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12-0229 (SIGN)r- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tuyl 4.�Q�r«rw 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 Cla D42 C45 License No.: 830131 Date: 3 � % ontractor: 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 ($5001.: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however,*the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: MAGUIRE FAMILY 1695 AVENIDA DE NOG FALLBROOK, CA 92028 Contractor: t SIGNARAMA 1 41945 BOARDWALK,x'L" `t!� PALM DESERT, CA 92211$r (760)776-9907 tIII! LiC. No.: 830131 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/12 r 0. 2011 t i 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� 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 HARTFORD CO Policy Number 198607 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 �at 41AUIOE oft e Labor Code,j shalalll ffoorthhwith comply with those provisions. Applicant: as/ING: TO SECURE WORKERS' COMPENSATION 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, indemnity 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 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 thi o my to enter upon the above-mentioned proper for inspection purposes. nature (Applicant or Agent): Application Number: 12"00000229,. 4"`HIGHWAY Property Address: 781*;111 APN: 604 -050 -041 - Application description: SIGN Property Zoning: COMMUNITY COMMERCIAL Application valuation: 4000 Tuyl 4.�Q�r«rw 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 Cla D42 C45 License No.: 830131 Date: 3 � % ontractor: 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 ($5001.: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however,*the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: MAGUIRE FAMILY 1695 AVENIDA DE NOG FALLBROOK, CA 92028 Contractor: t SIGNARAMA 1 41945 BOARDWALK,x'L" `t!� PALM DESERT, CA 92211$r (760)776-9907 tIII! LiC. No.: 830131 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/12 r 0. 2011 t i 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� 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 HARTFORD CO Policy Number 198607 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 �at 41AUIOE oft e Labor Code,j shalalll ffoorthhwith comply with those provisions. Applicant: as/ING: TO SECURE WORKERS' COMPENSATION 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, indemnity 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 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 thi o my to enter upon the above-mentioned proper for inspection purposes. nature (Applicant or Agent): Application Number . . . . . 12-00000229 Permit . . . ELEC-ELECTRICAL SIGN Additional desc .'. Permit Fee 33.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/10/12 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 L SIGN ADDITIONAL CIRUITS 3.00 --------------------------------------------------------------------------- Special Notes and Comments 2 INTERNALLY ILLUMINATED CHANNEL LETTER SIGNS & 1 AWNING SIGN PER SA # 2012-1592. "PRO CIRCUIT AV". 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . ..... BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 33.00 -------------------- .00 .00 33.00 Plan Check Total .00 .00 .00 .00 Other Fee.Total 1.00 .00 .00 1.00 Grand Total 34.00 .00 .00 34.00 LQPEPMIT i _ .. Bin #. Ck • Of Quth .... . • . .. • Buildfig:BT Safety. Aivislon :...... :. � • . P.O. Sox: 1504,:78495 Calle Tampico La.Qulnta, CA 92253 - (760) 777-7012 Buildin Permit A licatio ' g pp nand Tracking Sheet Perintt #: n� ProjectAddcess:W I L. Git,-• Ownet'sName:.'�Cn-�-� wv✓l A P.'Number. Address:°! % 7 Legal Description: Contractor. . 6 ,,, City, ST, Zip: -� • .- Telephone. �r►� Address: o s,nJ ww U/4, Project Description G kA-. L. . City, ST, Zip: :'p ..l Yh GO ver ZZ 1 . Telepho 6 O 7-b " TY o-7' , State Lia # : 830 1 City Lir #; Z b6Sy4l Address: City, ST. Zap: Telephone: Construction Type• . Oocupancy: Project c J type (circle one): ew Add'n Alter Repair Demo StAc Lia #: Name of Contalt Person: •.-t �� t &), fe S1• Ft.: # Stories: # Units: Telephone # of Contact Person: -7 6 0 S? `1 ) S EstimaW Value of Project tfiao �� APPLICANT: DO NOT WRITE BELOW THIS. UNE # Submittal • Req'd - Ree'd TRACIMG PERMIT FEES Plan Sets Plan Chtxlc submitted Item Amount Structu hd mer- Reviewed, ready for corrections Plan Check Deposit Truss Calks. Called Contact Person Plan Check Balance Title 24 Calce. Plans picked up Construction Flood plain plan Plans resubmitted .' . MechaNcal Grading plan V Review, ready for correctiousrkssue Fdeetsieal Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S,My H.OAL Approval Plans resubmitted Grading IN HOUSE:_ ''` Review, ready for eorreetionslissue Developer Impact Fee mains Approval Called Contact Person A.i.P.P. Pub. Wks. Appr Date of permit issue School Fees , Total Permit Fees Certificate of Compliance Sin Lighting) (Page 3 of 4 SL - C Project Name:C, 9 v Dalt:: , 3 / 4. Maximum Allowed Liehtine Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Com�IgMj a t.5 of this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance A B C D E F G H ! J. Allowed Watts Design Complies? _g Watts Y / N N � V ..Field U i; „� C c C .: ^ �? Inspector o >, 3 3 LL. 3 x o Z w Check that Sign ._ Complies to 5 CC1t op in «% --• 11 II w O II .