08-1564 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00001564
Property Address:
79215 CORPORATE CENTRE DR
APN:
649-820-018- - -
Application description:
SIGN
Property Zoning:
COMMERCIAL PARK
Application valuation:
6000
Applicant:
Architect or Engineer:
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 Professio Is Code, and my License is in full force and effect.
License�yCl ss: D42 cense No.: 830131
ate: / l5 �g tractor:
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 ISec. 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).:
1 _ 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
improvementsare 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 _) 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 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
Owner:
BLOOD BANK OF SA
384 ORANGE SHOW
SAN BERNARDINO,
Contractor:
SIGNARAMA
41945 BOARDWALK,
PALM DESERT, CA
(760)776-9907
Lic. No.: 830131
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
uLu
92211
9/15/08
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.
Y, 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 1640374
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 the workers' compensation provisions of Section
3700 of the Labor C , I hall forthwith ply with those provisions.
at4 e: r � S �� plicant:
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.
1 certify that I have read this application and state that the above informat' n is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructio nd hereby. authorize representatives
of this count to enter upon the above-mentioned prop f inspection p rposes.
D ( C r ' nature (Applicant or Agentl:
Application Number . . . . . 08-00001564
Permit ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . . 33.00
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date 3/14/09
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
2 BUILDING MOUNTED INTERNALLY
ILLUMINTATED OPAQUE CHANNEL LETTER
SIGNS, PER.SA # 2008-1289 "LIFE
STREAM -GIVE HOPE GIVE LIFE GIVE BLOOD"
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 #
City of La QUinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #' ^`
V!'\
Project Address: —1..,-�1GJ CpY Owner'sName'\ Y1 y�
A. P. Number: Address: 3�6Cir CI
Legal Description: City, ST, Zip: �3 y&, n �ig �oZa+
Contractor: cJ �C�W\ Telephone:
Address: L I' l ��yb Lk) Project Description:
iq
City, ST, Zip: ' 1 yr Qe`�.I CP- ,Qa Q Y1 C Y .
Telephone: 1 �9g1 -�—��q 9
CJI�CQ
State Lie. # : City Lie. #:
Arch., Engr., Designer: Z •
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: 1 # Stories:
I # Units:
Telephone # of Contact Person: Estimated Value of Project:`Aw , O4o . oa
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
Called Contact Person Plan Check Balance
Energy Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'4 Review, ready for correctionsliissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up. S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' 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 Fees
APP
BY_
EXH
16�OLifeStream 41
GIVE HOPE I GIVE LIFE I GIVE BLOOD�
175.5"
Life tr eam
GIVE NOPE ; GIVE LIFE i GM. $1000
Constuction:
Logo: Internally illuminated cabinet,
red acrylic face with white vinyl graphic.
Black trim and returns. 16"
"Life Stream" Internally illuminated
acrylic -faced channel letters, black
trim and returns. 16.5'
Tag Line: 1/2" Flat cut acrylic, dark gray.
Business Frontage: 98 Lin. Ft.
Sign Area: 24" x 175.5' = 29.25 Sq. Ft.
BY PLANNING
L.E.D. ILLUMINATED
CHANNEL LETTER SECTION
:51GN*A*RAMA
Sign Description:
EACH LETTER FASTENED BY A
Jobsite: Cus m r Approva
1�
MINIMUM OF 4 #10 SCREWS
Blood Bank of San Bernardino and Riverside
WITH NYLON ANCHORS
WALL
22 GAUGE
SIGNAT E PRINT NAME
La Quinta, CA 92253 LandlordApproval:
SHEET METAL
115V INPUT
4.5 V DC OUTPUT
San Bernardino, CA 9226
LOW VOLTAGE
vj' RA
S'/�`t*�*1�f/IlA
POWER SUPPLY
L.E.D. MODULES
ENCLOSED IN
22 GA. SHEET
Date: 08-12-08
METAL
4 ----- -ACRYLIC FACES
RACEWAY
1640374
BEMATCHEDAS CLOSEAS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
P H 7 6 0. 7 7 6. 9 9 0 7
-TRIMCAP
Designer: tjf
5"
DISCONNECT
SWITCH
THE EXPRESSED WRITTEN CONSENT OF SIGN A*RAMA.
U.L. LISTED & LABELED
:51GN*A*RAMA
Sign Description:
Customer: Telephone: 909-386-6926
Jobsite: Cus m r Approva
1�
Internally illuminated logo cabinet & acrylic faced channel letters.
Blood Bank of San Bernardino and Riverside
79-215 Cor orate Center Wa —
p y
Address:
SIGNAT E PRINT NAME
La Quinta, CA 92253 LandlordApproval:
384 Orange Show Road
San Bernardino, CA 9226
SIGNATURE PRINT NAME
vj' RA
S'/�`t*�*1�f/IlA
Contractor's Lic #
Dwg. No.: 33103 A Rev.: Qrlg•
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OFDESIGN CONTENT
884104, C45 11 830131, C61/D42
Workers Com #
p
Date: 08-12-08
AND LAYOUT, RELEASING SIGN'A'RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
41945 BOARDWALK, STE. L
PALM DESERT, CA 92211
1640374
BEMATCHEDAS CLOSEAS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
P H 7 6 0. 7 7 6. 9 9 0 7
City LIC. #
Designer: tjf
THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT
F x 7 r, n 7 7 ti 0 R A A
THE EXPRESSED WRITTEN CONSENT OF SIGN A*RAMA.
w— ►
0 -
CERTIFICATE OF COMPLIANCE .(Part 1 of 2) OLTG-1-C
PROJECT NAME
For detailed instructions on the use of this and all Energy Efficiency. Standards compliance. forms, please refer to the Nonresidential
DATE
PROJECT ADDRESS
7�Q_�5 �� �� c� ,tom LaC*.-.11,
.:'.B dindP ftH
e a e
Enforcement Agency'Use
PRINCIPAL DESIGNER -LIGHTING
'TELEPHONE
776 - TWr
DOCUMENTATIONAUTHOR
TELEPHONE
_ l 6?
GENERAL INFORMATION
1. Use LTG -1 -C if the project consists solely of indoor signs
DATE OF PLANS
OUTDOOR LIGHTING ZONE (✓ One) ❑ LZ1. ❑ LZ2 ❑ LZ3
❑ LZ4
FUNCTION TYPE
❑ OUTDOOR LIGHTING iR OUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION
❑ NEW CONSTRUCTION ❑ ADDITIONS ❑ 'ALTERATIONS
'STATEMENT OF COMPLIANCE
Si ns
i nis t,erurivate of %,ompnanw nsts out000r Ugnung system Specirlcatrons neea to Comply wan I ale 24, Nags I ana 6 of the Galltomla Goae or
Regulations. This certificate applies only to building lighting. requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete.
The Principal Lighting Desi fter hereby certifies that the prop'96ed,6utdoor lightingood—signs design represented in this set of construction documents
is consistent with the other compliance forms and worksh ets, 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 1 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.
❑ I 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 exempt pursuant to Business and Professions Code Sections 5537,5538 and 6737.1.
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS(✓ box H 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 California 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 OLTGA-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor
lighting
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for
Si ns
❑ 6LTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required.for all outdoor area calculations.
X.OLTG-4-C
SIGN LIGHTING COMPLIANCE. Required for all intemally and externally illuminated signs, for both indoor and
outdoor.si ns.
2005 Nonresidential Compliance Forms
April 2005
X
V
r
CERTIFICATE OF COMPLIANCE (Part 2 of 2r ` OUGA. "C'
PROJECT NAME. C..
'Cighting
Schedules'on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
❑ Not Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
❑ Not Applicable
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
❑ Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
❑ Not Applicable
I W1 Sign lighting compliance on OLTGA-C
❑ Not Applicable
Mandatory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
Indicate location on plans of Note Blodc for Mandatory Measure
✓
❑ Installed lighting power has been determined in accordance with § 130(c)1
Not Applicable
❑ All permanently installed luminaires with lamps rated over 100 wafts either have a lamp efficacy of at least 60 lumens per waft or are
controlled by a motion sensor § 132(a)'
Not Applicable
❑ All Luminaires with lamps rated greater than 176waffs in hardscape areas, including parking lots, building entrances, canopies, and
all outdoor sales areas meet the Cutoff Requirements of § 132(b) .
9. Not Applicable
❑ All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
IR Not Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements of § 132(c)2
Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO,
FIELD '
lec . Qoti-.
S i - Ti w.e✓
Sw `
2005 Nonresidential Compliance Forms April 2005
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