05-3132 (MFD5)IIIIIIIIIIIIIIIIIIIIIIIII 10
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
Application Number: 05_ 00003132
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:
,,-A rchitect or Engineer:
�l vE
C�r33
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/ Q /License No.: 774293
/DateC%'Z , ontractor:j-
/ 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.).
(_ 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 contractors) 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: IN
LQPERMIT
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
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,.) 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, I shall forthwith comply with those provisions.
96t -e-- Z�_0 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 (5100,000). 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 '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
of this countytoenter upon the above-mentioned property for inspection purposes.
�'L/'a�e (Applicant or Agent):
Application Number . . . . . 05-00003132
LQPERM[T
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_ .
y
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
LQPERM[T
f
Application Number . . . . . 05-00003132
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 �1 (<-y
REDUCED FEES-BLDG.TYPE 7 - 3 STORY, 1
14,594 SF LIV,2257 GAR,I3=UNIT
(APT1711,1712,1713,1721,1722,
17.23,1724,1725,1731,1732,1733,
1734,1735)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, 37E1, 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
LQPEP,Mrr
Application Number
. . . . .
05-00003132
----------------------------------------------------------------------------
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