BSIG2015-0028i. a .,
r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SIGNARAMA
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Twit 4 4� Qubtz
COMMUNITY DEVELOPMENT DEPARTMENT
BIIL MIS PERMIT'
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/11/2015
BSIG2015-0028 " Owner:
79410 HIGHWAY 111 SEP r E & DD
600390006 1 015 2114 ARI LN
LOMI LOMI MASSAGE SIGN CITY LOS ANGELES, CA 92253
CbMMUNITYD�P QUINTA
$2,000.00 MENTDEPARTMENT
Contractor:
SIGNARAMA
0 OUTSIDE CITY LIMITS
.LA QUINTA, CA 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 Class: License No.: :LIC -0004466
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 ) 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:
(760)776-9910
Llc. No.: :LIC -0004466
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: Policy Number:
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 Labo Code, I shall forthwith
comply
/wit? tho a provisions.
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE 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•
mentioned rop rty for inspection purposes.
Date: / 1 Signature (Applicant or Agent):
FINANCIAL INFORMATION
s DESCRIPTION4�;' 4ACCOUNT �' � QTY e . AMOUNT'„.:
� � x
'PAID °
PAID DATE
_ . -
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
9/11/15
t
i=RECEIPT #D
a. o.PAID�BY "'. ,'
CHECK # *
BY
.tiMETHOD ;°F.{
.CLT
BILL SIGURDSEN DEBIT R9170
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION'S
" `' ACCOUNT--
QTYaAMOUNT'iro
_
PAID`
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
9/11/15
PAID BY
�' G METHOD +
.' ` a:iECEIPT,# °
CHECK # i�,
°CLTD BY °
$
BILL SIGURDSEN
DEBIT
R9170
MFA
+"f—,-'DESCRIPTIONa:'
'> "`'- ACCOUNT:.=
QTYa
_:
`" AMOUNT
-4PAID!rR
PAID DAT
.,
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
9/11/15
PAID. BY
k-; METHOD r '
r ,RECEIPT'#
„`CkiECK #
'CLTD BY
BILL SIGURDSEN
DEBIT
R9170
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
`bESCRIPTION }'''
.' ACCOUNT. ' '
QTY
,,a AMOUNT
PAID a.
rPAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$24.66
9/11/15
rs �; PAID BY +apf
; METHOD
'RECEIPT # f
} 'T CHECK #
BILL SIGURDSEN
DEBIT
R9170
MFA
• ` DESCRIPTION4=",s
ACCOUNT , J.:, a :
QTY
! AMOUNT.,
PAID
PAID DATE:
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$87.02
9/11/15
RAID_BY x .y
_ � METHOD""'
RECEIPT #•
-• CHECK
CTD BY
BILL SIGURDSEN
DEBIT
R9170
MFA
Total Paid forSIGN: $111.68 $111.68
TOTALS:
µ
Permit Details t, PERMITNUMBER •'
City of La;C�uint`a. BSIG2011$a�'Ql 8
e �
r
Description: LOMI LOMI MASSAGE SIGN
Type: SIGN
Subtype: Status: ISSUED
Applied: 9/11/2015 MFA
Approved: 9/11/2015 MFA
Parcel No: 600390006 Site Address: 79410 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 31172
Block: Lot: 6
Issued: 9/11/2015 MFA
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,000.00
Occupancy Type: Construction Type:
Expired: 3/9/2016 MFA
; ZIP"` a.PHONE, _ FAX,
APPLICANT.
No. Buildings: 0
No. Stories: 0 No. Unites: 0
CA
Details: (1) ONE CHANNEL LETTER SIGN "LOMI LOMI MASSAGE" SIGN PER 2013 CALIFORNIA BUILDING CODE
Printed: Friday, September 11, 2015 2:22:56 PM 1 of 2 ,
SYS7Erv1S
ADDITIONAL
CHRONOLOGY
•NDITIONS
NdME TYPE
_.
..
NAMEADDRE551
CONTACTS
_ ITY .'�
C
STATE .
; ZIP"` a.PHONE, _ FAX,
APPLICANT.
SIGNARAMA
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
CONTRACTOR
SIGNARAMA
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
OWNER
E & DD
2114 ARI LN LOS ANGELES
CA
92253
Printed: Friday, September 11, 2015 2:22:56 PM 1 of 2 ,
SYS7Erv1S
DESCRIPTION
ACCOUNT
QTY =
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD .
..
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
9/11/15
R9170
DEBIT
BILUSIGURDSEN
MFA
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
9/11/15
R9170
DEBIT
BILL SIGURDSEN
MFA
Total Paid for ELECTRICAL:._ $48.34 $48.34
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$24.66
9/11/15
R9170
DEBIT
BILL SIGURDSEN
MFA
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$87.02
9/11/15
R9170
DEBIT
BILL SIGURDSEN
MFA
FIRST PC
Total Paid forSIGN: $111.68 $111.68
TOTALS: $161.02 $161.02
-,BOND INFORMATION •..
Printed: Friday, September 11, 2015 2:22:56 PM 2 of 2 C1
SYSTEMS
Bin #
City of La Qulnta
Building 8t Safety Division
(!^� �LA ..78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I �p
Project Address: % V'
Owner's Name:
A. P. Number: Q '
Address: -7q Ll it) � �/ i ti S
Legal Description:
CityST Zi 11
, � P�
Contractor: a1Yv%
T h n
ele o e.
P
. ......�..
Address: 9 L1 �ao�Gv� l.tl_
Project Description: C.,i) d r
City, ST, Zip: �wt.✓�'1 "� C"
Telephone: q
hone- Q
76� �
State Lie. # : W3 6 /Y %
City Lie. #•: e{7 s y
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
le P one:
Construction Type:. Occupancy:
State Lic. #•
d'n Alter
Demo hPa (circle one): New Ad
Repair
Name of Contact Person: LL r G��I
Sq. Ft.: t
# Stories:
# Units:
Telephone # of Contact Person: 76 6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
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.
I-I.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
Project 'Adresr I i '7,7qlo 14,1) 1 1 �r&
Location of�SigA-,Outdoor Signs O Indoor Signs
Phase of Sign Construction ,IXNew Signs O Sign Alterations
Type of Lighting Control crOtC QNew Lighting Controls O Replaced Lighting Controls O Not Installing Lighting Controls
This Certificate of Compliance Includes the following components (check all that apply)
'Mandatory Measures (Lighting Controls) O Maximum Allowed Lighting Power O 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 controls, or a different responsible
person may install 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 hove the sign lighting controls installed.
3.
if more than one person hos 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.
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
Dyes, complete parts la and lb of this form O No, complete part la of this -form
2
There are no existing sign lighting controls and I will be installing compliant sign lighting controls
,9 Yes O No
There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
3
Yes O No
There are -ex isting 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
O Yes ANo
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
O Yes gNo
A Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014
1b. Mandatory Sign Ligh ng Controfs .
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 followine ouestions:
If there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomica' time-
Y
N
NA
switch control.
❑
Ct
❑
§1303(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic tine-
Y
N
NA
2
switch control, or an astronomica I'd me -switch control.
p
p
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.
❑
§1303(a)28. 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 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
❑
❑
day and night.
EXCEPTION to Section 130.3(a)28: Outdoor signs in tunnels and large covered areas that are intended to be
Y
NA
illuminated both day and night.
❑
§1303(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 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.
❑
:ield
Inspector Notes:
t Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
4- iVla_XMqum Allowed Lighting Power Method of Compliance /
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum alloyed lighting power method of compliance. (Complete part 3 of
this r prtiflrntp of r'm-ll :F r{... _
A
B
uml v al C Z'Igllb
C
using ute -)pectnc lighting sources method
D E F G
of compliance)
H
I
Symbol
Or Code
Description of the Sign
OPTIONAL — Energy
Verified Label (see
instructions below)
Allotted Watts
Deslen Watts
Complies
Filed
filed Inspector
that sign
V/
Q
to
o_
w v
T T A
'p `
C✓ E:
Cl _3
C W_
O '�
J\
3
Com/ N rn
3 .-� N
_� 1 II
Q _.Uj
N
3
v x
N O
Q
C�
N
C
.n
N t
F;
complies
vl
N
d
Q
E
O
U
%L
❑
`�
��-
its, g
❑
_
la
❑
❑
❑
❑
❑
Li
Cl
❑
❑
❑
0
❑
❑
❑
❑
�
O
O
❑
❑
A
Symbol or code used on the plans (when plans are required) and other documents.
6
A description of the sign, or location of sign on the building; and the location of sign on construction documen:s.
C
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 Certification Marks authorized by
Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the Ame-ican 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 EN6RGY VERIFIED label,
columns 'D' through 'I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional rrethod to'validate
compliance. An ENERGY VERIFIED label is not needed for compliance.
D
The sign area in square feet.
E
List '1' 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" irr 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 ore ual to the number in column G. Otherwise, the sign does not comply.
J
This page doubles as a field Inspection checklist.
d Inspector Notes:
ulluingtnergy tmciency Standards -2013 Nonresidential Compliance June 20i4
,1 Soncific Lighting rnllrra KAn+6_A ,.r r•._
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
Symbol'
or
Code
Description
G �l
OPTIONAL
ENERGY VERIFIED
label
(see instructions
below)
Specific light source used for
compliance
Shall include only lighting
technologies listed below
List all that apply
Field Inspector
Check that Sign
Complies
❑
❑
❑
❑
❑
❑
❑
E❑
EI
❑
A Symbol or code used on the plans (when plans are required) and other❑ documents.
e A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents
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 be Pled 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 0 above for each row.
1
High pressure sodium lamps
2
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or
greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI 082.6-2005.
3'
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.
Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSI 082.6-2005. .
4
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent
when the transformer or power supply rated output current is less than SO mA. The ratio of the output wattage to the input wattage is at
100 percent tubing load.
S
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum eFficiency of 68 percent
when the transformer or power supply rated output current is SO 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
Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater;
8
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
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).
This page doubles as a field inspection checklist.
ield Inspector Notes:
Building Energy Efficiency_ Standards - 2013 Nonresidential Compliance lune 2014
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. • I certify that ft. Certificate of Compliance documentation is accurate and complete.
Documentation Author -Name:
Documentation Author Signature:
t_i
Company: '
t
SlgnatureDate:
-
Add ess:
nCfSA-k_r- SU (TE L_
CEA/ HERS Certification Identifica ' n (if ap(plicable):
City/State/Zip: �
Phone:
&0 -71 - 9 0
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 wilding 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.
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 compl-2ted 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: —
\^2` L t2 J o,,) es
Company:
Date Signed:
Address:License:
Lit q iS� (30AP-0 Su/T6 L
V -S30
ChyJState/Zip:
f AL^ pC.saz-T ct4 ZZc �
phone:
G
���e L11e16y cinaency stanoaros -[UIS Nonresidential Compliance lune 2014
LorT�i Lord
15"
JMASSAGE
iffTated
Channel Letters
Pr6pth: 5"
Face Color: White/Red
4 Color Process
Return Color: Bronze
#311 Matthews
Trim Cap Color: Bronze
Mounting: Back
Standoff: Flush
L.E.D. Color: Red & White
RECEIVED
AUG 31 2015
CITY OF LA 01IiNTA
COMMUNITY DEVELOPMENT
Customer: Telephone:760-xxx-xxxx
Jean-Pierre Leathead Fax:760-xxx-xxxx
Address:
79410 Hwy 111, Suite 102
La Quinta, CA 92253
DWg. No 73105__
Date: 08-26-15
Designer: JT
Salesperson: BS
:HANNEL LETTER & LIGHT BOX SECTION
INTERNAILY ILLUMINATED L.E.D.
WALL
HOUSE
POWER
DISCONNECT -)
SWITCH .
1
12VOLT L.C.D. _
DRIVER
5" ,040 ALUMINUM
RETURNS
TRIMCAP
- ACRYLIC FACES
L.E.D. MODULE
LOW VOLTAGE WIRE
WIRE NUTS
EACH LETTER FASTENED BY A
MINIMUM OF 4 #10 SCREWS
WITH STUCCO APPROVED
ANCHORS
,# 8 SHEET METAL SCREW
ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SIUCONE SEALANT
U.L. 48
NIEL E LECI KICAL COVE 2010
THI5 56N 16 INTE NOW TO 6E INSTALLED IN ACCORDANCE WITII KEQUIKEMENTS Of
ARTICLE 500 ON THE NATIONAL ELECTRIC CODE AND OR OTHE.K APPLICABLE LOCAL CODE5.
I HI5 INLLUULS PKOPLK UKOUNDINO AND UUNUINO OI THF ;IG1v
CHANNEL LEI I ER UUINNL C I ION UE IAIL 110—
/ PUWF.R
L ,
U.L. LISTED AND LABELED
COMPLIES WITH 2013 CA ELECTRIC CODE, ARTICLE 600
Customer Approval: Gc /
Landlord Approval:
G'1—
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
ANDLAYOUT, RELEASING SIGN-A'RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
THIS DESIGN IS PROPRIETARY PROPERTY AND MAY NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN'A'RAMA.