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BSIG2017-001978-495 CALLE TAMPICO,, . LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 c&tr44Qu!Krw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT SIGN/ BSIG2017-0019 46660 WASHINGTON ST STE 3 643020063 TARN / CHANNEL LETTER SIGN/ PERSPECTIVE OPTOMETRY $7,000.00 J D Q DEC 0 6 2017 ICOMMUNITYDEvELOPti- DEPARTMENT LICENSED CONTRACTOR'S DECLARATION 1 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.: 83 31 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.). 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (� I am exempt under Sec. B.&P.C. for Ithis 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/6/2017 Owner: WASHINGTON 111 LTD '80618 DECLARATION AVE INDIO, CA 92253 Contractor: PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 (760)776-9907 Llc. No.i 830131 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 he w rk for which this permit is issued. 1 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64396857 _ 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 th se provisions. Datei\•t; 6b 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 pr perty for inspection purposes. Date: d Signature (Applicant or Agent): 7 Date: 12/6/2017 " Application Number: BSIG2017-0019 Owner: Property Address""'46660. WASHINGTON ST STE 3 WASHINGTON 111 LTD APN: 643020063 80618 DECLARATION AVE Application Description: TARN / CHANNEL LETTER SIGN / PERSPECTIVE OPTOMETRY INDIO, CA 92253 Property Zoning Application Valuation: $7,000.00 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: (1) CHANNEL LETTER LED SIGNS [PERSPECTIVE OPTOMETRY] SIGN PERMIT NO. SA2017-0038 [CF] 2016 CALIFORNIA BUILDING CODES. r FINANCIAL INFORMATION ,:::DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0. $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000742403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES,'FIRST 20 PC 101-0000 42600 0. $26.01 Total Paid for ELECTRICAL: $52.02 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE' 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST ' 101-0000-42404 0 .$26.53, DESCRIPTION ; ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST PC 101-0000-426000 $93.62 Total Paid for SIGN: $120.15 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 '0 $5.00