05-3752 (SIGN)P.O. BOX 1504t44Q" VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
• Date: 8/24/05
Application Number: t�05^--363073752�--.� Owner: D e
Property Address: 78
' 370`HIGHWAY'111 STE 135 MADISON PTM LA QUINTA
APN: 604-050-048- - - 71361 SAN GORGONIO RD
Application description: SIGN RANCHO MIRAGE, CA 9227 AUG Zoning: COMMUNITY COMMERCIAL 1005
Application valuation: 3000
C(!TM of LA ®NINy�-
Contractor: FINANCE 09ft _
Applicant: Architect or Engineer: IMPERIAL SIGN CO, INC.
46120 CALHOUN
INDIO, CA 92201
(760)347-3566
LiC. No.: 207136
CENSED CONTRACTOR'S DECLARATION
I hereby affirm under pen Ity of per' y that am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Divi ' n 3 of th usiness a d Professionals Code, and my License is in full force and effect.
License lass: C C61 D License No.: 207136
Date:b405 Contract r:
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.). .
(_ 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 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 Name: _
Lender's Address:
LQPERMIT
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
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in anICRIMI
s to become subject to the workers' compensation laws of California,
and agree thbecome subject to the workers' compensation provisions of Section
70fyetheshall forthwith comply with those provisions.
Da et N Appicl
WARNING: FAILURE TO SERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TENALTIES 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 sta that th above information is correct. I agree to comply with all
cityinyountnty ordina s and state laws rela ng to buildi g construction, and hereby authorize representatives
of(ttoe pon theabove-menti rty or inspection purposes.
DatO Signature (Applicant or gent
Application Number . . . . . 05-00003752
Permit ELEC-ELECTRICAL
SIGN
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date
Valuation
0
Expiration Date 2/20/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
-------------------------------------------------------------
Special Notes and Comments
i
ONE INTERNALLY ILLUMINATED
CHANNEL -LETTER SIGN PER SA 05-907
(FINE
WINE & MORE)
Fee summary Charged
Paid Credited
Due
--- ----------
Permit Fee Total 30.00
----------
.00
----------
.00
30.00
Plan Check Total .00
.00
.00
.00
Grand Total 30.00
.00
.00
30.00
LQPERMIT .
o-01 ' N '
O�&��� pEP
Pp oNS�aU n. �,
r � -
6ff,V, C- cop,
2' - 0I,
LTL\4'll�L"4h4L1:L` 7•• y.
NOTE(S):
-AWNING REMOVAL AND RE -INSTALL BY OTHERS;
-AS PER LANDLORD AND CITYAPPROVALS
-PRIMARY ELECTRICAL TO SIGN LOCATION BY OTHERS
8.19 SQ. FT.
CHANNEL LETTERS SPECIFICATIONS
(FLUSH MOUNTED)
�h
20 AMP 120 VOLT PRIMARY ELECTRIC
CIRCUIT (PROVIDED BY OTHERS)
TRIMCAP AH -
METAL RETURNS
FLEX IC FACE -
STANDARD GLASS NEON TUBE SUPPORT =intr
METAL BACK
NEON TUBING O
ELECTROSITS NEON CONNECTOR
VVP JUNCTION BOX (PROVIDED BY OTHERS) 0
HI VOLTAGE GTO VARE FEED THRU BUSHINGdW
W CONDUIT CONNECTER
120 VOLT PRIMARY HARING V"THIN . �!
CONDUIT CONNECTER THRU
NtALL TO TRANSFORMER
METAL RACEWAY Vv1THOV
INSULATED DISCONNECT SWITCH
N END OF RACEWAY O.
08 SCREWS INTO WALL
114DIA WEEP HOLES B COVERS AS ie•�1 --- -- -
REQUIRED ♦ . ..aiti)°['.•.u.,
- FACE: WHITE W/ GOLD
TRANSLUCENT VINYL
RETURN: BLACK
-TRIM CAP: BLACK
Notes:
FABRICATE & INSTALL ONE (1) SET OF INTERNALLY
ILLUMINATED CHANNEL LETTERS WHITE FACE W/ GOLD
VINYL, BLACK RETURN AND BLACK TRIM CAP.
