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13-0879 (AMUS)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000879 Property Address: 59195 MARBELLA APN: 764-200-999-87—316812— Application description: NEW COMML — AMUSEMENT Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1523421 Applicant: C. 6u_ ' 7ti T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: %- Lio. No.: OOR SQUARE FOOT 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.: 762987 Date: Contractor: 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-bullder 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 contrector(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, Clv. C.). Lender's Name: Lender's Address: LQPERMIT Owner: CORAL OPTION I 81570 CARBONERAS LA QUINTA, CA 92253 Contractor: IQ TD DESERT DEVELOPMENT LP� P.O. BOX 1716 LA QUINTA, CA 92247 (760)771-1941 LiC. No.: 762987 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/27/14 NtR0 C11Tyof luny Jim". I FINA y _ __. 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 CA REST MUTUAL Pollcy Number CR01134517 _ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 Le Quints, its officers, agents and employees for any act or omisslon 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 cencellatlon. 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 of this county to enter upon the above-mentloned property for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . . 13-00000879 Permit . . BUILDING 2013 Additional desc . . Permit Fee 1217.28 Plan Check Fee .00 Issue Date Valuation . . . 15234*21 Expiration Date 8/26/14 Qty Unit Charge Per Extension BASE FEE 1018.16 524.00 .3800 THOU BLDG ------------------------------------------- $1M & GREATER 199.12 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee 703.08 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 8/26/14 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC APPLIANCES, NON-RES .00 .00 23.8300 EA ELEC SERVICES .00 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 1.00 107.2500 LS ELEC NEW COMM, FIRST 2 KSF 107.25 16.00 ---------------------------------------------------------------------------- 35.7500 EA ELEC NEW COMM, ADD'L 2 KSF 572.00 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 667.40 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/14 Qty Unit Charge Per Extension 6.00 35.7500 EA MECH FURNACE 214.50 .00 11.9200 EA MECH APPL REP/ALT .00 6.00 35.7500 EA MECH CONDENSER/COMP 214.50 17.00 11.9200 EA MECH VENT FAN 202.64 3.00 11.9200 EA MECH EXHAUST HOOD 35.76 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 1120.45 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/14 Qty Unit Charge Per Extension LQPERMIT Application Number . . . . . 13-00000879 Permit . . . . . . PLUMBING 2013 Qty Unit Charge Per Extension 78.00 11.9200 EA PLBG FIXTURE/TRAP 929.76 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 5.00 11.9200 EA PLBG WATER HEATER/VENT 59.60 2.00 35.7500 EA PLBG GREASE INTERCEPTOR 71.50 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 .00 11.9200 EA PLBG BACKFLOW DEVICE .00 .00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS .00 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 Special Notes and Comments 16,064SF CLUBHOUSE WITH 11,OO1SF OF TERRACES AND ARCADES, AND 6,539SF CART STORAGE/VB/A2,S2,B/510-OL/SPRINKLED [ENGINEERED] NON -SEPARATED OCCUPANCIES PER 508.3, ALLOWABLE AREA INCREASES PER 506.1 FOR FRONTAGE AND SPRINKLER, AND AREA DETERMINATION PER 506.5 WHERE BASEMENT COMPLIES AS NOT A STORY ABOVE GRADE PLAN. THIS PERMIT DOES NOT INCLUDE TRASH ENCLOSURE, SITE LIGHTING, CARPORTS OR SHORING. 2010 CALIFORNIA BUILDING CODE.TUMF FEES WERE MODIFIED TO SHOW OFFICE CATEGORY AT .696 TUMF PER UNIT @ $5187.40, RETAIL CATEGORY AT 1.161 TUMF PER UNIT @ 5683.94 AND HIGH TURNOVER RESTAURANT CATEGORY AT 0.8 TUMF PER UNIT @ $9409.10 TOTAL TUMF DUE $17,736.76 January 2, 2014 10:58:12 AM jjohnson. . -------------------------------••-.....---------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-COM 7617.11 BLDG STDS ADMIN (SB1473) 61.00 DIF CIVIC CENTER - COMM 12534.29 DIF FIRE PROTECTION-COMM 5779.89 MULTI -SPECIES (MSHCP) FEE 19685.70 PLAN CHECK, ELECTRICAL 252.10 PLAN CHECK, MECHANICAL 381.36 PLAN CHECK, PLUMBING 1037.02 BLDG PC 1M + 2542.34 STRONG MOTION (SMI) - COM 319.92 TUMF: OFFICE 3610.43 TUMF: RETAIL/SERVICES 6599.05 TUMF: RESTAURANT 7527.28 DIF STREET MAINT FAC-COMM 7796.13 DIF TRANSPORTATION - COMM 190837.12 Fee summary Charged Paid Credited Due LQPERMIT Application Number ^Permit Fee Total Plan Check Total Other Fee Total Grand Total 3708.21 .00 266580.74 270288.95 13-00000879 .00 .00 2200.00 2200.00 .00 .00 .00 .00 3708.21 .00 264380.74 268088.95 LQPERMIT P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Ce LA QUINTA, CALIFORNIA 92253 �iA'L O%l7r o-✓ 1 C� L BUILDING: TYPE CONSTP. OCC. GR Mailing A.P. Number7(,,r/- �'' -o-71 Z-7 G C/ - 7-/,o — �� y Address e S�Ip ����c ��LrS Legal Description Project Description 6'pe—� 0,4 'C Contractor 700 Addr s " PC / %/ City Zip C+ Tel. 9zz7 Sq. Ft. Size � U/ 71 No. No. DIN. Stories Units State Lic. & Classif. -7(p 7-11 $ -7 CityQ Lic. # ( 3 Arch., Engr.,New Designer c ,P 14-,L",— ) "-f Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. O+R LIA t o ,7 . S 772-1-77,4 City 5 (_ Zip 6� State Lic. # q / LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter,improve,demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code, or that he Is exempt therefrom, and the basis for the alleged exemption. Any hon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ore than five hundred dollars (5500). r PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Const. Mech. Electrical Plumbing S. M. 1. 2FINANC Grading Driveway Enc. Infrastructure QUIN Date owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. TOTAL CONTACT INFORMATION NAME: PHONE: Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor -Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: CONSTRUCTION LENDING AGENCY Front Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Rear Setback from Rear Prop. Line Lender's Name Side Street Setback from Center Line Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration ff work thereunder is suspended for 180 days. Side Setback from Property Line I certify that I have read this application and state that the above information is correct. ree to comply with all city and county ordinances and state laws relating to building struction, and hereby authorize representatives of this city to enter the above-mentioned party for inspection purposes. -FINAL DATE Issued by: INSPECTOR Date Permit Signature of applicant Date Mailing Address Validated by: Validation: City, State, Zip WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Coachella Valley Unified School District This Box For District use only 83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID (760) 398-5909 - Fax (760) 398-1224 AREA: _ AMOUNT - LEVEL ONE AMOUNT: : LEVEL TWO AMOUNT: . MITIGATION AMOUNT: COMM/IND: AMOUNT: DATE: RECEIPT: CHUCK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Andalusi7,Clu6house, Date: February 21, 2014 Owner's Name: Coral Option LLC Phone No. -760-777-1001 Project Address: 59-195 Marbella, LaQuiiita Project Description: Golf Clubhouse APN: . 764-200-071/764-210-0.15 Tract #::: Lot #'s:. Type of Development: Residential XX! Commercial Industrial: Total Square Feet of Building Area: 14,916' Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.. Dated: February 21, 2014 Signature:. SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN. OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:. (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17.620 65995 Approval Prior to 1/1/87. Requirement Note: Number of Sq.Ft.. 14916 Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile Amount per Sq.Ft. $.51 homes being relocated within the same school district's' Amount Collected $7607.16 jurisdiction are, exempt from developer fees. Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Laurie Howard, Secretary Signature: J-1 1 NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide,(1) a written notice to the project appellant, at the time.of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in.regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this •time. or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of . Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. MV:c/Inydocs%devfces/certificate of cotilplialice forin updated 3-2007 11/2010