06-3630 (SPIN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Numbers c: 70—(�-0000,3b3.0
Property Address: 49499 EISENHOWER DR
APN: 658-190-011-30 .-28545 -
Application description: SPECIAL INSPECTION
Property Zoning:, TOURIST COMMERCIAL
Application valuation: 0
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT '.
Applicant: Architect or Engineer:
Y IN
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 Class: EXEMPT License No.: EXEMPT
Date: 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, 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 t3 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business andProfessions 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:
Owner:
CNL DESERT RESORTS
49499 EISENHOWER DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 10/17/06
D
Contractor: - 17 2006
PRIME EVENT GROUP, INC. OCTI
4505 S. COUNTRY CLUB p�N'pp QIJ�NTA
TUCSO, AZ 85714 �IPfAP10E DEAL
(520)882-0285
Lic. No.: EXEMPT
------------------
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of'perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. f
I 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 EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work forwhichthis 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, I shall forthwith comply with those provisions.
Date: Applicant: '
WARNING: -FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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 370.6 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 constructio , nd her authorize representatives
a�of this ounty to enter upon the above -mentioned property for inspect' urp $
�rlature (Applicant or Agent):
LQPERMff
Application Number 06-00003630
Permit SPECIAL INSPECTION
Additional desc ., .
Permit Fee 100.00 Plan Check
Fee
.00 -
Issue Date . . . . Valuation
.
. 0
Expiration Date 4/15./07
.0ty Unit Charge: Per
Extension
BASE FEE
100.00
-- ------------------
Special Notes and Comments
------
---------------
TEMPORARY TENT - 10OIX1801 W/ 201X40'
KITCHEN TENT (ATTACHED) (8)-25 TON AC
UNITS. (1)-LIGHTING PACKAGE (1)-350 KW
GENERATOR / TEMP USE PERMIT NUM: _
2006-668 APPROVAL FROM 10/21/2006
11/8,/2006. 2001 CBC.
Fee summary Charged Paid Credited,
Due
Permit Fee Total 100.00 .00
.00
100.00
Plan Check -Total .00 .00
.00
.00
Grand Total 100.00 00
.00
100.00
LQPERMIT
Bin # W
City of La Quints
Buukring 8t Safety Division
P.O. Box 1504, 78-495 Cade Tampico
1a QWnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennh #
Project Address: °q _ 1f 9 cl
Owner's Name: C
A. P. Number:
Address: qq — g
Legal Description:
City, ST, Zip:
LA `LZG3
Contractor: -
�
Telephone: % ' �_ C�{ — xA •,
Address: (R
Project Description:
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City, ST, Zip:.'. (, "IzYr . 'i C�2
Telephone: _ �26—r<>%?;.�
(�J $p
State Lic. # : �'1 City Lic. #; �Orj
Arch., Engr., Designer.
_ ZS G
Address:
01
44
City., ST, Zip:
/Dzl -1lll 0 G c^
Telephone:
ep
State Lic # "c" `�.
Name of Contact Person: ZC�JL
Construction T ype: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 7 %541
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACIUNG
PERhM FEES
Plan Sets
Plan Check submitted
Item
4 Amount
Structural Calcs.
;Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2 d Review, ready for corrections/issue
Electrical
Subcontactor Last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A. P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
K- SOVI