09-0268 (SIGN)P.O. BOX 1504 VOICE (760) 777-70.12
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING. & SAFETY DEPARTMENT INSPECTIONS .(760) 777-7153
BUILDING PERMIT
Date: 3/24/09
Application Number.9=0.1 000.0-2— 68Owner:,
Property Address: 47474 WASHINGTON ST .VILLA AMORE, INC. '
APN: 643-200-005- - - 47474 WASHINGTON ST
Application description: SIGN LA QUINTA, CA 92253
Property Zoning: COMMUNITY COMMERCIAL D
Application valuation: 3000 'epp
Contractor: MAR 4 2009
Applicant: Architect or Engineer: BEST SIGNS INC
1550 S. GENE AUTRY TRAIL CITY OF LA QUINTA
ti PALM SPRINGS, CA, 92264 I FINANCE DEPT.
l (760)320-3042
l Lic. No.: 524483
• 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 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
License • ss't C/4�55 D42 LicenseNo.:
524483 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
J d`f V F issued. -
ate: ontractor: 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: _
hereby, affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0009147-2008
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 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 700 of the Labor Code I 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 155001.: ate: ``[ I pplicant:
(_) 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 town 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 1$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 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 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 anpyoid if work is not commenced
within 180 days from date of issuance of such permit, or ces n of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation. '
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the abov ' form is co ct. agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building ons r ereby authorize representatives
of is county t enter upon the above-mentioned property f r ' p n u ose
Lender's Name: -
Date: ��ture (Applicant or Agent): '
Lender's Address:
LQPERMIT .
Application•Number 09-00000268
- Permit ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee
,00
Issue Date . . . . Valuation
0
Expiration Date 9/20/09
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 CHANNEL LETTER
SIGN, PER SA# 2009-1369. "AMORE
RISTORANTE ITALIANO".
----------------------------------------------------------------------------
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
LQPERMIT
I CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
GENERAL INFORMATION
yr c yr r�r�rva OUTDOOR G ✓ n
FUNCTION TYPE ❑ OUTDOOR LIGHTING OUTDOOR SIGNS ❑ INDOOR SIGNS
PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITIONS ❑ ALTERATIONS
STATEMENT OF COMPLIANCE
This 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 documentation is ate p4 complete.
The Principal Lighting Designer hereby certifies that the q%pose odtdoor i`Tght g and signs design represented in this set of construction documents is
consistent with the other compliance forms and workshe ts, wi the specifications, and with any other calculations submitted with this permit application.
The proposed building has been designed to meet the Ii ht( 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 1 am a licensed architect.
J9I affirm 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
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 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 Business and Professions Code Sections 5537,5538 and 6737.1.
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING COMPLIANCE S WORKSHEETS (✓ box if worksheet is included)
For detailed MsLrucdons on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual ublished 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.
Tither LTG -1-C or OLTG-I-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-I-C if the promect consists of outdoor lighting,and indoor or outdoor signs, but no other indoor lighting
LIGHTING
OLTG-2-C
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 Compliance Forms March 2005
SIGN LIGHTING. COMPLIANCE' a r 'OLTG-4-C
Pf2GJECT nIdMF.-
A Mom yZ6ST-f j:p UF7[ ° _ . 23
. Alternative 2 - For Signs that ONLY use one or more of the
Altemative 1 - Lighting Power Allowances
technologies listed in M through,S
Check all that apply)
A
B
C
D E F G
H I I J
K L
M
•N
O
P
Q
R
= S
Allotted
Watts
Lam
( Ballast
Design
Watts
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Ft For Allotted LPD use 12 watts/square foot for Internally Illuminated Signs, and us 2.3 watt for Externally'llluminated 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 l°orms March 2005
1
CERTIFICATE OF COMPLIANCE (Part 2 of 2 _
PROJECTNAINE ) OLTG 1-C
i htin 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
El 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 locatlon on plans -of Note Block for Mandato 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 § 132(a)
C T Not Applicable
PEIAll Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all
door sales areas meet the Cutoff Requirements of § 132(b)
Not Applicable
Alt permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
Not Applicable
❑ Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements uirements of § 132(c)2
® Not Applicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL
IDENTIFICATION CONTROL TYPE AREA CONTROLLED NOTE TO
py Auto,Time Switch/Photosensor, etc
oWEt2 SUPPLE J�X ``S(Gi�lFIELD
TiM 5W1feq+ >(GN
2005 Nonresidential Corrrplfance Fomrs
March zoos