05-2022 (SIGN)P W.-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(:ii�•444Qsda
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:
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Owner:
Property Address:
.-05`00002022
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p
---------------------------------
APN:
78370 HIGHWAY
111 STE 15 e
MADISON PTM LA QUINTA
Application description:
604-050-048-
- -
71361 SAN GORGONIO RD.
Property Zoning:
SIGN
2005
U
RANCHO MIRAGE, CA 92270
Application valuation:
COMMUNITY
CITY OF LAQBIWA
Contractor:
Applicant:
Architect or E ineer-
FINANCEDEPT.
---------------------------------
IMPERIAL SIGN CO, INC.
46120 CALHOUN.
pq
INDIO, CA 92201
Lic. No.: 1424837
,W6 NSED CONTRACTOR'S DECLARATION
I hereby affirm under pe It f perjur r at 1 a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Divisi of the Bt ss ancl Professionals Code, and my License is in full force and effect.
Licens l///lana��tss6 License No.: 1424837
Dat . " ss�` ontractor.'
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 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 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 contractors) 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:
LQPERMIT
Date: 5/26/05
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 3566 Policy Number STATE FUND
_ I certify that, in the pert ance of the work for which this permit is issued, I shall not employ any
.per n in any m er so s to become subject to the workers' compensation laws of California,
n d agree that f I should ecome subject to the workers' compensation provisions of Section
3700 of the r I shall forthwith comply with those provisions.
te: ' `J pplica
WARNING: FAILURE TO SECURE ERS' 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 th a ab ve information is correct. I agree to comply with all
city and county ordinances and state laws relating g nstruction, and hereby authorize representatives
of this county to enter upo the above-mentione operty r i spection purposes.
ignature (Applicant or Agt):
�2 5� . -
Application Number . . . 05-00002022
Permit . . . ELEC-ELECTRICAL
SIGN
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 11/22/05
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
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Special Notes and Comments
1 SET CHANNEL LETTER SIGN - LED,
1
PRIMARY HOOK-UP,. PER SA#05-866.
"BAD
ASS COFFEE"
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
CLIENT IS RESPONSIBLE TO PROVIDE ALL ELECTRICAL TO DISPLAY IF REQUIRED.
9'-2"
P�Ia11at Floor South ElevationIsuNe 1551
scale: 1/8•=1'4Y
9'-21'
1'-6"
3'-8" 3'-6"
11.2" V B
FtF
I J)ASSA —L-
0571
SCALE: 1/2"=1'-0"
Shaoad Donkay Cabinet A BAC ASS COFFEE LFn Channel Letters
scale: 1/2" =1'-0" 6.0 sf boxed
"BAD ASS" Alum. Channel Letters w/ Pre -Painted 5" Gloss Black Returns
Channel Letters to have 278-0 Red Plex Faces w/ 1" Black Trim Cap
5LIp Red LED illuminated Channel Letters to have Remote LED Transformers
BAC Neon Donkey Logo :
"DONKEY" Alum. Channel Logo w/ Painted 5" Gloss Black Returns
Channel Logos to have White SG Plex Faces w/ 1 st Surface Vinyl & 1" Black Trim Cap Edges
Channel Logo illuminated w/ 13mm 4500 White Neon w/ Remote Transformers
"COFFEE" Alum. Channel Letters w/ Pre -Painted 5" Gloss Black Returns
Channel Letters to have 407-2 Yellow Plex Faces w/ 1" Black Trim Cap
Yellow LED Illuminated Channel Letters to have Remote LED Transformers
(1) 20amp CIRCUIT REQUIRED for NEON LOGO & LED CHANNEL LETTERS
1LLIED AWNING & Cllefft SAD ASS COFFEE
SIGN COMPANY Date last Revised: Z�o4�os
PH: (801) 972-5503 FAX: (801) 972-5670 SalesRepreseabe: DAvEM
'NOTE: COLORS SHOWN DO NOT ALWAYS DEPICT
1920 SOUTH 900 WEST, SALT LAKE CM, UT 84104
MAL COLORS OF COMPLETED DISPLAY
DE SMOMMMMMOUNMCOAM
LED
Illumination
�", OTE . t
EFa� f
RCI
�ynr.nen�� BU
0 ' C l
Y OF LA LA MINTA
.DING & SAFETY DEPT.
APPROVED
'OR CONSTRUCTION
DATEI -5_26.0 SR)
ADDIIfSVVt[3d bv��
O Planning r
Cl City Council
MIM Dev. Dei.
Initials
Case No. —=!�
Exhibit
0 with Conditions
Approved
Address: [A QU/NTA, CA
Scale: NOTED
DeSlgDer: RANDY
GENERIC LED / LOW VOLTAGE
"CROSS SECTION"
Trim Cap
Plex face
Led / Low
Voltage
Track
metal back
Meta I returns
.040 thickness
3/8"x4" toggle bolt or
3/81)x4" lag screw
= 1�
-Dry Wall
LOW VOLTAGE
CAPACITOR
THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS
OF ARTICLE 600 OF THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE
LOCAL CODES. THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN.
Circuit to sign location to be within 10' feet of CLEAR Workable "/Accessible area."AND may be subject
to be on a dedicated line and labeled as per City or County code.(s)
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