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06-1076 (MFD5)F P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Appllootlon Voluotjon: Applicant: CIO 06-0_000.1.0.76_;--= "--- 43100 PALM ROYALE DR BLDG -7 609-051-010- - - DWELLING - 5 OR MOPP.. FAMTT,V HIGH DENSITY R 770039 ' f�Gl�[,IGt/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT c Owner• VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Whiteco Residential, LLC 1000 E.' 80th Place, Suite 70ON MERRILLVILLE, IN 46410 �ntractor: PM CONSTRUCTION -CA LP 000 EAST 80TH PLACE, #555 N. ERRILLVILLE, -IN 4641-0 219)680-5000 ic. No.: 825.987 1 Date: 3/15/06 . LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION. , ' I 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 a r - essionals 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 C ss: License No.: 825987 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: ontracm . issued. 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: 1 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 should be c s bject 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 00 of the Labor Code, I s II with c2MpIkWith 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 (5500):ate: plicant:04 Vim (_ ) 1, 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, 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 apermit 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, - - ( 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 Quinta, 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 lendingagencyfor the performance of the I certify that I have read this application and state that the above infortion is correct. I agree to comply with all " work for which this permit is issued (Sec. 3097, Civ. C.I. city a!!o county ordinances and ate laws relating to building con uct' n, and hereby authorize representatives of s c unty t enter upon a above-mentioned property for ' pec ' purposes. _ Lender's Name: Dat nature (Applicant or Agent): Lender's Address: • ' LQPERMIT F tom. ^• - - Application Number 06 -00001076 - Permit .". BUILDING PERMIT Additional desc . Permit Fee .. 2876.50 Plan Check Fee 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 Expiration 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 .126.0.0 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 . . 06-00001076 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 EAS. PLB LAWN SPRINKLER SYSTEM 9.00 42.00 .7500 EA PLB GAS PIPE >=5 31.50 14.00 15.0000 EA PLB GAS METER 210.00, Permit . . . GRADING PERMIT Addicional desu 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 MFDS Multi'Family Dwelling Apartments,(14 units) Building 47, 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 29.4.00 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 - _ . Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa r. Canyon Lake Coachella Desert Hot Springs Indian Wells Indio 4. Lake Elsinore La Quinta Moreno Valley Palm Desert Perris ,y Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 .RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 Fax (951) 940-6910 Date City of La Quinta Building Department RE: C CASE # P D ©� The Riverside County Fire Departmentis anting the Fire Clearance for the following location OV --/ O d fiufn 'X10 Please call if you should have quests 7 0-863-8886 Respectfully By Terry DeSouucy / Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION . INC -IO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201. (760) 863-8886. Fax (:60) 863-7072 001, Qc Fo Certificate -of Occupancy oF�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 # 7 Use classification: MULTI FAMILY'DWELLING _ Building Permit No.: 06-1076 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 By: STEVE TRAXEL Date: October 24, 2007 Building Official POST IN A CONSPICUOUS PLACE