BSIG2016-0018a>w
78-495 CALLE TAMPICO 4 VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INIONS 0) 153
BUILDING PERMIT / �--1 \ a
P3230 u �1Datte: 9/ 0 6
Application Number: BSIG2016-0018 OwnerNOV 0 9 2016
Property Address: 47875 CALEO BAY STE 101 CALEO
APN: 643200038 P 0 BO
Application Description: CALEO BAY ORTHODONTIST SIGN PALM DESERT, CA Q11SDF LA QUINTA
Property zoning: DESIGN AND DEVELOPMENT DEPARTMENT
Application Valuation: $3,800.00
Applicant: Contractor:
PD GROUP DBA SIGNARAMA PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L 41945 BOARDWALK SUITE L
PALM DESERT, CA 92211 PALM DESERT, CA 92211
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 Professions Code,
and my License is in full force and effect.
License Class: D42, C45 License No.: 830131 .11
e " Contras ctor�
ArIl
OWNER-BUIZtham
LARro� N
I hereby affirm under penalty of perjury exelfipt from the Contractor's State
License Law for the following reason (Se 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.).
(_) 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 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
Lender's Address:
(760)776-9907
Llc. No.: 830131
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 COMPENSATION INSURANCE FUND Policy Number: 9111087
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 3700 of theyabor Code, I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CR AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($1 0,000). 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 Building Official 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 city to enter upon the
above-mentioned
property for inspection purposes.
Date:_ Signature (Applicant or Agent):
Date: 11/9/2016
Application Number:
BSIG2016-0018
Owner:
Property Address:
47875 CALEO BAY STE 101
CALEO BAY
APN:
643200038
P 0 BOX 13230
Application Description:
CALEO BAY ORTHODONTIST SIGN
PALM DESERT, CA 92253
Property Zoning:
Application Valuation:
$3,800.00
Applicant:
Contractor:
PD GROUP DBA SIGNARAMA
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)776-9907
Llc. No.: 830131
Detail: PERMANENT ILLUMINATED WALL SIGNS "CALEO BAY ORTHODONTISTS AND ORTHODONTIST" PER 2013 CALIFORNIA BUILDING CODE
a
DESCRIPTION
ACCOUNT I QTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL
101-0000-42404
0
$25.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$25.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$25.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/ AWNING SIGN, FIRST PC
101-0000-42600
0
$91.20
Total Paid for SIGN: $168.72
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, SIGN LIGHTING
CEC-SLTG-1C (Revised 10/10)
CALIFORNIA ENERGY COMMISSION 0
Certificate of Compliance (Sign Lighting)
(Page 1 of 4) SLTG-1C
Project Name: Caleo Bay Orthodontists
Date: 10/12/16
Project Address:
Title 24, Parts 1 and 6 of the California Code of Regulations.
47-875 Caleo Bay, La Quinta CA 92253
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
Location of Sign ❑ Outdoor Signs ❑ Indoor Signs
Name: Jeff Grady
Phase of Sign Construction ❑ New Signs ❑ Sign Alterations
Company: Signarama
Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls
❑ Not Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply)
Address: 41-945 Boardwalk
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power
❑ Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this maybe a CIO, 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 1 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: Jeff Grady
Signature
Company: Signarama
Phone
760-776-9907
Address: 41-945 Boardwalk
License number (may be contractor's lic #)
830131
City/State/Zip: Palm Desert, CA 92211
Date
2. Installation Certificate (to be signed by responsible person after installation)
Permit number ,t ; < r v _ _ Checked by/Da[e + .
(Enforcement Agency Use : r z
(Enforcement Agency Use
Installation Declaration statement
• 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
representative of the person n
• I certify that the installed feat
applicable codes and regulatii
enforcement agency.
• I certify that the requirements
• I will ensure that a co 1 e
permit(s) issued for the b i
that a signed copy of this st
buildingowner at occu anc .
Company Name:
Signarama
Responsible Person's Name:
Jeff Grady
License number (may be contractor's
830131
3 —016he business and Prote
p"sible for conMu�fi n
r rsr; materrwc o�aent
d thOiir l 'o+1�s
nTZ
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10/11/16
sions Code to accept responsibility for construction, or an authorized
, or manufactured devices identified on this certificate conforms to all
)nsistent with the plans and specifications approved by the
of Compliance have been met.
Rion Certificate shall be posted, or made available with the building
e enforcement agency for all applicable inspections. I understand
A to be included with the documentation the builder provides to the
Responsible Person's Signature:
Position With Company:
Mgr
2006 Nonresidential Compliance Forms October 2010
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, SIGN LIGHTING
CEC-SLTG-1C (Revised 10/10) CALIFORNIA ENERGY COMMISSION
Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTG-1C
Project Name: Caleo Bay Orthodontists
Date:
10/11/16
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 responsible
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 person
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 of
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible;
alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance
Declaration Statement for the entire construction.
3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on 1
page of
4 on this SLTG-1C shall complete Part 3a. Check Yes or No for all of the following statements:
1
I have responsibility for installing the sign lighting controls
§133(x)1 and 2.td 5�i c1g g 's controlled with an automatic time switch control plus a photo
ra�
❑ Yes, complete parts 3a and 3b of this form ❑ No, complete part 3a of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
2
❑ Yes ❑ No
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
❑
❑ Yes ❑ No
Exception to §1 610 sli" nnels 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 hour . Z 90
❑ Yes ❑ No
❑
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-1 C is responsible for
complying with the sign lighting control requirements, that person shall answer all of the following questions:
If there are construction documents Indic ere on the building plans the
`si
rn datory measures li htin control not block can be located:
1
§133(a)l. All indod?isign lighting�2 r Iled with an automatic time switch control that complies with the
Y
N
NA
applicable re uir `Ats of -61 —
❑
I ❑
❑
§133(x)1 and 2.td 5�i c1g g 's controlled with an automatic time switch control plus a photo
ra�
Y
N
NA
2
control, or an out o mtch, that comply with thea licable requirements of § 119.
❑
❑
❑
Exception to §1 610 sli" nnels or large covered areas that require illumination during
Y
NA
daylight hour . Z 90
❑
❑
§133(a)3. All n r ith a dimmer that provides the ability to automatically reduce
Y
N
NA
si n ower bv i um eivn dur ng nighttime hours.
❑
❑
❑
Exception 1 to § (a)3. SW Ji for less than one hour per day during daylight hours.
y
NA
3❑
❑
Exception 2 to §1 (a)3. !)t1,0rRr- unnels or large covered areas that require illumination during
Y
NA
daylight hours. Z ,
❑
❑
Exception 3 to §1 (a)3. Only met?, ' e, high pressure sodium, cold cathode, or neon lamps used for
Y
NA
illuminatin si ns arts of si ns.
❑
❑
§133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when
Y
N
N/A
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
NA
but not limited to exit signs and traffic signs.
❑
❑
Field Inspector Notes:
2006 Nonrestdenttal Compliance Forms October 2010
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, SIGN LIGHTING v
CEC-SLTG-1C (Revised 10/10) CALIFORNIA ENERGY COMMISSION alv
Certificate of Compliance (Sign Lighting) (Page 3 of 4 SLTG-1C
Project Name: Caleo Bay Orthodontists
Date: 10/11/16
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 com liance
A
B
C
D EF G
H
I
J
o
Allowed Watts
Design
Complies?
w
Watts
Y / N
L 3
> °
Field
°
N
N
o
U
Inspector
o
w
Z
3 3
3 x
�^.
Check that
Sign
Q •_
¢
c E
3 N
D
r
•N°
Complies
Z v
c
'
_° II II
3
o II
c
a
p�
o
U
Description
✓
UL
LED Channel Letters
❑
13.5
1
12
162
120
Y
❑
❑
p
❑
❑
0
co
m
❑
❑
O
70 -� z
❑
0
mG oMobV uMoi i the plans when plans are required) and other documents.
t cr' n f the sign, or location of sign on the building; and the location of sign on construction documents.
Th s box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that
the s plt>ts w th a Section 148 of the California 2008 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power
meth .�ptli The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized
by U ter< I 5:r ories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National
Stanst�t a cordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual
insp ed out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY
VERIFIED l,M At ns `D' through `I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional
method to valid2tm liance. An ENERGY VERIFIED label is not needed for compliance.
The sign area in eet.
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 according to the applicable provisions of § 130(d or e).
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:
ZUUis Nonresidential Compliance Forms October 2010
STATE OF CALIFORNIA
CERTIFICATE OF COMPLIANCE, SIGN LIGHTING
CEC-SLTG-1C (Revised 10/10) CALIFORNIA ENERGY COMMISSION
Certificate of Compliance (Sign Lighting) (Page 4 of 4 SLTG-1C
Project Name:
Date:
5. Specific Lighting 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
E
OPTIONAL
Field
ENERGY
Specific light source used for
Symbol
y
VERIFIED
compliance
Inspector
or
Description
label
Shall include only lighting
Check that
Code
(see instructions
technologies listed below
Sign
below)
List all that apply
Complies
LIL
LED Channel Letter
❑
❑
❑
❑
❑
❑
❑
❑
r co a use on a plans (when plans are required) and
other documents.
narrative despf4po—ottofthe sign, or location of sign on the building; and the location of sign on construction documents
PTIONAL - (�ecis box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that
this si o 1ter—s� wit t Section 148 of the California 2008 Title 24, Part 6 Standards, using the Specific Lighting Source Method of
Comp] 5 Onl la els that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
]!�NERG�E
der�ter a$or o 'e (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
s tut0n�dc a w th ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
raft dot b a ype A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label,
columnOID nqne uire to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An
E ab 1 is not needed for compliance.
Splgr pliance Method. The sign(s) identified above use only the following lighting technologies:
W11
e 1 through 10 that apply in column D above for each row.
1 44Wa4shM s dium lamps
metal halide lam s served b a ballast with >88% efficienculse
stt
Ifamic
a halide lamps that are 5 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast
with > 80°/
fi ienc
hode lamps with transformer or power supply efficiency>_ 75% with rated output current < 50 mA
D
5 Neon or cold cathode lamps with transformer or power supply efficiency>_ 68% with rated output current > 50 mA
Fluorescent lamps with a minimum color rendering � p g 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
FThis page doubles as a field inspection checklist.
Field Inspector Notes:
2U06 Nonresidential Compliance Forms October 2010
Bill #
city.,Qf LaQuo:
inta
Building a Safety Division
�(J P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
S Building Permit Application and Tracking Sheet
Permit #
(�
Project Address:. 75 Caleo Bay
Owner's Name:. Dennis Pham
A. P. Number.
Address: . 74-875 Caleo Bay
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Sigharama
Telephone:
gg s '„ash' '
OEM"..-
OEM-.
Address: 41-945 Boardwalk Suite L
Project Description:
City, ST, Zip: Palm Desert, CA 92211
Exterior Building Signage
Telephone: 760-776-9907 a c!' •�'�' �`
All
State Lic. # : 830131 City Lie. #.: 4466
Arch., Eugr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:wj
Name of Contact Person: Jeff Grady
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Telephone # of Contact Person: 760-776-9907
Estimated Value of Project: $3800
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Rec'd
TRACKING
PERMfF FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Chale Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cities.
Plans picked up
Construction
Flood plain plan
Pians resubmitted.'.
Mechanical
Grading plan
21d Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Ud 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