08-1455 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: x-08-00001455_
Property Address:
56150 PGA BLVD
APN:
775-370-016- - -
Application description:
DEMO - COMML/OTHER
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
0
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------.-----------------------------
LICENSED CONTRACTOR'S DECLARATION .
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 1000)"of: Division 3 of the Business and Professionals Code, and, my License 'is in full force and effect.
LioenseClassi B= License No.:'580097
te: ractor.
DOWNER -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 thatrequiies apermit 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 of the Business and Professions Code) or
that'he or she is exempt therefrom and the basis for the alleged exemption. Any violationof Section 7031.5 by
any applicant for 'apermit subjects the applicant to a civil penalty of not more than fivehundred dollars ($500).:
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'. StateLicenseLawdoes 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
improveirients'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 forthe 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"5tate.License Law.): - -
1 _ 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, Civ. C.).
Lender's Name: \
Lender's Address
LQPERMIT
Owner:
MSR DESERT RESORT LP
1 POST OFFICE SQUARE
BOSTON, MA 02109
Contractor:
OLSON CONSTRUCTION LP
2955 MAIN STREET - TH
IRVINE, CA 92614
(94'9) 474-2001•
Lic.. No.: 580097
VOICE (760) 777-7012
FAX.(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/22/08
STE 3100
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 andwill 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
. insuiance arrier an y jy number are: • , .w C l (,
Carrier 6'W. Policy'Number
-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 bor Coffd//e��,�'I//1..,,��hall:forthwith co ply with those provisions;
te: i"i plicant:
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'La Quinta, its officers, agents and employees for any as 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 fromI'Aate 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 construction, and: hereby authorize representatives
of this c ty to enter upon th above-mentioned propert oor inspe���tttion purposes.
te� Si ture (Applicant or Agent): �C �evl
Application Number . . . . . 08-00001455
------ Structure Information 0
----------------------------------------------------------------------------
-----
Permit. . . DEMO PERMIT
Additional desc . .
Permit Fee . . . . 45.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 2/18/09
Qty Unit Charge Per
Extension
BASE
FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR DEMOLITION ONLY.
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
LQPERNHT
Bin #
City of LaQ uinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: f� L(Ii 12253
1 S 6 C0 f,1 3L ✓d
M/ �•eT AN T
Owner's Name:/mse #xrJET' Le
A. P. Number:
Address: p.VE f iiSr p�/lf SQt�,4/l�. Srl� 3ir�
Legal Description: &C of SOC77o01 L/ To-A(&H a TG S
-742 5-R44
Contractor: !?, j>, DGS'on! &V J S1-1Ze D n/
City, ST, Zip: 44,4 672-1(9,9
Telephone: / 7 - �//
Address: 29 S�jl /lip i -J
Project Description:
City, ST, Zip: ziz✓!N F CA9 /e/
//l/ Tom/ 02 T; On/
Telephone: p _ 7i(—Z90,1
State Lic. # :
City Lic. #:
Arch., Engr., Designer: Fe1&aq / *Acw��Ize-
Address: �''S/ 9. F• 44,V 411,4002 D,6
City, ST, Zip: 4 Z
Telephone: tf . y7! -
State Lic. #:
Name of Contact Person: P'? -\K p� X501.6 1VIs fV Wr,1r0
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: q2o. 411 . I I I
Estimated Value of Project:
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°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I,P,p,
Pub. Wks. Appr
Date of permit issue
School -Fees
Total Permit Fees
C9c/� Yz� 07 9/