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BSIG2016-00151s4. tr ' L 4 aui�slr,� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSIG2016-0015 Property Address: 78085 AVENIDA LA FONDA APN: 770122003 Application Description: FORTUN'S KITCHEN & BAR SIGNAGE Property Zoning: Application Valuation: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: FORTUNE PROP - KEVIN 5800 125TH LN NE KIRKLAND, WA 92253 Applicant: Contractor: PD GROUP DBA SIGNARAMA PD GROUP DBA SIGNARAM 41945 BOARDWALK SUITE L 41945 BOARDWALK SUITE PALM DESERT, CA 92211 PALM DESERT, CA 92211 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: 42 ]C4%5 License No.: 8301 01 D td / Jo 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).: (_j 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 ) 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.). I ) 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 Name: Lender's Address: (760)776-9907 Llc. No.: 830131 Date: 9/8/2016 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 thg `rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se ion 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 COMPENSATION INSURANCE FUND Policy Number: 9111087 _ 1 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 t oo a ro/visions. oeli �a '0 �A App! ca, FAILURE TO SECURE WORKERS' COMPENSATIO 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 - me tioned op ty for inspection purposes.7/9 ate: � 6 Signature (Applicant orAgen1,2Zeq Date: 9/8/2016 Application"Number: BSIG2016-0015 Owner: Property Address: 78085 AVENIDA LA FONDA FORTUNE PROP - KEVIN FORTUN APN: . 770122003 Property Zoning: Application Valuation: Applicant: Contractor: PD GROUP DBA SIGNARAMA PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)776-9907 -----------------------•---------------------------------- Llc. No.: 830131 Detail: (2) INTERNALLY ILLUMINATED REVERSE CHANNEL LETTER SIGNS [FORTUN'S KITCHEN & BAR] PLANNING SIGN PERMIT SA2016-0036 [MF] PER 2010 ENERGY AND 2013 CALIFORNIA BUILDING CODES , FINANCIAL DESCRIPTION ,• 1• ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $24.17. DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $48.34 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $24.66 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $24.66 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02 Total Paid for SIGN: $161.00 Bin # Qty Of La Quinta Building 8T Safety Dlvlslon P.O. Box 1504, 78-495 Calle Tampico 0 Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 7?0 _ Owner's Name: K e v t �j f—'c ---' t3 A. P. Number: Address: -70 QO r.. Legal Description: City, ST, Zip: a, LA, t C1 ,Ll S3 Contractor. A Address: Gf q y s IN ii. I L L Telephone: :% ; '1 Project Description: �ll City, ST, Zip: 1 G L wt �-C S clt. Ca Z l S Telephone: 760 -- 77 State Lic. # : F60 13 City Lic. #; 7 Co q Arch., Engr., Designer: Address: City., ST, Zip: Telephone:. State Lic. #•r: • y fi«••. Construction Type: Occupancy: Project type (circle one) ew Add'n Alter Repair Demo Name of Contact Person: , j, q . Sq. Ft. #Stories: # Units: Telephone # of Contact Person: -71k-5_-7X'-931_5 Estimated Value of Project: ZO G•p APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit 'Nass Calcs. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°° Review, ready for correctionstissue Electrical Subcontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees