BSIG2014-101178-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/25/2014
Application Number:
BSIG2014-1011
Owner:
Property Address:
78932 HIGHWAY 111
MICHEAL SHOVLIN
APN:
643080009
78932 HIGHWAY 111
Application Description:
(1) INTERNALLY ILLUMINATED MONUMENT SIGN [2013 ENERGY]
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$3,500.00
D
Q
�.
Applicant:
Contractor:
CERTIFIED SIGN
SEP q
CERTIFIED SIGN
0 OUTSIDE CITY LIMITS
2 5 2014
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
CITY OF LA QUINTA
LA QUINTA, CA 92253
_
COMMUNITY DEVELOPMENT DEPARTMENT
(951)928-2480
Llc. No.: :LIC -0005300
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.: :11C -00053M
Date: Contractor:
OWNER -BUILD DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 ) 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 Address:
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'
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 and policy number are:
Carrier: _ Policy Number:
_ 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 s Id become subject to the
workers' compensation provisions of Se 3700 o th bor Code, I shall forthwith
comply
ywi h those plows ns.
Date: Ii w 11 L Aoolicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND 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.
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 r ting to building
construction, and hereby authorize representatives is city t ter pon the above-
mentionoprope�,ty for inspection purposes.Date.Signature (Applicant or Agen
FINANCIAL •1•
DESCRIPTION
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
0.75 $52.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - YES
101-0000-42600
0.75
$52.50
$0.00
PAID BY
METHOD .
RECEIPT #
CHECK #
CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $105.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
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 $2.00 $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
MONUMENT SIGN, FIRST
101-0000-42404
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MONUMENT SIGN, FIRST PC
101-0000-42600
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSIGN: $205.95 $0.00
TOTALS:oo
Description: (1) INTERNALLY ILLUMINATED MONUMENT SIGN [2013 ENERGY]
' Y� }`i�-Y ��1�2�ry7�,,�... -� �3?PtF Y''�../. i �. � ti
Type: SIGN Subtype: Status: APPROVED
Applied: 9/2/2014 KHE
Approved: 9/23/2014 THA
Parcel No: 643080009 Site Address: 78932 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 25865 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,500.00 Occupancy Type: Construction Type:
Expired:
Yx
•7 � ^
Details: (1) INTERNALLY ILLUMINATED MONUMENT SIGN [HOBBY LOBBY] SIGN PERMIT NO. SA13-1730 [JW] THIS PERMIT DOES NOT
INCLUDE ELECTRICAL SERVICE OR RUNS TO ELECTRICAL POWER SOURCES - PER CONTRACTOR A SEPARATE PERMIT WILL BE
OBTAINED FROM ELECTRICAL CONTRACTOR. 2013 CALIFORNIA BUILDING CODES.
78850 HIGHWAY 111
ADDED $52.50 FOR OLD PLAN CK 13-1466. PER JJ
Description: (1) INTERNALLY ILLUMINATED MONUMENT SIGN [2013 ENERGY]
' Y� }`i�-Y ��1�2�ry7�,,�... -� �3?PtF Y''�../. i �. � ti
Type: SIGN Subtype: Status: APPROVED
Applied: 9/2/2014 KHE
Approved: 9/23/2014 THA
Parcel No: 643080009 Site Address: 78932 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 25865 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (1) INTERNALLY ILLUMINATED MONUMENT SIGN [HOBBY LOBBY] SIGN PERMIT NO. SA13-1730 [JW] THIS PERMIT DOES NOT
INCLUDE ELECTRICAL SERVICE OR RUNS TO ELECTRICAL POWER SOURCES - PER CONTRACTOR A SEPARATE PERMIT WILL BE
OBTAINED FROM ELECTRICAL CONTRACTOR. 2013 CALIFORNIA BUILDING CODES.
78850 HIGHWAY 111
ADDED $52.50 FOR OLD PLAN CK 13-1466. PER JJ
Process Summary
Applied to Approved,.
.. '. •: .. .,,v f aw •.. .r•t:+'. r`-Kye. � �:. �`. Fi`i 'iF.. •'t j_Y •_-' _
' Y� }`i�-Y ��1�2�ry7�,,�... -� �3?PtF Y''�../. i �. � ti
APN
ADDRESS
643080049
78850 HIGHWAY 111
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLANS SUBMITTED REPLACING EXPIRED P/C. PER BH 1 SET
TO P/W, 1 SET TO PLANNING VERIFYING NO CHANGES FROM
ORIGINAL
PLAN CHECK SUBMITTAL
KAY HENSEL
9/2/2014
STRUCTURAL SENT TO YOUNG ENGINEERING DUE 9/9/14
STRUCTURAL BACK FROM YOUNG - RFC.
