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BSIG2016-0020' VOICE (760) 777-7125 78-495 CALLE TANPPICO D LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/21/2016 Application Number: BSIG2016-0020 Owner: 4 W Property Address: 47170 WASHINGTON ST STE 120 WILLIAM KELLY APN: 643200027 72980 FRED WARINGIXNOIA Application Description: DESERT CITIES ALLERGY SIGNS PALM DESERT, CA 9221 Property Zoning: O O Application Valuation: $4,200.00 m O D -n Applicant: Contractor: fJ ry PD GROUP DBA SIGNARAMA PD GROUP DBA SIGNArnc 41945 BOARDWALK SUITE L 41945 BOARDWALK SUN R a� PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)776-9907 M Llc. No.: 830131 4 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 Professions Code, and my License is in full force and effect. License Class: 42 C4 License No.: 830131 /r Date: / �� L � v Contractor. (/\A 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).: (_) 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.). (_) 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.). (_) I 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: WORKER'S COMPENSATION DECLARATION 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' :ompensation, 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 s issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9111087 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' -ompensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith :omply wit hose p ovisions. Date: I 9-1 9 Applicant: 4 WARNING: FAILURE TO SECURE 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, NTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 ssued 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 this city to enter upon the above -me tlhiion)ed roperty for inspection purposes. Date: �, �1-� Signature (Applicant or Agent): (M2 Application Numbk: BSIG2016-0020 Property Address: 47170 WASHINGTON ST STE 120 APN: 643200027 Application Description: DESERT CITIES ALLERGY SIGNS Property Zoning: Application Valuation: $4,200.00 Applicant: PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 Owner: WILLIAM KELLY 72980 FRED WARINGDR NO A PALM DESERT, CA 92253 Contractor: PD GROUP DBA SIGNARAMA 41945 BOARDWALK SUITE L PALM DESERT, CA 92211 (760)776-9907 Llc. No.: 830131 Date: 11/21/2016 Detail: REVERSE CHANNEL LETTER LED SIGNS [DESERT CITIES ALLERGY / ENT] SIGN PERMIT NO. SA2016-0068. PER 2013 ENERGY AND 2013 CALIFORNIA BUILDING CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT CITY AMOUNT WALL/AWNING SIGN, FIRST 101-0000-42404 0 $25.84 DESCRIPTION ACCOUNT CITY AMOUNT WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $91.20 Total Paid for SIGN: $117.04 TOTALS: IL 0 Indoor Signs _anon of. gra' Outdoor Signs g ase of Sign Construction ',IzNew Signs D Sign Alterations iO e of Lighting Control I{f4 UCE. (D. New Lighting Controls D Replaced Lighting Controls ❑Not Installing Lighting Controls is Certificate of Compliance includes the following components (check all that,apply) Mandatory Measures (Lighting Controls) 0 Maximum Allowed Lighting Power 0 Specific Lighting Sources Mandatory Sign Lighting Controls OTES' The some responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. if the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and on Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire construction. i. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E gall complete Part la. Check Yes or No for all of the following statements: I have responsibility for installing the sign lighting controls Oyes, complete parts la and lb of this form 0 No, complete part la of this form There are no existing sign lighting controls and I will be installing compliant sign lighting controls Yes ❑ No There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls Yes 0 No There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and I.will be installing compliant sign lighting controls 0 Yes ,MNo There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone else will be responsible to install compliant sign lighting controls 0 Yes No Wilding Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 �.-landatery Sign` Lighting Controls the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the person signing e sign lighting control requirements, that person shall answer all of the following questions: there are construction documents, indicate where on the building plans the andatory measures (sign lighting control) note block can be located: §130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time- ❑ C ❑ switch control. §1303(a)2A. All. outdoor sign lighting is controlled with a photocontrol in addition to an automatic time Y N N❑A switch control, or an astronomical time- switch control. EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor Y NA areas that are intended to be continuously lit, 24 hours per day and 365 days per year. ❑ §130.3(a)26. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours. ON both Y N ❑ ❑ NA Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered day and night. EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. §130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC) ❑ Y N N/A having a new connected lighting power load greater than 15 kW has a control installed that is capable of ❑ ❑ reducing the lighting power by a minimum of 30 percent when receiving a demand response signal. EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NAA ordinance, or regulation to be reduced by 30 percent. ald Inspector Notes: Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 A:laxirn,u121Allo_wed Lighting Power Method of Compliance �e l C J�1 tS ��p 1ibe1-`��l 5 rti'ficate of Compliance and Field Inspection Energy Checklist Comolete this Dart if there are signs using the maximum allowed lighting power method of compliance. (Complete part 3 of this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance) A g C p E F G N I 1 y mbol Description of the Sign OPTIONAL — Energy verified label (see Allotted watts Design Watts Complies YEN Filed Inspector Check that sign )r Code instructions below) complies o W � n -p C W 00 \n = v= R c 3 x c Q c E c�i rn 3 C'i o °J m ai C in :: C WX m i n Q v v o Q M 3• E O (Z v n -Se ❑ 16 f 1 2 %'� ❑ El El n_ ❑ ❑ O ❑ ►o A Symbol or code used on the plans (when plans are required) and other documents. B A description of the sign, or location of sign on the building; and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the sign complies with the Section 140.8 of the California 2013 Title 24, Part b Standards, using the Maximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards C Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, columns 'D' through '1' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. D The. sign area in square feet. E List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E. G Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F. H Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c). I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply. J This page doubles as a field inspection checklist. Id Inspector Notes: - Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 �eri_fic LiRhtine Source Method of Compliance er-iifica.te of Compliance and Field Inspection Energy Checklist �^�l Complete this part if there are signs using the Specific lighting source method of compliance lA'�_"-5Y (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method al Lun,Fnidi--i A B C D E OPTIONAL Specific light source used for Field Inspector ymbol ENERGY VERIFIED label compliance Shall include only lighting Check that Sigh or Code Description (see instructions technologies listed below Complies below) List all that apply G 1t -w ��v4- ' ❑ El ❑ ❑ ❑ ❑ ❑ ❑ Symbol or code used on the plans (when plans are required) and other documents. A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or only labels that will be recognized for this purpose are ENERGY other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column '0' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers (1 through 9) that apply in column D above for each row. High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or 1 2 greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller, are not 2SO watt or 175 watt lamps, and are served by 3 a ballast that has a minimum efficiency of 80 percent. to the lamp divided by the measured operating input wattage when tested Ballast efficiency is the measured output wattage according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent 4 when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at 100 percent tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent 5 when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at 100 percent tubing load. Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of 6 80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater; Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage OC or AC output, and have a 7 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). 9 This page doubles as a field inspection checklist. field Inspector Notes: k Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 lrCI:MNI"ATION AUTHOR'S DECLARATION STATEMENT 1. i certify that this Certificate of Compliance documentation is accurate and complete. )ocumentation Autho.;Name: Documentation Author Signatu t2 S > .ornpany: Signature Date: ( tJ i- 0 A-Vv�Y'- CEA% HERS Certification Identification (if a plicable): address: :P,y/State/Zip: Phone: , PrA,, i%ESc"fc T C i4 • RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: ]. The information provided on this Certificate of Compliance is true and correct. 3 Business and Professions Code to accept responsibility for the building design or system design 2. 1 am eligible under Division of the identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: ` Company: Date Signed: // Iq / Address: ` t3(1.j t; �Ic Sul License: S 30 . city/state/zip: Phone: 1 iso - 17 �- q y � a Building Energy Efficiency Standards - 2013'Nonresidential Compliance June cuiv Bin #• . City of La Quinta Building 8t Safety Division Permit # 78-495 Caffe Tampico La Quinta, CA 92253 - (760) 777-701,2 1�, J/ Building Permit Application and Tracking Sheet Project Address: �6 Yv zS h , S-f Owner's Name: A. P. Number: 5�p_ f 7,0 Address: tis � Legal Description: G , - City, ST, Zip: (,. Contractor: 1 Vw 2 i T h Telephone: P o c Address: -4-11 qq s " Ir"Lv- 5:re— L- Project Description: City, ST, Zip: - - —e oe cam-\ Ci\ . '�,2 1 1 V C/L ...�� Tle- ne. - Ph o 7 60 7 6 a � State Lic. # 0 1 3 ( City Lic. #;G'l 1QbJ yR 1 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ancY•Cons cti n fraType: e: Occupancy: State Lic. ,. S' Project (circle one): New Add'n Alter Repair- r Demo 0 Name of Contact Person: L3, L-L, SC, t�.2 t rh % Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: �,r✓d : ,r-7 LF �i 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 Cates. Reviewed, ready for corrections Plan Check Deposit ' Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.T. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. 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