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05-0343 (SIGN)Fh 4'. Titr 4 4QUt�ra BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153 BUILDING PERMIT Application.Number . . . . . tglg5-000=0-0_�343� Date 2/01/05 Property Address . . . . . 79400 HIGHWAY 111 #104 APN: 649-820-002- - - Application description SIGN Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation . . 5000 Owner Contractor KLEINE NEIL WAYNE OWNER 41910 BOARDWALK A-10 PALM DESERT PALM DESERT CA 92211 ---------------------------------------------------------------------------- Permit . . . . ELEC-ELECTRICAL SIGN Additional desc Permit Fee . . . . 18.00 Plan Check Fee .00 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS 3.00 Special Notes and Comments TWO ILLUMINATED CHANNEL LETTER SINGS/ONE WITH LOGO BOX PER SA 05-858 Fee summary Charged Paid Credited Due f Permit Fee Total 18.00 .00 .00 18.00 Plan Check Total .00 .'00 .00 .00 Grand Total 18.00 .00 .00 18*.00 P.O. BOX 1504 '��� VOICE (760) 777-7012 78-49$ CALLE O FAX (760) 777-7011 LA QUINTA, CALIFORNIAFOR 9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT SNa GR Application Number: `� f) Applicant: Date: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. tsUILUINU 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 License is in full force and effect. License Class License No. Date 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 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. B. C. for this reason e#II 10 0 .--- ,c�1 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. 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 and policy number are: Cartier Policy 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 complywith those pr ions. Da lI'V bAMr.. f lc WARNING:' FAILURE TO SECURE WORKERS' COMPENSATION GVERAGE 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.). Lenders 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 Ouinta, 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, alnd hereby authorize representatives of this county a ter, the above -mention property for inspection purposes. Date v ()t:Signature (Applicant or Agent): Feb 01 05 12:48p r Kleine Bldg & Dev. LlKL._E1NE BUILDING & DEVELOPMENT INC. February 1, 2005 Ed Randall, Building Department City of La Quinta Re: Pit Spot Sports 79400 Highway 111, Ste 104 La Quinta Valley Plaza 7607764842 p.l Fax — 777-7112 Kleine Building & Development, Inc. has provided approval to Sandy & Rod Wright to contract the installation of exterior store sign for the referenced store. It is our understanding that Mr. & Mrs. Wright will contract with a company other than Sign -a - Rama. Kleine Building & Development, Inc. has also reviewed and inspected the plans provided by Sign -a -Rama for the exterior sign and provided approval on behalf of La Quinta Valley Plaza. Kleine dent 41910 Boardwalk, Suite A-10 • Palm Desert California 92211 • (760) 776-4840 • Fax: (760) 776-4842 • CA. # 390365 • AZ.'# 141156 U Standard Illuminated channel lettere � P=12" (RED LETTERS) HIGH Z TOTAL SIZE=33.9" X 12"=2.8 SQ FT 0 Q �.. a CL(cc � �9<0 ■/� TTOF NASCAR LU LIN t� cc LU Vv Uj LU I - MI, Im _ L 0 z 0o m W Standard Illuminated channel letters and a m LU logo box W�.�. MAIN BUSINESS SIGN P=18" (RE LETTERS) HIG-1 LA QUINTA VALLEY PLAZA N=8"(BLACK LETTERS) NIGH �:� 79-400 HIGHWAY 111 SUITE 105 LOGO BOX 79" X 11.4"T (DRINTED ACRYLIC) LA QUINTA, CA 92211 TOTAL SIZE=130" X 21.3"=19.2 SQ FT BUSINESS FRONTAGE=20'4"