06-3870 (SIGN)-P.O. -BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: [0-6=00-0-03870'
Property Address: 45200 WASHINGTON ST
APN: 604-040-070- - -
Application description: SIGN
Property Zoning: TOURIST COMMERCIAL
Application valuation: 20000
(:i?,4.
•
. VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/22/07
Applicant: Architect or Engineer:
--------------------------------- -----
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.
LicensgCl s: C4 17 L8705
{ate� ontractor: '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busines 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. 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—) 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
Owner:
CP DEVELOPMENT LA QUINTA
77564 COUNTRY CLUB DRIVE #100
PALM DESERT, CA 92211-
Applicant:
2211
Contractor:
GLOBAL LIGHTING
39227 SERAPHINA
MURRIETA, CA 925
(951)831-3781
Lic- No.: 870582
-- u.
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 EXEMPT Policy Number EXEMPT
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, IWORERS'COMPENSATIWCOV;RA
e subject to the workers' compen tion provisions of Section
00 of the LaII forthwith co • w' those rov' ' hs.
e: cant:
WARNI G: FAILURE TO SECUS' COMPENSATI COVERA E I UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND
DOLLARS 0100,000). INADDE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR,REST, 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 Ouinta, 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 inf mation is correct. I agree to comply with all
city and county ordinances and state laws relating to bu'Iding con r coon, and her authorize represent es
of this c ty enter upon the above-mentioned prop rty for i coon purposes.
at Sature (Applicant or Agent): n
Application Number 06-00003870
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee 33.00 Plan Check Fee
.00
Issue Date 11/03/06 Valuation .
. 0
Expiration Date 5/02/07
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
Permit ,.•. . . SIGN PERMIT
Additional desc .
Permit Fee 2.07.00 Plan Check Fee
134'.55.
Issue'.Date 11/03/06 Valuation
20000
Expiration Date 5/02/07'
Qty Unit Charge Per
Extension
BASE FEE
45.00
18:00 9.0000 THOU 'BLDG 2,001-25,000
162.00
----------------------------------------------------------------------
Special Notes and Comments '.
MONUMENT SIGN ON 61. WALL PER'CITY
STANDARD & BUILDING MOUNTED LED SIGN
PER CDD APPROVED PLANS
--------.-----------------------------
Other Fees . . . . . . . . . CHANGE OF CONTRACTOR.
---------
4.50
Fee.summary Charged Paid Credited
Due
------ - - - - ------ - - - - ----
Permit Fee Total 240.00 240.00 .00-
-- -- - - --
.00
Plan Check Total - .134.55 134.55 .00
00
Other Fee Total 4.50 00 00
4.50
"Grand Total 379.-05 37.4.55 .00
4.50
. LQPERMIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92.253
Application Number.
Property Address:
APN:
�Application description
4 Property Zoning:
Application valuation:
Applicant:
a
06-00003870 j
45200 AASHINGTON`ST
604-040-012- - -
SIGN
.PARKS & RECREATION
20000
Architect or Engineer:
PIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
r�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with _
CENTRE ,POINT DEVELOPMENT
►�--�'-
45200 WASHINGTON
tO
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
LA QUINTA, CA 92253
=
Z9
fI
i� N
C7C
„_Date`. NC7 Contractor:°
J 1
GJ
Code, for the performance of the work for which this permit is issued. My workers' compensation
Contractor:
a
O'
TURNER CONSTRUCTION COMPANY
p_
Carrier LIBERTY INS CO Policy Number WC762591131355
44=139 MONTEREY AVE STE 201
V
PALM DESERT, CA 92260•
person in any manner so as to become subject to the workers' compensation laws of California,
(213)337-6900
and agree that, if I should become subject to the workers' compensation provisions of Section -
L i C. No.: 210639
s.----
3700 of the Labor Code, shall f hwith comply with those provisions.
11/01/06
" LICENSED CONTRACTOR'S DECLARATION -
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 B License No.: 210639
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
fI
issued.
„_Date`. NC7 Contractor:°
_ 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
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 LIBERTY INS CO Policy Number WC762591131355
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires apermit 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
3700 of the Labor Code, shall f hwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5.bys
any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: -
, ., �i
:Dater Applicant:..
• ( ) I, as owner of the property, or my.employees with wages as their sole compensation,. will do the work, and
oi. �.:�"�.
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE 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 CRIMINAL 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.._lf, 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
(_) 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 contractors) 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
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.).
I
Lender's' Name:
Lender's Address:
LQPERMIT
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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction,.and herebyauthorize representatives
of this county to enter upon the above-mentioned property fAr ;nsge9tion purposes.
Application Number . . . . ... 06-00003870
Permit . . . ELEC-ELECTRICAL SIGN,.
Additional desc .
Permit Fee 33.00, Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 4/30/07
Qty -Unit Charge Per
Extension
BASE FEE
-15.00
1.00 15.0000 EA ELEC SIGN.IST CIRCUIT
15.00
1.00 3.00 00 EA ELEC SIGN ADDITIONAL CIRUITS
3.00
Permit . . . SIGN PERMIT
Additional desc .
Permit Fee . . . . 207.00 Plan Check.Fee ..
134.55
Issue Date Valuation
20000
'Expiration Date,. 4/30/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00 9.0000 THOU BLDG 2,001-25,000
162.00
Special Notes and Comments.
------- - - - - - -
MONUMENT SIGN ON 61 WALL-PER.CITY
f`
STANDARD & BUILDING MOUNTED LED SIGN
PER CDD APPROVED PLANS
t=.
Fee summary Charged Paid Credited
Due
Permit Fee Total 240.00 .00 .00
240.00,'
Plan Check.Total 134.55 .00.00
134.55
a
Grand' Total 374.5,5 .00 .00
'
374.55
' LQPERMIT
_
..
Bin #
Qty of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: CJ.. ZOO
Owner's Name: C o
A. P. Number:
Address: '11-1544CoooxlN
Legal Description:
City, ST, Zip:?AL*\ hEWE,1LT I CA 17.-LI)
Contractor: J J " f— 660 �telephone:
. "'' ``> '" 1•;'s,'
<k R::Y:::'}'.'•.?i::ii?�:+: ?�."r,':"iii•'`:.^•.f
Address: 1 LeS
Project Description:
City, ST, Zip: A Q J G I
Telephone: 60-2.8&-94,66 :: >: w< A:<>>: €:>3» r4::€< > _^'
M O T S
G) W 1 NGTOA
State Lic. # : f� y� L`v City Lia`#cDp;) �1L'4
Arch., Engr., Designer.
Address:
W
City., ST, Zip:
AM 15l6
........
Tele hone: ~
P ?r::::>;::•• .... :::.. ......:::
State Lic. # "':f:•s:.;::.>.::;;;>:;:;:;:;.;:x;>::.h a,
Construction Type: Occupancy:
Project type, (circle on a Add, n Alter Repair Demo
Name of Contact Person: � s
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: —,-zAg -E {j Estimated Value of Project AIQ C&8
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd . ,
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact'Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan"
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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
174 -3 J
)0
CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
PROJECT NAME
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
DATE
PROJECT ADDRESS
S � � �
� � � � F'
� ✓►� ��J
, n w 1 i. Ir,
� $ ;� r t`� 1 � s+ phi � �` .
PRINCIPAL DESIGNER -LIGHTING
M f/
1. Use LTG -1-C if the project consists solely of indoor signs
TELEPHONE 4TEL PHONE /�
Y i V
4 t. :Buddiiia Permit"�a(�F
GkYLt 41 k�
ec e v ateazJ v3F
Enforrxment enc se9�7tr
DOCUMENTATION AUTHOR
TELEPHONE
AQ
GENERAL INFORMATION
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor
lighting
DATE OF PLANS
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for
OUTDOOR LIGHTING ZONE (✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3
❑ LZ4
FUNCTION TYPE
❑ OUTDOOR LIGHTING
ROUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION
❑ NEW CONSTRUCTION
❑ ADDITIONS. ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
I 11D c,uuucuo vi %.Un iNuance nsts uuttsaoi uynuny system specimcations neea to comply wltn l lite Z4, i'arS 9 and b of the Galltornla code of
Regulations. This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documentation is accurate and complete.
ATION AUTHOR
DATE
The Principal Lighting Designer hereby certifies that the proposed outdoor lighting and signs design represented in this set of construction documents
is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit
application. The proposed building has been designed to meet the lighting requirements contained in the applicable parts of Sections 110, 119,130
through 132, 146, and 149 of Title 24, Part 6. Please ✓ one: b
f eM1
JRA I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed
architect.
❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this
document as the person responsible for its preparation; and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a
structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537,5538 and 6737.1.
hese sections of the Business and Professions Code are printed in full in the Nonresidential Manual.)a
PRT j;LIG HTIKkJ E �IGIF , i � SIGNATURE � DATE IZ�I /ii�0 LC/7 —4JS 2.0
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEETS (✓ box if worksheet -is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be
incorporated in schedules on the plans.
Either LTG -1 -C or OLTG-1-C may be used for signs as follows:
1. Use LTG -1-C if the project consists solely of indoor signs
2. Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting.
3. Use OLTG-1-C if the project consists solely of outdoor signs
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor
lighting
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for
Signs)
❑ OLTG-3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
OLTG-4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and
outdoor signs. : c •' :' ,
2005 Nonresidential Compliance Forms
April 2005
CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLT
PROJECT NAME '
Lighting Schedules on Plans Show that Outdoor Li htin Meets Allowed Lighting Power
�❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 ,
Lel Not Applicable
power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
ICl/Not
uy Not Applicable -
❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
CYNot Applicable
El Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4 ;
Applicable
,�,�Not
lid Sign lighting compliance on OLTG-4-C
❑ Not Applicable
Mandatory Measures. on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
Indicate location on plans of Note Block for Mandato Measure
❑ Installed lighting power has been determined in accordance with § 130(c)1
U'Not Applicable h
❑ All_permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are
control ed by a motion sensor § 132(a) ,
of Applicable
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and
all outdoor sales areas meet the Cutoff Requirements of § 132(b)
-EVIN ,
All permanently installed outdoor lighting meets the Control Requirements of § 132(c)l
❑ Not Applicable -
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting�Requirements of § 132(c)2
CJ/Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION'
CONTROL**
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
eh.i Si
'
}, :tio I
2005 Nonresidential'Compliance Forms_
-30-U G April 2005
OPL
LO
0
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Q
Electronic Ballasts with
1
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V
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CU
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vi
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