10-0946 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
10-00000946'
49499 EISENHOWER DR
658-190-011-30 -28545
REMODEL - COMMERCIAL
TOURIST COMMERCIAL
63492
T, &t 4 -
4&'Q"
BUILDING.& SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DESERT RESORT
C/O CNL HOSPITALITY PROP
450 S ORANGE AVE #12TH
ORLANDO, FL 32801
INC
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/20/10
Applicant: Architect or Engineer:
Contractor:
OLSON CONSTRUCTION LP, R � OCT 20 1
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il,
2955 MAIN STREET,- THIRDL OR
�IZ,—,,
IRVINE, CA 92614 Ci01,2f,
(949)474-2001 ,q
�1
Lic . No.: 580097r
- ---------------------------------------------------------------
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that'I am licensed under provisions of Chapter (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: B License No.: 580097 -
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
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/Date � tractor. � YC '�_
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issued.
i- 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
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
insurance carrier and policy number are:
Carrier ZURICH AMERICAN Policy Number WC368668703
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ Icertify that, in the performance of the work for which this permit is issued, 1 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 with 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
�Cphal.lfort
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
: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 SEC PENSATION 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.).
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,
(_ 1 I am 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: a
- 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 1 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 t;ltis county to enter upon the above -mentioned property 3 pectin purposes. '
Dat ,_ nature (Applicant or Agent):
LQPERMIT
Application Number 10-00000946
------ Structure Information EXISTING R-1 BLDG
-----
Other struct info CODE EDITION
2007/08
MIXED -USE OCCUPANCY
R-1
OCCUPANT LOAD
.00
18T FLOOR SQUARE FOOTAGE
.00
2ND FLOOR SQUARE FOOTAGE
.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 477.50 Plan Check Fee
77.59
Issue Date Valuation . .
. . 63492
Expiration Date 3/19/11
Qty Unit Charge Per
Extension
BASE FEE
414.50
14.00 4.5000.THOU BLDG 50,001-100,000
63.00
-------
Special Notes and Comments
UNITS 924,925 REPLACE EXTERIOR TILED
DECKING ON SECOND FLOOR (INCL.
SHEATHING). REPAIR WATER DAMAGE IN UNITS
BELOW #929,926. ADD DRAFT STOP AT
FIREPLACES.AND UNIT SEPARATION WALLS.ADD
R-30 INSULATION CEILING INSULATION ABOVE
GROUND FLOOR UNITS.2007 CODES, 2008
ENERGY.
-----------------_-_-----------------------------------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
3.00
Fee summary Charged Paid Credited
-------
Due
----------------- ---------- ----------
Permit Fee Total 477.50 00 .00
477.50.
Plan Check Total 77.59 .00 .00
71.59
Other Fee Total 3.00 .00. .00
3.00
Grand Total 558.09 .00 .00
558.09
LQPERMIT