11743 (SIGN)Building 78-600 Hwy 111
Owner
John de Vries
Mailing
Address 78--600 Hwy 1I3.
City
..ua Quinta, CA J��922.53
Contractor
Blectrolight si,CjAs
Address ,v
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 11743
BUILDING: TYPE CONST. ' OCC: GRP.
A.P. Number
Tel
Legal Description
Project Description. Sign Desert Sound Waves
City
Ontario, CA
Zip
Tel
�7I9�345-3555
State Lic.
City L;bw
& Classif.
Lic. # 2792
Sq: Ft.
No. No. Dw.
Size •
Stories Units
Arch., Engr.,
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Designer
Address
Tel.
City
Zip
State
,-.
Lic. #
;
LICENSED;'CONTRACTOR'S DECLARATION
I hereby affirm that l am licensed under provisions of Chapter 9 (commencing with Section
000) of Division 3 of the Business and Professions Code,. and my license is in full force and
yeffect... y✓
-
SIGNATURE F DATE
' OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair -any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of,
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption..Any violation of Section- 7031.5 by 'any applicant fora- permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500):
- ❑ 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, Buisness and
Code: The Contractor's License Law does not apply to an owner of property who
-builds or Improves thereon and who does such work himself or through his own employees,
provided .that such 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
„ or, proving that he did not build or improve for the purpose of sale.)
Estimated Valuation
2,200.00
PERMIT
' AMOUNT
..Plan Chk. Dep.
- -.
Plan Chk..Bal.
Const.
Mech.
.
Electrical
-y i�Q '
Plumbing
.
• ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law..)
❑ I am exempt under Sec..B. B. & P:C: for this reason
S;M,j,
..
.30
Grading
.
Driveway Enc.
Date Owner
Infrastructure
141scet aneQL3E
. 00
WORKERS' COMPENSATION DECLARATION
' I'hereby affirm that I have a certificate of consent to self -insure: or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
r
Policy No.` Company
.Copy is filed with the city. ❑ Certified copy is hereby furnished..
j l j] ) r t, + '' •- S : JY '3
hS'
TOTAL
.,,.��
.�„:'�"A- b 9 . 3 u
+C
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE .
REMARKS
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.) - -
I certify that in the performance of tha 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.
' Date Owrier
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith*
comply with such provisions or this permit shall be deemed revoked.
ZONE: BY:
Minimum Setback Distances: lf
Front Setback from.Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. .(Sec. 3097, Civil code.)
Lender's Name
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Address
FINAL DATE •
INSPECTOR
This is a building permit when properly filled out, signed and validated, and'is•subject to
expiration it work thereunder is suspended for 180 days.
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 city to enter the above.. .
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT. ®
WALL SO. FT. ®
1
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT.® c
BATH TUB-
UB_SQ.
SO.FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL•
SQ.FT.GAR ® 3/<c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
R
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
• • L�
MIKE HARRIS
FIRE CHIEF
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 WEST SAN JACINTO AVENUE 9 PERRIS, CALIFORNIA 92370
(714) 657-3183
T0: BUILDING & SAFETY DEPARTMENT
DATE: d,& - c72
The Riverside County Fire Department considers its requirements met and hearby
releases the following project for
ADDRESS:— - ,i�Est-,a T sou Al A9 "'66r r
RAYMOND H REGIS
-cc: file 4,E ��' S�- �/3y
O INDIO OFFICE
79.733 Country Club Drive, Suite F, Indio, CA 92201
(619) 342 90 9 FAX (619) 7752072
Chief Fire-D-epartment Planner
PLANNING DIVISION
O RIVERSIDE OFFICE
3760 12th Street, Riverside, CA 92501
(714) 275.4777 9 FAX (714) 369.7451
❑ TEMECULA OFFICE
41002 County`Center Drive, Suite 225, Temecula, CA 92390
(714) 694.5070 • FAX (714) 694.5076
printed on recycled paper
INTE,.R.NALLY ILLUMINATED 4,HANNEL LETTERS,
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-E VATION.-
117
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kcac4e, Tri* +a an original dmo end t'he pf"rtr raF ELECTR4•LlT E
11 6 m 1G be wwd lie any !: =Vey the
6, n aiemanls horein io the p o�w.- ee ;,;Jug,:. Baal` "Coati
:p:os dn9i or "cistruCtion by Mar t§ar! rt.ITF. SK;CIS
1 x,4' - on thin design are prtmhibhod and A;MJ .. ..r 'e ul rertw y.
MAILI AI)DRE S
E LECTRO- LIT S1G N S
53" N T11 $T-
RANCHO CUCAMO A, C.A. L11 34k
PLOD CLAN
' I �a �T' ,t i. -. � '��,Tr-�Mr•rs.,1+••y'r�.r+�"+,i4W+M��,r
' w....�.� - �^..-•,arm- .-'.. `.
0PROVED BY PLAN%G DEVr OPMENTDEPARTMENT
DATE I
CAGE I`40. �� L ` 1—d.
Y h 7R
dT 17 7
DETAILS.''
Each 10er �,:f.n-, 24 gauge pall-0 I0U
light leak primed and
C1Elielt d�rhite r�tt~rM, +! enamek
Cxte6w
r"j ,_; rlil'a ;: I IIainips.
�:'a.ch le -r, m"r`tt�el ; :: i 1 by a minimum of 4
+' 1Cres ' .;!'; }'1 nylon shields as neeidadJ
..i ---;I
spacers
+ vie- Dal taken through ritstal
uandua , aha&i mAta-. *.-Aaway'(if: caquired) or
iransfor 6r irui.electrcAe hlous«qs
toils be i ea 6-w.-4 �►:� ifs 8 alii ions with thL�- exception of
r:iiagrarr I Wljer6)' c.h:jr!VLps covering clean
ilIecIgm i w;il be ,jse, . N ring direct to eIactroda)
A ACAS * fir in3,,AI iI front of,and hind wall
rr)ij; ba avaij- r,b is Lit -.Eme of installation.
D). "u, it -net ts to provide an i pproved
ele( icai sign. L r+ tr : rmhin- .1.0 unobstructed feet
of c n az limb of :nwa.11allpri,
.lr � TLE
' AV j
ri
()ATE-
ris
RACer AY THROUGH
I3EAO1 SITU
D
f, .Z)0U9L1Ea't c- rELEcTF)I)E!
Dii Y �..' 1 'E Vau8tNG.,,