08-1729 (SIGN)h� f�'�GfGti
P O =B.OX -1504 : ' VOICE (760) 777-7012
t ,00,
'78-495 CA'LLE TAMPICO- I I • , - FAX (760) 777-7011
LA QUINTA,.CALIFORNIA 92253, -BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77777153
BUILDING PERMIT
- Date: 10/20/08
Application Number: 08-00001-729--� Owner:
Property Address: 8611 HIGHWAY 111 SIMON PROP r
APN: 643-220-007- - C/O FRED J SIMON SR
Application description: SIGN TENANT / KEN GARFF
Property Zoning: REGIONAL COMMERCIAL LA QUINTA, CA 92253
,Application valuation: 2000
d
r•
_ � Contractor:
Applicant: Architect or Engineer: IMPERIAL SIGN CO, IN OCT
46 . 12 0 CALHOUN STREET 2O2008 1
INDIO, CA 92201
t (760) 347-3566 CTYOF1,gQUINTA -
Lic. No.: 207136 AIVCEDEpr
--------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Prnfessionals Code, and my License is infullforce and effect. - - - - I have and will maimain a certificate of censeni to Self -insure for workers* compensation, as provided'
license Class: C45 D38 C1 License No.: 207136 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: 10 Zo-09 Contractor: _ _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1424837-2008
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwit comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by \ _Zp --y
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: f Applicant: /l `•'-"""�
(_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). -IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _
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.). APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenctfd
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY .permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection poses.
Lender's Name:
'
Date :�0 Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
. .". _ Application -Number. A8-00001729
• _ J Permit ' . . y .ELEC-iELECTRICAL` SIGN
- Additional desc
• r Permit Fee 30:00 Plan Check Fee .00
Issue Date'
Valuation ,.:. 0 '
1 _Expiration Date.. 4/18/09
- Qty. Unit.Charge Per Extension
BASE FEE-- A 15.00
1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15:00
` ------------------------------ -------------
------r------------------------------
`Special Notes and Comments
(2)'NON-ILLUMINATED SIGNS AND '
(1)'ILLUMINATED MONUMENT SIGN PLACARD `
"KEN GARF" SA -2008-.1321 .
Fee summary. Charged Paid. Credited Due
Permit Fee Total 30.00 .00 .00 30.00
Plan Check Total .00 .00 .00 :00
Grand Total 30.00 .00 .00 30.00
1
LQPERMIT "
r
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # /Z
`
Project Address: -7 6 ( W `
Owner's Name:
A. P. Number:
Address:' nou
Legal Description:
City, ST, Zip:
Contractor: 7.� is,I
Telephone:
Address: yC, - mo Cat Loc, S f
Project Description:
City, ST, Zip: i o 6A cj Z20
Telephone: _
State Lic. # : .20?/3 (p City Lic. #: 22
Arch., Engr., Designer: r�
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: J t� (� J r
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: %0 _ 30'7 7 — 3 S1
Estimated Value of Project:=00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Energy 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 corrections/issue
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
(Part 1 of 2)
OLTG-1-C -
.VVLVI IYNYIC
•
i -
OLTG-1-C -
.VVLVI IYNYIC
-
•
DATE
PROJECT ADDRESS
Buildino Permit
PRINCIPAL DESIGNER -LIGHTING
TELEPHONE
Imperial -Sign
760-347-3566
DOCUMENTATION AUTHOR
TELEPHONE
Checked bv-71399
James N.
Engle Jr.
760-347-3566
EnfarcementAgency Use
GENERAL INFORMATION
DATE OF PLANS
OUTDOOR LIGHTING ZONE (✓One ❑ LZ1 ❑ LZ2 ❑ LZ3
❑ L74
FUNCTION TYPE
❑ OUTDOOR LIGHTING
® OUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION
❑ NEW CONSTRUCTION
❑ ADDITIONS❑ALTERATIONS
STATEMENT OF COMPLIANCE
This Carfifi—fn of r`n . i:--- r .�
-- ---' ---"--'-"•" ••y^"•'a "7�•0"' aNcawnww115 ntvu w wrrr,ply vnut I me Z4, eans l ana b or the Galitomia Code of
Regulations. This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documen ' n is accurate and complete.
