13-0863 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000863
Property Address: 78134 CALLE TAMPICO STE 120
APN:. 770-020-012- - -
Application description: SIGN
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 5700
Applicant:
Architect or Engineer:
4• '
7*1Nj
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HIGHLAND LA QUINTA II LLC
80 S LAKE AVE STE 660
PASADENA, CA 91101
Contractor:
SIGNARAMA'
41945 BOARDWALK, IIL"
PALM DESERT, CA 92211
.(760)776-9907
Lia. No.: 830131
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
7/11/13
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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: D42 .C45 - 'License No.: 830131 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
-- $ - issued.
Date: -� Contractor: ��/•I -have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
C,/ Code, for the performance of the work for which this permit is issued. My workers' compensation
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 ($500).:
(_ I 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.).
(_) 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
insurance carrier and policy number are:
Carrier GRANITE STATE Policy Number WC065256570
_ 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
0 of the Labor C e, I shall forthwith comply with those provisions.
—Dater ��Applicant: ice,
U
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION -COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND
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 construction, and hereby authorize representatives
of this :?I
tytoenterupon the above-mentioned propy or inspection rposes.
Dater Signature (Applicant or Agentl: ,
Application Number . . 13-00000863
Permit . . . ELECTRICAL 2013
Additional desc
Permit Fee . . . . 35.75 Plan Check Fee ."
.00
Issue Date . . . . Valuation . . .
. 0
Expiration`Date 1/07/14
Qty Unit Charge Per
Extension,
1.00 35.7500 EA ELEC SIGNS
35.75
-----------------------------------------------------------------------------
Special Notes and Comments
SIGN PERMIT - (1)REVERSE CHANNEL -LETTER
-
ILLUMINATED IDENTIFICATION SIGN; PER
APPROVED SIGN PERMIT APP. 2013-1711,
""DESERT DISCOUNT CLEANERS. 2010
CALIFORNIA BUILDING CODES.
-----------------_-------------------------------------------------------
Other Fees .... . . . . . BLDG STDS ADMIN (SB1473)
1.00
-PLAN CHECK, ELECTRICAL
47.67
PERMIT ISSUANCE M/P/E.
90.57
Fee summary Charged Paid Credited
---------- -
Due
-----------------
Permit Fee: Total. 35.75 •.00 .00
35.75
Plan Check Total .00 •.00 .00
.00
Other Fee Total 139.24 .00 .00
139.24
" Grand Total- 174.99 .00 .00
.174.99
LQPERMIT
-
Bill #
Ot}/ of La QUintta
Bullding 8L Safety Division
P.O. Box 1504, *78-495 Cafle Tampico
4.Quinta, CA 92253 -{760) 777-7012
Building Permit 'Application' and Tracking Sheet
Pe it #
J rQ
1 v
Project Address: 3 y C� ( -t 1
Owner's Name:. (i s tG, •J
A. P. Number., N—fi-
Address: .
Legal Description:
Contractor:
City, ST, Zip:
KI
Telephone:
Address:
Project Description: .
City, ST, Zip:
1 1
Telephone:
str �, ly =R.,
MAM
State Lic. # :
City Lie'. #;
Arch., Engr.,, DDesigner. y,
Address:
City, ST, Zip: . L v► -1 �-uvT ZZ )
Telephone l6 p —,-76 RQ6 % a .
State Lic. #: X30 �;� � ` �
/ s"�` v
Name of Contact Person: 0 , L L d S .e, ,J . r
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo. .
