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BSIG2017-00171 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: SIGN/ Application Number: BSIG2017-0017 Property Address: 78437 HIGHWAY 111. APN: 604050059 Application Description: CLUB PILATES SIGN Property Zoning: Application Valuation: $500.00 Applicant: PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 2017 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/2017 "'"M CITYOFLAQUINTAA� COMtAUNI'(Y DEVEL OPMctdT DEPARTt,lEt•IT 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, and my License is in full force and effect. License Clas D42 C45 License No.: 830131 Date:,. � i i Contractor: 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).: (_) 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 Contractors' State License Law.). (_) I am exempt under Seca 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: CH INV REA-TY SALMON ST4TH FL LAND. OR 9.1253 Contractor: PD GROUP DBA 9GNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 (760)776-9907 LIc. No.: 830131 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one o- the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370C of the Labor Code, for the performance of the work for which this permit is issued. I have and will.maintain workers' ccmpensation 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: ACE AMERICAN INSURANCE COMPANi Policy Number: RWCC64396857 I certify that in the performance of :he 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 Labor Code, I shall forthwith comply with those provisions. Date: % 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 FOF 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 owne-., and the applicant, each agrees to, and shall defend, indemnify and hold harmless the --ity 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 com menced within 180 days from date of 6suance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and st: to 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 representa-ives of this city to enter upon the above-ment'oned property for inspection purposes. s. I-7 Signature (Applicant :)r Agent): Date: 10/23/2017 Application Number: BSIG2017-0017 Owner: Property Address: 78437 HIGHWAY 111 HARSCH INV REA-TY APN: 604050059 1121 SALMON ST 4TH FL Application Description: CLUB PILATES SIGN PORTLAND, OR 92253 Property Zoning: Application Valuation: $500.00 Applicant: Contractor: • PD GROUP DBA SIGNARAMA PD GROUP DBA S3GNARAMA 41945 BOARDWALK SUITE L 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)776-9907 ------------------------------------------------------------------------•--------------------- Llc. No.: 830131 Detail: CHANNEL LETTER SIGN [CLUB PILATES] PLANNING PERMIT SA2017-0031. THIS SIGN DOES INCLUDE ELECTRICAL. PER 2016 CALIFORNIA BUILDING CODE FINANCIAL INFORMATION DESCRIPTION' ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $2.60 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $0.65 Total Paid for ELECTRICAL: $3.25 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMEMT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $26.53 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $26.53 Total Paid forSIGN: $53.06 DESCRIPTION ACCOUNT IQTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: k