12-0055 (SIGN)M
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00000055
Property Address:
.79775 HIGHWAY 111 STE 101
APN:
600-020-0347 - -
Application description:
SIGN
Property Zoning: .
COMMERCIAL PARK
Application valuation:
7000
Applicant:
K'/!F(T/t�Opllin
Architect or Engineer:
�F.C�Q�rw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Cl a s: D42 C45 License No.: 830131
nDate: T 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 signedstatement 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 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 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.).
( 1 I am exempt under Seca , 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:
LQPERMIT
Owner:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 92660
Contractor: O
SIGNARAMA i
41945 BOARDWALK, "L"
PALM DESERT, CA 92211 [
(760)776-9907 C`
LiC. No.: 830131
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/18/12
—�s�1
pe 5
L 8 20117L,
UI'4'Y of ! -A
F4m:Nc,t
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 HARTFORD CO Policy Number 198607
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
p ry700 of the Labor Co e, I shall fiorthwith comply with those provisions.
Date: 7 0 ` 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 Director of Building and Safety for 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 c ulnty, enter upon the above-mentioned property for inspection purposes.
Date:' / %�i Signature (Applicant or Agent): !///nr/��y
Application Number . . . . . 12-00000055
Permit . . . ELEC-ELECTRICAL'SIGN INV FEE
Additional desc .
Permit Fee . . . . 66.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 7/16/12
Qty Unit Charge Per
Extension
BASE FEE
30.00
1.00 30.0000 EA ELEC SIGN 1ST CIRCUIT
30.00 '
1.00 6.0000 EA ELEC SIGN ADDITIONAL CIRUITS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
(2) NEON ILLUMINATED CHANNEL LETTER
SIGNS [JEWEL MASTER] SIGN PERMIT
APPLICATION 2011-1568. ***INVESTIGATION
FEE ASSESSED PER 2010 CALIFORNIA
BUILDING CODE CHAPTER 1 §108.6 FOR WORK
COMMENCING BEFORE PERMIT ISSUANCE***
2008 ENERGY/2010 CALIFORNIA BUILDING
CODES.
January 18, 2012 1:57:23 PM AORTEGA
------------------------------------=------------------------=--------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due,
-----------------
Permit Fee Total 66.00 .00 .00
66.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 67.0,0 .00 .00
67.00
LQPERMIT
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267'
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30 Q 350 s1F
100 150 SF
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CITY OF to QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 2 '�
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE It B
�9 •i 5
�k� ���I7b►1
'�w
�+rrtrs� n
BY--�
DATE k
0. 6A
EXISTING WALL
.063" ALUMINUM RETURNS'
#10 HEX HEAD SCREWS
AND WALL ANCHORS
NEON TUBES
.063" ALUMINUM FACE
3/16" LEXAN BACK
GTO WIRE
PRIMARY ELECTRICAL
TRANSFORMER
W/ DISCONNECT SWITCH
& INTERNAL GFI
WATER PROOF CONDUIT
ALUMINUM STAND OFF
BONDING WIRE
STANDARD GLASS STANDS
1/4 --DRAIN HOLES
HALO ILLUMINATED
NEON. CHANNEL LETTER
(TYPICAL CONSTRUCTION);
COMPLIES WITH 2007 CA ELECTRICAL CODE, ARTICLE 600
U.L. LISTED & LABELED
-Drawing No.-:- ED1(
:Revision:- B
Date; 3-22-11
Drawn By: RA
Approved By: FH
z
SIGN • p *RAMq
SZ9N*A*RAMA
�` �.••••" THE COACHELLA VALLEY'S FULL SERVICE SIGN CENTER
41-945 Boardwalk. Ste. L. Palm Desert. ' CA 92211 Ph. 760-776-9907
Certificate of Compliance (Sign Lighting)
(Page 1 of 4)__ SLTC;;IC
Project Name:S
e.w LL �. t2
Datc: > L7 + Z
Project Address:73
Installation Declaration statement
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and
Location of Sign Mof7u'tdoor Signs O Indoor S16S
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
Phase of Sign Constructionli>4 Signs O Sign Alterations
Type of Lightiny Control ew Lighting Controls O Replaced Lighting Controls
O Not Installinit Lighting Controls... .
