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10-0296 (SIGN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x.10=00000296 -� Property Address: 79785 HIGHWAY 111 STE 103 APN: 600-020-034- - - Application description: SIGN Property Zoning: COMMERCIAL PARK Application valuation: 5000 Applicant: Architect or Engineer: 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 thepogrhys and Professionals Code, and my License is in full force and effect. License Class: -C,}4�5 License No.: 250739 ate V vr racto 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 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and loll 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. , 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: 4/08/10 Owner: KOMAR INV 23 CORPORATE PLZ STE 2 /1 NEWPORT BEACH, CA 9266 /r�G\1 Contractor: i—AFIR _ YOUNG ELECTRIC SIGN C r MPANYCi- 5405 N. INDUSTRIAL PA DEVORE, CA 92407 (909)923-7668 Lic. No.: 250739 WORKER'S COMPENSATION DECLARATION 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. IX I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Y-' Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier TRAVELERS INDEM Policy Number PEUB6058N81309 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 s d become subject to the workers' compensation provisions of Section 317700 of the Labo I shall forthwith comply with those provisions. PPlicant: 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 th above information is correct. I agree to comply with all city a county ordinances and state laws relating to ildin construction, and hereby authorize representatives o h's oe`��utn�{�]Xl�Denter upon the above-mentioned e f inspection purposes. D U _ l! ignature (Applicant or Agen Application Number . . . . . 10-00000296 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee . . . . 36.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 10/05/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 2.00 3.0000 EA ELEC SIGN ADDITIONAL CIRUITS 6.00 ---------------------------------------------------------------------------- Special Notes and Comments 3 INTERNALLY ILLUMINATED CHANNEL LETTER SIGNS, PER SIGN AP #2010-1436 "GOLF CARS". 2007 CODES. -----------------------------------------=---------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 36.00 .00 .00 36.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 37.00 .00 .00 37.00 LQPERMIT Certificate of Compliance (Sign Li htin (Page 1 of 2) SLTG-1C ro �(ect Name: ��11 %� 6v Phase of Construction [3 -New Construction [3 Addition 13 Alteration Pr iect ALddre s: Function Type ❑ Outdoor Signs ❑ Indoor Signs u Date: Jr), Compliance Method Used ❑ Maximum Allowed ` cal Lighting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate omplete. Name Lie— Signa l Compan Date D L r Address O If applicable. CEA # that complies with theapplicable requirements of 119. CEPE # City/State/Zip 1n1�� �� Phone: Principal Lighting Designer's Deefaration Statement • 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, Pages 1 and 6 of the California Code of Regulations. • 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 application. Name: Signature Company: Phone Address: License # City/State/Zip: Date Sign Mandatory Measures Indicate location on building plans of Mandatory Sign Measures Note Block: Mandatory Sign Lighting Controls Yes No I §133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control❑ that complies with theapplicable requirements of 119. §133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control. ❑ 2 Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during daylight hours. ❑ §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce sin power by a minimum of 65 percent during nighttime hours. ❑ ❑ Exception l to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours. 0— ❑ 3 Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination❑ duringdaylight hours. Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to illuminated signs or arts of signs. ❑ §133(a)4. An Electronic Message Center (EMC) having anew connected lighting power load greater than 15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when Y N N/A 4 receivinga demand response signal that is sent out b the local utility. ❑ ❑ Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation, 3e, N/A including but not limited to exit signs and traffic signs. ❑ ❑ ❑ wuts ivonresraentrat Compliance Forms August 2009 Certificate of Compliance and Field Inspection Energy Checklist Sian Lighting) (Page 2 of 2) SLTG-1.0 Project Name:. t �D Date• /,V""0z Q ivla�H w Compliance Method Maximum Allowed Lighting Power A B C D E F G H I J K Design Complies? Light Field Allowed Watts Watts' YIN Source Ins ector2 v 0 U V Cd Cd 3I x E 42 0. cC-i 3 V`y �CO Ou 3 OO inU. .r aU tion or location and plan location 0 r ciDescri ❑ ❑ ❑ ❑ 1 ❑ ❑ ' ❑ ❑ ❑ ❑ ❑ ❑ ❑❑ Total Sign Area: /. Design Watts = total connected lighting load installed in the sign, including power used by lamps, ballasts, transformers, power supplies, etc. 2. If Fail then describe on Pae 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, Use additional sheets ifnecessary, The sins identified above; use only one or more of the following technologies: list all applicable numbers that apply in column I above / High pressure sodium lamps 2 Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficiency 3 Pulse start metal halide lamps that are _< 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast with > 80% efficiency 4 Neon or cold cathode lamps with transformer or power supply efficiency > 75% with rated output current < 50 mA 5 Neon or cold cathode lamps with transformer or power supply efficiency > 68% with rated output current > 50 mA 6 Fluorescent lamps with a minimum color rendering index CRI o 80 7 Light emitting diodes (LEDs) with a power supply with > 80% a rcienc 8 Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC output, having a nameplate output power less than or equal to 150 watts, and certified to the Energy Commission as complying with the applicable requirements of the Appliance Efficiency Regulations(Title 20 9 Com ac! fluorescent lamps that do not contain a medium screw base sockets (E24IE26 /0 Electronic ballasts with a undamenla/ out ut re uenc > 20 kHz Field Inspector Notes or Discrepancies 2008 Nonresidential Compliance Forms August 2009 Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico 0 Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: —-k- Owner's Name: A. P. Number: IV Address: Legal Description: -5( City, ST, Zip: Contractor: L� a.• v}:p Telephone: Mi., Address: &—lC;�o /h ovtn Project Description: AlfflE29 City, ST, Zip: Vi Ch Telephone: U_ 3�7 � �.� �o .:�:�:>.w�:��` �>?:'•; :`•Jgs�.'?�>�s::: � 0 � State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: •'• ;'?z?'. ,,<;` '`'`.°; ^'� M1J:•3'.•;`.`�,n yii:;:r..2wx :: Jiti'!..::::.i..ct •?.::�: State Lie. #: M...,:. ...::..... Name of Contact Person: J/M�;q Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: q S I # Stories: / # Units: Telephone # of Contact Person: 7 &D 'W 2, / ?v Estimated Value of Project: Lo 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES 'Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance -Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees