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05-2334 (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: r 05=0-0 QO 2 3 3 4 79840 HIGHWAY 111 649 -020 -040 - SIGN REGIONAL COMMERCIAL 2500 Tiht 4 4 a" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed unde revisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ode, and my License is in full force and effect. License Class: C45 en�C% 803133 - 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 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 Coritractors' State License Law.). (_ 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/05 Owner: 99C ONLY'STORES C/O JEFF GOLD 4000 E UNION PACIFIC AVE COMMERCE, CA 90023 D ° Contractor: TNT ELECTRIC SIGN INC ��iN 2005 3080 E 29TH STREET LONG BEACH, CA 90806 (S62)59S-7725 CITY OFLA®UINTA Lic. No.: 803133 FINANCIE DEPT. ----------------------------------------------- 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 wnrkers' compensation insurance, as required by Scction 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 1547585 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 s 'act he workers' mpensation laws of California, and agree that, if I should become subjec w kers' o ensatio ovisions of Section 3-70-0 of the Labor Code, I shall forth wit provisio Date �,�D�pplicant:-- — 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 i r n is correct. I �repr ply with all city and county ordinances and state laws relating to building co n, her uthntatives of this county to enter n the above-mentioned property f in cti urpo L i � _ v ignature (Applicant orAgent), Application Number . . . . . 05-00002334 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee . . 30.00 Plan Check Fee .00 Issue'Date Valuation . . . . 0 Expiration Date 12/11/05 Qty Unit Charge, Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC ---------------------------------------------------•------------------------- SIGN 1ST CIRCUIT 15.00 Permit . . . SIGN PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .35 Issue Date . . . . Valuation . . . . 2500 Expiration Date 12/11/05 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments ONE INTERNALLY ILLUMINATED CHANNEL r, LETTER SIGN PER SA -2005-896 Fee summary Charged Paid Credited Due Permit Fee Total 84.00 .00 .00 84.00 Plan Check Total • .35 .00 .00 .35 ` Grand Total 84.35 .00 -.00 84.35 P.O. Box 1504 LA QUINTA, CALIFORNIA 9.2247-1504 78-495 CALLr. TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 June 14, 2005 Mr. Bill Henigsman TNT Electric Signs, Inc. 3080 East 29T" Street Long Beach, CA 90806-2317 SUBJECT: Sign Application 2005-896 for 990 Only Stores Dear Mr. Henigsman: The Community Development Department has determined your request for one new wall mounted, business sign for 990 Only Stores and one monument sign for the center at the Jefferson Plaza on Highway 111 is acceptable and therefore, we approve your request pursuant to the attached plans.. The smaller two cabinet signs near the ends are not approved. The approval is subject to following condition: 1. Sign design, size, colors,, etc., and location are pursuant to the approved attached plans, and on file in the Community Development Department. A permit from the Building and Safety Department is required prior to installation of the signs. Please contact them at 777-7012. 