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08-1730 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA Q.UINTA, CALIFORNIA 92253 Application Number: r,08-00001730 Property Address: 4.9.49-9—EISENHOWER DR APN: 658-190-011-30 -28545 - Application description: RE -ROOF Property Zoning: TOURIST COMMERCIAL Application valuation: 26527 Applicant: � � Architect or Engineer: �v f.4 14 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KSL DESERT RESORT Oar C/O CNL HOSPITALITY PROP INC 450 S ORANGE AVE #12TH' ORLANDO, FL 32801 Contractor: D DRI RESIDENTIAL CORPORAT 17182 ARMSTRONG AVENUE IRVINE', - CA 92614 (949)266-1950 Lic. No.: 819960 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/20/08 OCT 212008 ID OF LA - - - - - - - - - - - 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 ' LicenseClass: C39 . 819960 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is LLcselslo.: ��� _�1wissued. "'` Date: / �" . �—y Co' ntractor-:' o ° - —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 OWNER -BUILDER 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 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 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 Co , I shall fo wit omply with those provisions. that he or she is exempt therefrom and.the basis far 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 155001.: C Date:l0' 0 G Applicant: ( 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 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 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 (_ I 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—) 1 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: 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 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, nd hereby authorize representatives of this county to enter upon the above -mentioned property or inspection pos Date OLA � (�Zi Signature (Applicant or AgentL LQPERMIT Application Number •08-00001730 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 z Issue. Date . . . . Valuation . . . . 0 Expiration Date 4/18/09 Qty Unit Charge Per Extension BASE FEE 30.00 ------------------------ Special Notes and Comments 7---------------------- REMOVE EXISTING TILE ROOF, REPLACE ANY DAMAGED OR ROTTED SHEATHING, RE -ROOF WITH ORIGANAL TILE AND NEW TILE WHERE NEEDED PLANNING FINAL REQUIRED (BLDG 128-129) 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 3.0.00 LQPERMIT ib r. _ -•r .. - �_ - - :Y �` `'+�Bf-`w `Y.7 r:' •,P•• -,�".� •,�. _ - .tl♦ �. A-.t. � "r.. ,.,Y i-: '� - i• . z: t: Ch n � r- a y»i+' i : r� .S"- ,•i. �� a :4 ' .+. �: - W.v.. {V. "b +.+:-. ..• � ... tine P~ L:. q.yr .'++.y ti; .t. ,`,. •t .�..� Iti. .fit. _ iV t 'S' -..}) - '�a.s q. ' ,_ Y+",:.,t'i r. _.�o,�:'f is ' ..: % f' w�ti �r ''�'"-., {�.^- r}, w. 9'. _-rl'�.,x• t�'" • 1 CSANTA COVE eRAOTSEA "- .. `-",°-' -.: As •)'<f °,y�,.ur, _ e.•..' 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Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 o n Building Permit Application and Tracking Sheet 4 Project Address:�k WP'/- Owner's Name: keL., Pc5em keesz) 17 A. P. Number: Address: Legal Description: City, SC, Zip: MA/,.� FL ?) 2- -57 Contractor: ���5� ft'�( Telephone:-5 Address: �'Z. �/j15 -rok " L,v6,'— Project Dusctption: i ��v � �_. !° G1lt City, ST, 'Lip: rt,2&Ce LU'47 ��! { l lif = State Lic. # : 713622 City Lie. #: Arch., Engr., Designer: Cis l Addrms: City, ST, Zip: Telephone: Construction Type. UccupanGY ; Slate Lic. #: Project type (circle one): New Add'n Alter Demo Name of Contact Person; _ �-]� ��t7 Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 2—(o Z�3 APPLICANT: DO NOT WRITE BELOW THIS LINE p Submittal Req'd Rec'a TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cnics. Reviewed, ready for corrections Plan Check Deposit Truss Calm_ Called Contact Person Plan Check Balance Energy Calcs. Plans !Sicked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for eurrectionslissut Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up R.O.A. Approval Plans resubmitted Grading IN HOUSE:- '" Review, ready for correeti6asrusue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Nees 10/T0 39Vd 1d3Q Dalg ViNIno v-1 TIOLLLL09L 00:60 800Z/9z/80