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BSIG2016-000478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BSIG20.16-0004 Property Address: 79900 HIGHWAY 111 APN: 600010017 Application Description: Property Zoning: Application Valuation: Applicant: DENNIS STOUT 504 E PALMYRA AVE ORANGE, CA 92866 HOME DEPOT (8) SIGNS $9,200.00 T4tr 4.fw4uwrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT I I"I'I'llll II'I III 57 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: License No.: :LIC -0010195 Date: Z 2--1.ie Contra or: _�_-Q_.5� 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 Owner: HOME DEPOT U S A P 0 BOX 105842 ATLANTA, GA 9225= Contractor: MEGAHERTZ ELEC 0 OUTSIDE CITY LI LA QUINTA, CA 92 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 (818)566-1850 Llc. No.: :LIC -0010195 Date: 2/1/2016 WORKER'S COMPENSATION DECLARATION I 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' 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: _ 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: 2 —.Z.—L (o Applicant: 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, 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 upon the above-mentioned property for inspection purposes. Date: 2' 2 —`� Signature (Applicant or ent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD - RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # - CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $49.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $49.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST 101-0000-42404 0 $24.66 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $87.02 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD. BY Total Paid for SIGN: $210.32 $0.00 TOTALS:00 Description: HOME DEPOT (8) SIGNS Type: SIGN Subtype: Status: APPROVED Applied: 1/27/2016 MFA Approved: 2/1/2016 MFA Parcel No: 600010017 " Site Address: 79900 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 28469 Block: Lot: 1 Issued: Z o. l 4 Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: 3 &I I ly Valuation: $9,200.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: (3) ILLUMINATED WALL SIGNS, (3) NON -ILLUMINATED, (1) REFACING MONUMENT AND (1) RETROFIT MONUMENT [THE HOME DEPOT] SIGN PERMIT NO. 2016-0005 PER 2010 ENERGY 2013 CALIFORNIA BUILDING CODES. ,_j Applied'to Approved CHRONOLOGY TYPE : STAFF NAME ADDITIONAL CHRONOLOGY ACTION DATE COMPLETION DATE . " . NOTES PLAN CHECK SUBMITTAL MARY FASANO RECEIVED 1/27/2016 1/27/2016 ON HOLD TIL PLANNING APPROVAL PLANNING APPROVED NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT DENNIS STOUT 504 E PALMYRA AVE ORANGE CA 92866 DNSTOUT@GMAIL.CO M CONTRACTOR MEGAHERTZ ELECTRIC SIGNS & LIG 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER HOME DEPOT U S A INC P 0 BOX 105842 j ATLANTA j GA j 92253 Printed: Monday, February 01, 2016 8:34:13 AM 1 of 3 rp SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 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 $49.32 $0.00 EA ADDITIONAL WALL/AWNING SIGN, 101-0000-42600 0 $49.32 $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: $210.32 $0.00 TOTALS -00 Printed: Monday, February 01, 2016 8:34:13 AM 2 of 3 -: SY57EM5 Attachment Type I CREATED I OWNER DESCRIPTION PATHNAME SUBDIR I ETRAKIT ENABLED DOCI 1/27/2016 I MARY FASANO I HOME DEPOT HOE DEPOT APPL CATION.pdf I APPLICATIION.pdf I I 0 Printed: Monday, February 01, 2016 8:34:13 AM 3 of 3 CTIffSYSiEMS err, ,f Permit # Project Address: L Tt(OO City of La Q call to Building &r Safery Division 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ` Owner'sName: Iti tyS A- A. P. Nun:Ucr: Address: Rac•Ces J (2 Legal Uscripl on: City, ST, Zip: tit. t^ RR .... t`..: :.: 3..1 Contractor: j 't( /r rte, /' P /�� Telephone: 'j — 3 M . ... M —N Address: ,� 2QO tu\ �e�"Qc( �%a,Sc� y�� City, ST, Zip: jr1'p4t'fp Y'K— a cri-t5l� Project Description• ��� (�+uM1yw tCcY fAio� t` Telephone: P '� Y9' S� �t�S F ���;;rs��/r:;;<" ��•� � iVJ V� — \ �.(,V,/t1 vr,� � t�G� � � S 1 v� State Lic.11 : p W % City Lie. M. Arch., Cngr., Designer: l : ' C env 1�ttca�i vvNl�vl Address:nn .- (rh7eSt,,, City, ST, Zip: Telephone: /}Y!h �� til Jf //�,�� } % ,. ����`' � �.. Off,>> E;;. • .., Construction Type: G(5,p%j Occupancy: State Lie. #: Project Pro " . e circle one): New Addn Alter Re air Demo t j type )' 'P Name of Contact Person: Sq. Pt:: I.# Stories: it Units: Telephone # of Contact Person: Estimated, Value of Project: H Submittal Rcq'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rcc'd TRACKING PERMIT FEES Plan Sets Plan Clreck submitted Iterrr Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs, Called Contact Person Plan Check•Ilalance, Title 24 Cates. Plans picked up Constructiwp Flood plain plan Plans resubmitted ..>" Mechanical ,.. Grading plan :.. ..... .... 2"d Review, ready for.correc(ions/issue Electrical Subcoutaclor List Called Contact Person Plumbing Gran( Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmi(led Grading IN IIOUSE:- Review, ready for corrcetions(issue Developer Impact Fee Planning Approval Called Contact Person '� A.I.P.P. Pub. Ms. Appr Date of permit issue School Pees, Total Permit Pees J IA I t'VP-J;AUh VHN1A SIGN LIGHTING CEC-NRCC-1-TS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01=E Sign Lighting (Pagel of, 5) Date Prepared: (--2'7 —t 6 Project Address: 19 11 Location of Sign utdoor Signs ❑.Indoor Signs Phase of Sign Construction t6w Signs ❑ Sign, Alterations Type of lighting Control O New Li hting Controls ❑ Replaced Lighting Controls of Installing Lighting Controls This Certificate of Compliance Includes the following components (check all that apply)' ❑ 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. 2. 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 ebrapliance, each responsible person.shall prepare ond.9ign 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. 1a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E shall complete Part 16. Check Yes or No for all of the following statements: 1 1 have responsibility for installing the sign lighting controls ❑ Yes, cornplete parts 1a and lb of this form V No, complete part la of this form 2 There are no existing.sign lighting controls and I will be installing compliant sign lighting controls ❑ YesNa. 3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign. lighting controls ❑ Yes No There are existing sign lighting controls that do not com—pty. with the applicable provision of §110.9 and §130.3 and I will be 4 installing compliant sign lighting controls ❑ Yes No There are existing sign lighting controls that do not comply with the.app.licabie provision of §110.9 and §.130.3 and someone 5 else will be responsible to install compliant sign lighting conttois. Yes ❑ No NTA & SAFETY DEPT O PPROVED f'4STRUCTION _�----__Ry CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance lqc(o0 4wq June 2014 J IA It-Ut* VALII-UKNIA SIGN LIGHTING CEC-NRCC-LTS-0i-E Revised 06!14 CALIFORNIA ENERGY COMMISSION " 1' CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of.5) P(Oiect Name: 1b. Mandatory Sign Lighting Controls -E is responsible fo complying with If the person signing the Certificate of Compliance Declaration Statement -on this NRCC-LT(ns: the sign lighting control requirements, that person shall answer all of the following questi If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located-.- §130.3(a)l. All indoor sign lighting is controlled with an automatic time -switch control or.astronornical .time- Y N NA switch control. ❑ ❑ ❑ §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 NA areas that are intended to be continuously lit, 24 hours per day: and 365 days per year. ❑ ❑ §330.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a cilmmer that provides the ability to automatically reduce sign lighting power by a minimurn of 65 percent during nighttime hours.. Y N NA 3 Signs that are illuminated at night and for more than i hour during daylight hours shall be considered ON both ❑ D ❑ day and night. EXCEPTION to Section 130.3(a)28: Outdoor -signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. 11 ❑ §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 capabie.of ❑ ❑ 4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal. EXCEPTION to Section 130.3(0)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 ins ector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 JIAItUh UALI-UM41A SIGN LIGHTING CEC-NRCC-LTS-01-E Revlsed 06/14 CALIFORNIA ENERGY COMMISSION ­Ww— CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name: Date Prepared: { 17 mum Allo ed htin Power Method of Compliance tertificateof Complian and Field Inspection Energy Checklist e is part if there are signs using the maximum allowed lighting power method of complia 6e. (Complete part 3 of this Certificate of Compliance if there are signs using the Specific lighting sources method of co (lance) A 0 C D E F G I J Symbol Or Code Description of the Sign OPTIONAL—Energy Verified Label (see Instructions below) Allotted Watts Design Watts Complies Y N Filed inspector Check that sign complies N ac C O v N c X _ n J 3:1 yNm O N l u < V1 v X 3 o a BVI C,Fo o VI C. E c0 ✓ ✓ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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. C 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 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, 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 Insquare feet. E List "I" if the sign Is internally Illuminated. List "E" if the sign Is externally illuminated. F Allowed watts Per s uare 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 orequal to the number in column G. Otherwise, the sign does not comply. J This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 JIAIt Ul• UALWVX141A SIGN LIGHTING -Z 1'l -_(j GEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Name: Date Prepared: all 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 z.E OPTIONAL Specific light source used for _W .a c z f- fnspeygr Fieid:= Symbol ENERGY VERIFIED compliance h'ec(c�tha gn or Description label Shall include only lighting sem= . ' s Code' (see instructions technologies listed below.... .:GorFtpli. - below) List all that apply" *'. �� ❑ r K�_ ❑ —7:. v yweLL ❑7. AlSymbol 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 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. 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). 9Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). E This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 JIAIt Ut• UAllt•UKNiA SiGN LIGHTING CEG-NRCC-LTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Protect Name: - Date Prepared: 1 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • i certify that this Certificate of Compliance documentation Is accurate and complete; Documentation Author . © Documentation Author Signa Company: Signature Date: Address:CEA/ t2ao t�ve a s r"� HERS Certification identification (If applicable): CIIY/Stele/ZIP:C&tl Phone: � r ^l" 50 JtotO� 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 DeslgnerName v 1 ��I (cit e�-- Responsible"s nerSlgnatu : Company : Date Signed: 2 C. Address: O �eCQ license: �^ �07 City/State/Zip: wn o&fe ve tq r 1a��� Phone: 5(,6 ,- 18>5c) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 tl January 29, 2016 e Mr. Dennis Stout 504 E. Palmyra Avenue Orange, CA 92866 SUBJECT: SIGN PERMIT APPLICATION 2016-0005 THE HOME DEPOT Dear Mr. Stout: The Community Development Department has reviewed and approved your request for multiple permanent signs at the Home Depot located at 79-900 Highway 111. The approval is subject to the following Conditions of Approval: 1. This sign permit grants eight internally -illuminated and non -illuminated building/monument identification signs, per the approved plans on file with the Community Development Department. 2. A building permit shall be obtained prior to any work on the signs being started. 3. The signs shall conform to the approved sign program for Jefferson Plaza. Should you have any questions, please feel free to contact me at (760) 777-7067. AICP Principal Planner C: Building Division I 78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.org