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BSIG2014-102578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BSIG2014-1025 79845 HIGHWAY 111 104 Td!t44Q"' COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT SIGNS (1) NEW ORDER.SCREEN (6)REPLACEMENT AND (1)FACE CHAN $12,500.00 Applicant: COAST SIGN INCORPORATED 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, -wand my License is in full force and effect. License Class: 1 License No.: :LIC -0000124 _Djte: —2 T �l Contractor OWNER -BUILD EC RATION 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/26/2014 Owner: P6K PORTFOLIO KDP 2301 ROSECRANS STE 2110 EL SEGUNDO, CA 92253 Contractor: COAST SIGN INCORPORATED 000TSIDE CITY LIMITS LA QUINTA, CA 92253 (714)520-9140 Llc. No.: :LIC -0000124 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 subject to the workers' compensation provisions of Section 3700 of the Laboshal1fort ith comply with those provisions. 01 Plate: «^2 t�Applicant 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 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, and hereby authorize representatives of this city to enter upe o mentioned property for inspection purposes. c� Date: ( (AT'A A Signature (Applicant or Agen( FINANCIAL 1 • DESCRIPTION -ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE MONUMENT SIGN, EA ADDITIONAL 101-0000-42404 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY `DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE MONUMENT SIGN, FIRST 101-0000-42404 0 $72.S2 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE MONUMENT SIGN, FIRST PC 101-0000-42600 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $147.96 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $147.96 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSIGN: $638.21 $0.00 TOTALS:• 00 ' Permit Details PERMIT NUMBER T City of La Quinta BSIG201�4"1025 Description: SIGNS (1) NEW ORDER SCREEN (6)REPLACEMENT AND (1)FACE CHAN Type: SIGN Subtype: Status: APPROVED Applied: 11/19/2014 SKH Approved: 11/26/2014 JJO Parcel No: Site Address: 79845 HIGHWAY 111 104LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $12,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 - No. Unites: 0 Details: UPGRADE EXISTING DRIVE-IN SIGNAGE, 2 FREESTANDING DIRECTIONALS, 1 CLEARANCE BAR, 1 PIE MENU BOARD, 1 DIGITAL ORDER SCREEN/HOUSING, 1 MENU BOARD, 2 BUILDING DIRECTIONAL (WALL MOUNTED) AND 1 REPLACEMENT FACE. Printed: Wednesday, November 26, 2014 10:01:42 AM 1 of 3 R�SYSTEMS ADDITIONAL CHRONOLOGY TYPE 'STAFF NAME ACTION DATE CHRONOLOGY COMPLETION DATE NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI RECEIVED 11/19/2014 11/19/2014 TELEPHONE CALL JIM JOHNSON 11/26/2014 11/26/2014 CALLED DENNIS STOUT TO INFORM HIM PLANS ARE READY TO ISSUE. GOT MESSAGE MACHINE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT COAST SIGN INCORPORATED 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (714)520-9140 CONTRACTOR COAST SIGN INCORPORATED 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (714)520-9140 OWNER P6K PORTFOLIO KDP 2301 ROSECRANS STE 2110 EL SEGUNDO CA 92253 (714)520-9140 Printed: Wednesday, November 26, 2014 10:01:42 AM 1 of 3 R�SYSTEMS CONTACTS NAMETYPE NAME ADDRESS1 CITY STATE ZIP PHONE - FAX EMAIL TENANT STARBUCKS COFFEE #14277 79845 HIGHWAY 111 LA QUINTA CA 92253 (714)520-9140 104 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: MONUMENT SIGN, EA 101-0000-42404 0 $24.66 $0.00 ADDITIONAL MONUMENT SIGN, 101-0000-42404 0 $72.52 $0.00 FIRST MONUMENT SIGN, 101-0000-42600 0 $133.43 $0.00 FIRST PC WALL/AWNING SIGN, 101-0000-42404 0 $147.96 $0.00 EA ADDITIONAL WALL/AWNING SIGN, 101-0000-42600 0 $147.96 $0.00 EA ADDITIONAL PC WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $0.00 FIRST WALL/AWNING SIGN, 101-0000-42600 0 $87:02 $0.00 FIRST PC Total Paid forSIGN: $638.21 $0.00 ` TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL** Printed: Wednesday, November 26, 2014 10:01:42 AM 2 of 3 V?W SYSTEMS PARENT PROJECTS n Printed: Wednesday, November 26, 2014 10:01:42 AM 3 of 3 ' CRWYS7EMS Bin # Permit # �j�(('-2©l%� • MKI Project Address: 7T eA 5t City of La Q grin to Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet (� Owner's Name: }�K �Oht ��� l v kt' P A. P. Number: Address: 2-3 01 Legal Description: City, ST, Zip:'i1 (�bt^do 02� Contractor: Cal ->_+S Telephone: -7 1 NE ::r< :'::z::> >::::>:<>:»:•.`: Address: f SC�� wc�n�(�C1SS S� Project Description: O�✓� City, ST, Zip: eirt-� CA- c � (Q';__ Telephone:qtZ `� =: �ci aunty. e r C tnv 1n State Lic. 4:&--y 4 2 City Lic. C. ((�:d� � OV(�ef I�CNSt K Arch. �ng ),Designer: wQL �� �n v oIKP-eY Address: (� hC%u j�ym r1 v Vit o YMO�An't C 1 f e(tow- MCT P City, ST, Zip: 11� Ira-, (�L'1 Telephoner.312:SISO <::::.<.tz<::::;:::::a>?:2>:< ^'"'<"-" `'°'" ^' ` Construction Type: Occupancy: State Lic. #: Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: �V \Wk S40 VT_ Sq: Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: fr Srx0. o APPLICANT: DO NOT WRITE BELOW THIS LINE ff Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cluck Deposit Truss Cala. Called Contact Person Plan Check Balance• Titic 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correction tissue ! Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 1rd Reyiew, ready for corrcctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees v�� rz7