0312-010 (SIGN)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (coibmencing with Section 7000)%6f. Division 3 of the Business and
Professionals bode, and my License is in full.force an_d effect.
License # Lic. Class' , M Exp. Date
524483 CA5 C61 D4'21' 2J29/04
/Dated 's: _ Signature of Contractor e-'- _ - - .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&RC. for this reason
Date Signature of Owner
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
S916tlon 3700 of the Labor Code, for the performance of the work for which this
permit. is issued. My workers' compensation insurance carrier & policy no. are:
Carrier S'I'ttTE FUND Policy No. 046.115DI �0'
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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: i ''.. Applicant q ' , :, . . '
Warning: Failure to secure Workers' Compensation coverage is unlawful and +
shall subject an employerto criminal penalties and civil fines up to:$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.
IMPORTANT Application is hereby made to the Director.of Building and Safety
for a - permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnity
& hold harmless the City of La Quinta, its officers, agents and employees,
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 State laws relating to the building
construction, and hereby authorize representatives. of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) A/ f r �r � Date Ld
BUILDING PERMIT PERMIT#
V
C011-1010
"
DATE VALUATION LOT ) TRACT
�•r E�
JOB
ADDRESS 47-1.:20 .DAX PALM
OWNER
CONTRACTOR/DESIGNER/ENGINEER
BARTY i21VvU--R
RE!'e r Sums, wCa.
Ro. BOX 25-0
1550 a GIM ATMY .4'RAK,
NEV,.Tr,0 ',ri3EACE CA 92659
PAl.fi/ll SMI -IGS C"A 4122' i
Q60)32Q-3042 CaLfi 3705
USE OyyFF� PERMIT
}}'((r��yy
S
MOVUN"4T <71.CN DIttt::G'ri' R Y WITH g INTERNALLY ILL MWAT /7
•i 7 �
�Ic'�ri�, Pf�I: ,A-k�F�OVEP � f� ;&Cii2-b�i:� a�/� �,! .i
`i
c.i u`
. �dA.I,,i3,h.7';f1N 3Q04.f)D .G33
j
CITY OF• LA QUlf4y,,':4.
FINANCE DEPT•
pr"WI=gYi.ilt?iI?J��A]Zd'Si
c�c����r�cl�rl�ra�r.;? Ic�J•GCaD�l1��(�ii0 �sa.}�
1?JA . Vk1V-AL• Frog& 101 -IMI -4250-000 $Y6.R0
SUB-10TA..°1CXk1?. RLTC'.I(OX ANDF'i44�Wryry CHl?.Cyy�Y•.
. - J.i3bilb7 Fs
it
TOTAL RS WE NOW
C4.I )
V
RECEIPT
DATE
BY
DA AL
INSPEC R
INSPECTION'RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE,
INSPECTOR
SULDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O. K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate. Lines
-Party Wall Firewall
Exterior Lath
Dryv U - Int. Lath ,
Final
Final
SLOCKWALL APPROV (LS
Steel
POOLS -SPAS.
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam.
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMMNG APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICALS APPROVALS
i em A• Ptwer Pole
Underground Conduit
Rough. Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
I
#4
Ste
EtE IGNS
ALLIDEAS DJ51GNS, ARJWIGENBIISANDPIAAN
INDIEATEDORREPRgEIJ1EDJIrTNISDPANINGARE
OWNF®�Egqff AND PROF'fltTY OF AND WERE
Rep:
DUnet'almsf laza/monument
qty: 1
scale: 1/2"=1'.0"
N P O R T E C
CO�NNECfION�W,FNIANHEVEOFIEDDPPROJEKENONEOOFSUQ,
JKC
item: Double sided illuminated monument Sign
date: 11/9/02
I NCO A
IDEAS DESIGNS,'ARRANGEW7SORPLANSSHALLBE
MANY PEON RRIA OR
CORPORRATIONNFORAAN PURPOSEWI &EYERWROUE
FNEINWENPERAUSNJNOF SINL.
wo•�■
J Yo
#4
Ste
7099
�-M S
�24"
mount install
8, specifications
(attached) 301,
ALLIDEAS DE9t K ARRANGUBTSAND PUNS
INgGTEDORREPRESENTEDOfTHISDRIMINGARE.
CWNEDBfA MPTRITDF ANO WERE
Rep:
file: DunePalmoFlaza/monument
QtY: 1
„ , „
scale: 1/2 =1.0
I N C O R P O R A T R D
C` N'tMM TINE mom NONE OFIM
VAS DESIGNSARRANGEMMORPLANSSNAUBE
OMORDRDIII)IMTDANTPERSo fM
M0011
J RC
item: Double Sided illuminated monument sign
date: 11/9/02
■ o„
y�
i 4 T
P.O. Box 1504
78-495 CA -LLE TAMP'ICO
LA QUINTA, CALIFORNIA 92253
December 3, 2002.
Ms.. Nancy Cobb
Best Signs, Inc.
1550 S. Gene Autry Trail
Palm Springs, CA 92264
(7 60) 777-7000
FAX (760) 777-7101
SUBJECT: Sign Application 2002-665 - Monument Sign for Dune Palms Center
Dear Ms. Cobb:
In regards to the above.subject, this. Department has approved your request to install
one 6' x 8'' Center monument sign, not to exceed 8' in height as shown on Exhibits
A and B, approved copies of which are enclosed. This approval is subject to the
following conditions:
1. The applicant is responsible for proper' sign maintenance and compliance with
other general sign standards as set forth in the City's sign code (Section
9.160.030; copy enclosed), as well as procuring any requited building permit.
2. The sign shall be established within one year, commencing 12/03/02, which
shallconstitute the date of approval for this sign.
3. Installation, design, maintenance and removal of the sign shall conform to the
standards set forth in Chapter 9.160 of the Zoning Code, pertaining to
permanent signs.
4. Sign shall be located entirely on Parcel 1, a minimum offive feet from the
Highway 111 right-of-way line. Please check, with .Public. Works to determine
the final location.
5. Individual plexiglass divider panels are required to be opaque, in accordance
with the approved sign program for Dune Palms Plaza. A maximum of six
tenant panels are permitted.
6. The panel for Chevron shall be removed.
7. Pet Shop letters are illustrated in orange. All divider panel colors shall conform
with those identified in the approved sign program for Dune Palms Plaza.
Should you have any questions regarding this information, please do not hesitate to.
call me at 760-777-7069.
Very truly yours-,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
Wallace Nesbit
Associate Planner
WN/wn
Enclosure
c: Mr. Bart Rinker
Building and, Safety Department
Code Compliance
by:rn
Be!-
,)proved
file: PuncPalmoPlaza/monurnent
"
Planning Comis.kn-
4 o
City Council
Community Dev.
Dep
itials
ase NO. z -Gs
F
1,hibit
With Conditions
date: 11/9/02
I N C 0 R P 0 It A T E D
OR PLANS 91Q it
M��Muq
-j-� �j
Y Ej
no affe
CITY OF LA
BUILDING & S
APPROVE.
FOR CONSTRU_41.
DATEJZ�� _2-3�
too Chevron
MM11"
71i
ALL R%A�ANDPLAMS
To DPAWING ARE
OWNED Of AND PROZff AND WERE
Rep:
file: PuncPalmoPlaza/monurnent
qty,. 1
I
scale* 1/2"=1'.0"
DE%jgHM
71A fOR ONANDO!
CONAEVOLMAND
ONWRTHEPMEDPROJECENONEUSUCH
i PIC
item: L)ou�le, Sided illuminated 6�on
date: 11/9/02
I N C 0 R P 0 It A T E D
OR PLANS 91Q it
M��Muq
-j-� �j
Y Ej
no affe
.t�
ALUMINUM
RETAINERS
063 ALUMINUM
CABINET
SERVICE
DISCONNECT
Sign Cabinet -
Pole Mounted
1 ^^Ifs � .I. ♦e.— ....n IA—/'.A\1—
L-1 l- k a 0 od'o F- P,q L -!ti S
FLUORESCENT
LAMP
1.25" x 1.25"
ALUMINUM ANGLE
FRAME
SOCKET
ul LISTING SUB #763140-001
a f.
r
• r :. y. —vel / r
&__roved br, j
0 Planning Commission
24" O City Council
70" Community Dev: Dept.
-- Initials
. Case No. (P-
Exhibit A.,
rhetirnn f(With C .�
FRONT VIEW 510E VIEW 510E VIEW
5TREET 510E
D!F b' 6r4 c-4b1NF,T� M . (;Q =F r= .0 To MA -Cc, -1 /SLroG cv(-ort,
. Ni6A%DIM c,'. t)Sek -r"jev c Zl¢S,AC24LIL
-T F N A n) 'i N A M E S', 'T -<A nJ 5 L,) c -f-:: tJ T U I A4 4L, C- 7 0-S .
ALIIGFASGF51G��AAAAX6FAIE1115ANGPIAAd
INGIGIEDORAEPAESEEAImA11XK0AAN7NGAAE
Rep:
file: DunePalmoflaza/monument
qty: 1
scale: 1/2".=1'.0"
SES
�ONA01101�
ALAEOFSU01
� EMffjr,&M
CO FAQ
JRC
-
item: Oouble sided illuminated monument sign
date: 11/9/02
I N C O R. P O R A 7 E b
IDFAS, OESIOAPLIAS SAAIL IE"
R&W
USED ROAOISfIOSFDiOANF FlAMDA
,A �I�IMONO� r�AGAF
7 YE
�0°�°