BSIG2019-0009DK, I f At
.
78-495 CALLE TAMPICO D XP Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
SIGN/
Application Number:
BSIG2019-0009
Property Address:
78075 HIDDEN RIVER RD
APB:
609040007
Appli�Xon Description:
WASHINGTON STREET APARTMENTS / MONUMENT + DIRECTIONAL
Property Zoning:
SIGNS
Application Valuation:
$2,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/23/2019
Owner:
REDEVELOPMENT AGENCY CITY OF
P 0 BOX 1504
LA QUINTA, CA 92203
Applicant: %�� Contractor:
SUN COUNTRY BUILDERS INC DBA SUN COU / \ SUN COUNTRY BUILDERS INC DBA SUN COUNTRY
3156 LIONSHEAD AVENUE ��•b 3156 LIONSHEAD AVENUE
CARLSBAD, CA 92010 OCT 23 2019 0D CARLSBAD, 92010
(760)630-8042
CRY GFLADUINTA Llc. No.:446341
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 C-5 License Na..44fi341
Date- �' �� � Contractor:
OWNER-BiALD R 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 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
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 r for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
S Ation 0 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: 51ATE COMPENSATION INSURAN�jiFoa — Policy Number: 9039194
_ 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 ofsabor Code, I shall forthwith
comply with t se provi ions.
Date: 1 Z Ap nt: _
WARNING: FAILURE TO SECURE WORKS ' 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 application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless the City 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
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 property for inspection purposes. f
Date: nature (App or ent
A
Date: 10/23/2019
Application Number:
BSIG2019-0009
Property Address:
78075 HIDDEN RIVER RD
APN:
609040007
Application Description:
WASHINGTON STREET APARTMENTS / MONUMENT + DIRECTIONAL
Property Zoning:
SIGNS
Application Valuation:
$2,000.00
Applicant:
SUN COUNTRY BUILDERS INC DBA SUN COUNTRY
3156 LIONSHEAD AVENUE
CARLSBAD, CA 92010
Owner:
REDEVELOPMENT AGENCY CITY OF
P 0 BOX 1504
LA QUINTA, CA 92203
Contractor:
SUN COUNTRY BUILDERS INC DBA SUN COUNTRY
3156 LIONSHEAD AVENUE
CARLSBAD, CA 92010
(760)630-8042
Llc. No.: 446341
Detail: WASHINGTON STREET APARTMENTS / (2) MONUMENT SIGNS + (10) DIRECTIONAL SIGNS THROUGHOUT PROPERTY. ALL SIGNS EXTERNALLY
ILLUMINATED BY EXISTING LIGHTING. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
MONUMENT SIGN, EA ADDITIONAL
101-0000-42404
0
$27.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
MONUMENT SIGN, FIRST
101-0000-42404
0
$80.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MONUMENT SIGN, FIRST PC
101-0000-42600
0
$147.29
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$244.98
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$244.98
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$27.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$96.06
Total Paid for SIGN: $867.80
DESCRIPTION
ACCOUNT CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00