04-3759 (SIGN)Twit .4
BUILDING•& SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012 '
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 404-00003_759•--•-, Date • 5/25/04
Property Address 78474 HIGHWAY -111.
APN:.. .604-050-041-
Application description SIGN
Property Zoning . . COMMUNITY COMMERCIAL
Application valuation*.' 1400
Owner Contractor
MADISON�PTM LA QUINTA RIOFINE NEON
71361 SAN GORGONIO RD 68895 PREZ ROAD, I-18
RANCHO. MIRAGE CA .92270 CATHEDRAL CITY- CA 92234-
_(760) 322-6366
WCC: STATE FUND
-WC: 13718512004 03/01/05
-CSLB: 689256 05/31/06
-CCC:
C4 5
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Permit ELEC-ELECTRICAL SIGN
Additional desc
Permit Fee 30.00 Plan Check Fee'. 00
Issue Date Valuation 0
Qty. Unit Charge. Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00'
-----------.-
---------------------------'---_--------- - - -- -- - - --
Special Notes and Comments - w
ONE ILLUMINATED CHANNEL LETTER.SIGN PER
SA04-784 .� .
Fee .summary Charged Paid Credited Due
Permit Fee Total 30.00 .00 .00 30.00
Plan Check Total .00 .00 :00 .00
Grand Total 30.0 0 .00 ..0 0 3,00=0
MRY 25.2 04 5.2D04
CITY OF LA QUINTA
FIaIANCE DEPT.
• r
. , ....may
P.O. Box 1504 i -
78-495 CALLE TAMPICO VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 624- I
Date:
Applicant: Architector g
E '
CaN •
Applicant's Mailing Address:
nln •
Architect or E gi is Address:
.Lic. No.
BUILDING PERMIT DECLARATIONS
- LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1. am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my i m Ilderce and effect.
Lioense Class t�-#
� - ...License No.� _
AA a Y�
' Date Contractor
OWNER$UILDEk DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Pmfessions_Code)-orAhat he-or-she-is-exempt-therefrom-end-the-basis•for-the-alleged-exenoor—AnyNiolab ofsec4-o—n 70371-'S-
theby any—applicant for a permit subjects
applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 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 or 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 (wild or impriove for the t5urpose of sale.).
U I, as owner of the property, am exclusively corM acing 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.).
U I am exempt under Sec. BA P.C. for this reason.
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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 main$44wori ars' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
won a ensation insurance came ppgqlik. ere; permit is
Cartier Policy Number I 6.�
_ I certl that,.in the eAormance 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 Applicant' ra
WARNING: FAILURE TO SECURE W 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 3708 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES.
I herebyaffirm under CONSTRUCTION LENDING AGENCY
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
Lenders Address
IMPORTANT Application is hereby made to the Director of"Building APPLICANT SCKNOWLEDGEMENT
1. Each g Safety Apermit subject to the conditions and restrictions set forth on this application.
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, indemnity 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.
1 ceitify2hat 1 have read this application and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date T Signature (Applicant or Agent .
Eaat Elevation MAIN BUSINESS SIGN
Point Happy Complex
78-474 Hwy 111, Ste A
La Quinta, CA 92253
Internally illuminated, individual acrylic }aced channel let , v@ by:
:Tanning Commission
Letter Heights: Colors: Business Fr pgfo`mT
6
LA PALOMA: 10" Face: G-2287 Purple Overall Slgrt $%%01943.8�C�3.8 Sq Ft.
INFORMATION_: 8" Trim: Black
Returns: Black C�m ni D@V. Dept.
Initials ^ o <<
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SHT. METAL WALL ANCHORS
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WATER -TIGHT CONDUIT
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'REMOTE TRANSFORMER
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STANDARD ACRYLIC FAC
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ILLUUINATUD CHANNEL Lla T1R
(TYPICAL CONSTRUCTION)
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONST UCTI
7'
DATIi2 8�Y
Data Reso #
— RMN k A
+'esbu Irv. — -41-945--BOARDWALK, STE. L
Designer: Sign -A -Rama Cr tomer: 8052 Date: 04gjgi6R4 3:39:58 _ PALM DESERT, CA 92211
Comments: Approved by ! �,� ✓ -K 1J With Conditions PFAX (7iso��6-sB47
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