11-0070 (SIGN)P.O. BOX 1504
78-495'.CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _11=60000070
Property Address: 47000 WASHINGTON ST
APN: 643-200-016-
- -
Application description: SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: .6500
" Applicant:
/1- 4 A7i7—
Architect or E gineer.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
.LPP INC
73745 EL PASEO
PALM DESERT, CA 92260
(760)776-5100
Contractor:
PARAGON SIGNS
77650 ENFIELD LANE
PALM DESERT., CA -92211
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 Professionals Code, and my License is in full force and effect.
License Class: C45 D42 License . 63 739 -
'Contractor:'
N UILOER 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 civilpenaltyof not more than five hundred dollars (5500).: '
(_) I, as owner of the property, or my employees withwages 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, 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. , 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1 /'20 / 11
JINN 20 2011
ITY 4F LA QUINTA
(760)345-3340 f,
Lic. No,: 637739
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 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 SPARTA INS CO Policy Number. 003WK05240
_ I certify that, in theperformance 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 sub' ct to the workers' compensation provisions of Section ,.
3700 of the Labor Code, I shall ith comply wi ose isions. -
--Date:. Applicant:
WAR INRE TO SECURE WORKE ' C ENSATION 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 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 constructio and hereby authorize representatives
of this county -to enter upon the above-mentioned property for inspe . purposes.
- te: Da2 Signature (Applicant or Agent): .
Application Number 11-000.00070
Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee. . 36.00 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date ." 7/19/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 '15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
2.00 3..0000 EA ELEC SIGN ADDITIONAL CIRUITS
6.00_
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Special Notes and Comments
'(3)ILLUMINATED CHANNEL LETTER SIGNS
"BANK OF SOUTHERN CALIFORNIA" PER
SP -2010-1493.
Other Fees . . ... BLDG STDS ADMIN (SB1473)
-
1.00
-Fee summary. Charged Paid ` Credited
Due
Permit Fee Total, 36.00 00 .00
36.00.
Plan Check Total` 00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00 ."
Grand Total 37.00 .00 00
37.:00
LQPERMIT
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
tProjecfAddress` - p0o' w���.,. ,
low s7`
'Owner' N me: pp .7.,�,
A. P. Number:
-Address:
Legal Description:
=" ^ `'
City, ST, Zip: dam ,2 cr'chTGYQ. 'JzZdo
Contractor:
Tele -ho- e
Address: 7/1 r'.4 La.)
Proj�"Ue"sg�iption: ^1 y,�.,vaT•� G� asvavcG Lci�c�
City, ST, Zip:
3 S, v
Telephone: LD
State Lic. # : 3 7 7S 7 City Lie. #; 21j: ~
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
'
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
.
State Lic. #:
Name of Contact Person: 6w Ste,
Sq. Ft: # Stories: # Units:
Telephone # of Contact Person:. �p_� S�3 O Estimated -Value WRjeaa:' C6 = "
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKING PERMIT FEES
Plan Sets..
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plan,
Plaits resubmitted Mechanical
Grading plan
tad Review, ready for corrections issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up. S.M.I.
H.O.A. Approval
Plans resubmitted " Grading
IN HOUSE:-
''" Review,.ready for correctionsrissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees