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04-7301 (SIGN)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . G04-0-000.73Date 12/14/04 Property Address _ 78805.HIGHWAY 111 APN: 643-020-999-4 -30903 - Application description . . SIGN Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 10000 Owner Contractor ------------------------ -.---1---- ------------ "":• WASHINGTON 111 LTD ULTRASIGNS, INC. C/O JOHN ANDERHOLT 9025 BALBOA AVENUE P 0 BOX 1623 SAN DIEGO CA -92123 PALM DESERT CA 92261 (858) 569-1400 WCC: STATE FUND WC: 1711028 05/01/05 CSLB: 799881 10/31./05 CCC: C45 ----------------------------------------------------------=----------------- Permit ELEC-ELECTRICAL SIGN Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE .. :,.:15.00 1.00 15..0000 EA ELEC SIGN` 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc rj Permit Fee . . 117.00 Pi Che • e .76 Issue Date . . . . Val ati.on . . . 10000 Qty Unit Charge Per 0� �9 Extension 8.00 BASE FEE � C 1 4?Q0� 45.00 ------9_0000-THOU BLDG 2,001-2=5,000 OFA --------72_00- ------ ----------------------- �A� - Special Notes and Comments T Monument Sign, Washington Park --------=------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 2.10 Fee summary Charged Paid Credited Due ----------------- ------- -- ---------- ---------- ---------- Permit Fee Total 147.00 .00`• .00 147..00 Plan Check Total .76 .00 .00 ,._76- , Other Fee Total 2.10-- :00- .00 Grand.Total 149.86 .00 .00 149.86 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ ��/— ? O f Applicant: Applicant's Mailing Address: Date: /Z /9- of Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my Lise is its full force and effect. -7 41 License Class l _ �j License No. Date Z' Contractor I-, Le OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury teaexempt om the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 iss ed Mypkers' c mpensation insurance cam�aTd,policivalber are: Carrier S-Miq e C' %A. Policy Number 11 !S ``�_% _ I certify that, in the performance of the work for which t is permit is iss ed, 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, I shall forthwith comply withqTH rovisionss.. �1l Date_U- ��' Applic WARNING: FAILURE TO SECUREERS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL' FINES UP TO ONE HUNDRUSAND DOLLARS ($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. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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, indemnity and hold harmless the City of La Ouinta, 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 abo 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 n to enter upon the above-mentioned property for inspection purposes. Date `Z' f �� Signature (Applicant or Ag CITY OF LA QUINTA PLAN CHECK CORRECTION LIST Ultrasigns November 19, 2004 5450 Complex St. #307 San Diego, CA 92123 PLAN CHECK NO. 04-7301 FIRST/FINAL CHECK ADDRESS 78-805 Hwy 111 OCCUPANCY U-1 SCOPE OF WORK Monument sign TYPE -OF -CONST. V -N 8'x15' sign The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTAand the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. K Plans checked by: Hue Luu, PE VCA CODE GROUP 2200 W Orangewood Ave, Ste 155 Orange, CA 92868 (714) 363-4700 ext. #752 VCA File No. LQ -17034 0 1' STRUCTURAL TECHNOLOGY CONSULTANTS, INC 651 ARROYO DRIVE, SAN DIEGO, CA 92103 (619) 296-2096 FAX(619) 296-2196. PROJECT: WASHINGTON PARK, HWY III im WASHINGTON, LA QUINTA, CA PFJ. NO.: 231-346 DESIGNER: BT CLIENT: ULTRASIGNS ELECTRICAL ADVERTISING CODE: 1997 VBC / 2001 CBC WIND: Basic Wind = I 70V'-1 Exposure = �%' C Wind governs qs = 12.6 Cq = 1.4 Design Wind Pressures (pso : 0 '-15' 18:70 AREA FORCE ARM MOMENT 98.8 1848 3.19 5889 13.0/ 243 7.19 1747 1121 2091 7636 FOOTING SOIL PRESSURE = 150 x 2 x 1.33 = 399 PSF/FT (UBC TABLE 18-1-A VALUE x 2, PER FOOTNOTE 3 & 1612.3.2) P = 2091 LBS H = 3.65 FEET B= 2.00 FEET S1=SxD/3= 745.86 A=2.34xP/(Sl XB)= 3.28 D=.5xA(1 +(1 +4r36XH/A)^.5)= 5.61 FEET FORMULA PER UBC SECTION 1806.8.2.1 ,*% jmWfw-ITRII" _ ,ranF Atl 2'- 0 "DIAMx 51 - ;:'COLUMN `PIPE STEEL - ASTM A53 GRADE B S = 7636 X12/(1.33X22000)= 4.0 .d"PIPE'w= 10.8 #/ft t-- CITY = CITY OF LA Q BUILDING & SAFETY APPROVE FOR CONSTRUCTI DATE BY SHEET: I OF I DATE: 11-02-04 .. ................. .. ........ I ...... - . . . .................. . ..... .......... .......... ...... .......... ... .......... ................. ....� ......... .................... ..... wC(N Y• ` nn . . . .. . . . . . A ELEVATION p7F•y v ` '� :� �V1711 y TYP. 3/ 6161 TYPICAL SADDLE YP. rwwwww ww+��.a•"- °� GENE,- TES FO POLES AND FOOTING: E r'c=2500 FBI. TINSPECTION �w SPECIAL NOT REQUIRED:° FES p 'gll, 2. PIPE STEEL ASTM A53 GRADE &=1*00' E( 3. SIGN CABINETRY SHALL BE FABRICATED IN THE SHOP OF AN APPROVED FABRICATOR. N a 4. SOIL PASSIVE PRESSURE BASED ON 1991 UBC No.0 4 -a rn TABLE 18-1-A CLASS 4 OR BETTER. SPECIAL • INSPECTION NOT REQUIRED. (IF SOFT OR * SANDY SOIL, COLLAPSING OR UNSTABLE SOIL, Q' ORGANIC MATERIALS OR GROUNDWATER ARE I QF ENCOUNTERED, IMMEDIATELY CONTACT THE ENGINEER OF RECORD FOR ADDITIONAL FOUNDATION REQUIREMENTS.) _._ 5. PROVIDE SLOPE AWAY FROM BASE OF POLE. 78- 70S *Wy /// 0lf-73or