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SA2016-002178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty'4"4Qu&fw COMMUNITY.DEVELOPMENT DEPARTMENT BUILDING PERMIT. Application Number: SA2016=0021 _SIOU,- OaU,—Property PropertyAddress: 79410 HIGHWAY 111 112 APN: 600390006 Application Description: CHANNEL LETTERS FOR STORE FRONT Property Zoning: Application Valuation: $3,000.00_ a Applicant: GRAPHIX SIGN CO 3 0 ® 2��6 395 BROADWAY AVENUE STE 6 EL CENTRO, CA 92243 SENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and P ns Code, and my License isjn full force and effect. License Class CLicense No.: 1010673 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).: ( 11, 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 Lender's 2,10171111- VOICE (760) 777-7125 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/9/2016 Owner: CHARLIE CHAN Contractor: GRAPHIX SIGN CO 395 BROADWAY AVENUE STE 6 EL CENTRO, CA 92243 (760)370-3032 Llc. No.: 1010673 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: _ Policy Number: _ 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 s e o the workers' compensation provisions of Section 3700 of the Labor de A all forthwith comply with tho provions. Date C ,& 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 I 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 buildi construction, and reby uthorize representatives of this city to enter upon th above -menti neCpro /rty for inspection purposes. Dat / (nature (Applicant or Agent DESCRIPTION ' FINANCIAL • ACCOUNT a QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/19/16 • PAID BY METHOD RECEIPT # CHECK W CLTD BY Charlie Lopez CREDIT WEB807 201605 92 324429 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE Credit Card Fee 101-0000-43505 0 $4.42 $4.42 5/19/16 e ..PAID BY METHOD RECEIPT # CHECK # CLTD BY Charlie Lopez CREDIT WEB807 201605 466 324429 ECON Total Paid for Credit Card Fee: $4.42 $4.42 DESCRIPTION ACCOUNT QTY AMOUNT PAID 'PAID DATE SIGN PERMIT - PL 101=0000-42434 0 $200.00 $200.00 5/19/16 PAID BY METHOD . RECEIPT # CHECK # CLTD BY Charlie Lopez CREDIT WEB807 201605 92 324429 ECON Total Paid for SIGN PERMIT - PL: $200.00 $200.00 • a Description: CHANNEL LETTERS FOR STORE FRONT Type: SIGN PERMIT (WEB) Subtype: PERMANENT WALL Status: ISSUED Applied: 5/19/2016 ECON MOUNTED ILLUMINATED Approved: 5/26/2016 MFA Parcel No: 600390006 Site Address: 79410 HIGHWAY 111 112 LA QUINTA,CA 92253 Subdivision: PM 31172, Block: Lot: 6 Issued: 5/26/2016 SIKH Lot Sq Ft: 0 Building Sci Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: 11/22/2016 SIKH No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 5/24/2016 ENERGY FORMS THAT NEED TO BE UPLOADED BEFORE WE MOUNTED ON BUILDING -CHANNEL LETTER WITH REVERSE LED SYSTEM FOR "Y POR QUE NO" ' 0 ' __j Applied to Approved {IM Approved to Issued Printed: Thursday, June 09, 2016 157:55 PM 1 of 3 SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETIOMDATE NOTES EMAILED CHARLIE FOR SECOND TIME REGARDING HIS E-MAIL MARY FASANO 5/24/2016 5/24/2016 ENERGY FORMS THAT NEED TO BE UPLOADED BEFORE WE CAN APPROVE SIGNS CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT GRAPHIX SIGN CO 395 BROADWAY EL CENTRO CA 92243 (760)370-3032 CHARLIE@FIRSTSIGNS. AVENUE STE 6 • NET BUSINESS JORGE BECERRA 79410 HIGHWAY 111 LA QUINTA CA 92253 (760)370-3032 OWNER UNIT 112 CONTRACTOR GRAPHIX SIGN CO 395 BROADWAY EL CENTRO CA 92243 (760)370-3032 CHARLIE@FIRSTSIGNS. AVENUE STE 6 NET Printed: Thursday, June 09, 2016 157:55 PM 1 of 3 SYSTEMS INSPECTIONS PARENT PROJECTS Printed: Thursday, lune 09, 2016 1:57:55 PM 2 of 3SAS sysrrnns FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 201605192 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/19/16 WEB807 332442946 CREDIT Charlie Lopez ECON 6 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 201605192 Credit Card Fee 10110000-43505 0 $4.42 $4.42 5/19/16 WEB807 332442946 CREDIT Charlie Lopez ECON 6 Total Paid for Credit Card Fee: $4.42 $4.42 201605192 SIGN PERMIT - PL 101-0000-42434 0 $200.00 $200.00 5/19/16 WEB807 332442946 CREDIT Charlie Lopez ECON 6 Total Paid for SIGN PERMIT - PL: $200.00 $200.00 TOTALS:•$205.42 INSPECTIONS PARENT PROJECTS Printed: Thursday, lune 09, 2016 1:57:55 PM 2 of 3SAS sysrrnns Printed: Thursday, June 09, 2016 1:57:55 PM 3 of 3 sysrrnns ATTACHMENTS Attachment Type SIGN DOES NOT MEET SIGN PROGRAM 1ST PLANNING — JAY WUU 5/19/2016 5/20/2016 5/20/2016 REVISIONS REQUIRED 5/19/2016 REQUIREMENTS (HEIGHT/LINES OF COPY) ETRAKIT (1 DAY) SITE EXHIBIT.pdf 0 EMAILED APPLICANT WITH CORRECTIONS; y porke no proof may DOC 5/23/2016 EtrakitContractor SIGN SPECIFICATIONS WAITING FOR RESUBMITTAL 1ST PERMIT TECH — MARY 5/20/2016 5/27/2016 5/26/2016 APPROVED energy form for y porke ETRAKIT (1 WK) FASANO 5/26/2016 EtrakitContractor Energy form 1 2ND PLANNING — JAY WUU 5/24/2016 5/24/2016 5/24/2016 READY FOR APPROVAL DOC ETRAKIT (1 DAY) MARY FASANO Y PORQUE NO SIGN Y PORQUE NO SIGN 1 IST PERMIT TECH — MARY 5/24/2016 6/1/2016 5/26/2016 APPROVED 5/19/2016 ENERGY FORMS UPLOADED ETRAKIT (1 WK) FASANO 0 AREA Printed: Thursday, June 09, 2016 1:57:55 PM 3 of 3 sysrrnns ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 5/19/2016 EtrakitContractor SITE EXHIBIT SITE EXHIBIT.pdf 0 y porke no proof may DOC 5/23/2016 EtrakitContractor SIGN SPECIFICATIONS 23.pdf 0 energy form for y porke DOC 5/26/2016 EtrakitContractor Energy form 1 no.pdf DOC 5/26/2016 MARY FASANO Y PORQUE NO SIGN Y PORQUE NO SIGN 1 APPROVAL APPROVAL.pdf PHOTO 5/19/2016 EtrakitContractor SIGN PROOF AND SIGN Y PORKE NO SIGN 0 AREA AREA.JPG Printed: Thursday, June 09, 2016 1:57:55 PM 3 of 3 sysrrnns