06-3694 (SIGN)P.O. BOX 1504
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
V "0036��9-
78110 CALLE ESTADO
770-151-004- -
SIGN
VILLAGE COMMERCIAL
2000
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
& SAFETY DEPARTMENT
ILDING PERMIT
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 ajV Professionals Code, and my License is in full force and effect.
License Class: B I dLi nse No.: 744091
D tract or:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's State
License Law (Chapter 9 (commencing with Section 70001 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 15500).:
(_ 1 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 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.).
(_ 1 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/06
Owner:
JRR FOOD SERVICE
78110 CALLE ESTADO
LA QUINTA, CA 92253
Contractor:
SUN VISTA DEVELOPMENT CORPORAT
P.O. BOX 1144
LA QUINTA, CA.92247
(760)771-4722
Lic. No.: 744091
-----------------------------------------------
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 Section 3700 of.the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1705482
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 bet subject to he workers' compensation provisions of Section
��� 3700 of the Labor Code 1 fort with c ply wi t'ifiose provisions.
WARNING: FAILURE TO SECURE WOZERS'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.
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 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.
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 torr ct. I agree to comply with all
city and county ordinances and state laws relating to building constpFtiort,�and e b authorize re tatives
of this county to enter upon the above-mentioned property for ' tion pu os
'
J
Application Number .
. . . . 06-00003694
Permit . . .
SIGN PERMIT
Additional desc .
Permit Fee
45.00
Plan Check
Fee
29.25
Issue Date . . . .
•Valuation
2000
Expiration Date
.4/16/07
. Qty. Unit Charge
Per
Extension
BASE
FEE
15.00
15.00 2.0000
HND BLDG -501-2,000
30.00
---------------------------------------
Special Notes and Comments
------------------------------------
AWNING PER SA 06-1033
& APPROVED
STRUCTURAL CALCS.
--------------------------------------------=-------------------------------
Other Fees . . . . .
. . . . STRONG MOTION (SMI)
- COM
.50
Fee summary Charged'.
-----------------
Paid Credited
Due
----------
Permit Fee Total
----------
45.00
----------
.00
----------
.00
45.00
Plan Check Total
29.25
.00
.00
29.25
Other Fee Total
.50
.00
.00
.50
Grand Total
74.75
.00
.00
74.75
c
LQPERMIT
Bin ff
City of La Quin lA
Building 8t Safety Division
P.O. Box 1504, 78-M-Callelampico
Permit it
q
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: /%Q�e " �S7 ri*vO Owner's Name:
A. P: Number.
Address:
b
Legal Description:
City, ST, Zip: �, ��
Contractor: sJ,v U! 5
Telephon p R V ; .
Address: p 4.
Project Description:
City, ST, Zip:
Telephone -
State Lic- # : 6,,.� XVI
City Lic. #:
Arch., Bngr., Designer: v,� 0%^64 s v (aL
Address:426 -
City,ST, Zip: C
:
-63
Telephone (g
Construction Type: Occupancy:
State Lic. #: OS
Project type (circle one): •New . Add'n Alter Repair Demo
Name of Contact Pers
;�
Sq. Ft.: to
Telephone # of Contact Person: 4
71 Estimated Value .qfjt
APPUCANT: DO NOT WRITE BELOW THI NE
# Submittal Req'd.:
Reed TRACKING, PERMIT FEES
Plan Sets
Plaa Check submitted l� Item Amount
Structural Cales.
Reviewed, ready for corrections Plan -Check Deposit
Truss Caies.
Called Contact Person Plan Check Balance.
Energy Calcs.
Plans Picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan . "
' "� 491 ready for rssue } Electrical
Subcontaetor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Flans resubmitted. Grading
IN HOUSE:-
'`' Review; ready for eorrettionsfrssue Developer Impact Fee-:
Planning Approval
Called Contact Person A.U.P.
Pub. Wks. Appr
Date of permit issue,
School Fees
Total Permit. tees .:.:.. -