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05-3126 (MFD5)IIIIIII VIII III VIII IIII 04 P.O. BOX 1504 IE .78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00_0.03126-. S Property Address: 80175 AVENUE 52 - APN: 772-410-018- - Application description: DWELLING - 5 OR MORE Property Zoning: HIGH DENSITY RESIDED] Application valuation: 919902 / Applicant: i T&t 40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/05 Owner: / GREYSTONE CLUBHOUSE ASSOC LLC b4� . 341 BAYSIDE DR STE 7 Y NEWPORT BEACH, CA 92660 rchitect or r�e#rll �Vi C ii3s -------------- – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – 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 2J C actor: /fir 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 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 _ 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.). (_) 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.). . 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.I. Lender's Name: Lender's Address: - LQPERMIT Contractor: GREYSTONE MULTI -FAM BUILDERS 341 BAYSIDE DRIVE, #7 NEWPORT BEACH, CA 92660 (949)566-9230 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. 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 t 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 actor 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 state laws relating to building construction, and hereby authorize representatives oft ' cc7ounty to enter up he above-mentioned property for inspection purposes. Date: / 7 nature (Applicant or Agent) Application Number . . . . . 05-00003126 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 FLOOD ZONE NO GARAGE SQ FTG 2257.00 PATIO SQ FTG 3443.00 NUMBER OF UNITS 13.00 1ST FLOOR SQUARE FOOTAGE .3873.00 2ND FLOOR SQUARE FOOTAGE 5548.00 ------------------------------------------------------ 3RD FLOOR SQUARE FOOTAGE * 5173.00 . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 3299.50 Plan Check Fee 536.17 Issue Date Valuation_ 919902 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 2039.50 420.00 3.0000 ---------------------------------------------------------------------------- THOU BLDG 500,001-1,000,000 1260.00 Permit MECHANICAL Additional desc . Permit Fee 463.50 Plan Check Fee .28.97 Issue Date . . . . Valuation 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 _-" --13.00 9.0000•EA MECH "FURNACE <=100K 117.00:" 13.00 9.0000 EA MECH B/C <=3HP/100K BTU 117.00- 20.00 6.5000 EA MECH VENT FAN 130.00 13:00 6.5000 ---------------------------------- EA MECH EXHAUST HOOD ------------------------------------------- 84.50 Permit . . . ELEC-NEW" RESIDENTIAL Additional desc . Permit Fee . . . .. 566.82 Plan Check Fee 35.43 Issue Date . . . . .Valuation. 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . . . . 05-00003126 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 14594-.00 .0300 ELEC NEW RES - MULTI FAMILY 437.82 5700.00 0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 114.00 Permit PLUMBING Additional desc . Permit Fee . . . . 882.75 Plan Check Fee 55.18 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 84.00 6.0000 EA PLB FIXTURE 504.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 13.00 7.5000 EA PLB WATER HEATER/VENT 97.50 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 39.00 .7500 EA PLB GAS PIPE >=5 29.25 13.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 195.00 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 REDUCED FEES-BLDG.TYPE7 - 3 STORY, - 14,594 SF-LIV,2257 GAR,I3=UNIT (\ (APT#1411,1412,1413, VVV 1421,1422,1423,1424,1425, 1431,1432,1433,1434,1435)M.F..APTS W/ATT.GARAGE R -1/U-1 OCC. TYPE V-1HR CONST.(MULTIPLE FLOOR CREDIT FOR ALLOWABLE AREA OF 21,000SF) 2001 CODES. [3-A1, 3-B1, 3 -El, 2 -C1, -2-D1 = TYPE 71 **PERMIT. DOES NOT INCLUDE BLOCK WALLS, POOL; SPA, TRASH ENCLOSURES, MAIL KIOSK AND SITE LIGHTING** --------------------------------------=------------------=------------------ Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 53.61 LQPERMIT _ Application Number . . . . . 05-00003126 -----------------------------7---------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES 1799.75 DIF COMMUNITY CENTERS-RES 1157.00 DIF CIVIC CENTER - RES 572.00 ENERGY REVIEW FEE 53.61 DIF FIRE PROTECTION-RES 416.00 DIF LIBRARIES - RES 2678.00 DIF PARK MAINT FAC - RES 52.00 DIF PARKS/REC - RES 5980.00 , STRONG MOTION (SMI) - RES 91.99 DIF STREET MAINT FAC-RES 104.00 DIF TRANSPORTATION - RES 8333.00 Fee summary Charged Paid. Credited Due ----------- - - - - -- Permit Fee Total ---- - - - - -- 5227.57 --- - - - - - ------ - - - - --- .00 .00 --- - - - - -- 5227.57 Plan.Check Total 655.75 .00 .00 655.75 - - Other Fee.Total 21290.96 .00 .00 21290.96 Grand Total 27174.28 .00 ".00 27174.28-- LQPERMIT. �-a- Q�Certificate of Occupancy f�G�IfI�Cv V 4 4v OF 9�5 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. P BUILDING ADDRESS: 80-175 AVENUE 52 BUILDING # 14 Use classification: MULTI -FAMILY APARTMENTS Building Permit No.: 05-3126 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: EDDIE MUIR Date: 09-28-2007 Building Official POST IN A CONSPICUOUS PLACE