14-0028 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000028
Property Address: 79025 HIGHWAY 111
`AVN: 600-.020-017- -
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 3100
T-4wf. 4
f�G1�t/
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SOWELL FAMILY
C/O KENT B SOWELL
Contractor:
Applicant: Architect or Engineer: PREMIER SIGNS
7197 OLD 215 FRONTAGE ROAD
MORENO VALLEY, CA 92553
(951)697-8889
LiC. No.: 844145
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.
Licens ss: C45 License No.: 844145
AContractolT I
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 ISec. 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).:
(_ 1 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 ISec. 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 theworkhimself 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 contractorls) licensed
pursuant to the Contractors' State License Law.l.
(_ 1 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. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/09/14
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and ' maintain a certificate of consent to self -insure for workers' compensation, as provided
I�Ihaveuand
Section 3700 of the Labor Code, for the performance of the work for which this permit is
.
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 workerscompensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 9071281
_ 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 La Code, I shall forthwith comply with those provisions.
Date:y 7_7._T_ ApG' ..
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.
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, 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�onnty t enter upon the a ove-mentioned property for inspection purposes.
Date%� Sig ture (Applicant or Agent):
%: -i
Application Number . . . 14-00000028
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . 71.50 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 7/08/14
Qty 'Unit Charge Per
Extension
2.00 35.7500 EA ELEC SIGNS
----------------------------------------------------------------------------
71.50
Permit . . . SOTB 2013
Additional desc .
Permit Fee . . . . 48.62 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 7/08/14
Qty Unit Charge Pe'r
Extension
1.00 24.3100 LS MISC WALL SIGN, FIRST
24.31
1.00 24.3100 EA MISC WALL SIGN, ADDL
24.31
----------------------------------------------------------------------------
Special Notes and Comments
SIGN - INSTALL (2)
INTERNALLY -ILLUMINATED CHANNEL LETTER
SIGNS PER APPROVED SA 2013-1736,
"HYUNDAI BUILDING SIGNS". 2013
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
95.34
PLAN CHECK, SOTB
110.11
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 120.12 .00 .00
120.12
Plan Check Total .00 .00 .00
.00
Other Fee Total 206.45 ..00 .00
206.45
Grand Total 326.57 .00 •.00
326.57
LQPERMIT
Bin #
City of La Quint'a
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
Permit #
Project Address:79t� 9,,,
Owner's Name: S,,9&h-ff - r44V7,,
A. P. Number:
Address: Y,92 7S Zz11xygae,(,- 61 -)-
Legal Description: 640-1-1W1e;1L-
City, ST, Zip: 44t a0lot-;a, 92 �7
Contractor:
-telephone7-
Address:G2 7, 011W '17ff ;4>��e A�'
Project Description: I)W
City, ST, Zip: wexe' 0jz�e
Telephone:
........ .........
State-Lic. #: I.J
City Lie. #.-.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
. .. .. . . . . . . . . . . . . - - - - - - - - - - - - - - - - - -
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n '�te-r') Repair Demo
Name of Contact Persdn:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person--"
Estimated Value of Project: -3/zw
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recld
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
10/02/2013 10:59 7607710519 1HYUNDAI OF LA QUINTA
Oct. 2. 2013 2:32PM A61 Inc Knoxville TN
0
PAGE 02/02
No: 8928 P, 2
Architectural Graphics Incorporated ccrpofe%Fmdqu Aera
2660 Intamadonal Parkway
VI191N0 coach, VA 23W
e00.977.7868 tel
757.430.1287 fax
AU O -& CONSENT FORM
]lAudiord/Ovauar,
iea588Plrotalrei: 7d'-026- 7"' ; `:cam._(
Ludlord Contact;
PNntN�me: _ _
7elephono'Numberc .
RE; Ryundal Global Sign Progt'nm
Name:
Y em a I thorizcd ep tarr've of the I.andlor4/O.wuer at the referenced leaso promises:
In my oapaciry as Ore landlord's official xepraseatativo, I authorize Architecual (hphics incorporated
and/orits repreecomtives to obtain all perarits for the sign conversion hereby consented by to landlord if
r�
re4*6& 'Owu as ofued with any. pe:mu acquiaia on and/or 69DO9e roplaaement wM be billed to
Atehitaotival.(�'rsfphlcs''Iaooupors2td'for dowtmenWion and invoioiagpurposm.
. :`Iandlnr`dZOwner Slgnaturp - .
Deto
Archftectnral GmpWcs Incorporated
ATI'Nt David Whaley
412 North CedarAlufiRoad
Snfte 306
Ynoxvflt% WN 37923
- �ysha!®yG�aefairan.com
969.692J24;, ext; 219
FAX: 865.692.1427
Received Time Oct. , 2. 2013 3:02PM No, 8932