BSIG2015-000478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4� Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 Professions Code,
and my License is in full force and effect.
License Class: _`License No.: :LIC -0100649
Date: Contractor:
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 Div isionn/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 fo a
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($500).:
I 11, 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 I 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 N
Lender's Address:
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:_ Policy Number: _
_ 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 t _ Labor Code, I shall forthwith
comply with those provisions.
Date: i ' ZZ � J Applicant:
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 Building Official 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 city to enter o the above-
mentioned property for inspection purposes.
Date:
te: (� Z� —) J Signature (Applicant or Agent):
Date: 1/27/2015
Application Number:.
BSIG2015-0004
Owner:
Property Address:
79234 HIGHWAY 111
INLAND AMERICAN LAQUINTA PAV
APN:
600390026
P 0 BOX 9271
Application Description:
(4) ILLUMINATED WALL SIGNS (1) NON ILLUMINATED
OAK BROOK, IL 92253
Property Zoning:
Application Valuation:
$12,000.00
D
Applicant: JANcd
SIGNTECH ELECTRCLADVRTSNG INC "I 2015
Contractor:
SIGNTECH ELECTRCLADVRTSNG INC
0 OUTSIDE CITY LIMITS0
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
M11NI7Y0 4 QUINTA O
D
EPARTAfEIyT
LA QUINTA, CA 92253
.
(619)527-6100
Uc. No.: :LIC -0100649
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 Professions Code,
and my License is in full force and effect.
License Class: _`License No.: :LIC -0100649
Date: Contractor:
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 Div isionn/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 fo a
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($500).:
I 11, 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 I 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 N
Lender's Address:
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:_ Policy Number: _
_ 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 t _ Labor Code, I shall forthwith
comply with those provisions.
Date: i ' ZZ � J Applicant:
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 Building Official 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 city to enter o the above-
mentioned property for inspection purposes.
Date:
te: (� Z� —) J Signature (Applicant or Agent):
Certificate of Com liance (5i n Lighting)
(Page 1 of 4) SLTG-1C
projectNarhe: �J , tra s Fy ne
V ' 7Jf C
Date: I—Z7-'
v
Project Address:
Title 24, Parts 1 and 6 of the California Code of Regulations.
19 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 spec i ations submitted to the
Location of Sign Outdoor Signs ❑ Indoor Signs
Name: S -IN VC —r—tie<R I A V L-7
Phase of Sign Construction ❑ New Signs ❑ Sign Alterations
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
Type of Lighting Control ❑ New Lipliting Controls ❑ Replaced Lighting Controls
❑ Not Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
License number (may be contractor's lic #)
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power
M Specific Lighting Sources
I. Certificate of Compliance Declaration Statement (this may be a Cio, C45 or other eligible person)
X I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and
correct.
X I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design.
X1 This Certificate of Compliance identifies the lighting features and -performance specifications required for compliance with
Title 24, Parts 1 and 6 of the California Code of Regulations.
19 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 spec i ations submitted to the
enforcement agency for approval with this building permit application.
Name: S -IN VC —r—tie<R I A V L-7
Signature
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
Company:
i (at-1INE—CM0-�1YZJ CA L Ao,Krt7► S; AI C—,
Phone
S'l 1 — c) to7 S
Address:
+4 4 y 1 c�- eP4ErZ !t_ 6Lyo
License number (may be contractor's lic #)
City/State/Zip:
SAN D I utero CA °1 z-1 dZ
`iS 40 to
Date
2. Installation Certificate (to be signed by responsible person after installation)
Permit number
Checked bylbmt _
[,(Ei1'forrcrnentAgcncy
(EnfdreementA ene Use ,.
Use
Installation Declaration statement
1-1 I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and
correct.
= I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction.
F! I certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to all
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
I certify that the requirements detailed on this Certificate of Compliance have been met.
I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy.
Company Name:
Responsible Person's Name:
Responsible Person's Signature:
License number (may be contractor's lic #) 7
Date Signed:
Position With Company:
zuua ivonresraential Compliance Forms October 2010
Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTG-IC
Project Name:
wu�(-s 6WG�
Dace:
-27-��
3. Mandatory Sign Lighting Controls
NOTES:
1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a dierent responsible
person may install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the
sign, general contractor, or architect shall be responsible to have the sign lighting controls installed.
