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05-3123 (MFD5)11111111 �IIII III VIII IIII 08 IE P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:05-00003123 Owner: Property Address: 80175 AVENUE 52._ GREYSTONE CLUBHOUSE ASSOC LLC APN: 772-410-018- - - 341 BAYSIDE DR STE 7 Application description: DWELLING - 5 OR MORE FAMILY ..NEWPORT BEACH, CA 92660 Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 373026 (+�� `) SEP � Contractor: Applicant:Architect or Engineer: C1Ty OF GREYSTONE MULTI -FAM BUILDERS F11ygN�Q01NTA 341 BAYSIDE DRIVE, #7 CEDEpt NEWPORT BEACH, CA 92660 6 V (949)S66-9230 Lic. No.: 774293 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 /ate: ' � �QFtractor: OWNER -BUILDER DECLARATION 1 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 Section 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 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.l. 1 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: filk LQPERMIT 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 the Labor Code shall forthwith comply with those provisions. i WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 c unty ordinances and sta a laws relating to building construction, and hereby authorize representatives of th' .county to enter upon t bove-mentioned pro;Z"---, r inspection purposes. 1-1 Date: �l -4 d� gnature (Applicant or Agent): Application Number . . . . . 05-00003123 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 # BEDROOMS 10.00 FIRE SPRINKLERS YES FLOOD ZONE NO PATIO SQ FTG 841.00 NUMBER OF UNITS 6.00 1ST FLOOR SQUARE FOOTAGE 3222.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 3191.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1598.50 Plan Check Fee 259.76 Issue Date Valuation . . . . 373026 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 639.50 274.00 3.5000 --------------------------------------- THOU BLDG 100,001=500,000 ------------------------------------- 959.00 Permit. . . . MECHANICAL ,Additional desc . .Permit Fee 227.00 Plan Check Fee 14.19 Issue Date Valuation . . . . 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension RASE FEE 15.00 6.00 9.0000 EA MECH FURNACE <=100K 54.00 6.00 9.0000 EA MECH B/C <=3HP/100K BTU 54.00 10.00 6.5000 EA MECH VENT FAN 65.00 6.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 39.00 Permit . . . Additional desc . Permit Fee Issue Date . . . Expiration Date . . Qty Unit Charge LQPERMIT ELEC-NEW RESIDENTIAL 224.21 Plan Check Fee . Valuation . . . 3/22/06 Per BASE FEE 14.02 0 Extension 15.00 iVF_ iV Application Number . . . . . 05-00003123 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 6413.00 .0300 ELEC NEW RES - MULTI FAMILY 192.39 841.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL " ----------------------- ---------------------------------------------------- 16.82 Permit PLUMBING Additional desc 42 Permit Fee . . . . 450.00 Plan Check Fee 28.13 Issue Date . . . . Valuation 0 Expiration Date 3/22%06 Qty Unit Charge Per Extension BASE FEE 15.00 42.00 6.0000 EA PLB FIXTURE 252.0.0 1.00 15.0000 EA PLB BUILDING SEWER 15.00 6.00 7.5000, EA: PLB WATER HEATER/VENT 45.00 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 18.00 .7500 EA PLB GAS PIPE >=5 13.50 6.00 15.0000 EA PLB GAS METER -------------------------------------- w 90.00 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 B ,l REDUCED FEES -BLDG TYPE 4 - 6413 SF - 2 STORY - 6.UNIT (APT #1211,1212,1213, 1221,1222,1223) MF APARTMENTS, R-1 OCCUPANCY, TYPE V-1 HR CONSTRUCTION, 2001 CODES. [PLAN TYPES (4 QTY)B-1.4 AND (2 QTY) E-1.2 COMPRISE BUILDING TYPE 4) PERMIT. DOES NOT INCLUDE BLOCK WALLS, SPA, PA, TRASH ENCLOSURES, MAIL KIOSK AND SITE LIGHTING. ---------------------------------------------------------------------------- Other Fees ACCESSIBILITY PLAN REVIEW 25.98 ART IN PUBLIC PLACES -RES 432.56 DIF COMMUNITY CENTERS -RES 534.00 LQPERMTT Application Number . . . . . 05-00003123 ---------------------------------------------------------------------------- Other Fees . . ... . . . . . DIF CIVIC CENTER - RES 264.00 ENERGY REVIEW FEE 25.98 DIF FIRE PROTECTION -RES 192.00 DIF LIBRARIES - RES 1236.00 DIF PARK MAINT FAC - RES 24.00 DIF PARKS/REC - RES 2760.00 STRONG MOTION (SMI) - RES 37.30 DIF STREET MAINT FAC -RES 48.00 DIF TRANSPORTATION - RES 3846.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due• ` ----------------- Permit Fee Total 2514.71 .00 .00 2514.71 Plan'Check Total 316.10 .00 .00 316.10 Other Fee Total 9425.82 .00 :00 9425.82 Grand Total 12256.63 .00 .00 12256.63 LQPERMIT Certificate of Occupancy 4 RAI= OF'T9� Building & Safety Department This Certificate is issued pursuant tothe 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 # 12 Use classification: MULTI-FAMILY APARTMENTS Building Permit No.: 05-3123 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: 08-01-2007 Building Official POST IN A CONSPICUOUS PLACE • " ' fOccupancyCertificato o o 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: 80-175 AVENUE 52 BUILDING # 17 Use classification: MULTI-FAMILY APARTMENTS Building Permit No.: 05-3132 Occupancy Group: RR=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: EDDIE MUIR Date: 09-27-2007 Building Official POST IN A CONSPICUOUS PLACE •