12484 (SIGN)cei.t�t 4 4Q"
P.O. BOX 1504
Building
6c ox 11 Adrya,_QUINTA, CALIFORNIA 92253
Owner
CA_-1 ` s sr.
Mailing Address 1100 N. Harbor -lvc? .
J'&hcimr CA Zip 92803 Tel.
Contractor
',z-; y Sign, Inc.
Address
Xllec St.
City CA 12'p 921 805 TrIt14] 520-9144
State Lic. City
& Classif. L:-45 654238 Lic. #
Arch., Engr.,
Designer ; rAle V. Myhre
Address Tel.
". Grand Ave. _0 241-0115
City Zip State
Y LICENSED CONTRACTOWS DECLARATION
I hereby affirm 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.
�J.GN R71 i aE p;71`E
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the proviWas of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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 penally 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale,)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law,)
❑ I am exempt under Sec. B. & P.C. for this reason _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑- Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
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.
Date Owner
NOTICE TO APPLICANT: P, affer Making this Cerfiticafe of Exemption you should become
subject to the Workers' Compensation provistons of the Labor Coda, you must forthwith
comply with such provisions or fi+i6 p6rlTlif shaA bs deemed revoked,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 authorise representatives -of this pity to enter the above,
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 2? Pr 4,
-rr a"?. nxv: �:tl1
BUILDING: TYPE CONST. OCC. GRP,
A.P. Number
Legal Description
Project Description
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation tin r r.
PERMIT AMOUNT
Plan Chk. Dep,
Plan Chk. Bal.
COnSt.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side.SethackfrnrrtPzoo&rtv Line
FINAL DA
Issued by:
Validated by:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
2ND FL.
POR.
GAR.
CARP
WALL
ESTIMATED CONSTRUCTION
SQ. FT @
SQ FT.
SQ. FT. @
SQ, FT. @
SQ. FT. @
SO. FT. @
SQ. FT. @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
IMOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.0
TEMP USE PERMIT SVC
WATER CLOSET
,COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURC PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
jj
40��JJ — NAL INSP.//—/(j� �
FRAMING
FINAL INSP
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
09
Ot-PINAL INSPECTION/4—�1—W
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNA7URESlINITIALS
GARDEN WALL FINAL
P
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
October 8, 1993
Mr. Derek Lewis
Coast Sign, Inc.
1345 S . Allec Street
Anaheim, CA 92805
SUBJECT: PRELIMINARY SIGN APPLICATION - CARL'S JR. (CUP 92-004)
Dear Mr. Lewis:
Thank you for submitting your preliminary sign application information to our
department.
We have reviewed your request to install eight on -site signs for the under
construction Carl's Jr. restaurant on Highway 111. The proposed signs are
consistent with the City Council's acceptance of Conditional Use Permit 92-004 on
January 19, 1993. However, the maximum height of the directional signs shall be 36-
inches and the Happy Star logo should be removed from Sign "C" because there is
not enough space for it on the building facia.
A copy of our Sign Application is attached. Please complete and return it to our
department, along with three sets of your final sign package for our approval once
it is avaliable . The final plans submitted to us shall be signed and approved by
Transpacific Development Company.
Once we have approved your plans it is your responsibility to apply to the Building
and Safety Department for a building permit to install the permanent signs. They
can be reached by calling 619-777-7012.
If you have any questions, please contact the undersigned.
Very tn,,,,MArs'
JR.Y
ING & EVELOPMENT DEPARTMENT
7R USDELL
E PLANNER
GT:cs
Attachment
cc: Building & Safety Department
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
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