08-1534 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001534
.Property Address: 49499 EISENHOWER DR
APN: 658-190-011-30 -28545
Application description: RE -ROOF
Property Zoning:' TOURIST COMMERCIAL
Application valuation: 3412
T iht 4'Xfv Q '
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KSL DESERT RESORT
C/O CNL HOSPITALITY PROP
450 S ORANGE AVE #12TH.
ORLANDO, FL 32801
Contractor:
Applicant: Architect or Engineer: DRI RESIDENTIAL CORPORAT
17182' ARMSTRONG AVENUE
IRVINE, CA 92614
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/08/08
INC
O
SAP092000
ON
CITY OF LA QUINTA
FINANCE DEPT.
950
(949) 26,.
p1pr
Lic. No..: : 819960
819
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
License Class: C3 9 License No.: 819960
_
for by Section 3700 of the Labor Code, for theperformanceof the work for which this permit is
• at�Coyira6tor:
issued.
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
ject to the workers' compensation provisions of Section
and agree that, if I should becomroh,
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall omply with those provisions.
that he or sheds 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).:
ate:�AILUE
( _) 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 (Sec. 7044, Business and Professions Code: The
WARNIE WORKERS' C ENSATION 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, 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 thisapplication.
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. BAP.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
performedunderor 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. 1 agree to comply with all
city and county ordinances and state laws relating to building onstruction, and hereby authorize representatives
of this c ty enter up n the above -mentioned property fo�`� spection purposes.
te: ure (Applicant or Agent):
LQPEPM1IT
Application Number . . . . 08-00001534
Permit . . . . . .. RE -ROOF
Additional desc
Permit Fee 30.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
.0
Expiration Date 3/07/09
Qty Unit Charge Per
on
Extension
BASE FEE
30.00
------------------------- 7 ------------------------------------
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, #08-1523 (BLDG.
882-889, 907-910)
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