11-0830 (SIGN) Ste. 110P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _11-00000830 ` '
Property Address: C" 744- 8-'CALLE TAMPICO
APN: 770 -020 -012 -
Application description: SIGN
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 1750
P
A Ph ant:
•
VOICE 760 777-7012
FAX (760) 777-7011
BUILDING &SAFETY DEPARTMENT LOGS IO/�l INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/02/11'
Q ./ Owner:
STE 110 '7CJ - J 3 L4CALLE !A M FICO HIGHLAND LA QUINTA . II LLC
42600 CAROLINE'CT STE 100
TENANT DESERT DIAMOND DANCE
PALM DESERT, CA 92211
Architect or Engine
Contractor:
PARAGON SIGNS
77650 ENFIELD LANE
PALM DESERT, CA 92211
(760)345-3340
Lic. No.: 637739
fits C 2 2011 i
Cl'6Y 01; UX i4iJiN TA
fn4,;;,a!6E nEp
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LICENSED CONTRACTOR'S DECLARATION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------------
------------------LICENSED
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class, C45 D42 Lice o.: 63 773 9
Date: / % Co_ ntractor: ( QPvk �� �--/t - —5
_
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
O 6.7
Code, for the performance of the work for which this permit is issued. My workers' compensation
• OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the .
Carrier SPARTA INS CO Policy Number, "003WK05240
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to -
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
- and agree that, if I should become subject to the workers' compensation provisions of Section
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
3700 of the L o e, I shall rt comply wit those provisions.'
-
any applicant for a permit subjects the applicant.to a civil penalty of not more than five hundred dollars ($500).:
(-'
- Dater i Applicant:
(_) 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 •
WARNIN F ILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL', AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CR MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.'
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.). - • .
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
- whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( 1 I am exempt under Sec. , B.&P.C. for this reason. -
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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.1•.
Lender's Name: _
Lender's Address: _
LQPERMIT
of La Ownta, 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 constructionand here�byoriie representatives
of this co my to enter upon the above-mentioned p p • �,�n•'r inspe ion p oses. •y.��p
Date: Signature (Applicant or Agent):
Application Number . . . 11-00000830
Permit ELEC-ELECTRICAL SIGN
AAA, 1'a'
A itiona esc .
Permit Fee . . . .
30.00 Plan Check
Fee
.00
Issue Date
Valuation
. .
0
Expiration Date
1/29/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 15.0000
EA ELEC SIGN 1ST CIRCUIT
15.00
----------------------------------------------------------------------------
Special Notes and Comments
(1) ONE ILLUMINATED CHANNEL LETTER SIGN
SPA 2011 1539 "DESERT
DIAMOND DANCE"
- -----------------------------------------------------------------------------
Other Fees . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged" Paid Credited
Due
Permit Fee Total
30.00 .00
.00
30.00
Plan Check Total
.00 .00-
.00
.00
Other Fee Total
1.00 .00
.00
1.00
„ Grand Total
31.00 .00
.00
31.00
Certificate of Compliance (Sign Lighting)
(Page 1 of 4) SLTG-1C
Project Name: _
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design.
c,S-ERT 01.q ^ AJ C1
Date: 61 Z �I
Project Address:
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
76P.
Name: DON SWINDEL Signature
Location of Sign Outdoor Signs ❑ Indoor Signs
Address: 77-650 ENFIELD LANE
Phase of Sign Construction iew Signs ❑ Sign Alterations
City/State/Zip:
PALM DESERT, CA 9221.1
Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls
03 -Kot Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
building owner at occupancy.
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power
2.9pecific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be a C10, C45 or other eligible person)
• 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 California Business and Professions Code to accept responsibility for the lighting design.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
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 application.
Name: DON SWINDEL Signature
Company: PARAGON SIGNS Phone 760-345-3340
Address: 77-650 ENFIELD LANE
License number (may be contractor's
t/13 773
City/State/Zip:
PALM DESERT, CA 9221.1
Date
2. Installation Certificate (to be signed by responsible person after installation)
Penni number
v
(Eoforcement'Agen :Use ;
,• q 3Ft',BtRBn
Installation Declaration statement
• 1 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.
• 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:
PARAGON SIGNS
Responsible Person's Name: DON SWINDEL
ResponsibleP Signature:
License number (may be contractor's lic #)
Date Signed:
Position With Co
637739
0I-,/vEP,
2008 Nonresidential Compliance Forms October 2010
Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTG-1C
Project Name:
Date:
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 different responsib•'e
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 perscn
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 :f
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsiblh;
alternatively, the person with chief responsibility for construction shall prepare and sign the. Certificate of Complian.,e
Declaration Statement or the entire construction.
3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on page I o=
4 on this SLTG-1C shall complete Part 3a. Check Yes or No' for all of the following statements:
. I have responsibility for p1stalling the sign lighting controls
1
0 Yes; eom • lete arts 36 -and 3b of this form 9No, complete part 3a of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes YN0
Ef
There,are'no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
3
❑ 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 U(No
d
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 [(No
3b. Mandatory Sign Lighting Controls
If the person. signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-I Cis responsible for
complying -withthe sign lighting control requirements, that person shall answer all of the following uestions:
If there are construction documents, indicate where on the building plans the
mandato measures(sign lighting 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
YN
N�
1
applicable requirements of § 119.
❑
❑
§133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo
Y
N
NA
control, or an outdoor astronomical time switch, that comply with the applicable requirements of § 119.
Ef
❑
❑
2
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during
Y
NA
daylight hours.
❑
d
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
Y
N
NA
sin ower b a minimum of 65 percent duringnighttime hours.
