14-0029 (SIGN)I'
4 t. P.O. BOX 1504 VOICE (760) 777-7012
F 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/09/14
Application Number:
14-00000029
Property Address:
78477 HIGHWAY 111
APN:
604-050-008- -
Application description:
SIGN
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
3637
Applicant: Architect or Engineer:
N
------------------
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 ss: 1242 C45 License No.: 830131
Date: Contractor: /44,
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.).
(_ 1 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.l.
(_ 1 1 am exempt under Sec. , BAP.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:
EMMANUEL JANIN
78477 HIGHWAY 111
LA QUINTA, CA 92253
(760)771-4400
Contractor:
SIGNARAMA
41945 BOARDWALK, 111,11
PALM DESERT, CA 92211
(760)776-9907
Lic. No.: 830131
e
D
AN t 2014
CITY OF LA QUINTA
FINANCE DEPT.
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
I by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
V�. _ 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 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
/ 700 of the L or Co 1s, I shall ffoo`rtt ith comply with those provisions.
Dace%/ 7 Applicant. Ani (/ /
WAR ING: FAILURE 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, 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 I have read this application and state that the above information is correct. I agree to comply with all
city and ty rdinances and state laws relating to building construction, and hereby authorize representatives
of this my enter upon th above-mentionedpropeZfospeSon urpo s.
Date: Sign ture (Applicant or Agent):
11
LQPERMIT
Application Number 14-00000029
Permit . . . . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date ... . . Valuation . .
. 0
Expiration Date 7/08/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA ELEC SIGNS
-------------------------------------------------------------7--------------
35.75
Permit . . . SOTB 2013
Additional desc .
Permit Fee 24.31 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration.Date . . 7/08/14
Qty Unit Charge Per
Extension
1.00 24.3100 LS MISC WALL SIGN, FIRST
24.31
-----------------------------------------------------------------------------
Special Notes and Comments
SIGN - INSTALL (1) BUILDING -MOUNTED
ILLUMINATED IDENTIFICATION SIGN FOR PER
APPROVED SA 2013-1756, "LA BRASSERIE".
2013 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
s
Bin #
City Of La Quint -a'
Building 8T Safety'Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per 't
(� I
Project Address: 7IAl",
Owner's Name: L-
A. P. Number:
Address: —7LF —1-117 wv
Legal Description:
City, ST, Zip: C, , 1?1;-z, J-
Contractor:::f
I Aj — r.. .�
Telephon .1 ht) l I'.)
;;:::<>:r:<:;.;:;.;.:;,:.; ..
<..,;>...,,,s:>^:><:
Address: L 1 UIZ—
Project Description: L S rJ
City, ST, Zip: (, I 1
Telephon r1 0-7-76:
:.
State Lie. #
City Lie. #.17 M3�31
Arch., Engr., Designer: SGS. �•,
Address:
City., ST, Zip:
'
Telephone:
::::;l::;.:.;;:>:cr;:::.:;::f';;;::•»::•: >:
j;YCjt{ ...... <:: ii:. "�>�'•'<:!:y^ii iii/.
J:y:;:;:•lj:.i::;{i:�T::; iy 6: v:i;:':;::;:iy i!L;:.; �.
Construction type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: V L , ' ,red Is-- g ;.�
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: -7C'O's
Estimated Value of Project: �3
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 Calcs.
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 correctionsrssue
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 Compliance (Sign Lighting) (Page 1 of 2) SLTG-IC
Project Name ' Phase of Construction ❑ New Construction (7 Addition 0 Alteration
�� e I' Function Type XOutdoor Signs 0 Indoor Signs
Project Address Dam Compliance Method Used a Maximum Allowed
-79' -)7 w y r L.� . � . / l �)1 l N Lighting Power _ ❑ Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name j�j� I
�J i t -� S ✓L D t
Signature , •
,? + L
Company
J -- -
Date
9 bit
16 N sal -� r✓
Address
If applicable:
_
CEPE N
CitylState/Lip }�] r-_
Phone(:/� _ -
(761 6 7 q. Q 1
Principal Lighting Designer's Decl ration 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 l - ----
RI
Company :
Aj
Ph n / -
Address:
t.icxtmse N 9
Crty/slaw7ip:
Date
Sign Mandatory Meaasures --
Indicate location on building plans of Mandatory Sign Measures Note Block:
Mandatory Sign Lighting Controls
Yes
No
1
§133(a)1, All signs with permanently connected lighting are controlled with an automatic time switch control
that corn lies with the a licable m uireents of 119.
❑
1133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
is
❑
2
Excepdon to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
daylight hours.
❑
:`
1133(a)3. All outdoor signs arc controlled with a dimmer that provides the ability to automatically reduce
❑
sin power b a minimum of 65 percent duringni hours.
httimc hos.
Exception 1 to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours.
❑
3
Exception 2 to 1133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
0
duringda li t hours.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
illuminated si ns or arts of! ns.
❑
§133(s)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
l5 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
TOY104
N/A
4
reccivin a demand res ns_ c signal that is sent out by the local utility.
-0
Y
I N
N/A
Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation,
including but not limited to exit si ns and traffic signs.
❑
❑
2008 Nonresidential Compliance Forms Augrerr 2009
Sign symbol or code i a
rX�, 11
t.
Sign Area (fi)
n
Cr
eo
y
3
A
Internally (1) or
Externally (E)
& V
M
Illuminated
a
e
r'
Allowed LPD
(I m 12 W/R2)
m
o`
M'
(E - 2.3 W/fQ)
d
�}
Allowed Watts
=CxE
cr
o
Total Installed
C
watts for sign
Complies If
��
G<F
o
r
•a
R A
N
From List
Below
� 127 ^
t�'_
u
�•
r
19 Pass
01 Fail
.L
�i