BSIG2018-000678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
To. 4 4� Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
SIGN/
BSIG2018-0006
78401 HIGHWAY 111
604050059
PLAZA LA QUINTA /SIGNS
$3,000.00
7•
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/29/2018
Owner:
HARSCH INV REALTY
1121 SALMON ST 4TH FL
PORTLAND, OR 92253
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 Professions Code,
and my License is in full force and effect.
License C ss: D42. Cc45 License No.: 8301
Date �/
T Contractor:
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).:
(_) 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.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
ontractor:
D GROUP DBA SIGNARAMA
1945 BOARDWALK SUITE L
ALM DESERT, CA 92211
(760)776-9907
Llc. No.: 830131
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: ACE AMERICAN INSURANCE COMPANY Polity Number: RWCC64396857
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 Code, I shall forthwith
comply with y
oseLrovisions.
Date: � Applicant:
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 Building Official 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned roperty for inspection purposes.
Lender's Name:
Date: �� Signature (Applicant or Agent):
Lender's Address:
Date: 3/29/2018
Application Number: BSIG2018-0006
Owner:
Property Address: 78401 HIGHWAY 111
HARSCH INV REALTY
APN: 604050059
1121 SALMON ST'4TH FL
Application Description: PLAZA LA QUINTA/ SIGNS
PORTLAND, OR 9253
Property Zoning:
Application Valuation: $3,000.00
Applicant.
Contractor:
PD GROUP DBA SIGNARAMA
PD GROUP DBA S GNARAMA
41945 BOARDWALK SUITE L
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
PALM DESERT, CR. 92211
(760)776-9907
Llc. No.: 830131
Detail`. LED CHANNEL LETTER SIGN [PLAZA LA QUINTA) PLANNING PERMIT SA2017-0031.
PER 2016 CALIFORNIA BUILDING CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT 'QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306. 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIO14 BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0.
$3.25
Total Paid for ELECTRICAL: $3.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$53.06
Total Paid for SIGN: $53.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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PERMIT # Cp
PLAN LOCATION:
?roject Address:-le,�Ieql �� l (
-Project Description: Pool, Remodel, Add't, Elect, -Plumb, Mech
kPN
elephone: 0—
6
mail: Sl 6I -J A (4- V-\ q-,
kpplicant Name:• 1�v
tate Lic: 231)A3 City Bus Lic: C�-7 6-0 Sq�
kddress: ��LfT� j t�' w I 1
:ate Lic: City Bus Lic:
,ity, ST, Zip:
'elephone:
,mail: o dl i � `
Valuation of Project $ 3
;ontractor Name: _
New SFD Construction:
►ddress: Ay (��� /"� �1 S� t`�l✓
Conditioned Space SF
;ity, St, Zip L ce'. "L �� 1 .�
Garage SF
elephone: 0—
Patio/Porch SF
mail: Sl 6I -J A (4- V-\ q-,
Fire Sprinklers SF
tate Lic: 231)A3 City Bus Lic: C�-7 6-0 Sq�
.rch/Eng Name:
Construction Type: Occupancy:
.ddress:
Grading:
ity, St, Zip
Construction Type: Occupancy:
elephone:
Bedrooms:
Stories:
# Units:
mail:
:ate Lic: City Bus Lic:
roperty Owner's Name: �/wy� V
New Commercial / Tenant Improvements:
ddress: -7,�,- Ll 0 t (N
Total Building SF
ity, ST, Zip (n r� ti3
Construction Type: Occupancy:
.lephone: -76 fj .-'7-7
nail:
cis L.
78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000
STATE GF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-017E
Sign Lighting (Page 1. of 5)
Project Name: Date Prepared:
A. General Information
NOTES:
1. The some responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
Project Address:�
,
/ ) I 1
�
general contractor, or architect shall be responsible to have the sign lighting controls installed.
--;ll
U ..�
c-,., t,
Location of Sign
I&Outdoor SigAs
❑ Indoor Signs
Phase of Sign Construction
❑ New Signs
❑ Sign Alterations
Type of Lighting Control
❑ New Lighting Controls
❑ Replaced Lighting Controls ❑ Not Installing Lighting Controls
This Certificate of Compliance
includes the following components (check all that apply):
❑ Mandatory Measures (Lighting Controls) ❑ Maximum Allowed Lighting Power ❑ Specific. Lighting Sources
1. Mandatory Sign Lighting Controls
NOTES:
1. The some responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person mayinstall the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign,
general contractor, or architect shall be responsible to have the sign lighting controls installed.
3. If more than one person has responsibility for compliance, each responsible 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,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction (e.g. a C-10 contractor may complete parts la and lb on one compliance document and a C-45
contractor may complete parts 2a and -2b on a separate compliance document — the Responsible Designer shall submit the two
compliance documents together for the some complete installation).
I have responsibility for installing the sign lighting controls:
❑ Yes, I have responsibility for the sign lighting controls, and will EfNo, I do not have responsibility for installing the sign lighting controls.
complete parts la and.lb of this compliance document . Someone else will complete parts la and lb of this compliance document.
la. Check Yes or No for all of the following statements:
There are existing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
1
❑ Yes ❑ No
There are no existing sign lighting controls and I will be installing.sign lighting controls that comply with the applicable
2
provisions of §110.9 and §130.3
❑ Yes ❑ No
There are existing sign lighting controls that do not comply with the applicable provisions of §110.9 and §130.3 and I will be
3
installing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
❑ Yes ❑ No
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA'
SIGN LIGHTING'
:EC-NRGG-LT5-01-E(Revfsed 06/16) CALIFORNIA ENERGY COMMISSION `mom
CERTIFICATE OF COMPLIANCE " NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name:1 Date Prepared:
W 1 /
lb. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with
the sign lighting control requirements, that person shall answer -all of the following questions:
If there are construction documents; indicate where on the building'plans the
mandatory measures (sign lighting control) note block can be located:
1
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time-
Y
N
NA
switch control.
O
O
O
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y
N
NA
2
switch control, or an astronomical time -switch control.
O
O
O
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
Y
NA
areas that are intended to be continuously lit, 24 hours per day and 365 days per.year.
O
O
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65% during nighttime hours. Signs that
Y
N
NA
3
are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and
O
O
O
night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night.
O
O
§130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
Y
N
N/A
4
reducing the lighting power by a minimum of 30% when receiving a demand response signal.
O
O
O
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
Y
NA
ordinance, or regulation to be reduced by 30%.
O
O
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN' LIGHTING
R; 1
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Project Name: Date Prepared:
2. Mandatory Sign Lighting Measures
I have responsibility for installing the sign lighting
Yes, I have responsibility for the sign lighting, and will complete ❑ No, I do not have responsibility for installing the sign lighting. Someone
parts 2a and 2b of this compliance document elsg will complete parts 2a and 2b of this compliance document.
2a. Maximum Allowed Lighting 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. (Complete part 2b of this
Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance).
A
B
C
D• E F G
H
I
J
OPTIONAL —
Symbol or
Description of the Sign
Energy Verified
Label (see
Allotted Watts
Design
Complies
Field
Inspector
Code
instructions
Watts
Y/N
Check that
below)
Sign Complies
N
w -p 0 n —�.• Y+
= Y J g \
N OD
V1
vl
=
°
—M C m�w
a to E '� 3 r-4 v o
v
.� w
ou = Q
in Q
�o
3
0
U
❑
12 317,6
2e :v
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
T o
❑
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A description of the sign, or location of sign on the building; and the location of sign on construction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that
the sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the Maximum Allowed Lighting
Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks
C
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American
National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an
ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such
an ENERGY VERIFIED label, columns 'D' through 'I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an
optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance.
D
The sign area in square feet.
E
List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated.
F
Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E.
G
Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F.
H
Show the total installed watts in the sign, as determined according to the applicable provisions of §130(c).
I
Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply.
J
This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN'LIGHTING
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)
Project Name: Date Prepared:
2b. Specific Lighting Source Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific Lighting Source method of compliance. (Complete part 2 of this Certificate of
Compliance if there are signs using the maximum allowed lighting power method of compliance)
A
B
C
D
E
OPTIONAL
ENERGY
Specific light source used for
Field Inspector
Symbol
VERIFIED
compliance
or
Description
label
Shall include only lighting
Check that Sign
Code
(see
technologies listed below
Complies
instructions
(List all that apply)
below)
L
GL D Li f'
❑
�L
❑"
A
Symbol or code used on the plans (when plans are required)
and other documents.
B
A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign
complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance.
The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories
C
(UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with
ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A
Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, column 'D' is not required to be filled
out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for
compliance.
Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies:
List all applicable numbers (1 through 9) that apply in column D above for each row.
1
High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88% or greater. .
2
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when
tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are
3
served by a ballast that has a minimum efficiency of 80%.
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when
tested according to ANSI C82.6-2005.
D
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75% when
4
the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100% tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68% when
5
the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100% tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index
(CRI) of 80; or B.) Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80% or greater.
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Regulations (Title 20).
9 1
Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26).
E
This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
a
STATE OF CALfFOANIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting - (Page 5 of 5)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:(A R
Documentation Author Signature:
Company:
Signature Date:
a.t7vi(V��+
Address: Z/ l q� � f. -r�a.�-o� �� ,�l..11.. �j � L
CEA Certification Identification (if applicable):'
City/State/Zip:
Phone:
W b e)7
—
RESPONSIBLE PERSON'S DECLARATIO STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of.Compliance is true and correct.
2: 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified
on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made 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 completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to thebuilding owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Company : ,( ` n J 4 a—Dale
Signed: —1
Address:/ 1715- -P) 0 a� v LI—
—
License: S J D 1-31
City/State/Zip: ^ `g.124 1
Phone: .7, — -776 J C7
I
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CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
August 2016