07-0633 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00000633 -
Property Address:
7-9-3-7-5—H IGHWAY-1
APN:
649-030-999-5 . -30420
Application description:
SIGN
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
5000
TAh
t44Q"
Applicant: Architect or Engineer:
�I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Licensee�Class: C4445!� Licen No.: 751584
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 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 (5500).:
1=1 1, 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 am exempt under Sec. BAP.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: 2/27/07
Owner:
STAMKO DEV CO
C/O PROVIDENT FINANCIAL MGMT
10345 W OLYMPIC BLVD 2 FL
LOS ANGELES, CA 90064
Contractor: D A
CERTIFIED S FEB 27 2001
P.O. BOX 45
SUN CITY, C 92 86
(951)928-248 CITY OF lit 4;i6IINTA
Lic. No.: 75 584 k 2800_1
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 1651343-2006
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
37000 of the Labor Code, I shall f ith co pl with those provisions.
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 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.
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 the above-mentioned property foLmweO on purpgsey
LQPERMIT
Application Number 07-00000633
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 8/26/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA ELEC SIGN
1ST CIRCUIT
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SIGNAGE FOR PETSMART PER SA 07-1101
SINGAL INTERNALLY ILLUMINATED CHANNEL
LETTER SIGN.
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
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Regulations. This certiticrte appries only to building lighting raqulrements.
The documenlatJon preparor hereby certifies "t ,fie documentation is accurate and complete-
DOOUMr5NTAT1 N UTHOR CIGNA DATE
The Pdricipal lighting Designer hereby certifies that the proposed outdoor lighting and signs design represented In this set of construction documents
Is: consistent wtih-the other compliance forms and worksheets. With the specifications, and Stith ahy other calculations submitted with this perrmit-
appficattwm The proposed building has been designed to meet the lighting requirements contained in the applicable parts of Sections 110, 115,130
through 132,146, and 145 of Tide 24,•PaM 6. Please f .one:
C 1 hembyaffirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to •sign this document as the person
rrsponslble for Its preparation; and that 1 am licensed in the'State of California as a civil engineer orclectrical origin ."r.'or 1 am a licensed,
architect
I affirm that I artr eligible under the provisions of Division-3 of the Business and Professions Code by. section 5537.2 or 6737..8 to. sign this
document as the person responsible for its preparation; and that t am a licensed contm mor performing this work.
❑ 1 affirm that I am eligible under the provisions of Division 3 of the Business and.Profosslons Coda to sign this document bedause it pertains to a
Structure or typo of work devbfbeii as exempt pursuant to. Business.and,Piofessions Code Sections 553T,5538 and 6737.1.
�A.a:....o ..f 4hn R—;-- —d Pmfcacinns CndH ALelrfntP_;i5fn fall in the Nonresidential Manuals
7.005WveSiderltiai Compliance Forms � April 2005
[CERTIFICATE OF C'0MPLIANCE�Part 2 o.f 2� C7�.TG-1 _-C
' .PROJECT NAME � - .
1,1hting Scfr d.Ores ort Plans Show that Outdoor. Li •htln Meats Allowed LiqfTtinq pq wq
Q Lighting power allowances for general site. iliumination on OI�T� Z -C. Part 1 of 4
Not ApplicablE
Q Lighting power 611ow2ncet'for local ordinances b•r for security'multipliers on OLTG-2-C Parf,2-of 4' -
Not Applicable „
Q Lighting power allowanr_es for spe•'cific .2,.p. plicai.jons.I other than vehicle service stations with canopies on- 0LT. G -2-C Part 3 f4
Kot Applicable — --
D .Lightin" pciwer a'dowanoes for.vehicle service stati,on c6h4ies on OI -TG -2=C P2rt4 of 4
. Not Applicable : – •. - 1 - -
Sign lighting compliance on OLTG4-C _
Q' Not Applicable
Mandatory Measures on Plans Show that Outdoor bighting Meets Outdoor t.igliting Controfs and )Equiprnent
Indloate'location on l4fsf'ofNote Block for. M&6dat6,'Mejz1.1rr. '
0 Installed' lighting power has been determined in accordance -with •g 130(o)t
NotAhplicable
Q:Att.p!a 7mandntly installed• lurhinairPs. with lamps rated oVcr 100 wafts either have a lamp efficacy of at least 60 lumens per -watt or are•
controlled by A motion Sensor '§ i32(a)
' Not•�lpplitable . - ' '.. - ., " . .
Q All Luminaires with lamps rated greeter than 1'75 watts in hardscape areas, including parking.lats, building entrances,'candpies, and'
all outdoor•sales ureas mei t the Cutoff Requirements of § 1.37.(b)
Q All pormanentiy installed outdoor lighting meets the Control Requirements of § 13z(c}1 M
Not Applicable
Building facades, parking lots, oarages, canopies, and outdonrsales'areas meet the Multi -Level Lighting. Requirements :of § 132(c)2
Not Applicable
MAN DA;TORY.AUTO MATI'C CONtRObS--
CONTR6L' LOCATION CONTRDL - ' CONTROL TYPE AREA CONTROLLED NOTE TO
IDENTIFICATION . - Auto iime•SwitchIpIl6fosensor, -tt 5.1FLO
.2005 Nonmsldenflel Compliance Forms
April 2005
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PROJECT RAMS
Alter►aative = For Sign§,that ox4y Use dne Qrmore O the'
Alternative 4 -- Lighting
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F For Allotted LPD use 42• wattslsquare foot for Internally JElltrninated Signs; and use 2.3wattslft for.i=xte,rnalip Illuminated Signs.
MAS elrrh
Nate; if an Internally.11luminatect or =ernaily» fuminacea-sign contains ngnc sources ana uaua5lS vum ULOU UjjrZ!G IIIVILLYk5N ru vvl►•..r"" - -
asincandescent lamps,'rned rn base sockets,, magnetic t aifasfs, etc, then.the sign' must comply underAfternative I. However, unfiltered signs, and
unfiltered porbonsof 1ntemg!fly and Externally illuminated si its are not re wire o meet these Standards.
2005 Nonresidential Compliance Forms aprrl 2005 .
d