08-1598 (RR)d - 6.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001598 f
Property Address: 49499 EISENHOWER DR
APN: 1 658-190-011-30 -28545 -
Application description: RE -ROOF
Property Zoning: TOURIST COMMERCIAL
Application valuation: 56377
Applicant: Architect or Engineer:
NIA
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------
` LICENSED CONTRACTOR'S DECLARATION '
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 Classes: C39 License No.: 819960
Date: l O Contractor.
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 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).:
1 _ 1 1, 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 ISec. 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 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
I—) 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. 3097, Civ. C.).
Lender's Name: -
Lender's Address:
VOICE (760) 777-70I2
FAX (760) 777-7011
r INSPECTIONS (760) 777-7153
Date: 9/19/08
Owner:
KSL DESERT RESORT
C/O CNL HOSPITALITY PROP INC
450_S ORANGE AVE #12TH
ORLANDO, FL 32801
Contractor:
DRI RESIDENTIAL CORPORATION
17182 ARMSTRONG AVENUE
IRVINE, CA 92614
(949)266-1950
Lic. No.*: 819960r-, -
WORK 'S OMP&15'7 DO DECLARATION '
hereby affirm under penalty of perjury one pf the ollowing e�larallo .
_ I have and will maintain a certif cate nt �to self -insure Z60,kers' sation, as provided
for by Section 3700 of the atior Cod - g-npe rmance of the wor or hich this permit is
issued. VV
I have and will maintain workers' comp S&Z. i� ve tie Sri �r d Secti n 3700 of the Labor
Code, for the performance of the work for which*th`ii p, Ntiit I issued. My orkers' compensation
insurance carrier and policy number are: -�.�
Carrier AMERICAN CASUAL Policy Number WC274968227"--
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
3700 of the Labor Code
lfOshall
forthwith comply with those provisions.
Date: .�• Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL '
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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'requestand for
whose benefit work is performed under or pursuant to any permit issued as a resultofthis 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 fort 80 days will subject.
permit to cancellation. -
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 countytoto enter upon the above -mentioned propela ir?spection purposes.
Date: F"! Signature (Applicant or Agent): 1` tnJ�l/\A� - -
LQPERMfT - ,
Application Number 08-00001598
Permit . . . RE -ROOF,
Additional desc .
Permit.Fee'... 30.00 Plan Check
Fee
.00
Issue Date... - Valuation
. . .
. 0
Expiration Date 3/18/09
Qty Unit Charge Per
Extension
BASE FEE
30.00
------------------
Special Notes and Comments
------ -
REMOVE EXISTING TILE ROOF, REPLACE -ANY
DAMAGED OR ROTTED SHEATHING, RE -ROOF
WITH ORIGINAL TILE AND NEW.TILE WHERE
NEEDED.. PLANNING APPROVAL OBTAINED.
ESR-1489 FOR REDLAND CLAY TILE ATTACHED
TO FIRST PERMIT., (BLDG. 107-108)
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
LQPERMFr
Bin #
City of La Quinta
Building isI Safety Division
P P.O. Box 1504, 78-495 Calle Tampico
�,✓�� La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: —� Owner's Name: L !/ E �4 'Lesli 17
A. P. Nttmbcr: , J Address: 55S tMIdell L S7? � V
Legal Description: u I ldl _( `"� t City, ST, Zip: Ar-f r-L 3 2 _57
Contractor; �� t&*4 11q Telephone; —S
Address: l 1 f2
Project Description: %QJi,r 1 /DIle AI?
City, S'c, Gip:
t lGl� L /b4P,m trlr%
Telephone:
State Lic # : City Lic. ✓i:
J
Arch., En9r., Designer;
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupwy ;
State Lic.
Project type pircla one): New Add'n Alter a ai Demo
Name of Contact Petsou:
Sq. Ft.: p"1 Stories: units!
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: 00 NOT WHITE BELOW THIS LINE
p Submittal Req'd 1Rec1d
TRACKING PERMIT FEES
Plan Sets
flan Check submitted Item Amount
Structural Caics.
Reviewed, ready for corrections Plan Check Deposit
Truss Calca.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans Vicked up Construction
Flood plain plan
an
Plresubmitted Mechanical
Grading plan
2"r Review, ready for eurrecoGuLtissuc Electrical
Subeontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Pla-s resubmitted Grading
W HOUSE:-
'"' Review, ready for correetionsrmue Developer Impact Fee
Planning Approval
Called Contact Person A.LP,P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I0/I0 39Vd 1d3Q 9a79 ViNIno d7 ITOLLLL09L 00:60 800Z/9Z/80