08-1121 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00001121'
Property Address:
78267 HIGHWAY 111
APN:
604-050-012-1 -000000-
Application description:
SIGN
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
8000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 ss:r �Dy42 License No.: 830131
Date: � � '43 Hiro
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 (5500):
(_) 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, 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.).
(' 1 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:
ti
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/01/08
Owner:
M & H REALTY PARTNERS
C/O PETER MERLONE
353 SACRAMENTO ST 21 4
SAN FRANCISCO, CA 9 1
�U
Contractor:SIGN
41945 ARDWALK, "L"
PALM DESERT, CA 92211 �FpTT,q
(760)776-9907
Lic. No.: 830131
-----------------------------------------------
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 the work 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 WAUSAU INS Policy Number WCJZ91442878017
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 o�czrr,_-,.
o II ith co pl . ose provisions.
7
ate: Oj
WARNING: FAILURE TO nRKERS' 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 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 tha mation is correct. I agree to comply with all
city and county ordinances and state laws relati o buildinMt*e,�entativesreb
of this cou ty to enter upon the above -menti ed prope
Dat : % dp ature (Applicant or Agen
Application Number . . . . . 08-00001121
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . . 36.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/28/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
2.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL 3 INTERNALLY ILLUMINATED
EXTERIOR SIGNS PER SIGN AP # 20Q8-1264..
"LEISUREMAX"
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 36.00 .00 .00
36.00
Plan Check Total .00 .00 .00
.00
Grand Total 36.00 .00 .00
36.00
LQPERMIT ..
Bin #
Permit # ^
Project Address:
A. P. Number:
Legal Description:
Contractor:
C[ of City La Qu[nta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:.5
Address: , 11�
City, ST, Zip:
Telephone:
Address-
Project Description:
City, ST, Zip
Telephone:
State Lic. #
City Lic. #;
Arch., Engr., Designer:
Address
City, ST, Zip
Telephone:
- ._.'
Construction Type: Occupancy:
State Lic. #:
�'='' �
- Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft. # Stories: =#Ulits:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
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:-
3'4 Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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07/01/200B 09:37 7607777011 LA DUINTA BLDG DEPT PAGE 01/03
CERTIFICATE OF COMPLIANCE
rR���r KgMe
OOEl "
(Part 1 of
F7lNCl1QN TYP! ❑ O1 moue ur-HTING OU1TDOOR SIGNS
PHASE OF CCAIMUCTION ❑ NEWC6NSTRVG11QN ❑ ADDITIONS
sikFtc`I. f6MTQF CONIPUAIICE MEN
rtiheafe or camplancq. It" vumcer Ijg;; p system slpedflcz4 ns Mad io abmpiy with T'itl
Regrdslfors. Tfds ICOAMM&L- applies only to bulWirg pgMrrp.requiremenes.
The doheumanleflon pmparer hereby eertllles OW Ilse dowrnent fon is smxote and complete.
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pa11ElAI5FCuhtM'
L_.t INDOOR SIGNS
❑ ALTERATIONS
Pars 1 and 6 of the
The Pfisltxpal Llphdng D4ipw here y cer4lfgt that t5rrres the pro
.hpo trhdMr Gghling and $" dealpn MKftsented to thl= sst 4r *Mnbu[jien doMwMr z
13 oansidenf Mftl UMr ether eotnQWr>cae arrd wpksh wtlh iha spadllpalloels, end whh any 00W eadwtstlorta t 6nuiftd wih this permh
aopllaflorr. The brtlPosed busk" has been drsigned to meel titre 994ng rmulmmprft contained an the opplknble pert% of :5ecrkns t1A, 119,130
Ihmugh 132, M, and 14AalTllie 24, PM 6, Please we one:
t hereby aftiml that I am aCrgilble under the pmvlslons of Division 3 of the Businelle and Prallamione Code to sign this deeurknl es the parson
responaibie for Ms preperwpen; and mat I am licensed In tfa Stale of Caalomld- es a cM angineor or efectMeal onginear, or I am a licensed
at�hlted.
❑ 1 afire that I am rtgipty under the P Aslone of OMdon 3 of to Duslnata and PruNwIons Code by section 5537.2 or ST37.3 to sign this
document as the per"n rt:sim*10e III Its praptn *m: and thel I am a Ilkensed confractar perfaming this worm
❑ I MWM Ilnt I Mun aHgible under 1hs provtslons of DhAaton 9 of *he Buciness and Profeszlons Coda to sign N* documeru because It pert lha; to e
strudwa or type of work desalbee as sxempt puesuant10 Beainesa and Profsesiaq Code Se lions 5537.553a and 6737.1_
— Whose =edicns o1 ttua BlitlrlCt:9 hnd Pf0kMWfl ; Cede ere ortrsted In lull In a,e Manthsn:dwgiml Kqt lah
2005 Nonrosroiendal Comp
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APM 2005
07/01/2009 09:37 7607777011 LA QUINTA BLDG DEPT
PAGE 01/03
CERTIFICATE OF COMPLIANCE {part 1 of 2
GENERAL f1lF{ RWAT101y
FUNIWIQN T"N ❑ OUTDOOR LIGHTING 4OiRi7OOR SIGNS r
PHASE OF ODNSTRUCTIOm 13 NEWC6NS'tRVC11pN Q ADDITIONS -
SYAT1iCa1ENT OF COMPLIAL4CE
Tft
G4rEificsla Of tnyaanae lici4 auCfad ilghtirq t}Isiarrl spexiacalicns+Hvd tm wmply with Tills 2t, Purls
RoptAsilors. This ca0iasia applies -only 10 Widina flyhing.regipremeras.
