14-0880 (SIGN)a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000880, `
Property Address: 46480 WASHINGTON ST STE 1
APN: 643-020-058- - -
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 6000 <
c&t 4
4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
Owner:
WASHINGTON 111 LTD
80618 DECLARATION AVENUE
INDIO, CA 92201
'Contractor: D
SIGNARAMA
41945 BOARDWALK,
PALM DESERT, CA 92 11
(760)776-9907
— — — — — — ----- — — — — — — — — — — — — — — — — — — — --- — — — — — — — — f' — — --- _—
LICENSED CONTRACTOR'S DECLARATION -
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 Cl s: D42 C45 Licen o.: 830131
Date:C Contractor:
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 70001 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' StateLicenseLaw 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
Date: 6/18/14
t,
JUN ] 201h
--• ....urutA
Lic. No.: 830131 FINAh�•��+��"
WORKER'S COMPENSATION DECLARATION
1 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 willmaintain 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 ITE 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 1 should be ome subject to the workers' compensationprovisionsof Section -
Q3700 of the Labor C , I sh I forthwith comply w' those provisions: - -
Date/ / Applicant: -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE 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 a ree to comply with all
city and cou ty ordinances and state laws relating to building c nstruction, and hereby a rize representatives -
of this cflu y to enter upon the above-mentioned prope for spection pur ses.
Date. a/ Signature (Applicant or Agent)'
IF
Application Number . . . . . 14-00000880
r
Permit . . . ELECTRICAL 2013
¢�. Additional desc .
Permit Fee . . . . 107.25 Plan Check Fee
.00
Issue Date . . Valuation . .
0
Expiration Date 12/15/14 `
Qty Unit Charge Per
Extension
3.00 35.7500 EA . ELEC SIGNS
107.25
-----------------------------------------------------------------------------
Special Notes and Comments
SIGN (3)ELECTRICAL BUILDING CHANNEL
LETTER SIGNS "FRESH JUICE BAR: SPA -
2014 -1782 2013 CALIFORNIA BUILDING
CODES.PER ATTACHED APPROVED PLANS.
a'
Other Fees . . BLDG STDS ADMIN (SB1473) �,
1:00
PLAN CHECK, ELECTRICAL
143.01.
Fee summary Charged Paid Credited
Due t•_
---------- ---------- ------
Permit Fee Total 107.25 .00 .00
107.25
Plan Check Total .00 .00 .00
.00
Other Fee Total 144.01 .00 .00
144.01
_ Grand'Total 251.26 .00 .00 _
251.26 M ,_
f ^•
LQPERMIT
Bin #City
of La Quinta
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit
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v
Project Address: b ��� N.
Owner's Name://
� L.. 5of j
A. P. Number:�i q Z
Address: y6 41 ,f�0 /./AS , . 57-
12 Legal Description:
City, ST, Zip: CA izt'j
Contractor:ell�
Telephone:
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Address: 0
Project Description: C"
City, ST, Zip:
Telephone(?6 D f -76 —9
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«< :<: »>::>: <• ; ;:i:? <:.;<.>:•:>;
State Lie. #
City Lie. #:I 00fe?
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: . .
State Lic. #:
•:':.::.��<<ss:r.;;.;;:;:<;:>:;<>::::
-$?:'-r% =? - »< >•'<'A<
Construction Type: Occupancy:
Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person: L ��st„�
Sq. FL:
# Stories:
# Units:
Telephone #,of Contact Person t� ? �� �,�/,j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG
PERMIT FEES.
Plan Sets
Plan Check submitted
rj
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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 IiOUSE:-
'"' Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Sclio61 Fees
Total Permit Fees
Project Name:
Phase of Construction O New Construction O Addition 13 Alteration
Name
S 0S£
Function T 17 Outdoor Signs 0 Indoor Signs
Project Address:
Date:
Compliance Method Used O Maximum Allowed
If applicable:
1-9 4S �oPrt2A w �t SU l 1.
Lighting Power ❑ Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name
S 0S£
Signature
Company
S I G A 2
Date
Address
If applicable:
1-9 4S �oPrt2A w �t SU l 1.
CEA #
CEPS #
City/Statcrzip
'PA- E 2T C Pt. Z
Phone:
-4 to o— -+}(,* —9 10
Principal Lighting Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibiliy 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:
--Z> I
Signature
Company:Phone
S .I t, FJ r4 2
— — 99 01---
Address:LAI _ �
License # Q 13
Ciq•lStatelLip:
Date
TRL i� t✓2'�2T
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
0
that complies with theapplicable requirements of $119.
PK
§133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
O
2
Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during
O
daylight hours.
§133(x).3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
0
sin power by a minimum of 65 percent during nighttime hours.
Exception I to §133(9)3. Signs are illuminated for less than one hour per day during daylight hours.(
O
3
Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
O
NA
Burin da li ht hours.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
O
k,{
illuminated signs or arts of signs.
,
§133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than
15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
Y
O
N
O
N/A
4
receiving a demand respons signal that issentoutby the local utility.
Exception to §133(a)4. The EMC is requircd.by a health or life safety statue, ordinance, or regulation,
Y
N
N/
including but not limited to exit signs and traffic signs.
0
2008 Nonresidential Compliance Forms
:+
August 2009
Certificate of Compliance and Field Inspection EneM Checklist (Sig n Lighting) (Page 2 of 2
SLTGIC
Project
Pro' Name:
Date: kA
Compliance Method
Maximum Allowed Lighting
Power
A
8.
C D E F
G
H
I
J
K
c
Description or location and plan location
Allowed Watts
Design
Watts'
Complies?
YM
Light
Source
Field
Ins ?
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C
L
.oma. W
`°
dE
.
a �• �
ON
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Q
N
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wg
ba
C-0`
E
Uvi.m
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E O
V
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"A.
C k L
L—
Z,
27� .,�
❑
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2 .
20,
20
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❑
El
❑
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a.
2�,3
.7
❑
�.
❑
❑
0
❑
Total Sign Area:
Z,
1. Design Watts = total connected lighting load installed in the sign including power used by lamps, ballasts, transformers, power supplies, etc.
2. if Foil then describe on Page 2 o the Inspection Checklist Form and take late action to correct. vertfv buildirt ons if necess . Use additional sheets i necessary.
The sign(s) identified above; use only one or more of the following technologies: Oist all applicable numbers that apply in column I above
! I High pwurr sodium lamp
2 Putse start or ceramic metal halide / served by a ballast with >_ 88•/ efficiency
3 Pulse start metal halide lantas the are <_ 320 worts, are not 230 watt or 173 watt lanps.. and are served by a ballast with >_ 80% a tcientcv
4 Neon or cold cathode / with trwjt ormer or powersupply e tciencv > 75% with rated output current < 30 -A
3 Neon or cold catiade ImnX with transformer or power styply efficiency >_ 68% with rated output current >_ 50 mA
6 Fluorescent lanm with a minimum color renders index (CRO 000
7 Lijett entiffing diode) UDQ with a r with >_ 800Yo a tcien
8 Single voltage LED externalpower supplies designed to convert 120 volt AC input into lower voltage DC or AC output, having o nameplate output power less than or equal to 250 watts, and
certified to the Energy Commission at compWing with the apPlicable requirements o the Appliance EfficiencyRe /atJons ttte 20
9 c4ogayfluorescent lamp that do not cauain a medium screw bas sockets E24/E26
10 Eleeoonic ballasts with a urdamerrtal owputfrrquency > 20 kHz
Field Ins for Notes or Discrepancies
2008 Nonresidential Compliance Forms August 1009