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0201-157 (ELEC)LICENSF;D'CONTRACTOR DECLARATIO,'J. 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 r 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 or 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:. Carrier Policy No. (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 hall not employ any person in any manner so as to become subject to the workers' not, 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 prisioris. Date: Z, /,4S, -42. Applicant ,' r..... — Warning: 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 purposes. Signature (Owner/Agent) -""�v'"" �' "" Date BUILDING PERMIT PERMIT# DATE VALUATION !dh LOT '"� TRACT JOB SITE APN ADDRESS• - OWNER CONTRACTOR /DESIGNER / EN INFER 21U5 QURV4:B AVE 78-595 H i.ghway i l l (11N'CAMID CA, 9176,' La Qi13-nta, GA 9225 a�1i:�1 ��•'J�•� � l �.Lv7``� USE OF PERMIT 11111 l�FM `;."r1`SIGNS �Y.R.".1h.n.r ti.IJ.l VALUATION Ls. Q a 00-4.20-000 MW- TRIttii L FU -E. � 103-000-4-20-000 4 JAN 1. 2 2 20900 CITYQ�UINTA �T.i3-��'i°�,�: s�CS'��'�'�t.�f;'��31'�.a7 :�� "�•:�`.�"Y ��rsta.il�a �.,t '� y«� y�q App y �• ` �{y�•q`� G+'".� °d�ly.o 1: J+�ro�a7�,i�.' .�! �'!�'•.L'akv ��i`�e .%4+J/Y7l �6!#"^t,�t�t,� RECEIPT DATE r. BY Sy/ DATE FINALED INSPECTOR 1 4; �' �-.� - 5.30 o� X INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms 8 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 POOLS - SPAS BLOCKWALL APPROVALS 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 Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbctures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power C. ^1 cLaar✓ 12 S - 30- 0 2� Final Utility Notice (Perm) r T 1 SITE PLAN HWY,lll 51GN #3 SIGN #2" BANNER MATTRE5 'It's Our Business to Attract Customers to Yours' LICENSED BONDED INSURED U.L.USTED STATE LICENSE # 696762 2128 S. GROVE AVE UNIT "C" ONTARIO, CA. 91761 D8W/C 5-9027 FAX (909) 338-5441 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTI DATE , ( B/oZ BY 1, ..APPROVTD Y BY COMMUNITY DEVELOPMEIVT DEPARTMENT EXHIBIT ell DATE CASE )VD, DRAWN BY KS SCALE 1/4" = 1'0" DRAWING #BM LA QUINTA DATE 10-24- 01 SITE ADDRESS: 78595 HWY 111 LA QUINTA, CA. I 51GN #1 2'-0 � � i -, K FACES = BORDER 3/4" WHITE ACRYLIC CENTER 2793.RE8-� � TRIMCAP = 3/4' GOLD (4a4 ��L✓( ILLUMINATION =15MM WHITE 30 M.A. RETURN5 = WHITE EXTERIOR ENAMEL COLOR5 A5PER CORPORATE LOGO 5IGN-50 5Q. FT. " N's Our Business to Attract Customers to Yours" LICENSED BONDED INSURED U.L.LISTED STATE LICENSE # 696762 2128 S. GROVE AVE UNIT "C" ONTARIO, CA. 91761 800 555-9027 FAX (909) 338-5441 CITY OF L AU 41 N* f, -,.. F BUILDING & SAFETY DEPT APPROVED FOR CONSTRUCTION G ✓� 25'—O " Lljl=oMIR "-J-1 � m _ r► FACES = 6ORDEP 3/4" WHITE ACRYLIC CENTER 2793-i�F� TRIMCAP = 3/4 ° GOLD ILLUMINATION = 15MM WHITE 30 M.A. RETURN5 = WHITE EXTERIOP ENAMEL COLORS A5PEP CORPORATE LOGO 51GN=50 50. FT. 