08-1528 (RR)�cl'nP pr"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
8
49401 AVENIDA OBREGON
658-160-054- -
RE -ROOF
MEDIUM DENSITY RES
42739
Tii!t
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
pJA
LICENSED CONTRACTOR'S DECLARATION -
1 hereby affirm under penalty of perjury that) am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in.full force and effect.
Licenass: C39_ License No 819960
Date.`C A'—/:- ontractor.
OWNE UILDER DECLARATION '
I hereby affirm under penalty -of perjury that Tam 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 permii 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 withSection 70 00) of Division 3 of the Business and Professions Code) or
that heor she is'exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora,.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 contractor(s) 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:
LQPERN UT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/09/08
Owner:
KSL DESERT RESORT
C/O CNL HOSPITALITY PROP INC
450 S ORANGE AVE #.12TH
ORLANDO, FL 32801
Contractor:
DRI RESIDENTIAL CORPORATION
17182,,:ARMSTRONG AVENUE
IRVINE,'CA:92614
(949)266-1950
Lic. No.: 81,9960
WORKER'S COMPENSATION DECLARATION
I hereby affirm underpenalty of perjury. one of the following declarations:
I have and will,maintaiha certificate'of consentto self -insure for workers' compensation, as provided
'for by.:Section 3700 of tFie Labor Code, for the performance of the work for which this permit is
issued.
V I have and will maintain workers' co mpensation,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 AMERICAN CASUAL ' Policy Number. WC274968227
_ 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, I sh forthwith comply with those provisions.
te: � scant:
E TO SECURE WORKERS' MPENSATION 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 andrestrictionsset forth;on this application. .
1 . Eachperson 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 suchpermit, 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 buildin construction, and hereby authorize representatives
of th county to enter upon the above-mentioned property o inspection purposes.
ate: �*re (Applicant or Agent):
o
Application Number . . . . . 08-00001528
Permit . . . RE -ROOF
Additional des.c . .
Permit Fee . . . . 30.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date . . 3/07/09
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE EXISTING TILE ROOF, REPLACE ANY
DAMAGED OR ROTTED SHEATHING, RE -ROOF
WITH ORIGINAL TILE AND NEW TILE WHERE
NEEDED. PLANNING APPROVAL OBTAINED.
ESR -1489 FOR REDLAND CLAY TILE ATTACHED
TO FIRST PERMIT, #08-1523. (MORGAN
HOUSE)
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 30.00 .00
----------
.00
30.00
Plan Check Total .00 .00
.00
.00
Grand Total 30.00 .00
.00
30.00
LQPERMIT