BSIG2016-0014w •'78-495 CALLE TAMPICO D
�LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: . BSIG2016-0014
Property Address: 78935 HIGHWAY 111
APN: 643020029
Application Description: CVS PHARMACY TARGET / (1) BUILDING MOUNTED ILLUMINATED SIGN
Property Zoning:
Application Valuation: $1,020.00
Applicant:
SIGN FACTORY PRINTING &OFFICE EQUIPMENT
120 N 4TH STREET y
EL CENTRO, CA 92243 AUG 1 9 2016
CITY OF lA OUIMTA
COti)',IUN4TY DEME! OKIENT OEi ARV pct IT
LICENSED CONTRACTOR'S DECLARATION
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 and Professions Code,
and my License is in full force and effect.
License Class: D42, C45 License No.: 985388
Date.. + Contr oaft r:
�rJ
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 7000) 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
-($500).:
(_) 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.).
(_) I, 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/19/2016
Owner:
TARGET CORP
1000 NICOLLET MALL TPN 12
MINNEAPOLIS, MN 92253
Contractor:
SIGN FACTORY PRINTING & OFFICE EQUIPMENT
120 N 4TH STREET
EL CENTRO, CA 92243
(760)357-0098
Llc. No.: 985388
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 thewor 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy
Number: UB8F062983
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: _ / / / W Applicant
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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 l have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: (�_ Signature (Applicant or Agent):
0
1
1
Date: 8/19/2016
:Application Number:
BSIG2016-0014 =
Owner:
Property Address:
78935 HIGHWAY 111
TARGET CORP
APN:
643020029
1000 NICOLLET MALL TPN 12
-Application Description:
CVS PHARMACYTARGET/ (1) BUILDING MOUNTED ILLUMINATED SIGN
MINNEAPOLIS, MN 92253
Property Zoning:
Application Valuation:
$1,020.00
Applicant:
Contractor:
SIGN FACTORY PRINTING
& OFFICE EQUIPMENT
SIGN FACTORY PRINTING & OFFICE EQUIPMENT
120 N 4TH STREET
120 N 4TH STREET
EL CENTRO, CA 92243
EL CENTRO, CA 92243
(760)357-0098
--------------------------------------------
------------ -------------------------------------------------------------------------------
-------------------------------------------------
Llc. No.: 985388
7
Detail:
Detail: INSTALL ONE WALL SIGN PER SIGN PERMIT APPLICATION 2016-0011 PLANNING DEPT. APPROVED AND CONSTRUCTED PER 2013 CEC.
0
1
1
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT T.
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 -
101-0000-42403
0
$24.17
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
Total Paid for ELECTRICAL: $48.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
Total Paid for SIGN: $111.68
0
Bin #
20LU
Permit #
Project Address: -1 g
bot
City of La Quinta
Building 8L Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheen
r l Owner's Name: r
A. P. Number:
Address: S
Legal Description:
City, ST, Zip: S �Or S
Contractor: Gi\�
Y
•
Telephone:'
ho e• ....... .......................:.
Project Description:
Address::
City, ST, Zip:
Q
Um
TeleP ho n e:
5
c s
U
State Lic. # :
City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
h
Telephone:
one:
Construction s ton T Occupancy:
Type:
Sta to Lic. #
Project hPa (circle one Add'n Alter Repair r Demo
Name of Contact Person:l'41
S
C
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
�
Estimated Value of Project: 0 Z C)
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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
2p° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A: Approval
Plans resubmitted
Grading
IN ROUSE:-
''u Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APpr
Date of permit issue
School Fees,
Total Permit Fees
1
k
0
Please send your payment to this address:
Printed: Wednesday, August 10, 2016 12:37 PM 1 of 1 CB?
SYSTEMS
INVOICE #
City of la Quints
INV -441
78-495 Calle Tampico
Date Due: 9/9/2016
�boF9�
La Quinta,CA 92253
SIGN FACTORY PRINTING & OFFICE EQUIPMENT
120 N 4TH STREET, EL CENTRO, CA 92243
W
Invoice Date: 8/10/2016
Record # Record Type '
Fee Group
Fee Description
Quantity Amount
BSIG2016-0014 SIGN
BUILDING STANDARDS
BSAS SB1473 FEE
0
$1.00
ADMINISTRATION BSA
ELECTRICAL
DEVICES, FIRST 20
0
$24.17
DEVICES, FIRST 20 PC
0
$24.17
SIGN
WALL/AWNING SIGN, FIRST
0
$24.66
WALL/AWNING SIGN, FIRST
0
$87.02
PC
$161.02
Invoice Total: $161.02
1
k
0
Please send your payment to this address:
Printed: Wednesday, August 10, 2016 12:37 PM 1 of 1 CB?
SYSTEMS
lAt4 aq, .
raL� a
Sep
August 3, 2016
Mr. Chris Kelley
AKC Services
18650 Collier Avenue, Suite B
Lake Elsinore, CA 92530 -
SUBJECT: SIGN PERMIT APPLICATION 2016-0011
CVS PHARMACY
Dear Mr. Kelley:
The Design and Development Department has reviewed and approved your request
for a permanent sign replacement at the Target located at 78-935 Highway 111. The
approval is subject to the following Conditions of Approval:
1. This sign permit grants one internally -illuminated building identification sign,
per the approved plans on file with the Design and Development Department.
2. A building permit shall be obtained prior to any work on the signs being started.
3. The signs shall conform to the approved sign program for Washington Park.
Should you have any questions, please feel free to contact me at (760) 777-7067.
Sirkerely
Jud . Wuu, AICP
Principal Planner
78-495 Calle Tampico i La Quinta I California 92253 1 760.777.7000 1 ,www.La-Quinta.6rg