10-0557 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
.Application Number: 10-00000557 I
Property Address: 79800 HIGHWAY 111 STE 109
APN: 649-020-040- - -
Application description: SIGN
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 1100
Ta�v 4 4a Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
99C ONLY STORES
C/O JEFF GOLD
4000 E UNION PACIFIC A
COMMERCE, CA 90023
0
t
Contractor: tf r
SIGNARAMA 'UN
41945 BOARDWALK, "1" iJ
PALM DESERT, CA 92¢11
(760) 776-9907
Lic. No.: 830131
Date: 6/23/10
------------- ------------------------------------------------------------------------------
CENSED CONTRACTOR'S D RATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am lice sed under pro' }'�io s f Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pro ssion Cod�(an y License`s in full force and effect.
License Class: D42 C45 i No- 830131
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
O
Dat¢ �ZJ o�ctor:
/ !
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
OWNER- ILDER DE RATION
I hereby affirm under penalty of perjury that I am exempt from the Cc ractor's State License Law for the
insurance carrier and policy number are:
Carrier STATE FUND 4 Policy Nu er 1938607
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
_ 1 certify that, in the perform nce of the work or which this per issu , I shall not employ any
person in any manner so s to become s jest to th or rs' omp tion laws of California,
and agree that, if I oul become subja to the kers' c pens 'on provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor , I shall f i comp) a provi ons.
Id
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)•:
t3 la Ap t:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' COM ENSATION OVERAGE IS U LAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ,
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
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
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
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
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 no mme
within 180 days from date of issuance of such prermit, or c sation work for day subject
permit to cancellation.
I certify that I have read this application and state that the�bov anon i correct. gree to ply with all
city and county ordinances and state laws relating to buil ng c ns ion, d hereb uthorize r resentatives
of this county
county to enter upon the above-mentioned pro for i e io p po
51'6 Sig ure (Applicant or Agent):
t
Application Number . . . . . 10-00000557
Permit . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 12/20/10
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
NEON SIGN, PER SA # 2010-1442. 2007
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
1
LQPERMIT
Certificate of Compliance (Sign Li htin (Page 1 of 2) 13SLTG- C
P ect Name: Phase of Construction New Construction E3Addition ❑ Alteration
:�...= EAiT/ST
Function TypeOutdoor Signs 13Indoor Signs
Project Address: Date:
.78 '9�� ��� A1C �Q u'O 12 3 f �d Compliance Method Used [3 Maximum Allowed
Lighting Power ❑ Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and comp te.
Name w
�►� 6 ` Signature
Company � Date
Address
rIf applicable:
J 0 "j.4 1 �.u� �L C CEA #
Ciiio tate/Zip n CEPE #Phon
Principal Lighting Designer's Declaration Statement
• I 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 w th
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 docum nt
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 7
Address: ' / 71
ce� ^ns�e #
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
1
2i
3
4
amatory Sign Lighting Controls
§133(a)1 All signs with permanently connected lighting are controlled with an automatic time switch control
that complies with the applicable requirements of § 119
§133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
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
sign 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.
Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
during daylight hours.
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
illuminated signs or parts of signs.
§133(a)4 An Electronic Message Center (EMC) having a new 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
receiving a demand response signal that is sent out by the local utility.
Exception to §133(a)4 The EMC is required by a health or life safety statue, ordinance, or regulation,
including but not limited to exit signs and traffic signs.
Yes
X
11
Y I N
❑ ❑
fvunresraenuai compliance Forms
August
0
A
zuuo ivunrea;aenuat t-omptiance rorms August 2009
certificate of Compliance and Field Inspection Energy Checklist (Sign Lighting) (Page 2 of 2
SLTG-1C
Project Name:
Date:
Compliance Method
Maximum Allowed Lighting
Power
A
B
C D E F
G
H
I
J
K
oAllowed
U
0
y
C
dq
Description or location and plan location
Watts
Design
Watts'
Complies?
Y/N
Light
Source
Field
Ins ector2
L
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E �'E 3 C'i
bl) Y X C II II
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❑ ❑
❑
❑ ❑
Total Sign Area:
3.
1. Design Watts = total connected lighting load installed in the sign, including power used by lamps, ballasts, transformers, power supplies, etc.
2. 1 Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans ifnecessary. Use additional sheets i necessa
The sins identified above; use only one or more of the following technologies: list all applicable numbers that apply in column I above
/ I Htjzh Dressure sodium lamps
1 Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficiency
3 Pulse start metal halide lamps that are:5 320 watts, are not 250 watt or 175 watt lamps, and are served by a ballast with > 80% arcienc
4 Neon or cold cathode lamps with transformer or ower 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 of 80
7 Li ht emitting diodes LEDs with a power supply with > 80% efficiency
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 Ener � Commission as complying with the applicable requirements o the Appliance Efficiency Regulations(Title 20
9 1 Compact fluorescent lamps that do not contain a medium screw base sockets E24IE26
10 1Electronic ballasts with a fundamental outputfrequency > 10 kHz
Field Inspector Notes or Discrepancies
zuuo ivunrea;aenuat t-omptiance rorms August 2009
Bir #
City of La Quinta
Building & Safety DivLslon
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # J �j�
VJ J
Project Address: g(_) G ff t ( I
Owner's Nam ."-
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: %Zdlvyl�l ll
Address: 9 Z S /30c, v GW a �� S Te t?
::...:v�aMi
Telephone: .w'% ''
Project Description: oe�(Vt rti (l'I�v�t 1 !1(,t �e
City, ST, Zip: q /W!e r
Ne-mn cl� -V1 Vl e --
-
Telephone:
Telephone: i X00 - b
A . ,. • '„sJ � `
Stade Lic. # :
City'Lic. #.: q
Aro., Engr., Designer
Ad tess:
City., ST, Zip:
Telephone:I
'
ow
Construction Type: ti Occu an , J
State Lc. #:
Project type (circle one): ew Add'n Alter Repair Demo
Name of,Contact Person: i 1' /rte i�0 ,
Sq. Ft :02 3 . �i.9
# Stories: Al �
#Units:
Telephone.# 'of Contact Person:- G
— cj S
Estimated Value of Project: / b U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG
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
Title 24 CalcL
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontactor 1,6t
Called' Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Gia -ding
IN HOUSE:-
''' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
41 `.
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO (7 60) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
June 22, 2010
'Mr. M.A. Hashem
79800 Highway 111, Suite 109
La Quinta, CA 92253
SUBJECT: SIGN PERMIT 2010-1442
"DENTAL"
Dear Mr. Hashem:
The Planning Department has reviewed and approved your request for one illuminated sign
for the dental office located at 79800 Highway 111, Suite 109 within the Jefferson Plaza
commercial center, as shown in the attached exhibit. The approval is subject to the
following conditions:
1. This sign permit grants one 23.99 square foot sign on the south facing building
elevation. All signs will be internally illuminated. The materials for the signs are
per the approved plans on file with the Planning Department.
2. All signage shall comply with the Jefferson Plaza Sign Program.
3. A building permit shall be obtained from the Building & Safety Department prior
to installation of the signs if required.
Should you have any questions or need additional information, please feel free to contact
me at (760) 777-7125.
A"istant Planner
�C`: Building &Safety Department"
CASE
2111
L-
n
31.5"
164.5"
Materials:
Letters & logo cabinet are aluminum construction, 5" deep.
Letter faces are #2114 Blue acrylic, neon is Blue.
Logo cabinet face is White acrylic with digital print, neon is white.
Letter & logo cabinet trim and returns are Matte Black.
Letter Font: Helvetica Bold Letter Stroke: 4.3"
Business frontage: 24 Lineal Feet
Overall sign area: 21" x 164.5" = 23.99 Square Feet
Primary Sign for Minor Tenant at Jefferson Plaza
Sign Description: Customer: Telephone: 760-378-7484 Jobsite: Custo 8 oval:
Internally illuminated individual acrylic faced channel letters Jefferson Dental Fax: xxxxxxxxxxxx 79800 Hwy. 111 SIGNATURE PRINT NAME
and logo cabinet. Address: 79800 Hwy 111 La Quinta, CA 92253 Landlord Approval:
La Quinta, CA 92253
* A * A A
A 'r'
Contractor's Lic #
C45. I D42 830131
Workers Comp. #
Dwg. No.: 41740 Rev.: F
Date: 6-7-10
YOUR SIGNA TURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN A*RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION. THECOLORS SHOWNAREONLY
41945 BOARDWALK, STE. L
PALM DESERT, CA 9221 1
1640374
Sheet 1 of 1
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
P H 7 6 0. 7 7 6. 9 9 0 7
City Lic. #
Designer: FH
THIS DESIGN IS PROPRIETARY PROPERTYAND MAY NOT BE USED WITHOUT
F X 7 60. 7 7 6.9 844
4466
THE EXPRESSED WRITTEN CONSENT OF SIGN A*RAMA.
APPROVED BY PLANNING DEPARTMENT
BY DATE CQ -2Z -0
EXHIBIT Si V
CASE N1- S�� ,
164.511
DENTIST
Materials:
Letters & logo cabinet are aluminum construction. 5" deep.
Letter faces are #2114 Blue acrylic, neon is Bluc.
Logo cabinet face is White acrylic with digital print, neon is white.
Letter & logo cabinet trim and returns are Matte Black.
Letter Font: Helvetica Bold Letter Stroke: 4.3"
Business frontage: 24 Lineal Feet
Overall sign area: 21" x 164.5" = 23.99 Square Feet
Primary Sign for Minor Tenant at Jefferson Plaza
Sign Description:
Customer: Telephone: 760-378-7484
Jobsite: Customer Approval:
Internally illuminated individual acrylic faced channel letters
Jefferson Dental Fax: xxxxxxxxxxxx
79800 Hwy. 111
logo cabinet.
Address;
79800 Hwy 111
SIGNATURE PRINT NAME
La Quints, CA 92253 L ord App I:/ytetvw
4
0
La Quints, CA 92253
si NAME
�
S•d ��*�*°1'•'•R®%A �
contractor''; LIC #
Dwg. No.: 41740 Rev.: F
YOUR SIGNATURE ACKNOWLED SFULLAPPROVALOFDESIGNCONTENT
C451 D42 830131
Workers Comp. #
Date: 6-7-10
ANDLAYOUT. RELEASING S1GN'A'RAMAFROM RESPONSIBILITY INREGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWNARE ONLY
'REPRESENTATIVE
t.�A LSJ:wvAfA
"'
41945 BOARDWALK, STE. L
PALM DESERT, CA 92211
1640374
Sheet 1 of 1
OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BEMATCHEDASCLOSEASPOSSIBLE,COMMENSURATE WITHMATERIALSUSED.
(UP&Aq
P H 7 60. 7 7 6. 9 9 07
City LIC. #
Designer: FH
THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WfTHOUT
FX 7 60. 7 7 6.9 8 44
4466
THE EXPRESSED WRITTEN CONSENT OF SIGNWRAMA.
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