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0110-087 (ELEC)LICENSED CONTRACTOR 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. E; License # Lic. Class Exp. Date bate v s ' "Signature of Contractor 'OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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�o offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Cartier ,jT.p&,ri'.r f�tJ&i 1 Policy No. 1048Y7•41 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 those. provisions. Date: �� K /fK� Applicant ,lam 6.R�s14LAmr xtYa'.';' �ywarning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection rPo,s�es. Signature (Owner/Agent) M� �`%�°"� F� Date/,, BUILDING PERMIT PERMIT # DATE }� VALUATION LOT ' TRACT PAR 5 JOB SITE i ` ADDRESS,1 APN -OWNER CONTRACTOR / DESIGNER / ENGINEER 'MMURM SIGN CO. I zn :i-iL�SKS h I +� i� ° 1' i�ti�L: 46130 C'A POMN SIAN L000 CA 92130 'IND10 CA 92201 (;60)3473$66 C' € 123 USE OF PE/�RVWMIT d xq?�}�!,,Tf��fX1y'',44eA;<,9.[1y°• 1E{;,Yµ;(p:1gh&i%�fyAPTJPJ)t y'HA14NVU, LETTER STUN S; 2 "S3 iND( +V - �.J'd:fy.+�SJ:.� VALUATION L0 ESIME"MM C0,15T OF G'•OMM:rJ'CTA:ON Px�"'91 FIF pSUMMARY �q � y q(� y� W�:��y .7'�AXI d FUS. 411 FFIE 102 -000°ci'lFr0-V00 $45A OCT 0 8 2001 CITY OF LA QUINTA FINANCw n=PT I. T.3 E .PAT) � $0100 , RECEIPT DATE ✓ BY DATE FINALED INSPECTOR /i} ) 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 ' BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond FocOtigs 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 Plumbirq Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer C , nection Encapsulation Gas Piping Gas Test Appliances Final 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) COMMENTS: C r j�/��DT/�T jlri i�1CyL SIGN CO.,. INC 46-120 CALHOUN TREET INDIO, CA 92201 aAX(76)O)4347-0343 CONTRACTORS LIC.# 207136, C45,C10, C61 BU51NE55 NAME: THE FALLS PRIME STEAKHOUSE DATE: 9.5-2001 DESCRIPTION OF WORK: WEST ELEVATION e - This Is an original unpublished Brewing, created by IMPERIAL SIGN. It Is submitted for your personaives in connection with e project being planned for you by IMPERIAL SIGN, It Is not to be shown to anyone out. side your organization, nor fsittoberepro. duces.copledorexhibited inany fashion. CUSTOMER NAME: BILLY MIELDAZIS DRAWN BY *_BERTTORRE5 WORKMANSCOMP# 1424,837-99 MAIL APPRE55 : 155 5 PALM CANYON PHONE NUMBER 6-8664 CITY LICENSE # 815 JOB LOCATION: POINT HAPPY IN LAQUINTA FAX NUMBER CUSTOME APPROVAL LANDLORD APPROVAL 1!Y Npp. MII� Ra bt DOC\ y-�rr-- �1? SEG110N fYr1 p� Kllf: NIS .nro wnnm ,v.emFrowa:.a lv �+n .,.o.H..:ew una aa•a ear, eao a Nfe. oEw I.:e., taarrom.arou.i Fi woa. 9CNE: NIS NK,1 bpi V awn b �upaian ply .. . CUcie K unEorf 7s 5,_8„ Z0- l IFALLS 41tAO q) 1��' T=6" STEAKHOUSEI 1619 TOTAL 5Q. FT.=25.43 LBYJ ED CO MUNITY DEVELOPMENT DEPT SPECIFICATION: ATE ��d S 77E Illuminated Channel Letters EXHIBIT � w Red Flex Face: 20"- FALLS CASE NO. �� 6e�92 ! ~�-7tt � a. 10 - PRIME 16"- STEAKHOUSE Returns / Trim -cap: WHITE Tranoformero to be remotely mounted behind facia. (ACCE55 5Y CUSTOMER) .ao avrvpm I.n,n. w. w. woanrvodcc mpl A ewr GEO .OEc aVnnvn Npr enry C .11>" Woya, wIF aoscrwpNx ElN/SION SECIgN S: 1!Y Npp. MII� Ra bt DOC\ y-�rr-- �1? SEG110N fYr1 p� Kllf: NIS .nro wnnm ,v.emFrowa:.a lv �+n .,.o.H..:ew una aa•a ear, eao a Nfe. oEw I.:e., taarrom.arou.i Fi woa. 9CNE: NIS NK,1 bpi V awn b �upaian ply .. . CUcie K unEorf 7s 5,_8„ Z0- l IFALLS 41tAO q) 1��' T=6" STEAKHOUSEI 1619 TOTAL 5Q. FT.=25.43 LBYJ ED CO MUNITY DEVELOPMENT DEPT SPECIFICATION: ATE ��d S 77E Illuminated Channel Letters EXHIBIT � w Red Flex Face: 20"- FALLS CASE NO. �� 6e�92 ! ~�-7tt � a. 10 - PRIME 16"- STEAKHOUSE Returns / Trim -cap: WHITE Tranoformero to be remotely mounted behind facia. (ACCE55 5Y CUSTOMER) IMPERIAL CO.• SIGN NC 46-120 CALHOUN 5TKEET 1 N DIO, CA 92201 (1700) 700)1 347-3500 ( J AX (760) 347-0343 CONTRACTORS LIC.# 207136, C45,C10, C61 BUSINESS NAME: THE FALLS ('RIME STEAKHOUSE B DATE: 9-5-2001 DESCRIPTION OF WORK 50 U TH ELEVATION • This Is an original unpublished drawing, created by IMPERIAL SIGN. It is submitted for your personal use in connection with a project being planned for you by IMPERIAL SIGN. It is not to be shown to anyone out - side your organization, nor Is it to be repro- epro- duced, copied or exhibited in any fashion. r CUSTOMER NAME: B I L LY M I E L D AZ I5 DRAWN BY AL13EKT TORRE5 WORKMAN5 COMP # 1424837-99 MAIL A D D R E 5 5 : 1555 FA L M CANYON PHONE NUMBER 416-5664 CITY LICENSE # 815 JOB LOCATION: FOINT HAF Y IN LA QUINTA FAX NUMBER 11 CU5TOMER APPROVAL LANDLORD APPROVAL 3a"wa ;O cawe Nep� Nbbq �`. � M rom FEFvu:CN:[C!ION KNE. MS Eaa,rq wp, ma xcw M rov :obs porno rp mn rao,M WOaa am rnena a ea0 «nE< OFYu, «,art bprcUaOro t q 7-5 10'-3" '°I FALLSe�*01v" STEAKHOUSE " TOTAL 5Q.FT.=44' 5i'ECIFICATION5: Illuminated Channel Letters 24' FALLS 10" PRIME 20" 5TEAKHOU5E APPROVED BY COM UNITY DEVELOPMENT DEPT EXHIBIT CASE NO.. �� l Red flex Face - Returns / Trim -cap: WHITE Tramoformer5 to be remotely mounted behind facial (ACCE55 5Y CUSTOMER) Power to be by others Lettering to be mounted flush to wall, center on facial bands. FALLS1 � STEAKHOUSE IM�� q p!_�T j��-�JL, • SIGN a �j® INC 46-120 CALHOUN STREET INDIO, CA 92201 (760) 347-3566 ,fAX (760) 347-0343 CONTRACTORS LIC.# BUSINESS NAME: THE FALLS ('RIME 57EAKHOUSE WOFK , C45,C10, C61 WORKMANSCOMP# CUSTOMER NAME: BILLY MIELDAZIS 1424837-99 CITYLICENSE# MAIL ADDRE55 : 155 5 PALM CANYON 815 JOB LOCATION: 78-430.HWY 111, LA QUINTA DATE: 9-5-2001 DESCRIPTION OF WORK: 0 U TH ELEVATION This Is an original unpublished drawing, SIGN. k Is submitted created by IMPERIAL use fcr your personal use In connection with a being project being planned for you by IMPERIAL sideklanottobahowntoao- side your orgenlzetbn,nor isittobereone repropro- y duced, copied or exhibited In any fashion. U DRAWN BY ALBERTTORRE5 PHONE NUMBER 416-8664 FAX NUMBER -5 ,911 CUSTOMER AP RDVAL LANDLORD APPROVAL I STEEL FRAME AWNING WITH SECTION FOR ALUMINUM ROUTED / PLEX BACK COPY A5 5HOWN COLORS: AWNING # 4620 (BEIGE) 5UN13RELA / TOTAL WRAP (COLOR OF FABRIC MAY VARY SLIGHTLY DUE TO DIE LOT AT TIME OF MANUFACTURING) ALUMINUM PLATE: PAINTED TO MATCH POUTED COPY: WHITE PLEX ILLUMINATION: FLUORESCENT a 4' 32" 20' 12" ROUTED FACE METHOD OF ATTACHMENT ❑� 1" TUBE Z -CLI MIN. 5/16" X 2" LAG SCREW INTO 5TUD5 MIN. B g'A'L'LS 410$•STEAKH0.USE � �✓rJii`��tq�� sl��yu C White Flex 8' LETTER5+- Routed carrier plate Back-up with mechanical fastening Copy to occupy 75% of 14'+ - APPROVED By COMMUNITY DEVELOPMENT DEPT r Y_1i2--C' a /