09-1187 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00001187
Property Address:
78450 HIGHWAY 111
APN:
604 -050 -043 -
Application description:
SIGN
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
1000
Applicant:
`aF�w
Architect or Engineer:
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 License No.: 714309
ate:ntractor:
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 (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.).
(_) 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
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
Owner:
ARIES INV INC
C/O JONATHAN &
42620 CAROLINE
PALM DESERT, CA
ASSOCI
CT STE
92211
Contractor:
ARCHITECTURAL DESIGN/
2950 PALISADES DRIVE
CORONA, CA 92880
(951)278-0680
Lic. No.: 714309
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/17/09.
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.
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 INS CO OF WEST Policy Number WSD500023501
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 th Labor Code hall forthwith comply with those provisions.
Date` / � / 6 Applicant:
WARNING: FAILURE TO SECURE W�FKV'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIOCOST 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 1 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 county to enter upon the above-mentioned property for'nspection purposes.
Da (' 'C S' ure (Applicant or Agent):
Application Number . . . . . 09-00001187
Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00 Plan-Check Fee
.00'
Issue Date Valuation . . .
. , 0
Expiration Date 5/16/10
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
f INSTALL 2 INTERNALLY ILLUMINATAED
CHANNEL LETTER SIGNS AT NORTH & SOUTH
ELEVATIONS, PER SA# 2009-1405 " FANS
PLUS BLINDS" 2007 CODES.
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-1-C
Manual published by the California Energy Commission.
❑ OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part'2 of 2 may be incorporated in
PROJECT NAME
DATE
PROJECT ADD ESS
Building Permit
Checked BWDate
Enforcement Agency Use
PRINCIPAL DESIGNER -LIGHTING
Al/C� 7
TELEPHONE-/
-7�0-30/TT6
DOCUMENTATION AUTHOR
TELEPHONE
7
GENERAL INFORMATION
4. Use OLTGA-C if the project consists of outdoor li htin , and indoor or outdoor signs, but no other indoor li htin
❑ OLTG-2-C
DATE OF PLANS
OUTDOOR LIGHTING
ZONE ✓ One) ❑ LZ ❑ LZ2 ❑LZ3
❑LZ4
FUNCTION TYPE ❑ OUTDOOR LIGHTINGOUTDOOR
SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW 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 lighting requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete.
""ryr" rcc DATE
The Principal Lighting Designer hereby certifies that the pr6posed our lighting and signs design represented in this set of construction documents is
consistent with the other compliance forms and worksheets, with the Wcifications, 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.
�Iaffirm 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.
hese sections of the Business and Professions Code are prin d in full in the Nonresidential Manual.
PRINCIPAL LIGHTING DESIGNER -NAME SIGNATURE DATE q LIC. #
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. 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 OLTGA-C if the project consists of outdoor li htin , 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)
❑ OLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
LTG -4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
11�signs.
.
zoos Nonresidential Compliance Forms March 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
,❑l Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
9—Not Applicable
❑ Light g power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
oott Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
�-I o�plicable
�❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
Applicable
-Sign 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
❑ Installed lighting power has been determined in accordance with § 130(c)t
Ilot -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
,con�tr ed by a motion sensor § 132(a)
Lt""N t Applicable
All Luminaires with lamps rated greater than 175 watts in hardscape areas. including parking lots, building entrances, canopies, and all
outdo sales areas meet the Cutoff Requirements of § 132(b)
Not Applicable
El All permanently installed Outdoor lighting meets the Control Requirements of § 132(c)i
Q-Not Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi-Level Lighting Requirements of § 132(c)2
L�'I�lot Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
i
2005 Nonresidential Compliance Forms March 2005
Bin #
City of La Quinta
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:FCZR C-Ovv
Owner's Name:
A. P. Number:
Address:
Legal Description: U
City, ST, Zip:
Contractor: Y--Gf%
s
h
Telephone:
one:
Address: Po axvProject
Description:
City, ST, Zip:
Telephone:
d 3 G 3
....................
State Lic. # : `(�
City Lic. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. S te L c #:
structi
Construction T
o e: Occu
Type: Occupancy:
Y:
Project type (circle le one) Add'n Alter Repair Demo
Name of Contact Person: `
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Z �� a� S %' C�'�
Estimated Value of Project:-�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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:
7rd 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