15539 (SIGN). .0 1 Tity 4 a(P Q"
P.O. BOX 1504
Bui�+'ing 78-495 CALLE TAMPICO
Ad5t3 Sg 50)--D� it Ste, V LA QUINTA, CALIFORNIA 92253
Owner
Lori Abd::1tiotar
Mailing
Address S
City Zip Tel.
1,� ; ai:� .a, C � 92253 564' 4-i j
Contractor
10,980 13r�atit do lit:"
City a r r Zip aft re Tel. f
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address I Tel.
City I Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that 1 em licensed under provisions of Chapter 9 (commencing with Section
'7000) of ❑ivision 3 of the Business and Professions Code, and my license is in full force and
-effect.
SIGNATORE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the fallowing
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requiras',a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
h regWres the applicant for such permit to file a signed statement that he is licensed pursuant to
I' the provWons of the Contractor's License law, Chapter 9 icommoncing 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, Bussness 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
er improvement is surd W#.hfa one year at completion, the owner-buiidar will have the burden
of proving that he did nor build or improva for the purpose of sale.)
r_' 1, as owner of the property, am exclusively contracting with licensed contractors to Con-
siruct the project. (Sac. 7044, Buwao&N and Professions Code. The .Contractor's License Law
does not apply to an owner of property who baUds or Improves thereon, and who contracts for
such projects with a contractor(s) )rcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
-Date r r`f �? 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
f 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 carlify that in the performance of th? 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 o! California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subjecl to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
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.
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 thattheabove information is correct -
I agree to compty with all city and county ordinances and state laws relating to building
constructlom, and hereby authorize representatives -of this city to enter the above•
mentioned property for Inspection purposes.
No. 1.553Q
BUILDING: TYPE CONST. OCC. GRP,
P- Number
Legal Description
Project Description Sign .:ot T.T.
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S. M.I.
Grading
Driveway Enc.
Infrastructure T
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 Setback frcfFn Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address
City, State, Zip,
Validati
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBIW FEES
1ST FL. SO FT @
2ND FL. SQ. FT. @
POR SQ. FT @
GAR. SQ. FT, ®
CAR P Q. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION 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
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
Ain I IANDLING UNIT GFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVAIUHY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
IMAX.
SQ. FT. @ c
WATER HEATER
HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11A c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4c
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
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SCTDACK
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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
471-
GRADING
cu. yd.
$ plue x$
=d
LUMBER GR.
FINAL INS .
FRAMING
//
FINPS'ft15 .�
ROOFING
'
� / g*
G `%
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNRiURE511NITlALS
GARDEN WALL FINAL
T4t�t 4 4 Oumto
MEMORANDUM
CASE:
Your sign permit application is hereby approved, subject to the following provisions or
conditions:
The sign shall be installed pursuant to the attached exhibits.
2. The permit shall expire on eb / / 9 6 c�v.i{ss 1"1J;1A1/1J,
3. The maximum number o si nsagObanners permitted shall be
4. If the sign permit involves permanent electric facilities, a building permit shall be
obtained.
5. If the sign is a temporary sign, please contact Mr. Don Whelchel in the Code
Enforcement Department once the sign(s) has been installed so that he can inspect
the sign (or signs) and verify compliance with the attached requirements. Mr.
Whelchel will need to see this memorandum so that he can attach a City decal to
your paperwork in the field. He can be reached by calling 777-7050. If the sign is
permanent, please contact Mr. Whelchel prior to installing the sign at the site so that
he can be present while the sign (or signs) is being installed.
6. Additional Conditions:S,
►`I r .ter ��i �. ���t� yr �— I"bG �-r
Thank you for your cooperation.
Attachments
c: Code Enforcement Department
Building Department
11
Case Number3z-�--
Date Received
U � .
PLANNING & DEVELOPMENT DEPARTMENT
SIGN PERMIT APPLICATION
U
APPLICATION REQUIREMENTS
A. The following shall be submitted by the Applicant to the Planning &
Development Department at the time of permit application unless othe6rwise
modified by the Planning Director:
1. Completed sign application obtained from the City.
2. Appropriate sign plans with number of copies and exhibits as
required in the application.
3. Appropriate fees as established by Council resolution.
4. Letter of consent or authorization from property owner, or
lessor, or authorized agent of the building or premises upon
which the sign is to be erected.
B. Plans Required - Information required - the following information
must be shown on the sign plan:
1. Sign elevation drawing indicating overall and
letter/figure/design dimensions, colors, materials, proposed
copy and illumination method.
2. Site plan indicating the location of all main and accessory
signs existing or proposed for the site with dimensions,
color, material, copy and method of illumination indicated for
each.
3. Building elevations with signs depicted (for non -freestanding
signs).
I
Applicant
f
Mailing Address 14 WA. / I 1
Phone:�—�3
Name of Business LL5714`N S(.Vt AN C� -
Type of Business Phone:
Address of Business 56 - a ,5--� ]4,S f a TQyt � Lk Qw-oA
FORM.004/CS
;WC
.Ft
SCALE, 1,s__ 1'—OLD
SINGLE FACED, INTERNALLY ILLUMINATED UNDER CANOPY CABINET SIGN
CABINET: FABR, FROM ALUMINUM, PAINTED MATTE BROWN FINISH TO MATCH BEAMS
FACE: - 1 j2„ THICK, 6# DENSITY -,SIGN FOAM ROUTED•CIUT FOR COPY'ALLSTATE' &
* FOAM FACE WITH "MISSI6Isr FINISH TQ MATCH MONUMENT SIGN - FRA2EE
INTERNAL ILLUMINATION WITH FLUORESCENT LAMPS
MOUNTING . FROM ABOVE WJ 1 " SQ. ALUMINUM TUBING
QUANTITY: : TWO(2)
't ;
—
•
- FRAZEE # 5695-A `BOURBON'
BACKED WITH PLLEXIGIAS: BLUE #2114`
* 5764W WHITE SHADOW'
- 17 Irk i-� T 7 - TT a r
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10980 Boatlnon Avenue
Stanton, CA 90680
714/761-8200
FAX 714/761-2451
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kL L EI =Cif CAI INSTAt.1AT[(iNSAVE a APPROVE]
NOTICE: This is an orrgirsal design and tale
property of The Signs & SsrvLCes Company, tt
is not to be used ror any purpose other than to
convey the theme or design alerrrents herein to
the prospective client.. Reproduction of this
design or construction or displays based on this
dasrgn by any other than The Signs & Services
Co. is PrOhLIDItacr and subject to legal remedy.
1
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REVISIONS
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PROJECT NAME
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SALESMAN
DESIGN NO. �— c] C-7
CLIENT APPROVAL JOB NO.