08-0986 (SIGN)P.O. BOX 1504
r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: , 08-00000986
Property Address: 79845 HIGHWAY 111 STE 104
APN: 600-020-034- - -
r,� Application description: SIGN
Property Zoning: COMMERCIAL PARK
Application valuation: 22500
Applicant:
J
Architect or Engineer:
PW
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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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.
License%Cla C45 'cense N : 271598
ate: u ractor isr
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 -ISec. 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 (55001:
(_) 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 ee
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 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:
LQPERAUT
Owner:
KOMAR INV
23 CORPORATE PLZ STE
NEWPORT BEACH, CA 926
VOICE (760) 777-7012
FAX (760) 777-7011
:TIONS (760) 777-7153
Contractor:
SUPERIOR ELECTRICL ADVRTSN
1700 W. ANAHEIM
LONG BEACH, CA 90813
(562)495-3808
Lic. No.: 271598
/08
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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 Lab6r 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 LIBERTY MUTUAL Policy Number WC2161065267018
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 1 should become subject to the workers' compensation provisions of Section
00 of the Labgp'6odV sh ith comply th those provisions.
WARNING: FAILUKE TO SECURE V7WERS' 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 sta a laws relating to building nstruction, and hereby authorize representatives
D��of this co/s�nt to/e� ter upon th bove-mentioned property inspe�oses.
i ture (Applicant or Agent).
Application Number . . . . 08-00000986
Permit ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/15/08
Qty Unit Charge Per
Extension
r
r BASE FEE
15.00
a 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
5.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS
----------------------------------------------------------------------------
15.00
Permit . . . SIGN PERMIT
Additional desc .
Permit Fee . . . . 234.00 Plan Check Fee
152.10
Issue Date . . . . Valuation
22500
Expiration Date 12/15/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
21.00 9.0000 THOU BLDG 2,001-25,000
189.00
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�Special Notes and Comments
SIGNAGE FOR TENANT (STARBUCKS COFFEE): 5
ILLUMINATED BUILDING MOUNTED, 5
ILLUMINATED FREESTANDING W/ FDTN. AND 1 .
HEIGHT CLEARANCE POLE W/ FDTN. 2007
CODES. INCLUDES ELECTRICAL CIRCUITS AND
CONTROLS. SIGN PERMIT 2008-1257.
Other Fees . . . . . . . . . ENERGY REVIEW FEE
15'.21
STRONG MOTION (SMI) - COM
4.72
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 279.00 .00 .00
279.00
Plan Check Total 152.10 00 .00
152.10
Other Fee Total 19.93 .00 .00
19.93
Grand Total 451.03 .00 .00
451.03
LQPERMIT
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City of La QuInta
BuOdInz a Safety DlyWon
P.O. Box 1504, 76.495 Calle Tampico
La QuInta, CA 92253 - (760) 777.7012
Building Permit Application and Traciang Sheet
Permit #
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APPLICANT: DO NOT WRITE BELOW THIS LINE
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P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TRANSMITTAL
TO: AlOUNG.
TODAY'S DATE:0
' .10
V
PROJECT ADDRESS:
APPLICANT NAME:
SUBMITTAL: a2Ho
BIN NUMBER: ❑
INCLUDED HEREWITH:
VKNS
VTRUCT
❑REDLINED,PLANS'
❑REDLINED S TRUCT
❑TRUSS
❑REDLINED TRUSS
' ❑SOILS
❑REDLINED SOILS
❑ENERGY
❑REVISED ENERGY
❑CORRECTION LIST
WTHER #%0jjCAsflAA 1 .
BUILDING & SAFETY DEPARTMENT
-(7.60) 777-70*12
FAX (760) 777-7011
ATTENTION: .
DUY DATE: _k• �,/� Dpi ASS P
03RD 04TH ❑5T" \ J
PERMIT NUMBER: 68 .98A6
IQ
❑REVISED PLANS
❑REVISED STRUCT
❑REVISED TRUSS
❑REVISED SOILS
❑APPROVED PLANS
❑APPROVED STRUCT
❑APPROVED TRUSS
❑APOROVED SOILS
❑CUSTOMER RESPONSES
r
-BUILDING DEPARTMENT USE ONLY
GREEN SHEET TO:. ❑Cpp ❑(w/Plans) ❑PUBLIC WORKS
❑COVE HECK (w/Application)
LOCATION-ON-Bo'Ftp: LEFT '
MIDDLE RIGHT
SENT TO: SY S
SH STRUCT/NON-STRUCT
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
Letter of Transmittal
To: City of La Quints Today's Date: 6/16/08
78-495 Calle Tampico City Due Date 6/16/08
La Quinta, Ca 92253 Project Address: 79-845 Hwy 111
Attn: Michele
We are forwarding:
Includes: # Of
Copies:
® 1
El
® 1
Comments: Structural content is approvable.
This Material Sent
for:
Starbucks Signage
Plan Check #:
08-986
Your Review
❑
Checking
Submittal: ® 1 St
❑
4th
❑ 2nd
❑
5th
❑ 3`d
❑
Other:
® By Messenger ❑
By Mail
(Fed Ex or UPS)
❑ Your Pickup
Descriptions:
Includes:
# Of
Descriptions:
Copies:
Signage Plan
❑
Revised Structural Plans
Struct Calcs
❑
Revised Structural Calcs
Truss Calcs
❑
Revised Truss Calcs
Soils Report
❑
Revised Soils Report
Comment List
❑
Approved Structural Plans
Redlined Structural Plans
❑
Approved Structural Calcs
Redlined Structural Calcs
❑
Approved Truss Calcs
Redlined Truss Calcs
❑
Approved Soils Report
Redlined Soils Reports
❑
Other
Comments: Structural content is approvable.
This Material Sent
for:
❑
Your Files
❑
Your Review
❑
Checking
Other:
❑
By: JOHN THOMPSON
Palm Desert Office: ® # (760) 360-5770
Washington Office: ❑ # (760) 404-9556
® Per Your Request
❑ Approval
❑ At the request of: