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13-0456 (SPIN)f;. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000456 Property Address: 49499 EISENHOWER DR APN:, 658-190-011-30 -28545 - Application description: SPECIAL INSPECTION Property Zoning: TOURIST COMMERCIAL Application valuation:. 5000 414 Qlalkm BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KSL DESERT RESORT C/O CNL HOSPITALITY 450 S ORANGE AVE #12 ORLANDO,•FL 32801 PROP INC L�J VOICE (760) 77777012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5 / 17/ 13 Applicant: Architect or Engineer: contractor: e q SACKS AND COMPANYJU MAY 2 0 2013JJ1 7 LOPEZ ROAD WILMINGTON, MA 01887 CITYOFU►QUIIdTA (978) 988-1100 F►WANCEDEPT. Lic. No.: .C10 -- ------------------------- 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:' C10 - License No.: C10 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. V/ Date: 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' compensation ' OWNER -BUILDER DECLARATION" insurance carrier and policy number are: " I hereby affirm under penalty of perjury that.) am exempt from the Contractor's State License Law for the Carrier WCCC999999 O5/31/lftolicy Number WC99999 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 permitisissued, 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, I s orthwith comply ith those provisions. y�- that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byya any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: (_ 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: 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 ($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.). (_ I 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.). (_) I am exempt under Sec. ; B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penally 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 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 construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for' coon purposes. 011 _ Date: A?V Signature (Applicant or Agentl: Application Number . . ..13-00000456 Permit . . . SPECIAL INSPECTION Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date . . 'Valuation 5000 Expiration Date 11/13/13 Qty Unit Charge Per Extension BASE FEE 100.-00 Special Notes and Comments INTERIOR PLATFORM DISPLAYS (2 QTY) FOR • GREEN MOUNTAIN COFFEE.2010 CODES . Fee summary Charged Paid Credited Due Permit Fee Total 100.00 .00 .00 100-00 Plan Check Total .00 .00 .00 .00. Grand Total _ 100.00 .00 .00 100.0.0 . Bin # City of La Quetta Building 8t 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: �� i% wner's Name: 7� A. P. Number: ��j8 .-.` D �D �� Address: L?. -422 Le D ption: 0 City, ST, Zip: Telephone: Address: Project Description: City, ST, Zip: AZ S Telephone: .:»: ;::::::>:r `:`: # :.<.<:> ::':::;: /AMC4 PV, /QS State Lic. # : City Lic. #. Arch., EnrDesigner: !/y% PA"d Address: 1peI 644072� TD ems. City., ST, Zip:G*&'1 j f `�(pr• 2� Telephone: S 0:11Tye: State Lic. #:�? ..,,.;r.##sr:•.::,.:...{;'.;;:;:.:�.:>:z>.::Project Name of Contact Person: �l/Si��` Occupancy: type circle one): New Ad ' n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:' 2'• 2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correction issue IJJJPJ lcctrical Subcontactor List Called Contact Person do Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd 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 • AVENIDA FERNANDO 1 . W4SNINGT�,: ..i gx4mgT7 ;, NIGNW.ti Off , 401 I I RESOFT & CLUB I zo A WALDORF AS"ORIA RESO� T j FLORES Xex 9.7 I .w49 -499 EISENHOWER DRIVE g6P I SaA - 990 9°J - j lSi u6J 873 a97 g°G 7_ MAP LEGEND _BJbmba4 f coTYx L�� 4 U1NG & S i • CASITAS V. NTAGE© F` ORIGINAL ROOMS .. N BUILT IN 1926 • e» a b » — CASITAS 200'S DAT AT VCPANDA ; F - '. ^ 0 CASITAS 300 S I CASITAS 400'S SUN"® s;, rr:zrnZ11Z1 1 T CASITAS 500'S RESORT ENTRANCE LOB6Y � CASITAS 600'S w •� CASITAS 700'S ..I 4 1•v ,Q7 tat CASITAS 800'S 0 CASITAS 900'S w,�rY N Nil"TlS,z; CASITAS 1600'S iq ,P x7x _ c,NKER rOnI ,6. � AJ, CASITAS4 AAa S 180 '$ as; � o\ 378 Cr 900'S '�,y i% JSa 4 Sb' 06 , x PLAYGROUND lj ),a l�G Jar J4T 35n + . �y p MAPS a # J MAPS �I ,I I I I I I I I I EST Tor 75 LR.CA -P cO ;GETS, jr, is .LLELED S. 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FROM CLI, l'RIVAIL Cl-N-AIR SHOWER TRLAT�IL:-\F 10'1IiL GARDEN BATHS TO AL FRESCO N:A.+>AGE5- THE \VAR\'ITH OF THE :?GSeRT SUN• THE BRILLIANCE 01: THE NIc;l3- SKY, AND THE FRAGI:ANCIF of IIII: �,:I I'RUS 'i REES ANLI ORANG?i 61.0�ti0\lti FURTHFR ENGAGE AEI. YOUR SFNiLS. • -Sri-o> .,. 113IN33 i.>vlLo� XVW113M n1u MO1V �I19 j '•' WVHtla AM" SlaV3H 3S30 N01 3 •atl8 ✓ VZVldjn WOI. 311HA f0 'Q3•fX ((rd Ol ::Den A 1'S0 ouva VZvld .� ailNls �� \ aiAU1 VLS 313 SINISI1 ] rAOI1Vd a00°i S,NV )t10 slaodsauluw tt IM81HI V��IlldBA4 S Nd�2�OW olonls tl 3Hl 1 . s woc 3 va l l ; RESORT DINIr, M0RG,AN .S IN THE DESER'i LA QUINTA RESORT'S SIGNATURE RESTAUILANI SIIOWCASING CONTEMPORARYAmERICAN CUISINE INSPIRED BYTHE BOUNTY OF THE COACHELLA VALLEY. ADOBE GRILL REGIONAL MEXICAN CL:ISINL, FAMOUS JUMBO MARGARITA$ AND GUACAPWLE MADE TABLESIDE. .l\1E\T1'6 A MODERN AmFPICAN BISI:Z('FI—AI'L'RIN1: UPDATED VERSIONS OF ( LASSI: UL:IiLS I'?Lli:'ARED WITH LOCAL, SEASONAL IN.;i<E111F:NTS. — TO ON' A— NRPO &:AS A\DELL$ o t v z z P t f1sm"G.1 PR .:�„unAN wvcsP VISTA �ONRA I�OUt:TntM1 .'DUNf�. OOLt COURSES . 1► o",ty L. Q& rdk)*u P. f.. P.rajece: �7/'C� H./ �*-+ _Ct y4ams Englne¢r. 106 Granite Hill Road PMB 706 subject: Grants Pass, Ore4on §75 6 (541) 472-968S Phone & fax Project No.: 3_!- /�'� / Aate: '�' 3 Page: C'v�a c r ?nsre�n . �.�_....� /.�•-_-•' C.oa4,, z.?9 9 c,�.4 t�,9...J/ 'alp C. Ls. ,;,.1, ,` a �; u►, �..�'�wc . 4, ell %�,..,fy a0/0 . . . . . csra, J co - orb Al zt k;H.o, . �vti`''.t��� •�' � ,�,tip G Jfd's.S!wr.,��' CITY OF LA QUINTA . : ,&6 BUILDING & SAFETY DEPT. FAPPROVED 4; - i0�Pjr . R CONSTRUCTION . DATE 'BY . (•, i!jLf/.S.S ,� "!C/ L � Y t3 ` G'' fit'. aJ� a "a i �`'-�'%%2�'. wt.Ld :G� �t. ,�wt ax . 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