06-2107 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: <06-00002107
Property Address: 79800 HIGHWAY 111 STE 109
APN: 649-020-040- - -
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 4000
T 0
it�v 4'4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
99C ONLY STORES
C/O JEFF GOLD
4000 E UNION PACIFIC AVE
COMMERCE, CA 90023
Um ontractor:
Architect or Engineer: MPERIAL SIGN CO, INC.
6120 CALHOUN
MAY 2 3 2006 NDIO, CA .92201
(760)347-3566
C/TYoF LiC. No.: 2.07136
FIIVAIv � QUINTA
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/22/06
-------------------------------------------------------------------------------------------------
CENSED CONTRACTOR'S DECLARATION _WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perju that am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the s nd Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licens Class: C C61 D License No.: 207136 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
at ontractar: �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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HRH INS Policy Number 142483705
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any ma r as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that oul become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or /_/� PZQO of the or CQ e I shall forthwith comply with those provisions.
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.l.
(_ 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 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:
LQPERMIT
Date:
WARNING: FAILURE TO SECURA AKERS' 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 applicatio nd st that the above information is correct. I agree to comply with all
cit d cou ty or •nances an tate latin to building construction, and hereby authorize representatives
thi uqt er upo he a -menti d roperty for inspection purposes.
Application Number . . . . . 06-00002107
9
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
.. 0
Expiration Date 11/18/06
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 INTERNALLY ILLUMINATED CHANNEL
LETTER
SIGN PER SA#06-986
Fee summary Charged
Paid Credited
Due
Permit Fee Total 30.00
.00.
.00
30.00
Plan Check Total .00
00
.00
00
Grand Total 30.00
.00
.00
30.00
LQPERMIT
9
e. et1K, r3r,�xx.+r �{ s r,nc!'�:cs� tJ ,F..a ut a t?a .r �� :� ; �r, n a� krva� aa.» taa.ac�;►c:+y a.., a; :.x a<: ...c:
Bin # City. of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
-Project Address: 79-800 Highway 111, Ste. 109 Owner's Name: REA
A. P. Number:
Address: 5010 N. Parkway
Leval Description:
City. ST, Zip: Calabasas, CA
Contractor: Imperial Sign Co
Inc
FTcicphonc: 818.223.33000
Address: 46-120 Calhoun St.-
Projcct Description: Prizma Jewelers
City, ST, Zip: Indio, CA 92201
1 illuminated' sign
Telephone:760.347.3566
7"- _
State Lic. # : 207136
City Lic. N:
Arch., Engr., Designer:
Address:
—
City, ST, Zip:
Telephone:
te"'+.,'. ,.:�Y '. _ +?r
-
Consuuction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter
Repair Demo
Name of Contact Person:Jim
I
Sq. Ft.:
#Stories:
# Units:
Telephone N of Contact Person: 769,347,3566
rEstimatcd Value of Projcct: $ A.000,ogr,
APPLICANT: DO NOT WRITE BELOW THIS LINE
q Submittal Rcq'd Rcc'd TRACKING PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subeontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAM.
II.O.A.Approval
Plans resubmitted
Grading
IN MOUSE:-
''' Review, ready for corrcctionslissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I CERTIFICATE OF COMPLIANCE (Part 1 of 2) OLTG-1-C
This certificate applies only to building lighting requirements. -
The documentation preparer hereby certifies that the d mentatio is accurate and complete.
AUTHOR
5-22.-06
The Principal Lighting Designer hereby certifies that theo e outdoor lighting and signs design represented in this set of construction documents is
consistent with the other compliance forms and worksheets, wi the specifications, and with any other calculations submitted with this permit application.
The proposed building has been designed to meet the lighting requirements contained in the applicable parts of Sections 110, 119,130 through 132, 146,
and 149 of Title 24, Part 6. Please ✓ one:
❑ I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or I am a licensed architect.
I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this document
as the person responsible for its preparation; and that I am a licensed contractor performing this work.
❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document because it pertains to a
structure or type of work described as exempt5ywu9aQto Business and Professions Code Sections 5537,5538 and 6737.1.
(These sections of the Business and Profes i s Code orinted in full in the Nonresidential Manual -11
\V JIVI\CR�I\WVIC� .��t�nR+tRI�. -� I Z�0 F' I LIC.tf��
INSTRUCTIONS TO APPLICANT OUTDOOR LIGHTING C PLIANCE & WORKSHEETS (✓ box if worksheet is included)
For detailed inshwctions on the use of th/s and all Energy Eftiency standards conlplancs forms, please refer to the Nonresidential
MapWa1published by the California Zvrgy Commission.
OLTG-I-C
Certificate of Compliance. Required on plans for all submittals for outdoor lighting. Part 2 of 2 may be incorporated in
schedules on the plans.
Either LTG -1-C or OLTG-1-C may be used for signs as follows:
1. Use LTG -1 -C if the project consists solely of indoor signs
2. Use LTG -1-C if the project consists of indoor lighting, and outdoor or indoor signs, but no other outdoor lighting.
3. Use OLTG-I-C if the project consists solely of outdoor signs
4. Use OLTG-1-C if the project consists of outdoor lighting, and indoor or outdoor signs, but no other indoor liqhtincl
❑ OLTG-2-C
LIGHTING COMPLIANCE SUMMARY. Applicable Parts required for ALL outdoor lighting allowances (Except for Signs)
❑ TG -3-C
AREA CALCULATIONS WORKSHEETS. Applicable parts required for all outdoor area calculations.
OLTG 4-C
SIGN LIGHTING COMPLIANCE. Required for all internally and externally illuminated signs, for both indoor and outdoor
signs.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
2005 ronresl fe fr e0MMUMION
DATEJ 22' oG
March 2005
PROJECT NAME CERTIFICATE OF COMPLIANCE (Part 2 of 2) OLTG-I -C
Prizma Jewelers
Li2hting Schedules on Plans Show that Outdoor Lighting Meets Allowed Lighting Power
❑ Lighting power allowances for general site illumination on OLTG-2-C Part 1 of 4
Not Applicable
❑ighting power allowances for local ordinances or for security multipliers on OLTG-2-C Part 2 of 4
L�Not Applicable
❑ ghting power allowances for specific applications, other than vehicle service stations with canopies on OLTG-2-C Part 3 of 4
I Not Applicable
❑ Lighting power allowances for vehicle service station canopies on OLTG-2-C Part 4 of 4
LTJ Not Applicable
Sign lighting compliance on 0LTG-4-C
❑ Not Applicable
Mandatory Measures on Plans Show that Outdoor Lighting Meets Outdoor Lighting Controls and Equipment
Indicate location on plans of Note Block for Mandatory Measure
❑ Installed lighting power has been determined in accordance with § 130(c)1
E Not Applicable
❑ All permanently installed luminaires with lamps rated over 100 watts either have a lamp efficacy of at least 60 lumens per watt or are
contrplled by a motion sensor § 132(a)
Not Applicable
❑ All Luminaires with lamps rated greater than 175 watts in hardscape areas, including parking lots, building entrances, canopies, and all
zsales areas meet the Cutoff Requirements of § 132(b)
Applicable
All permanently installed outdoor lighting meets the Control Requirements of § 132(c)1
❑ Not Applicable
7Iding facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi-Level Lighting Requirements of § 132(c)2
No'tApplicable
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL CONTROL TYPE AREA CONTROLLED NOTE TO
IDENTIFICATION Auto rime Switch/Photosensor, etc FIELD
Interior a INT-T101 Time Switch Entire Sign
a,umpuance corms Manch 2005
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