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04-5586 (SIGN)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 77777012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)'.777-7153 R Fee summary Permit Fee.Total Plan Check Total Grand Total Charged 15.00 .00 15.00 Paid ---------- Q0 ..0 0 .00 Credited .00 nn Due 15.00 . nn BUILDING PERMIT Application Number . . . . . 04-00.005586 Date 7/21/04 Property Address . . . 78945 HIGHWAY 111 APN:. .643-020-999-6 -30903 - Application description . . . SIGN . Property Zoning . . . . . . . 'REGIONAL COMMERCIAL Application valuation . . . . . 1800 Owner Contractor - WASHINGTON 111 LTD CERTIFIED SIGN C/0 -JOHN ANDERHOLT P.O. BOX 45 P 0 BOX 1.623 SUN CITY CA 92586 PALM,,DESERT CA 92261 (909) 928-4274 WCC: STATE FUND WC: 1651343 08/11/05 CSLB: 751584 ------------------------------------------------ CCC:. C45 .0.7/31/06 ELEC-ELECTRICAL ------------------ SIGN Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0. Qty Unit Charge Per Extension BASE FEE '15.00 -------------------- -Special Notes :andComments ONE ILLUMINATED CHANNEL LETTER SIGN PER SA 04-975'. ` R Fee summary Permit Fee.Total Plan Check Total Grand Total Charged 15.00 .00 15.00 Paid ---------- Q0 ..0 0 .00 Credited .00 nn Due 15.00 . nn P.O. BOX 1504 1�� VOICE (760) 777-7012 78-495 CALLE TAMP.ICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225344 INSPECTIONS (760) 777-7.153 BUILDING & SAFETY DEPARTMENT Application Number: t) cC — Applicant/+ N Applicant's Mailing Address: Date: ./_e_f ro 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 License is. in full force and effect. Li�G' 58� License Class C.y<' License No. Date /iii//�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from 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 stricture 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 1, 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. , B.& 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 self4nsure 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' com ensation insurance carrier and poli nu, r are: Cartier SitlT'� 'PLJ►_j ( Policy Number /to _ 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, I shall forthwith comply with those provisions. y Date 7, 21' 'f4_ Applicant 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. CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whim this permit is Issued (Sec. 3097, Civ. C.). Lender's Name Lenders 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 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 representatives of this county to enter upon hove -meat ned property for inspection purposes. Date ZI `� Signature (Applicant or Agent): — ssmY.) t-mft UK(m -- mvm*A�� • � ��y `E � •way.H Y.1PM.PP•I�IiA Ved U011 'Cul seM el a,� .; M 'wo114civ SDI Pn a um 4 m . wo «� �w .1. ae•... a m.n.. w h —v .YY aY.w k PGGjA b-U0jJ 0715 w YIJ11DdY�"m1�I11W�WN �W M.1m � � L � \ \ � YM611 CGYYOI 1ow,w r.wewl � +f . mom Y'A1 aFr mo. oa �..� "/ ^•� `\ al a •NNW wmY.M• I� " I wn•w yp0M1w aN3031 ::max �'� /��I ��/ACii —' 111 ♦YYY.IY — — Q_ _ —� _ •+`�\ YM•'+ �--� tSN0�1d33X3 ON ---T 1 3ida - 'NO1103dSNI a31nO3HOS b 80J 311S 3H1 NoilonHISNoo HOJ NO ION add add3 80f aNd SNdld (13AOHciciV a3AO8ddd 3H131 a33ddH3 3811W •ld3a A13AVS V oNi®line 0£$ 30 333 NOIAhSNI-38 V Nino v-1 j®1-aIo Gf 22'.-0" stm(O LETTER DETAIL SCALE: 1/4"=1'-0" CODE: 1 LINEAL FOOT FOR 1 SQUARE FOOT OF SIGN MAXIMUM OF 100 SQUARE FEET SIGN: 4.50 X 22.0 = 99.00 SQUARE FEET AppfOVe_ (f C) r°i:MIWCO ..1n(ng Com eso # h >3:V 1 ouinCll �- CO -11d tions 178'-9" 3 BUILDING ELEVATION SCALE: 1/16"=1'-0" Z_ OW 40 zra Wz F -c9 9''AA Y+ El M N O Ln U 2 LETTER SECTION SCALE: NOT TO SCALE MATERIAL DESCRIPTION M1 .063 ALUMINUM RETURNS. FINISH TO BE SPRAYED GREEN. .090 ALUMINUM BACKS. INSIDE OF LETTERS WHITE. ALL PAINTS TO BE INDUSTRIAL POLYURETHANE FINISH. M2 1" GREEN TRIM -CAP. M3 .187 FLAT GREEN PLEX FACES #2030. M4 15 MM GREEN BL33 NEON. M5 DOUBLE BACK ELECTRODES WITH U.L. APPROVED ELECTRODE BOOTS AND 15000 VOLT GTO WIRE. M6 CROSS BRACING BETWEEN RETURNS FOR TUBE SUPPORTS M7 1/4" WEEP HOLES AS REQUIRED. M8 2" X 2" X 3/16" GALVANIZED STEEL CLIPS WITH MOUNTING HARDWARE. 3/8" THREADED RODS WITH BLOCKING. M9 1/2" "SEALTITE" FLEX CONDUIT AND CONNECTORS. M10 30 M.A. NORMAL POWER FACTOR TRANSFORMERS (GROUND FAULT PROTECTED AND 2161 U.L. APPROVED). M11 20 AMP. DISCONNECT SWITCH ON OUTSIDE OF LETTERS. M12 J-BOXS AND PRIMARY ELECTRICAL LEADS BY OTHERS. S URGENT - ATTN: ELECTRICIANS TOTAL AMPS . NEW UL 2161 G.F.P. SIGN TRANSFORMER 9.21 PLUS 25% C.S. REQUIRE THAT ALL CIRCUITS MUST HAVE 11,50 AMPS. AT 120 DEDICATED HOT, NEUTRAL, GROUND TERMINATING AT PANEL VOLTS AC IGN MUST HE GROUNDED IN COMPLIANCE RTICLE6000FTHENATIONALELECTRICCODECIRCUITS REQUIRED E.R .- 20MP REQUIRED A w2 101 z a- W TJ C'cr WO Z= z Jz 3� eN vvia o-, iza z cc 3 W m 1 0pM ON 2Q 2r 2NLLI aW 2M c7Y �W Qv Opt ta11H OW ORIGINAL DATE DRAWN: MAY 25, 2004 SALES PERSON: THERESA TRIMMER DRAWING NUMBER: E04235-11 SCALE: 1/4"=I' -O" DRAWN BY: J.MUHRLIN REVISION DATE: A-5-28-04 JJM STEINMART LaQuinta, CA INTERNATIONAL SIGN & DESIGN 10831 CANAL ST., LARGO, FL. 33777 PHONE (727) 541.5573 FAX (727) 544.7745 WWW.INTERNATIONALSIGN.COM