BSIG2015-004278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
6�
c&tvl4 a w
COMMUNITY DEVELOPMENT DEPARTMENT
BSIG2015-0042
78998 HIGHWAY 111
643080006
SHELL/ MULTIPLE ILLUMINATED SIGNS
Applicant:
PROMOTION PLUS SIGN CO INC
21034 OSBORNE ST
CANOGA PARK; CA 91304
BUILDING PERMIT
N,0V 12 2015
CITY OFcAOUIN— TA
COM1IMUNITY DEVELOPMENT DEPARTME=NT
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 Professions Code,
and my License is in full force and effect.
License Class: C45 License No.: 853228
Date: ( % %r' Contractor:
r 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).:
( ) 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.).
(� 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 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
Lender's
42
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/12/2015
Owner:
VINTNERS DISTRIBUTORS INC
41805 ALBRAE ST 2ND FL
FREMONT, CA 92253
Contractor:
PROMOTION PLUS SIGN CO INC
21034 OSBORNE ST
CANOGA PARK, CA 91304
(818)993-5406
Llc. No.: 853228
WORKER'S COMPENSATION DECLARATION
I 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 thew for which this permit is issued.
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: _ Policy Number:
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, I shall forthwith
comply with ose provisions.
Date: r 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 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 city to enter upon the
above-mentio ed pr perty for inspection purposes.
Date: Signature (Applicant or Agen
FINANCIAL
DESCRIPTION
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
MONUMENT SIGN, EA ADDITIONAL
101-0000-42404
0 $24.66
$24.66
11/12/15.
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'PAID
PAID DATE
MONUMENT SIGN, FIRST
101-0000-42404
0
$72.52
$72.52
11/12/15
PAID BY
METHOD
RECEIPT'#
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MONUMENT SIGN, FIRST PC
101-0000-42600
0
$133.43
$133.43
11/12/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$49.32
$49.32
11/12/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$49.32
$49.32
11/12/15
PAID BY
METHOD
RECEIPT #
CHECK'#
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$24.66
11/12/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$87.02
11/12/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
PROMOTION PLUS SIGN CO INC
CHECK
R10761
23686
SGU
Total Paid for SIGN: $440.93 $440.93
TOTALS: $440.93 0.
Description: SHELL/ MULTIPLE ILLUMINATED SIGNS
Type: SIGN Subtype: Status: APPROVED
Applied: 11/12/2015 SGU
Approved: 11/12/2015 SGU
Parcel No: 643080006 Site Address: 78998 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 25865 Block: Lot: 8
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (2) LED MONUMENT SIGN [SHELL LOGO AND PRICES ] AND (2) ILLUMINATED CANOPY SIGNS [SHELL LOGO] (1) ILLUMIANTED WALL
SIGN.[FOOD MART] SIGN PERMIT NO. 2015-0062 [JW] 2010 ENERGY, 2013 CALIFORNIA BUILDING CODES
• • • •
NAME TYPE
NAME
ADDRESS1
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
PROMOTION PLUS SIGN CO INC
21034 OSBORNE ST
CANOGA PARK
CA
91304
CONTRACTOR
PROMOTION PLUS SIGN CO INC
21034 OSBORNE ST
CANOGA PARK
CA
91304
OWNER
VINTNERS DISTRIBUTORS INC
41805 ALBRAE ST 2ND
FL
FREMONT
CA
92253
Printed: Thursday, November 12, 2015 9:42:35 AM 1 of 2
CRWIMMMS
BOND INFORMA'l ION
Printed: Thursday, November 14 2015 9:42:35 AM 2 of 2
CRSYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
MONUMENT SIGN,
101-0000-42404
0
$72.52
$72.52
11/12/15
R10761
23686
CHECK
PROMOTION PLUS
SGU
FIRST
SIGN CO INC
MONUMENT SIGN,
101-0000-42600
0
$133.43
$133.43
11/12/15
R10761
23686
CHECK
PROMOTION PLUS
SGU
FIRST PC
SIGN CO INC
WALL/AWNING SIGN,
101-0000-42404
0
$49.32
$49.32
11/12/15
R10761
23686
CHECK
PROMOTION PLUS
SGU
EA ADDITIONAL
SIGN CO INC
WALL/AWNING SIGN,
101-0000-42600
0
$49.32
$49.32
11/12/15
R10761
23686
CHECK
PROMOTION PLUS
SGU
EA ADDITIONAL PC
SIGN CO INC
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$24.66
11/12/15
1110761
23686
CHECK
PROMOTION PLUS
SGU
FIRST
SIGN CO INC
WALL/AWNING SIGN,
101-0000-426000
$87.02
$87.02
11/12/15
R10761
23686
CHECK
PROMOTION PLUS
SGU
FIRST PC
SIGN CO INC
Total Paid for SIGN:
$440.93
$440.93
„$440.93
$440.93
INSPECTIONS
PARENT PROJFCTS
RETURNED
REVIEWS
STATUS
REMARKS
REVIEW TYPE REVIEWER SENT DATE
DUE DATE
NOTES
DATE
IST BLDG NS (1 WK) JIM JOHNSON 11/12/2015 11/12/2015
11/12/2015
I APPROVED
BOND INFORMA'l ION
Printed: Thursday, November 14 2015 9:42:35 AM 2 of 2
CRSYSTEMS
Bin #
City of La Quin to
Building &T Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(4
Project Address:999
Owner's Name: V,
A. P. Number:
Address:
Legal Description-
City, ST, Zip:
Contractor:
Telephone:
_7
Address:
otzag—
�q- -
Project Description:
City, ST, Zip:
6A
6A
-r,//
Telephone: I
........... . .... . ..
........... . . . . . .. . . . . . . . . . . .
J
State Lic.#: su
City Lie.
V V
rptc�c—(
Arch., Engr., Designer:
Address:
4
City., ST, Zip:
-7 V
Telephone:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......
. ...... ........
C nstruction Typc:91'e"1- Occupancy:
State Lic. #:
Froject ty pe (circle one)�)New Add'n Alter Repair Demo
Name of Contact Person:
.
8,01 cl'e
Sq. Ft.:
I # Stories:
N Units:
I
Telephone 4 of Contact Person: L(Lowl
— 7017-
Estimated Value of Project-. g
n2
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
RevieNved, ready for corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title.24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Re.yieiv,ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
rcu
4'011.1
November 5, 2015
Sorin Enache
21034 Osborne Street
Canoga Park, CA 91304
SUBJECT: SIGN PERMIT APPLICATION 2015-0062
SHELL
Dear Sorin:
The Community Development Department has reviewed and approved your request
for multiple permanent signs at the Shell fueling station located at 78-988 Highway
111. The approval is subject to the following Conditions of Approval:
1. This sign permit grants the multiple illuminated, non -illuminated, and
monument identification signs per the approved plans on file with the
Community Development Department.
2. If necessary, a building permit shall be obtained prior to any work on the signs
being started.
Should you have any questions,. please feel free to contact me at (760) 777-7067.
Sincerely,
UU, AICP
Principal Planner
r
C: Ouilding'Division,
78-495 Calle Tampico I La Quinta I California 92253 I 760.777.7000 l wwwla-Quinta.ors