Sq. Ft : #Stories: # Unit,s:
Telephone # of Contact PersonK7/1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
'Rec'd
TRACMG
PERMIT FEES-
EESPlan
PlanSets
Plan Check submitted.Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'
Mechatitcal
Grading plan
2id Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
1n° Review; ready for correctionsfrssue
Developer Impact Fee
Planning Approval
Catted Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Certificate of Compliance (Sign. Lihtin (Pae 1.of 2) --- SLTG-1C
Project Name Phase of Construction O New Construction O Addition O Alteration
CL Function Type O Outdoor Si ns O Indoor Signs
Project Address: —�� CwL� -.��;0?Li Date Compliance Method Used O Maximum Allowed
�t�N.
tz tai.. 2il 11 13 Lighting Power O Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name1
Signature
Company/
1,j -A rn�
Date
Address
If applicabic:
LI S I� G�w 1L
CEA #
D a n-rl
CEPE #
City/StaterLipPhone:
�. V,1 T tie t
❑
Principal Lighting Designer's Declar tion Statement
• 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, Pages 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.
Namc: (\ �—
Signature _
Company:
Phone 6 0\ 7� J n g o-7
J 7
1.
Address:
y�-gLjs ,F30
License #
13
City/State/Zip:
-�� s r �J22�3
Date.
I► A -
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
Mandatory Sign Lighting* Controls
Yes
No
§133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control
❑
1
that complies with the applicable requirements of § 119.
§133(x)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
❑
2
Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
❑
daylight hours.
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
❑
sign power by a minimum of 65 percent during nighttime hours.
Exception 1 to §133(x)3. Signs are illuminated for less than one hour per day during daylight hours.
❑
I
3
Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
❑
during da light hours.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
❑
illuminated signs or parts of signs.
§133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
Y
N
N/A
15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
❑
❑
0
4
rcceivinit a demand response signal that is sent out by the local utility.
Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation,
Y
N
N/A
including but not limited to exit signs and traffic signs._
❑
❑
Ck.
2008 Nonresidential Compliance forms August 2009
Certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting) (Page 2 of 2) SLTG-1C
Project Name:
D C, fid. n,S
Date:
Compliance Method
Maximum Allowed Lighting
—F--D-7
Power
A
g
C E I F
G
H
I
J
K
Design
Complies?
Light.
Field
Allowed Watts
Watts'
YM
Source
I
Ins tots
V
V
a �
•y
O
Q.
�1 d
`, `
�w
��i
E4°
y�
E E E
x
FNM
N 3 X
o° ° o U
H
o al
a�
3
E o
�,
y
N
Description or location and plan location
"'
==
"' "
¢ "� ¢ "
'
U v
U. pp
�•
a w
D
D
O O
O
OD
D
❑ D
Total Si gn Area:
fz
1. Design Watts = total connected lighting load installed in the sign including power used by lamps, ballasts, transformers, power supplies, etc.
?. /Fail then describe on Page 1 of the Inspection Checklist Fornr and take appropriate action to correct. Veri(v building plans i necessary. Use additional sheets i necessary.
The sign(s) identified above; use only one or more of the following technologies: list all applicable numbers that apply in column I above
I High pressure sodium lamps
1 Pulse start or ceramic metal halide fan s served by a ballast with >_ 88•/ efficiency
3 Pulse start metal halide LaW th'ot are <_ 310 watts, are not 130 watt or 175 watt lamps, and are served by a ballast with > 80% a tciencv
4 Neon or cold cathode lamps with transformer or PI overs lv a iciencv > 75% with rated output current < 50 mA
5 Neon or cold cathode lamps with transformer or-pawer supply a icienrct• > 68•/ with rated output current >_ 50 mA
6 Fluorescent lamps with a minimum color rendering index CRO o 80
7 Light e itting diodes LEDs with a power stqyly with >_ 80°yo a tcienN
Single voltage LED external power supplies designed to convert 110 volt AC input into lower voltage OC or AC output• having a nameplate output power fess than or equal to 150 watts, and
8
cerci red to the Ere ComntEssion as com /vin with the licable requirements of the Appliance E icienty Regulations (Title 20
9 Co im ct uorescent lamps. that do not contain a medium screw base sockets (E24/E26
l0 Electronic ballasts with a fundamental out ur re uengy >_ 20 kHz
Field Ins eetor Notes or Discrepancies
2008 ivohresidenhal C.oinpltdhte Kornis