The URL can be used to link to this page

04-7366 (SIGN)T4hf °F 4 Q" P.O. Box 1504 BUILDING & SAFETY DEPARTMENT �. 78-495 CALLS TAMPICO (760).777-7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING •PERMIT Application Number 04-00007366 Date 1/03/05 Property Address. . . . . . . 79225—HIGHWAY 111 APN: 649-030-055-3 -28525 - .Tenant nbr, name . . . .KIA DEP,LERSH Application description . . . SIGN Property Zoning . . . . . . REGIONAL COMMERCIAL .Application valuation 9750 Owner Contractor -----------------------=--------- STARK NORMAN DAVID,'/ - --------------------- ----------- IMAGE POINT, INC. em FTrj if 2z-513489 SLOVER AVENUE, STE #B ,�ofd_ � �U FONTANA, CA 92337 (?A 9.1.;) _5 (909)823-1239. WCC: MILLER.AGENCY WC: 31WEOC2042 03/01/05' CSLB: 722172 05/31/06 " CCC: C45 -C10 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: 1. BUILDING & SAFETY.DEPARTMENT , ^7N Applicant's Mailing Address: Architect or Engineer.. - VOICE (760) 777-7012 .-FAX (760) 777-7011 INSPECTIONS'(760) 777-7153 Date: /-3-05 Architect or Engineer's Address:!,,, 44 No. r .'BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provis nse Class icense .ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals n my ce i 'n full force and effect. ce� � No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following'reason (Sec. 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stnxture, 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 Contractors' 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 sects the applicant to a civil penalty of not more than five hundred dollars ($500).): �1 U 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 or through his or her owri 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 wilt have the burden of proving that he or she did not build or improve for the purpose of sale.). U 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.). _ V lam exempt under Sec. , BA P.C. for this reason Date Owner I herebyaffirm under WORKERS' COMPENSATION DECLARATION 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 of the work for which this permit is issued. performance 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 tNs permit Is ��Sued. Mworkers' compensation�asar�ance carg;rdpolir t�nber are. �r amer alp �\-a ��_ _ - Policy Number I certrfy that, in the p orm of the work for which mut is rssued�'shall no►em to an compensation laws of California, and agree that, if I should become subject to the workers' comms compensation rrson in any manner so as io become subject to the workers' forthwith comply with those provisions. _ Pe provisions of Section 3700 of the labor Code, I Shap 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penaltyof CONSTRUCTION LENDING AGENCY 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT 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 pemtit 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 Oulnta, 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 pertttit,•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 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t�ftw oned property for inspection purposes. Signature (Applicant or Agent): - - - - - - - - - - - - - - - - - --- 41, ( %.jrff 1 7 -,- 7 - - 7 - - - - - - - - - - - - Application Number Y 04-00007366 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - ---- - - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . . . . ELEC-ELECTRICAL SIGN Add i ti bria 1 de s c Permit Fee . . . . 45.00 Plan Check Fee .00 .....-Issue-Date- - ~-° Valuation 0 Qty Unit Charge - )Per Extension BASE ..FEE 15.00 1.00 ,.- 15.0000 EA IELEC SIGN 1ST CIRCUIT = 15.00 ---------------------------------------------------------------------------- 5.00 --.3,..0000. EA ELEC SIGN ADDITIONAL CIRUITS 15.00 Permit SIGN PERMIT ...Additional desc Permit -Fee ,;117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 9750 Qty ' Unit Charge Per Extension I -BASE--FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 -------------------------- -------------------------------- Special Notes and Comments --------- -COMMERCIAL SIGN,PERMIT. 6 SIGNS -W/ -ELECTRICAL'TO 11KIA11 AUTO DEALERSHIP. 2001 CODES. Fee summary Charged Paid Credited. Due ---------------------------- --------- ----------- ----------- Permit - F'ee Total 162.00 .00 1'62.,00 Plan Check Total'" 76.05 .00 .00 76.05 Grand Total 23.8-05 .00 .00 238.05 CITY OF LA QUINTA PLAN CHECK CORRECTION LIST Klk Image Point November 22, 2004. PO Box 59043 Knoxville TN 37950 PLAN CHECK NO. 04-7366 FIRST/FINAL CHECK ADDRESS 79-225 Hwy 111 SCOPE OF WORK Signs The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTAand the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. Plans checked by: Neil Evans, PE ' VCA CODE GROUP 2299 W Orangewood Ave, Ste 155 Orange, CA 92868 (714) 363-4700 VCA File No. LQ- 17044 Kia Site # Address Kia-CA179 City 792.25 Highway 111 State La Quinta CA 92253 APPROVED BY COMMUNITY DEVELOPMENT DEPARTMENT BY ATE G EXHIBIT O► �"" CASE N0. Coast 2 Coast Surveys 0%OFfKE #1 copy