08-1599 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00001599 / Owner:
Property Address: 49499 EISENHOWER DR KSL DESERT RESORT. \
APN: 658-190-011-30 728545 - C/O CNL HOSPITALITY PROP INC
Application description: RE -ROOF 450 S ORANGE AVE 412TH
Property Zoning: TOURIST COMMERCIAL ORLANDO, FL 32801
Application valuation: 27013
Contractor:
Applicant: Architect or Engineer: DRI RESIDENTI L__QORPORATION
17182 ARMSTF9[6
AVE..
IRVINE, CA 4 Q
(949)266=19rr a Lic No • 80
E 9200a
--------- - - - - -- ctryOF�gs�c�u.
-----------------------------------------------------s4',ob.y_
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
gCla/j�s: C39v T License No.: 819960
Date: 1 f ( O D 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 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 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 contractor(s) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/08
-------- - - - - - —
I hereby affirm under penalty of perjury one of the following declaran
have and will maintain a certificate of consent to self -insure for wor rs' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. l
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
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 b come subject to the workers' compensation provisions of Section
3700 of the Labor Code, I all forthwith comply with those provisions.
Date: !q1Applicant: .
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN 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 county o enter upon the above -mentioned property ffnspection purposes. '
,p nl,pp
Date: / Signature (Applicant or Agent): IL
Application Number. 08-00001599 ,
Permit _ RE -ROOF
Additional desc .
Permit Fee 30.00 Plan Check Fee .00
Issue Date Valuation' 0
Expiration Date,. 3/18/09 i
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
r ,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
LQPERMIT - -
Blit #
City of La Quinta
•
Building ax Safety Division
Permit # n(� P.O. Box 1 SO4, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
\C.
`
Building Permit Application and Tracking Sheet
Project Address: —� l '' Owner's Name: L DE/ Ggr
A. P. Number:
Address: SSS LUIiYl�il. & S
p
Legal Description: City, ST, Zip:
Contractor: IR( t&, fiq Telephone: -5
Address: t f2 Arms r0 Project Description: %od f , r 40►ve qol
City, ST, yip: CA c L W bltce— L lb � i 4-If .
Telepbone: �jrj-ZI-2Z(1
State Lie. # : 22 City Lie. #:
Arch., Engr„ Designer:
Address:
City, ST, Zip:
Telephone: Consruction Type: occupwY:
Slate Lie. #:
j type (circle one): New Add'n . Alter a ai Demo
Name of Contact Person: Sq. Ft.: Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: I Z 0 0
APPLICANT: 00 NOT WHITE BELOW THIS UNE
# Submittal Req'd Reed TRACKING PERMIT FEES
Plan Secs Plan Check submitted Item Amount
Structural Cales. Reviewed, ready for corrections Plan Check Deposit
Truss Calcn. Called Contact Person Plan Check Saisnee
Energy Calca. Plaas ticked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2" Review, ready for eurrections&suc Electrical
Subeontacter List Called Contact Person Plumbing
Grant Deed Plans picked up S.M•i.
H.O.A. Approval Plans resubmitted Grading
IN ROUSE:- 'a Review, ready for correetionsrssue Developer impact Fee
Planning Approval Called Contact Person
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees
0
TO/TO 39Vd id3Q OGIS d1NIno Gi TTOLLLL09L 00:60 800Z/9Z/80