PLEASE READ-%
46-120 Calhoun St.
Indio, CA 92201
t 760.347.3566
f 760.347.0343
info@imperial sign com pang, com
-imperialsigncompsny.00m
Ci11e1h:
Treasure of the Vine
Address:
78-370 HWY 111 Ste 135
La Quinta CA 92253
11 213 485 1267
ram
N/A
E-mall-
lanceandshanO3lO@sbcglobal.net
Job Address:
78-370 HWY 111 Ste 135
La Quinta CA 92253
Contractors Lic. #
207136, C45, C10, C61
worimmms Comp #
1424837-99
City Ucenso #
00-223
Date:
08/04/05
Drawing No.
TRE -5372
Drawn Dy:
Jose Acosta
Description:
❑Alum. ❑Plex❑MDO
❑Vinyl ❑F.C.O. Letters
❑Monument ❑Banner
Channel Letters
❑Reverse Channel Letters
spoclHcations:
uinstallation ❑Service
❑Other
Client Approval:
Landlord Approval:
CERTIFICATE OF COMPLIANCE (Part I
of 2)
OLTG-1-C
PR CT NAME Y I V
PIjCLI T ADDRESS �I vv j
f Il
LIC. # '1 �' 3 j�
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DATE
Building Permit
ec e v ae
Enforcement Agency Use
_ ,._.__...:..::..
PRINC—I AL D/E�SIGNER LIGHTI %' f T
TEL Cl
0 �NTA/T�0 AUTHO" rr�
W r y t t�j KIJ
TELEPHONE
2 C rn
7J C
GENERAL INFORMATION
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated in
DATE OF PLANS
OUTDOOR LIGHTING ZONE (✓ nel ❑ LZ1 ❑ LZ2 ffLZ=
Either LTG -1-C or OLTG-I-C may be used for signs as follows:
FUNCTION TYPE ❑ 0/DOOR LIGHTING 03 OUTDOOR SIGNS
❑ INDOOR SIGNS
PHASE OF CONSTRUCTION NEW CONSTRUCTION ❑ ADDITIONS
❑ ALTERATIONS
STATEMENT OF COMPLIANCE
3. Use OLTG-I-C if the project consists solely of outdoor signs
❑
wi nNnnc
ae usts out000r nspecificationsng 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.
MENTATION I
`I WY I 1 P�i AU IR P 1Olirj t, r� SI AT llll/�K,'-7 YI DAA!
The Principal Lighting Designer h$r016y certifies that the ro osed outdoor lighting and AA design re YeE nted in this set of const ction do `uments isconsistent with the other compliance forms and workshee , with the specifications, and wi any otherlations submitted with this permit application.
The proposed building has been'designed to meet the lighting requirements contained inNhe applicable parts of Sections 110, 119,130 through 132; 146,
and 149 of Title 24, Part 6. Please ✓ one:
❑ Ihereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
r porisible 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 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.
(These sections of the Business and Professinns rAg'4nm nrinto1 in em in e,e
PRINCIPAL LIGHTING DESIGNNAM�
SI AT
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INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ box if worksheet is included)
For detail d instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manu published by the California Energy Commission.
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 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-I-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
LIGHTING
OLTG-2-C
COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Signs)
110 -3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
OLTG_4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
signs.
v.,o.vv —uanuat %,urnpnance corms March 2005
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PR C1T^NpAME 'n c
I � W
Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
12]Xghting power allowances for general site illumination on OLTG-2-C Part 1 of 4
Not Applicable
,❑ hting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
L1YNot Applicable
hting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
VNot Applicable
Vhting power allowances for vehicle service, station canopies on OLTG-2-C Part 4 of 4
Applicable
9111'S'ign 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 Mandatory Measure
El I%n 'tailed lighting power has been determined in accordance with § 130(c)1
Not Applicable
❑ Allpermanently installed luminaires with lamps rated over 100 wafts either have a lamp efficacy of at least 60 lumens per watt or are
contr led by a motion sensor § 132(a)
0'1Not Applicable
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all
outd r 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
VNotuilding facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2
Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
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