Loading...
0312-147 (ELEC)LICENSED CONTRACTOR 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 License is in full force and effect. License # Lic. Class Exp. Date Date" 17 t a Signature of Contractor�t(�', A � OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). / ( ) I am exempt under Section , B&P.C. for this reason (_ Date Signature of Owner 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. ( ) 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 workers' compensation insurance carrier & policy no. are: Carrier( Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 thosCprovisions. Date' 2 i C li Applicant % Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property inspection purposes. Signature (Owner/Agent)�/_+ M Date 7 li, j BUILDING PERMIT PERM'����_�4� . � DATE Q4 y/�� gg� py ��,��'gy�pp•• VALUATION LOT TRACT /..(vlf�iS.e(rFA'L."�.gLr�41'e7.3V17 JOB SITE ADDRESS 79-3.".14.10,,WAY 111 APN OWNER CONTRACTOR / DESIGNER / EN (NEER STAY_ ..,%O i3EVV- 1.CiP'MEar ."'3(3 CORPOP.A7Taff -18-0 60 C ; �,-2,TrAT�c� 2V BLIJ STAP, LA QirJN'to CA 92253 ANAHMM 9V780 USE OF PERMIT : XCo%�Ii�ICA1 .v tg S f(y� 9 AM W c��T V 4 �y r�1Dt q �y �vpt f 1ry�' PER l:. Rt�fA!.;a l Id. LUMINT.f�iNED Ci�AOTNJ.[.r LFT l'L'.10..FM NVA-LI. SKM S, ,T"ER S . # 03-747 (tgIA32.Sfi& LV19) VALUA.TICA S,600.00 usl E9WffA_'!XD POST OF COASTRUCMON Fu? nar Vkg SUMMARY XLECTI2Ir.A�.VVZ Ui oa •Q c�Rnc�e� sJs.ol1 _ LFZ,. )? '_PAM MS $0.00 RECEIPT V b DAT- E .� BY '�( DATA /AL 2 INSPECTO INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final / BLOCKWALL APPROV LS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final r Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover .Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: } 3 P. Rte# Approved bv: ❑ Planning Commission ❑ it Council �� Standard 721° Internally Illuminated pity Letter Set •REF: Dwg. #13454:91ER Community Dev. Dept. Initials rV' Case No. Exhibit Ezsr-a. 72 STOREFRONT ELEVATION Wr4M ni�-M- 1 157.50 Square Feet Scale: 3/32" = Y-0" 1-11 On AM C: it Required Lacatlae: DATE: 7115/03 %�� Location: /Vl�l�i�aJllly ACCT REG L. Urge DESIGNER: E. Davies ;r Re n�.. �. 11-1,IMIt,V mumerl®HaSNc. II �r I IJIS n e �� �' N ■��' R"R REVISION: �ELEC.I(Ifarmadoa undated LMK 11!24/03 Il_____.: © 2 3 h CO- INC. PNOtlE. (047J 500-tY�a SAX. (817J 520-154f B48274 E: (0 Barclay125 Daffala 7)52 - �[ �.�` 14 www.kieffersigna.com B 20A 1 5/8" ❑ w ❑ w ❑ w ❑ REAR ELEVATION 48" Letter Set -NO UNDERSCORE 84 Square Feet Standard 48" Internally Illuminated Letter Set • REF: Dwg. #B47088A (1) 20 Amp Circuit Req'd. Scale: 3/32" = Y-0" Location: /Vlhl�i$�I��I�Ih lacatlee: RATE: 7/15/03 La Onele, CAnuowwrs ACCT. RER L. Caracciplp REEIRRER: E. Davies ee wvoruu mrro ra wr �, r c.u, „mam°2Barclay8led. hilairsha 1111S ,*,1� La0uinta, CA REYIEIRR: ELEC. Infprmatfor updated LMK 11124!03 Q � ® "`-moos KIEFFEF 6 CO c. Buff B48274A 13PE 1arcisy!lad.