11-1313 (SIGN)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: 12/08/11
Application Number: 11`00001313= Owner:
Property Address: 79630 HIGHWAY 111 STE 101 HIGHLAND LA QUINTA, LLC
APN: 649-020-014-1 -31143 - 1055 E. COLORADO BLVD. #5178
Application description: SIGN TENANT: FOOTLOOSE
Property Zoning: REGIONAL COMMERCIAL PASDENA, CA 91106
Application valuation: 6000 PF-
Q
Contractor: '' 1Applicant: Architect or Engineer: SIGNARAMA ...L 0 �' 20 l ! r
41945 BOARDWALK, "L"
C
PALM DESERT, CA 92211
CITY pcc�OiNfA
(760)776 -9907 -SFr
Lic. No.: 830131 "" -
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 Cl a D42 C45 icense No.: 830131
Cont
Date, I ractor•
OWNER -8 LDER 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).:
(_) 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.).
1 1 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:
LQPERMIT
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
Cade, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier HARTFORD CO Policy Number 198607
_ 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
1 L�3700 of the Labor Co e, I s all forthwith cc ply with those provisions.
Dt¢/ 0o App1. c n
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI/ .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.
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 co truction, and hereby authorize representatives
of this coun thio ter upon the above-mentioned pr pert or i pection purpos
Date: as 1 Signature,lApplicant-or-Agentl: _
Application Number
11-00001313
Permit . . .
ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee
33.00 Plan Check Fee
.00
Issue Date . . .
Valuation . . .
. 0
Expiration Date . .
6/05/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 15.0000
EA ELEC SIGN IST CIRCUIT
15.00
1.00 3.0000
EA ELEC SIGN ADDITIONAL CIRUITS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
TWO INTERNALLY PERMANENTLY SIGNS CHANNEL
LETTERS, PER SP 2011-1577
"FOOTLOOSE
REFLEXOLOGY".
-----------------------------
Other Fees . . . . .
----------------------------------------------
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
- - - - - - - - ----
Paid Credited
-- - - - - ------ - -_- ------ - - - - ----
Due
-- - - - - - -
-- - - - - -
Permit Fee Total
33.00 .00 .00
33.00
Plan Check Total
.00 .00 .00
.00
Other Fee Total
1.00 ..00 .00
1.00
Grand Total
34.00 .00 .00
34.00
i
LQPERMIT
Certificate of Compliance (Sign Li htin
Pae l of 4) SLTG-1C
nate:
Project Name: l.�
'L y --x c7L f Z O S I
00L0 �
Project Address: -7 7 6 30 I O 1/ q
�tdoor Signs ❑ Indoo Signs
I ocation of Sign �e Signs O Sigh Alterations
Phase of Sign Construction tin
T of Li htin Control ew Li htin Controls 0 Re laced Li hControls O Not installing Li htin Eontm s...
This Certificate of Compliance includes the following components (check all that apply)
p Mandatory Measures (Lighting Controls) ' O Maximum Allowed Lighting Power D Specific Lighting Sources
1. ent (this may b< a cto, C45 yr other eligible person)
Certificate of Compliance Declaration Statem
• te of California. the information provided on this form is true and
I certify under penalty of perjury. under the laws of the Sta
correct.
. • rnia Business and Professions Code to accept responsibility for the lighting design.
I am eligible under Division 3 of the Califo
ance specifications required for compliance with
This Certificate of Compliance identifies the lighting features and perform
Title 24, Parts I and 6 of the California Code of Regulations.
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 specifications submitted to the
enforcement agency for approval with this building permit applic
Signature
[Address.
e: % r p
p y l� Phone/�� 7 7 — (Z%
m an / License number (may be.conq�c�p�'s,lic #)
Date
City/State/Zip:
S L m Z
2. installation Certificate (to be signed by responsible Person after installation)
Permit number ceedmd b'roa°' A.
aeamnt A Use Enforcemwt A Use
(Ea
Installation Declaration statement
California, the information provided on this form is true and
• 1 certify under penalty of perjury, under the laws of the State of
correct.
• 1 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.
• 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to a
applicable codes and regulations, and. the installation is consistent with the plans and specifications approved by the'.`.'
enforcement agency.
• 1 certify that the requirements detailed on this Certificate of Compliance have been met.
• 1 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 io the
building owner at occupancy.
Company Name: .
Responsible Person's Name:
Responsible Person's Signature:
License number (may be contractor's,lic #)
Date Signed:
Position With Company:
2008 Nonresidential Compliance Forms July 2010
Certificate of Compliance (Sign Lighting) (Page 2 of 4) SLTGIC
Project Name:Datc-
�d oT L -U oS 12eLo
o
1 a Ii
3. Mandatory Sign Lighting Controls
,VOTES. -
The Mandatory Measures (sign lighting controls) erre required for compliance with the sign lighting Standards. The same
responsible person ►nay install both ;the sign and the• sign lighting controls, or a different responsible person' muv•in1Q4he•
.sign lighting controls than the responsible person installing the sign.
1. 1J'the person responsible for installing the sign is not also responsible for the sign lighting controls, thenthe owner of the
sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. -'
3. if ►pore than one person has responsthility for compliance, each person shall prepare and sign a Certificate of Compliance
and an Installation Certificate applicable to the portion of constniction for which they are responsible: alternatively,.,the
person with chief responsibility for constniction shall prepare and .sign the Certificate of Compliance Declaration Statement
or the entire constniction.
3a. Statements of Responsibility:
• The person signing the Certificate of Compliance Declaration Statement shall check Yes or No for all of the following statements:
1
1 have responsibility for installing the sign lighting controls :u
❑ Yes, complete parts 3a and 3b of this form o, complete part 3a of this form t -,
2
There are no existing sign lighting controls and Uwill be installing compliant sign lighting controls
E3 Yes o �.
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls.
❑ Yes EXNo
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
❑ Yes No
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and sotn6 a else '
5
will be responsible to install compliant sign lighting controls
❑ Yes PkNo
3b.
The
reitionsible
If
m
1
Mandatory Sign Lighting Controls
person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if they aie
for complying with the sign Iiliting control requirements. _;.1.
there are construction documents, indicate where on the building plans the
datory measures(sign lighting control note block can be located:
§133(a)l. All indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA
applicable require nents of § 119.
§133(a)[ and 2. All outdoor sign lighting ❑ ' ' ❑'
g g g is controlled with an automatic time switch control plus a photo Y N NA
control or an outdoor astronomical time switch,
2
that comply with the applicable requirements of119. p
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
daylight hours. Y NA
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y❑N N❑A
sin power by a minimum 65
of percent during nighttime hours.
3
Exception'l to §133(x)3. Signs illuminated for less than one hour per day during daylight hours. Y ' `-Nati'
Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during y' ' `" O
daylight hours.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for ❑y...
illuminatingsi
s or arts of si s. NA
§133(x)4. An Electronic Message Center (EMC) having a new connected lighting 0
15 kW has a control installed capable of g.Po load greater than '
4
reducingthe lighting i Y N N%A
g g power by a minimum of 30 percent when
receivinga demand res onse si f30
at that is sent out b the local utility. O_ Q
_
Exception to §133(a)4. EMC required by a health or life safety statue, ordinance, or regulation, including Y
but not limited to exit signs and traffic signs. NA
Field
Inspector Notes: 1 13 13
2008 Nonresidential Compliance Forms
Julv 2010
'Certificate of Compliance Sin Li htin Pa
e3 of 4 SLTG=1C
Project Name:
eOT os �.2 o Lo
Date:
i z op r�
4. Maximum Allowed Lighting Power Method of Co pliance .._..... -...
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Com�lete Dart.5
of this Certificate of Compliance if there are signs using the S ecific lighting sources method of com liance
A
B
C
D E, I F G
H
I
J
Allowed Watts
Design
Complies'?
_
Watts
Y / N
_.
d
o
U
a 2
1
c�
v
,,� ..,
a'� `
ti
y
�
v71
;,Field
Inspector
Check that
c
o
v
v
X33
c4
3 x
=
w
Sign
-�
�?��
�'� v:Complies
a Uj
Q v w
Q
c
TT
C
U
abora.o: v
Description.
Ir,(-
L; 4 zs
t
❑
❑
❑
❑
❑
❑
❑
❑
A
Symbol or code used on the plans when Plans arerequired) and other documents.
B
A narrative description of the sign, or location of sign on the buildin • and the location of sign on construction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed label, listed with Underwriters Laboratory. .
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) or Intemationai f I
Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under an ongoing inspection program
C
carried out by a Type A inspection body in accordance with ISO/IEC 17020, 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. For signs with sucha
label, columns 'D' through 'I' are not required to be filled out. Note: Using a label is an optional method to validate compliance. A label is
not needed for compliance.
D
The sign area in square 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 accordingto theapplicable provisions of • t 30(d ore
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
This page doubles as a field inspection checklist.
Field Inspector Notes:
...:• ....
,
2008 Nonresidential Compliance Forms July 2010
Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTG-IC
Project Name:
Date:
5. Specific LiehtinQ 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 lighting ower method of compliance)
A
B
C
D
G
OPTIONAL
UL
Specific light source used for
Field-
ield-
S mbol
Symbol
y
or other
compliance • �
Inspector
a1.Vi�clNthat'
or
Description
label
Shall include only lighting
Code
instructions (Sitechnologies
listed below
Sip
bel
Wow)
List all that apply
Com lips
�; ,.
❑
-- ...❑ .
❑
❑
❑
❑�,
t
J.
0
13
A
I Symbol or code used on the plans whentans are rc uired and
other documents.