STRUCTURAL ABLE TO BE APPROVED BY T.H. PERMIT BUILT
AND PRINTED
000F
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Fars
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Murky,
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Printed: Thursday, September 25, 2014 12:54:24 PM 2 of 4
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• �
NAME TYPE
NAME
ADDRESS1
CITY '
STATE
ZIP PHONE FAX EMAIL
APPLICANT
CERTIFIED SIGN
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
BY
HOURLY PLAN CHECK -
CONTRACTOR
CERTIFIED SIGN
0 OUTSIDE CITY LIMITS.
LA QUINTA
CA
92253
YES
OWNER
MICHEAL SHOVLIN
78932 HIGHWAY 111
LA QUINTA
CA
92253
HOURLY PLAN CHECK -
Printed: Thursday, September 25, 2014 12:54:24 PM 2 of 4
tVCiFMC
• �
7PAI
CLTD
DESCRIPTION ACCOUNT
QTY AMOUNTD PAID DATE RECEIPT #
CHECK #
METHOD PAID BY -
BY
HOURLY PLAN CHECK -
101-0000-42600
0.75 $52.50 $0.00
YES
HOURLY PLAN CHECK -
101-0000-42600
0.75 $52.50 $0.00
YES
Total Paid for BLDG CITY STAFF - PER HOUR: $105.00 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
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
MONUMENT SIGN,
101-0000-42404
0
$72.52
$0.00
FIRST
MONUMENT SIGN,
101-0000-42600
0
$133.43
$0.00
FIRST PC
Total Paid forSIGN: $205.95 $0.00
�*
v.., ;.., �., i �l ;.,.� T..,:W,.:.t k Wim- .ny # 3 :.i�. _i1b b f :.i. ,. ;n G$.Y t`i`.�. ..x.
Printed: Thursday, September 25, 2014 12:54:24 PM 2 of 4
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Printed: Thursday, September 25, 2014 12:54:24 PM 3 of 4 ��cycrFM�
PARENT PROJECTS
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
STATUS
REMARKS
NOTES
DATE
The edge of the sign closest to Highway 111
should be at least 15 feet from the north curb
TRAFFIC
NAZIR LALANI
9/2/2014
9/11/2014
9/9/2014
COMPLETED
face of Highway 111 to make sure that the sign
does not restrict sight distance. This dimension
should be shown on the plans.
Contacted Michael Shovelin 9/23/14 and asked
TOM
APPROVED
for document to show that sign is in common
NON-STRUCTURAL
HARTUNG
9/2/2014
9/23/2014
9/23/2014
W/CONDITIONS
with cond
area and not on Taco Bell site. Permit may be
issued once that is received.
STRUC RFC
STRUCTURAL
BUILDING
9/2/2014
9/17/2014
9/23/2014
APPROVED
Notes made to plans. Structural Approved TH
BUCKET
9/23/14
ASSIGNED TO JW 9.2
PLANNING
JAY WUU
9/2/2014
9/16/2014
9/10/2014
APPROVED
HOBBY LOBBY ?
NO PLANS FOUND
Public Works has the following Comment:
1. 9/8/2014 4:55:03 PM (NAZIR LALANI)
BRYAN
APPROVED
The edge of the sign closest to Highway 111
PUBLIC WORKS
MCKINNEY
9/2/2014
9/16/2014
9/9/2014
W/CONDITIONS
should, be at least 15 feet from the north curb
face of Highway 111 to make sure that the sign
does not restrict sight distance. This dimension
should be shown on the plans.
PUBLIC WORKS
I
TIM
9/9/2014
9/9/2014
9/9/2014
COMPLETED
JONASSON
Printed: Thursday, September 25, 2014 12:54:24 PM 3 of 4 ��cycrFM�
BUILDING
Permit Details PERMIT NUMBER:,
City of La Quinta BSIG2,614%19-_
ATTACHED PARCEL MAP 25865 AND SITE PLAN
SHOWING INSTALLATION OF MONUMENT SIGN
AJ ORTEGA 9/24/2014 9/24/2014 9/24/2014 COMPLETED IN LANDSCAPE EASEMENT ON TACO BELLS SITt -
APPLICATION MOVED FROM HOBBY LOBBY
ADDRESS TO ACTUAL PARCEL ADDRESS.
BOND INFORMATION
ATTACHMENTS
Attachment Type
CREATED
OWNER -
DESCRIPTION
PATHNAME -
SUBDIR°
ETRAKIT ENABLED -
PARCEL MAP NO -25865
PARCEL MAP NO -25865
DOC
9/24/2014
AJ ORTEGA
- MONUMENT SIGN
-MONUMENT SIGN
0
LOCATION
LOCATION.pdf
SITE PLAN -
SITE PLAN -
DOC
9/24/2014
AJ ORTEGA
MONUMENT SIGN
MONUMENT SIGN
0
LOCATION
LOCATION.pdf
Printed: Thursday, September 25, 2014 12:54:24 PM 4 of 4 ��CyC iFMC