08-1754 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08=00001754
Property Address:
78401 HIGHWAY 111 STE B-1
APN:
604-050-999- - -
Application description:
SIGN
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
5000
T4'ht 4 4 Q"
Applicant: Architect or Engineer:
e6�� X -111f-
-----------------
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 License No.: 699703
t
,Date:Contractor:
L �'
OWNER -BUILDER DELARATION
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 J$500).. -
1,
5500).:I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and L -
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, 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
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: 10/22/08
Owner:
ONE -ELEVEN INVESTMENT
COMPANY
823 W. SIXTH STREET
�r
LOS ANGELES, CA
LOS ANGELES, CA 900
T 2 2 2DOo
f5TFI'NANCE
Contractor:
CIT SIGN CO
OFLA QUINT3021
W. PICO BLVD
DEPT.
LOS ANGELES, CA 900
(232)735-7722
Lic. No:: 699703
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 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.
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 EXEMPT Policy Number EXEMPT
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 Code, I shall rthwith comply with those provisions.
Date: qo pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I
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.
certify that 1 have read this application and state that the above informationis correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propert for insp tion purposes.
-Da e: ature (Applicant or Agent): ,
Application Number . . . . . 08-00001754
Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee
.00
Issue Date . . . . 'Valuation . . .
. 0
Expiration Date 4/20/09
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
(2) PERMANENT INTERNALLY ILLUMINATED
SIGNS "YOGART ISLAND U -CREATE" PER SP
2008-1317
Fee summary Charged Paid Credited
----------
Due
--------=--------------------------------------
Permit Fee Total 33.00 .00 .00
33.00
Plan Check Total .00 .00 .00
.00
Grand Total 33.00 .00 .00
33.00
LQPERMIT
CERTIFICATE OF COMPLIANCE (Part 1 of 21 OLTGA _[:
FUNCTION TYPE ❑ OUTDOOR LIGHTINGOUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION EW 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 Iighting.requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete.
The Principal Lighting Designer hereby certifies that the proposed outdoor lighting and signsVdesign represented in this set of cons lion 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.
❑ 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 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.
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ box If worksheet Is included)
PROJECT NAME II
S l 4
DATE
Zz
PROJECT ADDRESS NJ_
o
141(rYIJAY (I
.
_1
PRINCIPAL DESIGNER -LIGHTING TELEPHONE
=8ui18iliiS P.i3rriit:
1. Use LTG -1 -C if the'project consists solely of indoor signs
DOCUMENTATION'AUTHOR ELEPHONE
3. Use OLTG-I-C if the project consists solely of outdoor signs
EMaceii en4 Agericy;. e
GFNFRAI INFr1RMATnn'u
FUNCTION TYPE ❑ OUTDOOR LIGHTINGOUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION EW 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 Iighting.requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete.
The Principal Lighting Designer hereby certifies that the proposed outdoor lighting and signsVdesign represented in this set of cons lion 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.
❑ 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 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.
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ box If worksheet Is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
❑ OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part2 of 2 may be
incorporated in schedules on the plans.
Either LTG -1 -C or OLTG-I-C may be used forsigns 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)
❑ 6LTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required. for. all outdoor area calculations.
❑ OLTG-4-C
SIGN. LIGHTING COMPLIANCE. Required.for all intemally and externally illuminated signs,.•for both indoor and
outdoor.si ns.
cvvu ivutifuwuenuaf t.;ompliance Forms April 2005
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROJECT NAME
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
❑ Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑ Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
❑ Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
❑ Not Applicable
Sign lighting compliance on OLTG4-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
✓-,
LJ" Installed lighting power has been determined in accordance with § 130(c)l
❑ Not Applicable
❑ All permanently installed luminaires with lamps rated over 100 wafts either have a lamp efficacy of at least 60 lumens per watt or are
controlled by a motion sensor § 132(a)
❑ Not Applicable
❑ All Luminaires with lamps rated greater than 175 wafts in hardscape areas, including parking lots, building entrances, canopies, and all
outdoor 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
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2
❑ Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
2005 Nonresidential Compliance Forms March 2005
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Bin #
City of La Quinta
Building u SafetyDivision
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
s 1�
Project Address: O t
wa–Y.t r)E(zj
Owner's Name: �1 V
A. P. Number:,
Address: D K
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address: p W
Project Description:
City, ST, Zip: �
L
000.6
CCH
Telephone:
State Lie. # 0
Arch., Engr., Designer:
City Lic. #:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
g
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:G.22-.
P
S — � �j
Estimated Value of Project: t
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMrr 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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'" Review, ready for correctionstiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
fN HOUSE:-
3" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I,P,P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
NOTIFICATION OF STRUCTURE FIRE OR SIGNIFICANT EMERGENCY
CITY OF DATE
TYPE OF INCIDENT �J�UuCs�uRi ��✓1/ TIME
CAUSE'
DOLLAR DAMAGE PROPERTA2-, 060
TYPE OF OCCUPANCY XV_\D ,L/ GG,
PHYSICAL DAMAGE
jav\Aol-4cl
SwlAcz, \-c $U\.
PROPERTY OWNER:
e✓ -r-
k
�11
W(2,y S� C04WeV-
�TENANT :�S1JOlnI�Q� MIL G�
a.
BUILDING INSPECTION NEEDED J
NOTIFICATION SENT TO L-0- NSII LC- �4
DATE ' .-��j ��� TIME
fur �
FIRE CAPT IN
0
.4 cl of �" e
SAN2
BUs� RECD
BATTALION CHIEF
BURNETT DEVELOPMENT COMPANY
August 23,' 1984
Re: Elevator No. 74624
Mr. G. J. Schermer
Acting Senior Safety Engineer
Elevator Unit
Division of Occupational Safety and Health
3460 Wilshire Boulevard
Room 307
Los Angeles, California 90010
Dear Mr. Schermer:
We are.in receipt of a letter from Wessman-Construction Company
together with your notice.
Please be advised that we have complied with all requests con-
tained in your inspection report. We have arranged for the
installation of a telephone by TeleCom Systems and it is our
understanding that that installation is now completed.
Please advise us whether or not you are now in a position to
make your final inspection and issue your permit.
Very truly yours,
William F. Burnett
WFB:jh
cc.: Mr. Dick Finan - Wessman Construction
Mr. Joe Fickeria� Oliver & Williams
Mr. Doug Brown,L City of La Ruinta
500 East Cordova Street, Pasadena, California 91101 (818)'795-9556