BSIG2015-0006,fit • �,
;r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BSIG2015-0006
Property Address:
78900 HIGHWAY 111
APN:
643080003
Application Description:
MILAN/(1) ILLUMINATED BUILDING SIGN
Property Zoning:
Application Valuation:
$5,400.00
Applicant:
PD GROUP DBA SIGNARAMA '
41945 BOARDWALK SUITE L
PALM DESERT; CA 92211
44Q"
DEVELOPMENT DEPARTMENT
WILDING 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 Professions Code,
and my License is in full force and effect.
License
Class• 42 C45 License No.: 830131
Date:," ✓ % Contractor:'
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 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.).
(_) 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 .
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/11/2015
Owner:
WASHINGTON ADAMS PARTNERSHIP
46753 ADAMS STREET
LA QUINTA, CA 92253
Contractor:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
(760)776-9907
Llc. No.: 830131
LU
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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
i
hewo for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
tion 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: _ Policy Number: _
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 become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with thos provisions.
Dater Applicant: !/1
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 Building Official 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 comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned p ope y for inspection purposes. '
Dater Signature (Applicant or Agent):
J�Yj; c, �,�•_� ,s f� fw
�o;ect Name
�HOD w ll l
Project Address P-�-tj av q7lalc
Phase of Construction O New Construction O Addition
Function Type J90utdoor Signs O Indoor S
Compliance Method Used 12r Maxlmt
Urhtinp Power O Alternate Ul
Alteration
Allowed
ne Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
NameSip3ture
S sE
I
Company
Date
A
Address
If applicable:
l - S �oP�2A w Sv I'rE t_
CEA r
CEPE #
City/SwtJLip
Z
Phone:
260 o
Principal Lighting Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibiliy for the lighting
design.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24, Pages I and 6 of the California 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: � S
signature
Company: 51 LtJ Ar t2 ON.
Phone — 99 0
Address: LA 1 C
J
License b P33O 3
City/Statcfzip:
Date
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
Mandato Si n Ligliting Controls
Yes
No
I
§133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control
O
that complies with the applicable rc uiremenu of § 119.
§133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
O
2
Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
O
d
da li t hours.
!"
§133(a)3. All outdoor signs arc controlled with a dimmer that provides the ability to automatically reduce
O
.Q{•
sign power by a minimum of 65 percent during nighttime hours.
Exception I to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours.
O
3
Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
O
durin da li t hour.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
O
illuminated signs or parts of signs.
1
§133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
13 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
Y
O
N
O
N/A
4
reccivin a demand response signal that is sent out b the local utility.
Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation,
Y
N
N/
includingbut not limited to exit signs and traffic signs.
O
O
2008 Af6mvsidenriol Compliance Norms
E
Augtcsr 2009
o—iart
C,— L 7,
� � uO Ind r Signs
Location of Sign tdoor Sig
Phase of Sign Construction Klew Signs O Sign Alterations
T e of Lighting Control Cf0tr- ®-New Lighting Controls O Replaced Lighting Controls O Not Install
This Certificate of Compliance includes the following components (check all that apply)
Mandatory Measures (Lighting Controls) O Maximum Allowed Lighting Power O Specific Lighting Sources
1. Mandatory Sign Lighting Controls
NOTES:
NThe some responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
1.person may install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) ore 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 ore responsible; alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction.
1a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E
shall complete Part la. Check Yes or No for all of the following statements:
1 have responsibility for installing the sign lighting controls
C6Yes, complete parts la and lb of this form O No, complete part la of this form
2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls
, I Yes O No
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
Yes
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and I will be
4 installing compliant sign lighting controls
O Yes No
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone
5 else will be responsible to install compliant sign lighting controls
O No
Yes
f.[7
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance lune luta
T n
CABuilding Energy Efficiency Standards - 2013 Nonresidential Compliance lune 2014
lb. Mandatory Sign Ughtinj Contro
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with
the sign lighting control requirements, that person shall answer all of the following questions:
if there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
§1303(a)1. All indoor sign lighting Is controlled with an automatic time -switch control or astronomical time-
Y
N
NA
1
switch control.
O
a
0
§1303(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y
N
NA
switch control, or an astronomical time -switch control.
O
O
2
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
NA
areas that are intended to be continuously lit, 24 hours per day and 365 days per year.
O
§1303(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours.
Y
N
NA
Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both
O
0
I (I
3
day and night.
EXCEPTION to Section 130.3(a)28: Outdoor signs in tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night.
§1303(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
Y
N
N
N/A
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
O
4
reducingthe lighting power by a minimum of 30 percent when receiving a demand response signal.
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
y
NA
ordinance, or regulation to be reduced by 30 percent.
0
Field Inspector Notes:
CABuilding Energy Efficiency Standards - 2013 Nonresidential Compliance lune 2014
,__/_'A'1 Iyi % e Y oro G/ray /1 )
2 Maximum Allowed Llehtinp Power Method 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 3 of
this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance)
A
B
C
D E F G
H
I
J
Symbol
Or Code
Description of the Sign
OPTIONAL — Energy
Verified Label (see
Instructions below)
Allotted Watts
Design Watts
Complies
YEN
Filed Inspector
Check that sign
complies
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2
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ku x
p
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C'~
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vi
E
'
❑
❑
O
❑
❑
O
❑
13
❑
❑
❑
❑
❑
❑
❑
❑
O
❑
o
❑
❑
❑
A
Symbol or code used on the
plans (when plans are required) and other documents.
8
A description of the sign, or location of sign on the building; and the location of sign on construction documents.
C
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the
sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Maximum Allowed Ughting Power
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 ISO/IEC 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,
columns 'D' through 'I' are 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.
D
The sin area insquare feet.
E
Ust "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 sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
G
multiply the square footage in column D times the allowed Ughting Power Density (LPD = watts) In column F.
H
Show the total Installed watts in the sign, as determined according to the applicable provisions of §130(c).
I
Enter Y if the number in column H is less than orequal to the number in column G. Otherwise, the sign does not comply.
1
This page doubles as a field Inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
0 0 O
June 2014
i
S/ J
3, Specific lighting 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 2 of this Certificate
of Compliance if there are signs using the maximum allowed lighting power method of compliance)
A
B
C
D
E
OPTIONAL
Specific light source used for
Symbol
ENERGY VERIFIED
compliance
Field Inspector
or
Description
label
Shall include only lighting
Check that Sign
Code
(see instructions
technologies listed below
Complies
Grp S��>J
below)
List all that apply
❑
O
O
❑
O
❑
O
❑
0
L0
AlSymbol
or code used on the plans (when plans are required) and other documents.
B
A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
C
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 140.8 of the California 2013 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 ISO/IEC 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.
Specific Light Source Compliance Method. The sign(s) Identified above use only the following lighting technologies:
List all applicable numbers (1 through 9) that apply In column D above for each row.
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or
2
greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by
3
a ballast that has a minimum efficiency of 80 percent.
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI 082.6-2005.
D
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
4
when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
5
when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering Index (CRI) of
80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage OC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply 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).
E
This page doubles as a field inspection checklist.
Field Inspector Notes:
w ouuaing t:nergy emciency Standards - 2013 Nonresidential Compliance lune 2014
DOCUMi`NTATION AUTHOR'S DECLARATION STATEMENT
t 1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Company:
A A-*4AYN-
Signature Date:
Address: su (TECEA/
�{ Iq�(S (3o►42puJ
HERS Certification Identifica n (If a plica e):
Cny/State/ZIp: ��` 1)ESc►�T CA. ZZ ( `
phone: (06 - 71(al - O
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features Identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be 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 completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
k Q- t�a�es
Responsible Designer Signature:
t
Company:
Date Signed: Z" /I ]I
Address: H r -f Y S" 130 ARA L
-Sul T�
Ucense: #- 83G
Gty/State Zip: PA l d & (JE S epzT- Q A
r�
PA ZZ(I
Phone:
--?tt,o- Q>-490
%-m ouuutng energy t rnclency xanoaros -1013 Nonresidential Compliance lune 2014
FINANCIAL •• •
DESCRIPTION ACCOUNT QTY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
PAID BY METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
'0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSIGN: $111.68 $0.00
TOTALS:00
e /
Permit Details PERMIT NUMBER
City of La Quints _00O
Description: MILAN/(1) ILLUMINATED BUILDING SIGN
Type: SIGN
Subtype: Status: UNDER REVIEW
Applied: 3/11/2015 SKH
Approved:
Parcel No: 643080003 Site Address: 78900 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 25865
Block: Lot: 5
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,400.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: (1) BUILDING MOUNTED SIGN FOR "MILAN INSTITUTE OF COSMETOLOGY". 2013 CALIFORNIA BUILDING CODES.
Imp.-r-g-C-Ts-sis
ummary
� � l 3 } y ')¢ T.`^?sg�''�i..' E i+.>.^ "F; •^N ., `. _ _ ,..� „$. •tat � a 4.1� :0.t� h..« S =.h4aik: 4 a A4 � 4 s
h
��4 3 L • F ?R Y '.Y t'
ot
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE.
FAX
EMAIL
APPLICANT
PD GROUP DBA SIGNARAMA
41945BOARDWALK
PALM DESERT
CA
92211
(760)413-1997
SUITE L
CONTRACTOR
PD GROUP DBA SIGNARAMA
41945 BOARDWALK
PALM DESERT
CA
92211
(760)413-1997
SUITE L
OWNER
WASHINGTON ADAMS PARTNERSHIP
46753 ADAMS STREET I
LA QUINTA
CA
92253
(760)413-1997
FINANCIAL INFORMATION
Printed: Wednesday, March 11, 2015 3:52:33 PM 1 of 2.
Lam, L it LJ LJ SYSTEMS
,r
Y
-PAID
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID DATE
RECEIPT#
CHECK#
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$0.00
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$0.00
FIRST PC
Total Paid forSIGN: $111.68 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
RESULT REMARKS NOTES
DATE DATE
FINAL"
RnNn INFnRMA.TIf1N
Printed: Wednesday, March 11, 2015 3:52:33 PM 2 of 2 i
SYSTEMS
Bin #
Permit #
Project Address:
City or La Quint.
•Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - •(760) 777-7012 '
Building Permit Application and Tracking- Sheet
A. P. Number:
�vS
Address: 1,0226,6 t J
Legal Description:
City, ST, Zip: ,
V
Contractor: o _
or
Telephone:
^C:Y!{F�??•moi.:: ?4i:): �::
Address: Z4C 9L4S o,,J
(tel(_
Project Description: G
City, ST, Zip: M
Telephone: J h nc•
.......................................:.......
r
State Lie. # : 00-131
City Lie. #:11QD rZI
Arch., Engr., Designer: .
Address:
City, ST, Zip:
Telephone:
`#vz;;��.^ :=��>:>�>•:> ::»:
2:t4i'f.4n �'.?::�:_iv f; }; ip`�j ')'
.. < .... c •;•v: ;: ;.;
cy:
Construction Type. Occupancy:
•
State Lie. #:
t
_Project type (circle one): New Add'n Alter •Repair Demo
Name of Contact Person: / LSe�
,
Sq. Ft.:
—T—
# Stories:
#Units:
Telephone #,of Contact Person: 6 d r, S
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
ll
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs. '
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical..
Subcontactor List
Called ContactPcrson
Plumbing
Grant Dccd
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`" Review, ready for corrcctionsrissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A:I.P.P.
Pub. Wks. Appr
Date of permIt issue
School Fees
Total Permit Fees