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12-1137 (SIGN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application descriptio Property Zoning: Application valuation: 120000=1137 44025 JEFFERSON ST STE 105 604-521-005- - - n: SIGN NEIGHBORHOOD COMMERCIAL 4200 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (76 7 r 01 FAX (760) 7 -70 INSPECTIONS (760) -7153 Owner: REGENCY MARINITA LA QUINTA LLC 36 EXECUTIVE PARK STE 100 IRVINE, CA 92614 (949)726-6028 Date: 9/26/12 Contractor: D Applicant: Architect or Engineer: SIGNARAMA 41945 BOARDWALK, r'L" SEP 2 8 2012 PALM DESERT, CA 92211 ii (760)776-9907 807 Lic. No.: 830131 `S OF LA =!Mp.J( iiF?T 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. License Clas D42 C45 license No.: 830131 ate: >�: � 2liontractor. � ' 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).: (_) 1, 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 contractors) 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 Name: Lender's Address: LQPERMIT 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 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Oate:� �6 2 ant: 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 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 gco nter upon the above-mentioned property for inspection purposes. ;of ! �d 'L -Si ature (Applicant or Agent): LQPERMIT Application Number . . . . . 12,00001137 Permit . ELEC-ELECTRICAL SIGN Additional desc Permit Fee 33.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/25/13 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 INSTALL (2) INTERNALLY ILLUMINATED CHANNEL LETTER SIGNS AND (1)MONUMENT PLACARD, PER SIGN APP. #2012-1641. "ECLILPSE DENTISTRY.". 2010 CODES. ------------------------------------------------------.---------------------- Other Fees . . . . . . . . .1`BLDG STDS ADMIN (SB1473) 1.00 Fee summary, Charged Paid Credited --------------------------------------------------------- Due 'Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00• 1.00 Grand Total 34.00 .00 .00 34.00 LQPERMIT BiR.# City of La Qui' to Building 8L Safety Division Box 1504,78-495 Calle Tampico 14-Quinta, CA 92253 -:(760) 777-7012 Building Permit Application'and Tracking Sheet Permit #P.O. �\ Project.Address: / 5 TG r.r/1-fad Ia- j Owner's Name: A. P. Number. Address: yyp 2Ss 4�crLso�vff _ Legal Description: City, ST, Zip: L . Contractor: Telephone( Address: Project Description: 1G, ' �L City, ST, Zip: �M , Telephone: State Lic. # : City Lie. fl.: Arch., Engr., Designer. Address:�— City, ST, Zip: felt r v-' s az�' X122 l 1 Telephone:60 776 0 ?40 Y. `` State Lie. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:01 L L S Sq. FL: # Stories: # Units: Telephone # of Contact Person: p .6 W-- 6 %/ Estimated Value of Project , APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES' Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss C21cs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction — Flood plain plan_ Plans -resubmitted.. --- -Mechanical--- - Gradin plan g P .� --- ..-- 2 Review, ready for correctioustiissue - -- Electrical Subconmctor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Gradiag IN ROUSE:- Review,. ready for correctionsfissue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue Schodl Fees ' Total Permit Fees P.O. Box 1504 LA QUINT, CALIFORNIA 92247-1504 78-495 CAI IF. TA,\irico LA QUINT, CALIFORNIA 92253 September 24, 2012 Mr. Bill Sigurdsen Sign -a -Rama 41-945 Boardwalk, Suite L Palm Desert, CA 92211 (760) 777-7000 FAX (760) 777-7101 . SUBJECT: SIGN PERMIT APPLICATION 2012-1641: ECLIPSE DENTISTRY Dear Mr. Sigurdsen: The Planning Department has reviewed and approved your request for two building - mounted identification signs and two monument sign placards, for "Eclipse Dentistry", located at 44-025 Jefferson Street, Ste. 105, within Jefferson Square. The approval is subject to the following Conditions: 1. This sign permit grants two building -mounted signs and one monument placard for Eclipse Dentistry. The signs shall be constructed of acrylic channel letters and are permitted for illumination. The signs shall conform to the sign graphics on file with this application. 2. The south and east facing building -mounted signs shall not exceed thirty (30) square feet, each. 3: The monument sign placards are permitted for Eclipse Dentistry. 4. The applicant is required to obtain a building permit prior to the placement of signs on the building. The Building and Safety Department can be reached at (760) 777- 7012. 