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04-8432 (MFD5)11111111 VIII III VIII IIII 54IE 1 4 M P.O. BOX 1504 - — - - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BU DING & SAFETY DEPARTMENT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 04-00008432 8-0175 AVENUE --°52 772-410-018- - -� DWELLING - 5 OR MORE FAMI HIGH DENSITY RESIDENTIAL 665467 ,,-�r Chitect or Engineer:_ hv/-- --------------------------------------------------- LICENSED -- --------------------------------------------------. 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 Professionals Code, and my License is in full force and effect. License Class: B�/ License No.: 774293 �tel!�2 �! ontractor. /�.. /��v✓ r 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 Sectinn 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 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 PERMIT Owner: GREYSTONE CLUBHOUSE ASSOC LLC 341 BAYSIDE DR STE 7 NEWPORT BEACH, CA 92660 Contractor: GREYSTONE MULTI -FAM BUILDERS 341 BAYSIDE DRIVE, #7 NEWPORT BEACH, CA 92660 (949)566-9230 Lic. No.: 774293 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/05 ----------------------------------------------— 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 AJ GALLAGHER Policy Number Z066293903 _ 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 become subject to the workers' compensation provisions of Section 3700 of th!>abor Code, 1 shall forthwith comply with those provisions. te: iZ.7 ��� 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 ($100,000). 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 180 days will subject permit to. cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all. city and county ordinances ands ate laws relating to building construction, and hereby authorize representatives of this county to enter upon above-mentioned property fo ' spection purposes. te: — 23 0/ gnature (Applicant or Agent): 4 LQPERMIT Application Number . . . . 04-00008432 Structure Information Construction Type TYPE V - 1 HR . Occupancy Type . . . . . . HOTEL/APT/LONG HSING >10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struc_t info CODE EDITION 2001 # BEDROOMS 20.00 FIRE SPRINKLERS YES FLOOD ZONE NO PATIO SQ FTG 1274.00 NUMBER OF UNITS 10.00 1ST FLOOR SQUARE FOOTAGE 5753.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 5748.00 Permit BUILDING PERMIT Additional desc . Permit Fee 2537.50 Plan Check Fee 1649.38 Issue Date Valuation 665467 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE* 2039.50 166.00 3.0000 ---------------------------------------------------------------------------- THOU BLDG 500,001-1,000,000 498.00 Permit MECHANICAL Additional desc . . Permit Fee . . . . 390.00 Plan Check Fee 97.50 Issue Date . . . . Valuation 0 Expiration Date 3/22/06 Qty Unit.Charge Per Extension BASE FEE 15.00 10.00 9.0000 EA MECH FURNACE <=100K 90.00 10.00 9.0000 EA MECH B/C <=3HP/100K BTU 90.00. 20.00 6.5000 EA MECH VENT FAN 130.00 10.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 65.00 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 385.51 Plan Check Fee.. 96.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 Application Number . . . . . 04-00008432 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 11501.00 .0300 ELEC NEW RES - MULTI FAMILY 345.03 1274.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 25.48 ---------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date PLUMBING. 777.00 3/22/06 Plan Check Fee . . 194.25 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 80.00 6.0000 EA PLB FIXTURE 480.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 10.00 7..5000 EA PLB WATER HEATER/VENT 75.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 7.5000 EA. PLB OTHER BACKFLOW <=2 INCH 7.50 30.00 .7500 EA PLB GAS PIPE >=5 22.50 •10.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 150.00 Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . GRADING PERMIT 15.00 3/22/06 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments Q�dQL�- BUILDING TYPE 6 -11,501 SF - 2 STORY 10 /v\ UNIT (APT#411.,412,413,414,415,421, 422,423,424,425) MULTI -FAMILY APARTMENTS, R-1 OCCUPANCY, TYPE V- 1 HR CONSTRUCTION(MULTI-STORY CREDIT FOR ALLOWABLE AREA INCREASE TO 21,000 SF) 2001 CODES. [PLAN TYPES (4 QTY) B=1.3,. (2 QTY) B71.6, (2 QTY) A-1.5, (2 QTY) A-1.6 COMPRISE BLDG.TYPE 61 **PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA, TRASH ENCLOSURES, MAIL KIOSK AND SITE LIGHTING** ---------------------------=-----------------------=------------------------ Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 164.94 LQPERMIT Application Number. . . . . . 04-00008432 ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 1163.66 DIF COMMUNITY CENTERS -RES 890.00 DIF CIVIC CENTER - RES 440.00 ENERGY REVIEW FEE 164.94 DIF FIRE PROTECTION -RES 320.00 DIF LIBRARIES - RES 2060.00 DIF PARK MAINT FAC - RES 40.00 DIF PARKS/REC - RES 4600.00 STRONG MOTION (SMI)'- RES 66.54 DIF STREET MAINT FAC -RES 80.00 DIF TRANSPORTATION - RES 6410.00 Fee summary Charged Paid Credited ------------------------------ Due ----------------- Permit Fee Total ---------- 4105.01 .00 .00 4105.01 Plan Check Total 2037.51 .00 .00 2037.51 Other Fee Total 16400.08 .00 .00 16400.08 Grand Total ' 22542.60 .00 .00 22542.60 LQPERMIT :CLrtificato of Occu ancCe p y 0 U rY f�GI�Gu 4 G� 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 construction and/or use. BUILDING ADDRESS: 80-175 AVENUE 52 BUILDING # 4 Use classification: MULTI -FAMILY APARTMENTS Building Permit No.: 04-8432 Occupancy Group: R-1 Type of Construction: VN Land Use Zone: RH Owner of Building: CLUBHOUSE ASSOC Address: 160 NEWPORT CENTER DR. 250 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: STEVE TRAXEL Date: 06-29-2007 Building Official POST IN A CONSPICUOUS PLACE