I
James N. Engle
The Principal Lighting Designer hereby certifies that e p ed outdoor Ii ' g and igns design represented in this set of construction documents
is consistent with the other compliance fortis and sheets, with the specifications, and with any other calculations submitted with this permit
application. The proposed building has been designed to meet the lighting requirements contained in the applicable parts of Sections 110, 119,130
through 132, 146, and 149 of Title 24, Part 6. Please ✓ one-
❑ I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible'for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed
architect.
❑ 1 affirm that I am eligible under the provisions of Division 3 of the'Business and Professions Code by section 5537.2 or 6737.3 to sign this
document as the person responsible for its preparation; and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a`'
structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537,5538 and 6737.1.
ese sections of the Business and Profes ' rinted in full in a No e ' ential Manual. ,
PRINCIPAL LIGHTING DESIGNER -NAME SIG TU DAA • UC � '
James N. Engle., Jr. -.
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WO SHEETS (✓ box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the Califomia'Energy Commission.
® OLTG-I-C Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be
incorporated in schedules on the plans.
Either LTG -1-C or OLTG-I-C maybe used for signs as follows: '
1. Use LTG -1-C if the project consists solely of indoor -signs
2. Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting. -
3. Use OLTG-I-C if the project consists solely of outdoor signs -
4. Use OLTG-I-C if the project consists of outdoor lighting, and indoor 6r outdoor signs, but no other indoor
li iihtinq
® OLTG-2-C LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for .
Si ns
® OLTG-3-C AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
® OLTG-4-C SIGN LIGHTING COMPLIANCE. Required for all internally and fll If(tAnr cin— extemally illuminated signs, for both indoor and:,'
2005 Nonresidential Compliance Forms
Apfi12005 • •
J
i
N
Electronic Ballasts with
v7
Output Frequency of
E
20kHz or more
'n
ID o
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Ir
CFLs not containing
,
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Medium Screw Base
LVL
I�
0
Sockets
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Barrier Coat Fluorescent
p
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Lamps (includes most T5
-
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and T8 lamps)
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w
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Light Emitting Diode
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(LED)
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Neon and Cold Cathode
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Pulse Start or Ceramic
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Metal Halide
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High Pressure Sodium
Is G Smaller than K?
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m Total Designed
m
D Sign Input watts
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m
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of Ballasts.
In Signs
o
=° Number of OR
Q
m Lineal Feet of Lamps
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(D X F)
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Q
(W / ft�
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Internally (1) OR
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CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROJECT NAME
Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
® Lighting power allowances for general site illumination on OLTG2-C Part 1 of 4
❑ Not Applicable
® Lighting power allowances for local ordinances or for security multipliers on OLTG2-C Part 2 of 4
❑ Not Applicable
® Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG2-C Part 3 of 4
❑ Not Applicable
' • � Lighting power allowances for vehicle sce.station canopies on OLTG2-C Par4of 4
❑ Not Applicable
® Sign lighting compliance on OLT_G4-C
❑ Not Applicable
Mandatory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
Indicate location on plans of Note Block for Mandatory Measure
❑ Installed lighting power has been determined in accordance with § 130(c)1
❑ Not Applicable
❑ All permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are
controlled by a motion sensor § 132(a)
'❑ Not Applicable '
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and
all outdoor sales areas meet the Cutoff Requirements of § 132(b)
® Not Applicable
❑ All permanently installed outdoor fighting meets the Control Requirements of § 132(c)1
® Not Applicable
• r -
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of 132 c 2
❑ Not Applicable §
MANDATORY AUTOMATIC CONTROLS.
CONTROL LOCATION CONTROL
IDENTIFICATION CONTROL TYPE AREA CONTROLLED NOTE TO
Auto Time Switch/Photosensor, etc FIELD
T-101 Timer
Timer All Si ns
- ------------
April 2005
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