BSIG2015-004178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ROY COURTNEY
2328 BROWN DEER
CHINO HILLS, CA 91709
c&wr °&4.Qurz
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSIG2015-0041
78611 HIGHWAY 111
643220007
ALDI FOOD MARKET/ (3) BUILDING MOUNTED SIGNS
$28,000.00
pA - D ]�
F0in
062015
CI IY OF LA 0UINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date: `/ —� S Contract : 46OM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 a civil penalty of not more than five hundred dollars
($500).:
(1 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.).
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 am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/6/2015
Owner:
MAGELLAN GROUP
1800 AVENUE OF THE STARS
LOS ANGELES, CA 90067
Contractor:
SIGN INDUSTRIES
2101 CARRILLO PRIVADO
ONTARIO, CA 91761
(909)930-0303
Llc. No.:
• 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 wor for which this permit is issued.
ave 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: _ Polity Number:
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 I should become subject to the
workers' compensation provisions of Section 3700 t e Labor Code, I shall forthwith
comply with those provisions.
Date: �` ` J Applican .
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.
APPLICANT ACKNOWLEDGEMENT .
IMPORTANT: Application is hereby made to the Building Official 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 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 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 relating to building
construction, and hereby authorize representatives of this city tp e>�r upotehe
above-mentioned property for inspection purposes. 7 14r
Date: Gam/ Signature (Applicant or Agent)
43
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/6/2015
Owner:
MAGELLAN GROUP
1800 AVENUE OF THE STARS
LOS ANGELES, CA 90067
Contractor:
SIGN INDUSTRIES
2101 CARRILLO PRIVADO
ONTARIO, CA 91761
(909)930-0303
Llc. No.:
• 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 wor for which this permit is issued.
ave 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: _ Polity Number:
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 I should become subject to the
workers' compensation provisions of Section 3700 t e Labor Code, I shall forthwith
comply with those provisions.
Date: �` ` J Applican .
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.
APPLICANT ACKNOWLEDGEMENT .
IMPORTANT: Application is hereby made to the Building Official 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 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 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 relating to building
construction, and hereby authorize representatives of this city tp e>�r upotehe
above-mentioned property for inspection purposes. 7 14r
Date: Gam/ Signature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY AMOUNT ', PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $2.00 $2.00 11/6/15
PAID BY METHOD , -
RECEIPT # CHECK # CLTD BY
LMC PERMIT SERVICE CHECK
MR240 2309 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$98.64
$98.64
11/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LMC PERMIT SERVICE
CHECK
MR240
2309
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$98.64
$98.64
11/6/15
PAID -BY
METHOD
'RECEIPT #
CHECK•#
CLTD BY
LMC PERMIT SERVICE
CHECK
MR240
2309
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0-
$24.66
$24.66
11/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LMC PERMIT SERVICE
CHECK
MR240
2309
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
-PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$87.02
11/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LMC PERMIT SERVICE
CHECK
MR240
2309
MFA
Total Paid for SIGN: $308.96 $308.96
TOTALS:• 0•
Description: ALDI FOOD MARKET / (3) BUILDING MOUNTED SIGNS
Type: SIGN
Subtype: Status: APPROVED
Applied: 11/3/2015 SGU
Approved: 11/6/2015 SGU
Parcel No: 643220007 Site Address: 78611 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 18418
Block: Lot: 1
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $28,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: (5) WALL LED ILLUMINATED SIGNS [ALDI FOOD MARKET] SIGN PERMIT NO. 2015-0065 [JW] 2010 ENERGY, 2013 CALIFORNIA
BUILDING CODES.
ON HOLD PENDING PLANNING APPROVAL AND BRINGING IN
NOTE
Printed: Friday, November 06, 2015 11:34:46 AM 1 of 2
?SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
ON HOLD PENDING PLANNING APPROVAL AND BRINGING IN
NOTE
STEPHANIE GUMPERT
11/3/2015
11/3/2015
TITLE 24.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT.
ROY COURTNEY
2328 BROWN DEER
CHINO HILLS
CA
91709
(909)374-4198
LMCPS2002@YAHOO.0
OM
CONTRACTOR
SIGN INDUSTRIES
2101 CARRILLO
ONTARIO
CA
91761
(909)374-4198
PRIVADO
OWNER
MAGELLAN GROUP
1800 AVENUE OF THE
LOS ANGELES
CA
90067
(909)374-4198
STARS
Printed: Friday, November 06, 2015 11:34:46 AM 1 of 2
?SYSTEMS
INSPECTIONS
Printed: Friday, November 06, 2015 11:34:46 AM 2 of 2 (]war (■i��fJ�'
�L i1 V iJ SYSTBh1S
W
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
11/6/15
MR240
2309
CHECK
LMC PERMIT SERVICE
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $2.00
BSA:
WALL/AWNING SIGN,
101-0000-42404
0
$98.64
$98.64
11/6/15
MR240
2309
CHECK
LMC PERMIT SERVICE
MFA
EA ADDITIONAL
WALL/AWNING SIGN,
101-0000-42600
0
$98.64
$98.64
11/6/15
MR240
2309
CHECK
LMC PERMIT SERVICE
MFA
EA ADDITIONAL PC
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$24.66
11/6/15
MR240
2309
CHECK
LMC PERMIT SERVICE
MFA
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$87.02
11/6/15
MR240
2309
CHECK
LMC PERMIT SERVICE
MFA
FIRST PC
Total Paid for SIGN: $308.96 $308.96
INSPECTIONS
Printed: Friday, November 06, 2015 11:34:46 AM 2 of 2 (]war (■i��fJ�'
�L i1 V iJ SYSTBh1S
ern.
Cit/ Of Lel QUinta
Btdlding 8r Safety Div[sion
P.O. Box 1504,78-495 Calle Tampico
I [a.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '8 _ IA41Y.111
Owner's Name . /jq,Q 9�141✓ (�'/L�✓� .
A P. Number
Address: l SOO/'+►t/Z pr � �7
Legal Description:
Contractor. ! 1J .i �✓ B V S l
City, ST, Zip:
Telephone: 3 16 77— c& 3,3
Address: 210 / a121110 RI V4Q V4O
ProjegDescription: 14 Jr OJq
city, ST, tip: du A C CA 4 ?G 1
-,rwuAI
Telephone:
State Lic. #: 76 ! Z, City Lic. #,
Arch, Engi, Designer.
Address:
City, ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Pmjat type (citcle one): New Add'n Alter Repair Demo
Name of Contact Person: Ro 0 V N 61 Sq. Ft: X37,6 # Stories: To Maw
Telephone # of Contact Perm (76Q - 3
Estimated value of Pmject: 2 O D6 '
APPLICANT: DO NOT WRITE BELOW THM LIME
#
Sabmittal
Req'd
Rec'd
TRACIIG PTsithIIT FM
Plan Seip
Pian Cheek submitted Item Amount
Structural Cake.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calct.
Called Contact Person Plan Check Balance.
Title 24 Calls.
Plans picked up Construction
Flood plain pins
Plans resubmitted.. Mechanical
Grading plan
2`! Review, ready for correctiions/rssue Electrical
Subeontaetor List
Called Contact Person Plumbing
Grant Deed
Plans plcked up S.bU
H.O.A. Approval
Pleas resubmitted Grading
Jai BOAS&-
'^' Review; ready for eotrectlonvUsue Developer Impact Fee
Called Contact Person A.I.P.P.
Plannlog Approval
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r
STATE OF CALIFORNIA
SIGN LIGHTING
EC-NRCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5)
Project Name: / /1 04.41P
zg Date Prepared: .• / 6 /
Project Address:
T 6-61/ 111-W&Iaxyl ZA (aLJ,NJ-l1 C -A zz 53
Location of Sign Wutdoor Signs ❑ Indoor Signs
Phase of Sign Construction , WNew Signs ❑ Sign Alterations
Type of Lighting Control • ❑ New Lighting Controls ❑ Replaced Lighting Controls WNot Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power $rSpecific Lighting Sources
1. Mandatory Sign Lighting Controls
NOTES:
1.
The some responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person may install the sign lighting controls than the responsible person installing the sign lighting power.
2.
The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign,
general contractor, or architect shall be responsible to have the sign lighting controls installed.
3.
If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible, alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction.
la.
Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E
shall
complete Part 1a. Check Yes or No for all of the following statements:
1
1 have responsibility for installing the sign lighting controls -
❑ Yes, complete parts 1a and 1b of this form 6rNo, complete part la of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes OrNo
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
Yes ❑ No
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and I will be
4
installing compliant sign lighting controls
❑ Yes 9"No
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone
5
else will be responsible to install compliant sign lighting controls
❑ Yes' [%No
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
' i.
STATE OF CALIFORNIA
SIGN LIGHTING
F '�' 1
zil
CEC-NRCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name: Date Prepared: .
1b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with
the sign lighting control requirements, that person shall answer all of the following questions:
If there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
1
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
Y
N
NA
switch control.
❑
❑
❑
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y
N
NA
switch control, or an astronomical time -switch control.
❑.
❑
❑
2
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
NA
areas that are intended to be continuously lit, 24 hours per day and 365 days per year.
❑
❑ .
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours.
Y
N
NA
3
Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both
13
❑
day and night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night.
❑
❑
§130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
Y
N
N/A
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
❑
❑
❑
4
reducing the lighting power by a minimum of 30 percent when receiving a demand response signal.
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
NA
ordinance, or regulation to be reduced by 30 percent.
❑
❑
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION''
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Project Name: Date Prepared:
2. Maximum Allowed Lightina Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 3 of
this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance)
A
B
C
D E F G
H
1
J
Symbol
OPTIONAL — Energy
Complies
Filed Inspector
Or Code
Description of the Sign
Verified Label (see
Allotted Watts
Design Watts
y/N
Check that sign
instructions below)
complies
4—
N
Z
y C
VI
N>
—
��
Cl
Q
m C
v
O N
'D x
N
31
0
h
Gl
o0
i
in
LU
11
aZ_v
0
a
O
✓
V
✓
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A description of the sign, or location of sign on the building; and the location of sign'on construction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the
sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
C
Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label,
columns 'D' through T are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate
compliance. An ENERGY VERIFIED label is not needed for compliance.
D
The sign area in square feet.
E
List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated.
F
Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
G
Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F.
H
Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c).
1
Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply.
J
This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION 'I= -f°
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)
Project Name: AZ41
* 10 Date Prepared:/'
—16
3. Specific Lighting Source Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 2 of this Certificate
of Compliance if there are signs using the maximum allowed lighting power method of compliance)
A
B
C
DE
OPTIONAL
Specific light source used for
u�
� Fleldrinspedor�':,
Symbol
ENERGYVERIFIED
compliance
Check; that Sign�
or
Description
label
Shall include only lighting•,
,r� k
Code
(see instructions
technologies listed below
Co.rnplies-
below)
List all that apply
02.1
4 il
❑
%
3 Wiz,,0
❑
77..:,:
trt
watt S1?*J
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
C
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign
complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The
only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or
other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC
17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body
in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column 'D' is not required to be filled out. Note: Using an
ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers (1 through 9) that apply in column D above for each row.
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or
2
greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by
a ballast that has a minimum efficiency of 80 percent.
3
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI C82.6-2005.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
D
4
when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
5
when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of
80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Regulations (Title 20).
9
Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). -
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This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING
MIUM
CEC-NRCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Project Name:AZO/ �QOO '142 Date Prepared;ei G —/ Y.—
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compli ce documentation is accurate and complete.
Documentation Author Nam
e F c.✓T
Documentation Author S at .
��,✓ �
Company:
Signature Date:
Address:
CEA/ HERS Certification Identification (if applicable):
d 2� t�•oa� o
City/State/Zip:
nR
Phone:
Df- O -d 0-3
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the
building, and made avails o the a forcemeat agency for all applicable inspections. I understand that a completed signed copy of this
Certificate of Complia i3(reqgwi e o be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer nature:
Date Signed:
Company:
Address:
License:
City/State/Zip:
Phone:
CA Building Energy Efficiency Standards.- 2013 Nonresidential Compliance June 2014
November 5, 2015
0
Mr. Roy Courtney
2328 Brown Deer
Chino Hills, CA 91709
SUBJECT: SIGN PERMIT APPLICATION 2015-0065
ALDI FOOD MARKET
Dear Mr. Courtney:
The Community Development Department has reviewed and approved your request
for multiple permanent building -mounted signs at the Aldi located at 78-611 Highway
111. The approval is subject to the following Conditions of Approval..
1. This sign permit grants five internally -illuminated building identification signs,
per the approved plans on file with the Community Development Department.
2. A building permit shall be obtained prior to any work on the signs being started.
3. The signs shall conform to the approved sign program for La Quinta Square.
Should you have any questions, please feel free to contact me at (760) 777-7067:
Sin erely,
i
J UU, AICP
Principal Planner
C: Building Division
9
78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 I www.La-Quinta.org
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