0102-208 (ELEC)LICENSED CONTRACTOR DECLARATION
n Vereby affirm under penalty of perjury that I am licensed under provisions of
L p'Iiapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessionals Code, and my License is in full force and effect.
] en _ License # Lic. Class Exp. Date
05ri 1/2(
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).'
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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.
(y ) 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 & policy no. are:
Carrier ' Policy No.
TAVE MOD
1Jrn0-1
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of tl .L'abor
Code, I shall forthwith comply with those provisions.
Date: > > Applicant-
Warning:
pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil'fines up to $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.
IMPORTANT. Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers,. agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
^i t}
Signature (Owner/Agent) (-�q ��� .,� .°y �: j- Date
BUILDING PERMIT PERMIT#
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OWNER
CONTRACTOR (NEER
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�/y+DESIGNER
'.1*00TMT1PXAH UNITY-)
LA,Q:Ua,,I;r.1 CA 92253
PALM SkIRIffCM C.A. 92262
(760)3.2-6366 03TR 3886
USE OF PERMIT
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RECEIPT
DATE (�
�,�L: f.1
BY
ti i.
DATE FINALED
INSPECTOR
INSPECTION RECORD
'iqOPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck,
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
P.O. Box 1504
78-495 CALLE TAMPICO `(760) 777'70'00 -
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-71011-1-1
March 19, 2001
C-41 '
Mr. Cesar Sandoval -
Riofine Neon
3500 Tachevah Drive
Palm Springs, CA 92262
SUBJECT: Planning Commission Action; -Sign -Application 2001-528, Amendment #1
Time/Temperature display for Jiffy Lube
Dear Mr. Sandoval:
This is to formally notify you that on March 13, 2001; the La Quinta Planning Commission
unanimously adopted Minute Motion 2001-004, approving the subject sign application as
recommended by staff. This action does incorporate the conditions as approved on January
23 by the Planning Commission (see attached). Please check with our Building and Safety
Department regarding issuance of a building permit for the subject sign.
This decision may be appealed to the Planning Commission, provided the written appeal and
filing fee of $175.00 are submitted to this Department within 15 calendar days of the date
of. decision. Please contact our office if you wish to file an appeal and we will assist you.
Should you have any questions regarding this information, please do not hesitate to call me
at 760-777-7069.
Very t[uly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DEVE/LOPPM-_ENT DIRECTOR
Wallace Nesbit _
Associate Planner
WN/wn
Encl.-
c Lqyqqiqg and Safety Department4
Code Compliance
Files: SA 2001-528
SA 2001-528, Amendment #1
CONDITIONS OF APPROVAL - FINAL
SIGN APPLICATION 2001-528
JIFFY LUBE
JANUARY 23, 2001
*Planning Commission changes in BOLD font
1. No portion of any sign face may extend beyond any element of the building
elevation. Sign letter height shall be reduced to 24", with the exception of the
letter ' j", which shall not exceed 27" in height.
2.The red sign cannister, as shown on the sign plans, and letter surround areas
shall not be illuminated, and the can returns shall be matte black.
3. All, signs are required to be individually mounted channel letters.
4. The south elevation sign shall not exceed 50 square feet.
5. The existing board sign advertising the .Lube Shop shall be removed prior to
issuance of a building permit for.any signs.
(� —0n -,m- Pfl (760) 344-6366 fOX (760) 344-9325
3500 1flCflfVflfl DR SUITE D PflLA SPRIn0S Cfl 94462
Draln holes It used In damp
or wet or outdoor locations
red back
time & tamp
Planning Commission
City Council
Community Dev. Dept.
tials �� --
se No.7�)I S Z `' �#
0 With Conditions
M) s
f�./%w Ga.p. /�-r-r✓rG•t-+t✓t� T� /P"l E.,rc�y �+T
ATTACHMENT 2 (P. 1)
.063
ao •
J*
�15
1:00
I►- Y3 --�
Anchor Bogs
brimary Electrical Source
Transformer Can
Transformer 120 V.
Flex and Listed CTO WIRE
exh#Ing box
�A
represented by Me drawing are owned by and property of Rkrfne
78988 hwy 111 Channel Letters
Ret urns: 13LAt K for use on and h connection with the specHied project
la quints Ca ucUdea& dasipnn._ausng =M&ALp1am-sbeLbemei
Face White or ds&sed to any person, firm or corporation for any purpose
Laifl�Nettn-
Wall varies In
thickness and n
Tube Supppoort
Neon TY�be
Acrylic Face
Draln holes It used In damp
or wet or outdoor locations
red back
time & tamp
Planning Commission
City Council
Community Dev. Dept.
tials �� --
se No.7�)I S Z `' �#
0 With Conditions
M) s
f�./%w Ga.p. /�-r-r✓rG•t-+t✓t� T� /P"l E.,rc�y �+T
ATTACHMENT 2 (P. 1)
.063
ao •
J*
�15
1:00
I►- Y3 --�
Anchor Bogs
brimary Electrical Source
Transformer Can
Transformer 120 V.
Flex and Listed CTO WIRE
exh#Ing box
�A
represented by Me drawing are owned by and property of Rkrfne
78988 hwy 111 Channel Letters
Ret urns: 13LAt K for use on and h connection with the specHied project
la quints Ca ucUdea& dasipnn._ausng =M&ALp1am-sbeLbemei
Face White or ds&sed to any person, firm or corporation for any purpose
Laifl�Nettn-