07-2542 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002542
Property Address: 43576 WASHINGTON ST
APN: 609-070-028-25 -000000-
Application description: SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 6000
Ta�v 4 XP Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 de, and my License is in full force and effect.
License Class: C45 D38 Cl nseNo.: 207136
Date: '91111C0 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).:
1 _ 1 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.).
(_ 1 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , BAP.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:
LQPERMIT
Owner:
GANDHI SANDHYA S
30926 STEEPLECHASE DR
SAN JUAN CAPISTRANO, Ci
Contractor:
IMPERIAL SIGN CO, INC.
46120 CALHOUN STREET
INDIO, CA 92201
(760)347-3566
Lic. No.: 207136
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/18/07
----------------------------------
WORKER'S COMPENSATION DECLARATION
1 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 STATE FUND Policy Number 1424837-2006
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 sb&j- omply with those provisions.
Date: ql�,OIPY 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 ($100,0001. 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 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspections. J
Date: 11Z Signature (Applicant or Agent):
Application Number . . . . . 07-00002542
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
81.00
Plan Check
Fee
52.65
Issue Date . . . .
Valuation
. . .
. 6000
Expiration Date
3/16/08
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
4.00 9.0000
THOU BLDG
2,001-25,000
36.00
Permit . . .
SIGN PERMIT
Additional desc . .
Permit Fee . . . .
15.00
Plan Check
Fee
9.75
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date'. .
3/16/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
(1)N0N ILLUMINATED MONUMENT SIGN
PER SA
06-1030
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
5.27
Fee summary Charged
Paid Credited
Due .
---------------------------
Permit Fee Total
----------
96.00
----------
.00
----------
.00
96.00
Plan Check Total
62.40
.00
.00
62.40
Other Fee Total
5.27
.00
00
5.27
Grand Total
163.67
.00
.00
163.67
LQPERMIT
$ 'I I FAAI MOR I M 10 116%*2 R
IN I W
ientMppro_v_a1:��1Lrand lord
iilit,10INI11!IIII lJi1!15'Ilt'1raWUF 41ll; L4111.1,111i1:1HIM411UAIN1AKIIA1ifJ11 W111411 I 'AlI] :iqj qI1 0 11111MY1,11 N N 4 14 411]I I 1MM 0i q I 111EIII milliI'
CUSTOM SIGNAGE AND SERVICES ARE: "SPECIAL ORDERS" & SERVICES AND/OR PRODUCTS THAT ARE MADE ESPECIALLY TO "FIT" / SUIT THE NEEDS OF YOU- THE CLIENT & ARE "NON-REFUNDABLE!". IT IS IMPERATIVE THAT YOU -THE CLIENT TAKE THE TIME T0: This is a original unpublished
drawing, created by IMPERIAL SIGN.
(1) REVIEW EVERYTHING, (2) MAKE NECESSARY CHANGE(S), (3) UNDERSTAND EVERYTHING PRIOR TO SIGNING THIS DRAWING. DRAWINGS WILL BE USED TO PRODUCE YOUR CUSTOM PRODUCT. AS SUCH, ANY AND ALL SIGNAGE CHANGES AND/OR RETURN It isasubmided for your personal use
TRIPS WILL BE THE SOLE RESPONSIBILITY OF YOU- THE CLIENT - BOTH LEGALLY AND FINANCIALLY. INCEPTION DRAWINGS AND INSTALL DRAWINGS MAY VARY DUE TO CITY/COUNTY, LANDLORD, MGMT. CO., CONTRACTOR, SUPERVISOR AND OR CLIENT DEMANDS. in planconnned
or y with a project being
plannetl for your by IMPERIAL SIGN.
COLOR(S) WILL VARY DUE TO REPRODUCTION, COMPUTER PROCESSING, E-MAIL AND OTHER TYPES OF DUPLICATING/REPLICATING PROCESSES/DEVISES. IT IS THE RESPONSIBILITY OF YOU- THE CLIENT, TO NOTE AND/OR INSURE THE EXACT COLOR(S). DAY & NIGHT It is not to be shown to anyone
APPEARANCES DIFFER. DARK COLORS MAY REQUIRE CONTRASTING OUTLINES. PLEASE ALLOW AT LEAST 4-6 WEEKS UPON CONTRACT, DEPOSIT, PERMITS AND "SIGNED" DRAWINGS. NOTE: IF THE SIZES INCREASE OR DECREASE, VALUATION WILL INCREASE out-reproducee your organization, nor i it to
be reproduced, copied, or exhibited
OR DECREASE DEPENDING ON DRAWINGS & "LEG -WORK" TO FACILITATE CHANGE(S) . ANY CHANGES BY ANY GOVERNING AGENCY. PROPERTY MANAGEMENT AND / OR LANDLORD WILL CONSTITUTE CHANGES IN PRICING. in any fashion.