3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible;
alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance
Declaration Statement or the entire construction.
3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on page 1 of
4 on this SLTG-1C shall complete Part 3a. Check Yes or No for all of the following statements:
1
I have responsibility for installing the sign lighting controls
§133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo
® Yes, complete parts 3a and 3b of this form ❑ No, complete part 3a of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
IN Yes ❑ No
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
❑
❑ Yes ® No
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and I will be
4
installing compliant sign lighting controls
daylight hours.
❑ Yes ® No
09
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and someone else
5
will be responsible to install compliant sign lighting controls
N
❑ Yes [A No
3b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-1 C is responsible for
complying with the sign lighting control requirements, that person shall answer all of the following questions:
If there are construction documents, indicate where on the building plans the
andato measures (signlighting control) note block can be located:
§133(a)1. All indoor sign lighting is controlled with an automatic time switch control that complies with the
Y
NJ
NA
1
r2
a licable re uirements of §119.
❑
❑
10
§133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo
Y
N
NA
control, of an outdoor astronomical time switch, that comply with the applicable requirements of § 119.
19
❑
❑
2
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
Y
NA
daylight hours.
❑
09
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
Y
N
NA
sin power by a minimum of 65 percent during nighttime hours.
❑
®
❑
Exception 1 to§133(a)3. Si ns illuminated for less than one hour per da during daylight hours.
P g P Y g®
Y
NA
❑
3
Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during
Y
NA
daylight hours.
❑
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for
Y
NA
tin signs or arts of signs.
❑
IN
. An Electronic Message Center (EMC) having a new connected lighting power load greater than
Y
N
N/A
as a control installed capable of reducing the lighting power by a minimum of 30 percent when
❑
❑
09
receiving a demand response signal that is sent out b the local utility.
on to §133(x)4. EMC required by a health or life safety statue, ordinance, or regulation, including
Y
NA
imited to exit signs and traffic signs.
pfi,ldn
❑
Notes:
2008 Nonresidential Compliance Forms October 2010
Cettificate of Com fiance (Sign Li�htin) (Page 3 of 4), SLTG-1 C
Project Name:
Date:
4. Maximum Allowed Lii!htin2 Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 5
of this Certificate of Compliance if there are signs us,ing the S ecific lighting sources method of compliance
A
B
C
D E I F G
H
I
- J
I
p
Allowed Watts
Design
Complies)
'°I
' F
Watts
Y / N�
•
W
> A
42rA
fi
_
0
W
03
�s .�»;'Field
}
Z y
c
o u N`
+o -n
,,.,
'.Ico nspercYor
-u
CIOS
W
¢ �w
_
Check that
a
;�
5
t
H
U
x�,Stgn:
Go plies`
Description
✓
c=r'
4
�
i
1
tom❑ ��+��'�
❑
_ r`
770
ca,7.kr f
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A narrative description of the sign, or location of sign on the building; and the location of si on construction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed; factory -installed, ENERGY VERIFIED label, confirming that
the sign complies with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized
C
by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National
Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual
inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY
VERIFIED label, columns `D' through `I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional
method to validate compliance. An ENERGY VERIFIED label is not needed for compliance.
D
The sign area insquare feet.
E
List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated.
F
Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
G
Multiply the square footage in column D times the allowed Lighting Power Density LPD = watts in column F.
H
Show the total installed watts in the sign, as determined according to the applicable provisions of §130(d ore .
I I
Enter Y if the number in column H is less than orequal to the number in column G. Otherwise, the sign does not comply.
J I
This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTG=IC
Project Name:, \ S F,yki�'
Date: I r 2? `1
5. Specific Lighting Source Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this
Certificate of Compliance if there are signs using the maximum allowed li liting power method of compliance)
A
B
C
D
'4E
OPTIONAL
r Field' t
ENERGY
Specific light source used for
Inspector
Symbol
VERIFIED
compliance
Clieck'tliat
or
Description
label
Shall include only lighting
Sign'
Code
(see instructions
technologies listed below
below)
List all that apply
Complies
❑❑
❑
�=^V�
LAJA (,L S ) C�
ray
Avg.(IC 67vJ
❑
%
o
Is
,
❑
o
A
Symbol
or code used on the plans when plans are required) and
other documents.
B
A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
C
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that
this sign complies with the Section 148 of the California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of
Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label,
column `D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An
ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers 1 through 10 that apply in column D above for each row.
I
High pressure sodium lamps
2
Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficient
3
Pulse start metal halide lamps that are:5 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast
with > 80% efficient
4
Neon or cold cathode lamps with transformer or power supply efficient _> 75% with rated output current < 50 mA
5
Neon or cold cathode lamps with transformer or power supply efficiency>_ 68% with rated output current > 50 mA
U
6
Fluorescent lamps with a minimum color rendering index (CRI) of 80
(Note: when using electronic ballasts for compliance, lamps with a CRI < 80 may be used)
7
Light emitting diodes LEDs with a power supply with > 80% efficient
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC
8
output, having a nameplate output power less than or equal to 250 watts, and certified to the Energy Commission as
complying with the applicable requirements of the Appliance Efficiency Regulations Title 20
9
Com act fluorescent lamps that do not contain a medium screw base sockets E24/E26
10
Electronic ballasts with a fundamental output frequency > 20 kHz
E
This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
FINANCIAL .•
DESCRIPTION ACCOUNT
1•
QTY
AMOUNT PAID PAID DATE
BSAS S81473 FEE 101-0000-20306
0
$1.00 $0.00
PAID.BY METHOD
RECEIPT # CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT"
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #.
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$73.98
$0.00
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$73.98
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSIGN: $259.64 $0.00
TOTALS:0: 0i
Description: (4) ILLUMINATED WALL SIGNS (1) NON ILLUMINATED
Type: SIGN Subtype: Status: UNDER REVIEW
Applied: 1/27/2015 PJU
Approved:
Parcel No: 600390026 Site Address: 79234 HIGHWAY 111LA QUINTA,CA 92253
Subdivision: PM 29351 Block: Lot: 12
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: INSTALL (4) ILLUMINATED WALL SIGNS (1) ONE NON -DIRECTIONAL SIGN. APPROVED AS REPLACEMENT TO EXISTING SIGNS
CONSISTANT WITH APPROVAL ON 6/15/2006.PER WALLY NESBIT &2013 CALIFORNIA ELECTRICAL CODE.
ADDITIONAL SITES
CONDITIONS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, January 27, 2015 10:10:08 AM 1 of 2
RWYSTEMS
DESCRIPTION
ACCJUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
ATTACHMENTS
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
WALL/AWNING SIGN,
101-0000-42404
0
$73.98
$0.00
EA ADDITIONAL
WALL/AWNING SIGN,
101-0000-42600
0
$73.98
$0.00
EA ADDITIONAL PC
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$0.00
FIRST
WALL/AWNING SIGN,
FIRST PC
101-0000-426000
$87.02
$0.00
Total Paid forSIGN: $259.64 $0.00
TOTALS:• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
ATTACHMENTS
Printed: Tuesday, January 27, 2015 10:10:08 AM 2 of 2
RWYS TEMS
Bin#
Permit #
Project Address: —7*) — 2-SLI
City-of La Quinto.
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
, • Owner'sNamc: II A r-l/vf}G,6MV/V j LLC
A. P. Number:
Address: z9 (7 j foom-'12 -t Lnz> AA-3
Legal Description:
City, ST, Zip: e)AK . &ZOOK I 1Llr
Contractor: S 1 ErN TZ h r'L.uCTyLI CAL ADYw'Li / S!n/C,
Telephone: (-930 Z/$ -4Q 0'>•::<:>::>:;:;;;;;>:
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Address:
Project Description: �j
City, ST, Zip: , SAN D) Lem CA -7Zld2
tL-UP1/,V,411-�
Tele hone: U1 S2? Qo (j
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State Lic. # :. y .�-% Ll U
City Lie. #:
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