B
A narrative description of the sism, or location of sign on the buildin • and the location of siltn on construction documents
C
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed label, listed with UnderwritersLa-boiii
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) or International
Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under an ongoing inspection program
carried out by a Type A inspection body in accordance ISO/TEC
with 17020, confirming that this sign complies with the Section 148 ofthe
California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. For signs with such a label column
'D'
is not required to be filled out. Note: Usinga label is an optional method to validate compliance. A label is not needed for com liance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers I through 10 that apply in column D above for each row:
I
High Pressure sodium lam s
2
Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficiency
3
Pulse start metal halide lamps that are < 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast
with >_80%
efficiency -
4
5
Neon or cold cathode lamps with transformer or power supply efficiency >_ 75% with rated output current < 50 mA
Neon or cold cathode lamps with transformer
D
6
or power supply efficiency > 68% with rated output current 1>'50 mA
Fluorescent. lamps with a minimum color rendering index (CRI) of 80
Note: when using electronic ballasts for com liance, lamps with a CRI < 80 may be used
7
Light emittin diodes LEDs with a Dower supply with 80% efficient
8
_>
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC
output, having a nameplate output less than
power or equal to 250 watts, and certified to the Energy Commission as
cum 31ying with the Applicable requirements of the Appliance Efficiency Regulations
9
Title 20
Compact fluorescent lamps that do not contain a medium screw base sockets E24/E26
10
_
Electronic ballasts with a fundamental'out ut frequency > 20 kHz "^
E
This paite
doubles as a field inspection checklist
- _ 1 riem Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
EXISTING WALL
.063" ALUMINUM RETURNS
#10 HEX HEAD SCREWS
AND WALL ANCHORS
NEON TUBES
.063" ALUMINUM FACE
3/16" LEXAN BACK
GTO WIRE
PRIMARY ELECTRICAL
TRANSFORMER
W/ DISCONNECT SWITCH
& INTERNAL GFI
WATER PROOF CONDUIT
ALUMINUM STAND OFF
BONDING WIRE
STANDARD GLASS STANDS
1/4" DRAIN HOLES
HALO ILLUMINATED
NEON CHANNEL LETTER
(TYPICAL CONSTRUCTION)
COMPLIES WITH 2007 CA ELECTRICAL CODE, ARTICLE .600
U.L. LISTED & LABELED
Drawing No.: ED10012
Revision: B 5`GN*A*RgMq
Date: 3-22-11 S1GN*A*RAMA
^*+ THE COACHELLA VALLEY'S FULL SERVICE SIGN CENTER
Drawn By. RA 41-94S Boardwalk. Ste. L. Palm Desert. CA 92211 Ph. 760-776-9907
Approved By: FH
q9�ffimzm
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1.504
78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
December 6, 2011
Mr. William Sigurdsen
Sign A Rama .
41945 Boardwalk Suite L
Palm Desert, CA 92211
SUBJECT: SIGN PERMIT 2011-1577: FOOTLOOSE REFLEXOLOGY
Dear Mr. Sigurdsen:
The Planning Department has reviewed and approved your request for two building -
mounted, illuminated, aluminum signs for, "FOOTLOOSE REFLEXOLOGY" at the Dunes
Business Park. The approval is subject to the following Conditions:
1. This sign permit grants two illuminated permanently mounted building identification
signs for ."Footloose Reflexology". One sign. ispermitted above the entry to the
business (north elevation), and the other sign is permitted on the southern building
elevation. The square footage of each sign shall not exceed twenty-five (25) square
feet. The location and materials for the' sign are per the approved plans on file with
the Planning Department.
.2. The applicant shall obtain a . building permit from the City's Building and Safety
Department prior to placement of the signs.. The Building and Safety Department
can be reached at (760) 777-7012.
I The signs shall conform to the approved sign program (SA 2006-1078) for the
Dunes Business Park.
Should you have any questions or need additional information please feel free to contact
me at (760).777-7125.
Sincerely,
C CEJ
Assistant nner
C: Building & Safety Department
Bin #
City Of L a Quints
Building 8r Safety.Division .
P.O. Box 1504, 78-495 Calle-Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1 .
Project Address: 776 go /.,'W Y/1I L . ( Z2S
Owner's Name: Moo- 2�T L 1
A. P. Number:
Address: 79100 )q
Legal Description:
City, ST, Zip: L , 9 ZZ S3
Contractor:/ Gn/ M.Tele
::;';:.;;}:;;:.:::::...:......z:• <•:s:
hon
Address: y/ % y f dos W w LIL
Project Description: Z +
City, ST, Zip: L ✓" 1
Telephon:<::�;•<;;s:}
?6a 77b — 9 90 7
�>•<>.�;:r>�<>::>ry>r<»;;;3::<.:>€>:::::>
Y
G IZGH .�s-
State Lic. # : 3 6 13 City Lic. #: 97a oSy4 /
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:.lhw:....
Construction Type: Occupancy:
State Lic. #:
Project type circle one Add'n Alter Repair Demo
Name of Contact Person: , L � SG tA2 0S ,
Sq: Ft.:
# Stories:
#Units:
Telephone # of Contact Person. 6 0 s $' . /3
Estimated Valued Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs...
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3W Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact PersonA.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees