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04-3897 (SIGN)4 r �F�C1�rw BUILDING & SAFETY DEPARTMENT O-Bo�X,11500141� (760).777=7012 78-49 ' �� LE Tan P1Co FAX (760) 777-7011 JA A Q6 TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 UILDING PERMIT Application Number 04---Oa003897 Date 5/05/04 Property Address . . . . . 79405 HIGHWAY 111 APN: 649-030-999-6 -30420 - Application description SIGN Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation 1200 -.Owner Contractor STAMKO DEV CQ COAST SIGN INCORPORATED C/O PROVIDENT FINANCIAL MGMT 1500 W. EMBASSY STREET 10345 W OLYMPIC'BLVD 2 FL ANAHEIM. CA 92802 LOS: ANGELES. CA:90064 (7.14) 520-9144 WCC: STATE FUND WC:,17678992004 04/01/05 ' CSLB: 654238 03/31/06 -------------------- CCC: C- as ---------------------- .Permit . . . . . . ELEC-ELECTRICAL ---------------------- SIGN ------------ Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 11/05/04 Qty Unit Charge Per Extension BASE FEE' 15.00 1.00 15.0000 EA ELEC SIGN ----------------------- 1ST CIRCUIT 15.00 --=---------------- Special Notes and'Comments ---------------------- ------------ REMOVE EXISTING SIGN/REPLACE WITH ILLUMINTATED CHANNEL LETTER SIGN PER :SA 04-788. Fee summary Charged Paid. Credited Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 00 .00 .00 Grand Total 30.00 .00 .00 30.00 P.O. BOX 1504 VOCE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: t - -7> g 4> % Date: �9► Applicant: /, Architect or Engineer: C— NoNr Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. � 2 License Class .y License No. /n 7 L( �/ 7 Date y 6 `r' 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).): 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 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 Owner WORKERS' COMPENSATION DECLARATION 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. �C 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 olicy n mbar are: Cartier ST -,+M F_t1yV f / Policy Number L2 g 4 3 L DO 4 _ 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 those provisions. Date Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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.). 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 information Is correct. I agree to comply with all city and county ordinances and state laws relating to building :a:ove-rn�enfionecl construction, and ere y authorize representatives of this county to enter n e property for inspection purposes. Date i C ✓ 6 Signature (Applicant or Agent): N NEX1FEL P-L-CUL'"ULL �,ob ,_n�rj Commission [3 planntng L3 City Councilp— DF -PT. Init T11,Tr7Frr_T1YMWT Ca 0. Ex Conditions 0 24 ":.-- I EQ 38`.18" f_ri Store Number: 2132 Drawing Number: 04-0545 Store Name: Center at La Quinta V.R. BRANDING REVIEW STATUS Drawn By: Address: 79405 Hwy 111 3.9.04 Revise & Resubmit Date Drawn: City: La Quinta Sales Person: Richard Williams Appr:)ved as Noted Ca 92253 Brian Lock Name: Date:-: State: Zip: Project Manager: L " L E L t NEXTEL Plteic ��L ' L L:lil`litL Samuri 248'-0" Canton Game Cleaners Sam 22'-10" Nextel Bistro Stop f 4HWY 1 111 Samuri Super Canton Game Cleaners Sam Nails Nextel Bistro Stop llllll�:Lll��:tiL L"Iteiv L LL L LL I L CL- ILL L_- I L I�' 11 i,.:.. NEXTE Sign Type: NR-A1A-24 Action: Remove & Replace channel letter set Description- Internally illuminated channel letters Cab. Height: N/A Cab. Width: N/A Ltr. Height: 2411 Notes: Illuminated: Yes Double Face: N/A Wall Repair: Patch Holes Min. Sq. Footage: Max. Sq. Footage: Description: Illuminated Channel Letters Sq. Ft.: 21.16 Cab. Height: N/A Cab. Width: N/A Depth: N/A Retainer: N/A O.A.H. above Grade: 261-111 Ltr. Height: 24" O.A. Stretch out: 127" Illuminated: Yes Double Face: N/A Face material: Acrylic Wall Material: N/A Available Wall Height: 7'-0" Available Wall Width: 251-0" Sign Type: NR-A1A-24 Action: Remove & Replace channel letter set Description- Internally illuminated channel letters Cab. Height: N/A Cab. Width: N/A Ltr. Height: 2411 Notes: Illuminated: Yes Double Face: N/A Wall Repair: Patch Holes Min. Sq. Footage: Max. Sq. Footage: