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06-3160 (SIGN)P.O. BOX 15'04 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00003160 79050 HIGHWAY 111 649 -820 -999 - SIGN REGIONAL COMMERCIAL 5000 T4b-t 4. XP "- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: � IA - 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. Licen lass: C45 D42 License No.: 637739 Date: ��� aE 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 _ 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.). (_) 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.). (_ 1 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: 1� LQPERMIT Owner: FOURTH QUARTER PROPERTIES 45 ANSLEY DR NEWNAN, GA 30263 (760)613-3783 Contractor: D PARAGON SIGNS 77650 ENFIELD LANE PALM DESERT, CA 92 (760) 345-3340 Lic. No.: 637739 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 e AU6 go 2006 CITY Date: 8/30/06 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. Y 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 STATE FUND Policy Number 1735081 _ 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 v y/ 37700 of the Labor Code, I shall fo v0ith comply with thos provisions. 2%te: u nim A scant: , WARNING: FAIL E TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000). 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 ands to laws relating to building construction, and hereby authorize representatives of this count t6 enter upon above-mentioned property for inspe en purpos Dat �D Gd, ' nature (Applicant or Agent): 1-1 L Bin k I rmit # 1 �O 01 J� Project Address: A. P. Number: City of La Quinta Building at Safery Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheet /4 Owner's Name: Address: 79 -oro ,�� �•� X Contractor: ��R�roo+✓ S% y f Address: -27_C p ,CNF/E4,P X City, ST. Zip: ,o /,,t �SeS�•CT Z2�/ Telephone: SYS 3iYo . -. State Lic. a : 377 City Lic. #:,2 91 Arch., Engr., Designer: Address: Ci, ST Z' Cin•. ST. Zip: ;Telephone: XL Project Description: ^�,�,�n 1=i r" h. tp. Telephone:; Construction Type: Occupancy: Project type (circle one): New Name of Contact Person: Add'n Alter Repair Demo 1C 6 Sw •,.dCL Sq. Ft.: p Stories: aY Units: i� Telephone 11 of Contact Person: GO — 4/0 s f•r aA,car vGL X 1 Submittal Plan Sets Structural Cates. Truss Calcs. Energy Cates. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE:. Planning Approval Pub. Wks. Appr School Fees Req'd APPLICANT: Recd sttmated Value of Proiect: .5066 " DO NOT WRITE BELOW THIS LINE TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed. ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2- Review, read), for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.1. Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P. P. Date of permit issue Total Permit Fees s �- Application Number . . . . . 06-00003160 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . ` Permit Fee . . . . 33.00 Plan Check Fee .00 Issue Date' Valuation . . . . 0 Expiration Date 2/26/07 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 2 INTERNALLY ILLUMINATED CHANNEL LETTER SIGNS & 2 MONUMENT SIGNS, PER SA 2005-878. "HENRY'S MARKET" 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 • R LQPERMIT CERTIFICATE OF COMPLIANCF (Part i ^f n r)i Tr -__4 _r- -- - -- - ---­ -.-•-••• -r ................... 11- N bWjllply Willi Inge [9, r-ans l ano 0 or fne t.alllornla k:ooe of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE The Principal Lighting Designer hereby certifies that the propos oor 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. Tire 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 Slate of California as a civil engineer or electrical engineer, or I am a licensed architect. ®' 1 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 •3 of the Business and Professions Code to sign this document because it pertains to a structure or typo of work described as exemp nt to Business and Professions Code Sections 5537,5538 and 6737.1. (These sections of the Business and Profe ra nrW-1 in 1..11 1n u.e K1A_ .._1A_ :_. r --1 -. 1.. .......... V�]..r,IV,C, 1 nAxE, i LIC.# G3773 9 INSTRUCTIONS TO APPLICANT ournnnR 1 1G41TIAlr_ fInKAnl For detailed instructions on lho use of this and all Energy Efficiency Standards conrpliance•fom7s, please refer to the Nonresidential Manual published by the California Energy Commission. ® OLTG-I-C Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be PRn.lr-r.T AIA\IC incorporated in schedules on the plans, 1A/6C 7- DATE VKQJECT ADDRESS - 2. Use LTG -1 -C if the project consists of indoor lighting, and outdoor or indoor signs, but no. other outdoor lighting. "'f^ 3. Use OLTG-I-C if the project consists solely of outdoor signs 6tiildiriq'P.emiit PRINCIPAL DESIGNER-LIGHTIN =- TELEPHONE DOCUMENTATION AMOrRTELFPHCf4Ee ❑ OLTG-2-C LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for aN J!....d Z L �yS�3f� e v a c ifoenl''Agency;Usc Errecm GENERAL INFORMATION ® OLTG4-C SIGN LIGHTING COMPLIANCE, Required for all internally and externally illuminated signs, for both indoor and DATE OF PLANS OUTDOOR LIGHTING ONE (✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3 LZ4 FUNCTION TYPE ❑ OUTDOOR LIGHTING ® OUTDOOR SIGNS ❑ INDOOR SIGNS PHASE OF CONSTRUCTION ® NEW CONSTRUCTION ❑ ADDITIONS ❑ -ALTERATIONS -STATEMENT OF COMPLIANCE This CCrtlficate of Cmm�lianrn Gere r. a,�...., r..l.r..... _ -- - -- - ---­ -.-•-••• -r ................... 11- N bWjllply Willi Inge [9, r-ans l ano 0 or fne t.alllornla k:ooe of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE The Principal Lighting Designer hereby certifies that the propos oor 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. Tire 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 Slate of California as a civil engineer or electrical engineer, or I am a licensed architect. ®' 1 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 •3 of the Business and Professions Code to sign this document because it pertains to a structure or typo of work described as exemp nt to Business and Professions Code Sections 5537,5538 and 6737.1. (These sections of the Business and Profe ra nrW-1 in 1..11 1n u.e K1A_ .._1A_ :_. r --1 -. 1.. .......... V�]..r,IV,C, 1 nAxE, i LIC.# G3773 9 INSTRUCTIONS TO APPLICANT ournnnR 1 1G41TIAlr_ fInKAnl For detailed instructions on lho use of this and all Energy Efficiency Standards conrpliance•fom7s, please refer to the Nonresidential Manual published by the California Energy Commission. ® OLTG-I-C Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated 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 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 li htin ❑ OLTG-2-C LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Si ns ❑ OLTG-3-C AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations. ® OLTG4-C SIGN LIGHTING COMPLIANCE, Required for all internally and externally illuminated signs, for both indoor and outdoor signs. 2005 Nonresidential Compliaoce Forrns April 2005 l:tK I IFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C PROJECT NAME Co�lonwealth Financial Network Li htin Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power ❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 Q'Not Applicable ❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4 rNot Applicable ❑Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4 l Not Applicable ❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4 Not Applicable L Sign lighting compliance on OLTG-4-C ❑ Not Applicable Mandatory Measures on Plans Show that Outdoor Llghting Meets Outdoor Lighting Controls and Equipment Indicate location on plans of Note Block for Mandatory Measure 0 Installed 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 rcoont�rolled by a motion sensor § 132(a) L� 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) `V' Not Applicable All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1 ❑ Not Applicable ❑/Building facades, parking lots, garages, ' noples, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2 Le Not Applicable MANDATORY AUTOMATIC CONTROLS CONTROL LOCATION CONTROL CONTROL TYPE AREA CONTROLLED NOTE TO IDENTIFICATION Auto Time Switch/Photosensor, etc FIELD Interior Wall behind S gn:, _ sign 2005 Nonresidential Compliance Forms April 2005 I 0 0 N Q N Electronic Ballasts with U ° Output Frequency of o 20kHz or more y E CFLs not containing 0 v c o Medium Screw Base rn t•.. Sockets o c rn 0 �i to z0 Barrier Coat Fluorescent N r 0 Lamps (includes most T5 and T8 lamps) w e M a Light Emitting Diode E c o c_ (LED) U U. LL (U rn •� N O Neon and Cold Cathode I_ N d w0 'rn A N O a Z Z Pulse Start or Ceramic M o Y Metal Halide io c o C C r 3 v High Pressure Sodium 3 a) v> >_ o 3 Is O Smaller than K7 J 3 YIN E Co Q v �t c X y Total Designed t i � o Sign Input watts o a " Tv N p, E —' Number of Ballasts In Signs m c a 0 C! c: a Number of OR --Q° m Lineal Feet of Lamps eev C14y E E ' C 7 V) Z a.. xLamp Type W ca y Y ; i c s N p_� .� — -C Z I O Allotted Watts Y �- (D X F) > C V r LPD 16Allotted 3 e aEi LL ) (12 or 2.313 = y •' V. Internally (I)OR c c c W Externally (E)• E m eQ z Q Illuminated 2 E �. TN: ~' JL UO 2 Sign Area (ft) �a O 0 �« o N N N . Q eo V `0 ti R a 0..Q �v w -o E 1 Z d U � •c t� J .- E 3 cof 0 0 2 ° N N a C ca c ewe = C U m Quantity of Signs o c a ea v Q C /n 0 V a Sign Symbol or Code LL ui C o 0 0 N Q