10-0784 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000784
Property Address: 78364 HIGHWAY 111
APN: 604 -050 -046 -
Application description' SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 6000
Applicant:
Tdy 4 4- Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C10 C45 D4 License No.: 435616
at IA (0 ontractor:
OW -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 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 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 contractors) 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
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:
LQPERMIT
Owner:
CIRCLE K STORES INC
C/O TOSCO CORP DC17
P O BOX 52085
PHOENIX, AZ 85072
Contractor:
DONCO & SONS, INC.
1410 N. DALY STREET
ANAHEIM, CA 92806
(714)254-0099
Lic. N.O.: 435616
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/20/10
tAUG
- 20 2010 D,
cmr� Q NTau
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 0004721-2009
_ 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
�j 370�TOScEalt',RF
or Code, I shall forthwi omply with those provisions.
te: O �/I J
WARNING: FAIL RORKERS' 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 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
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�counI to/�/nter upo he above-mentioned property for inspection purposes.
Dates (l7 ' 0 ignature (Applicant or Agent).
LQPERMIT - .
Application Number . . . . . 10-00000784
Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 2/16/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
1.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE 2 ILLUMINATED PERMANENT LOGO
SIGNS, PER SA #2010-1454. 2007 CODES.
"CIRCLE K"
-------------------------------------------=--------------------------------
Other Fees . . . . : . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 33.00 .00 .00
33.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 34.00 .00 .00
34.00
LQPERMIT - .
Bin #
City of La Quinta
• Bu Ift SC Sdfery D14*n
PeRNt # �j �
P.O. •
`D " 1,
�2 53 - (760) 777-7012
X7'7'-yO12
Building Permit Application and Tracking Sheet
Pro tee Add= 64 -Vj i t 1
Owner's Name: y4Z C L,6K 5TO rvC.
A. P. Number
Address: 4 Ot S i- 1 MCoy\/ STS 15D
Legal Description:
City, ST. Zip: C .O O N A CA- q 2 8
Contractor o fV Co J oNs INC.-
Telephone; C1 S l 2 72
ProjeetDeuription:
Address: 14-1O /\/ 'D4(,Y 57.
cin', ST, zip: A NA H f-1 y" C4 a12g o 6
rhe lake (2) w,,11 SJens
Telephone: �1 . Z54 - o 09AMIMEM
Lo
State Lic. 315-. City Lir. fie MOSS
Arch., Engr., Designer,
Addresa:
City., ST. Zip:
Telephone:
Conshuction Typc: Occu PamY=
State Lia #.:::j=
Project type (circle one): Now Add'n Alter Repair Demo
Name of Contact Person: 61Q
Sq, pr:
# Stories:
1i UAits:
Telephone # ofCowAa Parson: j - Z-54, - O O "k 'I
Estimated Value of Project 6 . D d C7.'
APPLICANT: DO NOT WRITE BELOW THIS LINE
M submlttal RrAld ReNd TxACrmvc PERMIT FEES
Plan Sets
Plan Cheek submitted
Item
Amount
Structural Calce.
Reviewed, ready for corrections
Plan Chock Deposit
Truax Cato.
Called Contact Person
Plan Check Balance
'Clete 24 Cale.
Pians picked up
Construction
Flood plain plan
Plana resubmitted
blechnnlcal
Giadba¢ plan
21! Review, ready for corrcedomwinue
Electrical
Subcoatactor Liu
Called CoatactPeraon
PlutaDluY
GraotDeed
Plant picked up
S.IVLL
H.O.A. Approval
Plans resubmitted
Gradiug
IN HOUSE:-
3" Review, ready for cor"etioualuavae
Developer Impact Fee
Planning Approval
Called Contact Person
A. P.
Pub. Wks Appr
Date otperwlt Issue
school Fees
Total Permit Fees
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DATE: 7-27-10
REVISION
1
2
3
4
SCALE:
NTS
SHEET NUMBER
1 OF 3
DRAWN:
A.S.
A
PHOTO OF EXISTING BUILDING ON SITE
PHOTO OF EXISTING BUILDING ON SITE
1 O�F2
FRONT VIEW
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DATE: 7-27-10
REVISION
SCALE:
NTS
SHEET NUMBER
2 OF 3
DRAWN:
A.S.
EXISTING
24"0
EXISTING WALL SIGNS 4 SQ.FT.
FRONT VIEW QTY: TWO(2)
INTERNALLY ILLUM.
TO BE REPLACED WITH NEW
PROPOSED
.51-011
51_011
CIRCLE K WALL SIGNS 25 SQ. FT
FRONT VIEW QTY: TWO(2)
INTERNALLY ILLUM.
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DATE: 7-27-10
REVISION
1
2
3
4
SCALE:
1/2»=1f
SHEET NUMBER
3
OF 3
DRAWN:
A.S.
I S
1
5'-11/4" CABINET SIZE
4'-91/4" FORMING AREA
1'-10 3/4"
5'-11/4" 4'-91/4"
CABINET FORMING 4
SIZE AREA
FRONT VIEW
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DETAIL A
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SIDE VIEW
V
SignResource
&dmvYw.oo.r+oret-Aft-W..'m"y. �m:Dm .
6135 District Blvd. Maywood, CA 90270
800.423.4283 Fax 323.560.7143
Website: www.signresource.com
REVISION HISTORY:
PARTS LIST-
ITEM
ISTITEM DECORATION
PNS 188
PMS 48S RED
1-406 WHDE
FORMED PANEL:
PAN -FORMED POLYCARBONATE FACE
EMBOSSED/ DE BOSSED LOGO
DECORATED SECOND SURFACE
GENERAL NOTES
].TOLERANCE ( UNLESS NOTED)
-GRAPHICS +/-1/8' • FACE SIZE + 1/16'-''/i
-CABINET +/-1/8' • VINYL OVERLAP + I/8'+/ 1/16'
•AIL COPY LEVEL UNLESS NOTED OTHERWISE
2. VIEWING DISTANCE 25' TO 50' UNLESS NOTED OTHERWISE
3. PMS COLOR CAUOUT INDICATES USE OF SPRAYLAT AUX SYSTE<A
4. NO DEVIATION OR MATERIAL SUBSITTUTION WITHOUT ICN.
S. ALL ELECTRICAL SIGNS TO COMPLY WITH UL 48
DBar=
CIRCLE K ID
SINGLE FACE ILLUMINATED WALL SIGN
voaka: am- amm DESIGN too.
DRAWN n a1E0RD D.
F.DIOHANG ].MORALES
aEm:
CIRCLE K
LDCMN:
CIRCLE K
0": 150408 DAR: 08/20/01
DUWINGMT# 'u
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KCK0505SFID 1 OF 1
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SIGN SCHEDULE
EXISTING SIGNS
CODE
DESCRIPTION
QTY
SQ.FT.
TOTAL
REMARKS
A
(E) WALL SIGNS
2
4
8
TO BE REPLACED WITH NEW WALL SIGNS
(E) PRICE SIGN
1
22
22
EXISTING TO REMAIN UNCHANGED
TOTAL SIGN AREA = 30 SQ.FT,
PROPOSED SIGNS
CODE
DESCRIPTION
QTY
SQ.FT.
TOTAL
REMARKS.
A
NEW WALL SIGNS
2
25
50
TO REPLACE EXISTING SIGNS ON BUILDING
TOTAL SIGN AREA = 50 SQ.FT,
NOTE: THE FOLLOWING APPLIES TO ALL ELECTRICAL SIGNS:
U.L. LABELS
EXTERNAL DISCONNECT SWITCHES
CONNECT TO EXISTING ELECTRICAL CIRCUIT
CONTRACTOR:
PROPERTY OWNER:
DONCO & SONS, INC.
CIRCLE K STORES, INC.
1410 N. DALY ST.
495 E. RINCON, SUITE 150
ANAHEIM, CA 92806
CORONA, CA 92879
714-254-0099
CONTACT: REX ABACAN
ST. LIC. 435616
PH: (602) 728-6666
C10 C45 C61
PROJECT:
JOB ADDRESS:
EXISTING SERVICE STATION
CIRCLE K STORE #2705911
REPLACE WALL SIGNS
78-364 US HIGHWAY 111
LA Q U I N TA, CA
DATE: 7/27/2010
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
August 18, 2010 ".
Mr. Greg Grover
Donco & Sons, Inc.
1410 N. Daly Street
Anaheim, CA 92806
SUBJECT: SIGN PERMIT 2010-1454
CIRCLE K
Dear Mr. Grover:
(7 60) 777-7000
FAX. (760) 777-7.101
The Planning Department has reviewed and approved your request for two permanent
illuminated logo signs for the Circle K located at 78-364 Highway 111, within the Point
Happy commercial center in La Quinta. The approval of this banner is subject to the
following Conditions:
1. ' Both logo.signs shall be limited to 25 square feet. The. location and materials for the
logo signs are per the approved plans on file with the Planning -Department.. --- - -
2. All visible work from previous sign locations shall be patched and painted to match
the existing building.
3. The signs shall comply with the approved Sign Program for Point Happy.
Should you have any questions or need additional information, please feel free to
contact me at (760) 777-7125.
S&, erely; .
Y�TNNETRANCO
Assistant Planner
C Code Compliance Department
Certificate of Compliance and Field Inspection Energy Checklist Sign Lighting) (PaLe 2 of 2 SLTG-J C
Date:
Project varve:
Compliance Method
Maximum Allowed Lighting.Power
A
g
tion or location and Ian Location
C D E F
Allowed Watts
G
Design
Watts
H
Complies?
YM
I
Light
Source
J
K
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2:+
0
00
O O
O 13
D
D
D D
a
O E3
Q
D D
Total SEnArAea
O
I. Design Watts= total connected lighting load installed in the sign, including power used by lamps, ballasts, transformers, power supplies, etc.
2. If Fail Then describe on Pae 2 of dre Inspection Checklist Form and lake appropriate action to correct. Verify buildim arts i necessa _ Use additional sheets ifnecessary.
The sign(s) identified above; use only one or more of the following tecbnolo es: list all applicable numbers that apply in column I above
1 I HI h presswe sodium
2 Pulse start or ceramic metal halide lamps served by a ballast with > 88.06 efficiency
3 Pulse start metal halide lamps that are 5320 watts, are mot 250 wart or 17S watt lams and are send by a ballast with > 80% a rcienc
4 ,Neon or cold cadrode lams with ftm ormer or power supply efficiency > 75% with rated output current < 50 mA
5 Neon or cold cathode lams with transformer or power jupply supplyefficiency? 68% with rated output current > 30 mA
6 Fluorescent lamw with a minimum color rendering index M of 80
7 Light emitting diodes LEDs with o power sapply with >_ 80% efficiency
8 Single voltage LED external power supplies designed to convert 120 volt .4C input into lower voltage DCor AC output, havinga nameplate output power less than or equal to 250 watts, and
cera red to the Enurgy Commission as compjymg with the applicable requirements of theAppliance Efficiency Regulations(Title 10
9 Com ! uarescen! lamps that do not contain a medium screw bate sockets E24IE26
10 Electronic ballasts with afundamenral outpulfiequency > 20 kHz
Feld lEmpector Notes or Discrepancies
2008 Nonresidential Compliance Forms Aigust 2009 m
- w
m
_ _ W
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name G RIC6 G . Greo sigta<ur�
Company
ONLo � �OttiS N L . ate
Certificate of Compliance
(Sign Lighting)
City/State/Zip t r 6H 1571 )AA Clt °C -�S C) (�
(Page 1 of 2) SLTG-1C
Project Name: J(
G I1�� LL ' `
o 1N I I l P
phase of Construction
Function Ty
[3New Construction O Addition Altersdou
Project Address
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
`'
Outdoor Si us O Indoor Signs
/�
`6 S b4- H WY I
n
1 "l2tiS 3
W -AIX -20)OLighting
Compliance Method Used 0 Maximum Allowed
Address:
License #
City/State/Zip:
Power l7 Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name G RIC6 G . Greo sigta<ur�
Company
ONLo � �OttiS N L . ate
Address
141D
If applicable:
CEA #
City/State/Zip t r 6H 1571 )AA Clt °C -�S C) (�
CEPE #
Phone: i
Principal Lighting Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting
design. .
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24, Pages 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name;
Signature
Company :
Phone
Address:
License #
City/State/Zip:
Date
Sign Mandatory Measures
indicate location on building plans of Mandatory Sign Measures Notre Block:
Mandatory Sign Lighting Controls
Yes
No
1
§133(a)1. All signs with permanently connected lighting are controlled with an automatic time switch control
that corn lies with theapplicable requirements of 119.
D
§133(&)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
❑
2
Eaceptiou to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
X
i daylight hours.
§133(x)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
sin power by a minimum of 65 percent during ni ttime hours.
Exception 1 to §133(&)3_ Signs are illuminated for less than'one hour per day during daylight hours.
O
3
Exception 2 to §133(&)3. Outdoor signs are in tunnels or large covered areas that require illumination
during daylight hours.
Exception 3 to §133(&)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
;y(
illuminated signs or parts of slFa.
E3
g 133(a)4. An Electronic Message Center (EMC) having anew connected lighting power load greater than
15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
Y
N
N/
4
receivina a demand response sl&Lal that is sent out by the local utility.
O
p
Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation,
Y
N
N/A
including but not limited to exit signs and traffic signs
❑
D
2008 Aronresidential Compliance Forms
August 2009
60/Z0 39tid 1d3Q 9Q-18 ViNIno ti -i IIOLLLL09L ZZ:tt 010Z/6Z/80