12-0275 (MFD5)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/23/12
Application Number. E79.625—VISTA
2-00000275 Owner.
Property Address: CORALINA IN BLDG C LA QUINTA HOUSING AUTHORITY
APN: 600-020-054- - 78495 CALLE TAMPICO
Application description: DWELLING - 5 OR MORE FAMILY LA QUINTA, CA 92253
Property Zoning: COMMERCIAL PARK
Application valuation: 624255
Contractor:
Applicant:
Applicant: Architect or Engineer: Q /7 PTIMUS CONSTRUCTION INC
J' WESTERN .AVE #202
QUINTA, CA 92253
! (J 08) 550-8411
c. No.: 902939
CI'Py0.!l
A� c
---------------'------ ----------------------------
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 and Professionals 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: B - license No.: 902939 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ "issued.
/
• Date: '9-� ontractor. _ _ Lhave 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
�.WNQUILDER 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 STATE FUND Policy Number 0000506-2010
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 sho Id become 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 3700 of the Labor de I s II with 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)•: Date: 3.�: IA! Applicant:
( _) 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 WORKER ' 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 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' State1icense 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 orfollowing 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 information 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pro y ori sp 6jion purposes.
' Lender's Name:
ate:, moo' ignature (Applicant or Agent):
Lender's Address: - -
,;, _ n
Application.Number
. . 12-00000275
Structure Information
Construction Type
TYPE V, UNPROTECTED
Occupancy Type
. . APT/LIVE-WORK/TIMESHARE
Other struct info
CODE EDITION
2010
# BEDROOMS
24.00
FIRE SPRINKLERS
YES
FLOOD ZONE
NO
TOT ELIGIBLE
NO
NUMBER OF UNITS
8.00
1ST FLOOR SQUARE FOOTAGE
5561.00
.2ND FLOOR SQUARE FOOTAGE
5671.00
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
2414.5b Plan Check Fee
1569.43
Issue Date
Valuation
624255
Expiration Date
9/19/12
Qty Unit Charge
Per
Extension
BASE FEE
2039.50
125.00 •3.0000
THOU BLDG 500,001-1,000,000
375.00
Permit
ELEC-NEW RESIDENTIAL.
Additional desc
Permit Fee
351'.96 - Plan Check Fee
87.99
Issue•Date
Valuation
0
Expiration Date
9/19/12•
Qty Unit Charge
Per
Extension
BASE FEE
15.00
11232.00 :0300
ELEC NEW RES - MULTI FAMILY
336.96
Permit
MECHANICAL
Additional desc .
Permit Fee
315.00 Plan Check Fee
78.75
Issue Date
Valuation
0.'
Expiration Date
9/19/12
Qty. Unit Charge
Per
Extension
BASE FEE
15.0.0
8.00 9.0000
EA MECH FURNACE <=100K
72.00
8.00 9.0000
EA MECH B/C <=3HP/100K BTU
72.00
16.00 6.5000
EA MECH VENT FAN
104.00
8.00 6.5000
EA MECH EXHAUST HOOD
52.00
Application Number .
. . 12-00000275
----------------------------------------------------------------------------
Permit . . . .PLUMBING
Additional desc .
Permit Fee
600.00 Plan Check Fee
150..00
Issue Date
Valuation . .
0
Expiration Date
9/19/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
56.00 6.0000
EA: PLB FIXTURE
336.00
1.00: 15.0000
EA PLB BUILDING SEWER
15.00
5.00 . 6.0000
EA PLB ROOF DRAIN
30.00"
8.00 7:5000
EA PLB WATER HEATER/VENT
60.00
1.00 3.0000
EA ' PLB WATER INST/ALT/REP
3.00.
1.00, 9.0000,EA
PLB LAWN SPRINKLER SYSTEM
9.00
16.00 ."7500
EA PLB GAS PIPE >=5
12.00
8.00• 15.0000
EA PLB GAS METER
120..00
--------- - ---
Special Notes and Comments
8 UNIT 2 STORY MULTI -FAMILY
DWELLING,
2010 CODES. **PERMIT
DOES NOT INCLUDE
BLOCK WALLS, FENCES,
SWIMMING POOLS,
BBQ'S, TRASH ENCLOSURES AND SITE
LIGHTING**
Other Fees . . . .
ACCESSIBILITYPLAN REVIEW
156.94
ART IN PUBLIC PLACES -RES
1060.64
BLDG STDS ADMIN (SB1473)
25.00
DIF COMMUNITY"CENTERS-RES
584.00
DIF CIVIC CENTER - RES.
1832.00
ENERGY REVIEW FEE .:
156.94. :.
DIF FIRE."PROTECTION-RE3
256.00
..,
DIF LIBRARIES'- RES
2784.00
MULTI -SPECIES (MSHCP) FEE
1840.00
DIF PARK MAINT FAC - RES
168.60
DIF PARKS/REQ - RES
7008.00•
STRONG MOTION (SMI) - RES
'62.43
DIF STREET MAINT FAC -RES
312.00
DIF TRANSPORTATION - RES
9016.00
Fee summary Charged Paid Credited
Due
-------------
Permit Fee Total.
3681.46 .00 .00 .'
3681.46
Plan Check Total
1886.17 00 00
1886.17
Other Fee Total
25261.95 .00 .00
25261.95
Grand Total."
30829.58 .00 .00
30829.58
)
MAR -04-2014 TUE
06,09 PM RIVERSIDE COUNTY FIRE FAX NO. 17608637072 P. 04
Riverside
County Fire Department Fire 'Protection Planning Section
Wverlao Office: 2300 Market St., 510. 700, Rh arslGe, Ga 92e01 Ph. (9d1) 9668797 Fax (061) 066888
Palm Desert Me: 77-933 Las Mentanas. Rd., 0 201 Palm Desert, U 92211.4131 Ph. (760) 863-8886 Fax (760) 863-7072 .
Fire Department Clearance/Release
Dater 3/4/2014
l' To: LA QUINTA B&S
Fax:
I' Tract/Parcel Map #:
CORAL MOUNTAIN APTS —BLDG C (3)
dPermit/Lot #:
LAQ-12-BP-012
Job Site Address:
79625 VISTA CORALINA
City, State, Zip
LA"QUINTA
N
k
®, Final For Recordation
❑ 'Final for Alarm System -
n Final -.for Fire Suppression System'
V
❑ Shell Final Only (No Tenant)
Release For Residential Sprinkler Installation
❑ . Building Plan Check Fees(Paid, Water Requirement Met- if wafer applicable
❑, Building Plan Check Fees Not Paid
r
❑ Residential Sprinkler Plan Check" Fees Paid
;!
n Residential Sprinkler, Plan Check Fees Not Paid -
f l Other Fees. ,
V
❑ Fees Not Required
{ If you should have any
questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
KOHL HETRICK
t,. Print Name of Plan Reviewer/Inspector Approved Release -
Sent By: Print Name
�, Form C — Revl,od 3101/2012
FEB -18-2014 TUE 04:30 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072
Riverside County Fire Department Fire Protection Planning Section
Rlverelde Offim:2300 Market 9t., Ste. 160, Rlverelde, CA 92501 Ph. (051) 966.4777 Fax (951) 955-48HH
Palm Damn Office! 77.933 Lac Monrallas R4-, * 201 Pnlm Desert, CA 92211-4131 Ph. (760) 863.8886 Fax (760) 963-7072
Fire Department Clearance/Release
Date: 2/14/2014
To: LA QUINTA B&S
Fax:
Tract/Parcel Map #: CORAL MTN APTS — BLDG C (3)
Permit/Lot #: _ L.AQ-12-BP-012_„
Job Site Address: 79626 VISTA CAROLINA
City, State, Zip LA QUINTA
P. 03
IR Final For Recordation "TCO — Pending permanent kiosk, nor residence until in place
Final for Alarm System
_ Final for Fire Suppression System
❑ Shell Final Only (No Tenant)
Release For Residential Sprinkler Installation
M Building Plan Check Fees Paid, Water Requirement Met- if water applicable
Building Plan Check Fees Not Paid
❑ Residential Sprinkler Plan Check Fees Paid
�[] Residential Sprinkler Plan Check Fees Not Paid
Other Fees
Fees Not Required
if you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
KOK HET'RICK
Print Name of Plan Reviewerllnspector Approved Release
Sent By: Print Name
Form C - RevlBad 3101/2012
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 79-625 VISTA CORALINA LN, BUILDING 3 (C)
Use classification: RESIDENTIAL – APARTMENT HOUSE Building Permit No.: 12-0275
Occupancy Group: R-2 Type of Construction: VB Land Use Zone: CP
Code Edition: 2010 Sprinkler Installed: YES Occupant Load: 56
Owner of Building: LQ HOUSING AUTHORITY
Address: 78-495 CALLE TAMPICO
City, ST, ZIP: LA QUINTA, CA 92253
_____________GREG BUTLER_____________ By: KIRK KIRKLAND
Building Official Date: APRIL 3, 2014