The doaaliemaflan P►epaW hereby ssrf%s that the doownenfaaon in amine Will aempisie.
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L_I INDOOR SION6
L] ALTERATIONS
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7hs PriAcipal Lipttdrtg IpW herebycefflas oWfjie pro uldOer Gghring and elpns dsdlan rWeseMed In this sbt Of OoresavcWn d c mrarltz
Is aansfshW w1tl'I " Olhlr compliance bmw and wuthock loft Itre rpadfgcelicme, and wilt any other cwrw sl Qrm Fut0ted VIM INS parmh
appllnWm The OMPORW buakkWhas bath designed lls meet Wa Kplt409 rmqufmmenks cantakwd in the spplk=W parts oF5ecftps Ila. 11%130
IhMUgh 132,140, and 14991 life 24, Pat 6, Ploane V one:
❑ t hereby mfCrm tttal I am ekjm* undar f4ta' pruWlplonz al DIVI=IOn 3 of the SwineaE and Pr'aIalsioma Code lb sign this daewiervl as Um pamon
mcpamRft for Its prapermsm; and itmt 1 am Ikernaed In this Stale of Calgornle• as a cm wvb'gw ar WecWcal anjnrer, gr I sun 4 Ihoemsed
vlr.►Ite,d•
❑ I aWM that I am aigibte under she pewAsiona of Glvhbcn's of ttte 9us40ess Snd Prnkrs61oma Cede by Sacsidh 5537.2 or 6737.3 to sign this
aocelmemt as fhe person +EsPOM411M forts Pr'eP1[atl= and d'itt I am a Ikence!d confeacw perfuming this vmd;.
❑ I affirm h1t I atn aHgible w d5w Ihs pmWslans Of Diyiston 3 of tie ■u■im>is and arofeaelamn Cads lo sl+7n bets daaulnanl be t*tae K pertakts la a
ntnjcwm Or We "aft delalmd of axemPt PLOE Mwit'la BLzinsis anti Prukido to Code Satdees 5537.=a an# 5717.1 _
Mesa saarlons of Via l3tlsfrle55 and PM%M flL COS! &M MrITteld k%fuil to dw Henn.odknlW rf. I 1
2005 Abiwasidenf/n! Corrryo
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STANDARD CHANNEL LETTER INSTALLATION
EM Cep YAda Elednbll EC
CLIENT:
GENERAL SPEC SHEET
EXHIBITED. OR
5" Aluminum Returns Acrylic Face
ADDRESS:
w/ 3/4" trim cap
Double Tube Neon or
/
Acrylic Few
DATE:
Single Tube as Needed
OUTSIDE OF YOUR
FILE NAME:
ULA raved
Electrobit Housings
DRAWN BY:
e
Mounting Detail
•
THIS UNPUBLISHED
DESIGN IS THE
Feria
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belwaa� lemon
Featanme ea R«rylred
PROPERTY OF
PARAGON SIGNS
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PERMISSION OF
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314'TrImCap
GTO VA,. Candull
PARAGON SIGNS
FOR YOUR
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VIOLATION OF THE
•
PERSONAL USE IN
Snort Slaeve Ela bll SS5
PARAGON SIGNS TO
CONNECTION WITH A
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PROJECT WE ARE
SI—h,g 5730.., 070
ART AND STAFF TIME
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THE CUSTOME
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IT IS NOT TO BE
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Landlord Approval;
Trenaformer in
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REPRODUCED.
APPROVED
nI�r�n\�nrrF,
JUN _l 3 "H
CITY OF LA QUINTA
PLANNING DEPARTMENT
EM Cep YAda Elednbll EC
wl di—d, td.aw'td.
EXHIBITED. OR
�(
SHOWN TO ANYONE
Acrylic Few
OUTSIDE OF YOUR
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ORGANIZATION
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WITHOUT WRITTEN
Featanme ea R«rylred
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PERMISSION OF
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PARAGON SIGNS TO
COLLECT FEES iOR
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ART AND STAFF TIME
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Dated U`r
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APPROVED
nI�r�n\�nrrF,
JUN _l 3 "H
CITY OF LA QUINTA
PLANNING DEPARTMENT
BBQ ISLANDS • JACCUZI SPAS • PATIO • BILLIARDS,
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