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05-1742 (SIGN)o� tG�Ci/ U BUILDING & SAFETY DEPARTMENT O. BO 504 C� 9 - (760),777-70.12 5 LE TAMPICO FAX (760) 77.7-701`1 L aui CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 C OF 6�66�114TA BUILDING PERMIT ropert 05-00001742] y Address �____ Date APN: 47060 WASHINGTON ST 5/06/05 Application description • 643-200-020- P.roperty Zoning SIGN. - Application valuation COMMUNITY COMMERCIAL Owner ' 2500 . ------ -- _ Contractor RUDMAN MELVIN H -------------- --------------------- 1540 COMMERCE STREET, CORONA, -CA 92880 #G (951)734-6275 WCC: STATE FUND WC: 167963172005 -- CSLB: 724929 04/07/06 -------------------------------------CCC___--_C45--------- 07/31/06 P.O. BOX 1504 • a�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 05— Applicant: `JApplicant: Applicant's Mailing Address: Z _V OIICE (760) 777-7012 - -.FX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: a Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (r mencing with Section 7000) of Division 3 of the Business and Professionals and myicens�e is full force d ffect. icense Class�/ icense No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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 Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 �1 of the work for which this permit is issued. T have and will maintain workers' compensaf surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is ed. My workers' com ensation ' rance carrier and policm�bgr artier S �}-G �"V1 Policy Number l CP J Ce3 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 a pplicant_ 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. 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 0 1A 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 nlhe.abow4a mentioned property for inspection purposes. ate ✓ Q ��Signature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number 05-00001742 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-ELECTRICAL SIGN Additional.desc Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 11/02/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments REVERSE CHANNEL LETTER SIGN - 1 CIRCUIT PER SA ## 05-846 Fee summary Charged Paid Credited ----------------- Due ------------------------------ Permit Fee. Total 30.00 .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 11 -8 -SQ 44 "rg4'-"fV ;wow -- o0o � oC_s W w " U \^1 4 JIrr L LL � 06 �, C 0z�� o �o U U CD CCD ��a W u a Q W W O Z ZU Q ►= - w rn F- U wv.4;0d ('0 5 "moi► )o"vjd-M 4 ---- suo!l!puoa 43!M 13 i!q!4x3 9 'ON asea sJull!U! •1daa •naa Al!unwwoa !!ounoa AI!0E3 uo!ss!wwoa 6u!uue!d D lB :7 q pen Q� o0o v UJ C�>� \^1 4 JIrr L LL � 06 �, C 0z�� o �o 1� ��a Um o f t, SIGN DETAIL SCALE 3/4" - Nr 0'-8 1/2" California Realty 0'-51/4" Ar 1" DEEP AWMNJM REVERSE CH�. LETTERS WITH WFHTE LED HALO ILWMNATKX LOGO TO HAVE DE WLS CUTOUT AND BACI® WITH WF TE PLEX. 1. 2. 3. 4. V44. . EXISTING SIGN FASCIA 5. . #10 SCREW & SHEILD, TYP. 3 PER LETTER WITH 1° 6. LONG SLEEVE STANDOFF 7. . WHITE LED LIGHTING. 8.17 CLEAR LEXAN BACK 5. 1 ° DEEP ALUMINUM LETTER, PMS 300 BLUE 9. 6. RUBBER WIRE PLUG IN 1/4u HOLE 7.12G WIRING, SLEEVED 8. REMOTE TRANSFORMER, REGULATED 12V IN ENCLOSURE WITH DISCONNECT SWITCH. LETTER SECTION 9. FASTENING SCREW PAINTED TO MATCH NOT TO SCALE • PROJECL 04-xxx cuen MASON& APPROVALS: Prudential 4; , � TM � 8'8,�°°4 `°�.CAe ,..m 1 P:86,-794 California Realty _ FS5'"735- CA FRMAME: PCt4AQL6� V6R0Hf PAGE 2 OF 2 Tnu: *724 Lk UE E. wwwsw ftwtw4 i77.1A2B unm W: �