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13-1646 (SIGN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 IT -4w -t44 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001646 Owner: Property Address: 78383 HIGHWAY 111 CHRIS OPPENHIEMER APN: 604-050-008- - - 78-383 HIGHWAY 111 Application description: SIGN LA QUINTA, CA 92253 Property Zoning: COMMUNITY COMMERCIAL ( Application valuation: 2800 Contractor: Applicant: Architect or Engineer: SIGNARAMA /� AA 41945 BOARDWALK, "L" PALM DESERT, CA 92211 (760)776-9907 LiC. No.: 830131 LICENSED CONTRACTOR'S DECLARATION 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 Clas : D 2 C45 License No.: 830131 DateContractor: � Y 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).: (_) 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 ISec. 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.). (_) 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 _) I am exempt under Sec. , B.&P.C. for this reason Date: _ Owner: CONSTRUCTION LENDING AGENCY 1 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: - 12/19/13 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. l'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor G Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier GRANITE STATE Policy Number WC065256570 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 Cm/. I shall forthwi Comply with those provisions. late:)3 Applicant: 6 WARNING: FAILURE TO SECURE WORKERS' COMPEN TION 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 Quints, 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 couryytq enter upon the above-mentioned property ;f"' spection pur ses. 0q Date:I.3 Signature (Applicant or Agentl: J f� LQPERMIT Application Number . . 13-00001646 Permit . . . . . SOTB 2013 Additional desc . . Permit Fee . . . . 24.31 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date 6/17/14 Qty Unit Charge Per Extension 1.00 24.3100 LS MISC WALL SIGN, FIRST -------------------------------------7-------------------------------------- 24.31 Permit . . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 35.75 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 6/17/14 Qty Unit Charge Per Extension 1.00 35.7500 EA ELEC SIGNS 35.75 -----------------=---------------------------------------------------------- Special Notes and Comments SIGN - BUILDING MOUNTED SIGN "MONGOLIAN GRILL" WITH ONE DISCONNECT SWITCH. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 47.67 PLAN CHECK, SOTB 85.80 Fee summary Charged Paid Credited ---------------------------------------- Due ------------------ Permit Fee Total 60.06 .00 .00 .60.06 Plan•Check Total .00 .00 .00 .00 Other Fee Total 134.47 .00 .00 134.47 Grand Total 194.53 .00 .00 194.53 Bin # - City of La Q uin to Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��✓ Project Address: �� �� ST 1 j' Owner's Name: G A. P. Number: Address: - �-_ 3 F3 N w X11 Legal Description: City, ST, Zip: (4 G Contractor: Tel e hone ....:...........:. Address: L�� p Ll S /1® a,,tJ fti A, L Project Description: G / ij YJ City, ST, Zip: Telephon(I,, �� v 6 g State Lic. # : E -3Q 1371, City Lie. #: t) 7 Ira P11 / Arch., Engr., Designer. Address: City., ST, Zip: Telephone: <'r<'::::>:::>?::s:>c;<Y:::;: >:.;;;::.:.:......: : €'<#.'•;•:::.>. <', :.;> ,> ...................;.>. Construction Type: Occupancy: State Lic. # type (circle one): NwAdd, Project n Alter Repair Demo Name of Contact Person: %�, vL w�l s�� Sq. Ft.: # Stories: #Units: Telephone #,of Contact Person 6 3 /,S Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd 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 Title 24 Cales. 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.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Certificate of Compliant Project Narne In e m b >J Project Address: -79 - -7 zr3 Si n.Li htin Phase of Construction a+-`�+�61. Function Type Date. (Pae 1� of 2) - SLTG-1C O New Construction O Addition O Alteration O Outdoor Signs O Indoor Signs Compliance Method Used ❑ Maximum Allowed Li¢hting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name Signature §133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control 13 571,�- Company41f ,9 Address applicable: IL �%—� - CEPS # City/StaterLip ,Q �, Phone: 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 I 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: )� Q Phone ❑ Address: `-1 l 9 las i s 0.� �. 1 lC� License is . p j / a City/State/Lip: Date Sign Mandatory Measures Indicate location on building plans of Mandatory Sign Measures Note Block: Mandatory Sign Lighting Controls Yes No §133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control 13 ❑ 1 that complies with the applicable requirements of $119. §133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control. ® i ❑ 2 Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during19 ❑ daylight hours. §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability,to automatically reduce M ❑ sign power by a minimum of 65 percent during nighttime hours.. Exception 1 to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours. ca ❑ 3 Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas thatrequire illumination ❑ during daylight hours. Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to ❑ 12 illuminated signs or parts of signs. ; §133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than Y N N/A 15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when O ❑J 4 receiving a demand response signal that is sent out by the local utility. 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. s ❑ ❑ 19 2008 Nonresidential Compliance Forms August 2009 ti 0 00 G O� O O Cr o f � p Sign symbol or code a a• eo pzPlot » 3 ^ D p ] O 3 C D R q�• �n "n 0 0. pD j s p i A A O A ° A ° It,. 3, A a f7• C b" hoop ii NO A = C v Qi oil !a o s �e'so 3 V I V .,ep. °�� 0., IV b ,o aozi .. a .o O w M.A b ; �• 1 O IV or (� O a IV IV v rQ , 21 ,. „ •,1 :IS ft o D ^ g N 2 Sign Area (ft) 0 Cr "%I y n o u `�l Internally (I) or a a, . IV ^ < m : Externally (E) o 0 =• o o >n fi c illuminated a c o• A r! c Allowed LPD a (I = 12 W/ft2) m r 4: (E = 2.3 W/ft2) p' ' 4 3 0 n eo D n A Allowed Watts , a t-,`' Qo = C x E n Cr 10 Q � �• m Total Installed n b p watts for signNs = F A o D Complies If C -< aZ S o N 3 G<_F ��' a. Q v � 7 � •J n � N m c From List Y' r A Below N 010.0100 -- Specla Features r D ❑ 13 O'® Pass �i `r ❑ O ❑ 131.131 Fail ° n City of Ga Quinta 78-495 Calle Tampico La Quinta, California 92253 PHONE: 760.777.7125 FAX: 760.777.1233 OfficetUse`'Onl Case/Permit Number Accepted Assigned 30 -Day By To Deadline NA Notes: SIGN PERMIT APPLICATION - PERMANENT SIGNS - .RECEIVED DEC 1 1 2013 CITY OF LA QUINTA COMMUNITY DEVELOPMENT Planning Stamp e D D Fn_7r11 2013 nTY OF LA QUIN' FINANCE DEPT Finance Stamp No applications will be accepted by mail or fax SECTION A — SIGN INFORMATION Type of sign: J Permanent wall sign(s) ❑ Permanent freestanding/monument sign(s) ❑ Other Name of —� c business: Site address// location: /J? 1 %y�✓ it % ��... i ?-"L 5 - Sign program Informationregarding if a City approved sign (Application #): program is applicable -to the proposed location is available at the Planning Department. Sign location: Z✓v a._??�-4 Vs � Sign text: C3 --o L_ i .Q A.1 G Dimensions: Sign width: Sign height: y 17 Structure width: -412 Structure height: Single or double sided: ,� lam_, Total square feet of sign area: Sign Permit Application - Permanent Paget of 2 City of La Quinta • Planning Department - 760.777.7125 11.08.10 PAApplication Submittal Forms\Hpplications%SA\SA-P Application - 11.08.10.doc PREPARED 12/11/13, 11:23:48 PAYMENTS DUE INVOICE CITY OF LA QUINTA PROGRAM PZ821L --------------------------------------------------------------------------- PROJECT NUMBER: 13-00000249 SA 2013-1749 CJ'S STIR -IT -UP FEE DESCRIPTION" AMOUNT DUE ---------------------------------------------------------------------------- SIGN PERMIT (F) 200.00 TOTAL DUE 200.00 Please present this invoice to the cashier with full payment.