5. All signs approved as part of this permit shall conform to the Jefferson Square Sign .Program. Should you have any questions or need additional information please feel free -to contact me at (760) 777-7125. Sincerely, (IC CEJA Assistant lanner m 0 o6 63.5" EclipseDentistry Sign Description: NEW WHITE ACRYLIC TENANT FACE ACRYLIC THICKNESS: 1/8" FACE COLOR: DIGITALLY PRINTED RETURN COLOR: EXISTING TO REMAIN TRIM COLOR: EXISTING TO REMAIN SIGN*A*RAMA 41-945 Boardwalk, Ste. L Palm Desert CA. 92211 PH 760-776-9907 • FX 760-776-9844 Frontage:_ Linear Feet Total Signage S.F Contractor's Lic # 830131 C45, C61/D42 Workers Comp. #1938807 City LIC. #97005491 Customer: Eclipse Dentistry Address: 44025 Jefferson St., Ste. 105 La Quinta, CA. 92253 Dwg. No.: 55501 Date: 09-10-12 Designer. JT_ - Telephone:760-xxx-xxxxI Jobsite: Fax:760-xxx-xxxx Same ELEVATION Rev.. 1 Customer Existintg Internally Illuminated Monument Sign to Remain. Route Existing Aluminum Panel Back With: Blue Acrylic Day/Nite Acrylic White Acrylic w/Printed Vinyl Logo Acrylic Thickness: 1/8" Face Color: Existing Panel Return Color: Existing To Remain Trim Color: Exidi emain Mounting: Exisemg o remain °D o o� < Im v M r 0 D z M v M �a 3 M z 4 Landlord Approval: YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT 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 BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED. THIS DESIGN IS PROPRIETARY PROPERTY AND MAYNOT BE USED WITHOUT THE EXPRESSED WRITTEN CONSENT OF SIGN'A'RAMA. CHANNEL LETTER SECTION INTERNALLY ILLUMINATED LED DISCONI SWITCH 12VOL1 DRIVER 5" .040 ALUMINUM RETURNS TRIMCAP ACRYLIC FACES mi L. E, D, MODULE LOW VOLTAGE WIRE �H LETTER FASTENED BY A JIMUM OF 4 # 10 SCREWS H STUCCO APPROVED ;HORS 8 SHEET METAL SCREW ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 6000F THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL CODES. THIS INCLUDES PROPER BONDING OF THE SIGN, CHANNEL LETTER CONNECTION DETAIL TRANSFORMER MOUNTINQ STUCTURE U.L. LISTED AND LABELED COMPLIES WITH 2010 CA ELECTRIC CODE, ARTICLE 600 Certificate of. Compliance Si n.'Li htin (Page I. of 2) . SLTG-1C Project Name:Phase Company t - r of Construction ❑ New Construction ❑ Addition ❑ Alteration Ct I ^� Function Type utdoor Signs ❑ Indoor Signs Project Address: design. Date: Compliance Method Used ❑ Maximum Allowed (,Iq -%Of 2, Lighting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and co m tete. Name Signature ,A� Company t - r Dat Address if applicable: CE E # City/S/Zip �yyt �— n� Phone - moi/ Principal Lighting Designer's Declaration 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 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: Signature Company: Phone Address: License # City/State/Zip: Date Sign Mandatory Measures Indicate location on building plans of Mandatory Sign Measures Note Block: Mandatory Sign Lighting Controls Yes No 1 §133(a)1. All signs with permanently connected lighting are controlled with an automatic time switch control ❑ that complies with the applicable requirements of § 119. §133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control. ❑ ,Y 2 Exception to §133(x)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 ❑ sin power by a minimum of 65 percent during nighttime hours. Exception 1 to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours. ,R 3 Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination ❑ during daylight 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 ❑ ❑ 4'receiving 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 I N N/A including but not limited to exit signs and traffic signs. ❑ ❑ 2008 Nonresidential Compliance Forms August 2009 Certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting). (Page 2 of 2) SLTG-IC Project Name: Ii Date: Compliance Method Maximum Allowed Lighting Power A B C D E F G H I J K -o O `o 0 E hE Description or location and plan location Allowed Watts Design Watts' Complies? YM Light. Source Field Ins ecto? N a '�'CO EE N O X COO 5 w ¢ iv W Q U qp CO � 3 E V U C7 30 t� GO to _..r. ..y, a ,,,f , w iAl_ 5�� ► luMat C t ,Fkt• io k �� ❑ 13 :.o a Total Sign Area: 1. Design Watts = total connected lighting load installed in the sign, including power used by lamps, ballasts, transformers, power supplies, etc. 2. !Fail then describe on Page 2 of the Inspection Checklist Form and take appro riate action to correct. Verify building plans if necessary. Use additional sheets if necessary. The sins 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 lamps served by a ballast with >_ 88% efficiency 3 Pulse start metal halide lamps that are <_ 310 watts, are not 150 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 e iciencv >_ 75% with rated output current < 50 mA 5 Neon or cold cathode lams with transformer or power supply efficiency >_ 68% with rated outout current >_ 50 mA 6 Fluorescent lamps with a mininnon color rendering index (CR! o 80 7 Light emitting diodes LEDs with a power supply with >_ 80% efficiency 8 Single voltage LED external power supplies designed to convert 110 volt AC input into lower voltage DC or AC output, having a nameplate output power less than or equal to 150 watts, and certified to the Energy Comnfission as complying with the applicable requirements o the Appliance Efficiency Regulations(Title 10 9 Com actfluorescent lamps that do not contain a medium screw base sockets (E24/E26 10 Electronic ballasts with a undamental outputfrequency>_ 10 kHz Field Ins ector Notes or Discrepancies 2008 Nonresidential Compliance Forms August 2009