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12-0636 (RC)f� ;N4 -- . i, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: 'Application description Property Zoning: Application valuation: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011. INSPECTIONS.(760) 777-7153 Date: 6 / 11/ 12 -12 O;OA-006--36� Owner: �4-94-99 EISENHOWER DR MSR DESERT RESORT LP 658-190-011-30 =28545 - ONE POST OFFICE SQUARE STE 300 REMODEL - COMMERCIAL BOSTON, MA 02109 TOURIST COMMERCIAL (617) 94 6 -2033 Contractor:fill Architect or Engineer: OLSON CONSTRUCTION 2955 MAIN .STREET - 9(jHIRD_FLOOR !f ✓ IRVINE, CA 92614 CITY_- Y I (949)474=2001 rj•'t.aA;*, ;?; T NA Lic. No.. 953845 _^ -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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 Professionals Code, and my License is in full force and effect. /License Class: � Li�ce�ns�e No/.�953845. - Date. (�2 ontmctor: V •Z>- T OWNER -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 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 isexempttherefrom 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 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 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 1, 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 contractors) 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 penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30997, Civ. C.). Lender's Name: Lender's Address: ' ----------------------------------------------— 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 theperformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: - Carrier ZURICH AMERICAN Policy Number WC3686687-04 _ 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 700 of the Labor 1Code, I shall forthwith comply with those provisions. Dater �(�pp/licant: WARNING: FAIL Is ERi 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 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 co ty enter u or the above -mentioned prop rty for inspeccttion�puurrppooss�es. /Date. Iif ignature (Applicant or Agent): ��`"� LQPERMIT Application Number 12-00000636 ------ Structure Information EXISTING R-1 BUILDING ----- Construction Type . . . . . TYPE.V; UNPROTECTED Occupancy Type . . . . . HOTEL/MOTEL .(TRANSIENT) Other struct"info . . . . . .CODE EDITION --------------------------------------------•-------------------------------- 2010 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 734.00 Plan Check Fee 477.10 Issue Date . . . . Valuation 126984 Expiration Date 12/08/12 Qty Unit Charge Per Extension BASE FEE 639.50 27.00 3.5000 THOU BLDG 100,001-500,000 94.50 -------------------------------- Special -Notes and Comments UNITS 916,917,922,,923. REPLACE EXTERIOR TILED•DECKING ON SECOND FLOOR-(INCL. SHEATHING). REPAIR DAMAGED DRYWALL IN UNITS BELOW #918, 921,987, 990 DRAFT STOP AT FIREPLACES AND UNIT SEPARATION, WALLS.ADD R-30 INSULATION IN CEILING ABOVE GROUND FLOOR UNITS. 2010 CODES. -------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 6.00 Fee summary Charged Paid Credited Due Permit Fee Total- 734.00 .00 .00 734.00 Plan Check Total 477.10 .00 00 477.10 Other Fee Total 6.00 .00 .00 6.00 Grand Total 1217.10 ..00 .00 1217.10 LQPERMIT CITY. OF LA QUINTA• ; BUILDING & SAFETY DEPARTMENT -- - s (760) 777-7012: '' �� , FNSPEi✓TtO1�RE((�.J S7rL�N� t F 3/ • 4. OF TNF'�� i -,y•\76U.) 771'J3 Owner MSR DESERT RESORT Contractor'BELFOR USA GROUP INC. ,Permit ira�be L2�636_F POST ON JOB IN CONSPICUOUS PLACE F INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS49-499 EISENHOWER DR REPAIR DAMAGED DRYWALL IN UNITS BELOW #918, 921,997, 990 DRAFT STOP AT FIREPLACES AND UNIT SEPARATION WALLS.ADD R-30 INSULATION IN ::EIL1NG ABV GROUND FLOOR UNITS. 2010 CODES. • - TYPE OF INSPECTION DATE _ INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL - CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF • OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION, • COVER NO WORK UNTIL ABOVE SIGNED' INTERIOR GYP. BD. DRYWALL - EXTERIOR LATH 'GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION -SEPTIC/ GREASE INTERCEPTOR MASONRY INSPECTIONS y FOOTINGS/ STEEL BOND BEAM POOL /SPA /WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS ' U/G PLUMBING U/G. GAS - U/G ELECTRICAL ' PRE -PLASTER ALARMS /BARRIERS)] DECK BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL - MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL /JOB COMPLETED , I G�`""'��'•� CITY OF OF LA QUINTA BUILDING &SAFETY DEPARTMENT F � (760) 777-7012 • T � N'REQUEST+LLN ' �TP Owner •MSR DESERT RESORT Contractor •� OLSON CONSTR. LP. RtWI POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL'APPLICABLE SPACES • JOB ADDRESS 49-499 EISENHOWER DR. UNITS' ,916, 917, 922, 923. REPLACE EXTERIOR TILED DECKING ON SECOND FLOOR (INCL. SHEATHING). 2010 CODES - TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETB CKS - U/G PLUMBING /.WASTE U/G ELECTRICAL/ GROUNDING � FOOTINGS /STEEL CONCRETE SLAB ' - DO NOT POUR CONCRETE UNTIL ABOVE SIGNED • ROOF NAIL /PRE -ROOF OKAY TO WRAP - FRAMING COMBINATION ' ROUGH ELECTRIC • ROUGH PLUMBING ' •ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH _ GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC /GREASE INTERCEPTOR ' MASONRY INSPECTIONS ' FOOTINGS /STEEL BOND BEAM POOL /SPA /WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS ' U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS /BARRIERS _ DECK BONDING - I I ' FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ' ELECTRICAL " PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT. COMMUNITY DEVELOPMENT DEPT. FINAL /JOB COMPLETED ' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING.TURN ON UTILITIES OR OCCUPY BUILDING