This Certificate of Compliance includes the following components (check all that apply)
enforcement agency.
O Mandatory Measures (Lighting Controls) O Maximum Allowed Lighting Power
O Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be a c 10. C45 or other eligible person) -
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and
correct.
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24, Parts I and 6 of the California Code of Regulations.
41, ..
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms. worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit applic
Name: 01aA eoll Signature
i-empany : I -7 7 b f f o-7
Address: License numtxr (may be con t4� s. lic #)
ys-�w���� , ..
City/State/Zip: �- Date
2. Installation Certificate (to be signed by responsible person after installation)
Permit number
atecked by/Dato
(EnfortymoaftemyUm),Enft=med
A Use ..
Installation Declaration statement
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and
correct.
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction.
• l certify that the installed features, materials, components, or manufactured devices identified on this certificate conforms to a
applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the'""
enforcement agency.
• 1 certify that the requirements detailed on this Certificate of Compliance have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or trade 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 signed copy of this Installation Certificate is required to be included with the documentation the builder providt l to the
building owner at occupancy.
Company Name:
Responsible Person's Name:
Responsible Person's Signature:
License number (may be contractor's lic #) Date Signcd:
Position With Company:
2008 Nonresidential Compliance Forms
July 2010 ::..:
Certificate of Compliance (Sign Lightin
Project Name.
2 of
.,:rY:• rrt.
1C
3. Mandatory Sign Lighting Controls
NOTES.-
The
OTES:The Mandatory Measures (sign lighting controls) are requiredfor compliance with the sign lighting Standards. The sri►>ie
responsible person ►nay install both the sign and the sign lighting controls. or a different responsible person' ";; ns1 �ld:fhe
sign lighting controls than the responsible person installing the sign.
I /J'the person responsible for installing the sign 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. lJ'►nore than one person has responsibility for compliance, each person shall prepare and sign a Certificate of Compliance
cord an Installation Certificate applicable to the portion of c'onstrnction for which they are responsible; alternatively,, the
person with chief responsibility for constntc•tion shall prepare and .sign the Certificate of Compliance Declaration •cStateme '
or the entire constncction.
3a. Statements of Responsibility: = The erson si nin the Certificate of Compliance Declaration Statement shall check Yes or No for all of the foRowin statements:
1 I have responsibility for installing the sign lighting controls
O Yes, co m tete arts 3a and 3b of this foam o, com tete art 3a of this form r u
There are no existing sign lighting controls and I will be installing compliant sign lighting controls --,
2 O Yes
There are no existing sign lighting controls and someone else will be res .
3 O Yes lul No
ponsible to install compliant sign lighting controls.
There are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and 1 will
4 installing compliant sign lighting controls be
O Yes
No
There are existing sign lighting controls that do not comply with the applicable provision of 4119 and §133 and sotiieo a else
5 will be responsible to install compliant sign lighting controls
O Yes
3b. Mandatory Sign Lighting Controls
The person signing the Certificate of Compliance Declaration Statement shall answer all of the following questions if they are
res onsible for com I in with the signli htin control uirements.
If there are construction documents, indicate where on the building plans the ` 1'
mandato measures si li tin control note block can be located:
1 §133(a)l. Al! indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA
applicable r uirements of 119.
§133(a)land 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo YO o
2 control or an outdoor astronomical time switch, that com I with thea applicable requirements hcontrof 1 a
E
ception hours.
§133(a)2. Out signs in tunnels or large covered areas that require illumination during 19. _D O
li ht hours. g Y NA
3(2)3. All outdoor signs are controlled with a dimmer that provides the abili to automatically reduce O O
wer b a minimum of 65 ercent Burin n httime hours, ry y Y N NA
eption 1 to §133(a)3. Signs illuminated for less than ane hour per day during daylight hours. O O O
eption 2 to §l33(a)3. Outdoor signs in tunnels or large covered areas that require illumination Burin Y NA
li ht hours.
eption 3 to§133(2)3. Only metal halide. hi g Y NA
inatin si s or arts of Signs.
high Pressure sodium, cold cathode, 13
or neon lamps used for
(a�. An Electronic Message Center (EMC) having a new connected lighting Y NA
W has a control installed capable of reducingthe lighting 8 g power load greater than
Ipti a demand res once si al that is sent out b the local utilit, lit ower by a minimum of all percent when Y N 1V/A
eption to§133(x)4. EMC required by a health ur life safety statue, ordinance, or regulation, including ❑y O
ot limited to exit si ns and traffic si ns.
ctur Notes: O O
. ..ir.:T., .
7008 Nonresidential Compliance Forms
Jttly 2010
Certificate of Compliance (Sign Lighting) Pa e 3 of
Project Name:
Date:
4. Maximum Allowed Lielttin>e 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. (Com�lete Bart• 5
of this Certificate of Compliance if there are si ns using the S ecific lighting sources method of compliance
A
B
C
D E I F G
H
I
J.
Allowed Watts
Design
Complies?
Watts
Y / N
_.
v
.Field
c ,�
U,
,� -�
'�
y
>r
cc
3
c7
V 1
Inspector
.,
^ •- „
R ct.
b
x
Check that
Sign
i
E .EE!
3 .. , t -i
c
Complies
in
U
aw
c
-_T
Description
C, hq NrtiL, �,
o
Z10#
T
1Z /F
l
Y
o ..
O
0
0
O
E3
O
O
A
Symbol or code used on the plans when plans are aired and other documents.
8 A narrative description of the sign, or location of sixn on the buildin • and the location of sign on construction documents.
OPTIONAL - Check this box only if this sign has a factory
permanent, pre-printed, -installed label, listed with Underwriters L-00ratTy, .
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) lntemationai
or
Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under
an ongoing inspection program
C carried out by a Type A inspection body in accordance with ISO/IEC 17020, confirming that the sign complies with the Section 148 of the
California 2008 Title 24, Part 6 Standards. using the Maximum
Allowed Lighting Power method of compliance. For signs with such a
label, columns 'D' through 'I' are not required to be filled out. Note: Using a label is
an optional method to validate compliance. A label is
not needed for corn liance.
D The stxn area ins uare feet.
E List "I" if the sign is intemally illuminated. List "E" if the sign is externally illuminated.
F Allowed watts Dersuare foot. Enter 12 if the si is listed as "I" in column E. Enter 2.3 if signis listed as "E" in column E.
G -Multiply the square footage in column D times the
allowed Lighting Power Densi LPD = watts in column F.
H Show the total installed watts in the sign. as determined accordin to the
applicable provisions of § 13 d or 0.
t Enter Y if the number in column H is less than orequal to the number in column G. Otherwise, the sign does
J This -Comply.
not
a e doubles as a field ins tion checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
J, 1tib
Certificate of Compliance (Sign Lighting) Pa e 4 of 41 SLTG-1C
Project Name: Date:
5. SSecitic Lighting Source Method of Compliance
CertiRcate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this
Certificate of Compliance if there are signs using the maximum allowed lighting ower method of compliance)
A g C U E
OPTIONAL
UL Specific light source used for Field -
Symbol or other compliance Inspector
or Description label Shall include only lighting alt'that
Code (scc Sign
instructions technologies listed below
Mow) List all that apply C�!ppligs
0
o
0
0 0'
0 -'-'Q .....
documents.
U t7Pl TONAL -Check this box only if this sign has a —•- .. """uon or Silo
r on construction documents
(UL) or other testing laborat pettnanent• preprinted• factorjr-installed label• listed with Underwriters;t;Sbcriioiy
8 ory accredited by the National VoluntaryLaboratoryAccreditation Program (NVLAP) or International
Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under an ongoing inspection program
carried out by a Type A inspection body in accordance with ISO/1EC 17020• confirming that this sign complies with the Section 148 ofthe
California 2008 Title 24, Part 6 Standards• using the Specific Lighting Source Method of Compliance. For signs with such a label; column
• D• is not required to be filled out. Note: Uysins, a label is an optional method to validate compliance. A label is not needed for corn liance.
V.,
ht Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
cable numbers 1 throu 10 that apply in column D above for tach row.
ressure sodium lam s
se start or ceramic metal halide lamRs served b a ballast with .>_ 88% efficient
se start metal halide lamps that are:5 320 watts, are not 250 watt or 175 watt lamps. and are served by a ballast
> 80% efficient
n or cold cah transformer or wer su 1 efficient _> 75% with rated out ut current < 50 MA
n or cold cathode lam s with trartsfotmer or wer su 1 efiicienc > 68%with rated ou ut current > 50 mA
rescent lamps with a minimum color rendering index (CRI) of 80
te: when usin electronic ballasts for compliance, lamps with a CRI < 80 may be used
7 Light emittin diodes LEDs with awer su l with > 80% efiicienc
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC
8 output, having a nameplate output power less than or equal to 250 watts. and certified to the Energy Commission as
cum 1 in with theapplicable re uircments of the A liance Efficient Re Mations Title 20
9 Com ct fluorescent lam s that do not contain a medium screw base sockets E24/E26
^ 0 Electronic ballasts with a fundamental nuh.io ay,...e... , - I . ,-
2008 Nonresidential Compliance Forms
July 2010
Bin #'
e
City of La Quints ..
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle•Tarripico .. '
La Quints, CA 92253 - (760) 777-7012
S Building Permit Application and Tracking Sheet
Perinit #.
`2 ,
Project Address: (N / / ��
•
Owner's Name:
q�Cr
A. P. Number:
Address: 70' — ?-%
S1,, y1 J 1 s� v l
Legal Description:
City; ST, Zip: L� cf Z2 S
Contractor:
Telephone: 76,�
Address:
Project Description: �G✓O G p L t,
City, ST, Zip:
Telephone:
State Lic. # : City Lie. #:
Arch., Engr., Designer:
Address: L) I_
City, ST, Zip:
Tele honeC � 76 —9 fl 4�: � a �:�c: R� � `„r ; x; �> �
P 76v�
State Lic. #: 3D .:.;>.... :
Name of Contact Person: T3, it -5 1 U
Construction Type: Occupancy:
Pro ect circle one): New Add'n Alter Repair Demo
I
Sq. Ft: �d
#Stories:
#Units:
Telephone # of Contact Person: 6 O S% Fj— 6J LS
I Estimated Value of Project - 77 % 1 Zr �
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets.
Plan Check submitted
I Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionsassue
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Personp,I,P,P,
Pub. Wks. Appr
Date of permit issue ,
School Fees
Total Permit Fees
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
November 14, 2011
Mr. William Sigurdsen
Sign A Rama
41945 Boardwalk Suite L
Palm Desert,CA 92211
SUBJECT: SIGN PERMIT 2011-1568: JEWEL MASTERS
Dear Mr. Sigurdsen:
N
(760) 777-7000
FAX (760) 777-7101
The Planning Department has reviewed and approved your request for two building
mounted, illuminated, aluminum signs for "Jewel Masters" at the Komar Desert
Shopping Center, Suite, 101. The approval is subject to the following Conditions:
1. ' This sign permit grants two illuminated permanently mounted building
identification signs for "Jewel Masters". The square footage of each sign
shall not exceed forty (40) square feet. The location and materials for the
sign are per the approved plans on file with the Planning Department.
2. The signs shall conform to the approved sign program (SA 2006-1034) for
the Komar Desert Center.
w
Should you have any, questions or need additional information please feel free to
contact me at (760) 777-7125.
Sincerely,
•N
ERIC CEJ
Assistant Planner
C: Building & Safety Department