0110-266 (ELEC)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that] am licensed under provisions
Chapter 9 (commencing with Section 7000.) of Division 3 of the Business a
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
2071 16 045 D38 C14 Cxlr?
Date 1 Q� 01/Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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
Sebtion 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier �7,A;T V, F IND, - Policy No. 1424,437-0).
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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: e•, (n Applicant RT �t✓�i f �. �" /�i
;—Warning: Failure to secure Workers' Compensation coverage is unlawful and'-'.
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application'is hereby made to the Director of Building and Safety
for a permit subject to* the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.,
�• Signature (Owner/Agent) �/�.Date, Irl d
•PERMIT# +• '
6Aq %i:,PLIILDING PERMIT =
DATE VALUATION vmwoLOT TRACT
JOB ADDRESS 47-4= W'A-Sa`�i11�G�'I 0X4 a� •
APN _
OWNER
CONTRACTOR/DESIGNER/ENGINEER
Px.L tt imim`r xmdoAirAL T3"K
UPFML S IGNT CO.
7«0{ 0° ��tU,7S�fi�I.7•�l./},I'� U`TIM?T
'46120 cpunb1J 4
..Qi,1iarA CA 1322,531D,
10 CA. -+2201
(760)347-1566 CBL4 223
USE OF PERMIT
t�baf��C I3ifK:.f , SIGN 014 RA.CKWAY
VALUATION 4,600, Ls
ELECTRI M. FEY,
UV
OCT 2 4 2001
CITY OF LA QUINTA
FINANCE OERT.
J
SY{M�; -A/'y. gL. (!01A 17dtS/n0X .N�'..�dC.-J%X CHECK
00
ITMAILF100011 FUS ME ROW
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air'
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
vWater Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
I'-
IMP�;`�T
IMP
SIGN �/® INC
.�
46-120 CALHOUN 5TREET
CA 92201
(760) 347-3566.
FAX
FAX (760) 347-0343
CONTRACTOR5 LIC.#
207136, cas.clo, c61
WORKMANSCOMP#
142483799
BUSINESS NAME: PDNB /McDermott Enterpri5e5
DATE: 10-16 -2001
10
vrn �/
Ter' I porn' J
+�
bank �JlgYla598
`'s.-
(w/ Raceway)
-
This Is an orIInas unpublished drawing,
created by IMPERIAL SIGN. It Is submitted
for your personal use In connection with a
project
project being planned for you by IMPERIAL
SwN.ttisnot tobeshown toanyone out -
side your organization, nor Is it to be repro-
epro
dueed, copied or exhibited In any fashion.
CUSTOMER NAME: Colin McDermott
DRAWN [5Y
6
MAIL ADDRESS : 75-200 Chi Wa
pp
PHONE NUMBER
5TLAND
CITY LICENSE #
1345 98-01484
JOB LOCATION: 47-000 WASHINGTON r
FAX NUMBER
(,Ut)IUMhK Ar
«
ORD APP OVAL
.
22,_6„
' " 22,
. I
MANUFACTURE & IN5TALL TWO (2) 5ET5 OF REVERSE CHANNEL LETTERS
REVERSE CHANNEL LETTERS: -
L FACE: 24 GA. 5/M PAINTED TO MATCH DARK BLUE VINYL (230-36)
NEON: ` 6500 WHITE. 1
15ACK5: CLEAR LEXAN
"5/M RETURNS PTM DARK BLUE VINYL (3630)-36
"5/M FACE PTM DARK BLUE VINYL (3630)-36
' Approved b . _ ......_.., �`Peso #
CITY OF LA QUINTA D Planning CoMinissloa ;r.
'� D Cit Council-
BUILDING & SAFETY DEPT. y Council
sommunityDev 'DeA iv Ly a1
APPROVED Initials
FOR CONSTRUCTION case, No. 4 o� - s'�
Exhibit -� "
,�yyith Conditions
4W4
N.T.5.
Typical Reverse
Channel Letters Specifications
(w/ Raceway)
Sealant applied
I r I aA
wall penatraUone .
3/16 al
road w/toggle bona
Metal face
l4' S 1§6
.
Trs ad
mer box
w/ cc nett awitch
Ina aj
ae per UL & NEC codes
GTO Calla"r
nsformer installed
w/slating .IF
per UL & NEC codes
3/16• alhhread
Neon 13mm
w/toggle bona
glaee
O
2
3116• Lexan back
UL listed gtase
N
016conect
tuba aupporta
6switchPrimary
power
UL Llatad boots
•
to location
add ahort steps
mn by othare
Metal raw a
Dry Wall
.090 thickness "Methw of attachment to ba determ erod
by existing wall etructure'
INSTALL IN ACCORDANCE WNEC
Letters mounted to
temporary raceway on
temporary building
Letters to be mounted
later on permanent building
- structure at later date
1141
r
RE -INSPECTION FEE OF $31
111 BE CHARGED,IFTHE APPROVE[
'LAMS BIND JOB CARD ARE'NOT Of
• HE SITE FOR A SCHEDULE[
i NSPECTION. .
NO EXCEPTIONS!
i
This Is a original unpublished drawing created by IMPERIAL SIGN, It Is submitted for your personal use In connection with a project planned for you
by IMPERIAL SIGN, It is not to be shown to anyone outside your organization, nor Is It to be reproduced copied, or exhibited In any fashion
E
IMP
SIGN �® ���
•
46-120'CALHOUN STREET
INDIO, CA 92201
FAX760 347-3566
(760) 347-0343
CONTRACTORS LIG.#
207136, C45,C10, C61
BU51NE55 NAME: PDND / McDermott Enterprises
DATE: 10-16 -2001
'
Temporary
R
Bank Signa 5ge _
This is an original unpublished drawing,
created by IMPERIAL SIGN. It Is submitted
for our personal use In connection with a
project being nat'to bed for you by yore IAL
SIGN. it Is roam be shown m anyone put -
side your organization, nor is It to be rero
dueed, copied or exhibited in arty fashion.
1,
CU5TOMER NAME: Colin McDermott
DRAWN BY
B s
WORKMANSCOMP#
1424837-99
r1
MAIL A D DRE55 : 75-200 Ch ippwa
PHONE NUMBER
-
CITY LICENSE #
1345 98-01484
JOB LOCATION:' 47-000 WaShin ton '
FAX NUMBER
FTKOVAL
LANDLORD APPROVAL
I . Aonrmd
D Planning
C
3'-0" 51GN FACE City Council
FTMRU5T PrM ' t iommunity.Dev. Dept.•
BROWN SUNFLOWER (3630-25) ---- ---- — -
" , . Initials �1-
Case No. / -S 60
Exhibit �....
ith Conditions
'Typical
'- LOGO CAN Specifications ,
(on Raceway)) Letters mounted to
temporary raceway on
r - 4.+- I ,117,
_o
1-1/2 WIDE
1� 5ealute temporary building
. Traneinrmer box -
BOARDERr"
• a - - ^ PrMDARKBLUE - - - _ -
.- ' ' - ., (3630.36) . - ;
5ealarmapplied
to all penstratlone
w/dieconneat ewiteh
Inatalledae erUL&NEC�eeaee'
P
Letters to be mounted
�.
• -'
• ;
GTO Cable
;:�
Tra"efomar'"etallea
ae per UL & NEC codes
..
. later on permanent building..
• - T
i
_
-structure at later date'
7
_
3l16'sllthroad w/tog gle bolts._
.. • .
• ,. . - :'._ _. ,. •.. ,,. ;,... '.
Neon 13mm
'.n ;. • . ,„
a MANUFACTURE-& INSTALL ONE LOGO 51GN CABINET
2'
o
--
' 1 FACE: 'WHITE FLEX : , • t.
3/16• Plex Face
D'®w"
A RE—INSPECTION FEE OF $30
RETURNS: _.� 24GA. 5/M PAINTED DK'BLUE �' -
ULIletedglase
ewitch
ILLUMINATION: _ 6500. WHITE GRID NEON (OOMA)
tubeeupporteF
a ewer
'N! L BE CHARGED IF THE APPROVED
APPLIED VINYLS '
ULLletedboote
"'"� °"�
PLANS AND JOB'CARD ARE NOT ON
•
� E A �
®A
add ehort etc"
F— Dry Wall
LA Q V
CITYOF LI N T' `,
'M`thoclofattachme"ttonadate""e'"`d
THE SITE' FOR A SCHEDULED
0 WAY AREA DESIGNATED BYCLIENT4FACIAISATILEFINISH)
BUILDING & SAFETY'DE (
Aluminum
A90thickneee
byex1et'"g'8"emaur°
Y
INSPECTIDN.
Case No. / -S 60
Exhibit �....
ith Conditions
'Typical
'- LOGO CAN Specifications ,
(on Raceway)) Letters mounted to
temporary raceway on
r - 4.+- I ,117,
_o
1-1/2 WIDE
1� 5ealute temporary building
. Traneinrmer box -
BOARDERr"
• a - - ^ PrMDARKBLUE - - - _ -
.- ' ' - ., (3630.36) . - ;
5ealarmapplied
to all penstratlone
w/dieconneat ewiteh
Inatalledae erUL&NEC�eeaee'
P
Letters to be mounted
�.
• -'
• ;
GTO Cable
Tra"efomar'"etallea
ae per UL & NEC codes
..
. later on permanent building..
• - T
i
w/sleevng
-structure at later date'
.- ♦ d <'. y % .. �. , ' •� " - .. -
_
3l16'sllthroad w/tog gle bolts._
.. • .
• ,. . - :'._ _. ,. •.. ,,. ;,... '.
Neon 13mm
'.n ;. • . ,„
a MANUFACTURE-& INSTALL ONE LOGO 51GN CABINET
g1a�
o
--
' 1 FACE: 'WHITE FLEX : , • t.
3/16• Plex Face
D'®w"
A RE—INSPECTION FEE OF $30
RETURNS: _.� 24GA. 5/M PAINTED DK'BLUE �' -
ULIletedglase
ewitch
ILLUMINATION: _ 6500. WHITE GRID NEON (OOMA)
tubeeupporteF
a ewer
'N! L BE CHARGED IF THE APPROVED
APPLIED VINYLS '
ULLletedboote
"'"� °"�
PLANS AND JOB'CARD ARE NOT ON
•
� E A �
®A
add ehort etc"
F— Dry Wall
LA Q V
CITYOF LI N T' `,
'M`thoclofattachme"ttonadate""e'"`d
THE SITE' FOR A SCHEDULED
0 WAY AREA DESIGNATED BYCLIENT4FACIAISATILEFINISH)
BUILDING & SAFETY'DE (
Aluminum
A90thickneee
byex1et'"g'8"emaur°
Y
INSPECTIDN.
LI D BYOTHERS
I
A P
NO EXCEPTIONS!
- -
INSTALL IN ACCORDANCE WNEC
FOR CONSTRUCTION
'
G�
DATE BY Gl l
This Is a original unpublished drawing created by IMPERIAL SIGN, It is submitted for your personal use In connection with a project planned for you
by IMPERIAL SIGN, It Is not to be shown to anyone outside your organization, nor Is It to be reproduced copied, or exhibited In any fashion