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0002-371 (SIGN)LICENSED CONTRACTOR 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. License # F Lic. Class Exp. Date 626W5 civ ova, 3%izui /ate -M -r,r Signature of Contractor—y--., %l �� 2!m � t I� .� V 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). t. ( ) 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. (.� I have and will maintain workers' compensation insurance, as required by Se , tion 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: CartierA v� Policy No. M=19'9 FU MID (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 the Labor Code, I shall forthwith comply with those provisions. ate: Applicant "*tee ij 1 'A p bri j Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to .the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. t Signature (Owner/Agent) / �`` r�'- Date BUILDING PERMIT PERMIT# !.04•3 7 1 DATE 0212 Z/ Zoo VALUATION S2,"0.00 LOT TRACT JOB SITE ,. APN ADDRESS la^�1L:? �1.lAls$A4V'tiA lA OWNER CONTRACTOR / DESIGNER / ENGINEER fN'�llt 'C J !'r"br A O. i; Y:'! 12r1rATf'' AT t°rVArTOn Z' 79-025WCpHWAY 111 25850 C33tllviis1:RS AV.ENL;E LA QU1'NTA (;A 92253 SUN CYl"Y CA 921586 (900,)072-0708 CR1,11 5 USE OF PERMIT iV1iSC:1sL.L.��Iv>'O g (i) MON-UND WOK d` K 10` X3TH) WIER YWL F%1 iJ� irift .t,, is S QNiM OEVS.A. 2000491 VAL VATIDI' -2,900.00 LS 6�Ti'd l�tatw.s• AI aMST01F-CON—SiAsUCC1110-INT out .00 C NSJRkX3'i0N.I-UE 1011--000-41"00 $54.0 r•1,F TRICNf,03F 101 -W -4204M $15,00 SUR -TOTAL. TAL COINMFIRUC110N AND PLAN CFrf,:,K $000 . LESS' PRE -PAVID KIES. S0.00 '1'E;)�•��l�.@'�;� MITi1+a� )?J:1+;1`jONV S9v9, 3 RECEIPT I DATE I BY /`d> 1 ;4 I DATE FINALED I INSPECTOR INSPECTION RECORD OPERATION DATE..-. I INSPECTOR OPERATION y DATE'.' `,INS OR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs /- co Underground Ducts Forms & Footings //UOL 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 Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) f • ' A & E ELECTRICAL SERVICE COMMERCIAL • RESIDENTIAL • CRANES P.O. BOX 508 MURRIETA, CA 92564 (714) 698-6608 To whom it may concern: This letter is to certify that Nancy Kashey has my full authorization to obtain permits. for my company,of which I am owner, A & E ELECTRICAL SERVICES. Nancy Kashey is authorized to ac* as agent and representative for A•& E ELECTRICAL SERVICES in all matters of a legal nature, pertaining to permits and licensing. Respectfully submitted, Everett Biss _ Owner State of California County of Riverside On this day of o -n ndeZ,l, 1995 before me, a Notary Public in and for the State of California personally appeared Everett D.Bissonette,personally known to me to be the person whose name is subscribed to within the instrument, and acknowledged to me that he executed it. Witness my hand and official seal OFFICIAL S ,,Z :�y`:• RCY KELLEHER NOTARY pUELIC CALIFORNIA RIVERSIDE COUNTY q?�n� My Comm. Expires June 20. 1995 HONESTY • INTEGRITY 10'-0" 4'0 11-0" APPROVED BY COMMUNITY DEVELOPMENT DEPT . BY DATE.. O'D EXHIBIT CASE N0. %-(M0-Ag_►r___ 0 Ka- - C-17 � ILLUMINATED DOUBLE FACE MONUMENT SIGN LOGO SECTION: Dodge Red Background with White Pentastar COPY SECTION: White Copy on Opaque Gray Background CASE & RETAINERS: Aluminum Extrusion Painted Black BASE: Concrete with Textured Finish to Match Bldg. DODGE CITY LA QUINTA, CA `7q-OZs- 9"y ))/ ' F' `.i.. s - b6 b 6-Z e- t 7- a/ a es�.Al- . LL J Ext. ALUM. Iw Co HaDC SIGNBDK (wr) 4" X 2'.X 3/1.6' STL. TUBE (REF) 1E If 1 Ile X L l/P' X 1/8' CONT- ALUM. ANGLE FASTENED .i_—• -ATO SIGNBOx w.AR SIDE AND F. SIDE Q 7 3/4OUT TO OUT. 0 o TI SASE COVER FORMS UP WITH 1 3/4' VERTICAL LEG ATTACHED --WIIH FLAT NM STN. STL. SCREWS.TO 1 Me X I I/2';#LU1l L f\ CITY OF LA QUINTA STL. PLATE 5/E�' X 7 I/2' X l0 1/2' /6' DEA. A307 BOLTS AT S* X W C/C BUILDING & SAFETY DEPT. G"DE-1Z I I ;.__L__ I ��- STL. TUBE 4' X 4' X APPROVED I I I I 3/1V y I f l FOR C TRUCTION —^-- CONC. FOUNDATION / 2* -6' DEA. X 5'-0:/ DEEP DATE BY t A RE -INSPECTION FEE OF $30 i WILL BE 9HARGED IF THE APPROVED w ELEVATION PLANS AND JOB CARD ARE NOT ON W THE SITE FOR A SCHEDULED INSPECTION. a,.` -NO EXCEMONS+ LL DESIGN CRITERIA m !. WIND LOAD DESIGN IS_.30 PSF.2. ALL STEEL IS TO BE PT R [�i PIK OR EGUAL S D IS A53 GRADE 9 AND SO. OR RECT. TUBE36 IS A500 GRD IL MILL TEST REPEIRTS FROM STEEL SUPPLIER TO BE MADE m AVAILABLE UP13H REQUEST. m 3. CONCRETE FIIR FOUNDATIONS IS TO BE 3000 PSI COMPRESSIVE N STRENGTH. 4. FCONDATIONS ARE DESIGNED FOR MEN ALLOVABLE LATERAL SOIL PRESSURE OF l50 PSF PER FT. Or CEPTK CUMMINGS SIGNS ENGINEERING DEPT. PROJECT: DAIMLERCHRYSLER CORP. 10' .l MOD. MONUMENT rb►ti+el. BY. GRIFFIR MTE, 11-10-99 1 IDESIGN NO. A27599 r CITY OF LA'Q TN _._ -A_ - • ._ I BUILDING & SAFETY.DEPT A. RE -INSPECTION .FEE OF 00 APPROVEDWILL BE CHARGEDAF THE -APPROVED • FOR. CONSTRUCTIONPLANS'AND 109 CARD, ARE NOT -0N' - k/ THE • SITE FOR' A SCHEDULED PECTION. DATE BY . G .N0. E)(CEPTIONS!. 4' lit 1/2 • n' LR_i 4 ]'-a' Lit \ \ � /, . '11�� t t/:' I � \. . cti GOaEs ICGEt!v7 iar .a. _��> •-- -- - -- -_•L. :: � - - .. .. _ LN FAL3 9/(2I 3/G' arA. 3, ::a- a• _ - '1 - - + �- • ' _ I �:+ rAat NUTS to /z w'. X s :. z z :: _ r__, 3:.75 [NN IC+=A d7X - : • - 114 A ll f 1/2' c f 17-1;0 �/�� _' •� .A - A' •----[ i'.: G' 9/, :A 9>;r5 S WTS SCALE v. (.S: 93.0 i0 COWFas STL. rlx - 3/.y i'� 44� Vc . _ t G SbitODS_ "' • ' . '�wu�"5+$rnv FEY. 48 ALL11-L CAf_E. -:Lr .S . 40 L4• TO C.LJn7N. = T. ` t I/2• X t I/2• X 3/I6•X 2- L6. . ... SR. A::XE® . - TKf WELD EWfi TOIL, 740 Fi ' m: 0..m �•-i 7/z � b �' '. �/l9i�o as �--? 3d.'r..,_s s <B..J�.. .. . 80.T t0 CASE Q) FRONT ELEVATIONECT�OC?, . - FACES i fETAO®6 NOT SNOM FOR CLARITY. I. OESt6M SPECIFICATIma - ITT. MATERIAL SPE.CTFILATI06 OAi.E55 O11ETelISE SPECIFTEW '. tr. PUsi= rFACE 9PEICIFTUav TIS . A. SURFAa� Al1EA'OF PROOIPCr 40-5-4-SCL4F FEET. A.. XtX4TNIM _ _ SST SIZE Lit) MIC*ZESS .107 X 5'Z 1/4' X'25 1- . O. CESI9/ 10A0 CAI.CLLATEb AT 30 T.S.F. STATIC PRF5SIJ ES. 1..EXTAWN60GT-TS. 20"' 2. SHEET 3003-"14-AE3_ SE CD OF FURRING VAMP C. PVM= IS. DESIGNED TO PEET UQ401Tl 6• LAGORATGRJES STANDAIO 0. STEM . - 6,63 - -- = dye SIE OF Fas(S) =6 3.'e• X 119'. . U.L;. 48. - • t. PLATE A-35 ax. 4- ANGLE A-36 Gut- v. SPFACE PREPARATIONS AND PETAL F:NtSES 2. SHEET _PAIMT 691W 5. yR A-36 But. ' AL � CaS:TcT CAN t RETAtAr6 a.EAA ANm7ZM !I. A. UUMINS OuPECIFIUTI0i6.'' - 3. PIPE A-53 GLX.-OR. 9: .6. TLGE A -500"6R. 0. A. t.IAB.S-OtRPlli- 1OfK IAXENSt. - C. PLASTIC .Ie7 CL. AMY. alb CASDEF ALL (NI_W:AL. STEEL PaM 6PAINIEO "ItE e. LUENS INTENSITYdL LUMENS PER SOE F00:. C. TOTAL A1pO1AGE a5 ' APPS' AT 120 - VOLTS. - • 0. tECONNENOM CWCNTS 10 -20 AXP C[RCOI15... C S.fAPWS A 11-F I • A'SM.O.NIYp9 CHRYSLER M© FILM 7D 0 ' - I A%4QDULE D/F-CENTER POLE BRAND SIGN 2 f CITY' OF LA QUINTA BUILDING &:�ti T`;' DEPT. Al •.1':•:!..1' l`:i5/`•�:>v FOR C ONS7f DATE 13Y 241/8':..: .. _ '.+82. WYA SOOD T' ®.063 AUN. Covof P120T12/cNn,o faw, Lvr:f - (� REo•o.1 •: s SB2-JKULKA soo�q (E)CLX-308 EXTRUS144' . SEET. 'A—A' SCALE: N.T.S. :�?is �;"w �•. 'T'`^� tic; - ,ENE lAl Noms I . DESIGN :.... . A: SLWACE AREA. OP'PROOUI.F z' SafARE FffT :.. MATERIAL SPECff.2CATIDI6' AlCESS OT1iERkISEi ". .. IV. PLASTIC PACE SPECIFICATIONS 8: DESIGN LOAD CALQIATm A�0 P S:l: STATIC P�SSLAIES: ::. : PF000Ci'I9 0lSI6NE N EI. .. IROFA1iI7EAS' ALIMMAF :. •. .:'a !: ElRFLgp i1' 6063 -T5 -.200-R1 -' 2: �SHEE7't; 3003�QhAE / , . A. SHEET SM AND T1RCW1ES5 _187 X Sx % . - X-125' .C•. :TO LA80RATORSES $TANOAiO � ..' B . METHOD, CF FOibiIN6:. VAC" .. .. SOF .... .. :: _ -: .- !: PLATE' A 3&fiGRIP A. `A 36 BLIP TRDI SIZE t5 3 FACE GS) /8' X /f9' [f. ELECTRIGI'' - .; . -� - 2_ $EEi' PAINi'.6R19_ _ '. &AR,: -"ANGLE S BAR'; :' A -aa w r V. SURFACE.PREPARATICN6 AND METAL FINISHES A': ' A LIAEIB tZXRELff -- °A�?`TOTAL' U1E115. i^Xi : .. $.. PIPE' - A-53 BLK: GA. -B.:°... 6 TLS - ' A-500 91� B. .. 17C7EAIU11,-CABI7F7 CAN:& RETAIMEFS Ci..EM ANOOI7FD .• ..: . B LLD41B_ IMEf¢27r .. 3 I UMpls PEfL FONT ' ' . C. PLASTIC . 187. CL.' ARCM::. _ - B. INTERIOR GBI/ET ALL INTERNA STEEL PAINED & PAINTED WHtTE :.''..:. C� TOTAL'. ARP61I16E- .D':3'.•i.. A�oo.Ar, ., f2O�rpr� .,.. .e: •.. _ .. ... ... _..:. _ '... .. -: .. ...:.: .. .- - - - :�?is �;"w �•. 'T'`^� tic; -