05-1525 (SIGN)�}
`~c�� P.O. BOX 1504
BUILDING & SAFETY DEPARTMENT
(760).777-7012
OFTt�9 78-495 CALLS TAMPICo
FAX (760) 777-7011
QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
ApR 25 2095
v ;:( a Qpig� um�e r
pp ,
A
�._�_- Date 5
�0 5 �0-0 0.015.2 5 __ ' , 4/22/0
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Pr�oprtr ress . .
. . ... 79125 HIGHWAY 111
APN:
649-030-078-2 -28525 -
Application description
. . . SIGN
Property -Zoning.. .
REGIONAL COMMERCIAL
Applicationva'luation_.
35000
Owner
Contractor
LATORRE ROBERT:N
IMAGE POINT, INC.
m 8.3368.HIGHWAY 111
13489 SLOVER.AVENUE, STE.#B
INDIO; CA .922'01
FONTANA, CA 92337
(909)823-1239
WCC: MILLER.AGENCY
WC: 31WEOC2042 03/01/06
CSLB: 722172 05/31/06
R.
CCC: C45-ClO
1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
V.OICE,;(•760) 777-7012
FAX.(760) 777.70T1
I• NSPECTIONS'(760) 777-7153
BUILDING & SAF'ETY'••DEPARTMENT
Application Number:
Applicant: Architect or Engineer:
ca : 'Applicant's I mg Address: Architect or Engineer's Address:
f
Lie. No':
,{ BUILDING PERMIT DECLARATIONS
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 Professionals
Code, and my Lice e i 'n full force and effect.. �. _ _ -
�License Class License
SCont�ractor��
1
OWNER -BUILDER DECLARATION -
_ I,hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7,000) 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).): •• ,
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and'the structure isnotor 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
r himself or herself or 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.).
U 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.).
U I am exempt under Sec. , B.& P.C. for this reason
Date" Owner
:"1CRKS,^,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 work for which this permit is
sspped My workers' compensation insurance carr, r n poli number ar
Carrier\ ��
Policy N ����oCo��
�y umber,-- � 1
_ I Certify that, in the performance of the work for which tt iss irmit 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—�� 'Applicant — c%�i►nrs� �
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.
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
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety 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 Ouinta, 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 his county to enter upon the above-mentioned property for inspection purposes.
Date `�c�"�� _Signature (Applicant or Agent), • '
N
.L�JAV -: x, yw�k� 2y. `hVy.li 1 •Mi� �f}: �1Y�-".1'o°-�h ::•.
{Jy
M1' .
Application Number 1 ;05 00001525
Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee 33,.00 Plan Check
Fee '.
00
Issue DateValuation
0
Expiration Date 10/.19/05
Qty Unit Charge Per
Extension
BASE FEE
15.-00`
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
1.00 3.0000 EA ELEC-SIGN ADDITIONAL CIRUITS
3.00
Permit . . SIGN PERMIT.
Additional desc
Permit Fee 317.00 Plan'Check
Fee
2.06
Issue Date Valuation
. .
35000
Expiration Date 10/19/05
Qty Unit Charge Per
Extension
BASE FEE
•252.00
10.00 6.5000 THOU BLDG 25,001-50,000
65.00
Special Notes and Comments
-RELOCATION OF PREVIOUSLY APPROVED
SIGN/2 MONUMENT/2 CHANNEL LETTER/2
DIRECTIONAL WALL & 3 DIRECTIONAL GROUND
SIGN PER SA 04-•794
Fee summary Charged Paid Credited.
Due
' Permit Fee Total 350.00 .00
.00
350.00.
Plan Check Total 2.06 .00
.00
2.06
Grand Total 352.06 .00
.00
352.06
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico ,
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
6?4
Project Address: �� `\
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
a
Address: \� p �\oV
City, ST, Zip: p�
T el eP h o e.
State Lic. # City Lic. #:
Arch., Engr., Designer. \
City, ST, Zip
Tele h -�
P o
Project Description
\\ o
``�� jo
Address: �N
City, ST, Zip:
Te le P ho e: \\ �"\"
Con T
e.ton� Occu Pan c:
StateLt' c. # �� �ows
Pr J' ect riPe (circle n e �
. n Alter Repair Demo
Name of Contact Person:
�P. �o \
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Perso
Estimated Va ue Of Project` a
APPLICANT: DO NOT WRITE BELOW IS LINE
#
Submittal
Req'd
Rec'd
TR4CHING
T FEES
Plan Sets
Plan Check submitted
It"m
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S 11t I
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jn° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
w
NISSAN NORTF=I AMERICA, NC
Nissan Retail:Environmental Design, Initiative
Sign Program
II: SITE PLAN'AND-COLOR--RENDERINGS
The following provide:a.visual'representation of the preparedsolution.
0
Torro, Nissan (3247)
aLaQuinta; CA
°4/1'1/05
CITY OF LA QUINTA
BUILDING & SAFETY DEPT:
APPROVED
t -
.: FOR CONSTRUCTION
By
r
i
•
I r S
IS5AIV�,
I t
11.ICICS;�
i ;
.�a
Page 1
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE -NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
APPROVED BY COMMUNITY DEVELOPMENT DEPARTME10
By 15yA , G2mxfA DATE 4 ;:406
EXHIBIT
C -Au NO, . SA oLI - 7'1lf
r'e-to c�a-k avi a $ `fit' 2I1 Yl .
NISSAN NORTH AMERICA, INC
Nissan Retail Environmental Design Initiative .
I
Sign Program
SITE BEFORE NEW CONSTRUCTION
PROPOSED BUILDING AND SIGNAGE
C) 50sq, ft. Main Brand Monument
Torre Nissan (3247)
LaQuinta, CA
4/11/05
Page 2
187982
MrAl
J
S
IG f
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS �'ND JOEL CARD ARE NOT ON
Y._._ . _.. THE SITE FORA SCHEDULED
s INSPECTION.
�-'0 EXCEPTIONS!
I I,V t%TI A I 'D.I O tai �
CITY OF LAQU NI q
___...��..�. 'BUILDING & SAFETY DEPT.
APPpovELj
FOR CONSTRUCTI /
DA � I � 2 BY
r_,
y
t
.S
Job name .. I _— Drawing no. 0/4
Address
____ of I v
_ NOTED. Date
sales rep. .;�I�L'�{ _-Drawn by Scale r
Approved by _ -- Revile, i i�
Notice: This is an unpublished drawing. created for your personal uuse. submitted In Connection with a project,planned for you by :"±t3Rend tsGI..
not to be shown outside your organization nor used. reprodiuced. copied or exhibited In any way unless authorized In writing by yG '
..a Sign_ Company
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