06-2567 (SIGN)n:
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
067.00002567 _ J
78740 HIGHWAY 111
643 -220 -004 -
SIGN
REGIONAL COMMERCIAL
14242
I hereby affirm under p nalty of perjury that I am
Section 7000) of Divisin 3 of the Business and I
UcerfS42/C6
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LA QUINTA FURNITURE LLC
1919 GRAND AVE #2A
SAN DIEGO, CA 92109
Contractor:
Architect or Engineer: BEST SIGNS, INC.
1550 S. GENE AUTRY TRAIL
PALM SPRINGS, CA 92264
(760)320-3042
Lic. No.: 524483
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/29/06
� 9 2005
SUN 2
Irt Y OF LA QUoN7A l
----------- r---------------------------------------------------------- - - - - -—
rRACTOR'S DEC TION
under provi/ndiy2l_�Icense
hapter 9 (commencing with
tats Code, is in full force and effect.
License N4483
OWNER-BUILDE ECLARATION
I hereby affirm under penalt of perjury that I am exempt from the ontractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: A city or county that requires a permit to
construct, alter, improve, demolish, r repair any structure, prior to is issuance, also requires the applicant for the
permit to file a signed statement that or she is licensed pursuan to the provisions of the Contractor's State
License Law (Chapter 9 (commencing wi Section 7000) of Div' ion 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the ba ' for the aIle exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a penalty of not more than five hundred dollars ($500).:
(_ 1 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 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 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.).
( 1 I 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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under enalty of jury one of the following declarations:
_ I have d will maintai certificate of consent to self -insure for workers' compensation, as provided
for y Section 3700 o e Labor Code, for the performance of the work for which this permit is
Y, is ed.
ha v and will maintain worke ' compensation insurance, as required by Section 3700 of the Labor
de, for the performance of t work for which this permit is issued. My workers' compensation
i surance carrier and policy numb are:
Carrier STAT FUND Poli Number 046001150105
I ce ify that, in the performance of the rk for which this permit is is ed, I shall not employ any
erson in any manner so as to become s ject to the workers' co pensation laws of California,
d agree that, if I should become subject the woikers' co enation provisions of Section
00 of the bor Code, I s II forthwith co ply with tho provisions.
D pplicant: —
WARNING: FA UR TOS CURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD ION TO THE COST OF COMPENE14TION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR C 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 restrictionsset fo his application.
1.. Each person upon hose ben his application is made, each person at whose request and for
whose benefit w k is performed er or pursuant to any permit issued as a result of this application,
the owner, and t e applicant, each ag to, and shall defend, indemnify and hold harmless the City
of La Quinta, its fficers, agents andemp es for any act or omission related to the work being
performed under r following issuance of this rmit.
2. Any permit issue• as a result of this application omes null and void if work is not commenced
within 180 days from date of issuance of such per it, or cessation of work /re
will subject
permit to cancel) ion.
I certify that 1 have read this a plication and state that the above inf anon is correct. Iply with all
city a d coun ordinances an state laws relating to building construc 'on, and hereby auntatives
of)hi4SPuntyfto enter upon above-mentioned property for ipspectio purposes.
or Agent):
LQPERMIT
Application Number . . . . . 06-00002567
Permit . . . ELEC-ELECTRICAL
SIGN
Additional desc .
Permit Fee . . . 39.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 12/26/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1-.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
3.00 3.0000 EA ELEC
SIGN ADDITIONAL CIRUITS
9.00
------------------------------------------------
Special Notes and Comments
----------------------------
4 INTERNALLY ILLUMINATED SIGNS PER
SA'
#06-993 "ROOMS EXPRESS"
Fee summar;- Charged
Paid Credited
Due
-------------------------------------
Permit Fee Fee Total 39..00
-----------------
.00 .00
39.00
Plan Check Total .00
.00 .00
.00
Grand Total 39.00
.00 .00
39.00
Bin #
City of La Quinta
Building ex Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Permit #P.O.
�
Project Address:] _ .O
Owner's Name: \--a
A. P. Number.
Address: �� l
Legal Description:
Contractor: — S C._ ,
Address: CJ �� -�
City, ST, Zip: ` CA Z 2-S
Telephone: 3,\o
Project Description:
City, ST, Zip:? A�
�.�
telephone.—
State Lie. #: S Z LA LA
City Lic. #:3-3{DS
Arch., Engr., Designer:
LA
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Z
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan'
2°" Review, ready for correctionsrissde
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval:
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning ApprovalCalled
Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
M