08-1499 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: " 08-00001499 -
Property Address: 78752 HIGHWAY 111
APN: 643-080-039-14 -000000-
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 4800
TWY. 4.Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CAL NATIONAL BANK
221 S. FIGUEROA
LOS ANGELES, CA 90013
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: Architect or Engineer: AD ART SIGN COMPANY
2670 W. SHAW LANE, #102
FRESNO, CA 93711
Pr-
(559)22
Lic. No..:: 826 826051
-----------------------------------------------------------------------------------
LICENSED CON
1 hereby affirm under penalty of perjury that I am licensed
Section 7000) of Division 3 of the Busine- aid Professio
License Class: C45
ate• -� _y g tracto
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per' r 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 (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 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
4isions of Chapter 9 (commencing with
, and my License is in full force and effect.
No.: 826051
7C,-Afr
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:
LQPERMIT
WORKER'S COMPENSATION DECLARATI...-
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 STATE FUND Policy Number 17487-2008
_ 1 certify that, in the performance of the work for which tV t'permit is issued, I shall not employ any
person in any manner so to bee'c
ct to th orkers' compensation laws of California,
and agree that, if I sh d b comthe w rkers' compensation provisions of Section
3700 of theLabo shall fmply ith those provisions.
. ./�d Gv�✓/
Date: 9/02/08
WARNING: FAILURE TO SECURE,FRKERS' COMPENSATICMI COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AO ON 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 abo 1 ormation is correct. I agree comply with all
city and county ordinances and state laws relating to buildi o ruction, and h author' representatives
of this�ycyDunty to enter upon the above-mentioned grope or ' pection purp
at;3 e, Si ure (Applicant or Agent):
Application Number . . . . . 08-00001499
•- Permit . . . ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . . 39.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
- Expiration Date 3/01/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
3.00 3.0000 EA ELEC
SIGN ADDITIONAL CIRUITS
9.00
- ----------------------------------------------------------------------------
Special Notes and Comments
4 INTERNALLY ILLUMINATED CHANNEL
LETTER
SIGNS, PER SA # 2008-1283, "CALNATIONAL
BANK"
Fee summary Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 39:00
.00 .00
39.00
Plan Check Total ..00
.00 .00
.00
Grand Total 39.00
.00 .00
39.00
CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
PRO T N •t/ ME a
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,8��1�--
Manual published by the California Energy Commission.
DATE
PROJECT ADDRESS
1, 7 /f V
-1,9.752
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PRI CIPAL DESIGNER -LIGHTING
/
TELEPHONE
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y�<s vl3uildina Pemtftzxr
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-1-C if the project consists solely of outdoor signs
ENTATION A THOR
4--Oy
❑ OLTG-2-C
TELEPHONE
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�` e v ae �fi
�t ntomenf A�eiicy
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
OLTG-4-C
7
..,..}Ta.14>r ,��k..^, t�:':•4t?3:q:5.K.'.^'.•�'3x.?i`�..'..:.'.�','
GENERAL INFORMATION
DATE OF PLANS
OUTDOOR LIGHTING ZONE (✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3
❑ LZ4
FUNCTION TYPE ' ❑ OUTDOOR LIGHTING 1"6UTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists outdoor lighting system specifications need to comply with Title 24, Parts 1 and 6 of the California Code of Regulations.
This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the docu tation is ac rate d complete.
?O WENTATION A.VAHOR SI RE DATE
ICv d G� F-z`r-og
The Principal Lighting Designe hereby certifies that proposed outdo lighting and signs design represented in this set of construction documents is
consistent with the other compliance forms and wo eets, 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.
Wl I 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.
hese sections of the Business and Professions Code are printed in full in the Nonresidential Manual.
PRINCIPAL LIGHTING DESIGNER -NAME SIGNATURE DATE LIC. #
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ 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 California Energy Commission.
aa,a 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 may 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-1-C if the project consists solely of outdoor signs
4. Use OLTG-I-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor lighting
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Signs)
❑ 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 externally illuminated signs, for both indoor and outdoor
signs.
2005 Nonresidential Compliance Forms March 2005
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 OLTG-2-C Part 1 of 4
❑ Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑ Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
❑ Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
❑ Not Applicable'
Sign lighting compliance on OLTG-4-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 Mandatoty Measure
❑ Installed lighting power has been determined in accordance with § 130(c)l
❑ 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 lighting meets the Control Requirements of § 132(c)l
❑ Not Applicable
❑ 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
Auto Time Switch/ hotosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
L.
2005 Nonresidential Compliance Fortes
March 2005
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Bin *#
City of La Quints
Building u 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:7
, �! �/ l
Owner's Name:
fJ4
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: '
Project Description:
Address: ?, 2.. B,�}.�/Hv2 G 0
City, ST, Zip: ��L A /&T 12.
(759=
Telephone: A151-31761 —00/s
.;
City Lic. #:
,vel' [,,
.t1lC} /2 S
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: _
State Lic. #: , i
Name of Contact Person: 16clN
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: _ 7 L
Estimated Value of Project: 96,19.
.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`1 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:-
3N Review, ready for corrections/issue
Developer Impact Fee
Planning Approvil
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees