11-0007 (SIGN),M,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: i.11=00000007' '
Property Address: 78590 HIGHWAY 111
APN. 604 -680 -999 -
Application description: SIGN
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 1500
T&f 4 4.Qukz
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
1"t
--------------------------------------------------
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 Lice se No.: 4 82
Date: j � � 1 ontmctor:
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 100
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.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY s
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:
LQPER,MIT
Owner:
SHOVLIN MICHAEL J
Ing
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/11
Contractor: JAN 0'
ry}g
CONNELLY'S LIGHTING & S N VC `t 2 %'
1278 4TH STREET C
NORCO, CA 92860 Ajfi�%j/�Nr.
(951)734-1343 gee
Lic. No.: 495982
-----------------------------------------------
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.
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 FZEMPT Policy Number EXEMPT
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 s ."ct to the orkers' compensa ' n provisions of Section '
` 3700 of the Labor de, hall fo wi h com� ith those provi o
4aCe: 1 pplicant:
/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 information is correct. I agree to comD4Awith all
city and county ordinances and state laws relating to baKing const r ion, and her uthonze repr ent Ives
of this county to enter upon the above-mentioned pr ert f insp ti n p arpo
e
Y°": \ 1 \ Sign re (Applicant or Agent):
Application Number . . . . . 11-00000007
Permit . . . ELEC-ELECTRICAL SIGN.INV FEE
Additional desc .
Permit Fee 60.00 Plan Check
Fee
.00
Issue Date Valuation
0
Expiration Date 7/03/11
Qty Unit Charge Per
Extension
BASE FEE
30.00
1.00 30.0000 EA ELEC.SIGN 1ST CIRCUIT
30.00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL 1 ILLUMINATED CHANNEL LETTER
SIGN PER SA #2010-1502 "SUBWAY".
INVESTIGATION FEE ASSESSED PER 1997
UNIFORM ADMINISTRATIVE CODE §304.5 FOR
WORK BEGUN WITHOUT BUILDING PERMIT. 2007
CODES.
----------------------------------------------------------------------------
Other Fees BLDG STDS ADMIN (SB1473)
1.00
Fee.summary Charged" Paid Credited
--------------------
Due
-------------------------------------
Permit Fee Total 60.00 .00
.00
60.00
Plan Check Total .00 .00
.00
..00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 61.00 .00
..00
61.00
LQPERMIT _
LCL
Ll
APPROVED BY PLANNING DEPARTMENT
By --4,L -- - DATE 3 't
EXHIBIT
CASE NO. 2 h--
•03 L IIUG L -I'03
/ 119 ,1£-.0 L
M
P
b
N,
SPECIFICATIONS
ONE 1) SET INDIVIDUAL L E D FACE ILLUMINATED CHANNEL LETTERS
SIGN AREA= 15.69 SF
LETTER FACES: 3/16" THICK PIGMENTED TRANSLUCENT ACRYLIC PLASTIC (#7328 WHITE & #2037 YELLOW),
TRIM CAP: 3/4" WIDE PIGMENTED POLY -VINYL COATED .020 ALUMINUM (BLACK).
RETURNS: 5" DEEP .040 THICK PRE -COATED ALUMINUM ("RAVEN BLACK") INTERIOR PRE -COATED (WHITE).
LETTER BACKS:.040 THICK PRE -COATED ALUMINUM ("RAVEN BLACK") INTERIOR PRE -COATED (WHITE),
RIVETED TO ALUMINUM RETURNS, SEALED WITH CAULKING.
ELECTRIC FOR LETTERS TO BE 12VDC AXIOM BRILLIANT WHITE L.E.D. INTERNAL ILLUMINATION SYSTEM,
FULLY U.L. APPROVED.
Start Date: 11/10/2010
Last Revision: 11/22/2010
Job#: 70183
Drawing #: 70183_Subway(LaQuinta) R I
Page: I of I
Client Name:
2- 12VOC L.E.D. POWER SUPPLIES
.040
SUBWAY
CIRCUIT
ALUMINUM
Location:
all t lm H ss
RETURN & BACK
78590 NW'4 I I I
400 Kansas St., Redlands, CA 92373
(9091 792-1539 Fax (9091 307.3485
LAQUINTA,CA
Start Date: 11/10/2010
Last Revision: 11/22/2010
Job#: 70183
Drawing #: 70183_Subway(LaQuinta) R I
Page: I of I
ELECTRICAL DATA:
5-
2- 12VOC L.E.D. POWER SUPPLIES
.040
4.0 AMPS
CIRCUIT
ALUMINUM
/
120 VOLTS
RETURN & BACK
LOW VOLTAGE
L.E.D. 112 VDCJ
3/4" TRIM
POWER SUPPLY
CAPPING .�
/
IN METAL TRANS
j
BOX
/
POWER
DISCONNECT
3/16'W.
SWITCH
TRANSLUCENT
PLD(LETTER
/
FACE
120 VAC
j
PRIMARY
POWER TO
SIGN
WHITE
THREADED
L.E.D.
COUPLER
MODULE
/
PASS-FHRU
(WATER -TIGHT
1/4'X 3 1/2'
SEAL)
CAD. PLT.
---
MOUNTING
__114* DIA
BOLTS INTO
PRE -PUNCHED
NYLON SHIELDS
WEEP HOLE
(4 - 5 PER LETTER)
BUILDING —
FASCIA
L.E.D. CHANNEL LETTER DETAIL
ELECTRICAL DATA:
POWER SUPPLIES
2- 12VOC L.E.D. POWER SUPPLIES
AMPS
4.0 AMPS
CIRCUIT
1- 20 AMP DEDICATED CIRCUIT
VOLTS
120 VOLTS
APPROVAL: Ihzve reviewed and app,m d the sego dead, w this d a—g lar IaSrio wn and Imahtian.
•--------------------------------------
fLIfNT APPROVAL
■ NDLORD APPROVAL
0 COPYRIGHT 7009, BY SIONS BY ASI, IK ALL DESIGNS PRESENTED ARF T HE SOLE PROPERTY 01 SIGNS BY ASI. INC AND MAY NOT BE REPRODUCED IN PART OR WHOLE VVIi 11,)
Sales Rep:
Cheryl Loyd
Designer:
Mike Puckett
��
..USTED
y
r
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
January 3, 2011
Ms. Cheryl Loyd
American Sign Industries, Inc.
400 Kansas Street
Redlands, CA 92373
SUBJECT: SIGN APPLICATION 2010-1502: SUBWAY
Dear Ms. Loyd:
(760) 777-7000
FAX (760) 777-7101
The Planning Department has reviewed and approved your request for one building -mounted
sign for "Subway", located at 78-590 Highway 1 1 1, within the 1 1 1 La Quinta shopping
center. The approval is subject to the following Conditions:
1. This sign permit is for one building -mounted sign for "Subway", on the building's south
elevation. The sign materials, location, and illumination are per approved plans on file
with the Planning Department (SA 10-1502).
2. The sign shall not exceed an area greater than sixteen (16), square feet. The sign shall
be centered above the tenant's lease frontage, on the building's south elevation. The
maximum letter height for the sign shall be twenty (20) inches.
3. The applicant shall obtain a building permit for all electrical work prior to placement of
the sign on the building facade.
4. The sign letters, sign size and location shall conform to the approved Sign Program
for 111 La Quinta. (SA 2002-668).
I have enclosed two stamped approved copies of the plan for your records. Should you have
any questions or need additional information, please feel free to contact me at (760) 777-
7125.
Sincerely,
ERICCEJA
Assistant Planner
c: Building & Safety Department
N,ag
Certificate of Com fiance (Sign Lighting)
(Page 1 of 4) SLTG-1C
Project Name:
Date:
Projecctt Address:
Title 24, Parts 1 and 6 of the California Code of Regulations.
b5 (:> 1
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
Location of Sign utdoor Signs ❑ Indoor Signs
Name: 1 La
Phase of Sign Construction ❑ New Signs ❑ Sign Alterations
Signa
2 L�n�V
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)
License number (may be contractor's lic #)
❑ 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.
U 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.
