0309-290 (BLCK)78015 Main St
0309-290
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions
Chapter 9 (commencing with Section 7000) of Division 3 of the Business a
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
77 M3 B
Date Signature of Contractor--
OWNER-BUILDER
ontractorOWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contracto
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their s(
compensation, will do the work, and the structure is not intended or offered 1
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licens
contractors to construct the project (Sec. 7044, Business & Professions
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Sianature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaratior
( ) I have and will maintain a certificate of consent to self -insure for worke
compensation, as provided for by Section 3700 of the Labor Code, for tl
performance of the work for which this permit is issued.
(\)* I have and will maintain workers' compensation insurance, as required
Section 3700 of the Labor Code, for the performance of the work for which tf
permit is issued. My workers' compensation insurance carrier & policy no. al
Carrier I)TATC, FUMD Policy No. X410114-0
(This section need not be completed if the permit valuation is for $100.00 or les,
( ) I certify that in the performance of the work for which this permit is issue
I shall not employ any person in any manner so as to become subject to tl
workers' compensation laws of California, and agree that if I should becon
subject to the workers' compensation provisions of Section 3700 of Lab
Code, I shall forthwith comply with those' provisions. ----»
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful al
shall subject an employer to criminal penalties and civil fines up to $100,000,
addition to the cost of compensation, damages as provided for in Section 37(
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safe
for a permit subject to the conditions and restrictions set forth on h
application.
1. Each person upon whose behalf this application is made & each person
whose request and for whose benefit work is performed under or pursuant
any permit issued as a result of this applicaton agrees to, & shall, indemni
& hold harmless the City of La Quinta, its officers, agents and employee
2. Any permit issued as a result of this application becomes null and void
work is not commenced within 180 days from date of issuance of su(
permit, or cessation of work for 180 days will subject permit to cancellatio
I certify that I have read this application and state that the above information
correct. I agree to comply with all City, and State laws relating to the buildir
construction, and hereby authoriz%representatives of this City to enter upc
the above-mentioned property for inspection purposes
f
."Signature (Owner/Agent) Date
PERMIT #
of PUILDING PERMIT;_:
nd DAT+f VALUATIONS7 %.C3G LOT TRACT
JOB SITE
K ADDRESS %i -{i ! c / {+ i%. i a APN
OWNER CONTRACTOR / DESIGNER / EN &NEER
OTZ TOWN IA QM1 TA, L'v :° RA k ` ZN :t-10WIT I
78-080 t"ALIZ ROU U, 3 T. `'20,1 ?U C' t. . '::) ' ,? )C1: Y r 20'
r s L.A. Q1 sr?4't A C r'2253 5- + Alli A. CIL l
de ;76Ci7T`l-25V? :rUf : 07
or
USE OF PERMIT
its
`i P&UEAUMP,141 :1lL sC{w 4.ikii I k. Cdi 4
CLUB, c"A1.,LE t AIMCL:
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
- PLUMBING APPROVALS
Gas Test
Electric Final
.Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
... .
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
l \ Z
_- IN. >
P.O. Box 1504
78-495 CALiE TAMPICO
FF LA QUINTA, CALIFORNIA 92253
September 25, 2003
Mr. Wells Marvin
Old Town La Quinta, LLC
78-080 Calle Estado, Suite 201
La Quinta, CA 92253
Ap 2 9 2003
BY: '
(760) 777-7000
FAX (760) 777-7101
SUBJECT: Planning Commission Action on SA 2003-720 (Old Town La Quinta
Sign Program)
Dear Mr. Marvin,
The Planning Commission at its meeting of September 24, 2003, adopted Minute
Motion 2003-015 approving the sign program for Old Town La Quinta, subject to
conditions. Enclosed is a copy of the Conditions of Approval for your use. This action
is final unless appealed to the City Council within 15 days of the action. Please
contact our department should you wish to appeal.
If you have any questions, please contact me at 777-7064.
