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BSIG2015-0015;•a 78-495 CALLE TAMPICO LA'QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT NG PERMIT Application Number: BSIG2015-0015 Property Address: 78965 HIGHWAY 111 u APN: 643020045 MAY8 2015 Application Description: MEDP05T URGENT CARE SIGN _ Property Zoning: COR1bI0Nl CITyOF LA OUIWTq Application Valuation: n DEVELOphIENTOE?Aq Applicant: ARCHITECTURAL DESIGN & SIGNS I 1160 RAILROAD STREET CORONA, CA 92882 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.: 714309 1✓ - Contractor. OWNER -BUILDER 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, 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. Q. Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/28/2015 Owner: WASHINGTON 111 LTD 80618 DECLARATION AVE INDIO, CA 92253 Contractor: ARCHITECTURAL DESIGN & SIGNS 1 1160 RAILROAD STREET CORONA, CA 92882 (951)278-0580 Llc. No.: 714309 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ose provisions. Date: Applicant: WARNIN : FAIL RE TO SECURE WORKERS' COMPE N 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. Date: Signature (Applicant or Agen : � r� DESCRIPTION FINANCIAL •' ACCOUNT l. QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 5/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ARCHITECTURAL DESIGN & SIGNS CHECK MR175 1101 MFA µ DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 5/28/15 PAID BY METHOD RECEIPT # CHECK # I CLTD BY ARCHITECTURAL DESIGN & SIGNS CHECK MR175 1101 MFA ' Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 $24.66 5/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ARCHITECTURAL DESIGN & SIGNS CHECK MR175 1101 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID` PAID DATE WALL/AWNING SIGN, FIRST PC 101-0000-02600 0 $87.02 $87.02 5/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ARCHITECTURAL DESIGN & SIGNS CHECK MR175 1101 MFA Total Paid forSIGN: $111.68 $111.68 TOTALS:.0$160.02 Description: MEDPOST URGENT CARE SIGN CONDITIONS Type: SIGN Subtype: Status: ISSUED Applied: 5/28/2015 SKH Approved: 5/28/2015 MFA Parcel No: 643020045 Site Address: 78965 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 32683-1 Block: Lot: 1 Issued: 5/28/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: 11/24/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: LED ILLUMINATED SIGN FOR MEDPOST URGENT CARE. PER 2013 CALIFORNIA BUILDING CODE RBELL@ADS.COM CHRONOLOGY CONDITIONS CLTD CONTACTS PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BY DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 5/28/15 MR175 1101 CHECK ARCHITECTURAL MFA' NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ARCHITECTURAL DESIGN & SIGNS 1 1160 RAILROAD STREET CORONA CA 92882 RBELL@ADS.COM CONTRACTOR ARCHITECTURAL DESIGN & SIGNS 1 1160 RAILROAD STREET CORONA CA 92882 RBELL@ADS.COM OWNER WASHINGTON 111 LTD 80618 DECLARATION AVE INDIO CA 92253 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BY DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 5/28/15 MR175 1101 CHECK ARCHITECTURAL MFA' DESIGN & SIGNS Printed: Thursday, May 28, 2015 3:43:20 PM 1 of 2 C SYSTEMS - CLTD - DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ARCHITECTURAL DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 5/28/15 MR175 1101 CHECK DESIGN &SIGNS MFk Total Paid forELECTRICAL: $48.34 $48.34 WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $24.66 5/28/15 MR175 1101 CHECK ARCHITECTURAL MFA FIRST DESIGN & SIGNS WALL/AWNING SIGN, 101-0000-42600 0 $87.02 $87.02 5/28/15 MR175 1101 CHECK ARCHITECTURAL MFA FIRST PC DESIGN & SIGNS Total Paid forSIGN: $111.68 $111.68 TOTALS:.0• .0 • INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INFORMATION ATTACHMENTS Printed: Thursday, May 28, 2015 3:43:20 PM 2 of 2 sysrEMs Bin # Permit # /' /1 ,(1 �� City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Project Address: Owner's Name: tLIC A. P. Number: J7 2.00 Address: Legal Description: City, ST, Zip: _ Contractor: Address: t Telephone: -17 Project Descriptiop: City, ST, Zip: g Telephone: State Li c. # : CityLic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: h one: State Lic. #: Name of Contact Person: Con tr Cons ucti n Type: e: anc Occu Y P Occupancy: 'tYProJect Pa (circle one): New Add' n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person 'z Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. • Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees a P.O. Boa 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLL TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 March 24, 2014 Ms. Billie Jo Williams ADS Companies 2950 Palisades Drive Corona, CA 92880 SUBJECT: SIGN PERMIT APPLICATION 2014-1759 MEDPOST URGENT CARE Dear Ms. Williams: The Community Development Department has reviewed and approved your request for two permanent building -mounted internally -illuminated channel letter signs on the southern and eastern building elevations of MedPost Urgent Care., located at 78-965 Highway 1 1 1. The approval is subject to the following Conditions of Approval: 1. This sign permit grants two internally -illuminated building identification signs. The total square footage for the sign on the southern building elevation shall be no greater than 27.23 square feet. The total square footage for the sign on the eastern building elevation shall be no greater than 35.46 square feet. The materials for the sign are per the approved plans on file with the Community Development Department. 2: If necessary, a building permit shall be obtained prior to any work on the signs being started. 3. The sign shall conform to the approved sign program for Washington Park. Should you h�ve any questions, please feel free to contact me at (760) 777-7067. IW ,U Associate Planner C: Building& Safety Division