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