06-0334 (SIGN)�l
P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06='0'00H3'34 -
Property Address: 50680 EISENHOWER DR STE 101
APN: 773--370-029- - -
�.r,,::, ,, mac— ,,: . 10..
Property Zoning: MEDIUM DENSITY RES
Application valuation: 3800
T -,&t 4 4 Q"
BUILDING & SAFETI''DEPARTMENT
BUILDING PERMIT
Owner:
LANDAQ INC;
55920 PGA BLVD
VOICE (760) 77.7-7012
FAX • (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/23/06
Contractor:
Applicant: Architect or Engineer: BEST SIGNS, INC.
.1550 S. GENE AUTRY TRAIL
PALM SPRINGS, CA 922.64
WCC: STATE FUND
Lic. No.: C45 -D42
LIG ED CONTRACTOR' CLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm undo penalty of perjury that) am need under pr , isions,of Chapter (commencing with I hereby affirm under penalty. of perjury'one,of the following declarations:
Section 70001 of Di ision.3 of:the Business•and Pr ionals e, and my License is in full force and effect. _ I have and. ntaima certificate of consent to self -insure for workers' compensation, as provided
Licen�e Cl 1:
-- - - - - - - No.: C4 5 -D42 for b action 3109%9.f the.Lebor Cade, for the performance of the work for which this permit is
I hereby affirm -under penslty► 'perjury that I am exempt fro the' Contractor's State License Law for
following reason (Sac. "7031.r Business and Professions Cod Any city or county that requires a permit to
construct, alter, improve, dem 'sh, orrepairany structure pri to its issuance, also requires thwapplicant for the
permit to file a signed statement t tie or she is licenced p it am to;the proyisioneof the Contractor's State
License.Law, lChapter 9'(commenci with Section 7000) of ision 3 of the Business and Professions Code) or
that he or she; is exempt therefrom and basis for the alle exemption. Any violation of Section 7031.5 by
any applicant for a permitsubjects the•applic a civi elty:of, not more than five hundred dollars (8500).:
1 _ 1 1, as owner of the property, or my employees with wages ?is 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 nouapply 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 are not intended or offered for sale. If, however, the,building or improvement is sold within
one year of completion, the owner -builder will havethe burden of proving that he or she did not build or
Improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors�to construct the project (Sec.
7044, Business and Professions Cade: The Contractors' State License Law does not:epply 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.).
(_ 1 1 am exempt under Sec. BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
Ihereby affirm under penalty of perjury that-thereis 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:��
LQPERhIIT
T. -
I tiedd will maintain wor compensation insurance;as required by Section 3700 oFYbte l abor
Cfor the perform incie of work for which this permit is issued. My workers' compensation
Carrier. 04600 150104 03 01 OBoh Number 524483
I cert that, In the performance of the w -for which this permit is ' " sued, I shall not employ any
�ninanymannersoastobecoma. No.the workers"c pensation laws of California,
eco nation provisions of Section
3of the.l ebefCode, i hall forthwly with tho provisions.
WARNING: FAILURE T ECVRE WORKERS'"COI��ileN C VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FIN S UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000)• INA OITION TO THE 6057 OF COM PEN TION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR C E, INT�ANDAFEES.
DGEMENT
IMPORTANT Application is hereby made tod Safety for a permit subject to the
conditions and. restrictiormset forth on this application.
1. Each person, upon whose. behalf this application is made, each person at whose request and for
whose benefitworkr
under'or pursuant to any permit issued'as'a result of this application,
the owner, and the ; eat Tees to, and shall defend, indemnify and hold harmlessthe City
of La Quints, its offnts and loyees for any act or omission related'to the work being
performed under orissuance is permit.2. Any permit issued a at this applieat becomes null and void if work isnot commenced
within 180 days frof'issuence of suc rmit or cassation of /wokor 180 days will subject
permit to cancella[ioI certify that I have read this'appl n and state that the-abo nformation is comagree-to comply with all
city and county ordinances,and- a laws relating to building con ction, and herhorize representatives
of thi#AuntY to enter up appve-mentioned property for in ion purpose
or
Application Number . . . . . 06-0000.0334
Permit. . . . ELEC-ELECTRICAL SIGN
AdditionaldesC . .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 7/22/06
Qty Unit Charge Per
Extension
B;Zz
FEE
1.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
----------------------------------------------------------------------------
Special Notes and
-Comments.
1 INTERNALLY ILLUINATED HANNEL
LETTER
SIGN PER SA # 200.6-952
Fee summary Charged
Paid Credited
Due
Permit Fee Total 30.00
.00
.00
3.0.00
Plan Check Total .00
.00
.0.0
.00
Grand Total 30.00
.00
.00
30.00
LQPERMT
Bin f>t City of La Quinta-
Bulldlng
U Safety Division
Permit N P.O. B.Ox..1.504, 78-4.95 Calle Tampico
4 Quinta, CA 92253 -.(760) 7774012
BI' 11ding Permit Application and Tracking $beet
Project Address:' —(�Wner'S Name:
A. P. Number: Address: (p 'le)
Legal Description: ' City, ST, Zip: L..&.. CA C- .ZZtj
ContractorJ `tom Telephon ,
Address: Project Description• 1
City, ST, Zip: CA Z Sinj
(�
Telepho _ �'
V-A \-'C'v s> IR.�
Stec Lid. 2�, t— City Lic. #: 3
At&. EW., Dei •�pner - - - -
- Addtrss:
City, ST, Zip:
Telephone:
State Lic. #: .
Constrwoon Type: Occupat".cyx
Project." (circle one): New AdXn Alter Repair Demo
Name of Contact Person: �"�
Sq. Ft.:
#Stories:
# Units:
Telephone # of ContactTerson:
Estimated Value of Ptojtid:
'APPUCANT: DO NOT WR1TE•13ELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMNG'_ P]M bUr FEES
Plan Sets
Pb►a Cticck snbmlttal Item Amount
Structural Cala.
Reviewed, readytor corrections Plus CheckDeposi t
Truss Cala.
Called Contact Person Plan Check Nalauc e
)Energy Gla.
Plaus.01eked. tip Construction
Flood plain plan
Plans resubmitted Mechanical
Grading. plan'
2'A Review, ready for correctionsfiss¢a Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted Grading
INHOUSE:-
Review, ready for correctionsrusue Developer Impact :Tee
Planning Approval
Called Contact Person A.U.P.
Pub. Wks. Appr
Date,of permit issue
School Fees
Total Permif Fees