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12-1052 (SIGN)P.O: BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO j FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT J Date: 9/14/12 ' Application Number:12-00001052. Owner. Property Address: : 47150 WASHINGTON ST' SUITE B MCDERMOTT COLIN J APN: 643-200-026- - - P O BOX 1631 n Application description: SIGN PALM DESERT; CA -922 {M Property Zoning:. COMMUNITY COMMERCIAL q Application valuation: 1800, Contractor: 4,f 9`(OF I.A((J1f Applicant: Architect or Engineer: QRS LIGHTING INC FINA104CE1��Y 81211, #2B INDIO BL INDIO, CA 92201 (760)619-6565 ,Lio. No.: 727552 LICENSED CONTRACTOR'S DECLARATION .y 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 .Licen'se Class: C10 / ,j_jcense No.: 727552 - for by Section 3700 of the Labor Code, for theperformance of the work for which this permit is issued. Date: / ontractor:� 1 C. Iw L�'C _•,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 E3 MPT 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 employany 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 370 of the Labor Cod hall forthwith comply ' h 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).: ate: - A/. � 1—) 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 burdenofproving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_) 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, - (_ ) - 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 - 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: A Lender's Address:. / r LQPERMIT 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 t is -count oFupa above-mentioned prope y for inspection purpoM.Date:. T (Applicant or Agent): Application Number. 12=00001052 Permit .• . . ELEC-ELECTRICAL SIGN Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 3/13/13 -Qty Unit Charge Per Exterision BASE FEE 15.00 1.00 15.0000 EA- ELEC SIGN 1ST'CIRCUIT 15.00 --------------------------------------------------------------- Special Notes and Comments - INSTALL (1)INTERNALLY ILLUMINATED CHANNEL LETTER SIGN PER SA # 2012 1631 , ` "EL MEXICALI CAFE".2010•CODES. ---------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 : Fee summaryCharged­ 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 LQPERMIT LA.P_ # 1 O 5 " 'XAddress: ��mber:escription: 1� Contractor: Address: -4 Cit)'. ST, Zip: i.0 Telephone: tv b_ State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: ' 1 Telephone # of Contact Person: (� # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees 'd City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 , Building Permit APPlication and Tracking Sheet .J �11'11�1-sNamc: {� Total Permit Fees Construction Tvpe: Occupancy: Project type (circle one): Ne%-,Add'n Alter Repair Demo S9- Ft.: # Stories: ��'� Estimated Value of Project: # Units: ' APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING F PERMIT FEES Plan Check submitted Reviewed, readv for corrections Item Amount Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2- Review, ready for correctionsfissue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 3" Review, ready for correctionsrssue Developer Impact Fee Called Contact Person --------- A. 1. P. P. Date of permit issue Total Permit Fees Certificate of Compliance (Sign Lighting) (Page 1 of 2) SLTG-lC Project N111119: (c) DD,e/6U�Z Phase of Construction Iiii New Construction O Addition 13 Alteration Date 7ddre3i Function Type ❑ Outdoor Signs O Indoor Signs Project Address: —/SLS ,1��}-S 1//i%' sJ Ciry/Statdz% ,4 _ - �ZZO / Dace: `� �— Compliance Method Used 0 Maximum Allowed Lighting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurate and complete. Name Signature (c) DD,e/6U�Z 0 Company Date 7ddre3i If applicable: CEA # CEPS # Ciry/Statdz% ,4 _ - �ZZO / Phone: Principal Lighting Designer's Declaration 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: Signature §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Phone�©�(,�—�J�vS Addres : eqpl -' / / -� ',� L,1U /d ZP1'9 License # '72-75—S2 City/e/Zip:. ljCO - 9ZZCIl Date /� /Z Sign Mandatory Measures Indicate location on building plans of Mandatory Sign Measures Note Block: Mandatory Sign Lighting Controls Yes No. 1 §133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control 0 0 that complies with the applicable requirements of § 119. §133(x)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control. 10 ❑ 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 0 0 sign power by a minimum of 65 percent during nighttime hours. Exception 1 to §133(9)3. Signs are illuminated for less than one hour per day during daylight hours. 0 4W 3 Exception 2 to §133(a).3. Outdoor signs are in tunnels or large covered areas that require illumination 0 91 durin da light hours. Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to 0 illuminated signs or parts of signs. §133(9)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 0 0 4 receivinp, 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. ❑ ❑ ja 2008 Nonresidential Compliance Forms August 2009 Certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting) (Pa e 2 of 2) SLTG-1C Project Name: - Z/ Date: Compliance Method Maximum Allowed Lighting Power 1 B Certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting) (Pa e 2 of 2) SLTG-1C Project Name: - Z/ Date: Compliance Method Maximum Allowed Lighting Power A B C D E F G H I J K c4. • � iz Description or location and plan location Allowed Watts Design Watts, Complies? Y/N Light Source Field In ecto? �o N `0 NNE2k F+ � iC � �. w _� N !�, ts� ¢ �- -- G ¢ e� y VI V C7 E o. W .. v� °7 aq� w 60 '7 ❑ ❑ ❑ ❑ ❑ ❑ 13 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Fall then describe on Pae 1 of the Inspection Checklist For►n and take appropriate action to correct. Vertyy building plans If necessary. Use additional sheets ifnecessary, The sins identified above; useonly 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:s 320 walls, are not 250 wait or 175 watt lamps, and are served by a ballast with >_ 80% efficiency 4 Neon or cold cathode lamps with transformer or power supply e ucten > 75% with rated output current < 50 mA 5 Neon or cold cathode lamps with transformer or ower supply efficiency >_ 68% with rated output current :50 mA 6 Fluorescent lamps with a minimum color rendering index CRI of 80 7 Light entitang diodes EDs) with a power supply with >_ 80% efficiency 8 Single voltage LED external power supplies designed to convert 110 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 lite Enerj& Commission as com lng with the applicable requirements o the Appliance Efficlency Regulations(Title 20 9 Conn- lam that do not contain a medierm screw base sockets E24IE26 10 Electronic ballasts with a undamental outputfrequency >_ 10 kHz Field Insvector Notes or Discrepancies 2008 Nonresidential Compliance Forms August 2009