� `� q, - - Description ./ ... C E-. 0 U :�btiratery G a �,� ° iyt s �. 1z� Y o. b i nticr�s r• w. � ct.T� . O N e ° !d, o ❑ ❑ __❑ ° ❑ ❑ ❑ A Symbol or code used on the 121ans when plans arerequired) and other documents. B A narrative descri tion of the si , or Location of sign on the buildin • and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed label, listed with Underwriters L#oratory . (UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) or Intemationai Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under an ongoing inspection program C carried out by a Type A inspection body in accordance with ISO/IEC 17020, confirming that the sign complies with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power method of compliance. For signs with such a label, columns 'D' through '1' are not required to be filled out. Note: Using a label is an optional method to validate not needed for compliance compliance. A label is D The sign area in square feet. E List "I" if the sign is internally illuminated. List "E" if the sign is external) illuminated. F Allowed watts persquare foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if si is listed as '•E" in column E. G Multiviv the square f00112C in column D times the allowed LiAhting Power Density LPD = watts in column F. H Show the total installed watts in the si m. as determined accordin to the applicable provisions of 13 d or e . I Enter Y if the number in column His less than ore ual to the number in column_G.. Otherwise, the si n does no J .This a e doubles as a field insnection cheek ii.t t comply. J* tela Inspector Notes: 2008 Nonresidential Compliance Forms Aly 2010 Certificate of Compliance (Sign Lighting) (Page 4 of 4 SLTG-iC Project Name: �/� D N V � 5. S4eciflc Lighting Source Method of Compliance Certiflcate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete pan 4 of this Certificate of Compliance if there are signs using the maximum allowed liAting Power method of compliance A g J 0 O 17 O �. 13 O. A Symbol or code usedon the lata when lans are uited and other documents. B A narrative descriptio of the sism or location of si on the buildin • and the location of sistn on construction documents C OPTIONAL -Check this box only if this sign has a permanent,pre-printed,factory-installed label, listed with Underwiiters Gabon (UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program Standards Organization (TSO) 17025 in accordance with ISO/IEC 17011 with the products LAP) or International roduced under (NV ongoing inspection program carried outp .by a Type A inspection body in accordance with ISO/TEC 17020, confirming that this sign complies .with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. For signs with such a label; column D' is not required to be filled out. Note: Using a label is an o xional method to validate com liance. A label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all a licable numbers I throu 10 that apply in column D above for each row. / Hi rcssure sodium lamps 2 Pulse start or ceramic metal halide lam s served b a ballast with >_ 88% efiiciene j Pulse start metal halide lamps that are < 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast with > 80% efficiency 4 Neon or cold cathode lam s with transformer or Power su 1 efficient > 75% with rated out ut current < SO MA D S Neon or cold cathode lamps with transformer or :)ower su I efficiene _> 68% with rated output current > 50 MA 6 Fluorescent lamps with a minimum color rendering index (CRI) of 80 Note: when usingelectronic ballasts for com liance, lamps with a CRI < 80 may hr trent) 7 Li rmG,t:.....1:.. --- --- •�• o wer su r watt > 80% efiicienc Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC 8 output, having a nameplate output power less than or equal to 250 watts, and certified to the Energy Commission as complyingwith the a licable re uirements of the A liance Efticienc Re mations Title 20 9 Com ct fluorescent lam s that -do not contain a medium screw base sockets E24/E26 /0 Electronic ballasts with a fundamental out ut f uenc > E This a e doubles as a field ins tion checklist. _ 20 kHz Field Inspector Notes: 2008 Nonresidenfiol Compliance Forms Judy 2010 C 4PT101VAL D E Symbol. UL or other Specific light source used for Field Inspector - or Description label compliance Shall include only lighting a k'that Code instructions technologies listed below Si Sign bdow) List all that apply C s 4.. J 0 O 17 O �. 13 O. A Symbol or code usedon the lata when lans are uited and other documents. B A narrative descriptio of the sism or location of si on the buildin • and the location of sistn on construction documents C OPTIONAL -Check this box only if this sign has a permanent,pre-printed,factory-installed label, listed with Underwiiters Gabon (UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program Standards Organization (TSO) 17025 in accordance with ISO/IEC 17011 with the products LAP) or International roduced under (NV ongoing inspection program carried outp .by a Type A inspection body in accordance with ISO/TEC 17020, confirming that this sign complies .with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. For signs with such a label; column D' is not required to be filled out. Note: Using a label is an o xional method to validate com liance. A label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all a licable numbers I throu 10 that apply in column D above for each row. / Hi rcssure sodium lamps 2 Pulse start or ceramic metal halide lam s served b a ballast with >_ 88% efiiciene j Pulse start metal halide lamps that are < 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast with > 80% efficiency 4 Neon or cold cathode lam s with transformer or Power su 1 efficient > 75% with rated out ut current < SO MA D S Neon or cold cathode lamps with transformer or :)ower su I efficiene _> 68% with rated output current > 50 MA 6 Fluorescent lamps with a minimum color rendering index (CRI) of 80 Note: when usingelectronic ballasts for com liance, lamps with a CRI < 80 may hr trent) 7 Li rmG,t:.....1:.. --- --- •�• o wer su r watt > 80% efiicienc Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC 8 output, having a nameplate output power less than or equal to 250 watts, and certified to the Energy Commission as complyingwith the a licable re uirements of the A liance Efticienc Re mations Title 20 9 Com ct fluorescent lam s that -do not contain a medium screw base sockets E24/E26 /0 Electronic ballasts with a fundamental out ut f uenc > E This a e doubles as a field ins tion checklist. _ 20 kHz Field Inspector Notes: 2008 Nonresidenfiol Compliance Forms Judy 2010 1.5" -►I r,,( - EXISTING WALL .063" ALUMINUM RETURNS #10 HEX HEAD SCREWS AND WALL ANCHORS NEON TUBES 063" ALUMINUM FACE 3/16" LEXAN BACK GTO WIRE PRIMARY ELECTRICAL TRANSFORMER W/ DISCONNECT SWITCH & INTERNAL GFI WATER PROOF CONDUIT ALUMINUM STAND OFF BONDING WIRE STANDARD GLASS STANDS 1/4" DRAIN HOLES HALO ILLUMINATED NEON CHANNEL LETTER (TYPICAL CONSTRUCTION) COMPLIES WITH 2007 CA ELECTRICAL CODE, ARTICLE 600 U.L. LISTED & LABELED Drawing No.: ED10012 Revision: B Date: 3-22-11 Drawn By: RA Approved By: FH S-,,,, RgM,SA9N*A *DANA �"�' THE COACHELLA VALLEY'S FULL SERVICE SIGN CENTER 41-945 Boardwalk, Ste. L. Palm Desert, CA 92211 Ph. 760-776-9907 Certificate of Compliance (Sign Lighting) Pae 1 -of 4 SLTG4C Project Name: . 3 % 7--- i/osu: w Project Address: 70p zi7 q / W l 1 1 9 G1 ► JM./ �. . VL4r.3 --::;'_....... �j 7770 Location of Sign yy door Signs Indoor Signs Phase of Sign Construction G1 Ze Signs O Sign Alterations T of Lighting Control ew Lighting Controls O Replaced Lilthting Controls O Not Installinit Lighting Controls... . This Certificate of Compliance includes the following components (check all that apply) O Mandatory Measures (Lighting Controls) O Maximum Allowed Lighting Power O Specific Lighting Sources 1. Certificate of Compliance Declaration Statement (this may be a CIO. C45 or other eligible person) - - 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. 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. Parts 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 applic Name: 1 -FIX --r- T- ( OAAeo Signature — -- - Company: , Ph ✓ Address:ber (may be con License number (may st lie t!) y� 9 s 6o�dr �L« g o City/State/Zip: FAL m {s tit-•. lam, �/ Z2) ) . Date Wl z� ll , 2. Installation Certificate to be signed by responsibi77(Enforcemait Permit number Cheerod�(EnAmement UseA Use Installation Declaration statement -- • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for constntetion. • I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to a applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the: enforcement agency. • 1 certify that the requirements detailed on this Certificate of Compliance -have been met. • 1 will ensure that a completed, signed copy of this installation Certificate shall be pposted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections., I undetstnnd that a signed copy of this installation Certificate is required to be included with the documentation the builder provides` to the building owner at occupancy. Company Name: Responsible Person's Name: MAY Nonresidential Compliance Forms Ally 2010 ::.... Certificate of Com Project Name: L ,4C_'rr • 1/ 1:411 / �- Y 3. Mandato Sign n Li htin Controls NOTES: 1. The A•/a►hclatory, measures (sign lighting controls) erre required fur compliance with the .sign lighting Stanclards. The .sane responsible person may install both the sign and the sign lighting controls. or a d erent res i sign lighting controls than the responsible person installing the sign. fr responsible persue' tnuv7rrlmXA-tlte 1. ll'the person responsible for installing the sign is not also responsible for the sign lighting controls, then the Owner of the .sign. general contractor.'or architect shall be responsible to /rave the sign lighting controls installed 3. /J'mure than one persue hos responsibility P ty fur compliance, each person shall prepare and sign a Certificate of Compliance and an Installation Certificate upplicuble to the portion of constncctiun for which they are responsible; alternatively... the person with chief responsibility for conrtntc•tion shall prepare and sign the Certificate of Compliance Declaration Statement or the entire co stn►ction. 3a. Statements of. Responsibiiity; - -- The rson si ning the Certificate of Compliance Declaration Statement shall check Yes or No for all of the following statcments: 1 [have responsibility for installing the sign lighting controls O Yes, com fete arts 3a and 3b of this form o, com tete art 3a otu There are no existing sign lighting controls and 1 will be installing compliant sign lightingfhis form controls t - --� 2' O Yes There are -no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls. 3 O Yes No There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and ( 4 installing compliant sign lighting controls will be - 13 Yes NP, There are existing sigNLI n lighting controls that do not comply with the applicable provision of § 119 and § l33 and sotiieo a el 5 will be responsible to install compliant sign lighting controls O Yes 2 of 4 SLTGIC Datc: 3b. Mandatory Sign Lighting Controls The person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if theare responsible for com I in with the signlighting control uirements. y If there are construction documents, indicate where on the building plans the mandato measures si li tin control note block can be located: t§133(a)l. All indoor sign lighting is controlled with an automatic time switch lies with the Y N a licable r uirements of 119. control that comp §133(a)t and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo Y1]_ 2 control or an outdoor astronomical time switch, that com I with thea licable r uiremenis of l l9. Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during da li ht hours. §133(x)3. All outdoor signs are controlled withy red a dimmer that provides the ability to automatically i sn wee b a minimum 01"65 ercent Burin ni httime hours. Exception 1 to §133(a)3. Signs illuminated for less than one hour per day during daylight hours. 3 Exception 2 11133(8)3. Outdoor signs in tunnels or large covered areas that require illumination during Exception 3 to §133(2)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for illuminatin si s or arts of si s. §133(a . An Electronic Message Center (EMC) having anew connected lighting power load greater than 15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when 4 receivin a demand res onse si al that is sent out b the local utilit . Exception to§133(x)4. EMC required by a health ur life safety statue, ordinance, or regulation, including but not limited to exit signs and traffic si ns. Field inspector Notes: 2008 Nonresidential July 2010 Y O TN Y " L' NA NA NA O NA O NA O A O YINjVA Mel an M-1 i 41945 BOARDWALK, SUITE L PALM DESERT, CA 92211 PH 760.776.9907 FX 760.776.9844 Date: 0: ..• 023240 -east Proof.Salesperson: BS Graphic Artist: JT YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT AND LAYOUT, RELEASING SIGN A�RAMA FROM RESPONSIBILITY IN REGARD TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED. THIS DESIGN IS PROPRIETARY PROPERTY AND MA Y NOT BE USED WITHOUT THE EXPRESSED WRITTEN CONSENT OF SIGN.A-RAMA. APPROVAL SIGNATURE DATE Light Box 8" x 8" Pro Circuit: 8" Tall Light Box: 8" x 85.95" Light Box Letters: 4" Tall • 4 Color process per custamer file APPROVED BY PLANNING DEPARTMENT Bl(!�g L DATE EXHIBIT CASE NO. S� 12-c 542