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07-2994 (SIGN)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 Application Number: 07-00002994 Property Address: 46600 WASHINGTON ST`STE-2�`I APN: 643-020-999-3 -30903 Application description: SIGN Property Zoning: REGIONAL COMMERCIAL Application valuation: 2800 Applicant: j 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 isin full force and effect. License Class: C45 Lkqen se No.: 689256 Daie:t Com`\— " 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 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPERNIIT Owner: WASHINGTON 111 LTD C/O JACK TARR 30240 RANCHO VIEJO SAN JUAN CAPISTRAN( Contractor: RIOFINE NEON 68895 PEREZ ROAD, CATHEDRAL CITY, CA (760)321-0484 Lic. No.: 689256 Date: 11/21/07 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. 1 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 STATE FUND Policy Number 1371851-2007 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 �FAILURE 3700 of the Lab --CQge, I shll fo ith comply with those provisions.Date:- ApplicanCOLQWARNITO SECU 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 state laws relating to building construction, and hereby authorize representatives - �of th—is-�cu�nty� to enterupon'the'above-mentioned prop W for inspecti purposes ate. \IA 1 M 1 gnature IAppkcant Application Number. 07-00002994 Permit . ... ELEC-ELECTRICAL SIGN Additional desc.. Permit Fee . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date .. 5/19/08 Qty Unit'Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN. IST CIRCUIT 15.00 ------------.---------- Special Notes and Comments --------------------- (1) ILLUMINATED CHANNEL LETTER SIGN & LOGO (1) CIRCUIT PER SA 2003-682 "ULTIMATE POINT" Fee summary' Charged_ Paid Credited Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 00 .00 .00 Grand Total 30.00 00 .00 30.00 LQPERMIT Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78=495 Calle Tampico La Quinta, CA 92253 - (760) 777-701'2 Building Permit Application and Tracking Sheet • Permit # Project Address:(ekoo St Owner's Name: A. P. Number: 2 Address: Legal Description:. City, ST; Zip: Contractor: Rnfih-e- Telephone: � 0 Address:�— l Project Description: ► 1 1� [n City, ST, Zip:(21pr —62a Telephone: -]W-321 Dq City Lic: #: State Lie. # : (b 25 Arch., Engr., Designer: Address: City, ST, Zip:, Telephone: State Lic. #: Name of Contact Person: ! �� Construction Type: Occupancy: Project.type (circle one): New . Add'n Alter Repair Demo Sq. Ft:: # Stories: # Units: Telephone # of Contact Person: �j2 Q /,,, Estimated Value of Project: Com^ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted . Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.' Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for coriectionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval. Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Lip M. CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C PROJECT NAME 1 ` 1v1` f tib_Ll__ PROJECT ADDRESS C yy ��qq���,�yy W'WOV sh'o tl.�l PRINCIPAL DESIGNER- HTINCp V8. � L. SHO �"� jp �Jt . Sdllli Q_ �QQ' lek'.. HO NE TELEPHONE DATE - - .Buildirid?P.i mut " ;.. _-.:._.._:.:....... DOCUMENTATION 'AUT,.,::..:=:._.:-..::._ �� (^ C incorporated in schedules, on the plans. TELEPHONE t� f 1 EilioreeinentAgency;.lJse GENERAL INFORMATION 1. Use LTG -1 -C if the project consists solely of indoor signs . DATE OF PLANS Cl OU DO R LIGHTING ZONE f✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3 ❑ LZ4 FUNCTION TYPE ❑OUTDOOR LIGHTING -E OUTDOOR SIGNS ❑ INDOOR SIGNS PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITIONS ❑ 'ALTERATIONS "STATEMENT OF COMPLIANCE ' This Carlifir�fu of rinm.aien..., c..4.. Signs) -• ••.y••••• •a �Y._ n oy­nwuvna lluuu cv,cumply w1in I nue Z4, i -arts .i ana 6 of the California Code of Regulations. This certificate applies only to building lighting. requirements. They mentafionpreparer hereby certifies that the documentation is accurate and complete. ./ - - ✓MIC V� tThe rincipal'Lighting Designer hereby certifies that proposed outdoor lighting and signs design represented in this set of construction documents nsistent 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: ❑ 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. ❑ . 1 affirm that'[ 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 Division3 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. 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 Califomia 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 OLTGA-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-I-C if the project consists solely of outdoor signs 4. Use OLTGA-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor li htin ❑ 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. 2005 Nonresidential Coinpliance Forms April 2005 CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-1-C PROJECT NAME Lighting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power ❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4 ❑ Not Applicable ❑ Lighting power allowances for. local ordinances or for security multipliers on OLTG-2-C Part 2 of 4 ❑ Not Applicable" ❑ Lighting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4 ❑ Not Applicable ❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4 ❑ Not Applicable ' 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 Maridatory Measure . ✓ ❑ Installed lighting power has been determined in accordance with § 130(c)l ❑ Not Applicable ❑ All permanently installed luminaires with .lamps rated over 100 watts either, have a lamp efficacy of at least 60 lumens per watt or are controlled by a motion sensor g 132(a) ❑ Not 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) ❑ Not Applicable ❑ 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 ❑ Not Applicable. MANDATORY AUTOMATIC CONTROLS CONTROL LOCATION CONTROL IDENTIFICATION CONTROL TYPE Auto Time Swltch/Photosensor, etc AREA CONTROLLED NOTE TO,,' FIELD SIGN LIGHTING COMPLIANCE O'LTG-4-C PROJECT NAMEI .� DATE ` `^ AB C Alternative 1 — Lighting. Power Allowances D E F G H. I J K L Alternative 2 — For Signs that ONLY use one� or more of the technologies listed in M through S Check all that apply) M' N O P Q R S CnMZ n a fD G "0 to _ Description or Location Allotted Watts ' Lam / Ballast Design Watts ? .G (p Ch v C 3 N 52 �? a d n 3 (D 0 7a 0 n � p G � T 3 'c ? p a m ... 3 N Q(�D 7 c da'rl 0, C c'3 3 3 N y -t » �+ T1 c in fn� 0 0 m W' w 7 N (m� O 4 60 �_ xTW .N a m Noy, o 0 N T.•. 7. y 7 .�N ym __� C �..� 7 m� (°p' �` p G vn D NS�S' o a N v v D' O 0n x d rTi N 3 (�D 3 O .3 N 0 3 _-mow a C d N N. N 7 W ��p �y m B _Z- N N W - !C z�' F For Allotted LPD use 12 watts/square foot for Internally Illuminated Signs, and us 2.3 watts/ft for Externally Illuminated Signs. Note: If an Internally Illuminated or Externally Illuminated sign contains light sources and ballasts other than those included in columns (M) through (S), such as incandescent lamps, medium'base sockets, magnetic ballasts, etc, then the 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