12310 (SIGN)Building
Address 78_962 HWY 111
Owner
HcDonalds
Mailing
Address Same
Qui nta,' � Z92253
Contractor
.Ad -Art Sighs, . Ine:
Address
19603 Figueroa,Street.
zip
State Lia
& Classif. C-1.0*/45 -271211
"Arch., Engr.;
Designer
Address
.r.
P.O. BOX 1504
78-105 CALLE ESTADO"
LA QUINTA, CALIFORNIA 92253
Tel.
Tls $i t`0
Ci'' "
L'ic.ty# LIN ( n
Tel.
City ..IZip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3,of the Businessland Professions Code, and my license is in full force and
Jf.
16NATURE DATE
t " OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness and Professio4,Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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).
O I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property whoi
builds or improves thereon and who does such work himself or through his own employees,
provided that' such 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 didnot build or improve for the purpose of sale.)
0 I;*as owner'of the property, am exclusively contracting with licensed contractors to con-
struct;lhe-project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certifie copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company til17 !) {) t i
COCAPy°is filed with the city ❑ Certified copy is hereby furnished.
r
Q -� •= � CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name I
Lender's Address
.This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
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 lepresentat Ives -of this city to enter the above-.
mentioned properlyfor,iinspection purposes. ` �R f
8�Lg 1 t r5 l` . /�
Signature of applicant j v� T , Date 7
Mailing Address w'2 t tf '' i(t, tl� �• ►"
City, State, Zip
4 tQ T ie'
No. 12310
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description (9) .building signs
t 4 3 ground signs
�q. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Del:
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL 1_15 . DID
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line "—
FINAL DATE INSPECTOR
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
t
SLAB GRADE
� r Cy r
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING -
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SO. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
'-
FLOOR DRAIN
MECHANICAL FEES
_$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED,
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.,'
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
i
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
- • STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK `
- GROUND PLUMBING -
UNDERGROUND
A.C. UNIT
COLL. AREA
t
SLAB GRADE
'
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
'-
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.-�
�.a
FINAL INSP.
FRAMING
FINAL INSP. '1-
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
.r
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
�wA
Ownw McDonald's
Contractor Ad -Art Signs, Inc. f 9i
Poo., it Number 12 310
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
"ADDRESS 78-962 Hwy 111
(9) Building signs
(4) ground signs
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
Ior►I Ir;H PLUMBING
• �� �� � •• °� �' � R. "KIRK"
BUILDING INS D R OR II
P.O. BOX 1504
18-495 LA QUINTACCALIFORNIA 92253
(619) 777-7012 :D
FAX (619) 777-7011
cvrc0Ie%0I ATLA _
R. "KIRK" KIRKLAND
BUILDING INSPECTOR II
P.O. BOX 1504
78-495 CALLE TAMPICO (619) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (619) 777-7011
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
1LL;JMIRATr7D Sl;6N
I-XTF-RiOR PLAi -FAINT I0�
CORNICE TRIM t FAl
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AND ALL AMICABLE CIDD
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OR PPJVEKAY. AAaN JPIVMTER5 70 M
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4. VA5ES FGR FLACWOL_L-, AFW BY THE iEtENEvAL GL7NTPa-AcrTM k r-1
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LOf,AT1045 SHALL BE r-11NEp TO ALLOF•t FOR T1! MST
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6. TFFE C.ONTR TG'R BALL C4LC�*t Tix P-MTH AI,.L. VVOTr G AMC5-
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PRAyIIN&S J=OIa i1T1LITY 5M'ylrZ ENTRARC-E LOCATIOW?. WM AND
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Csl{�f,111TIN�r-
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8- FINISH r"I-< AND r W,13 ELEVAT OG 6 SKALL BE 6' Mk7VE-- FPNldI
PAVNT
q ALL LAXVS6AFC A5Zt-A5 SHALL BE RCUCrH 6iZNOF-O TO 6' BELOW
TOP OF AU "ALKS AND Gt1R45. MW5H &RARING. LAM? ARW5.
AN V SCMIWLER $YSTET'6 ARE 5T THE 0"IEW +4TCR.
10. LUT U&HIM& C RET-a ql-ocTiN05 TO c4iNT-QRHi Wl7FI THE SQ11_5
REPORT R[�,Ol-HEM A710" FOR Ml• PkRTIULAR SITE
II- YtFZr-Y E%UAGT SIZE. HEk�i4T- 0MMTAT10H, TY>E A16V LocATIOII
OF 546, L* 074 HGAPONALD'5 PI NT MANASER.
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PAVING 5PEGIFIGATION
M1th I M.Tr"I J' TOTAL C-0MFP,G-rEP A-155P!-EAL.T TNOGK55)
r IM s(2MF'AOTION, E3.Al-7 E ANC PAYINC-r TO H'E4T OR EXGr:fp
REW1'11EI-CAT; N{ OF 50kL5 R,EFOiRT AND Mc.P0UA -P 5
PFZOJEC,T HANA ER, BUT IN NO CASE LE55 THAN 3' A.C.
OR 5' CoCIN1CRETE OVER, b" UA5F. �
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A.C. PAVkN6- 3' OVER &' DA -
b" CZW,. OVER 4" HA5E 0 3000 P51 v PRIVE TH€ U I_ARE
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$' C.CJWC. OVER I` SANO a 4000 I°5I e DELIVERY PAD �
Ip" c,�NG OVt�+t I" SA�f� a 4C�y0 ICI o 5H G�'.€�AL AOf�
ALL CA)F-'F'<RK TO ef 3000 P-5-I,
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