06-1139 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicant: Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
- BUILDING PERMIT
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe ' ry tha am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of t Business d Professionals Code, and my License is in full force and effect.
%L`icense Class:C�'4jj5�� C61 License No.: 207136
`D^y�' Contra or.
e] OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perju I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business nd 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.).
( ) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 3/20/06
Owner:
MADISON PTM LA QUINTA
78370 HIGHWAY 111, STE. 200
LA QUINTA, CA 92253
Contractor:
IMPERIAL SIG C C.
46120 CALHO Sol Q
INDIO, CA 922
(760)347-3566
LiC. No.: 2071
------------------
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 HRH INS Policy Number 142483705
_ I certify that, in the or, ante of the work for which this permit is issued, I shall not employ any
person in any nner so s to become subject to the workers' compensation laws of California,
and agree tha , if I s ul become subject to the workers' compensation provisions of Section
'000 of the abo Cod shall forthwith comply with those provisions.
r D e: v'IApplic nt:
WARNING: FAILURE TO SECC IE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO NAL 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.y
I certify that I have read this application and state that a abo a information is correct. I agree to comply with all
city d cou ty ordinances and state laws relating g onstruction, and hereby authorize representatives
t co t to pon the above-mentioned pr r nspection purposes.
Dat . Signature (Applicant or Agent):
Application Number:
06-0_000-11.3-9 -
Property Address:
78370 -HIGHWAY 111 STE' 145
APN:'
604-050-048- - -
Application description:
SIGN
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
4000 \,
Applicant: Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
- BUILDING PERMIT
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe ' ry tha am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of t Business d Professionals Code, and my License is in full force and effect.
%L`icense Class:C�'4jj5�� C61 License No.: 207136
`D^y�' Contra or.
e] OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perju I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business nd 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.).
( ) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 3/20/06
Owner:
MADISON PTM LA QUINTA
78370 HIGHWAY 111, STE. 200
LA QUINTA, CA 92253
Contractor:
IMPERIAL SIG C C.
46120 CALHO Sol Q
INDIO, CA 922
(760)347-3566
LiC. No.: 2071
------------------
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 HRH INS Policy Number 142483705
_ I certify that, in the or, ante of the work for which this permit is issued, I shall not employ any
person in any nner so s to become subject to the workers' compensation laws of California,
and agree tha , if I s ul become subject to the workers' compensation provisions of Section
'000 of the abo Cod shall forthwith comply with those provisions.
r D e: v'IApplic nt:
WARNING: FAILURE TO SECC IE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO NAL 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.y
I certify that I have read this application and state that a abo a information is correct. I agree to comply with all
city d cou ty ordinances and state laws relating g onstruction, and hereby authorize representatives
t co t to pon the above-mentioned pr r nspection purposes.
Dat . Signature (Applicant or Agent):
Application Number . . . . . 06-00001139
' Permit 'ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date
Valuation
0
Expiration Date 9/16/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA ELEC SIGN
1ST CIRCUIT
15.00
-------------------------------------------------------
Special Notes and Comments
ILLUMINATED CHANNEL LETTER SIGN PER
SA06-962. NO SIGNS ON EAST SIDE OF
BUILDING
. 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
12" - C1Wt4tMa*; Floral, 4 Marey 6"
1E
13'-9"
���i3����ulu�. C:iar4t,was, FtuxaL4 ?Mrx_
D
M
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r
�W
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m
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M
C
z
zOOZ
=
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D: 61LVER
RED
Approved by, at
O Planning Commission
❑ City Council
1otSmngyatt Dev. Dept.
Initials n �(
Case N "7
Exhibit
m.Yifh&Dnditions ! _
CHANNEL LETTERS SPECIFICATIONS
(FLUSH MOUNTED)
^ g.
i!l!I
Il� holo
1lIGN IS INTENDED TO /E NSTALLED N
i to M xi Wn 10' Avl ,(CLEAN Na�tv41:'/AccvssLh an'Alq msY MiWp,!
Nrn uk IaEe1M as pt" CAY v, Conry' ctdc.(s)
INTERNALLY ILLUMINATED CHANNEL LETTERS WITH LOGO
" PLEASEREAD �
• o
•
46-120 Calhoun St.
