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08-0233 (ELEC)0 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/08 Application Number: 08-00000233 Owner: Property Address: 78474 HIGHWAY 111 STE. A MADISON PTM LA QUINTA APN: 604-050-041- - - 78370 HIGHWAY 111, STE. 200 Application description: ELECTRICAL LA QUINTA, CA 92253 Property Zoning: COMMUNITY COMMERCIAL Application valuation: 2100 Applicant: Architect or Engineer: 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 Class: C45 D42 L ense No.: 637739 r Date: Contractor: t 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 ($5001.: (_ I 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 sate (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 I, 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.). I—) 1 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: LQPER IIT Contractor: kCIT�Y'OF PARAGON SIGNS 77650.ENFIELD LANE PALM DESERT, CA 92211EB 012009 (760)345-3340 Lic. No.: 637739 :A pU1NTe 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 STATE FUND Policy Number 1735081-2007 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 with comply ith those provisions. t Date: Applicant: WARNING: FAILURE TO SECURE'WORKER PENSATION 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 App cation 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 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 inspe purpose Date:. l © Signature (Applicant or Agent): Application Number . . . . . 08-00000233 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/28/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00, 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments (1) PERMANENT ILLUMINATED CHANNEL LETTER SIGN PER SIGN PERMIT 2008-1231 AND CHANGE OUT ON AWNING ACRLIC LETTERS "WOOD -JOY TEAK" 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 Jan 22 08 05:50p John Shoemate 7603609571 p,2 ?0 docurn-Won preparer heaeby oettifies that the dOwmerKatian a aeourate and complete. OOCUUENT�nnu ........... TZJ/NdEL The Principal Lighting Designer hereby eerYfiss Qrat the 2� D -- consistent with the *w Cn Outdoor bghdng and s(gns The prePoaed CWldin a4 tams end . with the sMdficationv. and with �n represented In this aet Of censbucUon dvw and 149 of Title 24, pan ig. p been to rrrt0t the liBhtirl9 re4t�iren+enls canbfned m the a� OMer �culoGorK cubndlLeA witlt 'is _ t^ente is One: PPUMNe parts of SeCWM 110. 118,130 through 32c, 1146. 13I hereby affirm that 1 am ellgilrie antler the prortrians or Division 9 or . !esponslble lot Its preparation; 'and drat 1 and licensed Business and Professions. to sign this d S1ate Or Calitbmia as a (Mengineer w ebdrC oo rnent as the person '�'o r a�i►m that 1 am fir. or I .am a GcenseE LI +dr61 M under the provlsions of Dlvl6ion 3 of the ardiAed. as the person MspanWble ler its preparation; and that 1 am a """ laid P'G'"sions Cods by sermon 5537.2 or 8737. Con'—for 3 to sign Iroansed W-1.0 this work. WS docr/nenl 1 affirm that I em hts doeunent because N e order type off utWO*ak the Provisions of DN Won 3 of the Business and Profelaims Cod or described as 04e"V Pursuant to Business and Prares3ions Code SeCNonae SSto sign 37,553C and 6737, 1. Pertains to a (These walons of uv--8uslneaa and Amw—,,,..a .._-_ - - . - - - 2005 Nonrestdentlaf COrnptlane*Fojms March 7005 EO/10 39Vd ldBG JQ-19 ViNInn di IIOZLLL09L 66;5I 8002/ZZ/i0 Jan 22 08 05:50p John Shoemate CERTIFICATE OF COMPLIANCE PROJECTNA— J 7603609571 p.3 Lighth9 Power aUowa Not Applicable ncos for general site illumination on OLTG•2-C Part 1 of4 2 of 2) OLTG-I-C U Lighting power allowances for local ordinances or for aeourl p ❑ Not Ap Iicable ty multi IiWS On OLTG2-C Part 2 of a 0 Lphlirlp power allowanoea lbr spw& apptleatlons. other than vehlola se ❑ Not Icable rations with �noPlat on OLTO.2-C Part 3 0l a ❑ Lighting PQ%W allowances for vehicle service station vanoples on OLTG-2-C Part 4 of 4 ❑ Not Applicaf Sign lighlIng compu&nce an OLTG4-C ❑ Not Apotheme Measures on Plans Show n On Ohrts d LW. n.— —, .. . Meets ----—a••••.�y vvu9mts and Equipment L`9 installed lighting power has been doEennined in accordance with § 13o(c)t ❑ Not Applicable ❑ All permanently installed luminaires with lamps rated over 100 walls either have a tamp efficacy of at least 601ume controlled by a motion sensor § 132(a) �IJAV Not livable ns per watt or are Luminaires with lamp�raladgMm�alerthm�175wattsinhi oor sales areas meet the rdsvape areas, including parkinglots,build)equreinenfs of § 132(b) n9 "trances, canopies, and au. ❑ Not AooliraNa U All permanenVy installed outdoor lighting mee Not ts the Control Requirements W § 13¢(a)1 ❑ ❑ Building facades, parking lots, garages, canopies, and outdoor sales Not Appfrcable trees meet the Multi -Level Lighting Requirements of § 132 (c)2 ❑ MANDATORY AUTOMATIC CONTROLS CONTROL LMATION crWVD'V 2005 ComWlance 2005 E0/Z0 39Vd 1d3Q 9tI1S d1NIIl0 10-1 TIOLLLL09L 69:ST 800Z/ZZ/10 Jan 22 08 05:50p John Shoemate -11---v 1J. J7 four rrfull r eL I Electronic Ballaals wlgr �♦ V @ rn OUW Frequency of 1 E 2pWz or more CFl6 not cordalning Medium Screw Base Sodtels 60 Q1 y . z d Berner Coal Fluoresew, Lamps `O (v (includes moat TS and To = lamps) �+� d light Emilling Olode O H ` (LED) 89 0 j D Neon and Cold Calhode a $ o Pulse Slant or Ceramlc E Metal "afide a f High PreBsure Sodium -1 :9 Is G Smaller than 1(7 Y/N e yC gi Tow Designed a Sign Input walla Number of aanasb In Sign Number of OR Lineal Feet of Lamps CDC E R S -J Lamp TYPO Of . , o Allotted weds (o x F) \ E a Allotted LPD 02 or 2.3) W a V a (w/fee Z hi 0 WOrr4dry (1) OR Q a E]d ur;llr(E) rllumrnaled 11 Sign Area (fl2)11 N�1 Z u L- v u t O X V Quantity of Signs V Z. a a Sign Symbol or Code I 7603609571 LA QUINTA BLDG DEPT rw a t v u y N O _ r � c L � � C o tv c lu A m � V C � C � D m lu > W '3 u o :3 yr E � ro � 5 E v tea` r o � N 'O C 72 c0 jp tz A 3 a Ev c C4 r N 7 N COD E t Q' P)«Q� �p �• W W C W E q C. m a E u ` ar m 3 t ui E A UD E cvl .E = as o zE oD lfl y 19 c CU Y E Q LB r u E E CD 3 C _ d 0 y c ,o li O U p Z •C a p.4 PAGE 03/03 Jan 30 08 04:12p John Shoemate .7603609571 p.l 01/30/2008 15:47 7607777011 LA OUINTA BLDG DEPT PAGE 01/01 710 .11/-:) 1/� hx TP 113-7011 Bin # vertttk sus!/') rrojectAddress: A. P, Number. t Contractor. LM Address: sO. City, ST, Zip: Telephone: S� State Lic_ 9: , Arch.. Engt., Designer: Address: City, ST, Zip: Telephone: Suttc Lic. Name of Contact Person: & Telephone d of Contact Person: Plan Sets Structural Coks. Truro Cakes. Eoargy Cale.,. Flood plate plan Arading plan Subcontactor List Grant Detd KOA. Approval fly HOUSE: Planning Approval Pub. Wkr. Appr SthoolFees City of La Quinta Building ei Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit APPIIQ ion and Tracking Sheet Owner's Name: 0 Address: 1/74 C', .tiT. Zip: , /� t�i f u s'NA Project Description: /it Lie. #: Construction T7 -1 -*0 -10 - Occupancy: Projecttype(cNew Add'n Alter Repair Demo Sq. Ft.: N Sttirit s: 4 Units: ' Estimated Value of APPLICANT: DO NOT WRITE BELOW THIS LINE Reed TRA *MG PLRMfl' F'Sti3 Plan (Meek submitted Reviewed, ready for corrections Called Contact person Plans picked up Plans resubmitted V Review, ready for correetion&%ue Called Contact Person Plans picked up Pian. rasobmitted '"'Review, ready for eorreclinnyquue Celled Contact Person Date of permit Ltule Iia Amount Plan Cbeelt Deposit Plan Check Balanct Construction Meehaniea! Electrical Pli mbing S.MJ. Gndialt .._ i)evetoper Impact Fee Permit