Very Truly Yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
-&k4V1- (; eaaw-r&
STAN B. SAWA
Principal Planner
Encl.
c: Jerry Herman, Community Development Director
Jim Cross, Best Signs
Oscar Orci, Planning Manager
p:\stan\wells old town Iq\ltr app sa 2003-720.doc
b
J
r Minute Motion 2003-015
Sign Application 2003-720 Old Town La Quinta
Conditions of Approval — Final
September 23, 2003
1. The sign program shall be amended and submitted to the Community
development Department (3 sets) with the following revisions:
A. Sign colors shall be compatible with the Spanish/Early California
style of architecture.
B. Maximum size allowed by this program for Tenant storefront signs
may not be allowed. Criteria for determining maximum size shall
include size, and shape of mounting area and building mass and
bulk, as determined by the City of La Quinta.
C. Any indirect lighting of signs shall be architecturally compatible
with the project and comply with the City of La Quinta outdoor
lighting requirements.
D. For restaurant/main tenants where "A maximum of two (2) signs
or graphic treatments are allowed per tenancy", this shall state
that two signs are permitted if they have frontage on two sides,
such as would be the case for corner locations.
PAstan\old town\sa 2003-720 pc coa.doc
MEMORANDUM
To: -Greg Butler, Building & Safety Manager
To CDD:
From: Planning.
Building Permit Release
(this Is an approval to Issue a Building.Pormit)
The Community Development Department has reviewed, the following project:
Descripfion:4 2Z inM, 4,..
Address or general location:
APN and/or legal description: 12003 -015
The Community Development Department finds that:
13 ... issuance of this Building Permit does not require Community
Development Department approval.
x.
E3 ... issuance of this Building Permit is approved by the Community
Development Department.
Planning
Date
x. 0
U
1
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Building & Safety Department
Public Works Release to Issue
Building Permit
To: John Freeland, Senior Engineer Date to PWD: fD , 2.03
From: Greg Butler, Building & Safety Manager Permit #:
A release from Public Works Department is required prior to building permit
issuance for the following project: .
Address or general location: /Y
{
APN and/or legal description: ?R
Applicant contact and telephone number. Z , Xs 1,
Please do not return this form to Building & Safety Department until released fors; _ "- '
building permit issuance. For issues delaying or preventing release, please = r'
contact applicant directly at the number above.;;
Note: Action required (reply to Building Department or contact Applicant) within
five (5) working days from date received by Public Works Department.
To: Greg Butler, Building & Safety Manager
From: John Freeland, Senior Engineer
The Public Works Department has reviewed the above project and finds that:
O ... issuance of this Building Permit does not require Public Works
Department approval.
t ...issuance of this Building Permit is approved by the Public Works
Department.
reel
, Senior Engineer
a4figcet lvl ).doe - 4/18/03
10
Date'
4' '
Front Elevation
Scale 1/2" = 1'.0"
I
otal,rowil
LA Quirli7A.
Top View
Monument (M) - ,
Back side of monument sign to incorporate seating area.
Seat to be formed and smooth plaster finish applied
at same time as sign construction.
i
Total sign area: 32"x45" = 10 sq. ft.
Total monument sign area = 46 sq. ft.
Back View
W) Town
LA QvintA
client:
MARVIN INVESTMENTS
Project:
OLD TOWN LA QUINTA
Account Representative:
JIM CROSS
Date:
September 12, 2003
Revisions:
client Appro-h
BEST
1550 5. Gne Aulry Tnll
Point Springs, CA 92264
(760) 320.3042
FAX 760.320-2090
78078 Country Club Dr. suite 106
Bermuda Dunes, Ca 92201
(760)344.9115
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LA QUi,1tA
Clianf:
MARVIN INVESTMENTS
project:
OLD TOWN LA QUINTA
Account Representative:
JIM CROSS
Dme:
September 12, 2003
Revisloro:
Clierd Approval:
BWN
1440 S. Gene Autry Troll
F.Im Springs, CA 93764
1760)320.3047
FAX 760-320.2090
78078 Country Club Dr. suite 106
Bermuda ounes, Ca 92701
1760)343.9114
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chem:
MARVIN INVESTMENTS
Pnslect:
OLD TOWN LA QUINTA
Account Ropmenlalive:
JIM CROSS
Date:
September 12, 2003
Revisions:
Smpad!
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rings, CA 92264
10.3042
1.320.2090
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