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06-1077 (MFD5)st P.O: BOX 1504 // VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 ILDING PERMIT O Date: 3/15/06 Application Number: 06-00001077 Owner: 'Property Address: 4310.0 PALM ROYALE DR BLDG 8 Whiteco Residential, LLC APN: 609-051-010- - - ® 1000 E. 80th Place, Suite 70ON Application description:DWELLING - 5 OR MORE FAMILY MERRILLVILLE, IN 46410. Property Zoning: HIGH DENSITY RESIDENTIAL Application trahlation: 778734 �• V� Contractor: Applicant: �rchitect or Engineer: O�G� WPM CONSTRUCTION -CA LP D 1000 EAST 80TH PLACE, #555 N. MERRILLVILLE, IN 46410, (219)680-5000 Lic, No.: 825987 -------——--------------—----------------------------------------—------——------------------------ - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am I' sed 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 an r ssionals 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 CI ss: .License No.: 825987 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate* ntractor: I have and will maintain workers' compensation insurance, as required by Section 3706 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATIONinsurance 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 person in any manner so as to become 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 shout •o subject to the workers' 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 Labor Co , I orthwith 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 Iicant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 00 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 improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT ' (_ 1 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.l. whose benefit work is performed under or pursuant to any permit issued as a result of this application, , (,_ 1 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 . of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I.have read this application and state that the above i a ' is correct. I agree to comply with all .. work for which this permit is issued (Sec: 3097, Civ. C.). - city and county ordinances and state laws relating to building c stru ,and hereby authorize representatives of this u ty to nter up the above-mentioned property f inspe purposes. Lender's Name: • te• ignature (Applicant or Agent): Lender's Address: LQPERMTT - - Application Number 06-00001077 Permit -BUILDING PERMIT Additional desc . Permit Fee 2876.50 Plan Check Fee i' 467.43• 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 Expiraticn' 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 3.56.00 ..0200 ----------------------------------- ----------------- --------------`---------------------------------------Permit ELEC.GARAGE il ---------------------------------------- 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 06-00001077 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. 14.00 15.0000 EA PLB GAS METER. no. 00- ------------------------------------------------------------- --------------- ,Permit . . GRADING PERMIT Additional desc L 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 Apartments,(14 units). - Building #8, Bldg'Type #1. 13,453 sgft.` 7516REDUCTION 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 LQPERMIT b z �a� `�•c Certificate'of Odcupanc SCANNED } ivn 5� f t OFBuilding & 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 b construction and/or use. .. .. 1 BUILDING ADDRESS: 43-100 PALM ROYALE DR. BLDG # 8 f Use classification: MULTI FAMILY DWELLING Building Permit No.: 06-1077 a '.' Occupancy Group: R-1 Type of Construction: VN Land Use Zone: RH x Owner of Building: WHITECO RESIDENTIAL, LLC Address: 1000 E. 80th PLACE STE #700N y z City, ST, ZIP: MERRIVILLE, IN 46410 By: STEVE.TRAXEL Date: December 19, 2007 Building Official y 1 ? i POST IN A CONSPICUOUS PLACE n _