07-0246 (SIGN)ceooa4t 4�
P.O. BOX 1504 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: 1/22/07
Application Number:
MO,7-00000246
Owner:
Property Address:
T9"25-5 IGHWAY 111 STE 1
STAMKO DEV CO
— -
APN:
649-030-999-8 -30420 -
C/O PROVIDENT FINANCIAL
MGI
Application description:
SIGN
10345 W OLYMPIC BLVD 2
FL
Property Zoning:
REGIONAL COMMERCIAL
LOS ANGELES, CA 90064
i 2UU7
Application valuation:
8000
JAN 3
1
Contractor:
CITY OF LA QUINTA
Applicant:
Architect or Engineer:
VISIBLE GRAPHICS
FINANCE DEPT.
6840 HAYVENHURST AVENUE
#10
VAN NUYS, CA 91406
(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.
License Class: C45 A License No.: 745555
Dates te�, Contra �`
®�
OW -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
"peunit 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 of 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 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.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 su*ct to the workers' compensation provisions of Section
,WQ9 of the Labor Code, I s)iall foAhVith comply with thosg provisions.
WARNING: FAILURE TO SECURI WORKERS' COMF(f &ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOCRIMINAL 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,
°y 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 infor ation is correct. I agree to comply with all
city and county ordinances and state laws relating to building construc on, and hereby authorize representatives
of this countyt1ter upon the above-mentioned property for ' specti urposes.
.D"at,_gnature. (Applicant or AgeL 01 or52,
re (App uuar ,
Application Number 07-00000246
Permit . . .. ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 33.00 Plan Check'Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 7/21/07
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
i TWO INTERNALL ILLUMINATED CHANNEL
LETTER SIGNS PER SA06-1093
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
LQPERMIT
.Bin #-'
�1 City of La Quints
' 1 ` Building 8t Safety Whion
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permft #
Project Address:2
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor
ATelephone.
City, ST, Zip:
Address:
d4
.Project Description:
. - - I
City, ST, Zip:
Telephone ALic.
q.
State Lic. # :
Arch., Engr., esigner:
Address:
City., S , Zip:
Tel hone:
State Lic. #:
F
`% : :'
' �"
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft:
#Stories:
#Units:
Telephone # of Contact Wrson:4
A9.204,
Estimated Value of Proj �`�*�" f + . , ,•• ;
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Calcs.
Called Contact Person
Pian Check Balance
Title 24 Calcs.
Plans picked op
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Revicw, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
N
Electronic Ballasts with
Ln
Output.16 Frequency of
U
O
o
20kHz or more
N
O
N
E
-
4
o
a
'n
m
CFLs not containing
c
o
Medium Screw Base
f0
t...
N
(D
Sockets
o C
rn
O
-i U)Barrier
zO
Coat Fluorescent
.
rn 0
Lamps (includes most T5
0
Zio
and T8 lamps)
W 4)
C
a
Light Emitting Diode
E c
-0
() LED
2 =) U `
LL N
O
Neon and Cold Cathode
•E.>
N
o
F -
.>_ . z
Pulse Start or Ceramic
�
N
ami
-0_
c 5 u
Metal Halide
.�=L
a v
High Pressure Sodium
E
m aD
N
_
C io
J
Is G Smaller than K? .
c
m.
Y/N
c
m
Y Q vi
a>
Y
y
Total Designed
W
-C a
o
Sign Input watts
o
m
N a�
in
N
Number of Ballasts
i
m E 0)
In Signs
M 3
0 f
C Al N)
�
Number of OR
Q
m
Lineal Feet of Lamps
-
04
M E
Uc O
0
E
c
_m
a
a
2
J
Lamp Type
N
N L a_
C
C
C C CT
''^^
.c
cn
c
O
Allotted Watts
ami
Y
V_ m
(D X F)
N
c
c
O vi N
U N
Allotted LPD
C
@ c
W
`m
a
U.
(12 or 2.Z)
T
.N m in
U
$4
(W/ft)
0Y-0
°'
o
Internally (1) OR
�
cc:)Z c
v
w
=
Externally (E)'
'
Q
z
Q
Illuminated
= E �
r..l
O
T.N.
a
O
Sign Area (ftZ)
o'
c 3 c
CC
a)
ro vOi N
W
0
3
a•
W vii
U
W
0
Cn
- m
o .d o
-0EM
/ n
r1
0 0
3
m i5
`!
Z0O
co
V
aU
cWm
EY
of
p.l
`�
7
ac
3
� E O
T
.L.
0
1
0
c
0
J
C
(DC
_o
C U V
--�
W
m
Quantity of Signs
"'
o
°
c a CL
Z
Z
0
w
O
C
Q
Sign Symbol or Code
y
LL
di
.(n
LL
Z 3
a
CERTIFICATE OF COMPLIANCE (Part 1 of 2)
OLTG-1-C
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.
''
Certificate Of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be
DATE
-
- -- - -• -j �
09-21--05
PROJECT ADDRESS
—��-
:Buildina'P.ennit'
PRINCIPAL SIGNER -LIGHTING
- - ---------- — _ TELEPHONE
I
DOCUMENTATION AUTHOR
_ _ - TELEPHCi:ET = _—�
e .e v a e
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for
EnforcementAgency:Use
GENERAL INFORMATION
ElOLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
DATE OF PLANS
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
OUTDOOR LIGHTING ZONE f✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3
❑ LZ4
FUNCTION TYPE
❑ OUTDOOR LIGHTING ® OUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION
® NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
This rPrfifiralo of rm—v-- n�#..
------ _
• ----- -------•---• ••y••••••y .+lora �Nc�wuwuvna 11=u W uumply wun i me Z4, Pans 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.
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 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 I am'a licensed contractor performing this work.
❑ 1 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 exemp,•pnr*uknt to Business and Professions Code Sections 5537,5538 and 6737.1.
the
in the
zvvo ivonresiaentral Compliance Forms
April 2005
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ 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.
® 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-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'if the project consists solely of outdoor signs
4. Use OLTGA1 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
i ns❑
Signs) -
ElOLTG-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.
zvvo ivonresiaentral Compliance Forms
April 2005
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C
PROJECT NAME
Commonwealth Financial Network
Fighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
_/
rEl
Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
u Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
2rNot Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
C�Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
ITNot 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
❑ 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)
L� Not Applicable
❑ All Luminaires with lamps rated greater than 175 wafts in hardscape areas, including parking lots, building entrances, canopies, and
all outdoor sales areas meet the Cutoff Requirements of § 132(b)
13'Not Applicable
121 All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
❑ Not Applicable
❑,/Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2
L� Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL CONTROL TYPE AREA CONTROLLED NOTE TO
IDENTIFICATION Auto Time Switch/Photosensor, etc FIELD
Interior Wall
ht-hindCFT_D TNT—Tind,
•2005 Nonresidential Compliance Forms April 2005