09-0233 (SIGN)"4 P.O. BOX 1504r • ; r VOICE 1(760) 777-7012
78-495 CALLE TAMPICO :.` ' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT' i INSPECTIONS (760) 77777153.{
BUILDING PERMIT _
Date: 3/13/09 .
Application Number: 09-000.00233y
W ' Owner:
Property Address: 47150 ASHINGTON. ST. SUITE B MCDERMOTT COLIN J
APN: 643-200-026- - P O BOX 163
Application description: SIGN TENANT HARRY'S BBQ
Property Zoning: COMMUNITY COMMERCIAL PALM DESERT, CA 9226 - -
Application valuation: 2985 D a
Contractor. 1 (+
Applicant: Architect or Engineer. SIGNARAMA MAR 1 3 *9
41945 BOARDWALK, �11
NTA
22 e_ PALM DESERT, CA 9221
(760)776-9907 CITYOtC t)F T.
Lic 'No : 830131 FINA4GE EPT
------------------------------------------------
LICENSED NTRA RS DECLARATION
hereby affirm under penalty of perjury that I Ii sed u visions of Chapter 9 (commencing with
Section 7000) of Division 3 o the Busines d P ession e, and my License is in full force and effect. ,
License Cl a D42 C45 nse o.: 830131
(-Date: (Contractor:
O -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I a em pt
from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and P essions Code: Any city or county that requires a permit to
.construct, alter, improve, demolish, or repair y structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement thathe 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.). r
(_ 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 1 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: ..
_ 1 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 STATE FUND P icy Num er . 1640374
_ I certify that, in the performance of a work o c 1i permit is issued, I shall not employ any
person in any manner so as to ome s - c e orkers', compensation laws of California,
and agree that, if I should ec a subje o w kers' compensation provisions of Section
1r1 3700 of the Labor Coo s II fort w' c pt it se provisions.
Date: .- Applicant:
WARNING: FAILURE TO SECURE WORKERS' CENACI
OM SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PLTI AND VIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE T 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 ab ve info" ion ' correct. I agree to comply with all
city and county ordinances and state laws relating to buildin construc n, hereby authorize re r_esentatives
of this coty o enter upon the above-mentioned pro rty r inspect
-Date ;�' Signature -(Applicant or. Agen .
Application Number' <.: 09 -00000233, -
Permit - . ELEC-ELECTRICAL SIGN
_
Additional desc .
Permit Fee 30.00 Plan Check Fee"
.00".
Issue Date Valuation
0
Expiration Date 9/09/09
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)INTERNALLY ILLUMINATED REVERSE HALO
LIT PERMANENT BUILDING MOUNTED SIGN PER
SP 2009-1364 "HARRY'S BBQ"
" Other Fees . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
.Due
Permit Fee Total 30.00 .00 .00
30.00
Plan Check Total .00 .00 .00
-.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 31.00 .00 .00
31.00
t
Bin # w
City of La Quinta
Building 8T 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: 7 160 WaGhrr
Owner's Name:
A. P. Number:
V
E2
Address: 1 v
Legal Description:
City, ST, Zip: Dr ImC
a 21.
Contractor:
Telephone:11\3—
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.....;.:
Address: -
1 L
Project Description:
City, ST, Zip: 1221S�
a�
Telephone: 6
State Lie. # :
City Lie. #..
Arch., Engn; Designer:
Address:
rc ,
V
City., ST, Zip:
Telephone:
State Lie. #:
f-:>::«e:»>::;;.::::.::f•...:.::::::
Construction TYP e: 0 cNpar�
Project type (circle one) New Add'n Alter Repair Demo
Sq. Ft.:aa # Stories: #Units:
Name of Contact Person:
Telephone # of Contact Person:
P
Estimated Value of Project:
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
Title 24 Calcs. '
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
'Grading plan
2°" Review, ready for correctionsfissue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
4
School Fees
"
-
Total Permit Fees
CERTIFICATE OF COMPLIANCE (Part 1 of 2)
OLTG-1-C
Manual published by the California Energy Commission.
❑ OLTG-I-C
PROJECT NAME"t
DATE
3 o
PROJECT ADTI
Buildino Permit
a v a e
Enforcement Agency Use
PRINCIPAL DE NER-LIGHTI G
2WIT �e:776'2702.
TELEPHONE
DOCUMEN HOR
ION Aec
TELEPHONE
o
GENERAL INFORMATION
DATE OF PLANS
OUTDOOR LIGHTING ZONE.(✓ One) ❑ LZ1 ❑ LZ2 ❑ LZ3
❑ LZ4
FUNCTION TYPE ❑ OUTDOOR LIGHTING UTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
I his Certificate of Compliance lists outdoor lighting system specifications need to comply with Title 24, Parts 1 and 6 of the California Code of Regulations.
This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the
TION AUTHOR
The Principal Lighting Designer hereffy certifies that the proposed o
consistent with the other compliance forms and worksheets, with the
The proposed building has been designed to meet the lighting requir
and 149 of Title 24, Part 6. Please ✓ one:
rc>)3Ring and signs design represented in this set of construction documents is
tions, and with any other calculations submitted with this permit application.
contained in the applicable parts of Sections 110, 119,130 through 132, 146,
❑ 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.
Kaffirm 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
s 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 Asiness and Professions Code Sections 5537,5538 and 6737.1. .
se sections of the Business and Professions Code A printed in full i the Nonresidential'
LIGHTING DESIGNER -NAME I SIGNATURE / r a , . /
LIC. #
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-I-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.
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
OLTG-4-C
signs.
2005 Nonresidential Compliance Forms
March 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
Li
❑ hting power allowances for general site illumination on OLTG-2-C Part 1 of 4
Applicable
❑ Lighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4 .
�1<ot Applicable
❑ Lighting power allowances for specific applications, other than vehicle seryice stations with canopies on OLTG-2-C Part 3 of 4
Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG72-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 Mandatory 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
control y a motion sensor § 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)
of Applicable
❑ All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
Qilof Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the. Multi -Level Lighting Requirements of § 132(c)2
of Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch/Photosensor, etc
AREA CONTROLLED
NOTE TO
FIELD
2005 Nonresidential Compliance Forms March 2005
Installed
V
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Watts
(LxN)
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Number
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Watts
6
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of Ballast per.
Luminaire
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Watts
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m
per Lamp
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y
Number
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—
of Lamps per
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-i
Luminaire
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Lamp Type
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Designation
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Allotted Watts
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(B x C)
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W
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Allotted LPD
m
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W/ft2 or W/LF
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°
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