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04-8434 (MFD5)06 P.O. BOX 1504 -- -- - E - - - - -- - - 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 04-00008434 80175 -AVENUE- 52� 772-410-018- - - DWELLING - 5 OR MORE FAMILY HIGH DENSITY RESIDENTIAL 956787 f6hitect or Engineer: /J (1,4_7 C�f3s' Owner: CLUBHOUSE ASSOC LLC DE DR STE 7 EACH, CA 92660 -------------------------------------------------- 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 �r7 License No.: 774293 Date:. 2 iQ traaor: �,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 Icommencing 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 Section 7031.5 by any'applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: (_ 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 _ 1 I, 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 contractorls) licensed pursuant to the Contractors' State License Law.). I—) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/05 MULTI -FAM BUILDERS DE DRIVE, #7 EACH, CA 92660 9230 Lic. No.: 774293 ------------------ 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. 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 �4pplic.n't: bor Code, I shall forthwith comply with those provisions. D�/Z X, v 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 15100,0001. 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 and ate laws relating to building construction, and hereby authorize representatives of��this county to ente/ryp eabove-mentioned property f inspection �purposes. Date. �� f ignature (Applicant or Agent): r LQPERMIT Application Number . . . . 04-00008434 Structure Information Construction Type . . . . . TYPE V - 1 HR Occupancy Type . ... . . . HOTEL/APT/CONG HSING >10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES FLOOD ZONE NO PATIO SQ FTG 2052.00 NUMBER OF UNITS 14.00 1ST FLOOR SQUARE FOOTAGE 8288.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 8189.00 Permit BUILDING PERMIT Additional desc Permit Fee 3410.50 Plan Check Fee 2216.83 Issue Date . . . . Valuation 956787 Expiration Date 3/22/06 Qty. Unit Charge Per Extension BASE FEE 2039.50 457.00 3.0000 --------------------------------------=------------------------------------- THOU' BLDG 500,001-1,000,000 1371.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 540.00 Plan Check Fee 135.00 Issue Date Valuation 0 Expiration Date .. 3/22/06 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 28.00 6.5000 EA MECH VENT FAN 182.00 14.00 6.5000 --=------------------------------------------------------------------------- EA MECH EXHAUST HOOD 91.00 Permit . . . Additional desc . . Permit Fee. . . Issue Date . . . Expiration Date . Qty Unit Charge 16477.00 .0300 ELEC-NEW RESIDENTIAL 550.35 Plan Check Fee . Valuation 3/22/06 Per BASE FEE ELEC NEW RES - MULTI FAMILY 137.59 0 Extension 15.00 494.31 Application Number . . . . . 04-00008434 Permit• . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 2052.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ----------------------------------------------- w 41.04 PLUMBING Additional desc . Permit Fee . . . . 991.50 Plan Check Fee•. 247.88 Issue Date . . Valuation . . . . 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 - "--"-' --- -- - ------ 98.00 6.0000 'EA 'PLB FIXTURE 588.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 14.00 7.5000 EA PLB WATER HEATER/VENT 105.00 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 15.0000 EA PLB OTHER BACKFLOW >2 INCH 15.00 42.00. .7500 EA PLB GAS PIPE >=5 31.50 14.00 15.0000 EA PLB GAS METER -------------=-----=-------------------------------------------------------- 210.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension -BASE FEE 15.00 --------------------------------------------------------------------------- Special Notes and Comments BUILDING TYPE .8- 2 STORY - 16,477 SF - 14 UNIT [APT.#811,812,813,814815,816, 817,821,822,823,824,825,826,827] MULTI -FAMILY APARTMENTS. R-1 OCCUPANCY, TYPE V-1 HR.CONSTRUCTION, (MULTIPLE FLOOR CREDIT FOR ALLOWABLE AREA INCREASE TO 21,000 SF) 2001 CODES. [PLAN TYPES (4 QTY) B-1.3, (4 QTY) B-1.5, (2 QTY) A-1.5, (2 QTY)A-1.6, (2 QTY) B-1.6 COMPRISE BUILDING TYPE 8] **PERMIT DOES .NOT INCLUDE BLOCK WALLS, POOL, SPA, TRASH ENCLOSURES, MAIL KIOSK AND SITE LIGHTING** ------------------------------------='---------------------7----------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 221.68 LQPERMIT J. V4 Application Number . . . . . 04-00008434 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 1891.96 DIF COMMUNITY CENTERS -RES 1246.00 DIF CIVIC CENTER - RES 616.00 ENERGY REVIEW FEE 221.68 DIF FIRE PROTECTION -RES 448.00 DIF LIBRARIES - RES 2884.00 DIF PARK MAINT FAC - RES 56.00 DIF PARKS/REC - RES 6440.00 STRONG MOTION (SMI) - RES 95.67 DIF STREET MAINT FAC -RES 112.00 DIF TRANSPORTATION - RES 8974.00 Fee summary Charged Paid Credited Due Permit Fee Total 5501.35 .00 .00 5507.35 Plan Check Total 2737.30 .00 .00 2737.30 Other Fee Total 23206.99 .00 .00 23206.99 Grand Total 31451.64 .00 .00 31451.64 LQPERMIT Certificate of Occupancy C OF T9� 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: 80-175 AVENUE 52 BUILDING # 8 Use classification: MULTI -FAMILY APARTMENTS Building Permit No.: 04-8434 Occupancy Group: R-1 Type of Construction: VN Land Use Zone: RH 3: Owner of Building: CLUBHOUSE ASSOC Address: 160 NEWPORT CENTER DR. 250 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: STEVE TRAXEL Date: 07-16-2007 Building Official POST IN A CONSPICUOUS PLACE