SA2016-0069BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 12/01/2016
ISSUED DATE:
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Sign
78364 HIGHWAY 111
SA2016-0069
604050046
$0.00
Owner:CIRCLE K STORES INC
P O BOX 52085, PHOENIX, AZ 92253
Applicant:PROMOTION PLUS SIGN CO INC
21034 OSBORNE ST, CANOGA PARK, CA 91304
Contractor:
Declaration / Acknowledgement
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER-BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors’ State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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 (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors’ State License Law does not apply to an owner of
property who, through employees’ or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors’ State License Law.
As an Owner-Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner-builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS’ COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self-insure for workers’
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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 issued.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers’ compensation laws of California, and agree that, if should
become subject to the workers’ compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 Quinta, 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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 upon the above-mentioned property for
inspection purposes.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 10/21/24 8:51 am Page 1 of 3
Permit Type:
Permit Number:
Property Address:
Sign
SA2016-0069
78364 HIGHWAY 111
BUILDING PERMIT
CIRCLE K / CHANGE BUILDING MOUNTED AND MONUMENT SIGN *** CHANGE BUILDING MOUNTED SIGN AND MONUMENT SIGN,
CHANGE COLOR OF GAS PUMP OVERHANG.
Use of Permit
Construction Details
Location on premises NoSign Illuminated?
Valuation Details
Type Group Sq Ft Value
Financial Information
Fee AmountFee Amount PaidInvoice No.
PERMIT-SA2016-0069 $5.00 TECHNOLOGY ENHANCEMENT FEE $5.00
$250.00 PL - SIGN $250.00
$255.00 $255.00 Total for Invoice PERMIT-SA2016-0069
Grand Total for Permit $255.00 $255.00
Workflow / Inspections
Workflow Step / Action Name Action Type Start Date End Date
Review v.1
Sign Review v.1 Receive Submittal
Issue Permit v.1
Verify Contractor info & Conditions have been met v.1 Generic Action
Verify & Invoice Fees v.1 Generic Action
Verify Fee Payment & Issue Permit v.1 Generic Action
Print, Attach, and Email Building Permit v.1 Create Report
Inspections v.1
Building Site v.1 Inspection
Footing v.1 Inspection
Final Inspections v.1
Final Building v.1 Inspection
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Inspections
Printed: 10/21/24 8:51 am Page 2 of 3
Permit Type:
Permit Number:
Property Address:
Sign
SA2016-0069
78364 HIGHWAY 111
BUILDING PERMIT
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
Certificate of Occupancy
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Service Utilities
Printed: 10/21/24 8:51 am Page 3 of 3
lift r
CV
OFT
December 8, 2016
Mr. Sorin Enache
Promotion Plus Sign Co. Inc.
21034 Osborne St.
Canoga Park, CA 91304
SUBJECT: SIGN PERMIT APPLICATION 2016-0069:
CIRCLE K
Dear Mr. Enache:
The Design and Development Department has reviewed and approved your request
for replacement of multiple existing signs at "Circle K", located at 78364 Highway
111. The sign is approved per the sign exhibits on file, and subject to the following
Conditions:
1. This sign permit grants multiple signs to be designed and located per the
approved plans on file (attached).
2. The applicant is required to obtain a building permit prior to the placement of
this sign.
Should you have any questions or need additional information please feel free to
contact me at (760) 777-7069.
Sincerely,
Carlos Flores
Associate Planner
78495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www:L zQuinta.org
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PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
M�j• _ Yen P—1 the PRO1IOTI(1.-' PI,IS
V t/4 �(i M.N M. 11( F—IN
21034 Osborne St. Canoga Park, CA 91304
(P) 818.993.5406 (F) 818.993.3174
State Llcence 853228 Ill]
Job Location
MID LED Conversion - RO1
78364 US Hwy 11
La Quinta, CA 92253
Owner Information
Cirelk, K Siorns, hu:
255 E Ficorl SI, Sulle I
Cofonn, Cu 92819
95 i •210.51 18
lj�°1 Info
[A) Canopy Imaging Eft v:• :' ':`:r it •: A L Canopy Length; 14ftilft. Harpl& 72 3/4w
Cleuranre: Approx 14' 4" L0907 Qty i ! i 7"
West EEavniitinl Illuminated FpaCiG
A Ensi EIcvallan j ULrinirialpa'] Frrs[it�
W
A Norlh EleyfAci Iliumi micd Fmdo
Souiiti i1c vationi Illuminated Ftrscin
33" 16„
DISK
Clearance Sign I Qty 6
Verify Clearance On Site
3.-4w
Clearance
PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
M Yew pn.fi6s PROMOTION PLUS
V SIGN CO. INC F—Hy
21034 Osborne St. Canoga Park, CA 91304
(P) 818.993.5406 (F) 818.993.3174
State Licence 853228 `u"
Job Location
MID LED Conversion - R01
78364 US Hwy 11
Lo Quinta, CA 92253
Owner
rrelu K
25SLR
Crnann,
95I.2/I
154"
36"
1
lAdditional Info
-%1111 Cclncrtsy ❑sett
-Mew CunUpy LED Lights
3M
Tangerine I ncl
35-10 3-;31`,
[A] Canopy Imaging W Canopy Widih: 44' L_ Canopy (angih: 127' Fascia Hei4lht: 22 3/4" Clearance: Approx 14' 4" logo' City 1` t 17"
Ar~
We I LlEvurio Nan -Illurn nrrlarl F- osciu A l',4)r1h Fk-vulicri Non -Illuminated Fascia Additional Info
-Print Canopy fJetk
Clearance Sign I Qty 6
Verify Clearance On Site
-0
1VCleara'n'ce 14'-4"
PROMOTION PLUS
SIGN CO., INC.
..7yte Imaglsg Paper's"
Al maa2 GC( 9 ,101ANC F ,H, f10N PI VS
21034 Osborne St. Canoga Park, CA 91304
(P)818.993.5406 (F)818.993.3174
State Licence 853228 21
Job Location
MID LED Conversion - R01
78364 US Hwy 1 1
La Quints, CA 92253
17"
�tion
ran 1. Uiie 100
Corona, Cu 92879
951.270.51 18
Custom sized canopy logo
to fit on existing canopy fascia
3M 3M
E
ngerin Red
3540 3630
Canopy Fascia Details
Panel Seams
Top View
Lop joint t open cabinet side walls on internal ends
PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
''--`` �e/��. Ne pert H the PROMOTION PLUS
V4 SIGN CO.. INC Peelly
21034 Osborne St. Canoga Park, CA 91304
(P)818.993.5406 (F) 818.993.3174
State Licence 853228
Illuminated
Tetra mints/
7100K LED
GE Brand C
GE Tetra Mc
Supplies 12,
Job Location
MID LED Conversion - ROl
78364 US Hwy 11
La Quinta, CA 92253
Owner Inlormaiian
Grelo I, S7t fos, tilt
255 � Rrcon SI, 5uile 100
Corono, Co 92679
9SI.270-5118
u
Approval
Owner -
Date -
[01, LWder Canopy
Notes/Disclaimers
Remove Existing Trash Cans
C-S.re Pu m D Area
PI
oL n
21034 Osborne S
(P) 818.993.5,
State Licence 8531
[B] Under Canopy
For representation only. Actual model specs may vary
PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
nuwp�—,r PROMUTIOS rI,us
(i'�fJ�/rVp G!8(i(?la SIGN CO,.I%C M..kk,
21034 Osborne St. Canoga Park, CA 91304
(P)818.993.5406 (F) 818.993.3174
State Licence 853228 1S;"ti'
Job Location
MID LED Conversion - R01
78364 US Hwy 11
La Quinta, CA 92253
Owner Informalion
Circle Y Slates, Inc
255 E Rworn Sl, Sultry 100
Corona, Cu 92879
951.270.51 18
[C] Signage
I
I SIGNA R ME T
�'� 15 sqft
Ancillary panels not for replacing
PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
N.. p.n"Ii PROM TON MA6
SIGN CO,. INC F-11h
21034 Osborne St. Canoga Park, CA 91304
(P) 818.993.5406 (F) 818.993.3174
State Licence 853228
Job Location
MID LED Conversion - R01
78364 US Hwy 11
La Quinta, CA 92253
35.875"
C+wrier folomAntion
Circle K 5icoM- Inc
255 E Rlcoo SI, Suoia 100
i,.WAPICI, Cu 92 819
951.2 70,5 1 18
59.875"
Existi
[D] Food Mart
� Buil�in Fascia BacicIit Si n
1
951 /2 ' W 51/�1
i
LO
I` White to fit 11 1 /2"
co Channel Letters
M059 I
PROMOTION PLUS
SIGN CO., INC.
"The Imaging Experts"
,ryLl_ t C&CA N-P -- PROM -ION PLUS
(%(�'�/(VIr LL�WYO SIGN COS INC-11Y
21034 Osborne St. Canoga Park, CA 91304
(P) 818.993.5406 (F)818.993.3174
State Licence 853228
ELEVATION VIEW SIDE VIEW
Job Location
MID LED Conversion - R01
78364 US Hwy 11
La Quinta, CA 92253
Owner Information
Ckede K StoFeu, Inc
255 E Ricun 51, 501fr i
Coroi u, Ca 92819
951.270.5318
5/16" Self Tapping Screws
Mil 4 Per Lollar
Plex Faces
120/240V Transformer
LIL mLwlwr 11esi�fu.rltp
3M
Tangerm Red
3540 3630
City of La Quinta
78-495 Calle Tampico
La Quinta, California 92253
PHONE:760.777.7125 FAX:760.777.1233
Office Use Only
Case/Permit Number Accepted Assigned 30-Day
By To Deadline
c,'
�42CAO NA
Notes
RECEIVED
DEC 0 1 2016
CITY OF LA QUINTA
COMMU irpl�yg�OPMENT
F^rNW1
DEC 01 2016
SIGN PERMIT APPLICATION CITY OF LAQUINTA
- PERMANENT SIGNS - O SIGNANDI)VEW"M
I
Sections A and B are to be completed by the applicant in their entirety and shall be
accom anied by a site plan and any other applicable information listed in Section C
unless s2ecificLily waived by thea2pro2riate Cily staff member and noted thereon.
No applications will be accepted by mail or fax
SECTION A - SIGN INFORMATION
Type of sign: d'�Permanent wall sign(s)
O( Permanent freestanding/monument sign(s)
❑ Other
Name of
business:
Site address/
location:
l
Sign program
(Application #):
Sign location:
Sign text:
Dimensions:
Information regarding if a City approved sign
program is applicable to the proposed location
is available at the Planning Department.
C
&<--rJe _
Sign width: �e�,1+►t�l� Sign height:
Structure width: Structure height:
Single or double sided:
Total square feet of sign area:
Sign Permit Application - Permanent Page 1 of 2
City of La Quinta • Planning Department ■ 760.777.7125 05.20.13
P:\Application Submittal Forms\Applications\SA\SA-P Application - 05.20.13.doc
SECTION B - APPLICANT/OWNER INFORMATION
Applicant Information and Certification
I certify that I have read this application packet in its entirety and have read and
understand the City's sign regulations (LQMC 9.160) along with any City approved property
specific sign program applicable to the proposed location. I further certify that each
application item submitted is consistent with the requirements listed in the following
Section C and all proposed temporary and permanent improvements included in this
application are proposed in compliance with all applicable regulations. I understand and
agree that if during the processing of the application, it is determined the information
submitted does not strictly meet such standards or contains errors or omissions,
clarification and/or supplemental information may be required which will delay the
processing of this application.
Applicant's Signa e:
Print Name:
ob—
Mailing Address: 2io34 LL��_
Property Owner Information and Certification 9t�0�
Date: tv /61 )LA
Phone: qEk- a-w-f—
Email:
.C&--%
I certify under the penalty of the laws of the State of California that I am the property owner
of the property that is the subject ma this application and I am authorizing and
hereby do consent to the filing of thi pplica on and acknowledge that the final approval
by the City of La Quinta, if any, ay re It in restrictions, limitations and construction
obligations being imposed on th' r rope _ , 1
Owner/Authorized Agent Si re Date:
Print Name: Phone:
Mailing Address:
Email: Ofth
`An authorized agent for the owner must attach a notarized letter of authorization from the legal property owner.
SECTION C - APPLICATION SUBMITTAL REQUIREMENTS
APPLICATION SUBMITTAL REQUIREMENTS
TO BE COMPLETED BY CITY STAFF
V
Each of the following items is required for submittal
# of
PDF
Waiver
>
unless a waiver is granted by City Staff. All plans shall
format
.e
'R
be legible, accurately scaled, representatively colored
Paper
Ion CD-
OK'd b y
with identified dimensions on 84"x11" or 11"x17" sheets
copies
ROM)
(initials)
❑
❑
Filing Fees Receipt ($200)
1
NA
❑
NA
Application
1
NA
NA
❑
NA
Site Plan (show location of proposed & existing signs to remain)
5
NA
NA
❑
NA
Building Elevations (show each sign & entire side of building)
5
NA
NA
❑
NA
Sign Construction Detail (identify size, colors, construction
5
NA
NA
materials, & lighting components for each portion of the sign)
Sign Permit Application - Permanent Page 2 of 2
City of La Quinta - Planning Department ■ 760.777.7125 05.20.13
P:1Appfication Submittal Forms\Applfcations\SA\SA-P Application - 05.20.13.doc
09/19/2016
To whom it may concern,
Please accept this letter as my permission to authorize Sorin Enache to act as my
Agent for matters concerning building permits and other matters that may arise
Concerning activities for all signs overseen and affiliated with Circle K
Thank you.
Re cf IA ac
Sign Project Manager
Southern California Division
's
S-�'J -�- ,