2011-1559 (SIGN)P.O. Box 1504
LA QUI NTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
October 25, 2011
Mr. Bill Sigurdsen
Sign -a -Rama
41-945 Boardwalk, Suite L
Palm Desert, CA 92211
SUBJECT: SIGN PERMIT APPLICATION 2011-1559.
BELLA SMILES DENTISTRY
(760) 777-7000
FAX (760) 777 -71 -01 -
Dear Mr. Sigurdsen:
The Planning Department has reviewed and approved your request for one building -
mounted, illuminated channel letter sign ("BELLA SMILES DENTISTRY"),, located at
78-640 Highway, 1 1 1 in the One Eleven La Quinta commercial center. The .
approval is subject to the following Conditions of Approval:
,
1. This sign permit 'grants one permanently -mounted illuminated building
identification sign. The total square footage for the building -mounted sign
will be no greater than approximately 33.00 square feet.
2. The. sign will be mounted on the south building elevation as shown on the
exhibit.
3. The sign shall conform to the approved sign program for the One Eleven La
Quinta center.
Should :you have any questions .or need additional information please feel free to
Associate Planner
C:
Building & Safety Department
MAddfess:
ate of Com fiance Si n Li htin
(Pa e i of 4) SLTG;; C '
e: L 1 G /1 f care:
ress: (�ti d�tdoorSigns O Indoor Signs
i Sign �je Signs O Sign Alterations
ign Construction htin Control ew Li htin Controls O Re laced Li htin Controls O Not Installin Li htin ttontra sificate of Compliance includes the following components (check all that apply)
❑ Mandatory Measures (Lighting Controls) O Maximum Allowed Lighting Power O Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be a C 10. C45 or other eligible person) -
• 1 certify under penalty of perjury. under the laws of the State of California, the' information provided on this form is trueand
correct.
• 1 am eligible under Division 3 of the California Business and, Professions Code to accept responsibility for the lighting design.
• atures and performance specifications required for compliance with
This Certificate of Compliance identifies the lighting fe
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 documene
this design on the other applicable compliance•fotms, worksheets. calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit applic '
Signature
olf
Name: -��. % l / rZ/Af
Company : Ph e V 6 .L� q O 7
Address: J J
VV,- License number (maybe contc�Q's, lie #)
t- q H o .� t�ra�- l T�
City/State/Zip: Date
•` L c,s
2. Installation Certificate (to be signed by responsible Person after installation)
Permit number
Checked by/Date
seem Agawy Use '
Enforcement Agemy Use
Installation Declaration statement
California, the information on this form is true and
1 certify under penalty of perjury, under the laws of the State of provided
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.
•' I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to a
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.
• 1 will ensure that a completed, signed copy of this installation Certificate shall be posted, or made available with the building
permits) issued for the building, and made available to the enforcement agency for all applicable inspections.,, l understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder providCt2, to the
building owner at occupancy.
Company Name: T,
Responsible Person's Name:
Responsible Person's Signature:
License number (may be contractor's lic #)
Date Signed:
Position With Company:
2008 Nonresidential Compliance Forms July 2010
Certificate of Compliance (Sign Lighting) _(Page 2 of 4 SLTG-IC
Project Naine:
Datc:
If there are construction documents, indicate where on the building plans the
mandatory measures(sign lighting control note block can be located:
3. Mandatory Sign Lighting Controls
,VOTES.-
UTES.1.
I.The Mandatory Measures (sign lighting controls) etre required for compliance ►with the sign lighting Standards. The same
responsible person ►nay install both the sign and the .sign lighting controls. or a different responsible person muvirdtah!,i te`
sign lighting controls than the responsible person installing the sign.
1. /f the person responsible for installing the sign is not also responsible fvr the sign lighting controls, then the oxner of the
sign, general contractor, or architect shall be responsible to have the sign lighting controls installed—.1—'
3. If ,Wore than one person has responsibility for compliance, each person shall prepare and sign a Certificate of Compliance
and an Installation Certificate applicable to the portion of constniction for which they are responsible; alternatively,. the
person with chief responsibility for constniction shall prepare and sign the Certificate of.Compliance Declaration Statement
or the entire construction. _
3a. Statements of Responsibility:
The erson signing the Certificate of Compliance Declaration Statement shall check Yes or No for all of the followinig statements.
I
l have responsibility for installing the sign lighting controls
co l with the applicable requirements of 119. ❑
Exception to §133(x)2. Outdoor signs in tunnels or large covered areas that require illumination during Y
❑ Yes, complete parts 3a and 3b of this form o, complete part 3a of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes o r... .
3
There are no existing sign' lighting controls and someone else will be responsible to install compliant sign lighting controls.
3
❑ Yes No
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
❑ Yes No
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and someo a else '
5
will be responsible to install compliant sign lighting controls
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.
❑ Yes KNO
3b. Mandatory Sign Lighting Controls
The person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if they am
responsible for complying with the sign lighting control requirements.
If there are construction documents, indicate where on the building plans the
mandatory measures(sign lighting control note block can be located:
I
§133(a)l. All indoor sign lighting is controlled with an automatic time switch control that complies with the
Y
N
NA
applicable requirements of § 119.
§133(a)I and 2: All ❑ -`""
outdoor sign lighting
g g g is controlled with.an automatic time switch control plus a photo Y N . NA
NA
control or an outdoor astronomical time switch, that
2
co l with the applicable requirements of 119. ❑
Exception to §133(x)2. Outdoor signs in tunnels or large covered areas that require illumination during Y
daylight hours. NA
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y❑N
NA
sin power by a minimum of 65 percent during ni httime 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(a)3. Outdoor si g ❑
gns in tunnels or large covered areas that require illumination during
daylight hours. Y NA
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for I7Y... ❑
illuminatingsigns
or arts of signs. � .NA
0
§ 133(9)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
4
power by a minimum of 30 percent when
receivin a demand response signal that is sent out by the local utility. 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 Complicrnee Forms
July 2010
Certificate
ificate of Compliance (Sign Lighting) (PaT e 3 of 4) SLYd"It
Project Name: Date:
LL&: 5-m Date:. O -t tj ? :r
4. Maximum Allowed Lip-htinp-- Power Method of Compliance .... . ...
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are sips using the maximum allowed lighting power method of compliance. (Comblejg.La!l- 5
A.
B
C
D E F G
H
I
J.
Allowed Watts
Design
cbmplics?
Watts
YIN
79
0 .9
V I
�-Ficld
Inspector
Check that
o
Sign
C',
.0
.9 Cn
Complies
E
E
E
r4
U,
>1
2 X=
—0
E
0
U
Description
0
0
0
0
0
❑
0
❑
A
Symbol or code used on the plans when plans are required) and other documents.
8
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, prc-printed, factory -installed label, listed with Underwriters LaWra r
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) or Intemaitional
Standards Organization (ISO). 17025 in accordance with ISOAEC 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 T 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.
D
The sin area insquare feet.
E
List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated.
F
Allowed watts Per square foot. Enter 12 if the sijtn is listed as "I" in column E. Enter 2.3 if sign is listed as '*E" in column E.
G
Multiply the square foots in column D times the allowed Lighting Power Density (LPD = watts) in column F.
H
Show the total installed watts in the sign, as determined according to the applicable provisions of § 13 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 comply.
Field fris;7,'tor; Notes:
2008 lVoni-esidential Compliance Forms
July 2010
• •A^_
711
( &-rtirveate of Cmmnlianee [Sion Liohtinol (Pate 4 of 4) SLTG-1C
Project Name:
r3,-
Data
K s ,a.
5. Specific Liahting 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 lighting ower method of compliance)
A
B
C
D
E
OPTIONAL
UL
Specific light source used for
. Fielder
Symbol
or other
compliance
aInspector
Ott ikthat
or
Description
label
("e
Shall include only lighting
Sign
Code
instructions
technologies listed below
Com p I
below)
List all that apply
0
D
0
0
0
— _ piA
t
0
❑
0
O
A
S mbol
or code used on the plans when plans arerequired) and
other documents.
B
A narrative description of the sign, or location of sign on the buildin • and the location of sign on construction documents
C
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed label, listed with Underwriters;t:iRhttty.
(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
carried out by a Type A inspection body in accordance with ISO/IEC 17020, confirming that this sign complies with the Section 148 of the
California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method Compliance.
of For signs with such a label column
D' is not required to be filled out. Note: Using a 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 throu 10 that apply in column D above for each row.
/ High pressure sodium lamps
2 Pulse start or ceramic metal halide lamps served by a ballast with a 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 a 80% efficient -
4 Neon or cold cathode lamps with transformer or power supply efficient > 75% with rated output current < 50 mA
O
5 Neon or cold cathode lamps with transformer or power supply efficient �! 68% with rated output current >_ 50 InA
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 a 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
coMR!ying with the applicable requirements of the Appliance Efficiency Re Mations Title 20
9
Compact fluorescent lamps that do not contain a medium screw base sockets E24/E26
!0 Electronic ballasts with a fundamental out ut f uenc 20 kHz
E
_>
This paite doubles as a field inspection checktict
1 meld Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
Bin #
0ty Of.b Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:?0
21-4/10 �il pv I L4 N
Owner's Name: J YAk c p A71
s .
A. P. Number:
Address:
Legal Description:
Contractor: S6
City, ST, Zip: /_ (a
Telephone 76o S6 �/ o
Address: ��/-�q y S L
Project Description:
City, ST, Zip: Q' �. Lr,.� Dr 5 C &:1—
G Q �r N (� tiC_ I b'�/1> S( Es t
Telephone 60 L 7 911 p
21111-I•>;�>:<.: :... ...::;.:•;....: r.;::;;:;%:.:
' ,,.tom
n
•
State Lic. # : City Lia
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
jr{i:.i:l vvxv:.,�}:�::SCiY .:O:n:: •iii': 'L w4:fQ\2Q:
Y4S:S:i:+ K•Y.it 5:.\:}v:Sj:?: is%LSi;v,.':'ry :::t
:.£.::;::.:.,t:..::::,,.:,,.;:.;:•::.;>_;:<:
:^i;::;;:r,N•;�n::.:.;;::jr:� •;;;;�":���,
. ................
Construction Type: Occupancy:
State Lic. #:
'
Project type (circle one):ew dd'n Alter Repair Demo
.
Name of Contact Person: �� •LL, G t ►JS L -r
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person 0 'D -7 f , 6 3 J SJ
Estimated Value of Project: .mob
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsgssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7nd 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