07-0203 (SIGN)P.O. BOX 1504 4,4Q"'
VOICE (760) 777-7012"
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/19/07
Application Number: [07-00000203—^%.y Owner:
Property Address: 79024—HIGHWAY-111 STE 103 FOURTH QUARTER PROPERTIES
APN: 649-820-999- - - 45 ANSLEY DR
Application description: SIGN NEWNAN, GA 30263
Property Zoning: REGIONAL COMMERCIAL i760)613-3783
Application valuation: 6400
Contractor: D
Applicant: Architect or Engineer: CONNELLY' S LIGHTING & SRVC p�
1278 4TH STREET JAN 2007 )�
NORCO, CA 92860
(951) 734-1343 �9A�
Lic. No.: 495982 LAQCJ6(�ili
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lic a Class: C45 License No.: 982
Date: �V tractor:
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 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: Inv
Lender's Address:
LQPERMIT
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.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
tL_tCode, 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 c=at, 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
n 3700 of the Labor Code, I shall forthwith comgjy w' hose pro ns.
pplicant:
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 J$1 00,000). 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 county to enter upon a above-mentioned property for
inspection purposes.
Date: ��% -"fl ignature (Applicant or Agent): Q _Q
LQPERMIT
Application Number . . . . . 07-00000203
Permit ELEC-ELECTRICAL SIGN INV FEE
Additional desc .
Permit Fee . . . . 66.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration.Date 7/18/07
- Qty Unit Charge Per
Extension
BASE FEE
30.00
1.00 30.0000 EA ELEC SIGN 1ST CIRCUIT
30.00
1.00 6.0000 EA ELEC SIGN ADDITIONAL.CIRUITS
6.00
------------------------------------------
Special Notes and Comments'
2 INTERNALLY ILLUMINATED CHANNEL LETTER
SIGNS PER SA #2006-1084 INVESTIGATIVE '
FEE ASSESSED FOR WORK BEGUN'WITHOUT A
PERMIT
Fee summary Charged Paid Credited.
Due
---------- ----------
Permit Fee Total 66.00 .00 .00
66.00
Plan Check Total .00 .00 .00
.00•
Grand Total 66.00 .00 ..00
66.00
LQPERMIT
F/
CERTIFICATE OF COMPLIANCE
(Past I of 2:) OLTG-1-C
PROJECT NAME, ,—
J
)
DATE
Certificate of Com Mance. Re uired on lans for all submittals for outdoor lighting. Part 2 of 2 may be !
P q P
inco orated in schedules on the plans.
ry -67
PROJECT ADDRE S
1. Use LTG -1-C if the Project consists solely of indoor signs i
2_ Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting.
3. Use OLTG-I-C if*the project consists solely of outdoor signs
PRINCIPAL DESIGNER -LIGHTING
t
TELEPHONE
3
'•��
+rVe_W
Signs)
I
�Bddd+no••Fer��t„* -a� .
DOCUMENTATION AUTHOV
OLTG-4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
TELEPHONE
K
S, '\/`
�iP j a7�aQ
r hec by ate a
��,`'��6nforcemer�t:A�gencyf�se
1 ,�i
GENERAL INFORMATION
DATE OF PLA,,
OUTDOOR LIGHTING
ZONE t✓ One) ❑ Z1 Z2 ❑ L 3
❑ LZ4
FUNCTION TYPE
[:]..OUTDOOR LIGHTING
'9OUTDOOR SIGNS ❑ INDOOR SIGNS _
PHASE OF CONSTRUCTION
❑ NEW CONSTRUCTION
❑ ADDITIONS. ❑ALTERATIONS
STATEMENT OF COMPLIANCE
Thic r—Cf—f—f (`., :.lin ., a..•
- • ••�.�,�•�••• aFc .... a 11 ucnu w cumpiy wan I rile z4, rans 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.
AUTHOR jj� � SIGNATURE
u1 G� \i U /1 n . A DAZE %:�' -'
The Principal Lighting Designer hereby certifies that the proposed outdooAlighting and signs de
slCjn represented in this set of construction documents
is. consistent with the other compliance forms and, worksheets,. with the specifications, and with any other calculationsisubmitted 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:
❑ 1 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.
❑ I 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'l am a licensed contractor performing this work.
❑ I affirm that I am eligible under the provisions of Division 3 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.
(These sections of the Business and Profen ' s Code are Printed in full in the Nonresidential Manual.
PRINCIPAL LIGHTING DESIGNER -NAME SIGNATU
DATE LIC. #
� J
c - meq. -ate
INSTRUCTIONS TO APPLICANTOUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance fomes, please refer to the Nonresidential
Manual published by the Califomia Energy Commission.
❑ OLTG-I-C
Certificate of Com Mance. Re uired on lans for all submittals for outdoor lighting. Part 2 of 2 may be !
P q P
inco orated in schedules on the plans.
Either LTG -1-C or OLTG-I-C may be used for signs as follows:
1. Use LTG -1-C if the Project consists solely of indoor signs i
2_ Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting.
3. Use OLTG-I-C if*the project consists solely of outdoor signs
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs., but no other indoor
lighting
❑ OLTG-2 C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for,ALL outdoor lighting allowances (Except for
Signs)
I
❑ OLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
OLTG-4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
outdoor signs. i
2005 Nonresidential Compliance Forms
April 2005
. � C fZ�'I 1"�A E °OF �QMPLIAN:EE (Pvrf 4 ^f '9A r)V• Irr__4 r.,'"
PROJECT NAME. •�
J .
Manual published by the Califomia Energy Commission.
DATE ®YQ
PROJECTADDRE S
into orated in schedules on the plans. i
-r
PRINCIPAL DESIGNER -LIGHTING
'
r
TELEPHONE
y3M.
�
DOCUMENTATION AUTH
3"1 3-4 -1345
Bdi dir
4:. Use OLTG-1-C if theproject consists of outdoor lighting, and indoor or outdoor signs., but no other indoor
TELEPHONE
7
q'J jJ i? f ' �O.s�f� �'ffi c-Enfti7rc�eymejii�+,,c''�crec seti",`
GENERAL INFORMATIONS
'LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for;ALL outdoor lighting allowances (Except for
,
Signs)
DATE OF PLANS
OUTDOOR' G
ON f+� el ❑ Z •' 2
3 LZ4
FUNCTION TYPE
❑.OUTDOORLIGHTIN.G
)ZOUTDOOR SIGNS
EDSIGNS
PHASE Of CONSTRUCTION
❑ NEW CONSTRUCTION
❑ ADDITIONS .
❑ ALTERATIONS
-STATEMENT OF COMPLIANCE
This. Certificate"of Cnmhliancn rkfc nnMi c k+r . .._
r -r•• ^-••�••� ., 11rNq wim i nit: z,4, rans -I and b OT the California Code of
Regulations. This certificate applies only to building lighting requirements.. "
The d6cumentijtion preparer hereby certifies that the documentation is.accurate and complete.
r v R f -1-v77
The Principal Lighting Designer hereby cedifies thatthe proposed outdoo ighting and signs de n represented in this set of construction documents
is. consistent with -the other compliance forms and w'orksheets, mith 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 ofTitle 24, Part s. Please one: '
❑ I hereby affirm that lam. 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
architect4.
❑ I 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'l pm 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 67.37.1.
(These Sections of the Business and Professions Code are printed in full in the Nonresidential Manual 1
DATE LIC. #
t 9 C3~e y CI 59
Aim .L� M L .�.< ) �• !•
INSTRUCTIONSTO APPUCANTOUTDOOR LIGHTING COMPLIANCE•& WORKSHEETS (,/'box if worksheet i's included)
For detailed instructions on the use of this and all Energy Ef l&iency Standards compliance forms, please refer to the Nonresidential
Manual published by the Califomia Energy Commission.
❑ OLTG-I-Cg•
Certificate of Compliance. Required on plans for all submittals for outdoor lightin Part 2 of 2 may be
y
into orated in schedules on the plans. i
Either LTG -1 -C or OLTG-1-C may be used for signs as follows:
1. Use LTG -1-C if the. project'consists solely. of indoor signs
2. Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting.
3. • Use OLTG=1_C ifthe project consists solely of outdoor signs
4:. Use OLTG-1-C if theproject consists of outdoor lighting, and indoor or outdoor signs., but no other indoor
li htin
❑ OLTG-2-C
'LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for;ALL outdoor lighting allowances (Except for
Signs)
❑ OLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations. "
OLTG 4 C •
SIGN LIGHTING COMPLIANCE. Required for alt intemally and externally illuminated signs, for both indoor and
outdoor signs. J
2005 Nonresidential Compliance Forms
• _ _r nnnr
i
r
ERTIFICATE OF COMPLIANCE (Part.2 of: 2) OLTG-1-C
EFPRO!JECTNAME.
Juice It Up
Lighting Schedules on Plans Show that. Outdoor Lighting Meets Allowed Llohting Power
❑ Lighting pourer allowances for general site illumination on OLTG-2-C Part 1 of 4
19'Not Applicable.
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
O-Nbt Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
E 'Not Applicable
,❑LL-s ting power allowances for vehicle service station canopies on OLT6-2-C Part 4 of 4
Ul Not Applicable
E Sign 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 Mandato. Measure
❑ Installed lighting power has been determined in accordance. with § 130(c)1
U-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
,a-rrecontrolled by a motion sensor § 132(a)
CI Not Applicable
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies,
..and a�lf outdoor dales areas meet the Cutoff Requirements of § 132(b)
Ly'Not Applicable
❑,All ermanently installed outdoor lighting meets the Control Requirements of § 132(c)1
L7 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
Back.of unit @ bt&aker panel
CONTROL
IDENTIFICATION.
Time clock, exposed.and
labeled
CONTROL TYPE
Auto Time Switch/Photosensor, etc
Time clock
AREA CONTROLLED
Signs
NOTE TO
FIELD
• _ _r nnnr
i