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06-3561 (SIGN)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003561 Property Address: 79150 HIGHWAY 111 STE 102 APN: 649-620-999- - - Application description: SIGN Property Zoning: REGIONAL COMMERCIAL Application valuation:. 5000 Ti -ht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --———————————————————————————————————————————————— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe . ghat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 o e Business and Professionals Code, and my License is in full force and effect. License Class: C45 A License No.: 782551 t /d• G iDate: Contrctor: OWNER-BUI ER DECLARATION I hereby affirm under penalty of perjury that I am exempt fro 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$5001.: (_ 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.). t (_) 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 i pursuant to the Contractors' State License Law.)' (_ 1 1 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: 10/06/06 Owner: FOURTH QUARTER PROPERTIES 45 ANSLEY DR NEWNAN, GA 30263 (760)613-3783 Contractor: U ABSOLUTE SIGN, C 4652 KATELLA E n) LOS ALAMITOS, 90'aLrO" /!! 06 (562)592-583 LiC. No.: 78 551 FNAsLA £U A J —-————————————————————————————————————————————— 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 STATE FUND Policy Number 143 1 certify that, in the performa ce of the work for which this permit is issued, I shall not employ any person in any ma so a to become subject to the workers' compensation laws of California, and agree that, i I shouldrbecome ubject to the workers' compensation provisions of Section _ 3700 of the Lab e, I shall hwith comply with those provisions. Da OAL4L `APPlican � F WARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND VIL 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 t e, bove information is correct. I agree to comply. with all city and county ordinances and state laws relating t 1 ng construc ion, and hereby authorize representatives of this county to enter upon the above-mentioned ro f r inspec n purposes. Datl?:f%rSjgnature ((Applicant or Age tl: Application Number .. . . . . 06-000.03561 .Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/04/07 Qty Unit Charge Per r Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments ONE INTERNALLY ILLUMINATED CHANNEL LETTER SIGN PER SA -06-1052 Fee summary Charged Paid. Credited Due ------------------------------------- Permit Fee Total 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00, 30.00 LIIERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C PR(1 icrr nin..o _ _ This Certificate of Compliance lists outdoor lighting system specifications need to comply with Title 24, Parts 1 and 6 of the California Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DATE The Principal Lighting Designer hereby certifies that, the proposed outdoor 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. 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: ❑ 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 ain a licensed. architect. ® I 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. ❑ I affirm -that 1 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 exemp nt to Business and Professions Code Sections 5537,5538 and 6737.1. INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORK HEETS (✓ box If worksheet Is Included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance -forms, please refer to the Nonresidential Manual published by the Califomia Energy Commission. ® 0TG-1-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-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 OLTGA1 Cif the project consists solely of outdoor signs 4. Use OLTG-I-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. ® OLTGA-C SIGN LIGHTING COMPLIANCE. Required for all internally and externa outdoor signs_ lly illuminated signs, for both indoor and 2005 Nonresidential Compliance Forms April 2005 CERTIFICATE OF COMOLIANCE (Part 2 of 2 OLTG- - PROJECT NAME C Commonwealth Financial Network Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lightinq Power ❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 B'Not Applicable ❑ Lighting power allowances for local ordinances or for security multipliers on 0LTG-2-C Part 2 of 4 QrNot Applicable Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4 13'NotA'pp'licable ❑ Lighting power -allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4 Not Applicable ©"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 Mandatory Measure 0 Installed lighting power has been determined in accordance with § 13o(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 controlled by a motion sensor § 132(a) L3'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) B'Not Applicable All permanently installed outdoor lighting meets the Control Requirements of § 132(c)l ❑ Not ADDlicable ❑./Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2 IYLY Not Applicable MANDATORY AUTOMATIC CONTROLS CONTROL LOCATION CONTROL CONTROL TYPE IDENTIFICATION Auto Time Switch/Photosensor, etc AA CONTROLLED NOTE TO Interior Wall FIELD 2005 Nonresidential Compliance Forms April 2005 0 N Q k LL U C m C U C a c Z h O O N d = Electronic Ballasts with UO N Output. Frequency of p o 20kHz or more N d, o o _ n d CFLs not containing c Medium Screw Base �0 NSockets o c, d L rn 0 • z0 Barrier Coat Fluorescent . d Lamps (includes most T5 r 'o and T8 lamps) W 4) C g a Light Emitting Diode E c o rA .0 c _ (LED) 3 3 Ui U v CL ii H O Neon and Cold Cathode rn I = .S , - Pulse Start or Ceramic oZ a = oMetal r Halide @ a� O Q a U C C_ r m m. High Pressure Sodium >' o C J Is G Smaller than K? . Co. 3 YIN c m w s<0 �72 Y ,� Total Designed W s •D v 0 3 0 Sign Input watts o N T� N Number of Ballasts m E u) In Signs m .0 U t . _ R Number of OR 3 �,� 3 m Lineal Feet of Lamps N N E E 3 U 0) O a 0U) o_ Z tamp Type c�a y m m rn C C = •— 3 L Cr N N Jrn 1 Allotted Watts _0) N ..+ C:—� °c O (D X F) .u? y > C 04 m U LPD cAllotted M C m C a� LL .(12 or 2.3) = " •— W n 0 c a Internally (1) OR Z Z w Q Externally (E) E m c Q Illuminated 3 E � J " Cd AZ Sign Area (ft) C o a> _ Y f6 5 (QN o ` N N `0. 3 W y 0"- w (0 n o�0 U ,r~ O w a E c� _a.O `° 3 2 3 M Z °' " a ° 00 N r- c E E o N 3 aE o m m �1� V U a N C C m Quantity of Signs J W 12 C:U ° Z oCl Q @ F 0 LL 0 ¢ Sign Symbol or Code oit a li Z m 3 0 N Q k LL U C m C U C a c Z h O O N Bin # City of LaQuinta Building a Safety Division P.O. Box 15041 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: _ / 0 Owner's Name: A. P. Number: Address: City, ST, Zip: Telephone: Legal Description: Contractor: �S� Address: Project Description: City, ST, Zip: Telephone: , State Lic. # : - Arch., Engr., esigner: City Lic. #: Address: City, ST, Zip: Telephone: x;- - Construction Type: Occupancy': State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Perso . Sq. Ft.: #Stories: #Units: Telephone # of Contact Person —(ifg Estimated Value of Projec . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd. Recd TRACKING. Plan Check submitted PERMIT FEES 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 2sd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up $ M I H.O.A. Approval Plans resubmitted.. Grading INHOUSE:- 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 rmit Fees . ..