12-0863 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X12 -00.0.0.0.8.6.%w
Property Address: 78575 HIGHWAY 111 STE 300
APN: 643-020-002- - -
Application description: SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 2500
Applicant:
Architect or Engineer:
P( P
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.
Li��/�censt;e las : D42 C45 Li nse No.: 830131
�a. r t 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 155001.:
(_ 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:
v
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: Pt tA
LQPERMIT
Owner:
JDD LLC
78555 HIGHWAY 111
C/O DALE F FRANK JR
LA QUINTA, CA 92253
Contractor:
SIGNARAMA
41945 BOARDWALK, "L"
PALM DESERT, CA 92211
(760)776-9907
Lic. No.: 830131
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/02/12
D '
AUG 0 2 2012
CITY QF LA QUINTA .
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of conserit 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
., A issued.
VAI 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 becme sub- ct to the wor rs' compensation provisions of Section
3700 of the Labor Cod he forth ith comply wi those provisions.
c plicant:
WARNING: FAIL RE 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 inform tion is correct. I a ree to comply with all
city and county ordinances and state laws relating to buitdi construc ' n, and hereby au orize representatives
of thi(so nt to enter upon the above-mentioned op rty or inspec on purposes.
Sig ature (Applicant or Age
Application Number . . . . . 12-00000863
Permit . . . ELEC=ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 1/29/13
Qty Unit Charge Per
Extension
-• BASE FEE
15.00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
15.00
------------- --------------------------------------------------------------
Special Notes and Comments
(1) INTERNALLY ILLUMINATED CHANNEL
LETTER SIGN -PER SA # 2012-1621 "TICOR
TITLE". 2010 -CODES.
=
---------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 30.00 .00 .00
30.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 31.00 .00 .00
31.00
sin.#
CI Of La Quinta
Budding 8L Safety Division
P.O. Box 1504,78-49S Calle Tampico
La.Quinta, CA 92253--:(760) 777-7012
Building Permit •Application and Tracking Sheet
Permit # , �(D�j
o
Project Address: ` 7S
Owner's Name:. T, D iL. V D
A. P. Number.
Address:
- d .
Legal Description:
Contractor. /
City, ST, Zip.
Telephone: �/,p - 7Y�,`�.�,. st'�'°
Address: ( aAft-DW44
Project Description:
City, ST, Zip:
Telephone: % o —
State Lia
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lia #:
Name of Contact Person:
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Pelson:
Estimated Value of Project: 4j<--tW 3-1)
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRAC UNG
PERMTI FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2'' Review, ready for correctionstissue
Electrical
Subeontactor List
Caned Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.T.P.Y.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
a
Certificate of Compliance (Sign Lighting)
Pae 1 of 4) SLTG-1C
Project Name:
�
Date: 71304�
Title 24, Parts I and 6 of the Califomia 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
Project Address:
Name:
TFFARA 6�
57 00 ; n
Location of Sign ❑ Outdo6r Signs ❑ Indoor Signs
Address:q/ .0
Phase of Sign Construction ❑ New Signs ❑ Sign Alterations
City/State/Zip:
I'as l
Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls
❑ Not Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
Q
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power
❑ Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be 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.
• 1 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 Califomia 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:
TFFARA 6�
Signature
Company:
Si - -
Phone
Address:q/ .0
License number (may be contractor's lic #)
City/State/Zip:
I'as l
Date
7- 36-
2. Installation Certificate (to be signed by responsible person after installation)
Permi;tluurnkec
A Uie- ' ,
checked Dy/Date: .: ...
Enrbmemeat A Use
Installation Declaration statement
• I certify under penalty of perjury, under the laws of the State of California, the information on this form is true
provided 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 construction.
• l 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.
• 1 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 N e:Responsible
69,01C
Person' gna t:
Q
License number (may be contractor's lic #)
Date Signed:
Position7114
pa3
7- 30 �r2✓A
wua rvonresiaenuat Compliance Forms July 2010
Certificate of Compliance Sin Lighting)(Page 2 of 4 SLTG-1C
Project Name: l
Dntc:
3. Mandatory Sign Lighting Controls
NOTES. -
I. The Afandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. The same
responsible person stay install both the sign and the sign lighting c•ontruls, ,or a different responsible person may install the
sign lighting controls than the responsible person installing the sign.
2. U' the person responsible Jor installing the .sign is not also responsible Jor the sign lighting controls, then the owner oJ'the
sign, general contractor, or architect shall he responsible to have the sign lighting controls installed.
