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SA2016-0023 (SIGN).. 1 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: 7/12/2016 . Application Number: SA2016-0023 Owner: Property Address:. 78150 AVENIDA LA FONDA. GENERAL TELEPHONE OF CALIF APN: 770124006 P 0 BOX 152206 Application Description: WALL SIGN READS FRONTIER IRVING, TX 92253 Property Zoning: Application Valuation: $1,500.00 Applicant: Contractor: MIRIAM HANSEN ALL PRO SIGNS, INC. 16921 S WESTERN AVE 16921 S WESTERN AVE, 110 GARDENA, CA 90247 GARDfNA, CA 9,0247, (310)532-7676 --.----------------------------------------------------------------.-------------------- Lic. No.: 819014 --- ----- 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 Professions Code, and my License is in full force and effect. License Class: D42, C45 License No.: 819014 Date Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 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).: (� 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 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, Bu'sin'ess 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.). () 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.). *Lender's Na Lender's Add 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 and policy number are: Carrier:_ Polity 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 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): c ' "DESCRIPTION `. °. ACCOUNT 'QTY: AMOUNT:.:_. _PAID: PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/20/16 PAID BY METHOD RECEIPT;# CHECK # CLTD BY - 2016062022283025 Miriam Hansen CREDIT WEB882 218 EPRS Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 -` DESCRIPTION..: = : ACCOUNT QTY AMOUNT :. PAID -PAID DATE' Credit Card Fee 101-0000-43505 0 $6.88 $6.88 6/20/16 PAID BY :... METHOD 'RECEIPT # CHECK#' CLTD BY Miriam Hansen CREDIT WEB882 2016062022283025 218 EPRS Total Paid for Credit Card Fee: $6.88 $6.88 DESCRIPTION ; , ACCOUNT QTY - : AMOUNT. ' PATO' PAID DATE WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 $24.66 6/20/16 PAID BY 'METHOD - RECEIPfi# CHECK # CLTO BY: Miriam Hansen CREDIT WEB882 2016062022283015 218 EPRS DESCRIPTION ACCOUNT ' QTY AMOUNT' PAID PAID DAT£. WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02. $87.02 6/20/16 ` PAID BY JVIETNOO RECEIPT # CHECK #: CLTD BY Miriam Hansen CREDIT WEB882 2016062022283025218 EPRS Total Paid for SIGN: $111.68 $111.68 DESCRIPTION . ACCOUNT QTY AMOUNT PAID PAID DATE. SIGN PERMIT - PL 101-0000-42434 0 $200.00 $200.00 6/20/16 PAID BY .:. METHOD RECEIPT # CHECK # .' CMAY Miriam Hansen CREDIT WEB882 2016062022283025 218 EPRS. Total Paid for SIGN PERMIT - PL: $200.00 $200.00 TOTALS: Description: WALL SIGN READS FRONTIER Type: SIGN PERMIT (WEB) Subtype: PERMANENT WALL, Status: ISSUED Applied: 6/20/2016 EPRS MOUNTED NONILLUMINATED Approved: 6/21/2016 AZA Parcel No: 770124006 Site Address: 78150 AVENIDA LA FONDA LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 4 Block: Lot: 75 Issued: 6/21/2016 AZA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,500.00 Occupancy Type: Construction Type: Expired: 12/18/2016 AZA No. Buildings: 0 No. Stories: 0 No. Unites: 0 16921 S WESTERN AVE Details: Sign Size: 2'-3 1/8" x 4'-10" DESIGN AND DEVELOPMENT APPROVED 1 NON -ILLUMINATED WALL SIGN __j Applied to Approved' Approved to Issued Printed:. Tuesday, July 12, 2016 1:28:53 PM 1 of 3 J SYS rEtitS JI CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESS1 CONTACTS CITY STATE ZIP PHONE FAX EMAIL ' APPLICANT MIRIAM HANSEN 16921 S WESTERN AVE GARDENA CA .90247 (310)613-3586 miriam@allprosignsinc. com BUSINESS OWNER PER HANSEN 2502 MANHATTAN BEACH BLVD GARDENA CA 90247 (310)613-3586 per@allprosignsinc.co m CONTRACTOR ALL PRO SIGNS, INC. 16921 S WESTERN AVE, 110 GARDEHA CA 90247 (310)613-3586 miriam@allprosignsinc. com OWNER GENERAL TELEPHONE OF CALIF P 0 BOX 152206 IRVING TX 92253 (310)613-3586 Printed:. Tuesday, July 12, 2016 1:28:53 PM 1 of 3 J SYS rEtitS JI ppsei, PARENT PROJECTS Printed: Tuesday, July 12, 20161:28:53 PM 2 of 3 MANAF sysTFMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY .By 201606202 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/20/16 WEB882 228302521 CREDIT Miriam Hansen EPRS 8 Total Paid for BUILDING STANDARDS ADMINISTRATION' $1.00 $1.00 BSA: Credit Card Fee 101-0000-43505 0 $6.88 $6.88 6/20/16 WEB882 1201606202 228302521 CREDIT Miriam Hansen EPRS 8 Total Paid for Credit Card Fee: $6.88 $6.88 WALL/AWNING SIGN, 201606202 101-0000-42404 0 $24.66 $24.66 6/20/16 WEB882 228302521 CREDIT Miriam Hansen EPRS FIRST 8 WALL/AWNING SIGN, 201606202 101-0000-42600 0. $87.02 $87.02 6/20/16 WEB882 228302521 CREDIT Miriam Hansen EPRS- FIRST PC 8 Total Paid for SIGN: $111.68 $111.68 201606202 SIGN PERMIT - PL 101-0000-42434 0 $200.00 $200.00 6/20/16 WEB882 22830521 CREDIT Miriam Hansen EPRS 8: Total Paid for SIGN PERMIT - PL: $200.00 $200.00 TOTALS- INSPECTIONS PARENT PROJECTS Printed: Tuesday, July 12, 20161:28:53 PM 2 of 3 MANAF sysTFMs c.' Permit Details PERMIT NUMBER i1 City of La Quinta -, Q160023 � A 1ST PLANNING — I CARLOS ETRAKIT (1 DAY) FLORES 6/20/2016 I 6/21/2016 I 6/21/2016 I READY FOR APPROVAL Printed: Tuesday, July 12, 2016 1:28:53 PM 3 of 3 SYSTEMS ETRAKIT ENABLED Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR. DOC 6/20/2016 EtrakitPublicReg 1ST SUBMITTAL - SIGN. La Quinta.pdf 1 EXHIBIT DOC 6/21/2016 MARY FASANO FRONTIER FRONTIER 1 APPROVED.pdf APPROVED.pdf DOC 6/20/2016 STEPHANIE KHATAMI AUTHORIZED AGENT 6- AUTHORIZED AGENT 6 - 0 20-16 20-16.pdf Printed: Tuesday, July 12, 2016 1:28:53 PM 3 of 3 SYSTEMS