11-0607 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000607
Property Address:
78528 AVENIDA
APN:
770 -040 -010 -
Application description:
WALL/FENCE
Property Zoning:
GOLF COURSE
Application valuation:
300 _
4 Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
•
Owner:
ULTIMO
KSL DESERT.RESORT
- -.
PYRAMID ADIVSORS, LYNN
_
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
1 POST OFFICE SQ #3100
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
BOSTON, MA 02109
Contractor: .
Architect or Engineer:
HENRY'S MASONRY, INC.
issued.
�1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
P.O. BOX 5185
LA QUINTA, CA -92248
f
(760)250-8253
p
Lic. No.: 704270
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/06/11
E-zi:,ri,
t�ii. I,.JpIA QUINU - —vim
--------------------7----------------------------------------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
_
Section 7000) 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: C29 License No.: 704270
_
for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date&//////// ))))))
ntractor: ��
issued.
�1 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
OJEW ER- LDER 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 HARTFORD INS Policy Number 41WEGPZ5043
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
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, hall forthwith comply with those provisions.
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 1$5001•:
WeZ A cant:
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
.WARNING: FAIL RE TO SECURE WORKERS' PENSON 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 AN 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 ($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 I, 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 theieon, 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 am exempt under Sec. , BAP.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: I'
Lender's Address: P1 V
LQPERMIT
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 186 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 buildi2,ntruction, and hereby authorize representatives
ofthis c my to enter upon the above-mentioned propertyection purposes.
date• S' ature (Applicant or Age/
Application Number . . . . . 11-00000607
Permit WALL/FENCE"PERMIT
Additional desc .
Permit Fee 15.00
Plan Check Fee
.00
Issue Date
Valuation . . .
300
Expiration Date 12/03/11
Qty" Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
12 L.F., 6' HIGH WALL (INCLUDING TWO,
16 -INCH SQUARE PILASTERS), PER'
ENGINEERED DESIGN.. LOCATION: WESTERN
DUNES COURSE ACCESS GATE ON AVENIDA
ULTIMO.
---------------------------
----------------------------------------------=--
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
----------
Credited
--------------------
Due
-----=---------------------
Permit Fee Total 15.00
.00. .00
15.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00
.00 .00
1.00
Grand Total 16.00
.00 .00
16.00
LQPERMIT `
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RealQuest.com ® - Report
Property Detail Report
.For Property Located At
„ CA
Page 1 of 1
CoreLogdc'
e I es ' Professional
Owner Information:
Owner Name: KSL DESERT RESORT
Mailing Address: 1 POST OFFICE SQ #3100, BOSTON MA 02109-2108 C002 C/O PYRAMID
ADVISORS ATTN LYNN YAGER
Phone Number:
Vesting Codes:
Location Information:
Legal Description: 10.90 ACRES M/L IN POR PAR 3 PM 160/041 PM 24837
County: RIVERSIDE, CA
APN: 770-040-010
Census Tract / Block: 451.11/2
Alternate APN: 770-040-010
Township -Range -Sect:
Subdivision:
Legal Book/Page:
Map Reference: /
Legal Lot: 3
Tract #:
Legal Block:
School District: DESERT SANDS
INDIO
Market Area:-
Munic/Township:
Neighbor Code:
Owner Transfer Information:
Recording/Sale Date: /
Deed Type:
Sale Price:
1 st Mtg Document #:
Document #:
Last Market Sale Information:
Recording/Sale Date: 12/02/1997 /
1st Mtg Amount/Type: I
Sale Price:
1st Mtg Int. Rate/Type: /
Sale Type: N
1st Mtg Document #:
Document #: 441388
Deed Type: GRANT DEED
2nd Mtg Amount/Type: /
2nd Mtg Int. Rate/Type: /
Transfer Document #:
Price Per SgFt:
New Construction:
Multi/Split Sale: MULTIPLE
Title Company: FIRST AMERICAN TITLE
Lender:
Seller Name: KSL DESERT RESORTS INC
Prior Sale Information:
Prior Rec/Sale Date: 01/13/1994 /
Prior Lender:
Prior Sale Price:
Prior 1 st Mtg Amt/Type: /
Prior Doc Number: 523348
Prior 1st Mtg Rate/Type: /
Prior Deed Type: DEED (REG)
Property Characteristics:
jYear Built / Eff: / Total
1 Rooms/Offices:
Garage Area:
Gross Area: Total Restrooms:
Garage Capacity:
j Building Area: Roof Type:
Parking Spaces:
j Tot Adi Area: Roof Material:
Heat Type:.
Above Grade: Construction:
Air Cond:
# of Stories: Foundation:
Pool:
Other Improvements: Exterior wall:
Quality:
I Basement Area:
Condition:
Site Information:
COMMERCIAL
Zoning: Acres:
10.90 County Use: TOTAL PROP
(CT)
Flood Zone: Lot Area:
474,804 State Use: C17001
Flood Panel: Lot Width/Depth:
x Site Influence:
Flood Panel Date: Commercial Units:
Sewer Type:
Land Use: C EC) ERCIAL Building Class:
Water Type:
i Tax Information:
i Total Value: $440,581 Assessed Year:
2010 Property Tax: $5,540.74
Land Value: $429,568 Improved %:
2% • Tax Area: 20021
Improvement Value: $11,013 Tax Year:
2010 Tax Exemption:
Total Taxable Value: $440,581
http://pro.realquest.com/j splreport.j sp?&client=&action=confirm&type=getreport&recordno=0&re... 6/6/2011
Bin #
'185 2s AvemibA UvTo oCity of La Quinta
16146 Aimitm Ocrit o Building &r Safety Division
P.O. Box 1504, 78-495 Calle_Tamplco
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
11-407
11- rop$
Project Address: U e W t'6&,
Owner's Name:La '
JAJ
A. P. Number: 77
Address: t -
Cf •- 9 " l5 kJ Vl Ij e,4 -
.0-o4o-bio
Legal Description: 67, ' SO 5
Contractor: _ Q WP
City, ST, Zip:
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Tele hone:
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Address: t
Project Description:
City, ST, Zip: ��
C
�Q U Al
Tele hone:%''`<'`s`�
-
S26V
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State Lic. # : Q pZ d City Lie. #:
Arch., Engr., Designer: G
�. r.
l a '� A &JPo ej 6 � ( �
Address: s 7 — a
City., ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: `% ~ ' ' `"''"": <::":"''`" ''. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: /jQ Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: U —)' Q Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
2
2
Plan Check submitted
l�
Item
Amount
Structural Calcs.
2
2
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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 correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�`(oI/ I - Via 1�- MAIL. T 0 �CVIJG 6T E. AV9