09-0495 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-0-00004-9:51
Property Address•:"5"6'15'0
PGA BLVD
APN:
775 -370 -016 -
Application description:
REMODEL- COMMERCIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
35000
c&ty/ 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CNL DESERT RESORT LP
ONE POST OFFICE_SQ.
BOSTON, MA 02109
(617)412-280.0
Contractor:
OLSON CONSTRUCTION
2955 MAIN STREET -
IRVINE," CA 92614
(949)47.4-'2001
Lica No.: 580097
SUITE
LP,
TH I I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/18/09
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: _
LQPE%NIIT
performed under or following issuance of this,permit.
2. Any permit issued asa 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 construction, andhereby authorize representatives
Df
this ty t,,o(( enter upon the above-mentioned property for inspection rurP
/Date: � Signature (Applicant or Agent): 9
S DECLARATION
LICENSED CONTRACTORN
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of.perjury that ) am licensed under provisions of.Chapter 9 (commencing with _
I hereby affirm under penalty of perjury one of the following declarations:
Section 70001 of Division 3 of the business and Professionals Code and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License class: f3 License No.:' 580097
_
for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. '
Date: / D Contractor: -
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''conipensation
%OWNER -BUILDER. DECLARATION -
'insurance carrier and policy number are: '
I hereby affirm under penalty'of perjury that I am exempt from the Contractor's State License Law for the
Carrier ZURICH AMERICAN Policy Number, WC368668701 -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
- I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or, repair any structure; prior.to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,,
permit to file a signed statement that he or she is'licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers'. compensation provisions of Section
ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or .
LicenLaw (Chapm
se
3700 of the Labor Cod I shall.forthwith,c - ply with those provisions.
thatYhe 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 1$500).:
Date: O +Applicant:,.
1 1 ],.as. owner of .the property, or my: employees with wages as their sole compensation, will do the work, and
_
the structure is not intended or offered foi sale (Sec. 7044, Business and Professions Code: The
WAR ING:, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not.apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL, PENALTIES AND CIVIL.FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
:-DOLLARS 1$ 100;000).'. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED.FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold'within
SECTION 3706 OF THE LABOR CODE,•INTEREST, AND,ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting. with licensed contractors to construct the project (Sec.
IMPORTANT Application: is hereby made to the Director of Building and Safety. for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the"projects with a contractor(s) licensed
1. Each:person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I ani exempt under Sec. , B.&P.C. for this reason -
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
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: _
LQPE%NIIT
performed under or following issuance of this,permit.
2. Any permit issued asa 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 construction, andhereby authorize representatives
Df
this ty t,,o(( enter upon the above-mentioned property for inspection rurP
/Date: � Signature (Applicant or Agent): 9
Application Number . . . . . 09-00000495
------ Structure Information EXISTING RESORT CLUBHOUSE
-----
Other struct info . .
. . . CODE EDITION
2007
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
A-2
OCCUPANT LOAD
.00
1ST FLOOR SQUARE FOOTAGE
.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
.00
Permit . . .
BUILDING PERMIT
Additional desc
HVAC REVISIONS TO CLUBHOUSE
Permit Fee . . . .
317.00 Plan Check Fee
206.05
Issue Date . . . .
Valuation . .
. . 35000
Expiration Date
11/14/09
Qty ,Unit -Charge
Per
Extension
• .. .. .,
BASE FEE
252.00
10.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
65.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
24.75 Plan Check Fee
6.19
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/14/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
5.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
3.75
2.00 3.0000
----------------------------------------------------------------------------
EA ELEC APPLIANCES
6.00
Permit . .
MECHANICAL
Additional desc .
Permit Fee . . .
42.00 Plan Check Fee
10.50
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/14/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
2.00 4.5000
EA' MECH VENT INST/ DUCT ALT
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REVISE SUPPLY AND RETURN HVAC DUCTS IN
THE EVENT FUNCTION ROOMS. PROVIDE
LQPEIL\IIT
Application Number . . . . . 09-00000495
----------------------------------------------------------------------------
Special Notes and
Comments
ADDITIONAL AC TO
COMPUTER ROOM
122. 2007
CODES.
--------------------------
Other Fees . . .
--------------------------------------------------
. . . . .
BLDG STDS
ADMIN (SB1473)
2.00
Fee summary
Charged
----------
Paid
Credited
--------------------
Due
-----------------
Permit Fee Total
383.75
----------
.00
.00
383.75
Plan Check Total
222.74
.00
.00
222.74
Other Fee Total
2.00
.00
.00
2.00
Grand Total
608.49
.00
.00
608.49
LQPERMIT
Bin #{
�1'
,0E City of La Quinta ,pq
i Building 8t Safety Division I
P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Pernik Application and Tracking Sheet
Pe ii #
;T, 01
Project Address: 5-4 A U%D L,4 iNTA CA Owner's S Goef 4,0
A. P. Number. 7S .3 70 — .0 Address: oaE P,sr Q�,cE
Legal Description: City, ST, Zip: '�o,STr7nJ .GCA O Z i o
Contractor: ,Q O 0[-Sohl Con1S-nj,,r eTioN Telephone: at 7 — y/Z — Z80o G d
Address: Z 17 Ss cera /,i/ S712ed-j— S V / rz- F,-0 Project Description: 1�171oI�i r aitrE Zonl� OF /�t//0 L
City, ST, Zip: Z,Q✓i•✓E CA So Tj{E Z EVa.VT Fv�rGrioN �De/Nd
Telephone:
` ma eA V eSEP/�'/lA
State Lic. B : 0.09 City Lie. f1;. /04
Arch., Engr., Designer: r'�s� f i4/k�fyTa CTv2�
Address: J"/QS E FA-/ Xq1- A 6,P L
City, ST, Zip:,5 o-,eSd" QZ 58
yr:..bw�.. � •y.
Telephone: /!aa?F^*f3`•z''" x. "E AL
P VZO - 77 - /(// , �. a. �� y P` Construction Type: `/ Pj Occupancy:
State Lic. #: (! 30 V(, O f
Project type (circle one): New Add'n Altcr Repair Demo
Name of Contact Person: ,gyp/ �q P�ilE7?E�L Sq. Ft.: 11?,0asV- 1 N Stories: y N Units:
Telephone H of Contact Person: xo 7 7 y Estimated Value of Project: 35 0 o o
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
itcq'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
3
Plan Check submitted
i31�
hens
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calrs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plass 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 Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
M HOUSE
'"' Reylew, ready for corrtctionsfissuai
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
i
Total Permit Fees
M