0003-187 (ELEC)LICENSED CONTRACTOR 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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
1221"72 03 31 M(
f
ate "7 C. Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractorsto construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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
Sectlbn 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier CONTI , "I Al. CASL. Policy No. IxerI"a *39669
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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.
�D te: 7- rc Applicant
7..
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for irispection purposes.
L ignature (Owner/Ac
ent)o� Date r CC
a 1
BUILDING PERMIT PERMIT##
�Vl_ 19VALUATION 59.7".08 LOT TRACT
JOB SITE
ADDRESS 79-125 111GI ±SVA .1T11 \
APN r
OWNER
CONTRACTOR/DESIGNER/ENGINEER
'rrNr) : Nllk n%
Of. �,r'�'I-' TkFr, A rr. rr
79.125 HIGHWAY 111
13489 SLOV.ER.AVE
LA oUlWA CA 91253
FONrANA CA 92337
0311 4+x"75
USE OF PERMIT
EU-. 'i7ClCA L
(2) ii i i ALV 1Li..UiviINAT'Ei) MONL%i ENTSIGNS Ar (5) IINTURNALY
31.L1JX11NATE1) WALL MUVIlNTF0 SION`) -1'Ek Al PRO �VF0 Pi.ANS ONLY
V ATVA K'1N 9,756111 LS
.T 11.ATED CM1 a OF MINSTMUTiION'
� v.
PERMIT iFER SEl ti'114 AR
CONSTRUC 1"i0N1'! 101 -M -418 -OX) 5 3.t1t)
m rt••1'wrA1, rtiv 101-(HX1-4?(i-1?(K1 1Ri. )
X1 M -111TH]. 4't)N CFtI T('ii()N ANr) PLAN f -'HR -K
$211h $IV
LESS PRE -P.,*d1.) F U F 9
11,00 .40
1 OTA011, PERMIT k VES DUC NOW
RECEIPT
DATE
BY -
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
c— .�
Underground Ducts
Forms & Footings
Slab Grade
_
7—�
Ducts
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
s.
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
�'. • `
Gas Test
Electric Final
"Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp, Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power ,
Final
Utility Notice (Perm)
COMMENTS:
A1`
j
a
Dlaste-Line, Mc.
EU! TWAER
x
Tor -,-o iissan r
79125.rT 1i1
?2QuLntz, CA 92253 - -
PLOT PLAN
�.
S T P. —
INSTRUCTIONS: The plot .plan should -he a general diagram of the. facilities
and adjacent property and must show your recommendations as to location
of ne•ri signs.
Please indicate the approximate scale used on drawings:
THE PLOT PLAN SHOULD SHOW THE FOLLOWING:
1. The location of all buildings with their exterior dimensions and the distance
from the front edge of building(s) to P/L and/or curb. .
2. Main Building(s) on adjoining property. (It is'important that these buildings
be plotted accurately in relation to the customer's building(s).*
3. Any natural or man-made obstructions,.i.e. trees, traffic'signals, sewer lines
etc.
4. Indicate sidewalks, parking lots, entrances and driveways. Include any signs
on neighboring prope-rty,which are large enought to be considered.
•5. Designate streets which bound the property, and show directional flow of
traffic, as ❑Primary ❑Secondary 'I] Residential.
6. The recommended location of the new signs.'Label and circle each sign at
its recommended site according to corresponding sign number shown in
Section I of questionnarie; i.e. 1O 2O Q 05
7. Indicate north with an arrow.
8. Indicate the location of the po•ver source where electrical hool-up will be
made—as P.S
S. Show location of existing signs and number them in sequence to coincide -
with -the questionnarie—E1 E2 etc.
I
10.1ndicate by dotted' line the approved route for exterior electrical conduit g
if program requires:
PLEASE PROVIDE THE•FOLLOWING INFORMATION:
Distance• —.Speed. .
1 Street Name r' ='to Street Limit
A. ,r' l lam - e� O . Feet _ NIP
B. - \ /jT t' .0 IO Feet �� MPH
2. Identifiable from distance of:
Street Mame f
Feet; On hw ' Heading �J�S
B. .nd Feet: On _. is l ( . %%/%_' Heading.
CON1M EINTS:
Surveycr"s Signature v �—+ date i�� 7�
Alasti-Lime, Inc.
CVS TOM ER
Torre Nissan
79125 r ;wy. 111
T.aru; ,-a, CA 9225-33
INSTRUCTIONS: The primary purpose of the elevation drawings is to
determine the best size and location of name siuns. The approximate location
of supporting signs mounted wall flat (INF) or wall projecting (WP) should also
he shown. It is important that dimensions of rectangular areas above windo\nis
and doors requested in the following sections be accurate.
Please indicate the approximate scale used on drawings
1. FRONT ELEVATION
A. Draw the front elevation of the main building and include exact
dimensions.
B. Sketch -in windows and doors.
C. Indicate• the dimensions of uninterrupted rectangular areas above
windows and doors which can be used for name signs. Indicate any
abutments or protrusions which would interrupt the areas and dimension
them.
D. Provide the horizontal building dimensions.
2. LEFT SIDE ELEVATION
A. Drow the left side elevation of the main building.
B. Repeat steps B, C and D for left side of building, as above.
3. RIGHT SIDE ELEVATION
A. Draw the right side elevation of the main building.
B. Repeat steps B, C and D for right side of building, as above.
I
4. COMMENTS: Describe general building construction and note rnaterial
location on drawing, i.e. brick. wood, tile, etc.
IZ ( N T-
i
I
/i�/!C
J l: r';e.'Qr 5 jlgi�atl.ir? // �:_.c_i�Ca✓ Dace � �? L?
I
STREET
_._.
ELEVATION DRAWINGS
STAT_
LT
-
�—
�-SCJ-$--`— � ' I � I . _ ...... .- --- - •
' � - ,� •� . to z r ft�F4 i,icdy � y � i ¢,�+ t +r } �: �' � • r � t -3 .. •yt
_ a t 4 L fir` Y•). r r Nr �/, i
n. R `f tC.f ,?•i g r . y + } T i to t - . x, M1
P•Ns"��';4
File Name: NIS ID-30 Mon. NisswTruck '
PIasti-Line,- Inc. Scale: 1:24 . Approved Sr. f -
Properly o/ Plasil-Une, Inc. Not to be dupllceted Date: 27 jan 00 _ Date:
iVil ,� ya:, r +.s d .,; �S .x'�l' 4 r. Y `T . 7 t �„ •ci+�`#,
inggll ill 11 ill
i ♦ .p � +r tsr-"r �v .� q � "Y- t � r:.. i � ,; � �^ i+ �. .. f�ti a
• File Name: NIS ID -30 Mon. Nissan/truck
FllglPlasti-Line, Inc. ` Scale. 1:24 Approved By:
Property of Plastl Une• Inc. Not to be duplicated Date: 27 jan 00 Date:
Pi_�y V1:,,Y OF
FOOTIN��
A -WHITE 12
1/
BLU`7
—.. _ 4 'To,
I&S. CLADC(�G,
2PC3;SHIP SEPARATED
I.. I 4 7 .
I I
^CNE"'IT
JZ 0p r.V.C.
F,�:T1 NG
=ILLER j RETAINS -RS
�I
BLUE
BLACK REV, -
.AL
GRADE
;AND H-0LE
C JvLR
l�
2
R
SIGN NoM,-MQLATU'R'-
��-5x 12-I� ,r,•E/hIONUMENT:.SIGN
I: LAhtPS:� 3) F84T 12 CW/HO
( 3) F(b4 T 12C','Y/H. 0
�2'_ ?AL LAS : FFERSCN (1 3 LAMP 16' FT
C I ) 5L MP 21' FT
CJ;CO;NN- LOAD: 6-8 AMPS.. 12'.)V.,60 HZ. MAX.
4;CIRCUITS. (I) 15 AMP
5:SERVICE: 8C'}i SIDES HINGED (SEE MANUAL)
'6:SIGN WE16HT:.80&`. EST.
7:DESiGN WINDLCAD: 35 PS.F.
8 -.CLAD WEIGHT: l00*t EST..
4 33 x 5 .c 11THK." PLATE
3, * 3u
` iOx2 It
HC
MACHINE EOLTS(4) �
a
3� 'rY A S i = =c S (4)
—1 M0'J?:TINS TUSE
PLATE
�I
V
FOOTING DE P-; L—
G 13254 5- 29-90
INST'N. & FND'N
ENG'G n nn'I -1D822 a -r^_ �tL TO
EV. ECFRCQ
RN # DAT,
:,mss � fie, '`t H
KNOXVILLE. TN 37918
SCALE APP'D BY I DR'N EY S F
DAT = 3 - ! -- ° 5 4 CH'K BY
INSTALLATION AGR X30
MONUMENT SIGN 35. PS.r
CUs O ;;
N I SSA IN
DRAWING NO
Sri7
t ' OF 2
�v
4'-0*
1
TORRE NISSAN
96'-O'
�i-II�N�F`?'
Scale 1:24
SERVICE
Plasti-Liove, Inc. File NamW6 Torre Elevation
Scalel:96 Approved By:
Property of PW,6Lhe, Inc. Not to be dlpftsted Date 27jan 00 Date:
0
NOTE
ni
` BOTH. FILLER k FACE .(I -PIECE) MUST
BE REMOVED FOR .MOLINTING. LETT E -R '
TO WALL OR SERVICING.
X12 ^MM NEON \ t
TUBI NG
(6500. WHITE)
WHITE OR BLUE
ACRYLIC FACEfC
�-aTHK ARMORPL
BACK
'. .ELEC. OUTLET CONNECTION
HARDWARE FROM LETTER TO
_ LETTER BEHIND WALL PER
. _.._30 MA. TRANSF.
LOCAL CODE (BY ERECTOR)
JEFFERSON
5"'.DIA�I.OLES_FC)R. _
BRUSHED, STAINLESS y�4'DIA. MOUNTING
STEEL FILLER. y AR_D.WAB.E,.tBY ERECTOR)
:1—WAL L—TYPE- CONSTRUCTION
WILL -VARY. RTP_ REL TO PR .
REV. I*ECN.# DATE
-A FULL.SIZED. MOUNTING plas, tin Lin e., In c
_PATTERN I'S S U P P L I ED WITH KNOXVILLE, TN 37918
EACH SET OF ERS . __ _— _APP'U �r -- - - '
.LET -T ._�� _ oR'rv_-BY,_)c�_
DATE==�';J-
CPA
CUSTOMER r
' DRAWING NO
Y SHEET % OF zt�. 11400
INOTr_
BOTH FILLER � FACE (I PIECE) ,MUST
- - BE REMOVED FOR MOUNTING LETTER
�� TO WALL.
38 THK K. PLY WOOD
BACK
_ s
1NLE7 5 DIA HOLES FOR
STEEL FILLER. .I4.DIA, MOUNTING
HARDWARE. (I3Y EREC`OR)
vVALL TYPE CONSTRUCTION
WILL VARY.- �
RTP 7-
K
X455 REV.
DATE
A FULL_ SIZED MOUNTING Plasti Li
(�� ��
�A I TE R l V I S SUPPLIED I T I i KNOXVILLE, TN 37918
A C H SET OF E T T E R SCALE APP'D BY DR'N BY Jam,
DATE 2— CH'K BY
'' �' '� �. C A� L.t�! �'�' A.��, ,�-•' CCN Vic- ,�� ��
CUSTOMER'
Til
DRAWING NO
SHEET \ . O F
un��ncv
STEEL FILLER.
LU E
,C E
II � i jf
�10T
BOTH FILLER r FACE (I PIECE) MUST
CE REMOVED FOR MOUNTING LETTER
TO WALL.
38 PLYWOOD
I
BACK
I
- \%
f
i
T
FOR
%.DIA. MOUNTING
HARDWARE. (I5Y EREC`OF,)
WALL TYPE CONSTRUCTION. R7a
WILL VARY. � 007-145 REV. ECN _�_ n
DATE
A FULL_ SIZED MOUNTING Plasti Line.,
�.� I -TERN IS SUPPLIED W I T I i KNOXVILLE, TN 37918
n
C SCALE • . APP'D BY I DR'N BY C H S ET OF LETT EIRS DATt= 8� Cf-i'K BY :
- + �' b �. c �.� i_�! � � ��� lam— �c►� --- =- �� ��
CUSTOMER
DRAWING NO
SHEET \ OFx_-
L NOS - I U-ulmt-
io
4,0,
` 13 -0 ; .
File Name: NIS DIR-3 POLE MOUNTED
l� Plasti-Line Inc: .
Scale:' 1:xx• Approved By:
P
Property of Plasti-Line, Inc. Not to be duplicated Date: 11 FEB 0.0 Date:
2-016
STAINL7ST'L.COLUMPC•SHSEPAR
r; TO POWER
I SOURCE
IS" DIA. X 4,07op
CONCRETE BASE
.26 CU YDS.
SIGN ORIENTATION
2 DIA... A�----'C
ANCHOR BOLTS
(4 REQ'94
FRONT VIEW
IGID CONDUIT
r 1 ./
II"
ANCHOR BOLT
PATTER N
e
PEDESTAL—
er
I"
3" 8�
8 -16 BOLTS, 1"
WASHERS €€ 4-1
NUTS (4) REOD 6•
r I �.
SIGN NOMENCLATURE
a ZEZE: d-4 X 4LO5' D.F/POLE MTG SIGN
I. LAMPS: (I.) F48TI2 CTO
2.8A,LLAST: 256-1351 A
3. CCNN. LOA -D: .83 AMPS;-@ 12OV.160 HZ.
4. CIRCUITS: (1) 15 AMP
5. SERVICE: FACE REMOVEASLE.
G.SIGN WEIGHT: 50 LBS,
7. WIrJO LOAD: 35 P.S.F.
8-CO;_UMN WEIGHT:.35 LES.
9•CLISD YYEIGH7- I8 LBS. . A
I-
lz
I� DIA.
PLATE I N HOLE .
5.IGN
tj
til %� Spm Wfasl��k2 I 6 MOUNTING
j PLATES
6~x 3"x ra STZEL TUBE
SIGN TO COLUMN
CONNECTION
END
11(43 7r-
22 GROUT
(EM�a oR°Ea)
LRIGIO
X9
' RTP_ REL TO Fn
E PLATE ZL
),,j9 5 5-3- SS
CONDUIT OR PVC. AA GRADE p, I3 -JO 5'3 -ss
Gb 1- e. 7 S 9 REV. ECN 0 DATE
ti
Lin=,
Inc.
-7.4I ' KNOXVILLE. TN 37918
I I
ilf1 7�- 6 SCALE APP'D`BY DR'NBY TM D
j DATE 12-15 -84 IcH'K BY
STD_ INSTALLATION FOR DIRECTIONAL
6 SIGtU 35 PS.F P- 2' Y O.A.H.
`—'— — ATO CUSTOME3�
PgESTA L ELECTRICAL N ISS -AN
�
,TAIL SOURCEA DRAWING NO
SHEET I OF. j 60 I1�9'1
FOUNoATION NOTES A';D -SP=CIF iCATIG.';S
1. ALL uAT=SIAL AtiO CO';STPUCT ION PROCEDURES SCALL CON7ORM TO T -.-',E- =CLLG:;ING AP 01 TC�ELE .
STAPfO�RCS:
ASTM A-150 PORTLAND CEMENT
ASTM C-33 AGGREGATES FOR CONCR"cic
AST 1 C-:4 READY-'?IX=J CuI;CRZi c
2. ALL CONCRETE SHALL 3E MIX -=O ANIO, PLACED 1Ni ACC3RC."';CE wi 'i is - P_r ,n�._�;li_D' DO'Ct a'Z_>
OF "HE POnTLA.';D CE'�t='�T ASSOCii+TION, AS SET OUT 1N ITS PU3LICATICy,
CONTROL OF CONCRETE MIXUTRES.°
3. ALL CONCRETE, EXCEPT CONCRETE USED FOR BACKFILL SHALL DEVELOP .A MINI;?UM COM?RE=S?V=
STRENGTH OF 3,000 PSI. THE MAXIMUM SIZE OF COi-.757_ i,G3R=u,;TE IN FOOTING 2A5E SUSS
SHALL 6E 1 -1/ 2" WITH A NAXiMUM 5L'J:'?? OF 4". THE MA.XI;'Ui4 SIZE CF CGA.'.SE .43G=cs�-c
IN; FOOTINS PIERS SHALL BE 3!4" WITH A M�XIM;,M SL'?P OF 4". ALL COK==1is USED `OR
BACKFILL SHALL GIVE' 0? A --Mi:';IMU'i-CO, PRE=SIVE STPENGid OF 2,000 PSI 7 DAYt. TH_
MAXI;tU;4 S1C.OF COARSE AGSR_G;,TE SH;;LL 3E 2." WITH A ;L;XI�`iUNt SL!".:? OF 5".
4. 6==0RE T4E PL4C:NG OF CO`;C==iE, ALL FOOTiN{S LX'==.VAT:O`;S SiiALL BE: Fi:==•OF WATER
SLUSH AND ALL FOREIGN M�iER.
S. ?RE -OAR -7 FCR;1 FOR PEDESTAL ONLY. BASE SLAB TO BE PtOuR_D AGAM' T EyRTH SIDES.
6. ALL HONZY.CO" 3ED CZ CETICTiVE Cu`,CRE:E S'. -'AL!- BE cX,4�ii RED SY `:i- E?d5.';=.R AIND
APPROVAL OBTAINED AS TO N;=TH07 OF CORR=CTiON TO BE EJMPLvYED:
7. ALL PSRL%IAN;SITLY E::POSED SL'RFAC"cS SHALL BE FINISH=D BY REMOVING PROTRUDING FINS AND
Su:-,-, 0iNER PRt7JEC-�1ONS. A_L EXPOSED SU:c=?Cc5 SHALL BE RUSBED LATH A CARBOR'UNDUM
SRIZK OR STONE ANG WASHED DOWN WITH C'_L,R :;,;T=R UUTIL FORM MARYS ARE RE::--?VED AND
A SMOOTH SURFACE IS OBTAINED.
S. ALL FOOTING EXCAVATION TO BE CARRI=D TO GOOD 6EAPING SOIL. TH= 5'_A5 D=P?'r{ SHA' r
EXTEND A DISTANCE EQUAL TO. THE DEPTH AS '{ ih70 Ut{DISTP.USED 117R -IN 501L.
TO •THE DEPTH OF THE FOOTING SHOWN H7 -R7 -CN OR TO A MIN Ti MUM- C=zTH R=OUTRED EY LOCAL
COD TO M==T FROST LINE OR OTHER R=SGRICTIGNS, �;HIC =V.R I5 GR-AT=R. AL' EXCr.Vr+-i ON{
6=l OW THE BOTTOM OF THE FOCTIi;s SHALL 6= SA:-KFIL 1 _D WITH =.GOC PSI :0';CRE BUT T==
EXCAVATION SHALL NOT EXCEED 10' WITHOUT THE APPROVAL OF THEENG:N*c-P..: NOT rH.N
DEPTH OF FOUNIDATION IS 11NCP.=r.SED TO FR,2ST LiiiE OR OTHER LOCAL R-SZniC-iuN;S, ADO: TiCA:
DEPTH SHOULD 6E ADCED TO EASE SLAB ONLY:
9. THIS FOO-IN;G :S D= --3;;E0 FOR A GOC SOIL WT -H A 2.= FAZ-OP. G=
GOOD SCIS AF.=
1..C,?i1 � K�-.I, nNi� JC.'_.
�.v_K�•v= SOILS -„R W!4'r. ..5 RDD 1;G] .S .3 -1 nC_= r..._. _�
PO^R 53i, -S FOR TN'_= FOO IN G: :S NO :':: ---
COM? F:.T G SAN0, AtiC C_AV_ CO;;-niTil;iG L. O. S._- ;0 VC== 4..�
TH= SOIL SHOU_O CR ,!,N 3UF = i C::-'JLY
.^ 1 i- �•.:;; 1S ID E= i,;S �.� __D il; _i,l _ ryr. pl .i :'. S_..1.1�, .��t lug.
n= _X_.1`A 1.{u n�tO P1�Q11�
.-.=U .r.SE AND U?
DWG5._N