BSIG2017-0006t:
44 � (Vr
78-495 CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSIG2017-0006
Property Address:
7845Q HIGHWAY 111 STE 2
APN:
604050043
Application Description:
ERA DUNE PALM REALTY SIGNS
Property Zoning:
Application Valuation:
$4,084.00
Applicant:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
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 Class: 2 +4�5 License No.: 01314
Date: > / 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:
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:
6VOICE (760) 777-7125
CTFAX (760) 777-7011
SP-CTIOW(7.60.) 777-7153
Date: X4/28 2017
Owner:
ARIES INV INC 441, o�6 �O,>
73301 FRED WARI 0
PALM DESERT, CA''� �o�'Q(,�
��ctil Fp &Z
Contractor:
99l�FNl
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9111087
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 37 0 of the Labor Code, I shall forthwith
comply ]�l
ose p ovisions.
Date: � i 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.
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 city to enter upon the
above-mentpney property for inspection purposes. /
Date % % Signature (Applicant or Agent): �"1 47V
r
Date: 4/28/2017
Application Number: BSIG2017-0006
Owner:
Property Address: 78450 HIGHWAY 111 STE 2
ARIES INV INC
APN: 604050043
73301 FRED WARING DR 200
Application Description: ERA DUNE PALM REALTY SIGNS
PALM DESERT, CA 92253
Property Zoning:
Application Valuation: $4,084.00
Applicant:
Contractor:
PD GROUP DBA SIGNARAMA
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211'
PALM DESERT, CA 92211
(760)776-9907
----------------------------------------------------------------------------------------------
Llc. No.: 830131
Detail: (1) CHANNEL LETTER LED SIGNS [ERA DUNE PALM REALTY] SIGN PERMIT NO. 2017-0013]'[ CF] 2016 CALIFORNIA BUILDING CODES.
r
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$25.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$91.20
Total Paid for SIGN: $117.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin
Qty of LaQUIlito
Guifding 8t- Safety Division
Permit„ 78-495 Calle Tampico
La Quinta, GA 92253 - (760) 777-70 f,2
Building Permit Application and Tracking Sheet
Project Address: —7e�7j d Owner's Name:
A. P. Number- Lt/ �) %
Address:
Legal Description:
City, ST, Zip: �wLY y� -� qVI
ntra
Co ct r. Gam.
0 -5;', ,a o� /�-
Telephone:
Address:�6L,,
Project Description: d,
City_. ST, Zip:c!
Telephone: G
7 O
d � l b
State Lic. #
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
ne:
.........
....................
Constructi n Type: Occupancy :
tate ic. 9.
S L
Alter Repair Demo
0ProJect type circle on New Add'n
Name of Contact Person: u, 1. A✓Lb�
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: �� D �J 78iG�%j
Estimated Value of Project: 06 I
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections .
Plan Chcck Deposit
Truss Calcs.
Called Contact Person
Pian Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'� Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
I
Total Permit Fees
et gn` Outdoor Signs ❑Indoor Signs
if Sign Construction CSI�New Signs O Sign Alterations
Lighting Control 'NC TLtG-U [D New Lighting Controls O Replaced Li htin; Controls O Not Installing Lighting Controls
rtifitate of compliance includes the following to nooncrits (chec�_.Af that apply)
datory Measures (Lighting Controls) O Maxi wm Allowed Lighting Power ❑Specific Lighting Sources
ndatory Sign Lighting Controls
S:
he some responsible person may install both
the sign lighting power and the sign lighting controls, oro different responsible
erson may install the sign lighting controls t ion
the responsible person installing the sign lighting power.
for compliance with the sign lighting Standards. If the person
he Mandatory Measures (sign fighting con
rots) are required
responsible for the sign lighting controls, then the owner of the sign,
?sponsible for installing the sign lighting poi
ver is not olso
to hove the sign lighting controls installed.
enerol contractor, or architect sholl be responsible
than one hos responsibility
or compliance, each responsible person shall prepare ond- sign o Certificote of
more person
ompliance and an Installation Certificate o
licoble to the portion of construction for which they ore responsible; alternatively,
Certificate of Compliance Ceclarotion Statement
he person with chief responsibility for const
uction sholl prepare and sign the
or the entire construction.
the Certificate of Compliance Declaration Statement on this NRCC-LTS Ol E
signing
Statements of Responsibility: Any person
complete Part la. Check Yes or No for all of
he following statements:
have responsibility for installing the sign lighting
controls
Rves, complete parts la and lb of this for
O No, complete part la of this form
There are no existing sign lighting controls a
d 1 will be installing compliant sign lighting controls
El Yes
there are no existing sign lighting controls aiid
❑ No
someone else will be responsible to install compliant sign Fighting controls
Q,Yes
Thre re existing sign lighting controls that
❑ No
Jo not comply with the applicable provision of §110.9 and §1.303 and I will be
ea
installing compliant sign lighting controls
O Yes I5 N0
There are existing sign lighting controls that Jo not comply with the applicable provision of §110.9 and §130.3 and someone
else will be responsible to install compliant sign lighting controls
Fl YPc 9.Na
Fay 00A,�� Dip
STigvC��
hiding Energy Efficiency Standards- 2013 Nonresi ntial Compliance June IU III
�{ gn, Outdoor Signs /0 Indoor Signs
Ne�v Si ns D Sign Alterations
,f Sign Construction � 6
Lighting Control PyGrr;CF.tt 0 New Lighting Controls ❑ Replaced Li htii
rtificate of compoance Includes the following to (3onents (chrick all that apply)
datory Measures (Lighting Controls) O Maxi num Allowed Lighting Power
ndatorySlen Lighting Controls
S:
he some responsible person may install bot I
erson may install the sign lighting controls t
he Mandatory Measures (sign lighting con
?sponsible for installing the sign lighting poi
ene(ol contractor, or architect shall be resp
more than one person has responsibility
'ompliance and on Instollotion Certificate a
Ire person with chief responsibility for const
or the entire construction.
statements of Responsibility: Any person si
complete Part la. Check Yes or No for all of
have responsibility for installing the sign lig
Rves, complete parts la and lb of this forrT
rhere are no existing sign lighting controls a
Yes
there are no existing sign lighting controls a
q Yes
There are existing sign lighting controls that
installing compliant sign lighting controls
O Yes
There are existing sign lighting controls that
else will be responsible to install compliant s
O Yes
Controls D Not Insta
O Specific Lighting Sources
btinp Controls
the sign lighting power and the sign lighting controls, or a different responsible
in the responsible person instolling the sign lighting power.
ols) are required for compliance with the sign lighting Stoidords. If the person
er is not also responsible for the sign lighting controls, then the owner of the sign,
tsible to have the sign lighting controls installed.
or compliance, each responsible person sholl prepare one sign o Certificate of
licoble to the portion of construction for which they are responsible; olternotively,
fiction shall prepare and sign the Certificate of Compliance Declaration Statement
ing the Certificate of Compliance Declaration Statement on'this NRCC-LTS-01-E
e following statements:
ing controls
❑ No, complete part la of this form
1 will be installing compliant sign lighting controls
❑ No
someone else will be responsible to install compliant sign Ighting controls
O No
i not comply with the applicable provision of §110.9 and §1303 and I will be
,Ig. N o
to not comply with the applicable provision of §110.9 and §130.3 and someone
gn lighting controls
R.�No
.1a..`m rr. Allowed Lighting Power Method of Compliance
tificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of complian,:e. (Complete part 3 of
this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance)
A
B
C__
D I E I F G
H
I
1
mbol
OPTIONAL— Energy
Complies
Filed Inspector
Code
Description or the Sign
Verified Label (se .
Allotted Watts
Desl�n Watts
Y N
Check that sign
instructions below)
complies
0
C:
UO
FU
�W
w
n
.
C
2`
C y j
N
O
N
O
d
Q.
LU
— I II
O
0 to
❑
7,
��.oy.�
�o,�
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
A
Symbol or code used on the plans (when pL ins 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 documens.
OPTIONAL - Check this box only if this sign I ias a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the
sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power
method of compliance. The only labels tha will be recognized for this purpose are ENERGY VERIFIED Certifica-Jon Marks authorized by
Underwriters Laboratories (UL) or other Prc duct Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
C
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 a filled out. Note: Using an ENERGY VERIFIED label is an optional ruethod to validate
compliance. An ENERGY VERIFIED label is n t needed for compliance.
D
The sign area in square feet.
E
List "I" if the sign is internally illuminated. I ist "E" if the sign is externally illuminated.
F
Allowed watts per square foot. Enter 12 if 1 he sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" it column E.
G
Multiply the square footage in column D tir ies the allowed Lighting Power Density (LPD = watts) in column F.
H
Show the total installed watts in the sign, a 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 nit comply.
i
This page doubles as a field inspection checklist.
I Inspector Notes:
uilding Energy Efficiency Standards - 2013 Nonresic{ential Compliance June 2014
SpP;=_fic Lighting Source Method of Compliant
_r.6ficate of Compliance and Field Inspection E
Complete this part if there are signs using th
e
]orgy Checklist
Specific lighting source method of compliance. (e omplete part 2 of this Certificate
of Compliance if there are signs using themaximum allowed
lighting power method of compliance)
A
g
C
D
E
OPTIONAL
Specific light source used for
Field Inspector
ymbol
ENERGY VERIFIED
compliance
Check that Sign
or
Description
label
Shall include only lighting
Complies
Code
(see instructions
technologies listed below
/ .
below)
List all that apply
❑
❑
❑
❑
❑ -
❑
❑
❑
❑
❑
Symbol or code used on the plans (when plans are
required) and other documents.
A narrative description of the sign, or location of s gn 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
013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The
only labels that will be recognized for this purpos
are ENERGY VERIFIED Certification Marks authorized by Underr✓riters Laboratories (UL) or
other Product Certification Body accredited to IS
IEC Guide 6S by the American National Standards Institute in rccordance with ISO/IEC
17011. Surveillance by the Accredited Certificatiod
Body shall be an ongoing annual inspection program carried oet by a Type A Inspection body
in accordance with ISO/IEC 17020. For signs with
uch an ENERGY VERIFIED label, column 'D' is not required to befilled out. Note: Using an
ENERGY VERIFIED label is an optional method to validate
compliance. An ENERGY VERIFIED label is not needed fo= compliance.
Specific Light Source Compliance Method. The si n(s) identified above use only the following lighting technologies:
List all applicable numbers (1 through 9) that app
y 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 percent or
2
greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI C82.6-2 05.
Metal halide lamps that are pulse start that
are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by
a ballast that has a minimum efficiency
of 80 percent.
3
Ballast efficiency is the measured outpu
wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI 082.6-2005.
Neon or cold cathode lamps with transform r or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
A
when the transformer or nower sunoly ratec
output current is less than SO mA. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
Neon or cold cathode lamps with transform r or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
S
when the transformer or power supply rated
output current is SO mA or greater. The ratio of the output wa tage to the input wattage is at
100 percent tubing load.
Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a tninimumcolor rendering index (CRI) of
6
80; or B. Use only electronic ballasts with a f indamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply
having an efficiency of 8o percent or greater;
Single voltage external power supplies that i
re 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 I
o 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Regulations (Title 20).
9
Compact fluorescent lamps that do not cont iin a medium screw base sockets (E24/E26).
This page doubles as a field inspection checklist.
field Inspector Notes:
Building Energy Efficiency Standards - 2013 Nonres dential Compliance June 2014
I
'
tc _UM,N1AT10N AUTHOR'S DECLARATION STATEI
A ENT
1. i certify that this Certificate of Compliance Jocumentation
is accurate and complete.
incumentationAutho-Name:
u S a>
fi
DocumcntationAuthor Signa c: y
,5(
'umpany:Signature
)N t� t2A +�VlY
Date: O
G
tddress:
CEN HERS Certification identifica[i n (it a piicabie):
`f 1 C1 L S B0 2 D,,-) Ak-A Su 1
TE
:i:y/State/Zip:
l�At_► iiC:Sc.r'—T �'_►q • Ct
Z 1 \
Phone:
7b,C1 - % IG - y �C:
RESPONSIBLE PERSON'S DECLARATION STATEMEN
I certify the following under penalty of perjury,
under the laws of the State of California:
I. The information provided on this Certificate of
ompliance is true and correct.
2. 1 ant eligible under Division 3 of the Business ard
Professions Code to accept responsibility for the building desi'3n or system design
identified on this Certificate of Compliance (res
onsible designer).
3. The energy features and performance 'specifics
'ons, materials, components, and manufactured device's for the building design or system
design identified on this Certificate of Complia
ce 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 f.
atures 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.
5. 1 will ensure that a completed signed copy of this
Certificate of Compliance shall be made available with the btralding permit(s) issued for the
building, and made available to the enforcement
agency for all applicable inspections. I understand that a corroleted signed copy of this
Certificate of Compliance is required to be inell.
ded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
ZOy t2 C. "i =
Responsible Designer Slenature: 7
Company:Date
st P..i�- 0 -t'
Signed: t
o y v� i
Address:License:
`�l9�a5 f3o;�re,,t,:�cl�
v;rCg3C�
.
City/State/Zip:
PA I-ok ()E 5 GP- i CA 2
l (
Phone: -
-1 t.0 C,
t
r
t
,
Building Energy Efficiency Standards - 2013 Nonres
dential Compliance June 2014
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