10-1139 (SIGN)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING &,SAFETY DEPARTMENT INSPECTIONS (760).777-7153
BUILDING PERMIT
Date: 11/01/10
Application Number: C10-:6000.1--1 9 _ Owner:
Property Address: 46520 -WASHINGTON ST STE 1 WASHINGTON 111 LTD
APN: 643-020-058- - - PO BOX 1623
Application description: SIGN LA QUINTA WINE / TENANT
Property Zoning: REGIONAL COMMERCIAL PALM DESERT, CA 92261
Application valuation: 2000 D C
Contractor:
Applicant: Architect or Engineer: QRS LIGHTING INC NOV81211, #2B INDIO BLVD N 01 2010 '
/ 0/0
INDIO, CA 92201
111 (760)619-656S CITY OF LA QUINTA
`Lic. No.: 727552
FINA!110E DEPT.
-
--- - - - ------------ ----------- - - - ---= - -
- - ------= -- -=- -- ------------=--------------------
h LICENSED CONTRACTOR'S DECLARATION _ = ti 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: C10 .License No.: 727552 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
J�/'''issued.
Date: Contractor: 4YlI�J i �_• _ 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 EXEMT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a -permit 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 - % 3 00 of the Labor Code, I shall forthwith comply with those provisions. - t
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - + • �n /'�� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: Applicant: /lJ (.••. L%/ , '
(_ I 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 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. If, 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
(_ 1 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 contractorls) 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.). whosebenefit work is performed under or pursuant to any permit issued as a result of this application,
I _ 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
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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation. .
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - r city and county ordinances and state laws relating to building construction, and her by authorize representatives -
\ of this count to enter upon the above-mentioned pro for inspection purpos
• Lender's Name: } �
Date:L l40 Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number .
. .. _ . 10-00001139
Permit . . . . .
ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee
33.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date
4/30/11
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
(2) SETS OF ILLUMINATED
CHANNEL LETTER
SIGN PER SA -2010-1484
" LA QUINTA WINE"
Other Fees
. . 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
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Listed sign section (consist of channel
left plastic face, tube supports &
Or= cups or Insulation boob. It provided)
suitable for outdoor location unless
marked for Indoor only.
Recognized component
\
Plastic face provided with sign
12 VOLTS
Mechanical connection Owlsted
OK, see dog. C2 for assembly
Instruction). 1.1/2' min.
Clearance through air or across
surface to tube connection.
NEC 60634(b)
Wan varies in
thickness and
material
UL
Listing marks:
Udng marks sign sections label shall
be on each letter and transformer
endCsur9.
The nrd blank space Identities the
number at each sign section. The
second blank space Indcates
the total number of sign section
thru bolt with nuts & washers
. (4) per letter
Primary electrical source
('h' min. Conduit, metol dawn
NK 6066 &600.21
Listed disconnect switch In primary to
be within sight pnw. 601 of sign
(Many Interpret transformer enclosure
to be part of dgn)
\ NEC 1163(b), 60D.2.600-4
SPACING TABLE
A. Between primary wiring & Insulated high voltage wiring.
S.Between Insulated high voltage wiring & metal where wiring
pardlats dead metal far more than i' within sign sections.
C. Between neon tube Of over 7300 volt circuit) & nearest surface.
D. Between unfradated high voltage conductor or components. (Mid-
point -grounded transformer) & dead metal (ground), low voltage
circuit eonduetors & high voltage eorductores of opposite polarity
--------, Spacing maintained
— per spacing table
listed sign seen«,
(consists at transformer
& enclosure) suitable
for autdaor locations
unless marked for Indoor only
Accessible. NEC60632(e)
Grounded enclosure.
Fasteners as required by local (urlsdk:non
ILLUMINATED L.E.D. CHANNEL LETTER
WITH ENCLOSURE SIGN FACE
47 th
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PARKING LOT <
PROPOSED
SIGN
PROPOSED
SIGN
PLOT PLAN "
NOT TO SCALE ( IV 1
7W
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CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1 C
Roject Name Date
LA 9UINTA WINE 10/28/2010
Project Address
45-520 STE. #1 Washington Blvd. La Aulnta
Princod Desigrier Ugh" Wiept— &Oiling Permits
Sergio Rodriguez 760 619-6565
Documentatlon Author
checked W Date
Same Erdorcemerd Agency use
GENERAL INFORMATION
Manual published by the California Energy Commission
❑ OLTG-I -C
DATE OF PLANS
OUTDOOR LIGHTING ZONE (_x_ONE) ❑ L71
❑ L72 ❑ L73 ❑ L74
FUNCTION TYPE
❑ OUTDOOR LIGHTING ❑X OUTDOOR SIGNS
❑ INDOOR SIGNS
PHASE OF CONSTRUCTION
❑X NEW CONSTRUCTION ❑ ADDITIONS
❑ ALTERATIONS
STATEMENT OF COMPLIANCE
3. Use OLTG-I-C If the project consists solely of outdoor signs.
This Certificate of Compliance list outdoor fighting system specification need t comply with Title 24 Parts 1 and 6 of the California Code of
Regulations. This certificate applies only to building fighting requirements
The documentation p(eparer hereby certifies that the documentation Is accurate and complete.
DOCUMENTATION AUTHOR
Sergio Rodriguez �� //__ " DATE 10/28/2010
The Principal Lighting Designer hereby certifies that the proposed outdoor fightin6nd signs design represented in this set of construction documents
Is consistent with the other compliance fors and worksheet with specifications and with any other calculation 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 the Title 24, Part 6. Please one:
❑ I hereby affirm that I am ®Iigible under the provisions of Division 3 of the Business and Professional Code to the sign this document as the person
responsible for its preparation; and that 1 am licensed in the State of California as a civil engineer or electrical engineer or I am licensed architect.
❑x I affirm that I am eligible under the provisions of the Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this
document as per the person responsible for the preparation and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under 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 code Sections 5537.2, 5538 and 6737.1.
(Them sections Of the k2dr9 s and Rotesdom Code are pdMed in h/ In the Nonresidential Manuel.)
PRINCIPAL LIGHTING DESIGNER NAME SIGNATU
n
Sergio Rodriguez _ �J L DATE 10/282010 LIC.#727552
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE & WORKSHEET L box if worksheet is included)
For detailed instructions of the use of this and all Energy Efficient Standards compliance forms, please refer to the nonresidential
Manual published by the California Energy Commission
❑ OLTG-I -C
Certificate of Compliance Required on pians for submittals for outdoor lighting Part2 of 2 may be
Incorporated In schedules on the plans.
EHher LTG -1 C or OLTG-I -C may be used for signs as follows
1. Use LTG -1 -C If the project consists solely of outdoor signs
2. Use LTG -1 -C if project consists of Indoor lighting and outdoor or Indoor signs, but no other outdoor lighting
3. Use OLTG-I-C If the project consists solely of outdoor signs.
4. Use OLTG-I -C If 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, both Indoor and
outdoor signs.
2005 Nonresidential Compliance Forms April 2005
SIGN LIGHTING COMPLIANCE 0LTG-4-C
PROJECT NAME ,
LA 6lUINTA WINE !
DATE
10/28/2010
ALTERNATIVE 1 - lighting Power Allowance
Alternative 2 - For signs that ONLY use one or more of the
technologies listed In M through S
( Check all that apply)
A
B
C
D E F G
H I J.
K L
M
N,
O
P
Q
R
S
7
3
$
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(
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DescrlptIon or
Locaflon
Allowed
Watts
Lamp
Ballast
Desl ner
Watt
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Interior illuminated
Channel Letter Sign
12.75
x
x
F' For Allotted LPD use 12 wafts/square foot for Internally illuminated Signs. And us 2.3 watts/ft 2 for Externally Illuminated Signs.
NOTE: If an Internally Illuminated or Externally Illuminated sign contains light sources and ballast other than those Included in columns b(M) through (S) such
as Incandescent lamps, medium base sockets, magnetic ballast, etc. Then sign must comply under Alternative 1. However unfiltered signs and
unfiltered portions of Internally and Externally Illuminated signs, are not required to meet these Standards.
2005 Nonresidential Compliance Forms April 2005