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08-1742 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. 08-000"0T742 Property Address: 4L 9499 EISENHOWER DR APN: 658-190-011-30 -28545 - Application description: RE -ROOF Property Zoning: TOURIST COMMERCIAL Application valuation: 25410' Applicant: Architect or Engineer: Co Ale - 44 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KSL DESERT RESORT C/O CNL HOSPITALITY PROP INC 450 S ORANGE AVE #12TH ORLANDO, FL 32801 Contractor: DRI RESIDENTIAL 17182 ARMSTRONG IRVINE, CA 9261 (949)266-1950 Lic. No.: 81996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/21/08 r •�1MV QE v 1A - 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 Q4de, and my License is in full force and effect. I have andwill maintain a certificate of consent to self -insure for workers'compensation, as provided License Class: C39 A Li se No.: 819960 _ for by Section 3700 of the Labor Code, for the performance of the work for which'this permit is _ mte (-0 b Contractor: issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 4:Date:- "r> 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 pe )ury that I am exempt from the Contractor's State License Law for the Carrier AMERICAN CASUAL Policy Number WC274968227 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 subj t to a 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 Co , I shall forth c ply 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 ($500).: It D e I/ 0p Appfi a t> (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - �� y the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SE E 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 T 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, (_ I 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 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: 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 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 wRh all city and county ordinances and state laws relating to building con stru ti�pr d hereby authorize representatives of this ccoounnttyy to enter upon the above -mentioned grope y for inspe t oses. ` +� 0A Date: 'iiG Signatur�Applicant or,Agent . Application Number . . . : . 08-00001742 Permit . . . RE -ROOF Additional desc . Permit -Fee. . . . .. . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/19/09 Qty Unit Charge Per. Extension BASE FEE 30.00 --------------------------------------------------------- Special Notes and Comments -------=----------- REMOVE EXISTING TILE ROOF, REPLACE ANY DAMAGED OR ROTTED SHEATHING, REROOF WITH ORIGINAL TILE AND NEW TILE WHERE NEEDED 2008 CODES.PLANNING FINAL REQUIRED (BLDG. 147-148) Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee Total 30.00 .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00_ .00 .00 30.00 Bin # City of La Quinta Building Sz Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building permit Application and Tlracking.Sheet P oJect Address:,S'� A. P. Number: Addn=: 55S I UL L \f/Z` �1 D Lcgal Description: City, ST, Gip; d I FL3 2-7-57 n Contractor: �R �+�� •��Telephone: `S Address: �'Z S IUD Project Dosctiption: i Irad f, r 1,41)✓ia G1lt City, S7', Zip: i �4". C L �Gl L lbt& ro h lif LL Telephone: C,�� %�� _ l f State Lic. # : City Lie. #: a 5 14a Arch., Engr., Designer: Address: City, ST, Zip: Telephonc: Construction Type: Uccupaney: State Lie. €I: Project J type (circle one): New Add'n Alter a ai Demo Namc of Contact Person; Sq. Pt.: # Sturitas; #Units: Telephone # of Contact person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reeld TRACKING PERt11TC FEES Plan Sets Plan Check submitted Item Amount Structural Coics. Reviewed, ready for corrections Plan Cheep Deposit Truss Calera_ Called Contaet Person Plan Check Balance Energy Calea. Plant ticked up Conatnictivo Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for eurrectionsimuc Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M_l. R.O.A. Approval Plans resubmitted Grading fN HOUSE:- 'a Review, ready for cormetionstissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees z TO/TO 39Vd 1d3a 9Q-1S d1NIno d-i TTOLLLL09L 00:60 800Z/9Z/80