06-1036 (SIGN)P.O. 'BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/ 4 4 Q"
Application Number:
r0_6c00001.036 _ _1 C r_ !�
Property Address:
79024 HIGHWAY 111 Jim
APN:
649-820-999- - -
Application description:
SIGN
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
9500
Applicant: Architect or Engin
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
FOURTH QUARTER PROPERTIES
3604 CARLTON ST
SAN DIEGO, CA 92106
(760)613-3783
A Contractor:
VISIBLE GRAPHICS
1 L
6840 HAYVENHURST AVENUE #100
0 1 900'] VAN NUYS , CA 91406
FEB (818) 787-0477
Lic. No.: 745555
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.
Licensee Classs:�C445 License No.: 745555
Da a / z . IV Contre--Acee
OWBUILDER 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 1$500).:
1 _ 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 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: 1/29/07
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 HARTFORD CAS Policy Number 72WECRL8572
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 s lett to the workers' compensation provisions of Section
0
37 of the Labor Code, I shall r �ith comply with thosglprovisions.
Date: Applican .
WARNING: FAILURE TO SEC E WORKERS' COM NSATION 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 Ouinta, 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 county to ant r upon the above-mentioned property for ' spectio rposes.
e.Date.-Signature (Applicant or
r
Application Number . . . . 06-00001036
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 39.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
.
0
Expiration Date .7/28/07
QtyUnit 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
TWO BUILDING MOUNTED/ONE DRIVE THRU/ONE
MENU BOARD/SIGNS PER SA 06-959.
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 39.00 .00 .00
39.00
.
Plan Check Total .00 .00 .00
.00
Grand Total 39.00 .00 .00
39.00
•mfr
. .
' -r _ ^'
LQPERMIT -
,GWC FWA3
` �l1$107 s--C�&ej t *A 6 8A, Nz �p �Z� S ��vT �PP�,,�✓x�✓
City of La 4tuinta w�
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking' Sheet
Pe"rmit:#
Project Address: v,, e a
Owner's Name:.
A. P. Number:
Address: (r +ei �1
Legal Description:
City, ST, Zip: � � �. a( 06
Contractor: V G Iis
Telephone: a,1� q awas
Address:
Project Description:
City, ST, Zip:&4-2
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designers. �'{�
�- j�' Q i f/
Address:F Q V (r'S�i��L
City, ST, Zip: %4 Nvws �. 016 .
Telephone: —a
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 1 2Sq.
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: S of S 0/
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal •
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted tem 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
2°" Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person r Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
"d Rey iew, ready for correct• ns ssue t �O7 Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue d
School Fees
Total Permit Fees
,GWC FWA3
` �l1$107 s--C�&ej t *A 6 8A, Nz �p �Z� S ��vT �PP�,,�✓x�✓
- r 1'= "06 0 3 : 5 a P
I (l+
' j s lr-
C4
P.3
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-I-C
L•c 7i.�7C�� Cs 2 t --
"Li
Lighting
htin Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
❑ Lighting power allowances for general silo illurlination on OLTG-2-C Part 1 of 4
❑ Not AppliCable
❑ Lignling •pO-01 auaerances for Beal ordinances or for security multipliers on 0LTG.2-C Part 2 of 4
❑ Not Appl cable
❑ Lighting power allowances for specific applications. other than v@hicle Servide stations with canopies on OLTG-2-C Part 3 or 4
❑ Not Applicable
❑ Lighting power allowances for vetvcle service station dnop+es on OLTG-2-C Part 4 of 4
❑ Not Applicable
Sign 4gntinS cmMhamce on OLTG-4: C
❑ Not Apphcable-
Mandatory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
Indicate foMlon on plans of Note Block for Mandolary Measure
Vol
01 -Installed tighting poser has been determined in accordance with § 13pfc)1
D Not Applicable
❑ All permanently installed luminaires with lamps rated over 100 watts e1w have a temp efficacy of at least 60 Lumens per watt or are
cuntroded by a motion sartsor § 132ta)
❑ Not AppLoble
❑ All Luminaires with lamps rate greater than VS watts rn hardscape areas• including parking lots, budding Entrances, canopies. and all
outdoor sales areas'meet the Cutoff Requirements of g 132(b)
❑ Not Applicable
(R'x1 permanently insmlled outdoor lighting ntpets the ConoV Requirements of 3 132(c)l -
❑ Not Applicable
Buitd:ng facades, parking lots. gages. canopies, and outdoor sales areas meet the Multi -Level lighting Requirements of § 132(c)2
0 Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Tkm SwitcWPhotosemor•
AREA CONTROLLED
NOTE 70
FIELD
2005 Nanresidendal Cemprla tp Form
M*Itft 2005
rr.1' \
a 06 03:58P,
r
P.1
CERTIFICATE OF COMPLIANCE
(Part 1 of 2)
OLTG-1•-C
PROJECT NAME
� yFc-- -:
DVT
PROJEC, I AOURE S
- .L 'Lti t l k S -Z.�: -OF to i
auidi Parini
i i t1i�,16aTo
PRINCIPAL 0ES*NER-L1cwnwG
JtSl- LC- af14>P..ALC--5
TELEPHONE
UOCUMENTATIONALITHOR
ILLEPHONE
&Vorcerwat Agency Ur•
GENERAL INFORMATION
DATE QF PLANS - ll'' /1 'u, T IC HTING 70NIE✓Ll
a
FUNCTION TYPE ❑ OUTpOOft LIGHTING OUTDOOR SIGNS ❑ INDOOR SICNS
PHASE OF CONSTRUCTION NEW t-ONSTRUCTION ❑ A4t)1TIONS ❑ ALTERATIONS
STAYFMFWr AF MUP111 rAMCF
4 his Certlkale of Compliance lists outdoor ligM109 system speofkatlorha need to cot* wdh Tf8 24, Parts t and 6 of Che Calilomia Code of Regldatrorts.
This ecrbtwxe applies only to building lighting requiternenta.
hereby cerdk-a that the dqe un ItpGpn Is eycyrale and carroate.
The Principal Llgh&4 Designer thelh:by certKtes Mgt IRs proposed ttledoer IgwnB arta tWA assign reWmented in itvs set of mtstruction documents G
consisterd wdh the oats- comobnee bans aid worksheets. with the syetafrai ort4 aro wit, any otter calm ations albmilted wtth M* pemit application.
The proposed tgntding ?las been d"rtM to meet tee tlglhtng reQut wmnts oontamad n C1t aapiltable pants at Setitons 110. 119,130 though 132. 146.
and 149 of Tilt• 24, Part 6 Please ✓ one:
❑ t te" aft, that I am e14W under the Worwj m al OiwNon 3 01 rhe 8U3irhetb and Professions Code to sign in,& document a$ the person
resporrsible toe• its proporaWd, and that I am Ikerhsed in Cue State of C2htorni2 as a die en& a of eleetriaf eng neer, of 1 am a Ucertaed ardWect.
❑. I affirm that t am e4itde under the provisions of Division 3 Of the Btairtess and Profettsions CO& by section 55372 or 6737.3 to sign dleb docwreM
as the person resportarote for ig preparatw( "d that t aril a 5cm;ad 0w&Bdpr perfarrtirhg ttws work
❑ t affUm•that I art, otigible oder ifs provisions of Division 3 of the Businegy and Profesalonis Code to sign the doauTlcnt because it pertains to it
s rumure or type of werk desoibed as ezerrVt purwa! iSutslness arta Pralessium Code Sedtorn 5537.5538 aro 6737,1.
draa of the Btrs4vms and PradeWiona are PIV480VTNl in the No residentiat Martttat.)
TING 7ESIGNER-NXME &GNATU E �IATIE CC a
t.►.y.t,�w..s �^l `'l -oto
I MSTRUCTIONS TO APPLICANT OUTDOOR uC,HTINC, COtHPLUMCE a WORKSHEET$ (✓ box it w,orMhoet is
For detailed instructions on me Lw of this and aU FJterey Efficiency Standards compliance fb=4 please refer fO M0 NOnrowdenhal
Memel B_ublished by Me CaGbrniO Energy Conrmtssron,
❑ 003-1-C �C ficate of Compliarloc. Rogtnrtad on plans for all submittals for outdoor Gghung. Part2 of 2 maybe incorporated to
❑ OLTG-2-C
r•
❑OLTG3-C
�❑ OLTG-4-C
schedules on the lana.
Either LTG -1-C or OLTG-1-C maybe used for signs as follows.
1. Use LTGt-C if the project consists solely of indoor signs
2, Use LTG -1 •C if the project Consists of indoor fighting, and outdoor or Moor signs, but no other outdoor lighting.
3. Use OLTG.1-C d -the pro)ect consists solely of outdoor signs
4. Use OLTG- 1-C if the project conststs of outdoor IfAhltng and indoor or outdoor sigrs, but no other indoor Iightirvg_
LIGHTING COMPLIANCE SUMMARY ApplicaNa Parts requireyd for ALL outdoor lighting allowances ( Except for Shins)
AREA CALCULATIONS WORKSHEETS. Applicable parts required for ab outdoor area Catcuiatio ns.
SIGN LIGHTING COMPL)ANCE. Required for all interna4yand externally dlurninated signs, for boot indoor and outdoor
2WS Nonroaldorrtlal CamplignCe Forma,
March 2005 •
N SIGN LIGHTING COMPLIANCE OLTG-4-C
Q FR EGTruME;.�� ^�. f�.+.OATE
T9 !
AAema tive 2 — For S+W1 thal ONLY use ane or mora c! the
Alternative S —lighting Powar Mowarces technotogiee tic tel h M L'wough S
A B C D E F Q H I J K ._ l Mt'ad`td g al0 appr P_ Q A 5
Allotted Watts tamp 1 Ballast Design Watts
rn
Cr K.
CL
o
`M Description ar ^L^ A G $ xf G i F3 I w ad k
Location
S Z05k / —. ...- 2v
CJ1 — ._
IF -
Ft For Allotted LPO use 12 wattslsquare foot for tMemalty Illum'.nated Signs, and us 2.3 watts/R' for Externally Illuminated Signs
Note: If an Internally Illuminated of Externally Illuminated sign contains light sources and ballasts other tran those included to oolumnis (M) through (S), such as
incandescent famps, medium base sockets, magnetic ballasts, etc, then the sign must comply under Altemadve 1 However, unfiltered signs, and unfiltered
portions of Internally and Externally fllum�nated signs, are not required to meet these Standards.
2405 Monresideatrpl Compliance forms
i
Mamh 21105