06-3024 (DEMO)I I�IIIII �III� IIIIIIII IIII 55 i
IE
P.O. BOX. 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:f06-00003-0-24
4.7'8164
Property Address:
AVENUE-5�
APN:
770-190-001- - -
Application description:
DEMO - COMML/OTHER
t" Property Zoning:
VILLAGE COMMERCIAL
Application valuation:
5000
Tavl 4 4 Q"
'i.
(V Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Projessionals Code, and my License is in full force and effect.
License Class:
B Li No.: 284459
Date: " 1 D Gontra6t6
OWNER-BUILDER DECLA TION
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, 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., , BAP.C. for this reason
Date:
Owner:
OF 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/06
Owner:
CHAPMAN GOLF DEV
78505 OLD AVE 52
LA QUINTA, CA 92253
Contractor:
GIANNAPULOS,
1072 E PAJAR
PALM SPRINGS, A
(760)774-6348
Lic. No.: 2844 9
T `` '4e�
922AG
------------------
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 STATE FUND Policy Number 1542181
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 s bject to the work rs' compensation provisions of Section
,3700 of the Labor Code, I shall joXith compX2those provisions. /
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE4S 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 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 state laws relating to building construct: n, and her y thorize represents 'ves
of th�co�ty �ryer upon the above-mentioned propert fo i�sp purpose . `
p e
Dated Signature (Applicant -or Agent):
+� �,�►.�
Application Number . . . . . 06-00003024
Permit . . . DEMO PERMIT
Additional desc .
Permit Fee 45.00
Plan Check
Fee
.00
Issue Date
Valuation
5000
Expiration Date 2/14/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
�- ---------------------------------------------------------------------------
Special Notes and Comments
***DEMO OF NON -LOAD BEARING WALLS &
REMOVAL OF EXISTING EXAUST HOOD
ONLY***ALL OTHER WORK MAY BE DONE ONLY
AFTER PLAN CHECK IS COMPLETE &
ADDITIONAL PERMIT IS ISSUED:
_ Fee summary Charged Paid
------------------
Credited
Due
--------------------
Permit Fee Total 45.00
-------
.00
- -- ----------
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
LQPERMIT
Total Permit Fees
Bin #
City of La Quinta
Building U Safety. Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
X04
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 2
Owner's Name: AP1110-4—D / ls'
P
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor:.
1%�%�%��
Telephone:
,.
Address: U
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Project Description:e� �a/s��
City, ST, Zip: �
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C 9��2
Telephone:
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State Lic. # : N
City Lic. #: %q
`S r J t se
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
`
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:w//N
Sq. Ft.:#Stories:
#Units:
Telephone # of Contact Person: _ Q- VG
n-6
Estimated Value of Project: (J tJ
APPLICANT:
DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"4 Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. ApprDate
of permit issue
School Fees
Total Permit Fees
TO WHO IT MAY CONCERN,
8/18/2006
On August 21 to August 29 we will be closing Arnold Palmer's for construction. William
Giannopulos will be doing the construction witch he will be removing the walls near the
salad station, chefs office and saute station. He will also be removing the existing hood
and replacing it with a captive area. We are having excessive heat conditions in are
kitchen and this is the recommendations by Castinos and The Riverside County Health
Department. If you have any Questions please contact me at (760) 771-4653.
Thank you,
Brett Maddock GM -------------------------------------------------------------
Arnold Palmer's -,P.O. &ax 780 - La Quinta - CA 92247-0780 - 760 -771 -GOLF (4653) - FAX 564-2356