'It's Our Business to Attract Customers to Yours' LICENSED BONDED INSURED U.L.LISTED STATE LICENSE # 696762 2128 S. GROVE AVE UNIT "C" ONTARIO, CA. 91761 800 555-9027 FAX (909) 338-5441 LA QUIFJA } <.. .. ?. t _ r DEwAa1TML 66-01, ExHiBI1 LEA5EFIPONT WEST ELEVATION DRAWN BY KS SCALE 1/4" = 1'0" DRAWING #BM LA QUINTA DATE 10-24- 01 SITE ADDRESS 78595 HWY 1 i 1 LA QUINTA, CA 51GN I 25-C " i� 0 LEASEFKONT NOKTH ELEVATION A "It's Our Business to Attract Customers to Yours" LICENSED BONDED INSURED U.L.LISTED STATE LICENSE # 696762 2128 S. GROVE AVE UNIT "C" ONTARIO, CA. 91761 800 555-9027 FAX (909) 338-5441 FACES = BORDER 3/4" WHITE ACRYLIC CENTER 2793YE� TRIMCAP = 3/4 " GOLD ILLUMINATION = 15MM WHITE 30 M.A. RETURN5 = WHITE EXTERIOR ENAMEL COLOR5 A5PER CORPORATE LOGO 51GN=50 50. FT. FC ITY OF LA Q �UfIN TA I BUILDING & SAFETY DEPT. e Ar3PRO,VED FOR CONSTRUCTION I DATE BY UEPAA—(mL,, SY DATE FMIDIT C� DRAWN BY KS SCALE 1/4" - 1'0" DRAWING #BM LA QUINTA DATE 10-24- 01 SITE ADDRESS: 78595 HWY 111 LA QUINTA, CA. to* . IF ID .DETAILS FACES = .BORDER 3/4" WHITE ACRYLIC CENTER 2793 RED TRIMCAP = 3/4 " GOLD ILLUMINATION =15MM WHITE 30 M.A. RETURNS = WHITE EXTERIOR ENAMEL 3/4" WHITE BORDER COLORS ASPER CORPORATE LOGO 51GN=50 5Q. FT. 17011011 h0l 1-70, -11 IN f tSol.L aw CITY ®FLA QUINTA BUILDING & SAFETY DEPT. i APPROVED FOR CONSTRUCTION { DATE BY WALL TRANSFORMER ENCL05EDIN 22 GA. SHEET METAL RACEWAY 0 DISCONNECT SWITCH LETTERS PEGGED OFF WALL WITH 3/4" SPACERS DRAWN BY KS SCALE 1/4" = 1'0" DRAWING #BM LA QUINTA DATE 10-24- 01 SITE ADDRESS: 78595 HWY 111 LA "It's Our Business to Attract Customers to Yours" LICENSED BONDED INSURED U.L.LISTED D C3 0 STATE LICENSE # 696762 2128 S. GROVE AVE UNIT "C" ONTARIO, CA. 91761 800 555-9027 FAX (909) 338-5441 22 GAUGE SHEET METAL TRIMCAP —ACRYLIC FACES I GLASS STAND NEON TUBE ELECTIZOBIT END CAP ! G.T.O.-15 WIRE' ENCLOSED IN ELECTROINT G.T.O. SLEEVING EACH LETTER FASTENED BY A I MINIMUM OF 4 #10 SCREWS WITH NYLON ANCHORS U.L. LII5'31 6v c�rd 11 �L'MkT BY DATE .......... CASE NO. CA. P:O. Box 1504 78-495 CALLE TAMPICO (7 60) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760)777-7101 January 10, 2002 Mr. Gary Wright Architectural Neon & Sign. Co. 74990 Joni Drive, Unit 3C Palm Desert, Calif. 92260 SUBJECT: Sign Application 2002-591 (The Pool Store) Dear Mr. Wright, The Community Development has approved your request for a business as identification sign at_ 78 -600 -,Highway 111,.per the attached plan. .The approval is subject to following conditions: - 1. Obtain a building permit prior to any work on the sign installation being started. 2. The bottom of the sign shall align with the bottom of the adjacent signs. This action is final unless appealed to the Planning Commission within. 15 days of the action. Please contact me should you wish to appeal. Should you have any questions, please call me at (760) 777-7064. Very truly yours, F JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner- encl. �1 c: Ed Randall, Building and Safety Department pAstan\Itr app sa 2002-591.wpd Fro U v E / / I 3)JOJLS 100d / 3H1