C1
Exception 1 to §133(a)3. Signs illuminated for less than one hour per day during daylight hours.
Y
❑
NA
d
3
Exception -2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during
YN�
daylight hours.
❑
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for
Y
NA
illuminating signs or parts of signs.
Gi(
❑
§133(a)4. An Electronic Message Center (EMC) having anew connected lighting power load greater than
Y
N
N/A
15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when
❑
❑
d
4
receiving a demand response signal that is sent out by the local utility.
Exception to §133(a)4. EMC required by a health or life safety statue, ordinance, or regulation, including
Y
N�
but not limited to exit signs and traffic signs.
❑
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Certificate of Compliance (Sign Lighting) (Page 3 of 4 SLTG-1C
Project Name: Date:
4. Maximum Allowed Lighting 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 using the S ecific lighting sources method of compliance
A
B
C
D E F G
H
I
.-J";
Certificate of Compliance Si n 'Li htin (Page 4 of 4 SLTG-1C
Project Name:
Date -
7— jiAIh0- cl / f1NC C
L /
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 lighting ower method of compliance)
OPTIONAL
F;IIctl '
ENERGY
Specific light source used for
�r"VERIFIED
Inscor
Symbol
compliance
.,
tiCheck that.
or
Description
label
Shall include only. lighting
Code
(see instructions
below)
technologies listed below
ti :`Sign
; Complies.;
List all that apply
S,''LCce.,
i v�►7�-� C'�//avo✓rL .LcTJ�f
❑
O
❑
j.
13
❑❑
S
❑
w - _
t ❑
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 IiNI'R6)' WR11'I1-D 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. I Iw, ,u,lt Inl rl . Ih,u ++ 11 I++ 1++:,,�It!i4tl for this hurlwsc. nfc IiNl-,R(;Y VI RII'1131-) Certil"ication Murky nuthrrirxtl h+.
t I lllt"t I'r,hk, tt t (.'0111Ill,n!io11 1Wily Ito: 1,0(lilcd to ISO/I FIC Gi tli(le 65 liv IIle I\Int;rie nl NMI( iolt:ll \lan,l;tl+h
. 1I. .. •u,l.u„ r +"11, Iti( t.11 i I Illi i Nlimclllinivi: hl• llll; Accivilltvd (.'ertillcnllktn llnlly shall lic all ongoing ;illllUH1 InSi'1CCIInn
I,rt ln,u I+ln!\ n) :It-t:nttl;tnt-r wilh Itis 1/I I{(' 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.
1
Hiah pressure sodium lamps
2
Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficiency
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% efficiency
4
Neon or cold cathode lamps with transformer or power supply efficiency>_ 75% with rated output current < 50 mA
U
S
Neon or cold cathode lamps with transformer or power supply efficiency>_ 68% with rated output current > 50 mA
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% efficiency
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
Compact 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
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|oLIEwr
iLLUxx|wATEDCHANNELLETTERSvv'
DESERT
BLACK 'Vvn|T� ACK,LoCFAC E5 !
'
(DUK|m(+ l)/[ DAY LETTERS yV}LLbE DIAMOND
GLACxAND ATN|GHTTHEY WILL L|G*T
UP\nA ADDRESS:
L{CHlQREY)
ZX3' |LLU&1|NATED SIGN CAN VV(TH
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29'0pFRONTAGE
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FILE NAME:
|
Da1e:___________ |
7 41
Landl
�.
o,eApp,ovn|: Da<u:l_^~!i�-/����i
L___ ---'- ` - -------�— - - /
THIS UNPUBLISHED
DESIGN aTHE
PROPERTY OF
PARAGON SIGNS �
AND osuum/ncu �
FOR YOUR
PERSONAL osEIN'
CONNECTION WITH A
PROJECT WsARE
PLANNING FOR YOU.
n/sNOT ronE
MODIFIED. COPIED,
nEp*ooucco�
EXHIBITED. OR
SHOWN TuANYONE
oursmcopYOUR
000«wuormw
WITHOUT WRITTEN
PERMISSION OF
PARAGON SIGNS,
VIOLATION OF THE
xeovc swnrLcs
PARAGON s/G*sTu
COLLECT FEES FOR
Al?/ xwos^ArpI/NIc
FROM THE CUSTOMER
LED CHANNEL LETTERS INSTALLATION
GENERAL SPEC SHEET
Aluminum backs
Acrylic face
Clinched and caulked seams
R
LED Illumination
Drain holes
FRONT VIEW
3' aluminum returns
LED units
LED transformer —
Aluminum Face
LED lead wire
1" Jewelite trim cap
Clear Lexan Back
1.5" Spacing from Wall
Angle Fasteners for Clear Backs
to Letter Returns
- Disconnect
SIDE VIEW
ustomer Approval: Date:
.andlord Approval: Date:
CLIENT:
ADDRESS:
DATE:
FILE NAME:
DRAWN BY:
P.CASTILLO
THIS UNPUBLISHED
DESIGN IS THE
PROPERTY OF
PARAGON SIGNS
AND IS SUBMITTED
FOR YOUR
PERSONAL USE IN
CONNECTION WITH A
PROJECT WE ARE
PLANNING FOR YOU.
IT IS NOT TO BE
MODIFIED, COPIED,
REPRODUCED.
EXHIBITED, OR
SHOWN TO ANYONE
OUTSIDE OF YOUR
ORGANIZATION
WITHOUT WRITTEN
PERMISSION OF
PARAGON SIGNS
VIOLATION OF THE
ABOVE, ENTITLES
PARAGON SIGNS TO
COLLECT FEES FOR
ART AND STAFF TIME
FROM THE CUSTOMER.
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