05-1263 (ELEC)� 02
BUILDING & SAFETY -DEPARTMENT
P.O. BOX 1504 ,
-4 ��
7 (760) 777-7012
8 95 CALLE TAMPICO FAX (760) 777-7011
S 13 L QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
A ication Number �p5 0`0'0,0'1 -6-3m '':Date 4/05/05
roperty'Address . . .. . . 79400 HIGHWAY 111 #102
APN: 649-820-002- - -
Application description . . . ELECTRICAL
Property Zoning , . . . . . REGIONAL COMMERCIAL
Application valuation . . 8985
Owner Contractor
KLEINE NEIL WAYNE SIGNARAMA
41910 BOARDWALK A-10 41945 BOARDWALK, "L"
PALM DESERT PALM DESERT CA 92211
PALM DESERT CA 92211 (760) 776-9907
WCC: STATE FUND
WC: 1640374 09/01/05
CSLB: 830131 12/31/05
CCC: D42
----------------------------------------------------------------------------
Permit . . . . . . ELEC-MISCELLANEOUS
Additional desc
Permit Fee . . . . 51.00 Plan Check Fee 12.75
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
,BASE FEE r 15.00
2.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 30.00
2.00 3.0000 EA.. ELEC SIGN ADDITIONAL CIRUITS 6.00
----------------------------------------------------------------------------
.Special.Notes and Comments
ILLUMINATED REVERSE CHANNEL LETTER,
SIGNS, 2 SETS, PER SA#05-877
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 51.00 .00 .00 51.00
Plan Check Total 12.75 .00 :00 12.75
Grand Total 63.75 .00 °.00 63.75
P.O. Box 1504 • "
w VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
04F_
2M
Date: q, -S'0g
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
t3UILUINU 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
ode, and ss License i� i2full force and effect. / f �
License Class () 1,� o� License No.
Date tractor al Q1) . A) �� l
V
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.).
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.).
U I am exempt under Sec. , BA P.C. for this reason
Da
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.
-&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
issue My w ers' c mpensation�aerance carrier 2nc� is nuq� a
anter � ' TQ r �� /Policy Number { (p 7 j �—
(certify that, in the performance of the work for ich this permit' issu , I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agr at, if I uld ome b ct to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions. /
Date IJ i ;iplcan t /J
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), I IS
TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S ES_
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 informatio orcec� I agree to co�]Ply wit II y and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter t bove-mentiov �ooe f n! ��u
ateignature (Applicant or Agent):
PERMIT #31177
'ELOPMENT
'ST C01IING
OJECT, CALL
IGHT) 760-578-3244
•776.4840
IN 04 HOUR, PLEASE CALL THE
T79EYTAT76 ir,5lt5)8am"5pm),
T -SMOG f1 -*3.288-1664)
SOUTH ELEVATION
❑ Planning' Commission
❑ City Council
0 Commun!t Dev. Dept.
Initials T Y,
Case No. sPr oS 8-n
- ` Exhibit
❑ ions
Letter Heights:
"PREMIER": 17 inches
"BILLIARDS & DESIGN": 11.35 inches
Logo Box: 17" x 42.29"
Exterior Letter Color: ME432 Hunter Green
Neon Color #6500 White
Logo Box Color:
Black Background with Gold Text & Graphics
Trim Color: Gold
Return Color: Dark Bronze
PREMIER
BILLIARDS & DESIGN
MAIN BUSINESS SIGN
79-400 Hwy 111, Suite 102 / 103
La Quinta, CA 92253
(La Quinta Valley Plaza)
Internally illuminated individual "halo -lit" reverse channel letten
and acrylic faced internally illuminated logo box.
Business Frontage: 41 Lin. Feet.
Overall Sign Size: 32.45" x 178.39" = 40.2 Sq. Feet
No.: 121
er Signature
Name
Owner
'7,01I—/i
51GN. `4"4 S{ o9N*A * RAMA
THE COACHELLA VALLEV'S FULL SERVICE SIGN CENTER
IIA45 Sand—k. Sta. L. Patin CaM. CA 92211 Ph 76o-776-9307
r - xsrrr Ved by:
D Planning Commission
0 City Council
0 Community Dev. Dept.
Initials 7-• N'
Case No. S A- Or'
Exhibit
0 With Conditions
NORTH ELEVATION
Letter Heights:
"PREMIER": 12 inch
"BILLIARDS & DESIGN": 10"
Logo Box: 12" x 29.9"
Exterior Letter Color: ME432 Hunter Green
Neon Color #6500 White
Date Reso #
0 e VS
MAIN BUSINESS SIGN
79-400 Hwy 111, Suite 102 / 103
La Quinta, CA 92253
(La Quinta Valley Plaza)
Internally illuminated individual "halo -lit" reverse channel letters
and acrylic faced internally illuminated logo box.
Business Frontage: 41 Lin. Feet.
Overall Sign Size: 12" x 288" = 24 Sq. Feet
No.: 11.13o
Customer Signature
Printed Name
Property Owner
Printed Name
Logo Bla BOX Background
S`GN•A'RAM,,S/VN*A *�gAMA
Black Background with Gold Text &Graphics T p l'
Trim Color: Gold ]Y -Y to Y THE COACNELLA VALLEY'S FULL YERVICE BION CENTER
Return Color: Dark Bronze 41-94s 9o.ew.s. 9u. L. PWY D. rt. CA 92211 Ph 760-776-9907