I e 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: 1 La
I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to all
Signa
2 L�n�V
Compan
� Vk C-
Phone
F7 % 41 D 4
Address: , \ Lcxy)S S
1
License number (may be contractor's lic #)
Gate/Zip:
32 3
Date
2. Installation Certificate (to be signed by responsible person after installation)
Permit number
Checked by/Date
(Enforcement Agency 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.
U 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.
-b!— 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: ,
CQ V\9—kk V1 C,S�
Resp sif?le Person's Name- A
\V_1 ,�_,C�
Res le Person's Si etv:
Q
Licensenumber (maybe contractor's lic #)
Date Signed:
Pos'tion With Company:
v
2008 Nonresidential Compliance Forms October 2010
Certificate of Com fiance (Sign Lighting) (Page 2 of 4 SLTG-1C
Project Name:5�
��
Date:
1-4-1
3. Mandatory Sign Lighting Conti is
NOTES:
1. 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 I of
4 on this SLTG-IC shall complete Part 3a. Check Yes or No for all of the following statements:
1
1 have responsibility for installing the sign lighting controls
NA
❑ Yes, complete parts 3a and 3b of this form E*4% complete part 3a of this form
2
There are no existing sign lighting controls and I 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
NA
❑ Yes ❑ No
da li ht hours.
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and I will be
4
installing compliant sign lighting controls
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
❑ Yes ❑ No
I N
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
❑
❑ Yes ❑ 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 lighting control requirements, that person shall answer all of the following uestions:
If there are construction documents, indicate where on the building plans the
ma datory 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)1 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.
C� ❑
❑
2
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
Y
NA
da li ht hours.
❑
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
Y
I N
NA
sign ower by a minimum of 65 percent during nighttime hours.
❑
❑
6 --
Exception 1 to§133(a)3. Si s illuminated for less than one hour per da during daylight hours.
! P Y gC141-
Y
NA
❑
3
Exception 2 to §133(a)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 signs.
❑
d2 --
§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 power by a minimum of 30 percent when
Y
I N
N/A
4
receiving a demand response signal that is sent out by the local utility.
❑
❑
J]
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 si and traffic signs.
❑
DL—
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
R,
ITI
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OPTIONAL - ENERGY VERIFIED
label (see instructions below)
Ci
00
fD W
cy
C ° N
°I
Sign Area (ft')
d
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Total Installed watts for
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Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTG-1C
Project Name:
U�0
Date:
— —
5. Specific Lip-hting Source Method f 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 lighting power method of compliance)
A
B
C
D
E
OPTIONAL
Field
ENERGY
Specific light source used for
Symbol
VERIFIED
compliance
Inspector
or
Description
label
Shall include only lighting
Check that
Code
(see instructions
technologies listed below
Sign
below)
List all that apply
Complies
S1
❑
-7
❑
❑
❑
❑
❑
❑
❑
❑
❑
bol or code used on the lans when lans are uired and other documents.
A narrative description of the sign,or location of signon the building; and the location of signon construction documents
rBS
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 ISOAEC 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,
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-
om liance_Specific
SpecificLight Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers I through 10 that apply in column D above for each row.
1
High pressure sodium lamps
2
Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficient
3
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% 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
D
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 emitting diodes (LEDs) with a power supply 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
This page
doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Bin #
Permit #
Project Address: S Q
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, (A 92253 - (760) 777-7012
Building Permit Application and ?racking Sheet
1 Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor: e—``L14
IL � �h
City, S.I., Zip.
Telephone:
Address: a—) S
Project Description:
City, ST, Zip: YJOr GU C A
92Fi(od
� J l � S UQ
Telephone: 95� 7 3 V /3i(
[It QsA el L9 42_4f_LS
State Lic. #
Arch., Engr., Designer:
"City#
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
1
Construction Type: Occupancy:
Project rype (circle one): New Add'n Alta Repair Demo
Sq. FL: �'C
# Stories:
# Units:
Telephone # of Contact Person: �j
�2 0
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Cbcck Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecbanteal
Grading plan
2'! Review, ready for correctionvissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pla--ff—ns picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''� Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,LP.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees