0402-328 (RC)LICENSED CONTRACTOR DECLARATION 1
I hereby affirm udder 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 # y aLic. Class Exp. Date
Date' ?4"Signature of Contractor.' ;- i""a"
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Cartier 3Tfi I F Policy No. .14441,2S-03
(This. section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 of the Labor
Code, I phA Korth4th,comply with those proysio D/e
Date:'`"' /(!) lApplicant'&Iyde ' f
'r - % til
Warning: Failure to secure,Worker"s' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for`'inspection purposes/ f
J' Gtr
Signature (Owner/Agent) Date'='"' %a -
BUILDING PERMIT ` PERMIT#
DATE VALUATION LOT 0402-3219 TRACT
JOB SITE
ADDRESS ?# 01.0 MAIN SME -19T STT.EUK
APN
-
OWNER
CONTRACTOR/DESIGNER/EN (NEER
01,D TOWN T.A QU1`F.TTA LLC
fi , ARTiJ:ty HOMES
78.08rt CAll -RI' STAD0 4WEP, 2011
78-080 CAI.TZe ES1"ADO ME 201
LA Q INTA CA %=3
I.AQlr ]M -A CA 92253
(7600171.2567 MIX, 5407
USE OF PERMIT
CCiIYIWWO_AL Y.1?li+t0DD,
a P.VIS1014 'tJ HIO.., U?JDT.PR C ON.STR.U"'J.'YON TOO, , C LOSE 1a1JMP .A.RP..A FOR
FOUNTAIN AT SOUTH SI ;'AIR LUP-MR 8 I f2 X E t DETAII., 200E
C1 C.
VALUATION MOD 1.9
11'S`i7Y103:1) MST OF C:t?..1,"75"3.'ii1I -''I7.:">I?7
PFI NUT 2i'KE' SUMNAPM
PLAN CHECK IEEE 101.000- 9y31 s3 4Ir, 7s
CONSTRUCT'IGN FIZZ 10l -X300 i$j-CtoO $13.00
TYRaNG MOT 10N M - CONIM 100,,000.241.000 tso
i
p \ fJ
FEB 2 5 2004
OF LA QUINTA
ITY
F NANCE DEPT.
RM -TOTAL CCi1 'Sr1' UL TJ- ,J,1 E 1"i4% :PLATS' CFEWX
$25.25
/
IMF NOW
V✓
RECEIPT
FATC/
BY .0
D E !7LErd / /
INSPECT
INSPECTION RECORD.
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
-Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PIN. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS: T
/P (P^^P ' i C / v Z / 173
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit .
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
TITLE 24 REPORT I
Title 24 Report for:
Old Town Parking Lots
Calle Tampico & Desert Club
La Quinta, CA 92253
Project Designer:
Hermann & Associates
74-930 Country Club, #540
Palm Desert, CA 92211
(760) 776-0940
Report Prepared By:
Scott Design & Title 24
77085 Michigan Dr.
Palm Desert, CA 92211
(760) 200-4780
Job Number:
CIN OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONS UCTION
l
DA 2 Q
Date: FEt4
d10/30/2006 Ov 0 %2006e EnergyPro computer program has been used to perform the calculations summarized in this compliance repora and isthorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Buildiniciency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.2 by EnergySoft Job Number: User Number: 6712
I TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form OLTG-1-C Certificate of Compliance 3
Form OLTG-2-C Lighting Compliance Summary 5
Form OLTG-3-C Illuminated Area Calculation Worksheet 6
EnergyPro 4.2 by EnergySoft Job Number: User Number: 6712
[CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
ROJECT NAME
DATE
Old Town Parking Lots
10/30/2006
OJECT ADDRESS
Calle Tampico & Desert Club La Quinta
PRINCIPAL DESIGNER - LIGHTING
TELEPHONE
Building Permit #
Hermann & Associates
(760) 776-0940
DOCUMENTATION AUTHOR
TELEPHONE
Checked bytPate
Scott Design & Title 24
(760) 200-4780
Enforcement A66ncy Use
GENERAL INFORMATION
DATE OF PLANS
OUTDOOR LIGHTING ZONE
❑ LZ1 LZ2 ❑X LZ3 D LZ4
FUNCTION TYPE ❑X OUTDOOR LIGHTING OUTDOOR SIGNS INDOOR SIGNS
PHASE OF CONSTRUCTION ® NEW CONSTRUCTION [—] ADDITION ❑ ALTERATION
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the outdoor lighting system specifications need to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations.
This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documental n is accur to and complete.
DOCUMENTATION AUTHOR
SIGNAttJfR
DAT
IJ
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 with any other
calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements
contained in Sections 110, 119, 130 through 132, and 146,and 149 of Title 24, Part 6.
ease Check One: (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual.)
I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this
document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer
or electrical engineer, or I am a licensed architect.
I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by Section 5537.2 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 exemption to 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.
PRINCIPAL LIGHTING DESIGNER - NAME
SIGNATURE
DATE
Hermann & Associates
77-11
LIGHTING COMPLIANCE FORMS & WORKSHEETS Check box if worksheet is included
®OLTG-1-C: Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated in schedules on the p
Either LTG -1-C or OLTG-I-C may be used for signs as follows:
1. Use LTG -1 -C if the project consists solely of indoor signs.
2. Use LTG -1 -C if the project consists of indoor lighting, outdoor or indoor signs, but no other outdoor lighting.
3. Use OLTG-I-C if the project consists solely of outdoor signs.
4. Use OLTG-I-C if the project consists of outdoor lighting, outdoor or indoor signs, but no other indoor lighting.
❑x OLTG-2-C: LIGHTING COMPLIANCE SUMMARY. Applicable parts required for ALL outdoor lighting allowances (Except Signs).
LTG -3-C: AREA CALCULATIONS WORKSHEET. Applicable parts required for all outdoor area calculations.
0LTG-4-C: SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
signs.
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Page:3 of 6
ans.
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROSECT NAME
Old Town Parkin Lots
DATE
10/30/2006
i htin Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
❑X Lighting power allowance for general site illumination on OLTG-2-C Part 1 of 4
❑ Not Applicable
F1 Lighting power allowance for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑X Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
X Not Applicable
Lighting power allowances for vehicle service station canopies on OLTG-2-C part 4 of 4
FX Not Applicable
zX Sign lighting compliance on OLTG-4-C
Not Applicable
Mandatory Measures on Plans Show that Outdoor Licihtina Meets Outdoor Licihtina Controls And E ui men
FX Installed lighting power has been determined in accordance with Section 130(c)1
F] Not Applicable
❑ All permanently installed luminaires with lamps rated 100 Watts either have a lamp efficacy of at least 60 lumins per Watt or are
controlled by a motion sensor per Section 132(a)
❑X Not Applicable
Ad
14
All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, canopies, and all
outdoor sales areas meet the Cutoff Requirements of Section 132(b)
X Not Applicable
RI All permanently installed outdoor lighting meets the control requirements of Section 132(c)1
El Not Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of Section 132(c
FX Not Applicable
MANDATORY AUTOMATIC
CONTROLS
CONTROL LOCATION
(Room #)
NOTE TO
FIELD'`'
CONTROL
IDENTIFICATION
CONTROL TYPE
(Auto Time Switch, Dimming, etc.)
AREA CONTROLLED
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Page:4 of 6
LIGHTING COMPLIANCE SUMMARY (Part 1 of 4) OLTG-2-C
roject Name
Old Town Parkina Lots
Date
10/30/2006
LIGHTING POWER ALLOWANCES - GENERAL
SITE ILLUMINATION - Table 147-A
Allotted Watts
Luminaire
Lamps/Ballasts
Installed Watts
A
B
C
D
E
F
G
H
I
J
K
L
M
N 1
O
Lighting Application
Category
(Table 147-A)
I -DA
o f
rr ,y
-pmar
rn x
o
? x
rNa
o o
D
°
m
xa
n
a
Fin
oo
a
ID°;
Description
` °
T. c
$
o
, w
v
cd
3 3
".a
m
a s
3
0,0
cd
3 y
H
d "
o m
c
3 °1
m -0
` °
n
n
v
m
c
3.3
M, M,
• -
y°
Iu'
rm
xa
z
v a
North Office Parking Lot250w
17,59
0.15
2,639
High Pressure Sodium
X
S250
1
250
1.
302.0
X X
8
2,416
35w Low Voltage Halogen
35 Watt
1
35
1.0
38.0
X
6
228
South Parking Lot
9,96
0.15
1,495
250w High Pressure Sodium
X
L
L5rff
1
250
1.0
302.0
X
41,208
35w Low Voltage Halogen
35 Watt
1
35
1.0
38.0
X
1
38
Lamp
1*
Total Allotted Watts 4,134
Total Installed Watts 3,890
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Paae:5 of 6 1
ILLUMINATED AREA CALCULATION WORKSHEET (Part 1 of 5) OLTG-3-C
NAME DATE
Old Town Parking Lots 10/30/2006
= Method
A. Hardscape for automotive vehicular use, including parking lots, driveways and site roads.
A
B
C D
I E
I F
I G
H
Lighting Application
(Table 147-B)
Actual Paved Area+ 5-
perimeter of adjacent
unpaved land. Includes
planters and land.
Includes planters and
landscaped areas less
than 10, wide that are
enclosed by hardscape
on at least s sides.
Actual Paved Area + 5' of
unpaved land on either
side of path of travel.
Shall include all
contiguous paved area
before including adjacent
grounds.
Areas SF to Subtract
from within
the Illuminated Area
the Illuminated Area
Illuminated Area
(B - G)
Area between
poles or
luminaires that
are > 6 times theareas
mounting height
distance
(If Applicable)
Overlapping
of another
application or
luminaire
,
Building
Areas
Areas
obstructed
by signs or
other structures
Sub total of
areas
to subtract
(C + D + E + F)
North Office Parking Lot
17,596
0
0
0
0
0
17,596
South Parking Lot
9,964
0
0
0
0
0
9,964
Hardscape for pedestian use, including plazas, sidewalks, walkways and bikeways
A
B
C
D
E
I F
I G
H
Lighting Application
(Table 147-B)
Actual Paved Area + 5' of
unpaved land on either
side of path of travel.
Shall include all
contiguous paved area
before including adjacent
grounds.
Areas SF to Subtract
from within
the Illuminated Area
Illuminated Area
(B - G)
Area between
poles or
luminaires that
are > 6 times the
mounting height
distance
(If Applicable)
Overlapping
areas
of another
application or
luminaire
Building
Areas
Areas
obstructed
by signs or
other structures
Sub total of
areas
to subtract
(C + D + E + F)
Checklist
❑ Section 147 (c)1 B - Each portion of all illuminated areas has been assigned only one lighting application, and the applications are consistent with actual use of the areas.
Section 147 (c)1 A - General Illumination areas includes only those illuminated areas that are in the bounds of the Application and are within a square pattern around a
luminaire that is six times the luminaire mounting height, with the luminaire in the middle of the patttern, less any areas that are within buildings, under canopies, beyond
property lines, or obstructed by signs or other structures.
EnergyPro 4.2 by EnergySoft User Number: 6712 Job Number: Page:6 of 6