11-1361 (SIGN)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00001361 !
Property'Address: -79815 HIGHWAY 111 STE. 101
APN: 600-020-034- - -
Application description: SIGN
Property Zoning: COMMERCIAL PARK
Application valuation: 25000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 92660
Contractor:
Applicant: Architect or Engineer: SIGNARAMA
41945 BOARDWA K
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 CI a s: D42 C45 License No.: 830131
Date: Contractor:
>i
- OWN -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
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 1, 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. , 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
PALM DESERT, CA
(760)776-9907
Lic. No.: 83013
c�
211L, (r
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/11
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
3700 of the Labor Codd, I shall forthwitl comply with those provisions.
Date: �' 23 / Applicant: ✓lZ... ilit�+
WARNING: FAILURE TO SECURE WORKERS' COMP ATION 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, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes//%
Date: Signature (Applicant or Agent):
Application Number . . . . . 11-00001361
Permit . . . ELEC-ELECTRICAL SIGN
Additional desc .
Permit Fee . . . . 60.00 Plan Check Fee
.00
Issue Date . . . Valuation . . .
. 0
Expiration Date 6/20/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
;
45.00
-------------------------------------------------
Notes and Comments
(3) 85" DIAMETER ALUMINUM CAN SIGN WITH
PUSH -THROUGH ACRYLIC LETTERS. SIGN
PERMIT 2011-1580 "BURGERS AND BEER".
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 60.00 .00 .00
60.00
Plan. Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 61.00 .00 .00
61.00
M
LQPERMIT
ill{ ni;t�1�-:.. i..•<tE .
Certificate of Compliance (Sign Lighting)
Pae i of 4)_ 5LTG;4U
Project Name: l CrYZ_
Date: Z3 1
Project Address: -7e7 ..�) s �W" �� J �-f� �0
Installation Declaration statement
Lc, eA
-- - -
Location of Sign utdoor Signs O Indoor Signs
representative of the person responsible for constntction.
Phase of Sign Construction tete Signs O Sign Alterations
Type of Lighting Control el Lighting Controls O Replaced Lighting Controls
O Not Installing Lighting Controls... .
This Certificate of Compliance includes the following components (check all that apply)
a I certify that the requirements detailed on this Certificate of Compliance have been met.
O Mandatory Measures (Lighting Controls) 13 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.
( 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 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 doctunenit
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: --I—
- 6/z>> Signature
Company: Gr✓t 0. Phon 7.4-0 7-76 Z 4 d 7
Address:U License number (may be con
�l9
—;30a,/ Gv�L e L. o
City/State/Zip: Date
-Lr-1�Sc2T 9 Zzt 1 /Z /Z3111 -
2. Installation Certificate (to be signed by responsible rson after installation)
Permit number
cmcttedby/o to
Ationcy Use
Entbroemst Agemy Use
Installation Declaration statement
• I 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 constntction.
• 1 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.
a I 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 provides` to the
building owner at occupancy.
Company Name:
Responsible Person's Name:
sponsible Person's Signature:
License number (maybe contractor's lic #) j_D-,.S7isn.4d-:Position
With Company:
2008 Nonresidential Compliance Forms
July 2010
Certificate of Compliance (Sign Lighting) Pa e 2 of 4 SLTGIC
Project Name:
V !/i 2 t;. �' 1R. S s C L� 12, Date:
!Z 23 l l
3. Mandatory Sign Lighting Controls
NOTES:
l: The manclatory Measurrs (sign lighting controls) erre required for compliance III the sign lighting Standards. The sir►rie
responsible person ►nay install both the sign and the sign lighting controls, or a different responsible person' nir; rnsjejk:fhe
sign lighting controls than the responsible person installing the sign.
1. IJ'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 !rave the sign lighting controls installed
3. if more than one person has responsihility for Compliance, each person shall prepare and sign a Certificate of Compliance
and an Installation Certificate applicable to the portion of construction for which they are responsible: alternatively,.lhe
person with chief responsibility for constntc•tion shall prepare and sign the Certificate oJ'Compliance Declaration -statement
or the entire constntction.
3a. Statements of Responsibility: -
ThFe in the Certificate of Com liance Declaration Statement shall check Yes or No for all of the followingstatements:
1onsibility for installing the sign lighting controls
m lete arts 3a and 3b of this form o, com tete art 3a of this form2o existing sign lighting controls and I will be installing compliant sign lighting controls
°3o existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls.
❑ Yes No
The are existing sign lighting controls that do not comply with the applicable provision of § 119 and § 133 and I will be
4 installing compliant sign lighting controls
❑ Yes No
�__.�..��
There are existing sign lighting controls that do not comply with the applicable provision of §119 and § l33 and so neorle else
5 will be responsible to install compliant sign lighting controls
❑ Yes
3b. Mandatory Sign Lighting Controls
�
The person signing the Certificate of Compliance Declaration Statement shall answer all of the fol lowing questions
res onsible for complyingwith the si lighting
if they are `
control requirements.
