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04-7857 (RC)N BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUIN.TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Fee summary Permit Fee Total Plan Check Total Grand Total 1 y Charged 33.00 .00 33.00 LES. 16.2004 Paid' 00 .00 .00 Credited .00 .00 00 Due 33.00 .00 33.00 BUILDING PERMIT Application Number . . . . . X0.=00007857 Date 12/16/04 Property Address . . --_--- . . . . 793`90 HIGHWAY 111 ,APN: 649-820-001- - - Application description . . . SIGN Property Zoning .. . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 9282 .Owner Contractor STEVE GORDON SIGNARAMA PALM DESERT "CA 92211 (760) 776-9907 WCC: STATE FUND WC: 1640374 09/01/05 CSLB: 830131 .12/31/05 CCC: D42 Permit ---------------------------------- ELEC-ELECTRICAL SIGN Additional desc Permit Fee 33..00. Plan Check Fee .00 Issue Date Valuation . . . . 0 Qty Unit Charge Per J Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN.1ST CIRCUIT 15.00 1.00 3.0000 =--------------------------------------------------------------------------- EA ELEC SIGN ADDITIONAL CIRUITS 3.00 Special Notes and Comments TWO HALO LIT CHANNEL LETTER SIGNS PER`-, CDD APPROVED PLANS. Fee summary Permit Fee Total Plan Check Total Grand Total 1 y Charged 33.00 .00 33.00 LES. 16.2004 Paid' 00 .00 .00 Credited .00 .00 00 Due 33.00 .00 33.00 P.O. BOX• 1504`x`+; 78-495 CkLLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&1f 4 BUILDING & SAFETY DEPARTMENT Application Number: r/f — 79J Applicant: 1 Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: l2 -/4 , 6 Architect or Engineer's Address: Lic. No.. BUILUING PERMIT DECLARATIONS 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 Licerflis ir1full force and effect. 1 License ClasLicense No. ��3d Date lY' 16k4 Contractor 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).): (__) 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.). U 1, 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.). U I am exempt under Sec. , BA P.C. for this reason Date 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. _ 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 this permit is 'issued My worlprs' co pensabon insurance carrier anQQ,policy numb r are: Carrier S•�� r Policy Number l% 4 p 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 ree that, if I should ecgme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provk i . % A Date1:34 O Applicant / V WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE '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 160 days will subject permit to cancellation. I certify that I have read this application and state that the above informatio s torr I agree to mply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ent o th ove-m do d property for inspection purposes. Date (7 JQt Signature (Applicant or Agent): PERMIT (131172' 'ELOPMENT ISS' COMING OJECT, CALL IGHT) 760.578.3244 716.4840 IN ONE HOUR. PLEASE CALL THE tTMENT AT 7604 1 6-531 5 'lam • 5pm) . SOUTH ELEVATION JA -t4 -j 1I\ Exhibit O With Conditions PAT105 MAI IGN Job No.: 10506 9.390 Hwy t Approved By: La 2253 (La Quinta Valley Plaza) Customer Signature Internally illuminated reverse "halo -lit" individual channel letters & logo. Printed Name Letter Height: 10314" Nominal Letter Color: #41.313 Dark Bronze Logo Size: 35.4" x 144' Logo Color. #46-253 Copper Neon Color. #4500 White Business frontage: 84 Lin. Feet Width of fascia upon which sign is placed: 52 Lin. Feet Overall Sign Size: 40" x 144" = 40 Square Feet (23% of fascia width) Property Owner Printed Name -AMA SPIWW Id eft O'k-ak— StGp.A,NAMq SIGN* DRAMA ` THE COACHELLA VALLEYS FULL SERVICE SIGN CENTER AF995 UA&WRAEI. Sl*. L. PA. 0...11. CA 92211 Ph. ]60-))6-990) ELOQMENT JST COMING OJECT, FALL iGHT) 760.578.3244 PAT 1 4S MAIN BUSINESS SIGN 79.390 Hwy 111 La Quinta, CA 92253 (La Quints Valley Plaza) Internally illuminated reverse "halo -lit" individual channel letters & logo. Letter Haight: 10 3/4" Nominal Letter Color: 941-313 Dark Bronze Logo Size: 35.4" x 144" Logo Color. #46-253 Copper Neon Color: #4500 White Business frontage: 84 Lin. Feet Width of fascia upon which sign is placed: 58 Lin. Feet overall Sign Size: 40" x 144" = 40 Square Feet (21% of fascia width) Signature (!�Zzo� aLol Property Owner A��HPrinted Name 51(,N• 'RAM,• ^/7/ - * A*RAMA J /V— - THE COACHELLA VALLEY'S FNLL .[.VICE TION CENTER Al -D6 BerdraE,. M, L. 1- - EA .2211 M MO -YM a 07 T. NORTH ELEVATION 79-394 971 0 T ■ /9 C MAIN BUSINESS SIGN 79 - Hwy 111 - Job No.: 10506 �) La Quinta, CA 92253 (La Quintsnta Valley Plaza) "halo - App I ved By: (Vy�/1� /Vf� / ,� �dL�! * Customer Signature Name Internally illuminated reverse -lit" individual channel letters & logo. (4 tinted Owner Letter Height: 10 3/4" Nominal Letter Color: #41-313 Dark Bronze�w-"Property Printed Name Logo Size: 35.4" x 144" Logo Color. 446-253 Copper 4-f,&Wr APL' Neon Color: #4500 White 5(N( RAM, Business frontage: 84 Lin. Feet S/GN�A D RA MA Width of fascia upon which sign is placed: 24 Lin. Feet Overall Sign Size: 40" x 144" = 40 Square Feet (50% of fascia width) THE COACHELLA VALLEY'S FULL SERVICE SIGN CENTER 41-446 Sowdwrt So. L. Paye D -L CA 92211 Ph 7SO-776-9907