BSIG2018-0009TAtyl4VOICE
s6fv(760) 777-7125
78-495 CALLE TAMPICCi FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Permit Type/Subtype: SIGN/
Application Number:
BSIG2018-0009
Property Address:
79800 HIGHWAY 111 STE 106 -.
APN:
600010021
Application Description;
WELL MASSAGE / ILLUMINATED SIGN
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
AD ELECTRICAL ADVERTISING INC
9437 VALLEY BLVD
ROSEMEAD, CA 91770
LICENSED CONTRACTOR'S'DECLARATION
i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 1commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect. !
license Class: C45 License No.: 927951
j,
5-8 2018 Y
Datc:..Contractor::--- _ T
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Date: 5/7/2018
Owner:
BEHRSTOCK PROP
363 N LA CIENEGA BLV
WEST HOLLYWOOD, CE
Contractor:
AD ELECTRICAL ADVER
9437 VALLEY BLVD
ROSEMEAD, CA 91770
(626)448-1166
Lic. No.: 927951
WORKER'S COMPENSATION DECLARATION
ll 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.
P.'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
I s issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATC COiaiiFifdSATtI sR iNSU ANi E FUND Policy Number: 9110755
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of the work for which this permit is issued, I
,City Dr county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
anystructure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if should become subject to the
signed statement that he or she is licensed,pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. ; Z/
3afthe 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 Date: 5-8-2018 Applicant. a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
v
($500) : WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(___) f, as owner of the property, or my employees with wages as their sole . AND SHALLSUBLECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100;000). IN ADDITION TO THE COST Of
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not `COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
.himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building oe improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
tie or she did not build or improve for the purpose of sale.).
(_) 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:.,,
APPLICANT ACKNOWLEDGEMENT
APORTANT: Application is hereby made to the Building Official for a permit subject to
le conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
!quest and for whose benefit work is performed under or pursuant to any permit
sued as a result of this application, the owner, and the applicant, each agrees to, and
mil defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any act or omission related to the work being performed under or
>Ilowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
of commenced within 180 days from date of issuance of such permit, or cessation of
Pork for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this'cityto e.riter upon the
above -mentioned property for inspection purposes..
Lender's:[dame:
_ 5-8-2018� —
Date: Signature (applicant or Agent)'
Lender s Address: -
3
4 ai""xw
78 495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: SIGN/
Application Number:
BSIG2018-0009
Property Address:
79800 HIGHWAY 111 STE 106
APN:
600010021
Application Description:.
WELL MASSAGE / ILLUMINATED SIGN
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
AD ELECTRICAL ADVERTISING INC
9437 VALLEY BLVD
ROSEMEAD, CA 91770
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: C45 License No.: 927951
Date:
Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/7/2018
Owner:
BEHRSTOCK PROP
LU
363 N LA CIENEGA BLV
WEST HOLLYWOOD, CA 9225 00
®1
O
CNJ
=
ti C3
g
n
Contractor:
1
AD ELECTRICAL ADVERTISIN
INC U
9437 VALLEY BLVD
ROSEMEAD, CA 91770
�•I Of
(626)448-1166
'— U
Llc. No.: 927951
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 workfor which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9110755
1 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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division,
comply with those provisions.
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
Date: Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_)1, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT -AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL'FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves .
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to.
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State license law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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 Add
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 property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number:
BSIG2018-0009
Property Address:
79800 HIGHWAY 111 STE 106
APN:
600010021
Application Description:
WELL MASSAGE / ILLUMINATED SIGN
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
AD ELECTRICAL ADVERTISING INC
9437 VALLEY BLVD
ROSEMEAD, CA 91770
Owner:
BEHRSTOCKPROP
363 N LA CIENEGA BLV
WEST HOLLYWOOD, CA 92253
Contractor:
AD ELECTRICAL ADVERTISING INC
9437 VALLEY BLVD
ROSEMEAD, CA 91770
(626)448-1166
Llc. No.: 927951
Date: 5/7/2018
Detail: (1) CHANNEL LETTER LED SIGN [WELLNESS MASSAGE] SIGN PERMIT NO. SA2018-0021 [CHERI FLORES] PER 2016 CALIFORNIA BUILDING CODES.
"DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$26.53
DESCRIPTION
ACCOUNT '
QTY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$93.62
Total Paid for SIGN: $120.15
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ELECTRICAL ADVERTISING INC
AUTHORIZE LETTER
I, Paul Rui-Chong Wu carry Lic. # 927951, c-45 authorizing
Aaron Lo, to pull sign permits, include building, electrical
and business License.
5/7/2018
Paul R.ui-Chong Wu
AD Electrical Adverising, Inc.
Contractor
9437 VALLEY BLVD., ROSEMEAD, CA 91770 • TEL: (626) 448-1166 FAX: (626) 448-1161
•
• � MASSAGE
13'- 0"
Proposing: Internally illuminated LED channel letter sign.
• Faces: 1/8" thk red acrylic face.
• Trim Cap: 3/4" black trim cap.
• Letter Returns: 5" deep .040 aluminum, painted black.
§-_'.----
------ WALL
TRIM-TO�AN
PAN -TO -WALL FASTENER
FASTFNERa111N 3—�
ANCHOR/LAG (#10 S—)
IM"XI" TO 3", MIN 4PCS,
TRIIUICAP
- VMING
—i
TRANSFORMER
LED iNumination
ENCLOSURE
DISCONNECT SWITCH
LETTER FACE —
DISCONNECT SWITCH
WEEP HOLES 1
PRIMARY
ELECTRICAL
MALL TYPE FASTENER TYPE
DRYWALL I STUDS WOOD SCREW ore• ro :� X 2' TOr
CONCP-ETE I ANCHORIAG 3a TO!" XrTOr
STUCCO +SiEETROCK _ _ _ gNpIOAnAi3 :r'B' TO'n• x TTo a"
STEEL SEJAMS r MACH lA4CN 3*• TO A- X r TO A' -
All assembly and electrical components to be U.L. listed and labeled.
CITY OF LA OUa�z�TA
BU11-01NG & SAFETY DEPT.
PPP 0VED
FOR CUN TBUCTION
DATE. Ste`�-=1�Y
N11t
24'-0"
aft 4D MASSAGE
S/GHS This sign is Intended to be Installed In accordance with fhe FWMMMOMs of AFMO 600 of the Notional Elechicol Code and/or other api;III a loco) codes- TW includes proper grounding and bonding of the sign.
r .APPROVED
9437 VALLEY BL., ROSEMEAD, CA 91770 1 79800 Hwy 111 Suite 106, La Auinta, CA 92253
TEL:526-448-1166 FAX:626-448-1161
op