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BSIG2015-003778-.495 CALLE TAMPICO D 4 Q" VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/22/2015 Application Number: BSIG2015-0037 I I'llll III'I IIII I"I Owner: Property Address: 78555 HIGHWAY 111 78 JDD APN: 643220025 78555 HIGHWAY 111 Application Description: JDD / (1) REVERSE CHANNEL LETTERS / (1) LOGO CAN LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,500.00 Applicant: uri�;1. —A� _ VT� !, �; — Contractor: BEST SIGNS INC BEST SIGNS INC 1550 S GENE AUTRY TRAIL 1550 S GENE AUTRY TRAIL PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264 CuN".".U1iY'NaJ>:tUfl"s�TfJc��9"i^r ^.'T (760)320-3042 LIc. No.: 524483 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: C45. D42. CSO License No.: 524483 Date: Lb 17=0= I I!f:;' Contractor 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.). (_) 1, 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 I hereb affirm under penalty of perjury one of the following declarations: I 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. 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: _ Policy Number: _ 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' compensation 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 comply with those provisions. Date: 1-012-21ts, Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILTINES 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, INTEREST, 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 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 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 up ° �the above-mentioned property for inspection purposes. I , _, \ Date: it ) K:j;�t rt=�Signature (Applicant or Agen '5:��''v�:�.CV`."'�7%156' ` �� ACCOUNT -_ QTY AMOUNT PAID PAQDATE `�f+F�.�S. `� <�CESS�t �";'��:F..:t't. BSAS SB1473 FEE 101-0000-20306 0 $1.00 v l $0:00 . .,x v�.z0DYC�_ aK C Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 WS RIPTION ACCOU Te N AMOUNT PAD "' PAIDDATE DEVICES, FIRST 20 101-0000-42403 0. $24.17 $0:00 «� �. PAIBY ��� rMETHOD RECEIPT# GHECKCL�D-6Y DESCRIPTION q 3 a ACCOUNT &� Nw E. llAMO�UNi WIID4, � , 111 PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 �� PAID BY >Y M HUD RCT># V CHK ,CLTD ECQ� Y > Total Paid for ELECTRICAL: $48.34 ' .. $0.00 e � "D f RIP�TION . " «D . � gCCOUNT QTY AMOUNT ��.. PAID` PAID�DT El A WALL/AWNINGSIGN, EA ADDITIONAL: 101-0000-42404 0 $24.66. $0.00 „1� >,.�s P D Y °. WIN �� # : M � 1"a RECE PT # �: K # CCTD BY D a�DESCR PTDN` 1 .� M s. A000 QTYAMOUN � y � VI�'f� ADD TE WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $24.66 $0.00 a�•,z,,,. �_�S�MO� ter\ RECEI�# ...CK#�TY <riTETNvx ACCOUNT�u eann�1° �Q� A`MOU� NT -PAI ����; OTE' WALL%AWNING SIGN, FIRST 101-0000-42404. 0 $24.66 ` $0.00 BY;� 0MEMOY M. METHOD R C PT # x,s� CME K # a CLTD Y � � ;zy ED SCRIPTIO � oC5.;'x.r"'A.c'iX fai'b�w.'mfi •.�k`a �Y�u J".K ` CCO ._ .1ct..5 "'i. 4uS'Y'�"A QTYµ ite!.� AMOUNT RY"r�`i.f'.C$:L�.,. 'fib. a AID x' 4 t".,a6s 4..� ,L SPADyM �'n�Cl'.SY.a4h>.,2`d WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02 $0.00 � PAIp BY �METHODF . ._. " RECEIPT #fir \, CMEC,K # 10Y!BY . Total'Paid for SIGN: $161.00 $0.00 Description: JDD / (1) REVERSE CHANNEL LETTERS / (1) LOGO CAN Type: SIGN Subtype: Status: APPROVED Applied: 10/22/2015 SGU Approved: 10/22/2015 SGU Parcel No: 643220025 Site Address: 78555 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 29791 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: (1) CHANNEL LETTER LED SIGNS [BERKSHIRE HATHAWAY HOME SERVICES CALIFORNIA PROPERTIES] (1) LOGO CAN (BHHS) SIGN PERMIT NO. 2014-0054 [WN] 2010 ENERGY, 2013 CALIFORNIA BUILDING CODES. ,_g Applied to Approved CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BEST SIGNS INC 1550 S GENE AUTRY TRAIL PALM SPRINGS CA 92264 JENNIFER@BESTSIGNSI NC.COM CONTRACTOR BEST SIGNS INC 1550 S GENE AUTRY TRAIL PALM SPRINGS CA 92264 JENNIFER@BESTSIGNSI NC.COM OWNER JDD 78555 HIGHWAY 111 LA QUINTA CA 92253 Printed: Thursday, October 22, 2015 12:00:29 PM 1 of.2 r7V LJ SYSTEti1S PARCNT PRORCTS . Printed: Thursday, October 22, 2015 12:00:29 PM 2 of 2 sysrcMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $0.00 EA ADDITIONAL WALL/AWNING SIGN, 101-0000-42600 0 $24.66 $0.00 EA ADDITIONAL PC WALL/AWNING SIGN, 101-0000-42404 0 $24.66 $0.00 FIRST WALL/AWNING SIGN, 101-0000-426000 $87.02 $0.00 FIRST PC Total Paid for SIGN: $161.00 $0.00 TOTALS:ii PARCNT PRORCTS . Printed: Thursday, October 22, 2015 12:00:29 PM 2 of 2 sysrcMs Bin City of La Quinta Building 8t Safety Division ��� 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #f Project Address: 'j ` Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contra t c r• o. Telephone: hone: Address: I SfS Project Description: City, ST, Zip: c� 7: n Tele ho e: P 3 ?�} � , State Lie. # : City Lie. #.: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: aneY n Occupancy: Construction t• State ie. # Project (circle on A dd'n Alter Repairair Demo Name of Contact Person: Sq. Ft.:t1j,C1 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Proje APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clieck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees, Total Permit Pees ca 0 N ® �; O �-11 0> C7 <m -I Am c o0mz MANVf/�DTI Pp , ¢ GcVE cJ►!e 1 r7Y), gA'1C. L `y MY _` D y mt 11.1 TOTAL SQ. FT. SCALE: 112"--1'.0" RE AND INSTALL ONE FRONT LIT LOGO WITH 3/16" WHITE ACRYLIC FACE PAINTED OPAQUE "MATTHEWS 78787 NUANCE" WITH WHITE LED INTERNAL ILLUMINATION. Client: BERKSHIRE HATHAWAY Project: EXTERIOR SIGNAGE Project Add,.— LA QUINTA, CA Account Representative: JIM CROSS D-igne . CRISTINA GARCIA Date: 09/18/15 Scale: 3/37"=1'.0" File BERKSHIRE HATHAWAY\LQ\ EXTERIO R_SIGNAG E091815 Revisions. Client Approval: 3� INCORPORATED 1550 S. Gene Autry Trail Palm Springs, CA 92264 TEL: (760) 320-3042 FAX: 760-320-2090 +�, xa CONTRACTORS LIC. NO. 524483 COLORS REPRESENTED IN THIS DRAWING ARE FOR PRESENTATION PURPOSES ONLY THEY WILL NOT MATCH YOUR FINISHED PROD ULT FERTILITY COLOR CALLDUTS ARE FDR A MATCH AS CLOSE AS POSSIBLE. ALL IDEAS, DESIGNS, ARRANGEMENTS AND PLANS [NO I(ATED OR REPRESENTED BY THIS DRAWING ARE OWNED BY AND PROPERTY OF • •••--• •— • M049HRECRIATEO. EVOLVED AND DEVELOPED FOR USE ON AND IN CONNECTION WITH THE SPECIFIED PROJECT NONE OF SUCH IDEAS, DESIGNS ARRANGEMENTS OR PUNS SHALL BE USED BY OR DISCLOSED TO ANY PERSON, FIRM OR CORPORATION FOR ANY PURPOSE WHATSOEVER WITHOUT TH E WRITTEN PERMISSION OF • •^-- • •--- Drawing •— Drawing No. 1 T F:J C _ G ©_ n -z O 0—n n C: <m. -J M :� C o®Mz ri D .090" ALUMINUM MONUMENT CABINET .090" ALUMINUM MONUMENT TENANT PANEL WITH OPEN ROUTED FACE .090" ALUMINUM TENANT PANEL MOUNTING BACKER CONDUIT, EXISTING POWER BY OTHERS #10 MOUNTING STUD WELDED WITH HARDWARE .177" WHITE DURAPLEX SG05 ACRYLIC PANEL -WHITE LED MODULES ATTACHED W/ 3M ADHESIVE TAPE 12 VOLT LED POWER SUPPLY 110 INPUT SECONDARY POWER CONNECTIONS MADE W/ WIRE NUTS (TYP) .063" ALUMINUM LED SHELF TYPICAL ALUMINUM LOGO CAN WITH ACRYLIC FACE NTS Ca" IT7vNHlL Y APPROVED BY PLANNING DEPARTMENT DATE ?Y Jag �P�\UT 8� N®. S''Q 20<3 - OOsy Client: BERKSHIRE HATHAWAY Project: EXTERIOR SIGNAGE Project Addross: LA QUINTA, CA Accoanl Roprosantati— JIM CROSS Dosigno . CRISTINA GARCIA Date: 09/18/15 Scale: NTS Filo name: BERKSHIRE HATHAWAY\LQ\ EXTERIOR SIGNAGE091815 Revisions: Client Approval: INCORPORATE. 1550 S. Gene Autry Trail Palm Springs, CA 92264 TEL: (760) 320-3042 FAX: 760-320-2090 i = �_./ CONTRACTORS LIC. NO. 526483 COLORS REPRESENTED IN THIS DRAWING ARE FOR PRESENTATION PURPOS60NLY THEY WILL NOT MATCH YOUR FINISHED PRODUCT PERFECTLY (0109 FALLOUTS ARE FOR A MATCH AS CLOSE AS POSSIBLE. ALL IDEAS, DESIGNS. ARRANGEMENTS AND PUNS INDICATED OR REPRESENTED RF THIS DRAWING ARE OWNED BY AND PROPUR OF ••••--• •—•-RBWIRF(REATID, . EVOLVED AND DEVELOPED FOR IRE ON AND IN ED N REMO AT WITH THE SPECIFIED PROJECT. NONE OF SUCH IDEAS, OISIGNSASRANGERENIS OR PUNS SHAT. BE USED BY OR DISCLOSED TO ANY PERSON, FIN 01 CORPORATION FOR ANY PURPOSE WHATSOEVER WITHOUT IN E WRITTEN PERMISSION OF ........ - Drawing No. 2 4 TYPICAL REVERSE CHANNEL LETTERS SCALE: 3/32"=1'.0" 85" M a C'�'ti01 00jN-*cry APPROVED BY DEPAR a NIENT +E'yeiiB�G 1C/1�j7vNj s� � `L BERKStII RU }-IA'I'IIAWAY �' 1�> A1�Prnpert3es 11QiI100ovvices M T -G 38'-8" zmn5 I rnia Properfip 12.5" 12'5" 8.5" 13.3 TOTAL SQ. FT, �/ ^ 26.125 TOTAL SQ. FT. \ 0 SCALE: 1/8"= 1'.01, 9.5 TOTAL SQ. FT. - - - -- — I m � � 48.925 TOTAL O � —Poi NUFACTURE AND INSTALL ONE SET OF REVERSE CHANNEL LETTERS PAINTED 'MATT - Gj 78787 NUANCE" WITH WHITE LED INTERNAL ILLUMINATION TO HALO BACK TO WALL. Client: BERKSHIRE HATHAWAY Project: EXTERIOR SIGNAGE Project Address: LA QUINTA, CA Account Repre —I.f.— JIM CROSS 13—,. . CRISTINA GARCIA DYIL. 09/18/15 Scale: 3/32"=1'.0" Pile BERKSHIRE HATHAWAY\LQ\ EXT ERIOR_SIGNAGE091815 Revmw— Client Approve 3E'TM INCORPORATED 1550 S. Gene Autry Trail Palm Springs, CA 92264 TEL: (760)320-3042 FAX: 760-320-2090 CONTRACTORS LIC. NO. 524483 COLORS REPRESENTED IN THIS DRAWING ARE FOR PRESENTATION PURPOSES ONLY THEY WILL NOT MATCH YOUR FINISHIT PRODUCT PERFECTLY COLOR CALLOUTS ARE FOR A MATCH AS CLOSE AS POSSIBLE ALL IDEAS. DESIGNS, ARRANGEMENTS AND PLANS INDICATEDOR REPRESENTED BY THI5 DRAWING ARE OWNED BY AND PROPERTY OF- ---- -••—• #NBMNREfkEATEO, EVOLVED AND DEVELOPED FOR USE ON AND IN CONNECTED N WITH THE SPECIFIED PROJECT NONE OF SUCN IDEAS, DESIGNS ARRANGEMENTS OR PLANS SHALL BE USED BY OR DISCLOSED TO ANY PERSON, FIRM OR CORPORATION FOR ANY PURPOSE WHATSOEVER WITHOUT TH E WRITTEN PERMISSION OF ••••-- • -- -- Drawing No. 3 TYPICAL REVERSE CHANNEL LETTERS SCALE: 3/32"=1'.0" TB� C D A u E � IIS I' L A..090 ALUMINUM FACES, LETTERS PAINTED PER SPECS B. 3- DEEP, .050 ALUMINUM RETURNS, EXTERIOR PAINTED SATIN PER SPECS INNER RETURN PAINTED BRIGHT WHITE. C. 3/16" CLEAR MAKROLON BACKER D. BRIGHT WHITE LED MODULES E.#8 X'h' SHEET METAL SCREW SECURING FACE .050' X Y4' ALUMINUM ANGLE CLIP RIVETED TO BACKER F. 1' ALUMINUM SPACER r FnT CHANNEL LETTER CONSTRUCTION DETAILS NTS U� LISTING SUBSCRIBER - E237484 SERVICE - DEAD METAL BONDING - GROUND SLOAN 12 VOLT LED POWER SUPPLY f � i D ®FYI I P, r�/ 331 VNER<LI E CONNECTION M z J -Box _n go 3 050'ALUMINUM CHANNEL RETURN 3/4' ALUMINUM ANGLE CLIPS RIVETED TO POLYCARBONATE BACKER W/ #8X1/2' SHEET METAL SCREWS SECURING FACE MIN (4) PER LETTER #10 X 4' EXTERIOR DECK SCREW RTV SILICONE SEALANT .090' ALUMINUM FACE SLOAN 12 VOLT LED POWER SUPPLY 110 INPUT 3/16'CLEAR MAKROLONO POLYCARBONATE BACKER BRIGHT WHITE LED MODULES ATTACHED W/ 3M ADHESIVE TAPE STUCCO WALL 1' ALUMINUM SPACERS PLTC CABLE / SECONDARY POWER CONNECTIONS MADE W/WIRE NUTS (TYP) n METHOD OF ATTACHMENT/STUCCO WALL WITH PLYWOOD NTS POWER DISCONNECT J -BOX W/ VOLTAGE pp RATED SNAP SWITCH of DEAD METAL BONDING WIRE AND CONNECTORS BONDING SIGN FACE AND OTHER DEAD METAL TO GROUND 120 VOLT PRIMARY POWER CONNECTION (PROVIDED BY OTHERS) SECONDARY POWER CONNECTIONS MADE W/ WIRE NUTS (TYP) CTRICAL WIRING INSTALLATION NTS LIGHTING DESIGNER WLISING SUBCRIBER N 799046-001 THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE 600 OF THE 2013 NATIONAL ELECTRICAL CODE, 2013 CEC AND/OR OTHER APPLICABLE LOCAL CODES. THIS INCLUDES PROPER GROUNDING AND BONDING OF SIGN. TITLE -24 COMPLIANT 2013 ENERGY STANDARDS SECTION 6.8. SIGN COMPLIES WITH SECTION 148 OF THE 2013 CA ENERGY CODE L"G DATE IBIT Y/6-1 OLR � Jlo!C-s E MO. Sk 2a/,r- OP 5'y Client: BERKSHIRE HATHAWAY Project: EXTERIOR SIGNAGE Project Address: LA QUINTA, CA Account Representative: JIM CROSS 0.09.— CRISTINA GARCIA Dot.: 09/18/15 Scale: NTS Filen . BERKSHIRE HATHAWAY\LQ\ EXTERIOR SIGNAGE091815 Revisions: Client Approval: INCORPORATED 1550 S. Gene Autry Trail Palm Springs, CA 92264 TEL: (760)320-3042 FAX: 760-320-2090 CaDA r ` `1 _ 'Y Wrap CONTRACTORS LIC. NO. 524483 COLORS REPRESENTED IN THE DRAWING ARE FOR PRESENTATION PURPOSES ONa THEY WELL NOT MATCHIDUR FDIEHEO PRDOLET PERFECTLY COLOR CAUOUE ARE FORA MATCH AS (LOSE AS POSSIBLE. Au IDM OESIGtd, ARRANGEYENTSAND PIANS INDICATED OR REPRESENTED BY THE DRAWING ARE OWNED BYANO PROPERTY OF • ^•-- • •—•,MIPWERE(R1A EO. EVOLVED AND DEVELOPED FOR USE ON AND 01 CONNECTION WITH THE SPECIFIED PROJECT HONE OF SUCH IDEM, DESIGNS ARRANGEMENTS OR PIANS SHALL BE USED By OR DISCLOSED TO ART PERSON. FOUR OR CORPORATION FOR ANT PURPOSE WHATSOEVER WITHOUT IN E WRITTEN PERMISSION OF • •••-- • •— -- Drawing No. 4 STATE OF CALIFORNIA SIGN LIGHTING ;EC-NRC2-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION —*-W CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 1 of 5) Proleq Name: Date Prepared: IS v Project Address: Location of Sign ❑ Outdoor Signs ❑ Indoor Signs Phase of Sign Construction ❑ New Signs ❑ Sign Alterations Type of Lighting Control ❑ New Lighting Controls ❑ Replaced Lighting Controls ❑ Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) 0 Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power ❑ Specific Lighting Sources 1. Mandatory Sign Lighting Controls NOTES: 1. 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. z. 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. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an 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. 1a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E shall complete Part la. Check Yes or No for all of the following statements: 1 1 have responsibility for installing the sign lighting controls W"Yes, complete parts la and lb of this form ❑ No, complete part 1a of this form 2 The e are no existing sign lighting controls and I will be installing compliant sign lighting controls ❑ No 3 There are no existing sign lighting controls and someonee will be responsible to install compliant sign lighting controls ❑ Yes W 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 4 installing compliant sign lighting controls � ❑ Yes M No There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone 5 else will be responsible to install compliant sign lighting co ❑ Yes IVNo CITY OF LA QUINTA BUILDING & SAFETY DEPT APPTy v�® FOR COUCTION DATE j} Z CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance 1 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Project Name: Date Prepared: lb. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control requirements, that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located: 1 §130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time- Y N NA switch control, r ❑ ❑ §130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control. ❑ ❑ 2 EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor Y NI 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. Y N NPS/ 3 Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both ❑ ❑ L( day and night. EXCEPTION to Section 130.3(a)26: 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) having a new connected lighting power load greater than 15 kW has a control installed that is capable of Y ❑ N ❑ N/A 4. 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 NA ordinance, or regulation to be reduced by 30 percent. ❑ Field Inspector Notes: r CITY OF LA QUINTA BUILDING & SAFETY DEPT. FOR CONSTCTION �:' rilot-)-)v J STATE OF CALIFORNIA SIGN LIGHTING ru-111 CEC-NRCC-LTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION _%QW'" CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name: Date Prepared: O 2 Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part 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 B C D E F G H I J Symbol OPTIONAL—Energy Complies Filed Inspector Or Code Description of the Sign Verified Label (see Allotted Watts Design Watts y N Check that sign instructions below) complies . O W v d J N Gl N Vi _ N J.+ ? = M �l m C ate+ W Q M i 3 '�-1 rV 4/ � C in X 3 O I II c UJ a =- � O Q - R ~ 3 CL 0 ✓ V ✓ ❑ ❑ ❑ ❑ ❑ ❑ Cl ❑ ❑ Cl Cl ❑ ❑ ❑ ❑ 11A 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 6 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 150/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 'I' 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). 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. Field Inspector Notes: BUILDING & SAFETY DEPT. A P911 GVE 1) 50 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance STATE OF CALIFORNIA SIGN FIGHTING r �t laffll CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting L--a-3�1> (Page 4 of 5) Project Name: Date Prepared: T 3. Specific lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E OPTIONAL Specific light source used for Symbol ENERGY VERIFIED compliance Field Inspector or Description label Shall include only lighting Check that Sign Code (see instructions technologies listed below Complies Vol below) List all that apply e ❑ ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents C 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 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 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 'D' 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. 1 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 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 250 watt or 175 watt lamps, and are served by 3 a ballast that has a minimum efficiency of 80 percent. 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. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent D 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 percenttubing 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. 6 Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of 80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 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 DC or AC output, and have a 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). 9 1 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). E This page doubles as a field inspection checklist. Field Ins ector Notes: I RlJ1LQ1NQ&SAFE1yUttI- o CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance STATE OF CALIFORNIA SIGN LIGHTING M1\ll, 311?I C C-NRCq.-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documents . on Author Name: Documentation Authpr�Signat� u_ re Company: Signature ate: ro Address: CEA/ HERS Certification Identification (if applicable): I City/Stat Phone: Uo e::n �,ems I • J RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design 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. 5. 1 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 Desi ner ame: Responsible Desig r Signature: Com any : , v Date Sign. (, Address: Ll Licens City State ip: S Phone: WD DA CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance CI TY n a BUILp�NG & QUIN7A 4ppij VED SAFTY DEPT CONST�i June