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13-1303 (SIGN)T�./,/././i !1i'i iii /J�//mfro, P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/14/13 Application Number:' 13-00001303 Owner: tv r Property Address: 50929 WASHINGTON ST LQ INV APN: 770-020-015-1 -000000- 17165 NEWHOPE ST. SUITE H Application description: SIGN FOUNTAIN VALLEY, CA 92708 Property Zoning: NEIGHBORHOOD COMMERCIAL (714)241-_1550 Application valuation: 1100 (J - _ Contractor: Applicant: Architect or Engineer:. MIRAGE DEVELOPERS INC 121 SOUTH PALM CANYON _#2 PALM SPRINGS, CA 92262 (760)864-9448 .. Lic No. 884711 • N®V 14203 1 IT)r OF LA QUINTA FINANCE DEPT LICENSED CONTRACTOR'S DECLARATION - - f - WORKER'S COMPENSATION DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of.Chapter 9 (commencing with r I hereby affirm under penalty sof perjury one of the following declarations: Section 7000) of Division 3 of the Business and Profess' als Code, and. my License is in full force and effect. - - _ I have and will maintain a'certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 884711 - F - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is. L �. _. i..,. issued. } Date:., Contractor ,. • :� " "+have and will maintain workers' compensation. insurance, as required by Section 3700 of the Labor.. - v y • - " � • Code, for the performance of the work.for which this permit is issued. My workers' compensation, OWNER -BUILDER DECLARATION r' - insurance carrier and.policy number are: • - ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the 4"Cairier. STATE FUND - Policy Number ' 1972640 _ following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to • I certify that, in the performance of the work for which this permit is issued,'I shall not employ any s. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for th_e person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ,` - and agree that, if I should become subj to the workers' compensation. provisions of Section. ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ` 3700 of the Labo shall forth i comply with those provisions: 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)..' Date: Applicant �1(/— (/1/✓ - 1 =) 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the I DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the Iteilding or improvement is soldwithinSECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,. 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.). - - - APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). _ - whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( ) I am exempt under.Sec. , B.&P.C. for this reason - - 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.. Date: Owner: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 . CONSTRUCTION LENDING AGENCY permit to cancellation. - - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - ' 1 certify that 1 have read this application and state that the above information ' c « ect. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.)." city and county ordinances and state lawsrelating to buildin nstruction, nd ereby authorize representatives _ - of this county to enter upon the above-mentioned pro rty for i spe.tion urp as. - .fender's Name: - - - - Date: (� / / . Signature (Applicant or Agent)/ Lender's Address: LQPERMIT - - - - Application.Number . . . . . 13-00001303 Permit SIGN PERMIT _ Additional desc . Permit Fee . . . : 17.00 Plan Check Fee .11.05 Issue Date Valuation 1100 Expiration Date 5/13/14 - Qty Unit Charge Per - Extension BASE FEE .15.00 1.00 - 2.0000 HND BLDG 501-2,000 .. --------=----------------------------------------------------- 2.00 -------------- Special Notes and Comments - SIGN - REPLACE'ILLUMINATED SIGN PER APPROVED PLAN (FOOTINGS AND:ELECTRICAL). 2010 CALIFORNIA BUILDING CODES'.. } ---`------ --------------------------- ------ ------------------ Other Fees""BLDG STDS ADMIN (SB1473). Other ---- -- - 1:00 4 ` PLAN CHECK, ELECTRICAL 71.50 " PERMIT :ISSUANCE M/P/E 90.57 - ;Fee summary Charged Paid Credited ---- `------- - - - - =----- - - - - -- -- - - - - ------ - - - - ------ Due - - - - - - ' Permit Fee Total .