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13-0203 (SIGN)wy� 4 4Q" 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: 2/25/13 Application Number: 13-00000203 Owner: Property Address: 46600 WASHINGTON ST STE 2 WASHINGTON 111 LTD APN: 643-020-058- - - 80618 DECLARATION AVENUE Application description: SIGN INDIO, CA 92201 Property Zoning: REGIONAL COMMERCIAL Application valuation: 3000 Contractor: D Applicant: Architect or Engineer: SIGNARAMA 41945 BOARDWALK, "L" ��� PALM DESERT, CA 92211 �` J 2013 Ar (760) 776-9907 -o�liAaktsk�,/L — L i c . No.: 830131 CITY OF IA QUIly Flip NCF nEsar 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 1 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 CI s: 42 C45 License No.: 830131 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 1 - - issued. Dater 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 GRANITE STATE Policy Number WC065256570 - 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 workfor 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 0 of the Labor Code, l shall forthwith comply with those provisions. , 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).: Dater . Applicant: (_ 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 ' 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 TOTHECOST 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 contractor(s) 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 1 1 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 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: I,QPER\IIT 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 this c my t enter upon the above-mentioned property for rS n spection purposes. ) Signature (Applicant or Agent): i Application Number . . . . . 13-00000203 Permit . . . SIGN PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . 3000 Expiration Date 8/24/13 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000, 9.00 Permit . . . ELEC-ELECTRICAL SIGN Additional desc•. Permit Fee . . 30.00 Plan Check Fee .00 Issue Date . . Valuation 0 Expiration Date 8/24/13 Qty Unit Charge Per• Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 Special Notes and Comments (1) CHANNEL LETTER LED SIGNS [BOUCHER FINE JEWELERS] SIGN PERMIT NO. 2013-1680 [EC] 2008 ENERGY, 2010 CALIFORNIA BUILDING CODES. February 25, 2013 2:20:47 PM AORTEGA Fee summary- Charged Paid Credited Due Permit.Fee Total 84.:00 .00, .00. 84.00 Plan Check Total 35.10 .00 .00 35.10 Grand Total 119.10 .00 .'00 119.10 Bin. # CIt}r Of U Qulhtd Building 8z Safety Division P.O. Box 1504,78-495 Calle Tampico 14.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application' and Tracking Sheet Permit # 13- Project Address, 4-4 D- �n/a� f �, �, p ; ' ST Owner's Name:. l 36, ✓i o / G '�--- A. P. Number. Sn ;t j -XL 2— Address: y` Gt1a AAs , S-7 -g Legal Description: L u rvV • C --2-L City, ST, Zip: La Jl 9 -LZ 'S'3 Contractor. Telephon. Address: eYl- ✓ -J U,o L KC :0 Project Description: C �,e City, ST, Zip: ?q.L. vvl Telephon: "�6 d -7-7b —QR o State Lic #: City Li #: MI Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lie. #:Project Name of Contact Person: iG _ SCs N'tS rJ Construction Type: , Occupancy: type (circle one): New 9 Add'n Alter Repair' Demo Sq. Ft : #Stories: # Unit;: Telephone # of Contact Person '76 a ! ✓� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calm Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted Mecharilcal Grading plan 2" Review, ready for correctioneiissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr - Date of permit issue School Fees Total Permit Fees .Certificate of. Compliance Si n -Li htia (Page 1: of 2) . SLTG-1C Project Name: _ Phase of Construction ❑ New Construction O Addition O Alteration �O UL�C2 e bJ��-arts Function Type Outdoor Signs ❑ [ndoor Signs Project Address: (,/G -6 do 6y �s �; NS A S F �} Date: a �y jr Compliance Method Used ❑ Maximum Allowed L4 / Lighting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name Signature Company Date Address/ I; _ C� q � � d a� R J pv- UK- � � i� �-- `7 If applicable: CEA # . that complies with the applicable requirements of § 119. CEPE # City/State/Zip' i2l�-v n. ckn-71 �. 9Z `Z 1 hon . � �Go i 76 — �-I'90 Principal Lighting Designer's Dec aration 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: � � f G � Signature Company: N _ 1 VU QC- w• � Phon (76))-77(, 9 0I? Address: 0/445 Jar_ da (.�.a L lL �j- L. License # 573c) 13 City/State/Zip:f .� � n e- ", 0,- -1 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. El 2 Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during ❑ .0 daylight hours. §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce ❑ -4 sin power by a minimum of 65 percent during nighttime hours. Exception I to §133(a)3. Signs are illuminated for less than one hour per day during• daylight hours.. ❑d 3 Exception 2 to §133(x)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 N N/A including but not limited to exit signs and traffic signs. 1 ❑ ❑ --m 2008 Nonresidential Compliance Forms August 2009 Certificate of Com Hance and Field Inspection Ener Checklist (Sign Lighting). (Page 2 of 2) SLTG-IC Project Name: 3 0(CCfit. t , .L — w L tA-5- Date: '7 Com liance Method Maximum Allowed Lighting Power A B C D E F G H I J K n, ro 0 U ` o E .99 Description or location and plan location Allowed Watts Design Watts' Complies? YM Light. Source Field Ins cto? ^ � O Cn 4 O C� a i^N 3 cac �3M Ey O W Q C. W !rl ce www O U ¢ n a� rn O cd F- 3 E - O V I v 0 a E 0 O y w po U ,y 1 13 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. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, Use additional sheets i necessarv. The sign(s) 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 2 Pulse start or ceramic metal halide lamps served by a ballast with >_ 88% efficiency 3 Pulse start metal halide lamps that are 5 320 watts, are,not 150 watt or 175 watt lamps, and are served by a ballast with 2:80% efficiency 4 Neon or cold cathode lamps with transformer or power supply a iciencv >_ 75% with rated output current < 50 mA 5 Neon or cold cathode lamps with transformer or power supply efficiency >_ 68% with rated outout current 2:50 mA 6 Fluorescent lamps with a minimum color rendering index(CR l of 80 7 Light emitting diodes LEDs with a power supply with >_ 80% efficiency 8 Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC output,'having a nameplate output power less than or equal to 250 watts, and certified to the Ener Comnt'ission as complyingwith the licable re uirements o the A fiance E icien Re lotions(Title 10 9 Compact fluorescent lamps that do not contain a medium screw base sockets (E14/E26 10 Electronic ballasts with a undamental out ut re ue >_ 20 kHz Field Inspector Notes or Discrepancies 2008 Nonresidential Compliance Forms August 2009 a rKI, Sign Description: (BOUCHER, LOGO & JEWELERS) ILLUMINATED REVERSE CHANNEL LETTERS 77" C'Ty OR UILOING & SqSEPT. T. APPROVED FOR CONSTRUCTION (FINE) NON -ILLUMINATED DIMENSIONAL ACRYLIC LETTERS SIGN*A*RAMA 41-945 Boardwalk, Ste. L Palm Desert CA. 92211 PH 760-776-9907 • FX 760-776-9844 (Boucher, Logo & Jewelers) Illuminated Reverse Channel Letters Depth: 3" Face Color: White Return Color: White Mounting: Back Standoff: 1-1/2" Stand-off L.E.D. Color: White (Fine) Non -Illuminated Dimensional Acrylic Letters Depth: 1/2" Face Color: White Return Color: White Mounting: Back Standoff: 1-1/2" Stand -oft NON -ILLUMINATED DIMENSIONAL ACRYLIC LETTERS OFFSET MOUNTED APPROVED BY PLANNING DEPARMENT BY*, -- DATE 2 x 5 1 EXHIBIT CASE NO. '5 Frontage: 20 Linear Feet Customer: Telephone: 760-832-2325 Jobsite: Boucher Fine Jewelers Fax: 760-xxx-xxxx Same Total Signage 19.8 S.F Contractor's LIC # 830131 C45, C61/D42 Workers Comp. # 1938807 City LIC. #97005491 Address: 46-600 Washington St., Suite #2 La Quinta, CA. 92253 West ELEVATION DWg. No.: 57731 Rev.: 4 Date: 02-25-13 Designer: JT= EXI5TING WALL SILICONE ADHE51VE 1 -1 /2" 5PACERS 10/24 X 3" STUDS I/2" ACRYLIC CHANNEL LETTER SECTION XALUMINUM RETURNS LED. HALO ILLUMINATION IX EACH LETTER FASTENED BY A MINIMUM OF 4 #10 SCREWS WITH STUCCO APPROVED ANCHORS WALL 063 ALUMINUM FACE uU [I L.E.D. MODULES DISCONNECT SWITCH 3/16'POLYCARBOMATE BACKS D , LOW VOLTAGE WIRE /�f k -;�J� I L.E.D. DRIVER LETTERS PEGGED OFF WALL DRIVER WITH 1-1/2" SPACERS ALL WALL PENETRATIONS TO BE SEALED WRH UL LISTED SILICONE SEALANT THIS SIGN IS IMENDED 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 MOUNTING S7UCiURE CNNJNEL LEITER CW NEL LMER CHANNEL LETTER I CHANNEL LEM IC -EI LEVER M'�LISooD NLABELED ELECTRIC ARTICLE oo Customer Approval: Landlord Approval: YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT AND LAYOUT, RELEASING SICN'A*RAMA fPOhf RESI'ONSIDILITI' 1N 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, COMMEVSURA TE WITH MATERIALS USED. THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT THE EXPRESSED WRITTEN CONSENT OF SIGN*A*RAMA.