06-1079 (MFD5)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001079 J
Property Address: 43100 PALM ROYALE DR BLDG 10
APN: 609-051-010- - - '
Application description: DWELLING - 5 OR MORE FAMILY
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: - 778239
Applicant: XA_/rchitect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX .(760) 777-7011
INSPECTIONS (760) 777-7153
J eco Residential, LLC
®, E. 80th Place, Suite 70ON
6410C,LLVILLE, IN 46410 -
Contra.
ontra. r:
M CONSTRUCTION -CA LP
1000 EAST 80TH PLACE, •#555 N.
MERRILLVILLE, IN 46410
(219)680-5000
Lic. No.: 825987
Date: 3/15/06
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with.
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business��",iqqsional! Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: - License No.: 825987
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
LLLL
ate y ontractor:
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the per of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier ZURICH Policy Number WC930464403
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
the
person in any manner so as to b e subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should beme s t to the compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of the abor Code, I all ith comply with those provisions.
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).:
ate: plicant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
r
improve for the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to.construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. ,
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ I I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 ' n is correct. I agree to comply with all
city and county ordinances and state laws relating to building n ti , and hereby authorize representatives
of th' o ty t enter upon the above-mentioned pro r ins n purposes—
Date : gnature (Applicant or Agent):
M Application Number
06-00001079
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
2876.50
Plan Check Fee_.
467.43
Issue Date . . . .
Valuation
778239
Expiration Date ..
9/il/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 Uni-t 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
54.47
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 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT -
- -
-
Application'Number . . 06-00001079
Permit ' . PLUMBING -
Qty Unit Charge Per Extension
'14.00 7.5000 EA PLB WATER HEATER/VENT 105.00
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
14.0.0 15.0000 EA PLB GAS METER 210.00
----------------------------------------------------------------------------
Permit. . . GRADING PERMIT
Additi6A&i desc
Permit Fee . . 15.00 Plan Check Fee .00
Issue Date Valuation 0
.Expiration Date 9/1.1/06
Qty Unit Charge Per Extension
BASE FEE 15.00
---------------------------------------------
Special Notes and Comments
MFD5 Multi Family Dwelling
Apartments,(14 units)
Building #10, Bldg Type #1. 13,453 sqft.
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) I- 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
LQPERMIT -
John R. Hawkins
Fire Chief
Proudly.serving t
Unincorporated
Areas of Riversid
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
•A
Coachella
Desert Hot Springy
Indian Wells
Indio
Lake Elsinore .
4.
La Quinta
Moreno Valley
Palm Desert
Perris .
Rancho Mirage
San Jacinto
Temecula
Board of Supervisc
'Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley, '
District 5
RIVERSIDE COUNT' FIRE DEPARTMENT
Inn cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • 909 940-6900 • Fax (909) 940-6910
Date
City of LaQuinta .
Building Department
RE I
The Riverside County Fire DeMt 'is anting Pe Fire clearance for the following
location 43
Please, call i .you should have any question 60- 63-8886
Respectfully
By
Terry DeSouc .
Fire Systems Inspector
EMERGENCY SERVICES -DIVISION-. PLANNING SECTION- INEIO-OFFICE----- -- — -
82-675 Highway 111,.2nd Fl., Indio, CA 92201 • (760) 863-8886 • Rix (760) 863-7072
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
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 10
Use classification: MULTI FAMILY DWELLING Building Permit No.: 06-1079
Occupancy Group: R-1 Type of Construction: VN Land Use Zone: RH
Owner of Building: WHITECO RESIDENTIAL, LLC
Address: 1000 E 80TH PLACE STE 700N
City, ST, ZIP: MERRIVILLE, IN 46410
_____________TOM HARTUNG_________________ By: STEVE TRAXEL
Building Official Date: OCTOBER 18, 2007