BSIG2019-000178-495 CALLE TAMPICO Tw�/ V acp Qu&&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: SIGN/
Application Number:
BSIG2019-0001
Property Address:
79300 AVENUE 48
APN:
600410076
Application Description:
SIGNARAMA/ WATERCOLORS ENTRY MOMUMENT SIGN
Property Zoning:
Application Valuation:
$15,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/2019
Owner:
WATERCOLORS AT LA QUINTA HOM
46752 ADAMS
LA QUINTA, CA 0
Applicant: �� Contractor:
RICHARD WEINER -SIGNARAMA� .�./ =-\..D SIGNARAMA
41945 BOARDWALK SUITE L 41945 BOARDWALK SUITE L
PALM DESERT, CA 92211 FEB 2 8 2019 PALM DESERT, CA 92211
CITY OF LA QUINTA (760)272-4043
Llc. No.: 830131
DESIGN & DEVELOPMENT DEPARTMENT
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 Class: D42, C45 License No.: 830131
Date: z.ftontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law farthe 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 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:
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 k 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: ACE AMERICAN INSURANCE COMPANY, Policy Number: RWCC65199567
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 Labor Code, I shall forthwith
comply with those provisions.
Date: % f Applicant: �1
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 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 app)fcation , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Qulnta, 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 state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned
µpproperty for inspection purposes. �7
Date: d ignature (Applicant or Agent)10 r��
Application Number:
BSIG2019-0001
Property Address:
79300 AVENUE 48
APN:
600410076
Application Description:
SIGNARAMA / WATERCOLORS ENTRY MOMUMENT SIGN
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
RICHARD WEINER - SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
Date:
Owner:
WATERCOLORS AT LA QUINTA HOM
46752 ADAMS
LA QUINTA, CA 0
Contractor:
SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
2/28/2019
(760)272-4043
r --Llc No.: 830131
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - T - _•_._ - - - - - - - - - 4-4 ------------------------------
Detail:
----------------------------
Detail: (2) MONUMENT SIGNS LOCATED AT THE FRONT ENTRY OF THE WATERCOLORS DEVELOPMENT. MONUMENT SIGNS WITH THE NAME [WATERCLORS]
SIGN PERMIT NO. SA2019-0003 APPROVED BY [CARLOS FLORES] IN PLANNING. PERMIT PER 2015 CALIFORNIA BUILDING CODES.
DESCRIPTION
MONUMENT SIGN, EA ADDITIONAL
DESCRIPTION
MONUMENT SIGN, FIRST
DESCRIPTION
MONUMENT SIGN, FIRST PC
ACCOUNT
QTY
AMOUNT
101-0000-42404
0
$27.22
ACCOUNT
QTY
AMOUNT
101-0000-42404
0
$80.05
ACCOUNT
QTY T
AMOUNT
101-0000-42600
0
$147.29
Total Paid for SIGN:
$254.56
za 62"1�4frra
Project Address:
APN #:
Applicant Name:
Address:iU�
City, ST, Zip:
Telephone:
Email: 149,1,> z( ve
Contractor Name
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
PERMIT # �, Z (� ' O ® O
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
2 �Ac)t\1u0k rs Slc�,t�S Rte'
U
Valuation of Project $
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Property Owner's Name: \M)t ey-c-moyS
Address:
City, ST, Zip
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
1/2°,aluminum letters
13 6."
deg
—1:qrr
.FS1gx�?Cr Total Signage 45 S
7C1CuContractor's L'c # 830131 C45, C61/1)42
41945 BOARDWALK, SUITE L Workers Comp. # 1938807
PALM DESERT, CA 92211
PH 760.776.9907 / FX 760.776.9844 City Lic. #97005491
24"
i
Customer Approval:
Landlord Approval:
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGNA'RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR,WILL
BE MATCHED AS CLOSERS POSSIBLE, COMMENSURA TE WITH MA TERIALS USED,
THIS DESIGN IS PROPRIETARYPROPERTY AND MA Y NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN A"RAMA.
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