• 17.00 .00 .00 . 17.00 , Plan Check Total. 11.05 - .00 ,.00 11.05 Other Fee.Total163.•07' .00 .00 -163.07 ,. Grand Total •191.12 00 00 191.12.. _ n - n LQPERMTT Bin # City of La Qu nto -Building St: Safery'DivWo'n P.O. Box 1504, 78-495 bile Tampico _=L-a-Quinta,-CA 922-53_x(- -_.-7-7-7--7-0-1.2 Building Permit, Application and Tracking Sheet , Permit.#. - -- _ 7-1— Project Address S— S0 !pp 1, Owner's Name: a c-;�pI A. P. Number .\ Address: , i.•0 - Legal Descripi o : City, ST, Zip: L-01 qfAV44. Z Z S 3 ` y \ I. Contractor: lC e ' �'C �1�. _ vt o ens N � t , Telephone: p ��i }:<ni}}ij4 vii:;>:'•?An �:4}%ri:"vF+: ;:# :v :s:>s >•::> Address: F j a 1 SO- PaIM _e—C(AAYOV 7 ZO City, ST, Zip: �Pm�s_ YI VV S �� . Q Z Z 6FZU.y�,tiWt, •, '�i' lig �:f ., _ 9y Tele Phone 4q,' y�Q) �� , ��:�- V� �iirf'I.': r::4ti� 1iSi5 iil:�-iv)if:...•,:.`}' Project Description: R ,jam - State Lie. # CityLie. #: , Arch., Engr.; Designer: Address: City., ST, Zip: Telephone:. fr60 �;�a- 3 :::c:::;::.>.<;;•:::::<;;<: :>:>.> StateLic.� ISO) . Construction Type: Occupancy: Project type (circle one): New Addf n Alter Repair Demo Name of Contact Person: l c o "• ` Sq. Ft.: # Stories: ,' . # Units: Telephone #,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed '" ' 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 Plans resubmitted Mechanical ` Grading plan V 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: '"' Reyiew, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person I' A.I.P.P. Pub. Wks. Appr . Date of permit issue School Fees r ; J i Total Permit Fees 11/13/2013 WED 12:05 FAX SUMM1r.riH1M1AM,, SfIoPPING CUNTRR MANAG9ME]NT AND LEASING "Taken to the Next Laval" November 13, 2013 City of La Quinta Building & Safety Department P,O. Box 1504 La Quinta, CA 92247 RE: Monument Sign Construction - La Qulnto Village To Whom It May Concern: U002/002 INC. This letter shall serve as notice that Summit Team, Inc. on behalf of LQ Investments, LP as Landlord, is aware that Francisco Sabio of S9 Signs is working in conjunction with Tod Davidson of Mirage Developers, Inc. on the Monument Sign Project at the La Quinta Village located at 50855 - 50981 Washington Street in La Quinta, California. The contact information for Mirage Developers, Inc. is as follows: Mirage Developers, Inc, 121 S. Palm Canyon, Suite 208 Palm Springs, CA 92262 General Contractors License #884711 Please advise if additional Information is required on the Landlord's behalf. Should you have any questions, please feel free to call our office at 714,241.1550. Sincerely, n r Meyer Lea, dmir.ist ation Enclosure: 17165 Newhope St. • Suite H - Fountain Valley, CA 92708 • (714) 241-1550 • Fax (714) 241-1551 e-mail: SummitTeum®SummiltxeQm.com A FWISHFLC CERTIFICP�TIO SURVEYOR FO U ND I I 86" CO-HStrUc+foa IS octct?er lstMond? -. ' ` -. on the t0iio`J11ing Code hoiitlays: sq, t �rday: ` s nd.aY: I�plm`fpar's Day 154" R ELEV �N �i.SLl'iCY! BY A LI ENSED =--IU � N r-rA Q T;: k.-� f^ -"Ip i�� .� --Y R ENG R IS Ci►ristrc s Day B PIUGR 0 VILLA � �T-7 CjT►G, LA C),jjN"TA EV DEPT. 1L!�1r G & F R Cpj�ST TION SATE �6 u 3 "AN ADEQUATELY SIZED DE"RIS CONTAII::ER �r!U RFD ON Ti;E IO D11!R��iG Al L IS F�,._; , ,� B SITE .. ,. ,A ria; SrS Or CCI`;ST U ON AND MUST BE A RE -INSPECTION M OF $30 �D AS1 17"S�{GY. FAI':_.IRE TO DO SO WILL BE CHARGED IF THE =- T AIN PLANS AND JOB CARD E NOT '�-D AI THF FrY ENSE Or TtiE u',�i�i=;�/ THE SITE FOR A S IiEDUL 19" -• INSPECTION. Ne s(GFppQNs! 154" 154" QUIN T7YT T L ri 1*\ 1A s,�slgns.com 3700 E. Tachevah Dr. Unit Palm Springs CA 92262 Tel: 760.548.0343 Client: Andrew Meyer Lease Admin/Maintenarn SummitTeam Inc. Project: La Quinta Villa RALPHS Project Address: 50855-50921 Washington La Quinta CA Scale: 154"W x 86"H x 19"T File Name: La Quinta Village Ralphs di 1 1 OF I -A," ° 6 BUILDi1,',K31 & SA.FFTY DEPT. APS C—)Vr D FOR CON STfi;C T iON s,�slgns.com 3700 E. 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