07-1787 (SIGN)P;O, BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07=00001787
Property Address: 78450_HIGHWAY 111
APN: 604 -050 -043 -
Application description: SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 5667
Applicant:
(:e -4 4 4a -Q" �
Architect or Engineer:
P 14
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Class: C45 D42 LicenseNo.: 524483 _
I hereby affirm under penalty of perjury that I am exempt m 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 155001.:
(_) 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, 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
ARIES INV INC
C/O JONATHAN & ASSOCIATES INC
42620 CAROLINE CT STE 102
PALM DESERT, CA 92211
Contractor:
BEST SIGNS INC
1550 S. GENE AUTRY TRAIL
PALM SPRINGS, CA 92264
(760)320-3042
LiC. No.: 524483
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/07
u
JUN 199 2007
C1YyOleLAQtrcu�_
-------------------------------- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ w _
WORKER'S COMPENSATION DECLARATION_
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 0011501-2007
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
/,�, 37 0 of the Labor Cod I shall forth - co with those provisions
te: Cr/ !/ licant:
,NG-9'.I
NING: FAIL E TO SECURE WORKERS' COMPENS ON COVERAGE IS UNLAWFUL, AND SHALL
ECT AN EMPLOYER TO CRIMINAL PENALTIES A D 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.
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 I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and st laws relating to building construction, and hereby authorize representatives
of this �y to enter upon t above-mentioned property for inspe - n purrJ,r as. -
ate: nature (Applicant or AgentL• f/
Application Number . . . . . 07-00001'787
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00
Plan Check Fee
.00
Issue Date . . . .
Valuation .
. 0
Expiration Date.. 12/16/07
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 INTERNALLY ILLUMINATED CHANNEL
LETTER
SIGNS, PER SA 42007-1145 "CARPETERIA"
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
[CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-I-C
This certificate applies only to building fighting requirements.
The documentation preparer hereby certifies that the documentation Is accurate and complete.
Code of Regulations.
The Principal Lighting Designer hereby certifies that the proposed 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, Pan 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.
el 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.
❑ 1 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 al/ Energy E/Ac/ency Standards comppano& forms, please refer to the /Vonresidentlal
Manu ub/ished by the California
Enwgy Commission.
OLTG-11-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 LTG71-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 ro'ect consists of outdoor lighting, and indoor or outdoor signs, but no other indoor li htin
LIGHTING '
OLTG-2-C
COMPLIANCE SUMMARY. Applicable Parts required'for ALL outdoor lighting allowances (Except for Signs)
❑ OL G -3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
0LTG4-C -
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
signs.'
2005 Nonresidential Compliance Forms
March 2005
CERTIFICATE az�OF COMPLIANCE (Part 2 of 2) OLTG-I-C
PROJECT NAME
Liqhting Schedules on Plans Show that Outdoor Lighting Meets Allowed L!Uhtin2 Power
11hling power allowances for general site illumination on OLTG-2-C Part 1 of 4
IJ Not Applicable
❑hting power allowances for local ordinances or for security multipliers on OLTG-2-0 Part 2 of 4
L Not Applicable
❑ tiling power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
allot Applicable
❑t}ghling power allowances for vehicle service station canopies
�OLTG�-2-C�4of
Not Applicable
Sign lighting compliance on OLTG-4-C
El 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
❑II talled lighting power has been determined in accordance with § 130(c)1
CJ Not Applicable
ermanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are
d by a motion sensor § 132(a)
❑FN',t
Applicable
❑ All Luminaires with lamps rated greater than 175 walls in hardscape areas, including parking lots, building entrances, canopies, and all
out r sales areas meet the Cutoff Requirements of § 132(b)
Iff Not Applicable
permanently installed outdoor lighting meets the Control Requirements of g 132(c)l
Not Applicable
❑ B ' ing facades, parking lots, garages, canopies, and outdoor sales areas meet the MuIG-Level Lighting Requirements of § 132(c)2
Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL CONTROL TYPE AREA CONTROLLED
IDENTIFICATION Auto Time SwitchiPhotosensor, etc NOTE TO
U3 jrrx FIELD
"s V)`' Avt�OTvv�e Sufi �
2005 Nonresidential Compliance Forms
March 200S
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