08-0711 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
- I
Application Number: //08-'00060711.
Property Address:- `45305 SEELEY DR
APN: 604-040-075-
Application
04-040-075 Application description: ELECTRICAL
Property Zoning: TOURIST COMMERCIAL`-.
Application valuation: 4000
Applicant: Architect or Engineer:
M
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED
- - ----------------------------------
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 License is in full force and effect.
License Class: C45 D38 Cl LicenseNo.: 207136
Date: ontractor. '
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's 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 Contractor's State
License Law (Chapter 9 (commencing with Section 7000) 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 acivil penalty 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, 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 himself or herself 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.). -
(_ 1 I, 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.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
herebyaffirmunder 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:
LQPEW\IIT
Owner:
APPLECORE ENT- INC.
P.O. BOX 9.69
MINOT, ND 58701
(701)838-2822
Contractor:
IMPERIAL SIGN CO, INC
46120 CALHOUN STREET .
INDIO; CA 92201
(760)347-3566
Lic- No.: 207136
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/29/08
APR 2 9 2000
CITY OF LA QUINTA
• WORKER'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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1424837-2007
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,
and agree that, if/shouldme subject to the workers' compensation provisions of Section
37 0 of the LabrtHOC cor ly with those provisions.
Dater 23 f7 Applicant:
WARNING: FAILURE TO SECURCOMPENSATION 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.
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 Quinta, its officers, agents and employees foi 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 relatingto building con uction, and hereby authorize representatives
of this countyto enter upon the above-mentioned property for ' es.
Date:°�l:/t//L[�y Signature (Applicant or Agent):
Application Number . . . 08-00000711
,. Permit ELEC-MISCELLANEOUS
Additional desc
Permit Fee 66.00. Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date ." 10/26/08
Qty Unit Charge Per
Extension
BASE .FEE
45:00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00'
2.00 3.0000 EA ELEC.SIGN ADDITIONAL CIRUITS
6.00
-- ---------------------------------
Special. Notes and Comments
INSTALL (3)SIGNS PER SIGN PERMIT
2007-1165 (3)CIRCUITS.-"APPLEBEE'S""&
(1)VINYL SIGN "CARSIDE TOGO"
Fee summary Charged Paid Credited•
Due
------- ---------- ----------
Permit Fee Total 66.00 00 .00
66.00
Plan Check Total 00 .00 .00
.00
•Grand Total 66.00 00 .00
66.00 ,
y
LQPEnlIT
CERTIFICATE
OF COMPLIANCE (Part 1 of 2)
OLTG-1-C
PROJECT NAME _
4 -
DATE '
PROJJEC A DRESS
9--
Buildina Permit
PRINCIPAL DESIGNER -LI
TELEPHONE
use
DOCUMENTATION AUTHOR
:c --Enforcement
TELEPHONE
7U2 — p ll9eeoY
GENERAL INFORMATION
DATE OF PLANS
FUNCTION TYPE .
OUTDOOR LIGHTING O OUTDOOR SIGNS . ❑INDOOR SIGNS
PHASE OF CONSTRUCTION
NEW CONSTRUCTION❑ADDITIONS ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
This Certificate of Complianoe'lists outdoor tiahtina
ill* wFulluate -----.�-., ..._.. •�- -" . a.w . u.w v v� u� %.amumia Looe or KegUlations.
,.o y o building lighting requirements.
The -documentation preparer hereby certifies that the documentation is accurate and complete.
ucx;uM T THOR SIGNATURE DATE
The Principal Lighting Designer hereby certifies that the proposed 'outdoor lighting and signs design represented in this'set of construction documents is
consistent with the other compliance forms and worksheets, with the specifications, and.vrith any other calculations submitted wifh,this.pernit application.
The proposed building has. been designed to meet. the lighting requirements contained In the applicable parts of Sections 110, 119,130 through 132; 146,
and 149 of Title 24, Part 6. Please Otte:
I hereby affirm that I am eligible under the provisions of bivision.3
of. the Business and Professions Code to sign this document as the
responsible for its preparation; 'and that I am licensed in the State of Caldomia as a avis engineer or electrical engineer, or t am a licensed architectn
❑. 1 affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 55372 or 6737.3 to sign this document
as the person responsible for its preparation; and that I am a licensed contractor performing this work.
® I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a
structure or type of Work described as exempt pursuant to Business and Professions Code Sections 5537,5538 and 6737.1.
