BSIG2017-0002)
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/7/2017
Application Number: BSIG2017-0002
Owner:
Z
Property Address: 79405 HIGHWAY 111 STE 12
NAI CAPITOL
Lu
APN: 600340025
16001 VENTUFA BL ~
CE
Application Description: SHERWIN WILLIAMS / (1) BUILDING MOUNTED ILLUMINATED SIGN
ENCINO, CA 91436
2<1
Property Zoning:
w
® .o
Application Valuation: $3,800.00
oN ? z.
cy W
a
Applicant:
Contractor:
o o .
DARNEIL ENTERPRISES LTD DBA D & D SIGN S
DARNEIL ENTERPRI
D DBE& D ^�
1282 W LAMBERT ROAD UNIT A
1282 W LAMBERT ROA NIT � v'Cn
BREA, CA 92821
BREA, CA 92821
z
(562)690-5622.
® CD
Llc. No.: 8560(16
w
0
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 C6ss: C45 License No.: 8560 6
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 ) 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 ) 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 Na
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certific.—te of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
o�f the �ork. for which this permit is issued.
� 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: 1643978
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner m 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 370 of the Labor Code, I shall forthwith
comply with those provisions. �_
Date:���1' 7 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 ($100,600): 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 :he Building Official for a permit subject to
the conditions and restrictions set forth on tLis 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 torthe work being performed under or -
following issuance of this permit.
2. Any permit issued as a result of this application becorrues 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 Mate that the above information is correct.
I agree to comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represen:atives of this city to enter upon the above -
mentioned property for inspection purposes.
Date 06C r Signature (Applican- or Agent):
Date: 3/7/2017
Application Number: BSIG2017-0002
Owner:
Property Address: 79405 HIGHWAY 111 STE 12
NAI CAPITOL
APN: 600340025
16001 VENTUFA BLVD 200
Application Description: SHERWIN WILLIAMS / (1) BUILDING MOUNTED ILLUMINATED SIGN
ENCINO, CA 91436
Property Zoning:
Application Valuation: $3,800.00
.Applicant:
Contractor:
DARNEIL ENTERPRISES LTD DBA D & D SIGN S
DARNEIL ENTERPRISES LTD DBA D & D SIGN S
1282 W LAMBERT ROAD UNIT A
1282 W LAMBERT ROAD UNIT A
BREA, CA 92821
BREA, CA 92821
(562)690-5622
---------------------- -----------------------------------------------------------------------
Llc. No.: 856006
Detail: (1) CHANNEL LETTER LED SIGN [SHERWIN-WILLIAMS] SIGN PERMIT NO. 2017-0004[CF] 2016 ENERGY, 2016 CALIFORNIA BUILDING CODES.
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
MONUMENT SIGN, FIRST
101-0000-42404
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
MONUMENT SIGN, FIRST PC
101-0000-42600
0
$139.84
Total Paid for SIGN: $215.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
. $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS::4
r
srn.#
Oty of La Quinta
Building &r Safety Division
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253-:(760) 7777012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
0 5 1 �k ~ I y
Owner's Name:. _
A P. Number. 4CO— 3-e40 _OM
Address:
Legal Description:
Contractor. `!tt> "AGO 6E�t (Cr-
City, ST, Zip: eLJCJ00 VA qI(o
Telephon $
Project Description
Address: I��Z, �M�
City, ST, Zip: ct, 9 'L6Zv
Telephone Z i, 5 %
_
State Lic. # : j (per City Lie'. C.
Arch, Engr, Designer:
ss Addre
City., ST. Zip:
Telephone:
Construction Type:. 1w66 Oxttpancy:
State Lie. #:
Project type (circle one): 41g) Add'm After Repair Demo
Name of Contact Person: I I M �L --ti 05g
Sq. FL:
#Stories:
# Unit,:
Telephone # of Contact Person:
Fs6tnated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Reed
TRACICYIVG
PERMtr FEES
Plan Sete
Plan Chech submitted
Ilan
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check De posit, .
Truss Calcs
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
ConstructI03
Flood plain plan
Plans resubmitted; .
Mechanical
Grading plan
2`! Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.Md.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE,
74 Review; ready for corrationsrissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr -
Date or permit issue
School Fees
Ltal Permit Fees
STATE OF CALIFORNIA
,,SIGN LIGHTING
CEC-NR6C-LTS-01-E(R.ised 06/1
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5)
no,e name: SHERWIN WILLIAMS I
Date Prepared:
1-19-2017
Location of Sign 12 Outdoor Signs ❑ Indoor Signs
Phase of Sign Construction 12 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 same responsible person may install both the sign lighting power and the sign lighting contmis, or a different responsible
person may install the sign lighting controls than the responsible person installing the sign lighting Dower.
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 contras, 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 we responsible, alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction.
la.
Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E
shall complete Part la. Check Yes or No for all of the following statements:
1
1 have responsibility for installing the sign lighting controls
❑ Yes, complete parts la and lb of this form ® No, complete part 1a of this form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes ® No
3
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls `
® Yes ❑ No
There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 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 §110.9 and §130.3 and someone
5
else will be responsible to install compliant sign lighting controls
❑ Yes ® No
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIG14 LIGHTING
nx
CEC-NRCC-LTS-01-E(Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name: SHERWIN WILLIAMS Date Prepared: 1-13-2017
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 astronon ical time-
Y
N
I NA
switch control.
❑
❑
0
§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.
®
❑
❑
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.
❑
0
§130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer th 3t provides
the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours.
Y
N
NA
3
Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both
❑
❑
0
day and 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.
❑
p
§130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Cente-r (EMC)
having a new connected lighting power load greater than 15 kW has a control installed that is capable of
Y
❑
N
❑
N/A
0
4
reducing the lighting power by a minimum of 30 percent when receiving a demand response signal.
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 percent.
❑
p
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING CALIFORNIA ENERGY COMMISSION'5-0 '
CEC-NRCC-LTS-01-E Revised 06/14 NRCC-LTS01-E
CERTIFICATE OF COMPLIANCE (Page 3 of 5)
Sign Lighting pate Prepared:
projedname: SHERWIN WILLIAMS 1-19-2017
2. 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 3 of
this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance), ,
F G H
A B C D E Filed Inspector
OPTIONAL— Energy Complies Check that sign
Symbol Allotted Watts Design Watts Y/N
Or Code Description of the Sign Verified label (see complies
instructions below)
A
B
C
WALL SIGN
N
H
El
El
El
17
v
O0.
Q a-+
N
v c
N
ut
=
v
r.-
LL
(Ain
'
M r'E
�3m
3r;N
X
a,o
0
t
—
a
2
O
Y X _ 7
C W
I 11
Q
Q
F 3
E:
0
66
I
12
792
120
YES
Q
IF
Symbol or code used on the plans (when plans are required) and other documents.
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 2013 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 Cerlification Marks 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 c ngoing annual inspection
program
columns'D' through `I' are not required to be filled out. Note:
carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such a-i ENERGY VERIFIED label,
Using an ENERGY VERIFIED label is an optic nal method to validate
oliance.
compliance. An ENERGY VERIFIED label Is not needed for com
D
The sign area in square feet.
E
List "I" if the sign is internally illuminated. List "E" if the sign i
F
Allowed watts per square foot. Enter 12 if the sign is listed a!
G
Multiply the square footage in column D times the allowed Li
H
Show the total installed watts in the sign, as determined accc
I
Enter Y if the number in column H is less than or equal to the
J
This page doubles as a field inspection checklist.
Field Inspector Notes:
> externally illuminated.
"I" in column E. Enter 2.3 if
;hting Power Density (LPD =
rding to the applicable prov
nllmher in column G. Othel
is listed as"E" in column E.
I in coluran F.
of §130(c).
the sign does not
June 2014
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance
STATE OF CALIFORNIA
SIGN LIGHTING
COMMISSION la
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)
Project Name: Date Prepared:
SHERWIN WILLIAMS 1-1Q-9m7
3. 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
Specific light source used for
Field Inspector
Symbol
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
WALL SIGN
❑
7
❑
❑
❑
❑
❑
❑
❑
❑
❑
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 c ocuments
C
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 2013 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 (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 ae 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
1 High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum effici'-oncy 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 C82.6-2005.
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
3
a ballast that has a minimum efficiency of 80 percent.
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.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minirrqum efficiency of 75 percent
D
4
when 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 percent tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
5
when 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 percent 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
1 Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage CSC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements c3 the Appliance Efficiency
Regulations (Title 20).
9
Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26).
E I
This page doubles as a field inspection checklist.
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING
CALIFORNIA ENERGY
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Project Name: SHERWIN WILLIAMS I Date Prepared: 1-19-2017 1
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
TIM HOLMES
Company:
D&D SIGN SERVICE
Signature Date:
1-19-2017
Address:
CEA/ HERS Certification Identification (if applicable);
1282 W LAMBERT RD.
City/State/Zip:
Phone:
BREA, CA. 92821
562-690-5622
RESPONSIBLE PERSON'S DECLARATION 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 consisL-nt with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications subrrdtted 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 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 the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
TIM HOLMES
Company :
D&D SIGN SERVICE
Date Signed: 1-19-2017
Address:
License:
1282 W LAMBERT RD.
856006
City/State/Zip:
Phone:
BREA , CA. 92821
562-690-5622
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
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