BSIG2015-0005Y
t y / VOICE (760) 777-7125
(&44
78 4a5�CALl�='r,iviPICO 1
LA QI�JINTA; CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT
DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/12/2015` ^
Application Number: BSIG2015-0005
Owner: r
Property Address: 47100 WASHINGTON ST 204 . i
4 COLIN MCDERMOTT; i ^
APN: - 643200045
75200 CHIPPEWA ,
Application Description: ' BEST SIGNS/BRAD SCHMETT/ (1) NON -ILLUMINATED BUILDING SIGN INDIAN WELLS, CA 92253 '
Property Zoning:
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Application Valuation: $1,200.00
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Applicant:
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Contractor,
BEST SIGNS INC
_ BEST. SIGNS INC r. c''�
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1550 S GENE AUTRY TRAIL 1550 S GENE AUTRY TRAIL g
PALM SPRINGS, CA 92264 ,^ • +: '
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• y, PALM. SPRINGS, CA 92264 y o ,
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(760)320-3042 r
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Llc: No.: 524483 o
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LICENSED CONTRACTOR'S DECLARATION
* "" WORKER'S COMPENSATION DECLARATION'
- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing'with Section 7000) of Division 3 of the Business and Professions Code,,'
I have and will maintain a certificate of consent to self -insure for workers' . .
+ and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code; for the performance
License Class: C45, D42, C10 License No.: 524483
of the work for which this permit is issued. •
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__1Z I have and wilf maintain workers' compensation insurance; as required by
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Dater Z Contractor: {dt1��f� `
-Section 37Q0 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:
` OWNER -BUILDER DECLARATION
Carrier: _ Policy Number: z
I hereby affirm under penalty of perjury that Cam exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, l
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers' '
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if 1 should become subject to the
• any structure, prior to its issuance, also requires the applicant for the permit to file a ' workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
• 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
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Date: G{
A licant��4Gi{�`'� `f<
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basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
e permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, '
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' .
`
(_) I, as owner of the property, or my employees with wages as their sole -
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, -DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, .,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. L
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
APPLICANT ACKNOWLEDGEMENT•
are not intended or offered for sale., If, however, the building or improvement is sold,
IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application:
- he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
. (_) I, es owner of the property, am exclusively contracting with licensed contractors .' request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' .
issued asa result of this application', the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property'who builds or improves shall defend, indemnify and hold harmless the City of La.Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed underor
the Contractors' State License Law.). ,
following issuance of this permit.
• (� I am exempt under Sec. B.&P.C. for this reason
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 _
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work for 180 days will subject permit to cancellation.
Date: Owner: '
I,certify that I have read this application and state that the above information is correct. .
` CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws relating to building "
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to enter upon the above•
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.)..
mentioned property for inspection purposes.
`
Lender's Name:
Date: Signature (Applicant or Age,+
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Lender's Address:
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Description: BEST SIGNS/BRAD SCHMETT/ (1) NON -ILLUMINATED BUILDING SIGN
Type: SIGN
Subtype:. Status: APPROVED _
Applied: 2/12/2015 SKH
Approved: 2/12/2015 SKH
Parcel No: 643200045 Site Address: 47100 WASHINGTON ST 204 LA QUINTA,CA 92253
Subdivision: PM 29889
Block: Lot: 10
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,200.00
Occupancy Type: Construction Type:
Expired: .
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: SIGN - (1) NON -ILLUMINATED BUILDING MOUNTED SIGN PER APPROVED PLAN. 2013 CALIFORNIA BUILDING CODES.
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DESCRIPTION
ACCOUNT "�
CITY
AMOUNT -;
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PAID .
PAID"DATE
`RECEIPT #
CHECK #"`
METHODS
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PAID BYBY
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DATE
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NOTES �?
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION ,
$1.00
$0.00
BSA:
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$0.00
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$0.00
FIRST PC
Total Paid forSIGN: s $111.68 $0.00
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FINAL"
PARENT PROJECTS
BONDINFORMATION
AT?ACHMENTS
Printed: Thursday, February 12, 2015 9:28:41 AM 2 of 2
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SENT DATE,
DUE DATE,
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BONDINFORMATION
AT?ACHMENTS
Printed: Thursday, February 12, 2015 9:28:41 AM 2 of 2
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Bin #
City of La.. Q uin ta .
Building $r SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (76.0) 777-7012 .
Building Permit Application and Tracking Sheet
Permit #
Project Address: L4 v" : S
Owner's Name: —�
A. P. Number:
Address:
-Legal Description:
City, ST, Zip:
Contractor: — S S
Telephone:
Address: (` S .���
Project.Deseription:
City, ST, Zip:'r
Telephone:e-�
State Lic. #: z, ��
City Lic. #;
Arch., Engr., Designer:
Address:.
City., ST, Zip:
Telephone:
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Construction T e: Occupancy
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State Lic. #
•' Project c circle one): New. Add'n Alter. Repair Demo
J �P ( )
Name of Contact Person: C
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: l 2-
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rcc'd TRACMIG PERMIT FEES:
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Revie-ved, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction.'
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
R:O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
"' Rcylew, ready for corrcctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Datc of permIt issue
School Fees
Total Permit Fees