12-0737 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
Application Number:
12-00=0.00.7.3:7
Property Address:
79710 HIGHWAY 111 STE 101
APN:
649-020-014-3 -31143 -
Application description:
SIGN
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
3100
Ta�/ 4 4a Qums
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
Architect or Engineer:
------------------
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 Professionals Code, and my License is in full force and effect.
Lic sseeCla : D42 C45 License No.: 830131
Date: / fZ I bntr.ctor:
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).:
1 _ 1 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 ISec. 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. , BAP.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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/02/12
Owner:
HIGHLAND LA QUINTA, LLC
1055 E. COLORADO BLVD. #5178
PASDENA, CA 91106
D �
Contractor: jjjL 02 2012
SIGNARAMA
41945 BOARDWALK, "L" CITYOFLAQUINTA
PALM DESERT, CA 92211 i FIN4!IeEQ>:PT
(760) 776-9907 i — -�N --
Lic. No.: 830131
-----------------------------------------------
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 pormit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier HARTFORD CO Policy Number 198607
1 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
700 of the Labor Code, I shall forthwith comply with those provisions.
ate: �� plicant:
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 Director of Building and Safety 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, andhereby authorize representatives
of th' cou y t enter upon the above-mentioned property for inspection pur oSes.
ate: �//igrfa/ture (Applicant or Agent):
LQPERMIT
Application Number .
. . . . 12-00000737
Permit . . .
ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . .
30.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/29/12
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) BUILDING MOUNTED
INTERNALLY
ILLUMINATED CHANNEL LETTER
SIGN & LIGHT
BOX PER SA#•2012-1617
"OPTOMETRY" 2010
CODES.
----------------------------------------------------------------------------
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
Total Permit Fees
B Bin #
kPermit
City Of La Quinta
Building a Safety Division
#
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Je
Project Address: 79 -7Xd
46ly za wner's Name:
A. P. Number:
.
Address: -79 7 /0. a-
/Z
L egal Description:
City, ST, Zip
I - 9 -L --,2, �73
Contractor:
elephone
Address: _F
_, A– 5'7–� L— �Project Description: . .....
City, ST, Zip: e—
all �-g
ds
Tele phon6 a7/— 0— A
..... . ....
........
.. ... ... . ....
jC
State Lic.4:
City Lic. #:9 -7 5,1/9
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic.
.. . ............................. .
ty
Project pe (circle on New Add'n Alter Repair Demo
N . ame of Contact Person: t 6 LA/z_ 0 157. Sq. Ft.:
12
# Stories:
# Units:
Tele . phone # of Contact Person: ?*Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd'
TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted
Item
Structural Caics.
Reviewed, ready for corrections
Amount
Plan Check Deposit
Truss CaIcs.
Called Contact Person
—
-- --------
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
----------------
Mechanical
Grading plan
"d
2 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A. 1. P. P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Ti. -4 4 4 a"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
June 29, 2012
Mr. Bill Sigurdsen
Sign -a -Rama
41-945 Boardwalk, Suite L
Palm Desert, CA 92211
SUBJECT: SIGN PERMIT APPLICATION 2012-1618: OPTOMETRY
Dear Mr. Sigurdsen:
'(16 0) 777-7000
FAX (760) 777-7101
The Planning Department has reviewed and approved your request for one building -
mounted internallyAluminated channel letter sign for "OPTOMETRY" and one building -
mounted illuminated light box for "THANH-VI NGUYEN, OD", located at 79-710 Highway
1 1 1, within the Dunes Business Park. The approval is subject to the following Conditions:
1. The "OPTOMETRY" sign shall be individual reverse channel letters. The sign's
letters shall not exceed a height of fourteen and one-half inches: The sign shall not
exceed twelve and half (12.5) square feet in area.
2. The "THANH-VI NGUYEN" light box shall not exceed a height of seven and one-half
inches. The light box shall be green with white lettering and shall not exceed five
square feet in area.
3. The applicant shall obtain a building permit prior to placement of the sign on the
building. The Building and Safety Department can be.reached at (760) 777-7012.
4. All signs approved as part of this permit shall conform to the Dunes Business Park
Sign Program (Sign Application 2006-1078).
Should you have any questions or need additional information please ,feel free to contact
me at (760077-7125.
Sincerely,
%y r
ERIC CEJA (/J/
Assistant Planner
C: Building & Safety Department
M
P T C( S
D) N A E
L-�
17.63"°
60.3"
Illuminated
Reverse Channel Letters
Depth: 3"
Face Color: Brushed Alum.
Return Color: Brushed Alum.
Mounting: Back
Standoff:1.5rr
L.E.D. Color: White
Illuminated Light Box (2)
Depth: 5"
Acrylic Faced
Face Color: Digitally Printed
Return Color: Black
Mounting: Back
Standoff: Flush
L.E.D. Color: White
BY DATE.
EXHIBIT
Sign Description:
Frontage is 20' l inear feet
Customer:
Telephone: 760-xm xxxx
Jobsite: Customer Approval:
ILLUMINATED REVERSECHANNEL LETTERS&(2) ILLUMINATED LIGHT
FACE COLOR: BRUSHED ALUMINUM & DIGITALLY PRINTED
BOX
Vl Nguyen Optometry
Fax: 760-x -xx
Same
RETURN COLOR: BRUSHED ALUMINUM & BLACK
"MOUNTING: BACK, STANDOFF
Address:
79710 Hwy 111, Ste 101
Landlord Approval:
I.5"&FLUSH
WHITE LED.
Total Signage 19.9 S.F.
La Quinta, CA. 92253
West ELEVATION
SIGN*RAMAContractor's
LIC # 830131 C45, C61/D42
DWg. NO.: 54393
Rev.: 1
YOUR SIGNATURE ACKNOWLEDGES FULLAPPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN`A'RAMA FROM RESPONSIBILITY IN REGARD
Workers Com #1938807
P'
Date: 06-18-12
TO INCORRECT DESIGN AND INFORMATION, THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL EMS COLOR CALL OUTS. FINAL COLOR WILL
41-945 Boardwalk, Ste. L
Palm Desert CA. 92211
BE MATCHED AS CLOSE AS POSSIBLE COMMENSURATE WITH MATERIALS USED.
PH 760-776-9907 • FX 760-776-9844
City Lib. #97005491
Designer. JT'
THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN'A'RAMA.
CHANNEL LETTER SECTION
NEON HALO ILLUMINATION
UL 2161 LISTED
SELF ENCLOSED .
NEON TRANSFORMER
DISCONNECT
SWITCH
1/2 " CONDUIT
3" ALUMINUM RETURNS
.063 ALUMINUM FACES
3/16"POLYCARBOMATE
BACKS
GLASS STAND
NEON TUBE
ELECTROBIT
END CAP
G.T.O.-15000V
INTEGRAL SLEEVED WIRE
12GAUGE COPPER
BONDING WIRE
LETTERS PEGGED OFF WALL
WITH 1-1 /2" SPACERS
EACH LETTER FASTENED BY A
MINIMUM OF 4 #10 SCREWS
WITH STUCCO APPROVED
ANCHORS
ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT
THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS
OF ARTICLE 6000F THE NATIONAL ELECTRICAL CODE AND/OR OTHER APPLICABLE LOCAL CODES.
THIS INCLUDES PROPER BONDING OF THE SIGN.
CHANNEL LETTER CONNECTION DETAIL
TRANSFORMER
STUCTURE
U.L. LISTED AND LABELED
COMPLIES WITH 2010 CA ELECTRIC CODE, ARTICLE 600