13-0196 (SIGN){ P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000196
Property Address:
78995 HIGHWAY 111 STE
APN:
643-020-056-
Application description:
SIGN
Property Zoning:
REGIONAL COMMERCIAL.
Application valuation:
3500
Tay/ 4 40'".
App' ant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING 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 Professionals Code, and my License is in full force and effect.
License C*��Contr.clo,_
1 s:: C10 LicenseNo.: 977184Date:-LI '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 fo 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.).
(_) 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 Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/22/13
Owner:
WASHINGTON 111 LTD
80618 DECLARATION AVENUE
TENANT: MARIACHI REST.
INDIO, CA 92201
FC
4C:0
Contractor:
QUALITY RELIABLE SI
81211 2B INDIO BLV
INDIO, CA 92201(760)619-6561 LiC. No.: 977184
-----------------------------------------------
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 EXEMPT Policy Number EXEMPT
_ 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 La ode, I shall forthwith comply with those provisions.
Date1 .ter
Applica: r�==.&
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. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this conn y to nter upon the above-mentioned prop r in pection pu Dses.
Date: a� Signature (Applicant or Agent):
Application Number 13-00000196
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee 33.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . .' 8/21/13
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
TWO INTERNALLY ILLUMINATED CHANNEL
LETTER SIGNS PER SP#2013-1683 "MARIACHI
MEXICAN CUISUNE" 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 33.00 .00 .00
33.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 34.00 .00 .00
34.00
Bin. #
Cit}/ Of La Quinttd
BWWing a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
1
Project Address: a' �/ %S"
Owner's Name:.
A. P. N(mber.
Address: -2
Legal Description: ,U LIL Sr tj
City, ST, Zip: L)1, _
Contractor. 0046i6e-Z!�C— x,06
Telephone:
Address:/�— �� ,vim C d L(%/J
Project Description:
City, ST, Zip: %C:
Telephone: 74,6 - (1p / g _� �� f
E v� 2 �+ G ( j -C V ITS 1
State Lic. #: /opq City Lic. #;
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type:. s /� Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
- Sq. Ft.: Q # Stories: # Units:
Name of Contact Person: Sty>l� 0 (� �« (9E. -2
Telephone # of Contact Person: 1 �' -(p S ( it
Estimatod Value of Project: 0 0
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Pian Check Deposit. .
'Fuss CRICS•
Called Contact Person
Pian heck Balance.
Title 24 Cala.
Plana picked up
Contraction
Flood plain plan
Plans resubmitted
Mechafilcal
Grading plan
r4 Review, ready for correctiontrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
S.M.I.
H.O.A. Approval
Mus resubmitted
Grading
IN HOUSE:-
3" Review; ready for eorrecdo'nalissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Feet
Certificate of Compliance Si Li tin
Protect Name:, (Page 1 of 2) SLTGIC
- Ph a of Construction M -New Construction ❑ Addition O Alteration
CII
� �� CAS CV I S IfY6 Function Type 13 Outdoor Signs ❑ Indoor Sigmas
ProJectAddress: r79� Date:
a a� /3 Compliance Method Used O Maximum Allowed
/ Lighting Power ❑ Alternate Lighting Sources
Documentation Author's Declaration Statement
•
[certify that this Certificate of Compliance documentation is accurate and complete.
Name -�
' �t�--tj[t✓ l� f�),�.IUU�Z Sngnature�
Company
Date
Address
L��' If applicable:
City/StatefZip CEDE #
7 t: i Phone: ,
Principal Lighting Designer's Declaration Statement
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting
desien.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24, Pages l 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: _
7 Signature
Company :
U j� LIT t� A fat j�ql-V l� T Phone _
Address
(-- l 1 License# 7
City/Staw/-ip: 7710
"i1110/(1 CA - :,-2 C." , Date
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
lviandato r Si Li htin c, Controls
133(a)1. All signs with permanently conA lW
that complies with the licable requirements of § 1
§133(a)2. All outdoor signs are controlled with a pl
2 Exception to §133(a)2. Outdoor signs are in tunnel
daylight hours.
§133(a)3. All outdoor signs are controlled with a di
si n wer b a minimum of 65 percent duringni
Exception 1 to §133(a)3. Signs are illuminated for I
3 Exception 2 to §133(a)3. Outdoor signs are in turn
Burin da ,li ht hours.
Exception 3 to §133(a)3. Only metal halide, high pa
illuminated si s or arts of si s.
Lreceivin
An Electronic Message Center (EMC) ha
a control installed is (;apable of reducing
4 dernAnd res se si al that is sent out b
to §1.33(x)4. The EMC. is required by a hut not limited to exit si and traffic siet
10081Va1:,•eside:rtialC.?!rtp[IQIICe 1•r�r•{ILS
August 2009
Yes
No
ar�c�ntrolled�cithatt automatic time switch control
19.g
13—
Oto
oto control or outdoor astronomical time switch control.
a
❑
> or large covered areas that require illumination during
❑
nrrter that provides the ability to automatically reduce
time hours.
❑
zs than one hour per day during daylight hours.
❑
;Is or large covered areas that require illumination
❑
Pld
Vssure sodium, cold cathode, or neon lamps are used to
,ing a new connected lighting power load greater than
he lighting power by a minimum of 30 percent when
Y N
N/A
(the local utility.
❑ ❑
91
Wth or life safety statue, ordinance, or regulation,
Y N
N/A
S.
❑ ❑
•4l
August 2009
Certificate of Compliance and Field In ection Energy Checklist Sin Lighting) Pa e 2 of 2)
SLTG-IC
Date:
Project Name: r
3
Compliance Method
Maximuin Allowed Lighting Power
A
g
C U E F
G
H
I
J K
Design
Complies?
Liglit
Field
Allowed Watts
Watts'
YIN
Source
Ins ectot,
o�..
f ^
O
41-21
It UI
I p
O VI
O
Ne
cri tion or location and plan location
D s"
bA
�'
��e Yy
w
II
¢ '� ¢ II
CO
U
.N
w ca
v
c
C]
D ❑
O
❑ a
•
�
f1
D D.
Total Sign Area:
37 = r
I. Design Watts= total connected lighting load installed in the sign, inchiding power used by lamps, ballasts, transformers, power supplies, etc.
2. I Fail then describe on Page 2 cf the .Inspect ion Checklist Form and take appMriale action to correct. verlfi' buddingplons if necessary. Use additional sheets if necessarv.
The sins identified above; use only ne or more of the following technologies: list all applicable numbers that appy in column 1 above)
1 High pressure sodium lamps
2 Pulse start or ceramic metal halide lamps Served by a ballast with >_ 88%6 a tciency _
3 Pulse start metal halide lamps that are 5 320 watts, are not 250 watt or 175 wall lamps, and are served by a ballast with >__80% e tciency
4 Neon or cold cathode lamps with transformer or power supply efciency _> 75% with rated out current < 30 mA
5 Neon or cold cathode lamps with trans ornter or power supply efficiency >_ 68% with rated output current >_ 50 mA
6 Fluorescent lamps with a minimum color rendering index (CRI) of 80
7 Light emilling diodes LEDs with a power-supply with > 80% efcienc
8 Single voltage LED external power supplies designed to convert 120 vols,4C input into lower voltage DC or AC output, having o nameplate output power less Char, or equal to 250 watts, and
cerci red to the Energp, Commission as conrplyine with the applicable requirements of the Appliance E riciency Regulations (Title 20) '
9 Com oct uorescent lamps that do not contain a medlum screw base sockets (E24IE26)
!0 1 Electronic ballasts with a undamental out!LlLejuency > 20 kHz
Field Inspector Notes or Discrepancies
2008 Nonresidential Compliance Forms
Augus! 11009