BSIG2014-101678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSIG2014-1016
Property Address:
78742 HIGHWAY 111
APN:
643220016
Application Description:
(3) ILLUMINATED WALL SIGNS "RITA'S CUSTARD"
Property Zoning:
Application Valuation:
- $15,000.00
Applicant:
SAN DIEGO ELECTRIC SIGN INC DB
P 0 BOX 103
BONITA, CA 91908
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 Professions Code,
and my License is in full force and effect.
License Class: C45 License No.:,;Z0379
i _, _ %"
Date: � oContractor:
OWNER -BUILDER DECLARATION 11
I hereby affirm under penalty of perjury that I am exempt fromwe Contract' 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
($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, 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.).
(_) 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 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 Addres
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
P 4 LA QUINTA
78060 CALLE ESTADO
LA QUINTA, CA 92253
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Contractor: b
SAN DIEGO ELECTRIC SIGN
P 0 BOX 103
BONITA, CA 91908
(619)258-1775
Llc. No.: 750379
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Date: 10/1/2014
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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'
compensatio rovided for by Section 3700 of the Labor Code, for the performance
of the wo or which this permit is issued.
'1have 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: _ Policy Number: _
_ I certify that ih 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 forthwith
forthwith
comply with those provisions. C'1 . w fel /� A .f i -
Date:- Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO AGE I5UN ,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A CIVIL FOONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIO 0 T CCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 6OFODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 representative this city to en r on the above
mentioned property for inspection purposes.
� e
Date:' ` �—I Signature (Applicant or Agent):_
r
DESCRIPTION
FINANCIAL • '
ACCOUNT Y
QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
METHOD
RECEIPT # CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
- DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$49.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$49.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
3 DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSIGN: $210.32 $0.00
TOTALS:• ••
Description: (3) ILLUMINATED WALL SIGNS "RITA'S CUSTARD"
Type: SIGN
Subtype: Status: SUBMITTED
Applied: 10/1/2014 SKH
Approved:
Parcel No: 643220016 Site Address: 78742 HIGHWAY 111LA QUINTA,CA 92253
Subdivision: PM 25865
Block: Lot: 15
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: SIGN - (3) ILLUMINATED WALL SIGNS. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTIONI ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CBL YD
BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Wednesday, October 01, 2014 1:56:43 PM 1 of 2
CRSYS TEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
SAN DIEGO ELECTRIC SIGN INC DB
P O BOX 103
BONITA
CA
91908
CONTRACTOR
SAN DIEGO ELECTRIC SIGN INC DB
P O BOX 103
BONITA
CA
91908
OWNER
P 4 LA QUINTA
78060 CALLE ESTADO
LA QUINTA
CA
92253
DESCRIPTIONI ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CBL YD
BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Wednesday, October 01, 2014 1:56:43 PM 1 of 2
CRSYS TEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL**
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES `
DATE
_
T
INFORMATION
-
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID;
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
WALL/AWNING SIGN,
101-0000-42404
0
$49.32
$0.00
EA ADDITIONAL
WALL/AWNING SIGN,
101-0000-42600
0
$49.32
$0.00
EA ADDITIONALPC
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$0.00
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$0.00
FIRST PC
Total Paid forSIGN: $210.32 $0.00
TOTALS:0•
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL**
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES `
DATE
Printed: Wednesday, October 01, 2014 1:56:43 PM 2 of 2 CRWYSTEMS
i
BOND
INFORMATION
ATTACHMENTS
Printed: Wednesday, October 01, 2014 1:56:43 PM 2 of 2 CRWYSTEMS
i
Bin
.City of La Quinta
Req'd
• Building 8t Safety Division :
Permit #
P.O. Box 1504, 78-495 Calle Tampico .
lei
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Project Address: vl�
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
u
Address: 1a�
rTclephonc:
roject.Description: �(�.�
City, ST, Zip:
� kk
e ne
rieho .
P
..,.��
State Lic. # : So
#'
City Lie.'; 35.
Arch., gr., Designer.
Address:
:�ity, ST, Zip:
Title 24 Cala.
r e]e hone:
.... .
Construction Type: Occupancy: .
i
'tate Lc- #:
0ProJect type (circle ne)• Ne
Repair r
- Add nAlter Demo
lame of Contact Person:Sq.
Fr : �� (� # Stories: �{ Units:
Hlc�
'cicphone #,of Contact Person: ��-2
Estimated Value of Project: 1 5, G $J
APPLICANT: DO NOT WRITF RFI OW THIS 1 INF
H
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction `
Flood plain plan
Plans resubmitt.ed
Mechanical
;Grading plan
rJ Review, ready for corrcclionsrissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`d Review, ready for corrcctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scho61 Fees
Total Permit Fees