Zone: RH
Owner of Building: WHITECO RESIDENTIAL, LLC
Building Official
Address: 1000 E. 80th PLACE STE #700N
City, ST, ZIP: MERRIVILLE, IN 46410
By: STEVE TRAXEL
Date: December 19, 2007
` . POST IN A CONSPICUOUS PLACE