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BSIG2017-0002) VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/7/2017 Application Number: BSIG2017-0002 Owner: Z Property Address: 79405 HIGHWAY 111 STE 12 NAI CAPITOLLu APN: 600340025 16001 VENTUFA BL ~ CE Application Description: SHERWIN WILLIAMS / (1) BUILDING MOUNTED ILLUMINATED SIGN ENCINO, CA 91436 2<1 Property Zoning: w ® .o Application Valuation: $3,800.00 oN ? z. cy W a Applicant: Contractor: o o . DARNEIL ENTERPRISES LTD DBA D & D SIGN S DARNEIL ENTERPRID DBS& D ^� 1282 W LAMBERT ROAD UNIT A 1282 W LAMBERT ROA NIT � v'Cn BREA, CA 92821 BREA, CA 92821 z (562)690-5622. ® CD Llc. No.: 8560016 W 0 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 Professions Code, and my License is in full force and effect. License C6ss: C45 License No.: 8560 6 Date: 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 ) 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 ) 1, 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 Na Lender's WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certific.—te of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance o�f the �ork. for which this permit is issued. � 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: STATE COMPENSATION INSURANCE FUND Policy Number: 1643978 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner m 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 370 of the Labor Code, I shall forthwith comply with those provisions. N1___1 Date:��1' 7 Applicant WARNING: FAILURE TO SECURE WORKERS' C )MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,600): 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 :he Building Official for a permit subject to the conditions and restrictions set forth on tLis 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 Citi of La Quinta, its officers, agents, and employees for any act or omission related torthe work being performed under or - following issuance of this permit. 2. Any permit issued as a result of this application becorrues 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 Mate that the above information is correct. I agree to comply with all city and county orcinances and state laws relating to building construction, and hereby authorize represen:atives of this city to enter upon the above- mentioned property for inspection purposes. Date 06C r Signature (Applican- or Agent): Date: 3/7/2017 Application Number: BSIG2017-0002 Owner: Property Address: 79405 HIGHWAY 111 STE 12 NAI CAPITOL APN: 600340025 16001 VENTUFA BLVD 200 Application Description: SHERWIN WILLIAMS / (1) BUILDING MOUNTED ILLUMINATED SIGN ENCINO, CA 91436 Property Zoning: Application Valuation: $3,800.00 .Applicant: Contractor: DARNEIL ENTERPRISES LTD DBA D & D SIGN S DARNEIL ENTERPRISES LTD DBA D & D SIGN S 1282 W LAMBERT ROAD UNIT A 1282 W LAMBERT ROAD UNIT A BREA, CA 92821 BREA, CA 92821 (562)690-5622 ---------------------- ----------------------------------------------------------------------- Llc. No.: 856006 Detail: (1) CHANNEL LETTER LED SIGN [SHERWIN-WILLIAMS] SIGN PERMIT NO. 2017-0004[CF] 2016 ENERGY, 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTIONACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT MONUMENT SIGN, FIRST 101-0000-42404 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT MONUMENT SIGN, FIRST PC 101-0000-42600 0 $139.84 Total Paid for SIGN: $215.84 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 .$5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00