2. The.monument sign is approved adjacent to the westerly Highway 111 driveway (on the west side of the driveway). A site plan showing the specific location of the monument shall be submitted to the Community Development Department for approval prior to obtaining a building permit. The plan shall be to scale and dimensioned to show distance from Highway 111 right-of-way, driveway and nearest parking space. Attached are two copies of the approved plans and your receipt for the sign permit. for your use. Should you have any questions, please call me at (760) 777-7064•. Very Truly Yours, STAN SAWA Principal Planner Enclosures c: Greg Butler, Building and Safety Department (w/o plans) p:\stan\signs\sa 2005.-896 Itr app.doc �'� PEGGED 1- FROM MOUNTING SURFACE 3N- THICK LEXAN BACK SHORT SLEEVE WIDE GLASS TUBE SUPPORT NEON TUBING PASSTHRU GTO with GTOSLEEVING #3730 END CAP WIDE TRANSLUCENT FACE .090 ALUMINUM CHANNEL LETTER UL. LISTED WEEP HOLE #8 SCREW x'/z FOR ACCESS SELF TAPPING SCREW (TYPICAL) I 14 WALL 1/2- THREADED PIPE CONDUIT STRAIGHT CONNECTOR FEMALE CONDUIT (UL. LISTED) WITH GTOSLEEVING #3730 ENCLOSED NON -WEATHERPROOF TRANSFORMER. (SELF CONTAINED UL. LISTED 2161) DISCONNECT SWITCH IOUND GROUND WIRE WIRE _ GROUNDING SCREWS DUAL LITE CHANNEL LETTERS S/F INTERNALLY ILLUMINATED DUAL LITE CHANNEL LETTERS SIGN SPECIFICATIONS: LETTERS TO BE FABRICATED FROM .090 ALUMINUM, PAINTED WITH MATTHEWS POLYURETHANE FINISH OVER PROTECTIVE PRIMER UNDERCOAT. COLOR DETAILS: "99 C" - #3630-157 COBALT BLUE WITH WHITE & BLACK OUTLINE VINYL OVERLAY. RETURNS TO BE 3" THICK PAINTED BLACK. "ONLY'- BRIGHT NEON GREEN WITH BLACK & WHITE VINYL OVERLAY. RETURNS TO BE 3" THICK PAINTED BLACK. "STORES" - #3630-118 MULBERRY WITH WHITE & BLACK VINYL OVERLAY. RETURNS TO BE 3" THICK PAINTED BLACK. *ILLUMINATED WITH WHITE NEON. ALL CONSTRUCTIONS & WIRING TO BE UL. LISTED APPROVED NEON GAS SYSTEM, ALL COMPONENTS TO BE UL. LISTED. ELECTRIC STATE UC. NO. 629097 SIGN AREA: 17.93 SQUARE FEET 10 _i M A 5'-1 1/2" 32'-0" CV r 00 r SCALE: 1 " = V-0" APPROVED BY COMMUNITY DEVELOPMENT DEPARTMENT By 'ehi^^ __ '5G1M/a - DATE le I I 1-f I OS EXHIBIT CASE NO. 5A OS Orr (cr DOPY CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE L/4-2!� BY 2-\� T S 164'-1 " CALE: 1/16' 79840 HWY 111, LA QUINTA, CA 92253 PROJECT LOCATION: JEFFERSON PLAZA PHASE II, PARCEL 4 LA QUINTA, CA DATE: NOVEMBER 30, 2004 SIGN TYPE: DUAL LITE CHANNEL LETTER FILE NAME: 99 CENT ONLY STORES LA QUINTA SIZE 42 INCHES A 3080 E. 29TH ST. LONG BEACH, CA 90806 • TEL: (562) 595-7725 • FAX: (562) 595-5434 DESIGNER: SOKHON ACCOUNT REP: BILL HENIGSMAN EMAIL: TNTNEONSIGN@AOL.COM - INESTMANG 190R'1/CtA 1TER06 j � f I PROPOSED WALL SIGN I coop%%. i NI11jC�At� SIO •J -y-'• ••� _� J_ f..�..�`�'..�-�• EpSE��T •ley f C10,10E� A� i WHIiE1N�TElt _ � - --� •• le 071 I _ _—--..^---rte^r l 1• : ii .' _— ( C11JtNMn CAS[pE11T _ �` i j cc �— ^--.-- _ ^ � jO " vioME - i RETAIL ss :R► i RETAIL 0 I PdAIyA �y ETAI �—_• • • �-- o • � �`` tea{ I --:tit��' iW71—TRl1ANR N ynE �� �v (1 �• �b'.dg 73 _) � �•..... � PHASE 11 REST — �:.. - » .,, • 1 _ ;'," =` ° 2L P. oil ` CENTER I.D.SIGt�t.—.——.—.—._.._.�.—.——a...._ —STATE Mr"WAY III NORTH _ _ 79840 HWY 111, LAQUINTA, CA 92253_ �~ PROJECT LOCATION: JEFFERSON PLAZA PHASE II, PARCEL 4 LA ®UINTA, CA DATE: NOVEMBER 30, 2004 SIGN TYPE: SITE PLAN FILE NAME: 99 CENT ONLY STORES LA AUINTA SITE PLAN A ELECTRIC �ICniNc. 3080 E. 29TH ST. LONG BEACH, CA 90806 TEL: (562) 5954725 • FAX: (562) 595-5434 DESIGNER: SOKHON ACCOUNT REP: BILL HENIGSMAN EMAIL: TNTNEONSIGN@AOL.COM STATE UC. N0.629097