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05-3131 (MFD5)r 4 * � IIIIIIIIIIIIIIIIIIIIIIII � � lIi I IE J P.O. BOX 1504 ---- - - - -- - - -- - - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:05=0000=33-3.1_ Property Address: 80175 AVENUE -52 APN: 772-410-018- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: HIGH DENSITY RESIDENTIAL. Application valuation: 919902 - Applicant: Tiht 4 4 QU tz Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT D SEP 2 6 2005 LA Owner: 5EYSTONE CLUBHOUSE ASSOC LLC 1 BAYSIDE DR STE 7 WPORT BEACH, CA 92660 MULTI -FAM BUILDERS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/05 T yr 4`1a BAYSIDE DRIVE, #7 INANCE D ff rr M VF NEWPORT BEACH, CA 92660 (949) 566-9230 Gl 3� l LiC. No.:.774293 ------------------------------------------------------------------------------------------------- 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 fullforce and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 774293 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �q 1 issued. � tractor: �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 ' OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm underpenalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AJ GALLAGHER Policy Number Z066293903 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 should 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 Code, I shall forthwith 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).: ate: 'Zl ��� pplicant: _4L,—'' I ) 1, 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 WORKERS' 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' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I—) 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 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 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 st laws relating to building construction, and hereby authorize representatives of this county to enter upon above-mentioned property pecti i jlafe: � gnature (Applicant or Agent): "I LQPERMIT Application Number . . . . . 05-00003131 Structure Information Construction Type . . TYPE V - 1 HR Occupancy Type . . . . . . HOTEL/APT/LONG 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 Permit . . . . 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 .4 LQPERMIT Application Number Permit . . . . . 05-00003131 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 3.0.000 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.TYPE 7 - 3 STORY, .14,594 SF LIV,2257 GAR,I3=UNIT (APT#1611,1612,1613,1621,1622,1623, 1624,1625,1631,1632,1633,1634, 1635)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 -Al, 3-B1, 3-E1, 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 •a. LQPERMIT Application Number . . . . . 05-00003131 --------------------------------=------------------------------------------- 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 Certificate of Occupancy Qum& 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 # 16 Use classification: MULTI -FAMILY APARTMENTS Occupancy Group: R-1 Type of Construction: VN z — Owner of Building: CLUBHOUSE ASSOC Building Official Building Permit No.: 05-3131 Land Use Zone: RH Address: 160 NEWPORT CENTER DR. 250 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: EDDIE MUIR Date: 09-28-2007 N A CONSPICUOUS PLACE