If there are construction documents, indicate where on the building plans the
mandatory measures(sign lightin9 control note block can be located:
1 §133(a)l. All indoor sign lighting is
controlled with an automatic time switch control that complies with the
applicable r uirements of 1 l9.
Y N NA
§ l33(a) t and 2. All outdoor sign li ting
control or an outdoor astronomigcal t me switch, thaticomwlt�an:a:utomaticcontro 1u1 a ph
2 wtuirements
❑ `:.....0.
Y N NA
he alicable rtime
oftch
Exception to §133(a)2. Outdoor signs in tunnels or large covered areas that require illumination
da li ht hours.
D ❑
daring
§133(a)3. All outdoor signs are controlled w13 ith a dimmer that
y NA
E3sin
provides the ability y to automatically reduce
ewer b a minimum of 65 ercent dorm nighttime hours.
Y N NA
Exception I to §133(a)3. Signs illuminated for less than one hour per day during daylight hours.
3
13 ❑ ❑
y ,;.Nk
Exception 2 to §133(a)3. Outdoor signs in tunnels or large covered areas that re uire illumination Burin
da li ht hours. q
0
g
Exception 3 to §133(x)3. Only metal halide, high pressure sodium, cold cathode,
illuminatin
Y NA
❑ ❑
sl s or arts of sips. ur neon lamps used for
§133(9)4. An Electronic Message Center
Y NA
(EMC) having a new connected lighting
15 kW has a control installed capable of reducingthe lighting
g power load greater than
❑
i
4 receivin a demand res onse si al that is sent out b the local
Exception to §133(a)4. EMC lutili! by a minimum of 30 percent when
Y N N/A
❑y Q
required by a health or life safety statue, ordinance, or regulation, including
but not limited to exit si ns and traffic si ns.
a
Firld Inspector Notes:
❑ ❑
.
r•: T1._-..__.
2008 Nonresidential Compliance Forms
Jttly 2010
`.J:
Certificate of Compliance (Sign Lighting) (Page 3 of 4 SL C= C
Project Name:-8
ame:Date:
CA 2 G
x'12 $ L1 J�CLs'12
4. Maximum Allowed LiahtinQ 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�Iecg,Rart.5
of this Certificate of Compliance if there are signs using the S ecific lighting sources method of compliance
A
B
C
D E I F G
H
I
J.
Allowed Watts
Design
Complies?
.2
Watts
Y / N
�.
v
N
..Field
o
�.
°
o
a
is
b
z
Inspector
Check that
v
U.
x
.r
w
Sign
rZ
¢ti
N
�_
Com lies
P
M)
in
W
a v w
a
o
F,
U
+bcir��-.ti•
Description
Q�µ,r►�.Nk,� C. s
s°�
12/�5�
Y
o .
0
0
0
0
0
0
0-1
0
A
Symbol or code used on the plans when plans are Muired) and other documents.
B
A narrative description of the sign, or location of sign on the buildin • and the location of sign on construction documents.
OPTIONAL - Check this box only if this sign has a
permanent, pre-printed, factory -installed label, listed with Underwriters j,aporatory .
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) Intemationai
or
Standards Organization (ISO) 17025 in accordance with ISO/IEC 17011 with the products produced under an inspection
C
ongoing program
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 sucha
label, columns 'D' through '1' are not required to be filled out. Note: Using a label is an optional method to
not needed for compliance. validate compliance. A label is
The sign area in square feet.
D
E
List "I" if the sign is interrially illuminated. List "E" if the sign is extemally illuminated.
F
G
Allowed watts Per Square foot. Enter 12 if the si is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
Multiply the square footage in column D times the
H
allowed Lighting Power Density LPD = watts in column F.
Show the total installed watts in the sign. as determined according to the
I
applicable envisions of ' 13 d or c).
Enter Y if the number in column His less than ore ual to the number in column G. Otherwise, the does
J
sign not comply.
This a e doubles as a field insnection check 11_Qt
Field Inspector Notes:
2008 Nonresidential Compliance Forms
July 2010
Certificate of Compliance (Sign Lighting) Pa e 4 of 4 SLTG-1C
Project Name: o°tc:
5. Speciflc Liehtinp- Source Method of Compliance
Certiflcate 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 wer method of compliance)
A I g C D I E
Field_
Inspector
fti$iWthat
Sign
COtn(ttr s
Symbol
or
Code
Description
)P_TIONAI
UL
or other
label
(scc
instructions
below)
ve
J
C
A
Specific light source used for
compliance
Shall include only lighting
technologies listed below
List all that apply
13
O
A Symbol or code used on the elans when plans are uired and other documents. `
B A narrative descri tion of the si , or location orst= on the buildin • and the location of si on construction documents
C OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed label, listed with Underwriters;l:a'bora
(UL) or other testing laboratory accredited by the National Voluntary Laboratory Accreditation 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 ISOI 17020, confirming that this sign complies with the Section 148 of -the
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 uired to be filled out. Note: Usin a label is an optional method to validate compliance. A label is not needed for corn liance.