Indio, CA 92201
t760.347.3566
f 760.347.0343
IMa�Impn W Ipn w mpany.com
TRADITIONS
7878 370H WY1 11ST E.14 5
LAOUI NTAGA922 53
Ph -
7603999424
Fan
N/A
N/A
J Maroaa,
78370HWY1 11STE.145
LAQUINT ACA 92253
Caat.amaxa u a
207136, C45, C10, C61
PEaral "Compa
1424837-99
Cb Uoaasa a
00223
Yate
12/05!05
Yrowlvg Na
TRA -5846
One— ay:
Jose Acosta
7lwnan
•AN111. ❑1 �p%❑MUV
❑Vinyl ❑F.C.O. Letters
❑Mon.n nt ❑Banner
❑Channel Letters
❑Reverse Channel LeDe,s
a,�P�aCMutbns:
171nstallawn ❑Service
00th.,
CNaM Approval,
Lanaloro Approval,
z-a-v�n
m
r
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rTt �
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-„ -
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=D
D: 61LVER
RED
Approved by, at
O Planning Commission
❑ City Council
1otSmngyatt Dev. Dept.
Initials n �(
Case N "7
Exhibit
m.Yifh&Dnditions ! _
CHANNEL LETTERS SPECIFICATIONS
(FLUSH MOUNTED)
^ g.
i!l!I
Il� holo
1lIGN IS INTENDED TO /E NSTALLED N
i to M xi Wn 10' Avl ,(CLEAN Na�tv41:'/AccvssLh an'Alq msY MiWp,!
Nrn uk IaEe1M as pt" CAY v, Conry' ctdc.(s)
INTERNALLY ILLUMINATED CHANNEL LETTERS WITH LOGO
" PLEASEREAD �
• o
•
46-120 Calhoun St.
Indio, CA 92201
t760.347.3566
f 760.347.0343
IMa�Impn W Ipn w mpany.com
TRADITIONS
7878 370H WY1 11ST E.14 5
LAOUI NTAGA922 53
Ph -
7603999424
Fan
N/A
N/A
J Maroaa,
78370HWY1 11STE.145
LAQUINT ACA 92253
Caat.amaxa u a
207136, C45, C10, C61
PEaral "Compa
1424837-99
Cb Uoaasa a
00223
Yate
12/05!05
Yrowlvg Na
TRA -5846
One— ay:
Jose Acosta
7lwnan
•AN111. ❑1 �p%❑MUV
❑Vinyl ❑F.C.O. Letters
❑Mon.n nt ❑Banner
❑Channel Letters
❑Reverse Channel LeDe,s
a,�P�aCMutbns:
171nstallawn ❑Service
00th.,
CNaM Approval,
Lanaloro Approval,
CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C I
i ms certiticate applies only to building lighting requirements.
The documentation preparer hereby certifies that the doge'lmenikon is accurate and complete.
DOCUMENTATION AUTHOR SIG DATE
James N. Engle, Jr. March 20 2006
The Principal Lighting Designer hereby certifies that the prop 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 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.
Ll 1 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 1 am a licensed contractor performing this work.
❑ 1 affirm that 1 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 exeZn—iqr*nd
rs nt to Business and Professions Code Sections 5537,5538 and 6737.1.
(These sections of the Business and Profdaranrintarl in hill in fha K1--iAunfi.1 Me.... -I 1
rlPRINCIPAL LIGHTING DESIGNER -NAME S DATE LIC. #
James N. Engle, Jr. 3/20/06 1 207136
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTIN, CdPUANCE & WORKSHEETS (✓ box if worksheet is included)
For d®tailed instructions on the use of this and all Enwgy Effklency Standards complance fonts, please refer to Ute;0nn)SMential
hb I ublished by tha Calilomia Enogy 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-I-C if the project consists solely of outdoor signs
4. Use OLTG-I-C if the project consists of outdoor lighting, and indoor or outdoor signs,but no other indoor li htin
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Signs)
❑ LTG -3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
12( OLTG 4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
signs.
YUU5 Nonresidential Compliance Fomes March 2005
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROJECT NAME
Traditions
Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
❑��Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
L" Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
Or"Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
ETNot Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
EY Applicable
..Not
Lr Sign lighting compliance on OLTG-4C
❑ 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
❑ Installed lighting power has been determined in accordance with § 130(c)1
ITNot Applicable
❑ All permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are
,coontr�olled by a motion sensor § 132(a)
LN"Not 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)
7t Applicable
Ef All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
❑ Not Applicable
❑BB ilding facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi-Level Lighting Requirements of § 132(c)2
L:J Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
Interior Wall
INT—T101
Time Switch
Entire Sign..
behind sign.
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