07-2474 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r 07-00002474- —
Property Address: _ 78995 -HIGHWAY 111 .STE 7
APN: �- b43-020-999-6 =-30903 -
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 4500
Applicant: 1
Architect or Engineer:
• '4Q
l'!t 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
--------------------------------------------------------=-----------------------------
Date: 9/05/07
Owner:
WASHINGTON 111 LTD
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
IT'S MY PARTY
I hereby affirm under penalty of perjury one of the following declarations:
30240 RANCHO VIEJO RD.
STE. B
SAN JUAN CAPISTRANO, CA
92675
Contractor:
O
RIOFINE NEON
G
68895 PEREZ ROAD, I-18
tC;ntracto ft.v
CATHEDRAL CITY, .CA 922
4 SFp
(760)321-0484
f
/'
OL��oo/
Lic. No.: 689256
C/n,
FjN�C �QU/NT /1.
I hereby affirm under penalty of erjury that I am exempt from the Contractor's State License Law for the
--------------------------------------------------------=-----------------------------
--- --
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: ,C45 U ense No.: 689256
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
\
issued.
tC;ntracto ft.v
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are: '
I hereby affirm under penalty of erjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1371851-2007
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor de, I shall forthwith mply with those provisidns.
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).:
Dll Applicant:
ate.
(_ 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
WARNING: FAILURETO_SE URE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO (NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
• improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
-(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , BAP.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 ISec. 3097, Civ. C.).
Lender's Name:
t
Lender's Address:
LQPERMIT
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 1 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 court to enter upon the above-mentioned prone ty for inspection purposes.
Date: Signature (Applicant or Agent):
T ter'
Application Number 07-00002474
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc
r
Permit Fee . . . . 33.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 3/03/08
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
INSTALL 2 INTERNALLY ILLUMINATED
CHANNEL LETTER SIGNS PER SA2003-682
"IT'S MY PARTY"
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
LQPERMIT
Bin #
City of La (�uinta.
�C
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
%
Building Permit Application''anq Tracking She t
Permit.#
to -
Project Address:
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: (;
t� kbrT i8 Nin
Address: —� $
Telephone:
Project Description-.,
City, ST, Zi : \
^
Telephon . I&
State Lic. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type:. (� Occupancy:
Project type (circle one): New Ada 'n Alter Repair Demo .
Sq. FL:
# Stories: 7;
Units:
Telephone # of Contact Person:
Estimated Value of Project: 4
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
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
i
2°"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:
''" 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
[CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
PROJECT NAME t DATE
TELEPHONE Buildno Permit
�E HONE' a e
F1 • _
"i — I W J Enforoennent Agency Use
GENERAL INFORMATION
UAI t Ur ruarvQ — — -
FUNCTION TYPE ❑ OUTDOOR LIGHTING UTDOOR SIGNS INDOOR SIGNS
PHAk 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 documentation is accurate and complete.
O MENATION AUTHOR SIGNATURE DATA _
The Principal Lighting Designer hereby certifies that the proposed Outdoor lig g and signs design represented in this set of construction documents
is consistent with the other compliance forms and worksheets, with the s tions, 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, W. 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.
❑ 1 affirm that 1 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.
❑=laffiim h'al I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a
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
CER_ TIFICATE
OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROJECT NAMElir�s /fl
Li htln Schedules on Plans Show that Outdoor Lighting Meets Allowed Li htin Power
❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
0
❑jE2
pplicable
❑ng power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑pplicable
❑ng power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
4�
❑pplicable `
❑ng power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
❑pplicable lighting compliance on OLTG-4C❑ApplicableMory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
___. _.......�— M Note Block for Mandato_ Measure
❑ Installed lighting power has been determined in accordance with § 130(01
❑ Not Applicable
100 watts either have a lamp efficacy of at least 60 lumens per watt or are
❑ All permanently installed luminaires with lamps rated over
controlled by a motion sensor § 132(a) - i.
❑ 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)1
❑ Not Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)
❑ Not Applicable
��MANDATORY AUTOMATIC CONTROLS
COtdTROL TYPE AREA CONTROLLED NOTE TO
ROL LOCATION CONTROL_,• ..._ r...s c1 .hrPnetosensor, etc FIELD
0
J 11
Apr# 2005
2005 Nonresidential Compliance Forms
I
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Electronic Ballasts with
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