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08-1433 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/19/08 Application Number: 08-00001433 Owner: Property Address: 47875 CALEO BAY STE 107 PHAN STEVE APN: 643-200-001-3 -31248 - 44139 MONTEREY AVE STE B Application description: ELECTRICAL PALM DESERT, CA 92260 Property Zoning: COMMUNITY COMMERCIAL ( D Application valuation: 5000 EAUG0 2008 Contractor: Applicant: Architect or Engineer: IMPERIAL SIGN CO, INC. - CITY OF LA QUINTA 46120 CALHOUN STREET FINANCE DEPT. INDIO, CA 92201 (760)347-3566 LiC. No.: 207136 LICENSED CONTRACTOR'S DECLARATION I reby firm u der penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with S tion 7 • Division 3 of the sine and Professionals Code, and my License is in full force and effect. c 45 D38 C1 License No.: 207136 at I Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury th I am exempt from the Contractor's 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 Contractor's 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).: (_) 1, 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 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.). " (_) 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.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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.I. Lender's Name: _ Lender's Address: LQPERMIT 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. 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: Carrier STATE FUND Policy Number 1424837-2007 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any mJALPENALTIES ome subject to the workers' compensation laws of California, and agree tha subject to the workers' compensation provisions of Section i700 of the arthwith comply with those provisions. 96t :`� Appli nt WA NING: FAILURE TO SECMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INADDST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 st to tk information is correct. I agree to comply with all ci n count inan sand state laws relatostruction, and hereby authorize representatives' o o n on the above-mentionepection purposes. Date: nature (Applicant or Agent): Application Number . . . 08-00001433 Permit . . . . . ELEC-ELECTRICAL SIGN Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/15/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN IST CIRCUIT 15.00 ------------------------------------------------------------- Special Notes and Comments -------------- ONE ILLUMINATED CHANNEL LETTER SIGN PER 2008-1277 "COOKING WITH CLASS" 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 LQPERMIT e Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: CM" �) Owner's Name: eV -P— P(-,) ,41 A. P. Number: ^ P1 J Address: �y � 6 Legal Description: �� City, ST, Zip: Contractor: 2 Telephone: Address: 1 Project Description: City, ST, Zip: �G`� (1 �' C -"f , ( ` Telephone: Y State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 31 V V Sq. Ft.: �tj, # Stories: # Units: Telephone # of Contact Person: ^' Estimated Value of Project: ©® APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.N.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees