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13-1095 (SIGN)1 ' i P.O. BOX 1504 78-495 CALLE TAMPICO LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001095 Property Address: 78483 HIGHWAY 111 APN: 604-050-005-6 -000000- Application description: SIGN Property Zoning: COMMUNITY COMMERCIAL Application valuation: 3000 Applicant: - Architect or Engineer: -------------------------------------------------- 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 Licens ' ull force and effect. License Class: C45 w LicenseNo.: 6.89. 6 L/ Datey IL I QVC ontracIor: 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).: (_ 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 ISec. 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 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: LQPEPMIT Owner: HARSCH INVESTMENT REALTY 1121 SW SALMON STREET PORTLAND, OR 97205 (503)973-0225 Contractor: RIOFINE NEON SIGN COMPANY INC 68895 PEREZ ROAD, I-18 CATHEDRAL CITY, CA 92234 (760)321-0484 Lic. No.: 689256 9 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/13 ----------------------------------------------- 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. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor de, 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 9052199 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person m any manner so to become subjgct to the workers' compensation laws of California, and agree that, if I sh u d co a bject to the workers' compensation provisions of Section 3700 of the Labor d , I for with comply with those provisions. vuate!� "App WARNING: 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 ation is correct. I agree to comply with all city and county ordinances and state laws relating to buil ' n ructio and hereby authorize representatives of this county to enter upon the above-mentioned prope y f r in ection rposes+ mate: 'If. Signature (Applicant or Agent): a LQPERAI IT Application Number 13-00001095 Permit . . . ELECTRICAL 2013 - Additional desc . Permit Fee . . . . 35.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/11/14 Qty Unit Charge Per Extension. 1.00 35.7500 EA. ELEC SIGNS 35.75 Permit SOTB 2013 , Additional desc . Permit Fee 48.62 Plan Check Fee .00 -Issue Date . . . . Valuation 0 Expiration Date 3/11/14 Qty Unit Charge Per Extension 1.00 24.3100 LS MISC WALL SIGN, FIRST 24.31 1.00 24.3100 EA MISC WALL SIGN, ADDL ----------------------- 24.31 ----------------------------------------------------- Special Notes and Comments SIGN - (2) NEW PERMANENT BUILDING MOUNTED ILLUMINATED CHANNEL SIGNS PER ATTACHED APPROVED SA 2013-1722, BEER HUNTER. 2010 CALIFORNIA BUILDING CODES. September 12, 2013 12:18:33 PM azarco. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 47.67 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, SOTB 110.11 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 84.37 .00 .00 84.37 Plan Check Total .00 .00 .00 .00 Other Fee Total 249.35 .00 .00 249.35 Grand Total 333.72 .00 .00 333.72 LQPERAI IT Bin # City of La Quint'a 406 • C*40 -Building & Safety Division(o 27201 3 P.O. Box 1504, 78-495 Calle Tam -pp, i�)' La Quinta, CA 92253 - (760).777-7012 71--Y U, QA Y' Building Permit Application and Tracking Shee Permit# D ` Project Address: UAW Q��. Owner's Name: ARGO A. P. Number: I I Address: 112ISW Legal Description: ri Contractor: Address: bb%R5• City, ST, Zip:?v:"rnr)A telephone-, -C ()22 V-- Project Description: City, ST, Zip: Telephone. State Lic. #: Z City Lic. #, &A -e Arch., Engr., Designer. Address: City., ST, Zip: Telephone: K• M State Lic. Construction Type: w" L -VI Occupancy: Project pe (circle one)( New) Add'n Alter Repair Demo Name'of Contact Person: Sq. FL; # Stories: I # Units: Estimated Value of Project:. Qt Telephonq #,of Contact Person: APPLICANT: # Submittal Req'd Rec'd Plan Sets DO NOT WRITE BELOW THIS LINE TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Structural Cates. Truss Calcs. Called Contact Person Plan . Check Balance Title 24 Cales. Plans picked up Construction Flood plain plain Plans resubmitted Mechanical Grading plan 2*' Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing 'umbIng Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading Grading IN HOUSE:- Reyiew, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit rcc3 Certificate of Compliance (Sip Lighting) (Page 1 of 4) SLTGIC Project Name: The Beer Hunter Date: 8-23-13 Project Address: 78483 Highway III La Qu i nta, CA 92253 Location of Sign Q Outdoor Signs [3 Indoor Signs Phase of Sign Construction ONew Signs ❑Sign Alterations Tv pe of Lightinp, Control ❑ New Li ghting Controls ORe laced Lighting Controls ❑ Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) ❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power ❑ Specific Lighting Sources 1. Certificate of Compliance Declaration Statement (this maybe a CIO, C45 or other eligible person) I 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 1 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, workshectA cWrulafions, plans and specifications submitted to the enforcement agency for approval with this building permi li on. Name: Katelynn Quinn Signature company: Riofine Neon Sign Company Inc Phone760-321-0484 Address: 68895 Perez Rd. 1-18 Cathedral City, CA License 689256number (maybe contractor's lic #) City/State/zip:Cathedral City, CA 92234 Date8-23-13 2. Installation Certificate (to be signed by responsible person after installation) Permit number Checked by/Date (Enforcement A encv Use (Enforcement Agency 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. I 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 construction. I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. I certify that the requirements detailed on this Certificate of Compliance have been met. I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand 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: Responsible Person's Signature: License number (may be contractor's lic #) Date Signed: Position With Company: 2008 Nonresidential Compliance Forms October 2010 Certificate of Compliance (Sign Lighting) (Page 2 of 4) SLTG-1C Project Name: Date: The Beer Hunter 18-23-13 3. Mandatory Sign Lighting Controls NOTES: L The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power_ 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement or the entire construction. 3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on page 1 of 4 on this SLTG-1 C shall complete Part 3a. Check Yes or No for all of the following statements: esponsibility for installing the sign lighting is complete parts 3a and 3b of this form No, complete art 3a of this form re no existing sign lighting controls and I wi installing compliant sign lighting controls V No so mzompily re no existing sign lighting control:to e will be responsible to install compliant sign lighting controls re existing sign lighting controls thnot titalling with the applicable provision of §119 and §133 and I will be g compliant sign lighting controls + No re existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and someone else responsible to install compliant sign lightin trols No 3b. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-IC is responsible for complying with the sign lightinglightiag control requirements. that person shall answer all of the fbllowing questions: If there are construction documents, indicate where on the building plans the mandatory measures(sign lighting control) note block can be located: §133(a)1. All indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA 1 applicable requirements of § 119. ❑ ❑ ❑ §133(a)l and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo Y N NA control, or an outdoor astronomical time switch, that comply with the applicable requirements of § 119. ❑ ❑ ❑ 2 Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during Y NA daylight hours. ❑ ❑ §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y N NA sie power by a minimum of 65 percent during nighttime hours_ ❑ ❑ ❑ Exception 1 to §133(a)3. Signs illuminated for less than one hour per day during daylight hours. Y ❑ NA ❑ 3 Exception 2 to §133(2)3. Outdoor signs in tunnels or large covered areas that require illumination during Y NA daylight hours. ❑ ❑ Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for Y NA illuminating signs or parts of sig Lis. ❑ ❑ §133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than Y N N/A 15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when ❑ ❑ ❑ 4 receiving a demand response signal that is sent out by the local utility. Exception to §133(a)4. EMC required by a health or life safety statue, ordinance, or regulation, including Y NA but not limited to exit signs and traffic signs. I❑ ❑ Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010 Certificate of Compliance (Sign Lighting) (Pa e 3 of 4) SLTG-IC Project Name-. Date: The Beer Hunter 8-23-13 4. Maximum Allowed Lighting 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. (Complete part 5 of this Certificate of Corn hancc if there are signs using the Specific 1i litinsources method of compliance) A B C D E I F G H I J Ca Allowed Watts Design Complies? Watts Y / N a� > a w U ,� o O w N O W rti C. VJ � y 3 V I x ° "' w Field o w ,., Q °�° Inspector rn z o .. �' 1~ 0 ¢ Check that Sign F Complies Description ✓ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ A Svmbol or code used on the plans when plans are re uired} and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, 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. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized C by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, columns `D' through `I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. D The sign area insquare feet. E List " P' if the sign is intemally illuminated. List "E" if the si&E is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E. G Multiplv the square foots a in column D times the allowed LiEtting Power Density (LPD = watts) in column F. H Show the total installed watts in the sign, as determined according to the applicable provisions of $130 d ore . I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comely. J This page doubles as a field inspection checklist. Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010 Certificate of Compliance (Sign Lighting) (Page 4 of 4) SLTG-1C ProectName:The Beer Hunter Date:8-23-13 5. Specific LiEhting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this Certificate of Compliance if there are signs using the maximum allowed li 3liting power method of compliance j A B C D E OPTIONAL Specific light source used for Field ENERGY Symbol VERIFIED compliance p Nance Inspector Check that or Description label Shall include only lighting Sign Code (see instructions technologies listed below Complies below) List all that apply CL Illuminated Channel Letters D LED(Complies with D-7) ❑ ❑ ❑ ❑ ❑ © ❑ © ❑ A I Svmbol or code used on the plans (when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents C OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, 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. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISOAEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column `D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance_ An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers (1 through 10) that apply in column D above for each row. 1 High pressure sodium lamps 2 Pulse start or ceramic metal halide lams served by a ballast with > 88% efficient Pulse start metal halide lamps that are:5 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast 3 with >_ 80% efficient 4 Neon or cold cathode lamps with transformer or power supply efficiency>_ 75% with rated output current < 50 mA 5 Neon or cold cathode lamps with transformer or power supply efficiency>_ 68% with rated output current > 50 mA p 6 Fluorescent lamps with a minimum color rendering index (CRI) of 80 (Note: when using electronic ballasts for compliance, lamps with a CRI < 80 may be used) 7 Light emittin diodes (LEDs) with a power supp!X with > 80% efficiency 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 complying with the applicable requirements of the Appliance Efficiency Regulations (Title 20) 9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26) 10 Electronic ballasts with a fundamental output frequency >_ 20 kHz E I This page doubles as a field inspection checklist. Field Inspector Notes: 2008 Nonresidential Compliance Forms October 2010