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12-0737 (SIGN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00=0.00.7.3:7 Property Address: 79710 HIGHWAY 111 STE 101 APN: 649-020-014-3 -31143 - Application description: SIGN Property Zoning: REGIONAL COMMERCIAL Application valuation: 3100 Ta�/ 4 4a Qums BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. Architect or Engineer: ------------------ 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 Professionals Code, and my License is in full force and effect. Lic sseeCla : D42 C45 License No.: 830131 Date: / fZ I bntr.ctor: 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).: 1 _ 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 ISec. 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. , 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: 7/02/12 Owner: HIGHLAND LA QUINTA, LLC 1055 E. COLORADO BLVD. #5178 PASDENA, CA 91106 D � Contractor: jjjL 02 2012 SIGNARAMA 41945 BOARDWALK, "L" CITYOFLAQUINTA PALM DESERT, CA 92211 i FIN4!IeEQ>:PT (760) 776-9907 i — -�N -- Lic. No.: 830131 ----------------------------------------------- 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 pormit is issued. My workers' compensation insurance carrier and policy number are: Carrier HARTFORD CO Policy Number 198607 1 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 700 of the Labor Code, I shall forthwith comply with those provisions. ate: �� plicant: 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 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, andhereby authorize representatives of th' cou y t enter upon the above-mentioned property for inspection pur oSes. ate: �//igrfa/ture (Applicant or Agent): LQPERMIT Application Number . . . . . 12-00000737 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/29/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments (1) BUILDING MOUNTED INTERNALLY ILLUMINATED CHANNEL LETTER SIGN & LIGHT BOX PER SA#•2012-1617 "OPTOMETRY" 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 Total Permit Fees B Bin # kPermit City Of La Quinta Building a Safety Division # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Je Project Address: 79 -7Xd 46ly za wner's Name: A. P. Number: . Address: -79 7 /0. a- /Z L egal Description: City, ST, Zip I - 9 -L --,2, �73 Contractor: elephone Address: _F _, A– 5'7–� L— �Project Description: . ..... City, ST, Zip: e— all �-g ds Tele phon6 a7/— 0— A ..... . .... ........ .. ... ... . .... jC State Lic.4: City Lic. #:9 -7 5,1/9 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. .. . ............................. . ty Project pe (circle on New Add'n Alter Repair Demo N . ame of Contact Person: t 6 LA/z_ 0 157. Sq. Ft.: 12 # Stories: # Units: Tele . phone # of Contact Person: ?*Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd' TRACKING Plan Sets PERMIT FEES Plan Check submitted Item Structural Caics. Reviewed, ready for corrections Amount Plan Check Deposit Truss CaIcs. Called Contact Person — -- -------- Plan Check Balance Title 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted ---------------- Mechanical Grading plan "d 2 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A. 1. P. P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Ti. -4 4 4 a" P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 June 29, 2012 Mr. Bill Sigurdsen Sign -a -Rama 41-945 Boardwalk, Suite L Palm Desert, CA 92211 SUBJECT: SIGN PERMIT APPLICATION 2012-1618: OPTOMETRY Dear Mr. Sigurdsen: '(16 0) 777-7000 FAX (760) 777-7101 The Planning Department has reviewed and approved your request for one building - mounted internallyAluminated channel letter sign for "OPTOMETRY" and one building - mounted illuminated light box for "THANH-VI NGUYEN, OD", located at 79-710 Highway 1 1 1, within the Dunes Business Park. The approval is subject to the following Conditions: 1. The "OPTOMETRY" sign shall be individual reverse channel letters. The sign's letters shall not exceed a height of fourteen and one-half inches: The sign shall not exceed twelve and half (12.5) square feet in area. 2. The "THANH-VI NGUYEN" light box shall not exceed a height of seven and one-half inches. The light box shall be green with white lettering and shall not exceed five square feet in area. 3. The applicant shall obtain a building permit prior to placement of the sign on the building. The Building and Safety Department can be.reached at (760) 777-7012. 4. All signs approved as part of this permit shall conform to the Dunes Business Park Sign Program (Sign Application 2006-1078). Should you have any questions or need additional information please ,feel free to contact me at (760077-7125. Sincerely, %y r ERIC CEJA (/J/ Assistant Planner C: Building & Safety Department M P T C( S D) N A E L-� 17.63"° 60.3" Illuminated Reverse Channel Letters Depth: 3" Face Color: Brushed Alum. Return Color: Brushed Alum. Mounting: Back Standoff:1.5rr L.E.D. Color: White Illuminated Light Box (2) Depth: 5" Acrylic Faced Face Color: Digitally Printed Return Color: Black Mounting: Back Standoff: Flush L.E.D. Color: White BY DATE. EXHIBIT Sign Description: Frontage is 20' l inear feet Customer: Telephone: 760-xm xxxx Jobsite: Customer Approval: ILLUMINATED REVERSECHANNEL LETTERS&(2) ILLUMINATED LIGHT FACE COLOR: BRUSHED ALUMINUM & DIGITALLY PRINTED BOX Vl Nguyen Optometry Fax: 760-x -xx Same RETURN COLOR: BRUSHED ALUMINUM & BLACK "MOUNTING: BACK, STANDOFF Address: 79710 Hwy 111, Ste 101 Landlord Approval: I.5"&FLUSH WHITE LED. Total Signage 19.9 S.F. La Quinta, CA. 92253 West ELEVATION SIGN*RAMAContractor's LIC # 830131 C45, C61/D42 DWg. NO.: 54393 Rev.: 1 YOUR SIGNATURE ACKNOWLEDGES FULLAPPROVAL OF DESIGN CONTENT AND LAYOUT, RELEASING SIGN`A'RAMA FROM RESPONSIBILITY IN REGARD Workers Com #1938807 P' Date: 06-18-12 TO INCORRECT DESIGN AND INFORMATION, THE COLORS SHOWN ARE ONLY REPRESENTATIVE OF ACTUAL EMS COLOR CALL OUTS. FINAL COLOR WILL 41-945 Boardwalk, Ste. L Palm Desert CA. 92211 BE MATCHED AS CLOSE AS POSSIBLE COMMENSURATE WITH MATERIALS USED. PH 760-776-9907 • FX 760-776-9844 City Lib. #97005491 Designer. JT' THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT THE EXPRESSED WRITTEN CONSENT OF SIGN'A'RAMA. CHANNEL LETTER SECTION NEON HALO ILLUMINATION UL 2161 LISTED SELF ENCLOSED . NEON TRANSFORMER DISCONNECT SWITCH 1/2 " CONDUIT 3" ALUMINUM RETURNS .063 ALUMINUM FACES 3/16"POLYCARBOMATE BACKS GLASS STAND NEON TUBE ELECTROBIT END CAP G.T.O.-15000V INTEGRAL SLEEVED WIRE 12GAUGE COPPER BONDING WIRE LETTERS PEGGED OFF WALL WITH 1-1 /2" SPACERS EACH LETTER FASTENED BY A MINIMUM OF 4 #10 SCREWS WITH STUCCO APPROVED ANCHORS ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 6000F THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL CODES. THIS INCLUDES PROPER BONDING OF THE SIGN. CHANNEL LETTER CONNECTION DETAIL TRANSFORMER STUCTURE U.L. LISTED AND LABELED COMPLIES WITH 2010 CA ELECTRIC CODE, ARTICLE 600