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12-0454 (SIGN)C'. BOX 1504 .7 495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ii00000454 }`� Property Address:43632',WASHINGTON ST APN: 609 -070 -047 - Application description: SIGN Property Zoning: COMMUNITY COMMERCIAL Application valuation: 20000 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LEVITAN DEV LLC 11501 DONA EVITA DR STUDIO CITY, CA 91604 Contractor: D T & A SIGNS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/12 � u 739 S. ALANTIC BLVD. ��Y 0 9 2012 LOS ANGELES, CA 9002 (323)261-9951 E::11FINOA TY F LA QVINTA \I p Lic. No.: 919813 NCEDEPT, 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 Professionals Code, and my License is in full force and effect. License Class: C45 I le -11, License No.: 919813 ate:��ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that) 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 isexempt 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 isnot 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, 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 Contra_ ctors'_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: P A LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:. _ 1 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 requiredby 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 EXEMPT I Policy Number EXEMPT I certify that, in the performance of the work for which this permit isissued, 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, hall forthwith'comply with those pro v'sions . aV te: licant: WARNING: FAILUF�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 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 orpursuant 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. - 1 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 an tate laws relating to building construction, and hereby authorize representatives of t/,,s county to enter upo a above-mentioned property for inspection purposes. Date:�J" g 3 3 ignature (Applicant or Agent): - Application Number 12-00000454 Permit ELEC-ELECTRICAL. SIGN Additional desc Permit -Fee 45.00 Plan.Check Fee .. :00 Issue Date Valuation 0 Expiration Date 11/05/12 Qty Unit Charge Per _ Extension BASE FEE 15.00 2.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 30.00 \ Permit . . . SIGN PERMIT Additional desc . Permit Fee . . 207.00 Plan Check Fee 134.55 Issue Date Valuation 20000 ExpirationDate 11/05/12 Qty` Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001`25,000 162.00 -----Special Notes'and Comments (1) LED INTERNALLY ILLUMINATED MONUMENT SIGN AND (1).LED .INTERNALLY ILLUMINATED CHANNEL LETTER WALL SIGN [DESERT EXPRESS, CAR WASH] SIGN PERMIT NO. 2012-1553 [JW]' 2008 ENERGY, 2010 CALIFORNIA BUILDING CODES. May 3,.2012..2:21:02 PM AORTEGA ----------- ------- ------ -----------------.-_--------------_---------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged- 'Paid Credited.. Due Permit Fee Total 252.00 .00 .00 252.00 Plan Check Total• 134.55 .00 .00 134.55 - Other Fee Total 1.00 .00 .00 1.00_ Grand.Total 387.55 .00 .00. 387.55 LQPERMIT 5`3`'Yet2• �k 'to wra+� ttTA�g41Q. Gam. (so.t6SS C :_......--•-- .. . ... .......____.. �'�y,A.......u..9..iium.Acc•Mv. 1 ter•. ft'Vn fCV•st •vee 1 TVc.oa+cc fcr71 rwnu.A City Of - La Quina Buff ft er Safety Division P.O. Box 1504,78-495 Cade Tampico 14.Qdnta, CA 92253 -:(760) 777-7012 Building Permit ,App/ication and Tracking Sheet Permit # wmwq�ProjectAddtrss: 3— �a�5hi!2 �0✓1 ' Owner'sName:.�e z%�i� 0 c rtC ion nn " A P. Number. Address: . On (Xcz wi a i .r Legal Description: City, ST, 7.ip: i I o Contractor_ Telephone: 2\ - cfb1 Address: 9 k a n -i C \ �l .c�. Project Description: W l l h City, ST, Zip: LO 2 Qt- 9 00 .)- C �A a A n L Telephone 3 z3 6 -R Q 5 J= L State Lic. #: Ex 13 City Lic. #; ` "ice. p a , r' ' e.di s [, Arch, EW., Designer.. L _. Address: City, ST, Zip: Telephone: State Lia #: Name of Contact Person• Construction Type: i n S Occupancy: Project type (csrcle one}: New Add'n Aber Repair Demo Sq. Ft.: # Stories: # Unity: Telephone # of Contact Person: Estimated Value of Project: O 000 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PTsRhIIT FET:S Plain Sets 2. Pian Chug submitted Item Amount Structural Cala. Reviewed, ready for comctiom Plan Check Deposit... Truss Caler. Called Contact Pawn Pian Cheek lMancs Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechaelcal Ginding plan 2a' Review, ready for correctiouslissueElectrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans pitied up S.Md. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '�" Review; ready for oorrecdownssae eveloper Impact Fee Planning Approval G Called Contact Person 7 Called Pub. Wks. Appr Date of permit issue - Scbodl Few Total Permit Fees 5`3`'Yet2• �k 'to wra+� ttTA�g41Q. Gam. (so.t6SS C :_......--•-- .. . ... .......____.. �'�y,A.......u..9..iium.Acc•Mv. 1 ter•. ft'Vn fCV•st •vee 1 TVc.oa+cc fcr71 rwnu.A