05-0804 (ELEC)ari
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BUILDING & SAFETY DEPARTMENT
Box 1504 (760).777-7012
o OF O `lQO� -4 5 CALLE TAMPICO FAX (760) 777-7011
M QVlNt A Q INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . i'05 -1=L0-0-0.0-0-8-04 Date 3/10/05
Property Address . . . . 79305 HIGHWAY 111 STE. 1
APN: 649-030-999-7 -30420 -
Application description . . . ELECTRICAL
Property Zoning REGIONAL COMMERCIAL
Application valuation . . . . 4000
Owner, Contractor
-------------------------------------------------�:
STAMKO DEV CO Y2K SIGNS
C/O PROVIDENT FINANCIAL MGMT 507 S EUCLID #12
10345 W OLYMPIC BLVD 2 FL SANTA ANA CA 92704
LOS ANGELES CA 90064 (714) 350-0433
WCC: EXEMPT.
WC: EXEMPT 09/30/05
CSLB: 761709 04/30/05
CCC: C45
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Permit ELEC-MISCELLANEOUS
Additional desc i
Permit Fee . . . . 21.00 Plan Check Fee 5.25
Issue Date . . . . Valuation . . . 0
Qty Unit Charge Per Extension
BASE FEE 15:.00
2.00 3.0000 EA, ELEC SIGN ADDITIONAL CIRUITS 6.00
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1
Special Notes and Comments
2 INTERNALLY ILLUMINATED,CHANNEL LETTER
SIGNS PER SA# 05-873. '
Fee summary Charged Paid Credited Due
----------------- .---------- ---------- ---------- ----------
Permit Fee Total 21.00 .00 .00 21.00
Plan Check Total 5.25 .00 .00 5.25
Grand Total 26.25 .00 .00 26.25
P.O. BOX 1504 Tuf
78-495 CALLE TAMPICO 7
LA QUINTA, CALIFORNIA 92253
Application Number: U Jr" -$0y
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: �1 • /O O.
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
A
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
Coc nd my License is in full force and effect. / 74-1 7d Q
cense Class �4 .� icense 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 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 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 subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
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 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.).
L) I am exempt under Sec. , BA P.C. for this reason
Date Owner.
WORKERS' 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.
_ 1 have and will maintain workers' compensati-i insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensate ' . ice carrier and policy number are:
arrier . ,mcy Number
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.
_,,�tepplicant.�
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.
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
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 county to enter
upon the above-mentioned property for inspection purposes.
ate A0 j ignature (Applicant or Agent): �� *,t*,%;
FRONT
ff%W
Approved by: Reso #
0 Planning Commission
0 City Council
POCommunity Dev. Dept.
Initials T- ^/ -
Case No. SA 61 * 87.?
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ULJ-V V-J<)�
Date:
Project:
Address:.,,�
Contact: 61 o lle;�a Co z) — &,r, ss
Tel: 676o 218 -5-3 o/
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PLANNED SIGN PROGRAM
1. SIGN TYPE: 5" DEEP PAN CHANNEL LETTERS.
2. ILLUMINATION: 5V.DC POWER FACTOR
TRANSFORMER.
3. LETTER FACE COLOR: #2793 RED #4151 YELLOW ACRYLIC.
4. LETTER RETURN COLOR: BLACK ENAMEL #99 DUPONT.
5. LETTER TRIM CAP COLOR: 3/4" BLACK.
6.24" MAXI'S GRILL
10" BREAKFAST- LUNCH, DINNER.
7. SIGN AREA IS 144".
TRIM CAP EDGE
W/SCREWS:
PLEXIGLASS FACE --
INTERIOR
ALL METAL TO BE FINISH
WITH WHITE PRIMER FOR
EVEN LIGHT REFLECTION.
EXTERIOR
22 GA. PAINT SHEET METAL
SIDES & BACKS WITH BLACK
ENAMEL #99 DUPONT.
WALL
PLEXIGLASS RED
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2 DRAIN HOLES
1/d DIA.
ED RED
ED POWER SOURCE
OUTPUT 5V. D.C.
ELECTRIC WIRE
CONNECTION
SUPPORT
ALL CONNECTING LETTERS
WIRING TO BE ENCLOSED
IN METAL FLEX CONDUCT.
WALL
PLEXIGLASS RED
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+� LED POWER SOURCE
OUTPUT 5V. D.C.
ELECTRIC WIRE
CONNECTION
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