78540 HIGHWAY 111 - FIRE RELEASE FOR OCCUPANCY44
P.O. BOX 1504
Building 78540 HHI'. 11 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
WASHINGTON ADAMS PARTNERSHIP.
Mailing
Address 2377 CHRENSAAW BLDG, STE. 308
CityZip Tel.
TORRANCE 90501. 310-618-3657
Contractor
KING SIGN
Address
1351 S. SANTA FE
City Zip' Tel.:
SAN JACINTO 92383 309.654-3644
State Lic. City
Classif. 398663—C45 Lic. # 2788
Arch:,' Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) f Division 3 of the Business and Professions Code, and my license is in full force and
effect .
LGNATl1RE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness and Professions. Code:. Any city or county .which requires. a
permit to construct, after, 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 provisions 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 penalty of not more than five hundred dollars (8500). '
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, Butsness 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.) -
O 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 contractor(s) licensed pursuant to the Contractor's License Law.) •.
1 am exempt under Sec. • B. &•P.C. for this reason
No. 1174.1
BUILDING: TYPE CONST. • OCC: GRP
Number
Legal Description
Project Description EL AANCHQTO SIGH
TACO SHOP"
Sq. Ft. 'No. No. Dw.
Size Stories - Units
New Add Alter Repair Demolition
mmatea valuation
1,550
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Gradina
Date Owner I I
WORKERS' COMPENSATION'DECLARATION
I hereby affirm that I have a -certificate of consent to self -insure, of a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy -No. Company
Ricopy 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 ($100) valuation
or less.)
I certify that in the performance of thq work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation .
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Coinpensation provisions, of the. Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) ,
Lender's Name
Lender's Address
This is a'buiIding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days:
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ay Enc.
ructure
TOTAL
Dr -RA eovc f)d.'
ZONE: BY:
Minimum Setback Distances-
Front Setback from Center Line
Rear Setback from Rear Prop.,Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE I.N$PECTOR
Issued by: Date ' Permit
Validated bv:
Validation:
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U. 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
SQ. FT. ® c WATER HEATER
MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEEMECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE
STRUCTURE 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 ROCK STORAGE
FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP.
REINF. STEEL GAS (FINAL) TEMP. POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
cu. yd.
plus x$
LUMBER GR. FINAL INSP.
FRAMING FINAL INSP.
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
APPROVED. By PLAN yl yG & DEVELOPMENT DEPARTMENT
v
DATE
EXHIBIT
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APPROVED BY PLANNING & DEVELOPMENT DEPARTMENT
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XISTINGSIGNAL
APPROVEO SIONAI
A OOSMCRCIAL PROJCCT 0011:
WASHINGTON ADAMS PARTNERSHIP
2377 CRENSHAW SOULEVARD. SUITE 300
TORRANCE. CA 90501-3325
310).618-3620
DNE. ELEVEN LA 'QU I NTA
HIGHWAY 1 1 1 do WASHINGTON STREET
LA OUINTA. CALIFORNIA
McClellan/Cruz/Gaylord & Associates
18:01 Von AsrAan Avenue Sttlle ?5C
Architecture • Planning • Interiors Irvine. CA 927,15-1028 17111 $5:1-1117
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1 ALL COMPONENTS(GTO, WIRING, CONDUIT, FITTINGS AND RECEPTACLES) MUST BE LISTEDUYUNDERWRITERSLABORATORIESANDBEINSTALLEDPERTHEINSTRUCTIONSPROVIDEDWITHTHATCOMPONENT. EXCEPTION -IF THE COMPONENT HAS A' SIGN SECTIOflLISTIN_,,,3CN&M THAT IS MARKED IN THE SEQUENCE OF THE SIGN'S SECTIONS (EXAMPLE - SHEETMETALPULLBOXORTRANSFORMERBOXES).
2 THE FOLLOWINGG-MIMU ELECTRICAL SPACINGS MUST BE MAINTAINED DURINGINSTALLATION:
A. BETWEEN PRIMARY WIRING AND INSULATED HIGH VOLTAGE WIRING. B. BETWEEN INSULATED HIGH VOLTAGE WIRING AND DEAD METAL.
C. BETWEEN NEON TUBE (IF OVER 7500 VOLT CIRCUIT) AND DEAD METAL. D. BETWEEN UNINSULATED HIGH VOLTAGE CONDUCTORS OR COMPONENTS. MIDPOINT -GROUNDED TRANSFORMER) AND DEAD METAL (GROUND), LOW VOLTAGE CIRCUIT CONDUCTORS AND HIGH VOLTAGE CONDUCTORSOFOPPOSITEPOLARITY.
VOLTAGE A B C D
1001' TO,. `5000 1/2 INCH 1/2 INCH NONE 3/4 INCH
5001 TO 10000 3/4 INCH 3/4 INCH .1/4 INCH IF 1 118 INCH
10001 TO 15000 1 INCH 1 INCH 7500V + 1 1/2 INCH
3. THE FOLLOWING MECHANICAL SPACINGS MUST BE MAINTAINED:
A. WIRE OFF BOTTOM OF SIGN - MINIMUM 1/2 INCH.
B. TRANSFORMER OFF BOTTOM OF SIGN (OUTDOOR INSTALLATION ONLY) MINIMUM 1/2INCH.
C. GAPS IN WIRE WAYS - MAXIMUM 1/16 INCH.
4. ALL FITTINGS AND TERMINATIONS MUST BE SECURED AND TIGHTENED.
6. IF HANDY BOXES ARE USED IN CONDUIT RUNS TO TAKE UP SLACK IN GTO WIRING, THEYMUSTBELISTED (MAXIMUM SIZE - A STANDARD 2' X 4') AND BE SECURED TO THESTRUCTUREOFTHEBUILDINGORSIGN.
6. ALL COVERS MUST BE REPLACED AND SECURED WITH SUPPLIED SCREWS.
7. ALL SECTIONS MUST BE BONDED TO A COMMON POINT (USUALLY THE TRANSFORMER BOX).
8. IF THE TRANSFORMER IS NOT SECURED, SECURE IT WITH THE ENCLOSED BOLTS AND NUTSTOTHEPRE -DRILLED HOLES IN THE TRANSFORMER BOX(S).
8. IF ANY KNOCKOUTS ARE ADDED DURING INSTALLATION, THE METAL THICKNESS AT THE
POINT OF CONNECTION OF THE PERMANENT WIRING SYSTEM (CONDUIT FITTING) MUST BEMINIMUMOF .032 INCH THICK.
10. REPLACE AND SECURE ALL COVERS AND FACES WITH SUPPLIED SCREWS, BEING CAREFULNOTTODAMAGETHEINTERNALWIRINGORREDUCEREQUIREDSPACINGS.
11. THESE INSTRUCTIONS MUST BE FOLLOWED TO ENSURE COMPLIANCE TO UL48 STANDARD ANDMAINTAINTHESIGNIFICANCEOFTHESECTIONLISTINGMARKS.
12. THESE INSTRUCTIONS SHOULD REMAIN WITH THE SIGN FOR THE INSTALLER. THE BUILDINGAUTHORITIESANDFUTUREREFERENCE.
INSTALL IN ACCORDANCE WITH THE NATIONAL ELECTRIC CODE '•"'
r
RIVERSIDE COUNTY
k -I
UNT Y_° . FIRE DEPARTMENT
or Y
RSIDE NAr- ...i,' _
210 WEST SAN JACINTO AVENUE • PERRIS, CALIFORNIA 92370
714) 657-3183
MIKE HARRIS ,
FIRE CHIEF
I
TO: BUILDING & SAFETY DEPARTMENT
DATE:
The Riverside County Fire Department considers its requirements met and hearby
releases thefollowing project forcc c a P.c y
ADDRESS: l 44mAlo a- c1c)
RAYMOND H. REGIS
Chief F e, ar nt P n
By
r. .
cc: file
I, INDIO OFFICE
79.733 Country Club Drive, Suite F, Indio, CA 92201
619) 342MM 0 FAX (619) 775.2072
PLANNING DIVISION
O TEMECULA OFFICE
41002 County Center Drive, Suite 225, Temecula, CA 92390
0 RIVERSIDE OFFICE (
714) 694-5070 • FAX (714) 694.5076
3760 12th Saver, Riverside, CA 92501
714) 275.4777 • FAX (714) 369.7451 printed on recycled paper