12-0230 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.
G12-0.0.0-0.023-00
Property Address:
44025 JEFFERSON ST STE 101
APN:
604-521-005- - -
Application description:
SIGN
Property Zoning:
NEIGHBORHOOD COMMERCIAL
Application valuation:
1500 1
Tiht 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
REGENCY MARINITA
36 EXECUTIVE PARK
IRVINE, CA 92614
(949)726-6028
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
LA QUINTA LLC
STE 100
Date: 3/14/12
Contractor:
Applicant: Architect or Engineer: SIGNARAMA
41945 BOARDWALK, "L' Q p�
PALM DESERT, -CA 922E M 1
(760) 776-9907
/y Lic. No.: 830131 { ��t11� L �x J
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.
Lice CI ss: 42 C45 License No.: 830131
ate %?J�ontractor.
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, 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 1, 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
---------------------- - - - - -- �----j- - - - --
WORKER'S COMPENSATION DECZAR—ifloN, /
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.
t- 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 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
3 0 of the Labor Ze, I shall forthwith comply with those provisions.
ate ZA icant:�4.1
WARNING: FAIL EURE 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.
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 tate laws relating to building construction, and herauthorize representatives
of this ou ty to nter upon eabove-mentioned properfor inspection pour-p-ossees.
te�%��i azure (Applicant or Agent): ��/
Application Number . . . . . 12-00000230
Permit . . . ELEC-ELECTRICAL
SIGN
Additional desc . .
Permit Fee . . . . 30.00
Plan Check Fee
.00
_ Issue Date . . . .
Valuation . . .
. 0
Expiration Date 9/10/12
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 INTERNALLY ILLUMINATED CHANNEL
LETTER
SIGN PER SA #2012-1597. "VERTEX".
2010
CODES.
----------------------------------------------------------------------------
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
IQPERMIT
pit?i1l:c:�:.`�F:••.:�x •
Certificate of Compliance (Sign Lighting)
Pae I of 4 SLTG-1-C
Project Name: V 1 � G
Date: �
Project Address
Location of Sign M-Oy tdoor Signs 0 Indoor Signs
Phase of Sign Construction f,Signs 0 Sign Alterations
T of Li htin Control ew Lighting Controls 0 Replaced Lighting Controls
0 Not Installing Limliting Controls... .
This Certificate of Compliance includes the following components (check all that apply)
D Mandatory Measures (Lighting Controls) 0 Maximum Allowed Lighting Power
0 Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be a C t o, C45 or other eligible person) — -
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this forth 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 applic
Name: , Signature
company.: / G A / rNY �1, rnon�/. _ p ✓SZ a �(o� �� -
rJ �
Address: License number (may be con" s lie #)
y/9Y.r a CAJ ,, c -K-- 83 0
City/State/Zip. Date
2. Installation Certificate to be signed by msponsibluason after installation)
Permit number Checked Wkft
AgemT Use —7Entbrwmed Agency Use
Installation Declaration statement - - - - --
• I certify under penalty of.pedury, under the laws of the State of California, the information provided on this form is true and
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 constntction.
• I 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.
I 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
permits) issued for the building, and made available to the enforcement agency for all applicable inspections: I und[cm nd.
that a signed copy of -this Installation Certificate is required to be included with the documentation the builder providt:s` to the
building owner at occupancy.
Company Name:
Responsible Person's Name: Responsible Person's Signature:
-.t
..License-number-(may-be-contractors-tic-#) ate agne osition With Company:
P Y:
2008 Nonresidential Compliance Forms
July 2010 ::..:
Certificate of Compliance (Sign Lightin
Project Name. , . ,V
2 of 4) SLTGIC
(Date:I "" -
3. Mandatory Sign Lighting v Controls
NOTES:
1. The Mandatory tfeastrres (.sign lighting controls) erre required for compliance tvith the .sign lighting Stanclards1 The .carne
responsible person may install both the sign and the .sign lighting controls, or a different res
.sign lighting controls than the responsible person installing the sign. Jf responsible person' muy7rrsAuXd :lJte
2. 1Jthe person responsible for installing the sign is nut also responsible for the sign lighting controls, then fire owner of the
sign. general contractor, or architect shall be responsible to have the sign lighting controls installed
3. O'inure than one person hos responsibility P
P ty Jvr each person shall prepare and sign a Certificate of compliance
and an Installation Certificate applicable to the portion of construction for .which they are responsible; alternatvely...rhe
person with chief responsibility for constnrc•tion shall prepare and sign the Certificate of Compliance Declaration •►Statement
or the entire constntction.
3a. Statements of Responsibility: - TheFerson in the Certificate of Com liance Declaration Statement shall check Yes or No for all of the followin statements:
ponsibility for installing the sign lihting controls
m Tete arts 3a and 3b of this form oart 3a of this formno existing sign lighting controls and 1 wit!beinstalling compliant sign lighting controls
no existing sign lighting controls
3 O Yes and someone else will be responsible to install compliant WV 0 sign lighting controls.
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and 1 will be
4 instailing compliant sign lighting controls
No
There are existing sign lighting controls that do not comply with the applicable provision of § 119a J § 133 and S61h o a else '
5 will be responsible to install compliant sign lighting controls
❑ Yes
0
3b. Mandatory Sign Lighting Controls MIR_
The person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if the are
res nsible for co m L in with the si li htin control uirernents. Y
If there are construction documents, indicate where on the building plans the
mandatory measures tsivn t:�ti.:....
§133(2)(. All indoor sign lig
a licable r uireme_ nts of I
§133(a)I and 2. All outdoor
2 control or anoutdoor astrono
Exception to 9133(a)2. Outd
§133(S)3.
is controlled with an automatic time switch control that complies with the Y N I NA
sign lighting is controlled with an automatic time switch control plus a photo Yo N
nical time switch, that com l with thea licable LeguiremenA29i9.
nor signs in tunnels or large covered areas that require illumination. during
outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
a minimum of 65 Percent durine niehitimo t.......
Exception 1 to §133(a)3. Signs illuminated for less than one hour per day during daylight hours.
3 Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that require illumination Burin
da li ht hours. g
Exception 3 to 9133(2)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps used for
illuminating signs or arts of si S.
§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
4 receivin a dertiand res onse si al that is sent out b the local utilit .
Exception to §!33(a)4. EMC required by a health or life safety statue, ordinance, or regulation, including
but not limited to exit si ns and traffic si ns.
Field inspector Notes:
2008 Nonresidential ['n»,..t:..»E.
Judy 2010
NA
Y NA
❑ O
YEN NA
❑ O
Y :...N
O
Y NA
CO3 O
Y-. NA
'p
Y N N/A
O O
YI NA
(3- . -a
■
,.a.
Certificate of Compliance Sin Lighting) (Pa2e 3 of 4 SL - C
Project Name:
�G
atc:
Date/]
1%c�
v
4. Maximum Allowed Liehtine 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. (Com�lg!&jah-5
of this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance
A
B
C
D E F G
H
I
J.
Allowed Watts
Design
Complies?
Watts
Y / N
N
o
_ Field
U
o
UJ
is
c7
Inspector
—o
= o.
=
3 3
3 x
°:
�•.•
Check that
Sign
.O
^
Complies
.0 n II
v....
o II
.9�•
a
E
__._
-
Dcscrition
./
C
E..
C
U
atxirarc
°
12.5
12 Ir-
Y
..
°
°
°
°
__o.
°
0
A Symbol
or code used on the nlans twhr .d�..�
2008 Nonresidentiul Compliance Forms
Jrrly 2010
Certificate of Compliance, (Sign Lighting) Maze 4 of 4 SLTG-1C
Project Name: ' / `� Date:
V
) �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 pan 4 of this
Cenificate of Com liance if there are signs usingthe maximum allowed li tin ower method of compliance)
A
g-
C
D
Cti
OPTIONAL
Symbol
UL
or other
Specific light source used for
Inspector
or
Description
label
compliance
Shall include only lighting
alt'that
Code
(s`e
instructions
technologies listed below
g
Sign
Wow)List
all that apply
Cote it
�:.
O
......0
❑
O'
O
O
O
�
O
IA I Symbol or code used on the plans when plans are uired and
B A narrative descri tion of the si or location
other documents.
of si on the buildin
C OPTIONAL - Check this i— ..!— :o.L:_ __—
and the location
alai on.cortstnrction documents
(UL) or other testing laborer - - �' o r�••��rrr. pre-pnntea, tactory-installed label, listed with Underwriters: I: a- O n
8 ory 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 with ISO/IEC 17020, confirming that this sign
California 2008 Title 24, Part 6 Standards, usingthe SSource g ce complies with the Section 148 a' the
mn
'D' is not required to be filled out Note: Usin a label scan oo barrel method to vvalidate corn Lance A label tisnna needed for compwith such a 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.
/
HijEb pressure sodium lamvs
2 1 Pulse start or ceramic metal halide lamps served bX a ballast with > 88% efiieienc
j with '—> 80% efficiency Pulse start metal halide lamps that are < 320 watts. are not 250 watt or 175 watt lamps. and are served by a ballast
4 Neon or cold cathode lam s with transformer or power su 1 etl`icienc _> 75% with rated out ut current < SO ttlA
D S Neon or cold cathode lamps with transformer or power su 1 efficiency>_ 68% with rated out ut current > 50 mA
tS Ftuoiescene lamps with a minimum color rendering index (CRI) of 80
Note: when usin electronic ballasts for corn liance; lam with a CRI < 80 may be used
7 Li t emittin diodes LEDs with a wer supI with > 80% effcienc
Single voltage LED external power supplies designed to convert 120 volt Cinnput 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
cum l in with the applicable: re uirements of the A liance EfFcienc Re ulations Title 20 _
9 Compact fluorescent.lam s_that.do-not contain a medium scriew base socked E24/E26
%0 Electronic ballasts with a fundamental out output fr uenc >
This a doubles as a field ins tion checklist. _ 20 kH2
e1d inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
1.5" -*I rF
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 SIGN*A*Rq�yq
Date: 3-22-11 SliiN/�I RAMA
"+•�•"" THE COACHELLA VALLEY'S FULL SERVICE SIGN CENTER
Drawn By. RA 41-945 Boardwalk. Ste. L. Palm Desert, CA 92211 Ph. 760-776-9907
Approved By: FH
Bin. #.
® • u1n�d . .
Building 8T Safety Division ..... .
, P.O. Box:ISO4,78-49S Calle Tampico '
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet'
Permit # •. � `
,.
Project Address: yy oyX.�' e v S"f
Owna's Name .l� pL 1� of C� iJ
A. P. Number. lD �
Adam:
.ZypY:
Legal Description: .
N -,n
City,T,
Z_^.ContatorSf'G
Telephone ' �
Address: (., J OLL-14/--
Project Description: 4 N �t. t r'YL, rJ i phi .
City, ST, zip: ,, L tM f -•r (.�,, • 9 221 I.
Telephonk.140 %Z 4 7
r
State Lia # : t� City Lic, C' Q 700 9
Arch., Bagr., Designed
Address:
City. ST, Zip:
Telephone: Constmc ion Type:. Occupancy:
State Lia #:
Project type (circle one): Add'n Alta Repair Demo
Name of Contact Person: V C.e� 16! U Z D S JC d Sq• FL: # Stories: # Units:
Telephone # of Contact Person: 760 . r7 g —403 /S Estimatod Value of Project
APPLICANT: DO NOT WRITE BELOW THIS. UNE
#
Submittal
Req'd
Recd
TRACKMG PBRMT FEFS-
Plan Sets
Plan I Checksubmitted Item Amount
Structural CRIM
Reviewed, ready for corrections Plan Check Deposit. .
Truss CaIce•
Called Contact Person Plan Check Balance
Titre U Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted.. Mechafileat
Gtadtag plan
Review, ready for coirectiowAssue Electrical
Subeontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S,M,L
H.OA. Approval
Plans resubmitted Grading
AY HOUSE:,
Review; ready for corrections/issue Developer Impact Fee
Planning APpr'ovai
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Sebool Fees
Total Permit Fees
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247=1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9225.3
March 14, 2012
Mr. Bill Sigurdsen
Sign -a -Rama
41-945 Boardwalk, Suite L
Palm Desert, CA 92211
N
SUBJECT: SIGN PERMIT APPLICATION 2012-1597: VERTEX
Dear Mr. Sigurdsen:
(7 60) 777-7000
FAX (760) 777-7101
The Planning Department has reviewed and .approved your request for one building -
mounted internally -illuminated channel letter sign for "VERTEX", located at 44-025
Jefferson Street, within Jefferson Square. The approval is subject to the following
Conditions:
1. This sign permit grants one per building identification sign for
"VERTEX". The sign shall be located on the building's south -facing elevation; facing
the parking lot. The sign shall be individual channel letters and shall be internally -
illuminated. The sign shall not exceed twelve and half (12.5) square feet in area.
2. The applicant shall obtain a building permit prior to placement of the sign on the
building. The Building and Safety Department can be reached at (760)'777-7012.
3. All signs approved as part of this permit shall conform to the Jefferson Square Sign
Program (Sign Application 2008-1254).
Should you have any questions or need ,additional information please feel free to contact
me at (760) 777-7125.
Sincerely,
S"
ERIC CEJA
Assistant Planner
C: ' Building & Safety. Department
99.5" '
Illuminated
Acrylic Faced Channel Letters
Acrylic: 1/8"Thick
Face Color: White
Return Color: Black
Trim Color: Black
Neon Color:White
Mounting: Flush `.
.APPROVED BY PLANNING DEPARTMENT
BY G� DATE z .—
XHIBIT
CASE NO. _.!L J'Z - 1 517
C11
Sign Description: Frontage is 25 linear feet
Customer: Telephone: 760-
Jobsite: — Cus r A oval:
Illuminated Acrylic Faced Channel Letters
Acrylic: l/8"Thick
Vertex Fitness SolutionsSame
Fax: 760
Face Calor: White, Return Color: Black
Trim Color:elack,Neon color:White
Address:
44-025 Jefferson St., Suite #101
Landlord Approval:
Mounting:Flush Total Signage 12.44 S.F.
La Quinta, CA. 92253 South ELEVATION
SIGN*A*RAMA
Contractor's Lic # 830131 C45, C61/D42
DWg, No,; 52039 Rev.; 3rd
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN-A-RAMA FROM RESPONSIBILITY IN REGARD
Workers Com #1938807
P'
Date: 02-29-12
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
41-945 Boardwalk, Ste. L
Palm Desert CA. 92211BE
MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED_
City LIC. #97005491
Designer: JT
THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT
PH 760-776-9907 • FX 760-776-9844
THE EXPRESSED WRITTEN CONSENT OF SIGN A'RAMA.