Loading...
10-1300 (SIGN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: L1-0'-00001300_ Property Address: 79845 -HIGHWAY 111 STE 102 APN: 600-020-034 - - Application description: SIGN Property Zoning: COMMERCIAL PARK Application valuation: 4000 Applicant: r Tiht 4 Xfv Qum' Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KOMAR INV 23 CORPORATE PLZ STE 247 NEWPORT BEACH, CA 92660 Contractor: ULTRASIGNS, INC. 9025 BALBOA AVENUE SAN DIEGO, CA 92123 (858)569-1400 Lic. No.: 799881 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/10 ------------------------------------------------------------------------------------------------- .t LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theB sand Professionals Code, and my License is in full force and effect. License Clas}s: C45 Li ense No.: 799881 /te: ��'JD• �C1 ntractor. V.fes..-�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perj y 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).: (_ I 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.). (_) 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 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 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. ' VI 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 STATE FUND Policy Number 1711028 _ 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 Iawt of California, and agree that, if I should become subject to the workers' compensation provisions of Section 1t3700 of the La r Code, al forthwith comply with those provisions. Dater('ya • 16 pplicant:l WARNING: FAILURE TO SE URE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD N 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 a ding construction, and hereby authorize representatives ;of thihis county to enter upo eabove-mentioned rop ty for inspe '"purpoe, ate: D ignature (Applicant or Agen LQPERAIIT - Application Number . . . . . 10-00001300 Permit . . . ELEC-ELECTRICAL SIGN Additional desc . Permit Fee . . . . 30.00• Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/29/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL 1 INTERNALLY ILLUMINATED CHANNEL LETTER SIGN PER SA #2010-1489. "EWE' N ME." 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 LQPERAIIT - 4 Certificate of.Com liance Si ` n U htin) (Page 1 of 2) SLTG-1C I'�ojccr Name; '/ 10— Phase of Con§tnicliGn ❑New onstruction [3 Addition 13 Alteration Date l 30. r6 Function Type W91fdoor Signs ❑ Indoor Signs Projcct Address: ti - L CEPE N Datc; Compliance Method Used ❑Maximum Allowed, Principal Lightink Designer's Declaration Statement • T am eligible tinder Division 3 of the California Business and Professions Code to accept responsibility for the lighting l desig+t. iting Power ❑ Alternate Lighting Sources Documentation Author's Declaration Statement • l certify that this Certificate of Compliance documentation is accurate and complete. — Name Si at re '/ 10— Cot pan Mg Date l 30. r6 Address Zol'k((— C> If applicable: CEA # CEPE N Cit /State/Zi P o fo J G� Principal Lightink Designer's Declaration Statement • T am eligible tinder Division 3 of the California Business and Professions Code to accept responsibility for the lighting l desig+t. -t + • This Certificate of Compliance identifies the lighting features and perfonnancc specifications required for compliance with Title 24, Pages I and 6of,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 c6nipliance forms, worksheets, calculations, plans and specifications submitted to'the enforcement agency for approval with "this building permit application. Nan e: •SZ.If� � gna it Con n 'M � ��� Phone 'I Ad ress: 2.6 WON �a l.' 1. e a Cit State/Zip: Y vL. �. 3 Dt � • 3t� � l Sign Mandatory Measur s Indicate locution on building plans of Mandatory Sign Measures Note Block: t Mandatory Sign Lighting Controls Yes I No 1 §133(a)l. All signs with permanently connected lighting are controlled with an automatic time switch control❑ that complies with the applicable requirements of 119. §133(x)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control. ❑ 2 Exception to §l33(a)2. Outdoor signs are in tunnels or large covered areas that require illumination during daylight hours. _ . ❑ t §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce sign power by a mimtinum of 65 percefit'during nighttime hours. ❑ Exception l to §133(a)3. Signs`are illuminated for less than one hour per day during daylight hours. ❑ 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 ns or arts of sighs. ❑ §133(x)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 mininunrt 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, Y N N/ inch din = but not limited to exit signs and traffic signs. ❑ ❑ .t 2008 Nonresidential Compliance Forms Augtrs12009 Certificate of Com fiance and`.Field Ins ection.Ener Checlaist (Sign Lighting) 1 (Page 2 of 2) SLTG=IC Project Name: Date: r Compliance Method Maximum Allowed Lighting Power _ A - B C D E F G H • 1 -J . 'K I Design Complies? Light' 1!F.ield z Allowed Watts Watts' Y/Nr Source., . ilnstector2 N O — 0 i J o v Q N 3 = 1 c Cc eL~i E 3 N N' 2 u 3 x O U 1-0 =4 y CLL o ti t C' Description or location and plan location �' 3 = ` = p _- ¢ 'II 3 VI v o y �, c3 " -' �: ti , ❑ ❑ +❑ t ❑ .oma ; ❑ = 36tal S i ` n Area: 1. Design Walls= total connected lighting'load installed•in:the sign, including power used by lamps, ballasts, transformers, power supplies, etc. 2. If Fail then describe on Page 2 of the has rection Checklist Fo,n and take a rop riote actiari to correct. --Verify btrildin plans if necessorn Use additional sheets if necessary. The sign(i) identified above; use only one or more'of the followin� technolo 'es:' list`all applicable numbers that apply in column:[ above High pressure sodium lamps J t 2 1 Pulse start ar c•erainic metal halide lainps served by a ballast �tiilh '>_ 88% efficiency 3 :Pulse start metal halide lamps that are < 320 watts: are -not 250 wan or'l75 watt lath s, and are served by a ballast with > 80% efficiencv f 4 Neon or cold cathode lams with transformer or power supph, v e iciencG >_ 75'% with rated output current < 50"mit 3 t 5 Neon or cold cathode lams with transformer or povversztpplvefficiencro >_ 68% with rated output current :> 50 mA. 6 rFhtorescent lams eivith a minimum, colorr&iderin index (CRI) gf80, 7 1 Li 'ht emi ling diodes (LEDs):with a - owersit h, with >-80% efciencv - t 8 1 Single voltage LED vernal power supplier designed to eon�ert 120 ioh AC input into lower voltage DC or AC output, having a nameplate output power Fess than or equal to 250 watts`bnd 'certifted to the Ener Commission as cam Ivittwith thea licable requirements of the Appliance F_ tciencv Re dotions i420 - 9 ! Com act uorescent lamps that do not contain a medium s`crevkfibase soikels (E24/E26) - /0 ; -Electronic ballasts with a fimclamental out ut re uencv > 20 kHz i Field Inspector Notes or'Discre ancies 2008 Nonresidential Compliance Forms August 2009 P i INSTALLATION, CERTIFICATE ' r ( artl of 2)5 fi SLTG-INST PROJECT NAME: DATE: -- lnslcillbtion Certificate. T Lic+-tt� Date Signed: � % - t; 6 .PROJECT—ADDRESS: S: ..._ ,.�...,.�, ti r `l- S Ot _--�- 1 y %, -,4c t ; ,i Chm -d by(D1tc s Gnfuic t, Agency Use + .GENERAL INFORNIATION DATE OF BUILDING PERMIT PERMITfl BUILDING TYPE Outdoor Sign ❑Indoor Sign PHASE Of CONSTRUCTION New Construction ❑ Addition -To Alteration U*more than one person has responsibility for building ronstnrction, each person shall prepare and sign an Installation Certificate document applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate documents) for the entire construction. DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this fon" 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 constriction (responsible person). • 1 certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the Certificate of Compliance that apply to the installation have been met. • 1 will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Cerlilicate is required to be included with the documentation the builder provides to the building owner at occupancy. CompanName: t �j K610k 6 l e: Responsible Person'ffdr16C_y- R ponsibte PeP lnslcillbtion Certificate. T Lic+-tt� Date Signed: � % - t; 6 o ' ' n With Company: A&KA('0 SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance shat provides Date: the specifications for the enerV efficiency measures for the scope of responsibility for this lnslcillbtion Certificate. In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility for this Installation Certificate. Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. _ Date.Approved By4 the Enforcement f Agency , _T_ 2008 Nonresidential Compliance Forms August 2009 ' INSTAL•�ATION. CERTIFICATE �'(Peirt,2'of 2) SLTG-INST t In the table below identify all applicable construction documents lhgl speci/i, the requirement s fir the scope of responsibility,r•eportedby this Installation Cert fcute.(coniineted). Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By r the Enforcement 2008 Nonresidential Compliance Forms August 2009 / \ . � �\ ' a c m � § o o c§ (D 0). E 3 :3 41 � D aco k � ® 2 �� © 4 2 @ c % U) \ k o kCL @ o 4 2 @ . co? � c 72 ® � \ D > m 2 k 0. k k` w 2 # m § 0 2 k o 2 f c z a i m m£ � � o k a L « Co co § k c 2 . . 0 E � �� 7 % _ $ m f g Co 7 � # 2k § £ 0�t 0 c 1 R @� o c �� w �_ k_ o k oo '\00 K 2 © ■ @ 2 N qU.J� 0 % U c E C k Z § 2 § 2 cc 2 o c Qle w �2Q o k/ �� o k t k� 2 k E ? k:ƒ o vƒ§ $ v tu c 0 f CN ƒtQ« 2 kk o0) �_ k k uj // 3 « « 2 g 0 coo • � f c, oo 0 �' k ƒ Uj— . c � 2 L 2 � 2= � R■ z k 5 k U) CO k w k= U a ƒ E & (D 0 E t � 3 � t U) k 0 k � MM F. a+ O � iYi W a w bA 1 t• O U cp U q e�. pe q 'a�f p a.. u a O N tJ j 0°1 aqa 2t u q Ma i 7U v "� p ,v a. � z g W O LU 0 648 oo_ k' W o O L y F O V QO V U ' U a y Qy et at a q CC -19 a co `° u �