2005 Nonresidential Compliance Forms.. March 2005
4
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG:-1-C
PROJECT NAME
Li htin Schedules on Plans Show that OuIdoorlighting Meets Allowed. Lighting Power .
❑ Lighting power allowances for general site illumination on OLTG-2-6 Part 1 of 4
❑ Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑ Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle. service stations with canopies on 0LTG-2-C Part .3 of 4
Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
❑ Not Applicable
Sign lighting compliance on OLTG-4-C
❑ Not Applicable
Mandatory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment.
Indicate location on plans of Note Block for Mandato Measure .
❑ Installed lighting power has been determined in accordance with § 130(c).1
❑ Not Applicable
❑'All permanently installed luminaires with lamps rated over 100 Watts;either.have a lamp efficacy of at least 60 lumens per watt or are
controlled by a motion sensor § 132(a)
❑ Not Applicable
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all
outdoor sales areas meet the Cutoff Requirements of § 132(b)
❑ Not Applicable
❑ All permanently installed outdoor lighting meets the Control Requirements of § 132(c)l
❑ -Not Applicable
❑ Building facades, parking lots,.garages, canopies, and outdoor sales areas meet the Mutt -Level Lighting Requirements of § 132(c)2
❑ Not Applicable
MANDATORY AUTOMATIC CONTROLS -
CONTROL LOCATIONPIDENTIFICATION'
ONTROL' CONTROL TYPE AREA CONTROLLED'. NOTE TO
Auto Tlme SwitchlPhotosensor, etc FIELD
T • tom... r� • . - .
2005 Nonresidential Compliance Forms
- - •-- -• -- �w..� ..a«Q»yUdjc ruin for internally illuminated Signs, and us 2.3 wattsM2for Externally. Illuminated Signs
Note: If an Internally Illuminated or Externally Illuminated sign contains light sources and ballasts other than those included in
incandescent lamps, medium columns (M) through (S), such as
base.sockets, magnetic ballasts, etc, then the sign must comply under Alteniative 1. However, unfiltered signs, and unfiltered
portions of Internally and Externally illuminated signs, are not required to meet these'Standards.
2005 Nonresidential Compliance forms
March 2005.
SIGN LIGHTING
COMPLIANCE
PROJECT NAME
O LTG -4-C
DATE
Alternative 1 — Lighting Power Allowances
Altemative 2 — For Signs that.ONLY use one or more of the
technologies listed in M through S
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- - •-- -• -- �w..� ..a«Q»yUdjc ruin for internally illuminated Signs, and us 2.3 wattsM2for Externally. Illuminated Signs
Note: If an Internally Illuminated or Externally Illuminated sign contains light sources and ballasts other than those included in
incandescent lamps, medium columns (M) through (S), such as
base.sockets, magnetic ballasts, etc, then the sign must comply under Alteniative 1. However, unfiltered signs, and unfiltered
portions of Internally and Externally illuminated signs, are not required to meet these'Standards.
2005 Nonresidential Compliance forms
March 2005.
Bin #
Permit #
Project Address: 7 - 3 o 3—
A. P. Number:
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
l i Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
je. fart Owner's Name: 4
Address:
City, ST, Zip:
-0.949
Contractor: (!:_�7 O Telephone: -7,t,? - �$ - 2 z`322 -
Address: d v i�/ f Project Description: =.y SIA
City, ST, Zip.--L_w,dt ro /':. 9 �X� / A .. /
hone:3
Lie. #.,
F
Engr., Designer:
Cv
Address:
City, ST, Zip:
Telephone: Construction Type: .$ 3 ,ti,S Occupancy:
State Lic. #: Project type (circle one) New Add'n Alter Repair Demo
Name of Contact Person: C_r3S`f lav v'`� Sq. Ft.• # Stories- # Units: . • .
Telephone # of Contact Person: Estimated Value -of Project: � 00 61 '—
APPUCANT:.DO NOT WRITE BELOW THIS LINE.
# Submittal Req'd ,
Rec.'d TRACKING •
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Deposit
ala•
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction '
Floodplain plan,
Plans resubmitted
Mechanical
Grading, plan
2.4 Review, ready for eorrectlonsAssue
Electrical
Subcontactor List
Called'Contact Person
Plumbing
Grant'Deed
Plan§•picked up
S.M.L
H O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APp.r
Date of permit issue
School Fees
Total Permit Fees