-eaffa(0 7)G 11 PIIOXL: )Y17)000 1¢&G TAA�f0A7)LEI 154E L Q www. kle}Eerslgns.com 14 -------------- �- _J 1KCAT 6Mrn6 cl�v NtiK NueM I Ell'vAi1R1 I — I C I E N N N 20'-11 5/8" EQ 4'L�/lairslhallll L_____________________________ EQ f I� riNi<ni[xt'li- i-�nnw PARTIAL NORTH ELEVATION Scale: 1/16"=1'-0" C f:Min i MW -M- M :_C•l1M m] 4 :1--1ei•] L=M 84 Square Feet Standard 48" Internally Illuminated - ANlarslhvall� i FULL NORTH ELEVATION Scale. 1132" = 1'-0" Letter set • REF: Dwg. #B47088A !I' BOXED SQ. FOOTAGE (1) 20 Amp Circuit Req'd. / lairs allb Lwatlu• DATE: 1/15/03 La Nato, CA Wena raw eenln�ae mua hilairshall�l Location: ARCLRFR LCaraccialc DFfIDRFR: E Davies r r En a vumane REYIfIBR: D Elevation/Sicnaee LMK 9/9/03 La Ouinta, CA©ELEC.Intormatlon eodated IMK 11/24103 8482748 1322 Barclay Blvd.-Bultalo 6rera, IL II�II��f' PRORk (8471528 1255 FAX (847)528-1543 1 [ e Q www.kletferslg ns.com 26,°3n LISTED ——Highlighto arc WHITE weeded from blue vinyl. p 'SNI Non- r�'"Y^, 't Corrosive r 2" x 2" Mounting clips. (NP•) 41 6'a 6 lill C,01q la500 WWF KS _DIAMETER. Ism __4 ROWS ft—FACE THICKNESS 3/16' LOR #73 WHITE QUICK REFERENCE COLOR SCHEDULE: VINYL AS NOTED RETURN DEPTH 9° COLOR WHITE PRE -COAT GAUGE .050"x 9.5' GDIL ■ Letter Faces - ORACAL Translucent #005 MIDDLE BLUE film applied to 3/16" #7328 White Plexiglas Letter Returns - WHITE pre -coat aluminum 111111RETAINER SIZE 1° COLDR WHITE TYPE TRIM CAP ■ Underscore Face - 3/16" #2157 RED Plexiglas ■ Underscore Returns/Retainers - Urethane enamel finish to match Match PMS #186C RED WRACKS MATERIAL WHITE PBE-Coni GAUGE D80 ELECTRICAL CONNECTS U.L. LISTED TYPE I/2 BOX, STO. HANDISOX .mm.� TVRCTn MCTAi T___ _ _________— 4aj _-- I ' HST. VM­­H�TERI1W7M­ ----- �_TR4,SFOPoO:R Type ��T�'�1—jl'[Tj� Q i MA ALL+CCI/1/�//��//1�\J[" �)_ _ .. _1� ll/ KTcICER MATERIAL//, is�/it111 1 1 HGT. RMINED$CREWS $RE I1 S N0._ — — COLORIMf1P — --------------------------- MOUNTING INTERNAL I/4' IVNUT EXTERNAL PER SITE CONDITIONS SITE HOUSING INSULATED G2 GLASS BOXED square footage = 157.50 ACTUAL square footage = 107.77 IJWJSWITCH TYPE DISCONNECT/TOGGLE USE 4FT OR LARGER IETTER O LINDERSCORE TO BE FABRICATED USING 9" DEEP LrcatloD: VARIOUS DATE: 5/9/02 tm R40G[RLL[¢WWNM[RIDRIINIDI•ROKINIaRI[ L an lnN nluDNMrtmIB[O.IKgGNRNDNiBU, L[nle ACCT. RFP, LCaraaiolD DESIGNER:LKnaack NDsnugwBuwanlsaElmlBreE®ssmre[nnl .063 ALUHINUN RETURNS W/ A .[DO ALUM. BACK - RENFORCE AS NECESSARY. ILLUMINATION FOR UNDERSCORE WILL BE CLEAR RED NEON POWERED BY 30MA REMOTE TRANSFORMERS. MOUNTING -002 K—P— AGO. INC- SEr1BIDA: 03630-1573ugan RluetGOracal Blue LMK 6/26/02 i$22 Barclay Blkd.-Bufhla Brore, IL Mo n6ne Olin natation LM(7115/02 PNOYE: 847 520.7256 FAX: B47 520-1543 ` 1 1 1 I 1 1 Changed Tube Support Height SDW10/i 1/02 B45491 P QSectlon added- Trans, To al130MA LMK 4!28/03 www.lalefforslons-com WILL BE 2" X 2• BLIPS TO MATCH LETTERS. ._ •SKT OIS<aNY¢CT YWITe11 eoOAIE GH RSIVRI[ ON 4FT OR LAReeR �ETTeR. 7NEeE ROLes F¢R [even aEGOI�D (3/a•R�eJ. uD.n R¢amRm. a LISTED /�- Highlights are WHITE - //,—Highlights weeded from blue vinyl.fa O it i 1 Non- Coosive •* • 2" x 2" g I;�� '� INMNI:: 1 clips ��• LLitLt Lci LL LtLLt NEON COLOR 6500 WHITE KS _ C FACE In-- _ iAMcT[n. TI IICKHEw^, 15Hn 3 4 ROWG 3/16"--- COLOR #7328 WHITE VINYL AS NOTED I til RETURN DEPTH 9" COLOR WHITE PRE -COAT QUICK REFERENCE COLOR SCHEDULE: j"RETAINER GAUGE SIZE .050" X 9.5" COIL I" ■ Letter Faces - ORACAL Translucent #005 MIDDLE BLUE film applied to 3/16" #7328 White Plexiglas Letter Returns - WHITE pre -coat aluminum COLOR TYPE WHITE TRIM CAP BACKS MATERIAL GAUGE _ ELECTRICAL CONNECTS WHITE PRE -COAT .080 U.L. LISTED _TYPE 1/2" F---- —� __------------------ ���� 491 TUBE SUPPORT BOX TYPE STD. HANDINOX STD. METAL •I HGT. DETERIRNB BY TRANVOM I Iful TuNBFOPNER TYPE MA PB 30 MA FOR ALL I KICKER MATERIAL ALUMINUM HOT. TO BE DETERMINED Q Q IWJ SCREWS SIZE s4 - 1/2' PHILLIPS N0. —Sill, J COLOR To MATCH TRIMCAP MOUNTING INTERNAL 1/4" RIVNUT BOXED square footage = 84 HOUSING_ EXTERNALPER INSULATED SITE CONDITIONS G2 GLASS SWITCH TYPE DISCONNECT/TOGGLE USE 4FT OR LARGER LETTER. �I� I, �,1 I^ /D'Vailrslhla'I�l LBOatlaa] DATE: 515103 V A R 0 U S ' e ACCT. RFP. LCaracclDlO OESIfiNER: LKnaacl a 5ueafaaewlrv¢iRwBvwRa[c inxin enNmcai NOMIINIai DIII,NNwNtR. rmaYWr , .uTa N{MNMRM IR aanR u60tG.IIc. 'SPST DISCONNECT LARGER LETTER. SWITCH LOCATE ON RETURN ON 4FT OR " I REVISION: 0 ' �•�I I ( B47088 cC2003 KIEFFER a Go. ING. 1322 BarBIaY Blyd. - BBflalB firare, I L PHONE: 1/471520-1255 FAX:(1471520 1i42 -2 WEEP HOLES PER LETTER REQUIRED (3/8' DIA.). 'CAULK REQUIRED. „ l Irl � 0 ww—kleffeesigns.i i 0 ,aLL-UJJ �4iHRH)iiiiiii.., -- ----------- • ----------- ---------- - --------- ---- ❑ F. r ro 0 N - o o, r N r y De 0 1,3 A5.0 1.7 2 '° Go -------------------- 3 3,3 '� 3.7 4 Bco 1 T j j TrQ. j 1T. 3 i a I � f I I EL 32'I0• AFF. i T TO. PARAPET EL 77'-4' AFF. TD: r + j I II - II' II I i I 0(1 I it / A% 64\ FRONT ELEVATION ME �� 1 11/20/2003 12:14 FAX 562 628 8005 P+R ARCHITECTS 1@002/003io ' d-�U I I II I I I I • I . � I I LO 1 I A4.0 I I c GCil i' 16 o C' I Its AS,0 03 I I 00 0 III A5.0 I '0000 Y tilo a . 1 PpoptKrY LINE CD I