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BSIG2014-102278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: NITE-LITE SIGNS INC 21001 SUPERIOR ST CHATSWORTH, CA 91311 BSIG2014-1022 79174 HIGHWAY 111 103 600390029 SIGN FOR YOGURTLAND $5,000.00 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT A OCT 23 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT, 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 Prof essio s Code, and my License is in full force and effect. 0. License Class: C10, C45 1� License �No.: 095 //�8 ,,_Date: lO —� �.. l ContracffiLl/yw 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. C.). Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/2014 Owner: INLAND AMERICAN LAQUINTA PAV P 0 BOX 9271 OAK BROOK, IL 92253 Contractor: NITE-LITE SIGNS INC 21001 SUPERIOR ST CHATSWORTH, CA 91311 (818)341-0987 Llc. No.: 309508 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. DSI 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 d policy number are: Carrier-cy Number: ANON 7 p2? — I STA IG 9 c8rtifQihat 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 sha forthwith comply with those provisions. Date 1.D cZ d Applicant: 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 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 thi cit to enter upon t abov mentioned property for inspection purposes. l` Date` 0'0 —1 T Signature (Applicant or Agent): FINANCIAL •1• ACCOUNT QTY AMOUNT PAID PAID DATE DESCRIPTION . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSIGN: $161.00 $0.00 TOTALS:00 Permit Details rGty of La Q4 nta �.EliNUMBER BSIG2�14-IO2�2 Description: SIGN FOR YOGURTLAND Type: SIGN Subtype: Status: SUBMITTED Applied: 10/23/2014 MFA Approved: Parcel No: 600390029 Site Address: 79174 HIGHWAY 111 103 LA QUINTA,CA 92253 Subdivision: PM 29351 Block: Lot: 11 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INSTALL 2 LED ILLUMINATED CHANNEL LETTER WALL SIGNS FOR YOGURTLAND. PER 2013 ENERGY CODE Printed: Thursday, October 23, 2014 11:42:20 AM 1 of 2 �.7L1 L.1 IJ C.I SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" PAR Int T pr;OXCT5 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE 7 _ BOND INFORMATION - -� CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $0.00 EA ADDITIONAL WALL/AWNING SIGN, 101-0000-42600 0 $24.66 $0.00 EA ADDITIONAL PC WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $0.00 FIRST WALL/AWNING SIGN, 101-0000-42600 0 $87.02 $0.00 FIRST PC Total Paid forSIGN: $161.00 $0.00 TOTALS:• 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" PAR Int T pr;OXCT5 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE 7 Printed: Thursday, October 23, 2014 11:42:20 AM 2 of 2 C SYSTEMS BOND INFORMATION ATTACHMENTS Printed: Thursday, October 23, 2014 11:42:20 AM 2 of 2 C SYSTEMS Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # i I / "l Project Address:71 Il y t4It% Y [ 1 l . SV IT9 10-3 Owner's Name: NL AN Mt IChAa �'i' / V /k�4A/6 •.L A. P. Number: Address:490q�u'Tft:liFlEi-J�r R�t 501TCs"90 Legal Description: City, ST, Zip: OAK 8 k 9,9 K Contractor: f:LcTE s G/✓S Telephone: e. � 8 Address: (W01 csOP e -/Q L ok 57-- Project Description: � � Or -A L /' T w o I. L city, St, Zip: GNETSWvR3'll GA, �lL36� !1. I.JOKi^�TIF-b. C-MOVVtk Lb'?16FA Telephone: • D 87 G S State Lic. 4: 3Q ,5-0 g City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: :.;,;:;;.;,;:;;,;;;:,l,;:;,;:.:.:.;:.;:.;: < .. .............................. Construction Type: Occupancy: State Lic #: . Project type (circle one) Ne Add'n Alter Repair Demo Name of Contact Person: WA R R FA% ©• We- Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: (g - 6a s- a (n 9 7 Estimated Value of Project: SIP D 6 0 0 APPLICANT: DO NOT WRITE BELOW THIS LINE t! Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'd Review, ready for corrections/issue Electrical Subcontactor.List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees