06-0528 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
Q0 6-0 0-0-0 0 5 2 8
78-9-65—HIGHWAY 111
643-020-999-6 -30903
,SIGN
REGIONAL COMMERCIAL
4000
Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------------------------------
LICENSE CONTRACTOR'S DECLARATION -
I hereby affirmunder penalty of perjury that lice ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin d Pro ssion Is Cod and my License is in full force and effect.
License Class: D42 , ice a No 795982
D, ate 2 04Contractor:
7�•.\i 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).:
1—) 1, 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, 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.).
(_ 1 1 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 Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/02/06
Owner:
WASHINGTON 111 LTD
C/O JACK TARR
30240 RANCHO VIEJO RD. STE. B
SAN JUAN CAPISTRANO, CA 92� - n
D W
Contractor: CD FrQ o 3 2006
COVER GRAPHICS
68895 PEREZ ROAD, #28 ClTMQFI-A QUINTA
CATHEDRAL CITY, CA 92234
(760) 328-4099 CEOPIT.
Lic. No.: 795982
-----------------------------=------------------
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 EMPLY INS Policy Number FN76651808
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 ecome subject to the workers' compensation laws of California,
and agree that, if I should bfcome subject to the worker ;compensation provisions of Section
3700 of the Labor Co all fort.with comply wi those pr sions.
: '2
DateZ• Applic
'WARNING: FAILURE TO -SECURE � KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 r-wssation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ove information is correct. I agr to c2ply with all
city and county ordinances and state laws relating to bui in Dnstruct'on, and ereby au rize r sentatives
of this count to enter upon the above-mentioned grope or inspe ion pur ses.
De Signature (Applicant or Agent):
� L
Application Number . . . . . 06-00000528
Permit_ . . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00
Plan Check.Fee
.00
Issue Date . . . . N
Valuation . . .
. 0
Expiration Date 8/01/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 15.0000 EA ELEC
SIGN 1ST CIRCUIT
15.00
1.00 3.0000 EA ELEC
SIGN ADDITIONAL CIRUITS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
2 INTERNALLY ILLUMINATED CHANNEL
LETTER
SIGNS PER SA 06-954
Fee summary Charged
Paid Credited
Due
-------------------------------------
--------------------
Permit Fee Total 33.00
.00 .00
33.00
Plan Check Total .00
.00 .00
.00
Grand Total 33.00
.00' .00
33.00
C
'
LQPERMIT
Bin # '
5Z�
Permit #
} ,200(0- 9
Project Address:-
A. P. Number:
Legal Description:
Contractor:� �.
Address: �Cv
1
City, ST, Zip: CC (A
Telephone: 7 4 d )-I- 0 •
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Cates.
Flood plain plan
Grading, plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
W
0
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 922.53 -.(760) 777-.7012
Building Permit Application and Tracking Sheet
1 I Owner's Name:
Address: S�
City, ST, Zip:
Lic. #:
Project ..
Now
Total Permit Fees
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Estimated Value of Project: Y 0 O D J C
APPLICANT: DO NOT WRITE BELOW THIS UNE
Recd
TRACKING .
Plan Check submitted
Reviewed, ready for corrections
PERMIT FEES
Item
Amount
Plan Check Deposit
Called Contact Person
Plans. picked up
Plans resubmitted
--------------
2" Review, ready for corrections/issue
Plan Check Balance
Construction
Mechanical
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
Review, ready for corrcctions/issue
Called Contact Person
Date of permit issue
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Thic cortifiapplies only t0 Dullal� lightingelnung system spedficatlons npgd to Ply with
requirements.
The doatntentation preparer hereby s that the documentation is amimro ..A
The Principal Lighting Designer hereby oertlfles that the '
01ST Dent with the other oompilatiLy fO�s and W Proposed outd r lighting and signs d n
The proposed building has orkshethl$ M Of cons
ets, with the s ciflcations, and with any her calculations ationstsubm tied with thru tlOn d a uments Is
'and 149 of TiUe 24, Part a. P ase o to meet the Ughting requirements Ontalned in the applioable parts of Secgons 110, 119.130 throng 132, 146
I hereby -affirm that I am eligible under the i rw
responsible for its Provisions of Division 3 of the Business and.
p�eparaUon: and that 1 essions Code to sign this
am licensed in the State Of CaUfomia as a c(vIl engrneert p cteCtrical engineer, Or I am a document as ][he person
�Q 1 affirm that 1 am eligible under Me provdions of Divisl icensed Orchi"
as the peraon responsible for its Om 3 of the Business and protsssfons Code by section 5537.2 or 6737,3 to sign thi document
PreperaUOn; and that I am a licensed contractor performing this work.
I affirm that I am eligible under thn provisions of Division 3 of the
structure or type of work described as exempt 5"inesa and Professions Code to sign this document because it pertains to' d
pursuant to 8ustrtess and Professions Code SeWions 5537,5538 and 6737.1.
hese sections of the Business and Professions Code are rioted in fitll ht the Nonresidential nnaa„�P
PIirNCIPAI uGMT1NG DESIGNt]2
V• oangautes on Plans Show that Outdoor Li htin Meet,, Allowed Lt htin Power
. ; Q
Lighting •. ,
9 g Power allowances for general site Illumination on OL.TG-2-C part 1 of a
Not Applicable .
Lighting Power allowances for local ordinances or for security multipliers on OLTG-2-C Pa
Not APPlicably rt 2 of 4
❑Lighting power allowances far spepfic applications, other than vehicle Bary
Not Applicable stations with canopies on OLTG-2-C Part 3 ofy4
❑ Ughting power allowances far vehide service station canopies on OLTG 2-C Part 4 of 4
Not Applicable '
❑ Sign lighting compliance on OLTG-4-C
Not Applicable i
iMandatory Measurtes on Plaits Show that Outdoor Lighting Meets outdoor Lighting Controls and ui
.41cate location on plans of Note BIOCk for Mandat Medsure
✓ q pment
❑ 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 nave a lam efficacy of
coni
i
trolled by a motion sensor § 132(2) P cY . at least 60 lumens per watt or are
6U Not Applicable
El All Luminaires with lamps rated greater than 175 watts In herclscape areas, including patio lots buil
outdoor sales areas meet the Cutoff Requirements of § 132(b) n9 ding entrances, canopies, and all
Not Applicable
All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
❑. Not Applicable
Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level lighting R
Not Applicable
9 9 equirements of § 132(c)2
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL
IDENTIFICATION C. NTROL TYPE AREA CONTROLLED NOTE TO
Electrical Roo INT—T101 AutoTlmeSrvltchJPhotosensor,etc
FIMb
Time Clock Both Signs
' a
i $ Electronic aallasts with
1!♦ d N 0W►tdFre"ncyof
4�
ry
E 20kF or more
qLD
CD
CFLs not conlaining
.
Modium Screw Base
C 0
Sockets
c
Q ko
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Z NPa.Light
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F 20 Emitting Diode k
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CD
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X � Total Designed
W 0aa
Q Sign Input watts
a �
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of Ballasts
In Signs
ty
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LA QUINTA, CA
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