SIT EPLA-N
pproval'
AJIitl01011)!I9Uif!15'Ilt` lWILI1,`t'ldiFIMMq+yai1:1HIM kill) g111131111Ali/!14W'111;F1g1Ifl qA911 111WYJIl :N q4M 111111MIC11 I I, film; q :111r I I I I I 11 II R1111 I'
CUSTOM SIGNAGE AND SERVICES ARE: "SPECIAL ORDERS" & SERVICES AND/OR PRODUCTS THAT ARE MADE ESPECIALLY TO "FIT" / SUIT THE NEEDS OF YOU- THE CLIENT & ARE "NON-REFUNDABLE!". IT IS IMPERATIVE THAT YOU -THE CLIENT TAKE THE TIME TO: This g, a original unpublished
drawing, created by IMPERIAL SIGN.
(1) REVIEW EVERYTHING, (2) MAKE NECESSARY CHANGE(S), (3) UNDERSTAND EVERYTHING PRIOR TO SIGNING THIS DRAWING. DRAWINGS WILL BE USED TO PRODUCE YOUR CUSTOM PRODUCT. AS SUCH, ANY AND ALL SIGNAGE CHANGES AND/OR RETURN It is a submitted for your personal use
TRIPS WILL BE THE SOLE RESPONSIBILITY OF YOU- THE CLIENT - BOTH LEGALLY AND FINANCIALLY. INCEPTION DRAWINGS AND INSTALL DRAWINGS MAY VARY DUE TO CITY/COUNTY, LANDLORD, MGMT. CO., CONTRACTOR, SUPERVISOR AND OR CLIENT DEMANDS.
in connection with I project being
planned for your by IMPERIAL SIGN.
COLOR(S) WILL VARY DUE TO REPRODUCTION, COMPUTER PROCESSING, E-MAIL AND OTHER TYPES OF DUPLICATING/REPLICATING PROCESSES/DEVISES. IT IS THE RESPONSIBILITY OF YOU- THE CLIENT, TO NOTE AND/OR INSURE THE EXACT COLOR(S). DAY & NIGHT It is not to be shown to anyone
APPEARANCES DIFFER. DARK COLORS MAY REQUIRE CONTRASTING OUTLINES. PLEASE ALLOW AT LEAST 4-6 WEEKS UPON CONTRACT, DEPOSIT, PERMITS AND "SIGNED" DRAWINGS. NOTE: IF THE SIZES INCREASE OR DECREASE, VALUATION WILL INCREASE out-sideyuced,our aped, or exhor ibited it d
be reproduced, copied, or exhibited
OR DECREASE DEPENDING ON DRAWINGS & "LEG -WORK" TO FACILITATE CHANGE(S) . ANY CHANGES BY ANY GOVERNING AGENCY. PROPERTY MANAGEMENT AND / OR LANDLORD WILL CONSTITUTE CHANGES IN PRICING. in any fashion.
Bin ff
City of La Quint2.
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
1i Quinta, CA 92253 - (760) 777-701?
..Building'.Permit Application and Tracldng Sheet
Permit ff
Project Address: -76 -S+
A. P. Number:
Legal Descril tion:
Owner's Name:
Address: J
City, ST, Zip:
Contractor:Te
-71 Telephone: 7
Project Description: +
Address:.
City, ST, Zip -i 22 0 J
Telephone: 6 ell
State Lic. # City Lic. #:
Arch., Engr., Designer.
Address:
City, ST, Zip:
401
Telephone:
State Lic. #:
0 n
Project type ,(circle .one).?-re-wAddn. Alter -Repair Demo
Name of Contact Person: -u C.\ I -e—, .4 1 1 /--b
Sq. FL:
# Stories:
# Units:
Telephone # o Contact Person: g 0 1 5
Estimated Value of Project: 401)
APPLICANT: DO NOT. WRITE BELOW THIS LINE -
N
Submitt I
Req'd-
Rec.'d
TRACIMG
PERMIT FEES
Plan Se
Plan Check submitted
Item
Amount
Structur dCalcs.
Reviewed, ready for corrections
Plan Chec7ii.Deposit
Truss Cs les.
Called ContactTerson
PlanChec"ic, Balance
Energy Cales..
Plans Picked up
Constructim
Flood pig in plan
Plans resubmitted
cc]
Mechanical
t0ectrical
Grading. plan*
2" Review, ready for corrcction6sue)
'r jIg
Subconta .tor List
Called ContactPirson
Plumbing
Grant De -d.
Plans picked up
ILOAV. Approval roval
Plans resubmit\t1d.
Grading
IN HOUE:-
3" Review, ready for ciorrectionslissue
Developer Impact Pee
Plannin.9 pproval
Called Contact Person
Pub.W .Appr
Date of permit issue
School FqeS
Total Permit Fees
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning Dept.
BUILDING ,& SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
To CDD:September 13, 2007
Due Date: ASAP
Permit #: Status: 2nd Review (Rev.)
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Development Department has reviewed the Building Plans for the
following project:
Description:
Address or General Location
Applicant Contact:
Approv4ocation of sign
43-576 Washington St.
Jim Engle (760)413-1135
The Planning Development Department finds that:
❑ ...these Building Plans do not require Planning Developmert Department
approval.
❑ ...these Building Plans are approved by the Planning Development
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Development Department for review.
Les Johnson, Director -Planning Department Date
Tafl. 4 4 a"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD:Septerrber 13, 2007
From: Les Johnson, Director -Planning Dept. Due Date:
Permit #:
ASAP
Status: 2nd Review (Rev.)
Building Plans Approval
�VThis is an approval to issue a Building � pp 9 Permit
The Planning Development Department has reviewed the Building Plans for the
following project:
Description:
Address or General Location
Applicant Contact:
Approv4ocation of sign
43-576 Washington St.
Jim Engle (760)413-1135
The Planning Development Department finds that:
❑ ...thes Building Plans do not require Planning Development Department
ap val.
these Building Plans are approved by the Planning Development
De6artment.
...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Development Department.for review.
1 �1 ti
1^ ICY Isb� CVMwlbl i �� I����. h �Ot� G..
�j S'j r 3 <c—
Les ohnson, irector-Planning Department
P 4Ae �j 4;k a- (0 30
Y(-7 1z), 7
Date
U
Bin # • 1'
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.# !
j
Project Addrfss` g _ S ? GAN - S+, .
A. P. Number:
• ..
Legal Descrilition:
Owner's Name:
Address: �� Zv VN �.
City, ST, Zip:
Contractor. i ; o V o
Telephone: (7i v ;;i,
Project Description:-:F:;5, o�
Address:
City, ST, Zip' � ��, � G.� .- 92-20 Y
.
Telephone:J.
State Lie. # : City Lic. #•:
.4 ,,;.... r %i. •` ,SY "�,�r/� ,�� .�/ �
Arch., Engr., Designeri:
Address:
City, ST, Zip:
Telephone:
State Lia #:
Construction Type:. Occupancy:
Project type (circle one): ew Ad&n Alter Repair Demo .
Name of Contact Person: j
Sq. Ft::
# Stories: _
# Units:
Telephone # o r Contact Person: 76 D — - l 3 - l 13 5
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submitt, I
Req'd
RWd
TRACM. G .
PERMIT FEES
Plan Set,Plan
Check submitted
Item
Amoant
Structur kl Calcs.
Reviewed, ready -for correctionsPlan
CheckDeposit
Truss CS les.
Called ContsctTerson
Plan Check Balance
Energy les..Plans
picked up .
Construction
Flood pl in plan
Plans resubmitted
Mechanical
I.Grading, lan'
2Review, ready for correction/issue
Electrical
Subcont ctor List
Called Contact Person
Plumbing
Grant Died.
Plans picked up
S.M.I.
II.O.A. A proval
Plans resubmitted
Grading
IN HOU E:-
''' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A I p p,
I.Pub.
Wks. Appr
Date of permit issue
School F es
Total Permit Fees