0306-431 (RC)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that i am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
N W Professionals Code, and my License is in full force and effect.
O
License # Lic. Class Exp. Date
d In
LLIJ 464856 B HPC 10/31/2(
Z r— Date Signature of Contractor
�O 0• ~
J U OWNER -BUILDER DECLARATION
H WW I hereby affirm under penalty of perjury that I am exempt from the Contractor's
ct) License Law for the following reason,
Z ( ) 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). .
c'') O I am exempt under Section , B&P,C. for this reason
to
N Date Signature of Owner
O rn
d Z WORKER'S COMPENSATION DECLARATION
rIt o Q � I hereby affirm. under penalty of perjury one of the following declarations:
, � �-; p O 1 have and will. maintain a certificate of consent to self -insure for workers'
X W LL compensation, as provided for by Section 3760 of the Labor Code, for the
mJ Q performance of°the work forwhich this permit,is Issued.
Q I have and will maintain workers' compensation Insurance, as required by
O I n Q Section 3700 of the Labor Code, for the pedomlance of the work for which this
Il Z permit Is issued. My workers' compensation insurance carrier & policy no. are:
Z Carrier STATE.FUND Policy No. 1613446-1003
Ci
g (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 Califomia, and agree that if 1 should become
3 subject to the workers' compensation provisions of Section. 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is "unlawful and
shall subject an, employer to 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 permYissued as a result of this applicaton; agrees to, &shall, indemnify
& 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 180days 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) Date
BUILDING PERMIT PERMIT# •
0306431
DATE VALUATION MAW= LOT TRACT
JOB SITE
APN
ADDRESS 47-120 DUM PALM RO" STE =
- -
OWNER
CONTRACTOR / DESIGNER / EN 1NEER
DUNE PALMS PLAZA LLC
ULTRA CONSTRUCTION
P.O. BOX 7250 '
3065 F. VERONARD
NEWPORT BEACH CA 92658
PALM SPRINGS CA 92262
(760)320-2113 CBL# TBD
USE OF PERMIT
10010MCIAL REMODEL
5000 it TENANT'IMPROVEMENT FOR BEAUTY COLLEOV1934
OCCUPANCY,2001 CBC
VALUATION 77.400..00 LS
XSTBIATED COST OF CONS LWCTTOM
77 400.00
PERD=FEE SUMMARY
PLAN CHECK FSE 101.000-439.318 $35.1133
CONSTRUCTION FEE 10.1-000-418-000 $540.50
ELECTRICAL FSE 101-000.420-000 $34.00
STRONO MOTION FEE • COMM 100-000-241-000 $16.15
SUB -TOTAL CONSTRUCTION AND PLAN OEM
$942.08
LESS PRE-PAIDYM
$0,00
TOTAL PE 0nT TEES DUs NOW
$942DO
RECEIPT
DATE
BY
DATE FINA LED
INSPECTOR
I
P.O. Box 1504
78-495 CA'LLE TAM.PICO
LA QUINTA,, 'CALIFORNIA 92253
June 5, 2003
f W MT : V)DI + 130
(7'60) 777-7000
FAX (T60) 777-7101
Mr. Eric Merten
Top of the Line Signs
74882 Joni Drive
Palm Desert, CA 92260 . 1X* P6V6 goo, Sam GIF
SUBJECT: Sign Application 2003-705 - ID Sign fo ne Palms Road #5
The Pool Store - Dune Palms Plaza
Dear Mr. Merten:
In regards to the above subject, this Department has approved your request to install
two business identification signs, 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, as well as procuring any required building permit.
2. The sign shall be established within one year:, commencing 06/05/03, which
shall constitute 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.
During our review, it was determined that this proposal constitutes two signs, which
are permitted in the sign program for Dune Palms Plaza when two or more contiguous
suites are leased under the same business.
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
Usted sign section. NEC 600-3. Depth
Consists of insulating boots, varies
insulating sleeves, plastic face,.
tube supports and channel letter.
Suitable for damp, wet or outdoor
locations unless marked for
dry or indoor locations only.
Tube su000rt
Neon tube.
Spacings maintained
per spacing table.
Electrode imulating
boot, GT6 insulating
sleeve provided
with sign.
Drain holes B used in damp,
wet or outdoor locations.
WWI varies In thirimess
and material
Listing marks:.
Lb" mark sign section label shall
be on each letter and trttrisby ►
enclosure.
Thelirst blank spaco ideriUfies the
number of each to sectim. The
second blank'spooe indicates
the total number of sign setions.
Fasteners as required by the
local jurisdiction.
Primary electrical source
NEC 600-5.
Listed disconnect switch in primary to
- be within sight (maximum 50 h.) of sign.
(Many interpret transformer enclosure
to be part of sign.)
NEC 110 -Nb), 600.6:
Listed flex (metal shown) and listed
GTO cable (secondary aids only).
See dwg CB and C7 for delta ll requtremenb.
For nonmetallic we dwg CBA and M.
Seal building penetration(s) to comply
with applicable building code requirements.
LISTED _
by qualified electrical
testing laboratory
ELECTRIC SIGN SECTION
NO. XX -123456
[�of=
Spacings maintained
per spubv table.
r
SPACING TABLE
A Betweeninstdatedhigh vollagewiringandt)pimarywirigand2)dead
me1a1wheredead metal isp ralelstheftighvoltagewiringformorethan
length.
B. Between noon tubingandneauestsurfaoe.
C. Between uninsulatedhghvoltageperlsandl)dead Metal and2)instllati
hghwltageorsuppyiconductors.
D. BeNyeerttminadatedhigttvOAppaf4sandl)otheruttiwAdoladhigh
vdtagepartsand2)urtinsulatedauppyandlowvt bWparts.
Wta4e _ A 1 B C D
10013to5000 16ich 1/41nch 3/41nch t inch
50O1to10000 3J4inch 1/41nch 1-1/8indt 1-1/2inch
10001115000 11nch 1/4 inch 1-1121nch 2"
Listed sign section (consists of transformer and encl)sure)
a dwile for damp wet or outdoor locations unless
madod for dry or indoor locations only. Acomlible.
NEC 600-3, WD -5(c)(1)(2), 600-7.60D-6. M9(d),
600.218 M23. Gmwxled enclosure.
_ by local jurisdiction. @ Reso
O Planning Commission
O City Council
PCommunity Dev. Dept. o
Initials
Case No.. .9 p3--yor
Exhibit A
IVith Conditions
Installation o— f signs listed per UL48
Note: Installation requirements only.
Manufacturing requirements contained in UL48.
r—
N right remved. No w d 06 wrk ooveed by M copyright trereen may be
n «used'n any khan « by any nheerhs - tFapHe, NxboNc, «nndnrical,
irht�dirp phot000prQhg. ��. dW^o. «inbnr�tion norape 0-M nebieyat tgrstetre
. wipput wrift pe+missiorh d the PhhbBshK e�ept Iver sanpls copies d lid vldtaal ---
payers msy be made by a bona fide limp' ' sgn estsisfion loin lorthe eob pupose
Of providirq yui farce on ft inoffatim Of ebehieal signs or aline figh ft without No pemdssim of ft puftlw
ILLUMINATED CHANNEL LETTER
INSULATING BOOT AND SLEEVE
- Date: April 1996
Scale IAEl UL48-TIO
None owg. No.
?S
.5µ.,u.. ,..
Approved bv:
O Planning Commission
O City Council
t Community Dev. Dept,
Initials 6
Case No. LA 03 100
r j Exhibit A
Awith Conditions
h.._
t %3• 1
Aft'oftL SPR
OF THE LIRt'' Produced for
43
'bo 3 41 . a8 8 Z 4 Designed by:: Pate:
Fax 341.0580 Estimated Price Final Price
14.882 joni Di #5 Palm Mert to 92253 Customer signature
Reso #
I
JUL- Z-03 WH �3:04 PM RIT CO, FIR'E FLE INDIO
Tom Tisdato
Fire 6f 101
.Proudly serving the
uninooepot'e!W
Areas of Riwoide
Catmty and the
Cidcs,of:
ins
0
Beaunuxit
Calimesa
Canyon Ake
0
Cbmftlla
Desert 1 tot -1
Indian Wellr
Indio
4
Lake Elakwe
0
La Quina
Moreno Valley
Palin Desert
4
Perris
4
Rancho kGragc
O
San Jacinto
Tonecall'a.
Bo,vd of Supervisors
Bob Busted,
District 1
John Tevaghone,
District 2'
JinrVenWC,
Dir'VkO
Roy Wilson,
District A
M* ion Asb1cy,
T)iilrict 1
FAX 1-0. 1 760 H,3, 7072 P. I
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation .with the
C'altfornia Department of 4,0evq and Fire Proreciian
210 en iwinto Avenue. Pems, oma: 0.Fnxi(Wg) 94_0-6910
J my 02, 2003
City of La Quints
Building Department
Re:, Fire and Life Safety Clearance
LAQ-03-TI-021
The Riverside County Fire Department is grantinp a fire and life safety clearance for th'a
Following project, Pool Spa Store located a -O- nes Palm rd: La Quints City.
FRANK°KAWASAKI
Chief Fire Department Planner
By nQ o
Terry D ucy
U3,—,
Fire Systems Inspectors
EMEMENCY SERVICES DIVISION • PW` NING:SEC QN i 1NDI0'OFFICE
82-675 H16way I I i, 3"' FI., Indio, Gi 92101 • (760) 863.8886 9 Fax (760) 963-7077