3. If more than one person has responsibility Jor compliance, each person shall prepare and sign a Certificate of Compliance
and an installation Certif tate applicable to the portion oJ' c•onstntction for ►vhich they are responsible: alternatively, the
person tvith chieJ'responsibility for c•onstntc•tion shall prepare and sign the Certificate oJ'Compliance Declaration Statement
or the entire constnrction.
3a. Statements of Responsibility:
The person signing the Certificate of Compliance Declaration Statement shall check Yes or No for -all of the following statements:
1 I have responsibility for installing the sign lighting controls
❑ Yes, complete parts 3a and 3b of this form J& No, complete part 3a of this form
2
There are no existing sign lighting controls and 1 will be installing compliant sign lighting controls
❑ ❑
❑ Yes No
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
§133(a)l and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo
❑ Yes M No
NA
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and 1 will be
4
installing compliant sign lighting controls
CIA
❑ Yes lZNo
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and someone else
5
will be responsible to install compliant sign lighting controls
NA
❑ Yes 1151 No
3b. Mandatory Sign Lighting Controls
The person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if they are
responsible for complying with the sim,lighting control requirements.
If there are construction documents, indicate where on the building plans the
in datory measures(sign lighting control note block can be located:
1
§133(a)1. All indoor sign lighting is controlled with an automatic time switch control that complies with the
Y N
NA
applicable requirements of § l 19.
❑ ❑
§133(a)l and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo
Y N
NA
2
control or an outdoor astronomical -time switch, that comply with the applicablerequirements of 4 119.
CIA
❑
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
Y
NA
daylight hours.
All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
C3§133(a)3.
Y
N
NA
sign power by a minimum of 65 Percent during nighttime hours.
❑
❑
Exception 1 to §133(x)3. Signs illuminated for less than one hour per day during daylight hours.
Y
NA
3
❑Y
Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during
A
daylight hours.
Exception 3 to §133(a)3.Only metal halide, high pressure sodium, cold cathode, or neon lamps used for
❑Y
10
NA
illuminatingsigns or arts of signs.
§133(a)4. An Electronic
❑
Message Center (EMC) having a new connected lighting power load greater than
15 kW has a control installed capable of reducing the lighting
Y
N
N/A
4
power by a minimum of 30 percent when
receiving a demand response si nal.that is sent out by the local utility.
O
O
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.
Field inspector Notes: ❑
2008 Nonresidential Compliance Forms
July 2010
Certificate of Compliance (Sign Lighting) Pae 3 of 4 SLTG-1C
Project Name: ( AN . Date:
4. Maximum Allowed Liahtina Power Meth d 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 S
of this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance)
A
B
C
D E t F I G
H
I
J
Allowed Watts
Design
Complies'?
g
Watts
Y/N
A
Field
Inspector
.�
y
v
o
�i
c w
q �,
\
u.
3
z
Check that
4.
. Sign
Complies
Q
1.02
c
a
Ey
U
Description
a0
❑
❑
1]
❑
❑
❑
❑
❑-
❑
❑
❑
A
Symbol or code used on the plans when plans are required) and other documents.
B
A narrative description of the sign. or Vocation 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 Laboratory
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) or International
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 'I' are not required to be filled out. Note: Using a label is an optional method to validate compliance. A label is
not needed for compliance.
signarea insquare feet.
List "I" if the signis internal) illuminated. List "E" if the sign is external) illuminated.
EFGThe
Allowed watts r uare foot. Enter 12 if the si is listed as "I" in column E. Enter 2.3 if si is listed as "E" in column E.
Multi I the s uare foots a in column;[) times the allowed Li htin Power Densi LPD = watts in column F.
Show the total installed watts in the si 'n, as determined according to the applicable provisions of § 130(d or e).
I
Enter Y if the number in column H is fess than orequal to the number in column G. Otherwise, the sign does not comply,
J
This page doubles as afield ins ction checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
��__.....---..._..
Certificate of Compliance &Rn Lighting) (Page 4 of 4 SLTG-1C
Project Name:
Date:
5. Specific Liehtin¢ Source Met od otConipliance .
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs�using the Specific lighting source method of compliance. (Compictc part 4 of this
Certificate of Compliance if there signs using the maximum allowed lighting ower method of compliance)
A
13 '
C
D
B
OPTIONAL
UL
Specific light source uscd for
FIS -
Symbol
{
or other
compliance
Inspector
iiOor
Description
label
Shall include only lightingi
cil~.that
Code
inst(S ons
technologies listed below
Sign
Com lips
below)
List all that apply
o...
... o .
❑
❑
°
_ --E3
t
O
❑.
O
p
A
Symbol or code used on the lana when Diang arerequired) and
other documents.
8
C
A narrative description of the sign. or I '' tion of signon the buildin • and the location of signon construction documents
OPTIONAL - Check this box only if t E s sign has a factory
permanent, pre-printed, -installed label, listed with Underwriters,Lfbtiratccy
or other testing laboratory accredjted by the National Voluntary Laboratory Accreditation Program (NVLAP) or International -
Stan(UL
Standards Organization (ISO) 17025 in:accordance with ISO/lEC 17011 with the products produced underan ongoing inspection program
carried out by a Type A inspection to accordance with ISO/IEC 17020,
confirming that this sign complies with the Section 148 of -the
California 2008 Title 24, Part 6 Stan *, using the Specific Lighting Source Method of Compliance. For signs gns with such a label; column
'D' is
not uired to be filled out. Noti: Usinga label is an optional method to validate compliance. 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 applicable numbers I through 4",Q that aPPlY in column D above for each row.
I High Dressure sodium i
2 Pulse start or ceramic me (halide lamps served bv a ballast with > 88% efficient
3 Pulse start metal halide la ''''s that are < 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast
with > 80% efficient �.
4 Neon or cold cathode lam';'with transformer or power SUPPIX efficiency -1- 75% with rated output Current < 50 mA
S Neon or cold cathode lamp'"iiwith transformer
p
or power supply efficient a 68% with rated output current > 50 rttA
6 Fluorescent lamps with a mnimum color rendering index (CRI) of 80
Note: when usin electrorl ballasts for compliance, lamps with a CRI < 80 may be used
7 Li t ernittin diodes LE with a Power supply with > 80% efficient
Single voltage LED externa4![Power supplies designed to convert 120 AC
volt input into lower voltage DC or AC
8 output. having a nameplate output power less than or equal to 250 wal and certified to the Energy Commission
com l in with
as
the a licable r uirements of the A liance Efficient Re ulations Title 20
9 Compact fluorescent lamps do not ..
,ghat contain a medium screw base sockets E24 .. ' _
IO Electronic ballasts with a "'damental output f
E
uenc 2:20 kHz
This RaKe doubles as a field inseecdn., . i... �t:..
r+eao Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
169.9"
17.75' 1T. J� TICOR TITLE COMPANY
J 5,
Internally Illuminated
Acrylic Faced Channel Letters
Depth: 5"
Acrylic: 1 /8"
Face Color: Black & White
Return Color: Black
Trim Color: Black
Mounting: Back
Standoff: 3/4"
Neon Color: White
N
Internally Illuminated
a
Acrylic Faced Light Box
®6
Depth: 5"
z ,�
'z
Acrylic: 1/8'
Face Color: Black & White
Return Color: Black
a
Trim Color: Black
m
Mounting: Back
w :"
Standoff: 3/4"
a
Neon Color: White
a
}x
amfi
Total Sign Area: 20.9 S.F. Customer: Telephone: Jobsite: Customer Approval:
Logo Area: 2.o S.F. Ticor Insurance Of Calif. Fax: Same
under 10% of total sign area Address: Landlord Approval:
78-575 Hwy Ill, Suite 300
Total Business Frontage: 38 L.F. La Quints, CA. 92253
I
N
Contractor's Lic # 830131 C45, C61/D42
DW No.: Q25624 Rev: 1
g'
YOUR SIGNATUREACKNOWLEDGES FULL APPROVAL OFDESIGN CONTENT
S►GN A RAMA
AND LAYOUT, RELEASING SIGN'A'RAMA FROM RESPONSIBILITY IN REGARD
WorkersCom #1938807
P•
Date: 062612
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OFACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
41-945 Boardwalk Suite L.
Palm Desert, Ca. 92211
BE MATCHED AS CLOSEAS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
760.776.9907
City Lic. #
Designer: JT
THIS DESIGN IS PROPRIETARY PROPERTY AND MAYNOT BE USED WITHOUT
760.776-9844 Fax
THE EXPRESSED WRITTEN CONSENT OF SIGN'A'RAMA.