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09-0239 (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: 09-00000239 78988 HIGHWAY 111 643-080-027-7 -000000- SIGN REGIONAL COMMERCIAL 4000 c&ht 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 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 Professionals Code, and my License is in full force and effect. License Class: C45, D42, laa a o.: 654238 ate bntra r. OWNER -BUILDER DECLARATION pe • I hereby affirm under penalty of rlury 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 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.). ( ) 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 Address: LQPERMIT Owner: KENNETH QUON 1333 E. TAFT AVE ORANGE, CA 92867 Contractor: COAST SIGN INCORPORATED 1500 W. EMBASSY STREET ANAHEIM, CA 92802 (714)520-9144 Lic. No.: 654238 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/16/09 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 COMPWEST INS Policy Number CA005003515001 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 sub_�e_�ct to the w r rs' compensation provisions of Section i 3700 of the SabGLCOde, I shall JWhvlK it those provisions. 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 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 above information is correct, ree to comply with all city and county ordinances and state laws relatin building constr io , a t orize representatives oft 's county to enter upon eabove-mentioned prop for ins ecti rp 2/ t Date: JI � Si ature (Applicant or entl: Application Number . . . . . 09-00000239 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee . . . . 39.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/12/09 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 #2009-1352 "JIFFY LUBE" ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 39.00 .00 .00 39.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 40.00 .00 .00 40.00 LQPERMIT E CERTIFICATE OF COMPLIANCE .(Part 1 of -2) OLTG-1-C PROJECT NAME DATE PROJECT ADDRESS Z 1 Building P.erriiA' " v a e PRINCIPAL DESIGNER -LIGHTING ¢� TELEPHONE DOCUME ATION-AUTV OR �•l Vi TELEPHONE v —) / ���� EMorcement Agency. Use GENERAL INFORMATION ' DATE OF PLANS ©� OUTDOOR LIGHTING ZONE (✓ One) ❑ LZ1. ❑ LZ2 ❑ LZ3 ❑ LZ4 FUNCTION TYPE ❑ OUTDOOR LIGHTING ,OUTDOOR SIGNS ❑ INDOOR SIGNS PHASE -OF CONSTRUCTION J&NEW CONSTRUCTION ADDITIONS ❑ 'ALTERATIONS 'STATEMENT OF COMPLIANCE ' This Certificate of Compliance lists nutdonr rail --t . cv, rales of . egu a ons. Is certificate applies only to building lighting.requirements. _ ...Fly mut i luc -1 ano u or ne �ainomla-coae The documentation prepan r hereby certifies that the documentation is accurate and -complete JIWVgIVKt DA S'i ` G 9 . . The Principal lighting Des gn�� er hereby certifies that the propo outdoor lighting and signs design represented in this set of construction documents is consistent with the other compliance forms and worksheets, 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. 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 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. 2005 Nonresidential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE (Part 2 of 2) . OLTG-1-C PROJECT NAME . e `—, Lighting Schedules on Plans Show that Outdoor LigWting LightingMeets Allowed Lighting Power ✓ . ❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 of 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 PO ign 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 Mandatory Measure 0Installed 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) P-Not Applicable ❑ All Luminaires with lamps rated greater than 175watts in hardscape areas, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff' Requirements of § 132(b) tff'Tdot 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 Requirements of § 132(c)2 &Not Applicable MANDATORY AUTOMATIC CONTROLS CONTROL'LOCATION CONTROL IDENTIFICATION CONTROL TYPE Auto Time Switch/Photosensor, etc T,ne AREA CONTROLLED NOTE TO FIELD 2005 Nonresidential Compliance Forms April 2005 rU W E Electronic Ballasts with 0 U) Output Frequency of E20kHz or more cc N 0 CD CFLs not containing C It Medium Screw Base N Sockets 3 vi 0 c ZBarrer Coat Fluorescent w y p rn ar Lamps (includes most T5 and T8 lamps) .. w c c �«- n. Light Emitting Diode o 65 c (LED) 3 — ii A m N c U O Neon and Cold Cathode Y 63 N Lo L e - , ` � C 'o Z Pulse Start or Ceramic 'o . ) O E � : ! Metal Halide r 3 = r c 6 c .- a m v High Pressure Sodium E .( m 3 y = O M J Is G Smaller than K? . ?+ w ` to Y/N c c a; �— c � a Y Total Designed W Sign Input.watts o w 0 3 w U) H Number Number m of Ballasts y .E m ., N In Signs ) m O U y Number of OR Q m ` Lineal Feet of Lamps N m E 3 E 3 U O = J Lamp Type 0 m ami I O Allotted Watts c (D X F) 0 d G C vim c Allotted LPD E e 0 a�LLA (12 or 2.3) c Q (W / e) a 700 ) =4) c Internally (1) OR m c w = Eidemally (E) ar = 0).c Q Illuminated E mE 3 E 0 = _ Sign Area (ft2) oo m Y N W O V1 N W U1 a Cr N l06 O o m a f r 3'0_ N .=arc EE°' aJ O H 7 = h C p v - — E o c ° a C m c 0 m Quantity of Signs C U V- m 0 �Z ° Q c CL m -a-0 U W Q Sign Symbol or Code O u- a) °•' �= a lL Z .m