0110-080 (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.
License # Lic. Class Exp. Date
Date ' (Signature of Contractor _.4,2, 2
' OWNER -BUILDER DECLARATION t ��
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: `
( ) 1, 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 & Professionals Code).
( ) 1, 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&RC. 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:
Carrier ntkre F'ijt3L? Policy No. a 424037-03 -
(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 provis oris. ,�e1
Date: - �` T Applicant r�1/i :
f �6.,
Warnings Failbre to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made& each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purpose
Signature (Owner/Agent) �l �` -;o Date/ r,
111111,_.13MILDING PERMIT PERMITN
DATE VALUATION
�CD1.,3R S21AM LOT PA.. J TRACT
P.)'If£ .1 902$
JOB SITE
ADDRESS
APN
604a M-01.6
OWNER
CONTRACTOR / DESIGNER / EN (NEER
12555,M0111 BLUFF; ;t. 100E
46 120 C 47 WOUN
2s. X a1 f aC� CA 92130
:[t31:10 CA 92201
C 6U)347.3566 C:3iI* 223
USE OF PE��RppM`(I//T��qq[�Qpp
114TYMNAIXY iL:L+MIN TED Q;HAXNE1, L&TTIM4 SKINS; 2
3tif;7N-ILLt3fvSMTED ;11KN3 S (EX.PUM F kAME)
NFAMIATiON U-001 Ott LS
F.51UMTED COST OF Cry.W17rR1JC)r10X
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A`'�:ANRDAt �`.i1 ,T.�e Sl M1l.17J,�.� A
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OCT 05 1001 (J
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CBTY OF LA
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.F �
RECEIPT
DATE
BY
D TE FI
INSPECTOR
jjDLi
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
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
I Plumbing Top Out
Equipment Enclosure
Shower Pans
OX for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
`
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS w
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) r
COMMENTS:
—
'IMPERIAL
CONTRACTORS LIC.#
BU51NE55 NAME:
Express Frame
SIGN CO. , INC
207136, C45,C10, C61
CUSTOMER NAME:
44-489 Town Center Way
WORKMANS COMP #
45-120 CALHOUN STREET
INDIO, CA 92201
1424837-99
MAIL ADDRE55 :
Palm Desert
(760) 347-3566
CITY LICENSE #
FAX (760)347-0343
815
.JOB LOCATION:
La Quints PI_&Z�_
r
14'-9"
FAX NUMBER
J
BUIL/,'"' G 5
o
.., .50UTH ELEVATION
.• J . I v v all:
DATF f Y 4 A-5
pressfrarne
:oi^missioil
C) amity Council
Vi Community Dev. Dept.
Initials G,� - DAAArrA
Case No.. 'GA 2-001-'5101
e R e s o #
7E -'t41 vkoj% IV
DESCRIPTION OF WORK:
s 17
This Is an original unpublished drawing,
created by IMPERIAL SIGN. it Is submitted
for your personal use In connection with s
project being planned for you by IMPERIAL
SIGN. It in not to'be shown to anyone out.
side your organization, nor Is it to be repro•
duced, copied or exhibited In any fashion.
Stud
frame - Black
This is a original unpublished drawing created by IMPERIAL SIGN, It is submitted for your personal use In connection with a project planned for you
by IMPERIAL SIGN, It Is not to be shown to anyone outside your organization, nor Is it to be reproduced copied, or exhibited In any fashion
IMPERIAL
SIGN I✓O INC
•�
46-120 CALHOUN STREET
I N DIO, CA 92201
(760) 347-3566
FAX (760) 347-0343
CONTRACTORS LIC.#
207136, C45)C1O, C6,
BUSINESS NAME: Exre55 Frame
p
DATE: 8-14-2001
DESCRIPTION OF WORK:
This h, an original unpublished drawing,
created by IMPERIAL SIGN. It le submitted
for your personal use In'connection with a
Protect belay planned for you by IMPERIAL
SIGN. it Is not to be shown to anyone out.
aide your organization, nor Is It to be repro.
doted, copied or exhibited In any fashion.
11
WORKMANS COMP
1424837-99
C U5TO M E K NAME: 44-489 Town Center Way
DRAWN BY
ALBERT TORRE5
MAIL A D D R E 5 5 : Palm De 5e rt
PHONE NUMBER
773-9228
CITY LICENSE #
815
JOB LO.CATION:. La Quinta Plaza
FAX NUMBER
6740595
CUSTOMER PKOVAL
—L
LANDLOR APPROVAL
1 _
14'-9"
4
EASY ELEVATION
10
f
5PECIFICATION5:
16" Illuminated Channel Letters
Plex Face: express -blue - frame- black/white
Returns: to match Trim -cap: to match
NEON: white
Transformers to be remotely
mounted behind facia required.
Power to be by others
:Lettering to be mounted flush to wall,
center on facia bands.
This is a original unpublished drawing created by IMPERIAL SIGN, It Is submitted for your personal use in connection with a project planned for you
by IMPERIAL SIGN, It Is not to be shown to anyone outside your organization, nor.is It to be reproduced copied, or exhibited In any fashion
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This is a original unpublished drawing created by IMPERIAL SIGN, It Is submitted for your personal use in connection with a project planned for you
by IMPERIAL SIGN, It Is not to be shown to anyone outside your organization, nor.is It to be reproduced copied, or exhibited In any fashion
rZZINEE
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01-1 SNOIDYNINO-1
-,IMPERIAL
SIGN �O INC
.�
46-120 CALHOUN STREET
INDIO,-CA 92201
(760) 347-3566
FAX (760) 347-0343
CONTRACTOR5 LIC.#
207136, c45,c1o, c61
BUSINESS NAME:. Eicpre55 Frame
DESCRIPTION OF WORK:
This is an original unpublished drawing,
created by IMPERIAL SIGN. it Is submitted
for your personal use In connectionwitha
project being plenned'tor you by IMPERIAL
SIGN. it Is not to be shown to anyone out.
� ny
DATE: 8-142001
WORKMANSCOMP#
1424837-99
CUSTOMER NAME:�44-489 Town Center Way
DRAWN BY
ALBERTTORRE5
MAIL ADDRESS : Palm Desert
PHONE NUMBER
CITY LICENSE #
815
JOB LOCATION: La QUlnta'PIaza
773.9228
FAX NUMBER
6740595
L
LANOLO O APP OVAL
side your organization. nor is it to be repro.
duces, copied or exhibited in any feahlon:
51GN TO BE CENTERED
1699
NOTE:
5ANDBLA5TED 51GN
BACKGROUND: IVORY TO MATCH
COPY: BLUE & BLACK TO MATCH
BORDER: BROWN TO MATCH
OIGN FACE
1" TO 1 1/2" 5Q. 5TEEL
TUBING A5 REQUIRED
1"-1'-0" scale
1" BORDER
/3" RADIU5
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
September 18, 2001
P
F��FCpp�.
(760) 777-7000
FAX (760) 777-7101
Mr. Jim Engle
Imperial Sign Company
46-120 Calhoun Street
Indio, Calif. 92201
SUBJECT: Sign Applications 2000-568 and 569
Dear Mr. Engle,
The Community Development Department has approved your requests for signs for Best
Nails II and Express Frame in Plaza La Quinta. The approval is subject to obtaining
building permits prior to installation. Enclosed are two copies of each of the approved
sign plans for your u•se.
Should you have any questions, please call me at (760) 777-7064.'
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
STAN B. SAWA
Principal Planner
enclosures
c: Code Enforcement (without plans)
Greg Butler, Building and Safety Department (without plans)
p:\stan\Itr app sa 2001-568 '& 569.wpd](