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04-7028 (SIGN)T ' a 4hf 4 4 " BUILDING & SAFETY DEPARTMENT. P.O. Box 1504 (760).777-7012 78-495 C.ALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-71'53 BUILDING PERMIT Application Number . . . . x'00702-8__ � Date 11/01/04 Property Address .. . . .4`:747` 4 WASHINGTON ST_ APN: 643-200-005- - - Application description SIGN Property Zoning COMMUNITY COMMERCIAL Application valuation . 0 Owner Contractor SIKLAI OMRI RIOFINE NEON 56 OAKMONT DR 68895 PREZ ROAD, I-18 RANCHO MIRAGE CA -92 2'TO�� CATHEDRAL CITY CA 92234 (760) 322-6366 D WCC: STATE FUND - WC: 137185120.04 03/01/05 CSLB: 689256 05/31/06 C17Y OF LAGlUIN��► CCC: C45 Permit . . . . . . SIGN PERMIT Additional desc Permit Fee . . . 15.00 Plan Check Fee-. .00 Issue Date . . . . Valuation 0 Qty Unit. Charge Per Extension BASE FEE 15.00 .Permit . . . . ELEC-ELECTRICAL SIGN Additional. desc. Permit Fee 18.00 Plan Check Fee_ .0.0 .Issue Date . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15":00 1.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS 3.00 Special Notes and Comments., ILLUMINATED SIGN.PER SA 04-820 Fee summary Charged Paid. .. Credited Due Permit Fee Total 33.00 .00 ..00 33.00 Plan Check.Total .00 .00 .00 :00 Grand Total 33.00 .00. .00 33.00 P.O. BOX 1504 • '�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing A e'- Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 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 (commencing with Section 7000) of Division 3 of the Business and Professionals Code,-and-myy Licen islini ce and effect. t"Licensss__1 LicenseN'o ISJU tL..J� �a�te Contractor�,u l 1 YAP 1 �►w` 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 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.). L) I am exempt under Sec. , BA P.C. for this reason Date Owner. 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 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 rissilBtt t My wrarQ'Prc'rnrf,nnne�t�nn �n�,,......... .........-.._�__,. _.. _.._�__ I _ I certify that, in the performance 6f -Ke work for which this p rnit 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. WARNING: FAILURE TO SECURE WORKVS' 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 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 Cityof La Ouinta, 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 upon the above-mentioned property for inspection purposes. �Dr-FI Ge l:l 1 1lC1rB �-Ces REALTY Sin EXEC[ 4.06in Rei Job atio n(�(�w 1-71 i�� pp �,�111MMV'� ascription illm'MaMc 0 225 cd0� k c+ Customer Name_ 1 Tki m : beon ze T -^MC \A 1,,6t4I I All ideas des' arrannggements and plans h rettrrresenfed brfi4 drasv�ng are owned by am Kiofine Neon.And were created evolved and for use on and in connection with the speciiii None of such Ideas, designs, arran emehts or 3� ' be used by or disclosed to an pers�n,flrm or i for anv purpose whatsodver_without the i .01 in or 95 Perez Rd Building I eSuite 18 Cathedral City Ca 92234 , ph (760)322-6366 Fax (76o)321-2682 APPROVED BY COMMUNITY DEVELOPME { RARE BY . DATE -' EXHIBIT CASE N0, O ".illi it',I y, �-Ces REALTY Sin EXEC[ 4.06in Rei Job atio n(�(�w 1-71 i�� pp �,�111MMV'� ascription illm'MaMc 0 225 cd0� k c+ Customer Name_ 1 Tki m : beon ze T -^MC \A 1,,6t4I I All ideas des' arrannggements and plans h rettrrresenfed brfi4 drasv�ng are owned by am Kiofine Neon.And were created evolved and for use on and in connection with the speciiii None of such Ideas, designs, arran emehts or 3� ' be used by or disclosed to an pers�n,flrm or i for anv purpose whatsodver_without the i .01 in or 4 68895 Pcrez lid Building t e5uite 18 Cathedral City Ca .92234 Ow ® 1)h (760)322-6366 Fax (76o)321-2682 Wall varies in thickness and material \ Acrylic Face \ Anchor Bolts 114 ' Primary Electrical Source lamps Existing ballast MIC Drain holes if used in damp ; or wet or outdoor locations All ,r use on ai nesuch use bV or for ahv 0 were and or or