9711-039 (SIGN)`i
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
h
n 734 t„10 C45 8
,pato _ + Signature of Contractor 1
. ��
�V
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).
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 declaratiohs:
( ) 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.
STAT'1 FUND 473.96-00M.37(This section need not be completed if the permit valuation is for $1.00.00 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, l shall forthwithcomply with those pro�r'Is'6ns. �¢
Date`: 111,rlr (Applicant r11--
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'wliose behalf this application is made & each person -at
whose request and for whose benefit work is performed under & pursuant to
any permit issued as a result of this applicator 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 aboveinformation 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) X R i. Date.
` AV)v
Y IT
BUILDING PERMIT PERMIT# CONTROL#r, .,^...
G
DATE , VALUATION LOT 97.11-039 TRACT q K
$253 2
11114197 $25,000.00 V v
JOB SITE
APN
ADDRESS
7&685 .r`HGffiXAY I H
OWNER r
CONTRACTOR / DESIGNER / ENGINEER
EAGLE HARDWrAn-
QLTT 3L BROS, SIONS;TNC.
981 POWELL AVE S.W.
272 SOLTITI "i” STREET
RI?MZ)N 'VSA. 98055
SAN BERNA.RDINU 'CA 92410
(90)W-4476. CDL # 4439 . .
USE OF PERMIT
�Arcr�
WAIL STQN* PFIMVP 130LOLL HA1RDWARF
VALUATION 25,000,00 LS
IBMlI MI, 0 COST Of t.`Oi+STRUC•fION
25,0004.001
1'ERMff r, Ex. surwt1mm
GON.STRUCIION FfM 101-000-41$-000 $2S2.OtJ
4
t
SUB-'I"OTAL, CONS'!'tO.iIC I iN AND PLAN CRECK
LESS .PRL -PAID FRES
$0.0o
TOTAL PEltt'1ZIT FEE, S DUE NOW
$252.00
RECEIPT
DATE
BY i
J
DATE FINALED
INSPECTOR
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 I I
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
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
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 2 r
Utility Notice (Perm)
COMMENTS:
t
ECL-64/HCL-23
- n�q
63.97" GLE
ECL -64
22.65 W/n1LI1��VUL�.1�� � HCL -23
34'-4"
` (412")
SCALE 118"= 1'
ECL -64
183SQ. FT.
MATERIAL:
Letters:
Logo:
Letters:
.060 ALUM. BACKS
.060 ALUM. BACKS
8".040 RTNS.
51/4".00 RTNS. PRE PTD COIL
RTN.. TO MATCH
FENS. PTD. TO MATCH
#2157 RED PLEX
#2157 RED PLEX
FACES:
Logo:
Letters:
3/16" WHITE H.I. ACRYLIC
3/16" #2157 RED PLEX
1ST. SURF. VINYL
2' STD. RED
3630-36 BLUE
(JEWELITE)
(3630-33 RED FOR EYES
AND MOUTH)
2" STD. RED JEWELITE
.ELECTRICAL: --
-
(4).20 AMP CIRCUITS REQUIRED
Logo
Letters
FLUORESCENT LAMPS
15MM CLEAR RED NEON
ROWS AS REQUIRED
30 MA TRANSFORMERS
MANUFACTURING/INSTALL:
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
NO SILICONE OR FOAM PADS ON RISERS
D.V.S. LOGO ON EACH END
X CHECK APPROPRIATE BOX
HCL -23 64.8 SQ.
FT.
MATERIAL:
.040 ALUM. BACKS
5Ya 040 RTNS. PRE -PTD COIL
RTN. TO MATCH
#3630-36 BLUE VINYL
FACES:
3/16" #7328 WHITE PLEX
1ST. SURF VINYL OUTLINE
(3630-36 BLUE)
7/8" +/- OUTLINE
(ADJUST FOR STROKE)
1" BLUE (JEWELITE)
--ELECTRICAL:
1) 20 AMP CIRCUITS REQUIRED
MM WHITE NEON (ROWS
5AS REQ.)4500
EGL
30 MA TRANSFORMERS
MANUFACTURINGANSTALL:
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
/
LA QUINTA CA. LAQ2
SELF CONTAINED - DISCONNECT BOTTOM LEFT EA. LTR. (LOGO "E" BOTTOM RIGHT)
EXPOSED RACEWAY - (20" x87") (8" X 8") (CENTER VERT.) .050 ALUM PTD. PMS 420 - DISCONNECT ON END - FLOAT 36" ELEC.
X T -CANS & FLEX CONDUIT
ALL SIGNS TO BE 120 VOLT UNLESS CHECKED HERE FOR 277 V.
Mnellt
Page 4
Eagle Date
Dwinell's Date
i..4U - -.. ....
I� ECL-64/HCL-23
GLECL -64
BALLAST TRANS 9/30F 12/30I' (2) 9/30F' 12/30F (2) 9/30F
° LAMPS 12/30P 7.5/30F
AMPS 120 AMPS 5.5 APM5 5 AMF5 5 AMPS 3 AMF5 5 AMF5
OA D WA MAA0JO&OHCL-23
TRANS 12/30 12/30 - 12/30 30 7.5/30
3.0 AMF5 3.0 AMPS 3.0 AMF5 3.0 AMPS 2.0 AMPS
j AMPS
i C) 1208 AC
t, ALUM RETURN WALL
T.C. �
�.2.2 1/2" FLEX
PASS THOU 2.9
;i` FACE— - - - -
�i 1/2" FLEX - - - -
_ .4 SWITCH
1 13/a' 1
l
UL 48-T1 D /.% 1�
k 2.2 GROUND �U
f# REMOTE / ELECTRO -BITS �� I
l Plt File:
FINAL
PRODUCTION
JOB #
k
I RACEWAY SEE DETAIL
• Page 4B
SCALE: 1/2" = 1'
X CHECK APPROPRIATE BOX
CECL-10 14.2 SQ. FT.
MATERIAL:
.040 ALUM. BACKS
5'/4" .040 PRE PAINTED COIL RTNS.
TO MATCH
#2157 RED PLEX
PTD WHITE INSIDE
1/8" #2157 RED PLEX
1" RED JEWELITE TRIM CAP
ELECTRICAL:
_(1) 20 AMP CIRUITS REQUIRED--
15MM CLEAR RED NEON (1 ROW)
30 MA TRANSFORMERS
MANUFACTURINGANSTALL:
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
NO SILICONE OR FOAM PADS ON RISERS
D.V.S. LOGO ON EACH END
RACEWAY .050 ALUM
PAINTED PMS 420
LA QUINTA CAL LAQ4
X EXPOSED RACEWAY - (10" X 8") FLUSH W/BOTTOM OF LTRS..050 ALUM PTD. PMS 420 - DISCONNECT ON END - FLOAT 36" ELEC.
T -CANS & FLEX CONDUIT
ALL SIGNS TO BE 120 VOLT UNLESS CHECKED HERE FOR 277 V.
Page 3N
ACCEPTEDBY:
Eagle Date
Dwinell's Date
r
1. ALUM LETTER
2.'.PLEX'FACE
3. BOLTS 'MOUNTING LTRS TO;RACEWAY
4. NEON
5. TRIM CAP
6. GLASS STANDS
7. P 300 HOUSING
8. RACEWAY W/ COVER
9. DISCONNECT SWITCH 7N PRIMARY
10. WALL
11.2"x2"x1/8" CONTINUOS ANGLE
12.PRIMARY,ELECTRICAL1/2":MIN. CONDUIT
13. 3/8"READY BOLTS AS REQUIRED
14. TRANSFORMER
15. `DRAIN HOLES %"'MIN..2 PER LETTER
III
14"
KIMPA
SCALE 1/4"='1'
CLCL-14 23.52 SQ. FT.
MATERIAL:
.040 ALUM. BACKS
5Y4".040 RTNS. PRE -PTD COIL
RTNS. TO MATCH
3630-36 BLUE VINYL
FACES:
1/8" #7328 WHITE PLEX
1" BLUE JEWELITE TRIM CAP
3/4" BLUE VINYL OUTLINE
ELECTRICAL:
(1) 20 AMP CIRUITS REQUIRED
15MM WHITE NEON 4500 EGL
30 MA TRANSFORMERS
MANUFACTURINGANSTALL:
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
NO SILICONE OR FOAM PADS ON RISERS
D.V.S. LOGO ON EACH END
RACEWAY .050 ALUM
PAINTED PMS 420
LA QUINTA CAL. LAQ3
X CHECK APPROPRIATE BOX
m
Im
.. &@A@wCLCL-14
CLCL-14 9/50 I 7.5/30
TRANS 2.4 AM f25 2.0 AMF5
'AMPS @ 120 VAC
nEXPOSED RACEWAY - (8" X 8-) FLUSH W/BOTTOM OF LTRS. .050 ALUM PTD. PMS 420 - DISCONNECT ON END - FLOAT 36" ELEC.
T -CANS & FLEX CONDUIT
ALL SIGNS TO BE 120 VOLT UNLESS CHECKED HERE FOR 277. V.
DMnelis'
ACCEPTEDBY:
Eagle Date
Dwinell's Date
e13
ALUM RETURN
IT.C.
\� 2.2
FACE ---V" 10
13.4"
UL 48—T3B
2.2
RACEWAY/ELECTRO—BITS
Plt File:
FINAL
PRODUCTION
'JOB
,,3/8" REDI BOLT
Ac
12" FLEX
-n PRIMARY
-Cw
n V "
MATERIAL:
.040 ALUM. BACKS
5'/4" .040 RTNS. PREPAINTED COIL
RTN. PTD. TO MATCH
#3630-36 BLUE VINYL
PTD. WHITE INSIDE LTRS.
FACES:
1/8" #7328 WHITE PLEX
1" BLUE JEWELITE TRIM CAP E
1Y2" BLUE VINYL OUTLINE
ELECTRICAL:
(2) 20 AMP CIRUITS REQUIRED
�15MM WHITE NEON 4500 EGL ~r'
30 MA TRANSFORMERS
MANUFACTURINGANSTALL:
RACEWAY INSTALL
(PAINT COLOR TO MATCH
FLUSH MOUNT LETTERS
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
NO SILICONE OR FOAM PADS ON RISERS
D.V.S. LOGO ON EACH END
X CHECK APPROPRIATE BOX
17-31/4"
3,0 2099 G�C�J
_! I ..Loom �aL�D
SCALE: 1/211
= 1
-- -ALUM RETURN`
r \T.C. �
FACE ---'P'
LA QUI NTA . CAL LAQD.
EXPOSED RACEWAY 8"z8" FLUSH W/ BOTTOM OF LTRS..050 ALUM PTD PMS 420 DISCONNECT ON END FLOAT 36" elec/
< T -CANS & FLEX CONDUIT REMOTE
ALL SIGNS TO BE 120 VOLT UNLESS CHECKED HERE FOR 277 V.
LA gUINTA
Eagle Date
Dwinell's Date
1 13/4"
j UL 48-T1 D
WALL "- - - ... .
2.21/2" FLEX
---).PASS THRU 2.9
�i 1/2" FLEX
SWITCH
2.2 GROUND
REMOTE / ELECTRO -BITS
1.
r
Plt File:
FINAIL .
PRODUCTION
JOB #
RACEWAY SEE DETAIL Page 13B
I
29 1/2" 15 3/4" I-
10„
3/30
3�- EACH "OUT"
CLCL-14 SQ. FT.
MATERIAL:
.040 ALUM. BACKS
51/4".040 RTNS. PRE -PTD COIL
RTNS. TO MATCH
3630-36 BLUE VINYL
FACES:
1/8" #7328 WHITE PLEX
1" BLUE JEWELITE TRIM CAP
.3/4" BLUE VINYL OUTLINE
ELECTRICAL:
T1) 20 AMP CIRUITS REQUIRED w T
15MM WHITE NEON 4500 EGL
30 MA TRANSFORMERS
MANUFACTURING/INSTALL:
INSTALL EYEBOLTS FOR LIFTING
UL LABELS TO BE VISIBLE FROM GROUND
NO SILICONE OR FOAM PADS ON RISERS
D.V.S. LOGO ON EACH END
RACEWAY .050 ALUM
PAINTED PMS 420
X CHECK APPROPRIATE BOX
1.1 AMP5 EACH
3/30 -
1 -EACH " 1N"
LA QUINTA CAL LAQ5
EXPOSED RACEWAY - (10" X 8") FLUSH W/BOTTOM OF LTRS..050 ALUM PTD. PMS 420 - DISCONNECT ON END - FLOAT 36" ELEC.
X T CANS & FLEX CONDUIT REMOTE
ALL SIGNS TO BE 120 VOLT UNLESS CHECKED HERE FOR 277 V.
DMnellt
ACCEPTEDBY'
Eagle j Date
Dwinell's Date
ALUM RETURN
T.C. \�
FACE ----w
it
1w,
I_
UL 48-T1 D
WALL
'� << 1
2.2 1/2" FLEX
PASS THRU 2.9
1/2" FLEX
SWITCH
2.2 ---GROUND
REMOTE / ELECTRO -BITS
Plt File:
FINAL
PRODUCTION
JOB
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51TE PLAN SUE PLAM
VISUAL
Since 1940
Colleen Murphy
Project Coordinator
SYSTEMS
1112 E. Nob Hill Blvd.
Yakima, WA 98901-3699
(509) 248-3772
1-800-932-8832
FAX (509) 248-0714
Voice Mail 1-800-388-8609
ext. 110
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