Specific Light hipSource
mimbeCompliance Method. The sign
List all alicabte nus) identified above use only the following lighting technologies:
rs I throu 10 that apply in column D above for each row.
2 Pulse start or ceramic metal halide lamps served b a ballast with .2:88% efficienc
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% efficienc
4 Neon or cold cathode lam s with transformer or Power supply efiicienc 2 75% with rated output current < 50 MA
D 5 Neon or cold cathode lam s with transformer or )ower su 1 efficiency _> 68% with rated ou ut current > 50 mA
6 Fluorescent lamps with a minimum color rendering index (CRI) of 80
Note: when using electronic ballasts for compliance, lamps with a CRI < 80 ma be used
7 Li t emitting diodes LEDs with a wer supl with > 80% efficiency
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 the licabte re uirements of the A liance Efficienc Re Mations Title 20
9 Com ct fluorescent lam s that do not contain a medium screw base sockets E24/E'7,
KN
Electronic ballasts with a fundamental out ut fr frequency _> 20 kHz ` "
E This a e doubles as a field ins tion checklist.
Field rmpector Notes:
2008 Nonresidenlial Compliance Forms
July 2010
RuC.09 2011 3:07PM HP LRSERJET FRX
r- 5" - 1
p.l
E)USTING WALL
TRIM CAP
ALUMINUM RETURN
010 FAETI:NERB APPROPRIATE
FaR NUILDIma SUBBTRATE
NEON TUBBS
3/16" ACRYLIC FACE:
ALUMINUM BACK
15,000N HIGH YOLYAOE CAEILE
PRIMARY ELECTRICAL
TRANSFORMER
W/ 015CONNCM SWITCH
a INT11110" OI1
WATER PROOF CONDUIT
GROUND FROM BUILDING
BONDING WIRE
STANDARD GLASS STANDS
VM" DRAIN HOLES
FACE ILLUMINATED FLUSH MOUNT
NEON CHANNEL LETTER
(TYPICAL CONSTRUCTION)
COMPLIES WITH 2010 CA ELECTRICAL CODE and ARTICLE 600
of the NATIONAL. ELECTRICAL CODE, U.L. LISTED & LABELED
Drawing No.: ED10011
Revision: B
Date: 4-19-11
Drawn By: RA
Approved By: FH
SZGN'�,-A*RAMA
TN/ 0040"RL4A VALL VIS PYLL !lwV10[ liaN C�NTt11
141-010 00Amwdk, raft. L, P&6n o.wrt. CA 0M11 Ph. 760.77ft.2907
Bin # .. I ..
.: Qty Of la n[1111�
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Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:'J9 4/ s L44,)� s r< JDJ L Zzs3
Owner's Name: M o o LO or,�oL�
A. P. Number:
Address:17 9- 215'
Legal Description:
City, ST, Zip: (-- Q44, J-rq C, ZZ S3
Contractor: b iv— A a rvt
Telephone: .<,,;.Lv>.:
X.
Address: 411— 9 t,/ s JJ c -,,4--/ /n-,•-L lC S'-r r L
Project Description: L^
City, ST, Zip: — �- tnT CI 2Z 1 1
Ck
Telephon '%6v 7%6 QO
:.::.:: viik:Y:k�'vt:iui`v:+xj ;��n'�'?�:r'�::i�•
'LCrL
City Lic. #.-..q -) po S 9 I
Lt OA
State Lic. #: 0 3 0 1 •3 j
12N. 5
Arch., Engr., Designer:
G ! G C�
Address:
City, ST, Zip:
`lf<i+:�iii>'u'ct�.i:j�' vL$CH.tt>ViK:+,'f,Iv:ML,'•hi:+:;iii}{
Telephone:
'•''.i'ktLy,:.vri:i{if,.4;.: ;.y,.:'a�.:;: nv•
State Lic. #: `.<> <'<.%z:.'>sr>„< : z<-----:::;> L ,::
�v,�$:iiiY,.H,.•...tiri:i�i?i::Li ..:.•kf. .: . ..t:.,
Name of Contact Person:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: Z s CXVID , "y
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
�f (�
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 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 correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.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 9225.3
December 20, 2011
Mr. William Sigurdsen
Sign*A*Rama
41-945 Boardwalk
Palm Desert, CA 92211
P
SUBJECT: SIGN PERMIT 2011-1580: BURGERS AND BEER
Dear Mr. Sigurdsen:
(760) 777 -7000 -
FAX (760) 777-7101
The Planning Department has reviewed and approved your request for three illuminated
signs for "Burgers and Beer", located at 79-815 Highway 111, Suite 101, within the
Komar Desert Center, as shown in the attached exhibit. The approval is subject to the
following Conditions:
1. The signs are permitted on the west, east, and south .building elevations as
shown in the graphics on file with this application.. Each sign is limited to a
maximum of fifty (50) square feet (85" x 85"), with internally illuminated
push-thru acrylic letters. The materials for the signs are per the approved
plans on file with the Planning Department.
2. 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.
Sincerely,
ERIC CEJA
Assistant Planner
C: Building & Safety Department