06-4283 (SOTB)Is
P.O. BOX 1504
78-493 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4a Q"
Application Number: 1
06-00004283 r
Property Address:
78250 HIGHWAY 111
APN:
604-05.0-019-3 -000000-
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
FLOOD PLAIN
Application valuation:
5000
Applicant: 'Ju
Architect or Engineer:
0 1 P-
-7
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 D42 Lic sp No.: 637739
ate: 20 D tractor:
WNER-BUILDER DECLARATION
I 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 a civil penalty of not more than five hundred dollars (5500).:
1 _ I 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 _ 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.).
(_) I am exempt under Sec. , BAP.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 Name: '
Lender's Address:
LQPERAI IT
Owner:
THE CLIFFHOUSE
78250 HIGHWAY 111
LA QUINTA, CA 92253
Contractor:
PARAGON SIGNS
77650 ENFIELD LANE
PALM DESERT, CA 922
(760)345-3340 /
LiC. No.: 637739 C
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 12/14/06
------------------------------- ar�-ry-�- ------—
WORKER'S COMPENSATION DECLARAT
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' com tion, 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 1735081
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 Labo Code, 1 s hwith comp with those provisions.
pplicant: r
WARNING: FAILURE TO SECURE WORK OMPENSATION 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 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
permvo cancellation. 1
1 certify that I ave read this application and state that the above information is correct.- I agree to comply with all
city and c my ordinances and state laws relating to building constr r n, and hereby authorize representatives
of thi ounty to enter upon the e -mentioned property for i ion purpose
ate: X .ta d Sig; re (Applicant or Agent):
Application Number . . . . . 06-00004283
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee 72.00 Plan Check
Fee
46.80
Issue Date . . . Valuation
. . .
. 5000
Expiration Date 6/12/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
3:00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
27.00 -
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 15.75 Plan Check
Fee
3.94
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 6/12/07
,Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
------------------=---------------------------------------------------------
Special Notes and Comments
V -SHAPED INTERNALLY ILLUMINATED
MONUMENT SIGN WITH STUCCO FINISH, PER
SA# 2006-1067. "CLIFFHOUSE"
----------------------------------------------------------------------------
Other Fees . . . . . . . . .. ENERGY REVIEW FEE
4.68
STRONG MOTION (SMI)
- COM
1.05
Fee summary Charged Paid Credited
Due
Permit Fee Total 87.75 .00
.'00
87.75
-Plan Check Total 50.74 .00
.00
50.74
Other Fee Total 5.73 .00
.00
5.73
Grand Total 144.22 .00
.00
144.22
ri
LQPERM[T r
CERTIFICATE OF COMPLIANCE (Part 1 of 91 0 T( -..l -r_
PRO.11=r.T niekAc
For detailed instructions on the use of this and all Energy Efficiency Standards compliance• forms, please rotor to (he Nonresidential
Manual published by the Calilomia Energy Commission.
® OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be
i
incorporated in schedules on the plans.
GATE
PROJECT ADDRESS
1. Use LTG -1-'C if the project consists solely of indoor signs
.. ,
79 -245-o
3. Use OLTG-1-C'if the project consists solely of outdoor signs
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor
PRINCIPAL DESIGNER-LI(3H I tNGT
lighting
TELEPHONE
Buildiriq"P.ermil'
DOCUfuIENTATION AUTHO
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
3yS,�JS%
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
CN �4...p� � L
outdoor si ns.
TEL
�ys�3fd
e v a e
Enfo(ci:menC�Ageniy;Uso
_
GENERAL INFORMATION
DATE OF PLANS
OUTDOOR LIGHTING
ZONE i✓ net ❑ LZ1 ❑ LZ2
❑ LZ3 ❑ 4
FUNCTION TYPE
❑ OUTDOOR LIGHTING
®OUTDOOR SIGNS
❑INDOOR SIGNS
PHASE OF CONSTRUCTION
® NEW CONSTRUCTION
❑ ADDITIONS
❑ ALTERATIONS
'STATEMENT OF COMPLIANCE
This Certificate of Compliance lists 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 documentation Is accurate and complete.
t AO✓ 2 ,,v 'e 4 .H......� DATE
The Principal Lighting Designer hereby certifies that the proposoor lighting and signs design represented in this set of construction documents
is consistent with the other compliance forms and worksheets, will, the specifications, and will) any other calculations submitted with this pernnil
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 ✓ one:
❑ 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'[ 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 ama licensed contractor performing this work.
❑ 1 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 exem/pL nt to Business and Professions Code Sections 5537,5538 and 6737.1.
(These sections of the Business and Profe{sle,r,s cfeare printed in -full In the Nonresidential Manual-)
GT77J
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE 8, WORKSHEETS (✓ box If worksheot Is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance• forms, please rotor to (he Nonresidential
Manual published by the Calilomia Energy Commission.
® OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be
incorporated in schedules on the plans.
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, and outdoor or Indoor signs, but no other outdoor lighting.
3. Use OLTG-1-C'if the project consists solely of outdoor signs
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor
lighting
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for
Si ns)-
❑ OLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
® OLTG4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
outdoor si ns.
zwo nfonresraential Compliance Fonns April 2005
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Bi° #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitfl
Project Address: _2—ro
Owner's Name: T/fC &,t -111" 'r
A. P. Number:
Address: ..2 S'o g4e4q
Legal Description:
Contractor: P,4Ra Go �✓ .5'�
City, ST, Zip:
Telephone:
Address:. ,X,yg�( L;V.
Project Description:
City, ST, Zip:EQT 4. %Z Z//
Telephone: (7v0 ?Vs --33 �(-o
State Lic. # : 6,3 77 3 9 City Lic. #: 2 `I5'
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 0/6, Swivo/£G
Sq. Ft.: , ,o
# Stories:
# Units:
Telephone # of Contact Person: 3yS- 33 d
Estimated Value of Project: 5-600
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading. plan
2°" Review, ready for corrections issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L.
H.O.A. Approval:
Plans resubmitted
Grading
IN HOUSE:-
I'" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees