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BSIG2017-0009
78-495 CALLE TAMPICO D �NMUCl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSIG2017-0009 Property Address: 79490 HIGHWAY 111 APN: 600390010 Application Description: USAS GAS % RETRO FIT MONUMENT SIGN Property Zoning: Application Valuation: $2,200.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/2017 Owner: S L( I`7 TESORO SIERRA PROP P 0 BOX 592809 SAN ANTONIO, TX 92253 Applicant: /,L0 Contractor: TRULITE SIGNS INC VISTA UNIVERSAL INC 2990 HALF MOON CT D - D 2430 AMERICAN AVE NORCO, CA 92860 JUN 2 7 2017 HAYWARD, CA 94545 CITE irk LA (�iJINTA (510)785-6166 Llc. No.: 377939 DESIGN AND DEVE-LOPIIENT DEPARTMENT 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: —C710, C4^^5�� License No.: a3779Contractor: ` 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).: (1 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: 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' Wai6—n' s provided forbySection 3700 of the LaborCode, for the performance which thispermitisissued. and wllmaintain workers'compensation insurance, as required by 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: 9143663 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 ec subject to the workers' compensation provisions of! ection 0 of a Labo od I shall forthwith comply with those p ovisions. D �® Appli 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 actor 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 ation is correct. I agree to comply with all city and county ordinances andstate laws rela g to building construction, and hereby authorize representatives of thi ' yt ent up o the above - mentioned property for inspection purposes. h Date: 6/27/2017 Application Number: BSIG2017-0009 Owner: Property Address: 79490 HIGHWAY ill TESORO SIERRA PROP APN: 600390010 P 0 BOX 592809 Application Description: USAS GAS / RETRO FIT MONUMENT SIGN SAN ANTONIO, TX 92253 Property Zoning: Application Valuation: $2,200.00 Applicant: Contractor: TRULITE SIGNS INC VISTA UNIVERSAL INC 2990 HALF MOON CT 2430 AMERICAN AVE NORCO, CA 92860 HAYWARD, CA 94545 (510)785-6166 --------------------------------------------- ------------------------------------------------ Llc. No.: 377939 Detail: (1) RETRO FIT LED SIGNS [USA GAS] SIGN PERMIT NO. 2017-0018. PER 2016 CALIFORNIA BUILDING CODES. INFORMATIONFINANCIAL DESCRIPTION ACCOUNT CITY AMOUNT CHANGE OF CONTR/ARCH/OWNER PROCESSING 101-0000-42600 1 $101.84 Total Paid for ADMINISTRATIVE: $101.84 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $4.91 Total Paid for Credit Card Fee: $4.91 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT CITY AMOUNT MONUMENT SIGN, FIRST 101-0000-42404 0 $76.00 DESCRIPTION ACCOUNT CITY AMOUNT MONUMENT SIGN, FIRST PC 101-0000-4260.0 0 $139.84 Total Paid for SIGN: $215.84 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000=43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 1C. 2990 Half Moon Court, Norco, CA 92860 To Whom it May Concern, Trulite Signs will no longer be the contractor for USA Gas Sign permit (Permit # BSIG2017-0009 as of 6/6/2017. The new contractor will be Vista Universal, Inc. After speaking with Stacy Mavencamp at Lytle Signs, she has asked Trulite Signs to- submit a letter of removal so Vista Universal, Inc. can come to the city and apply for the permit in their name/license. . At this time, please remove Trulite Signs, Inc from Permit #BSIG2017-0009 so. a new contractor can be added. Thank you for your time. Eric Erwin, CEO Trulite Signs, Inc.. 2990 Half Moon Ct. Norco Ca 92860 License # 846189 �o Jun 27 2017 08:04 Vista Universal 15107320591 page 1 _ IUniversal, Inc. ' iTTGre1,en werNAnoNAI nssocwnoN � 1.1g11t$ - -' -``—.. OF IIGHiIAG AIANAGEA1ENi GHTtNG SERMCE •C061 VANIfiS• .fly ,.our outlook Is not limited or restricted" June 27, 2017 REFERENCE: CONTRACTORS STATE LICENSE #377939 I hereby authorize the following persons to act on my behalf in obtaining permits from the Building Department and to sign permit applications for me. I am properly licensed as required by the State of California. This authorization shall continue until cancelled by its contractor. Person Authorized to Sign Permits and their Signature: NAME IGNA 1. Chester Swart I understand that I assume full responsibility under the law for permits taken by persons authorized to act on my behalf. If you have (510) 785-6166. any questions, please contact me at Sincerely, David C. Schneider President, Licensed Contractor ELECTRICAL CONTRS. L1C. # 377939 (C•10) (C_45) HAYWARD SACRAMENTO tpg ANGELES 243()=,PICANAVENUE HAY WA.lD, CA 9454S 8350 ROVANA G RCLE B1 998 W. 10TH STREET , FRESNO SAN OIEGO 5'0) 785.6166 510) 732-os91 SACRAMENTO, CA 95828 (916) 4ST•1405 AZUSA• CA 91702 (6 337A801 AVE. 8702 371t W. RESNO, CA FRESNO, CA 93722 10320 E CAMlNO SAIITA FE FAX (8t6) 383 6054 FAX (626) 633-1132 (55� 22141381 FAX (559) 277.2164 SAN OIEGO. CA 92121 (856) 636. FAX (858) 638-0eot 8-08 Jun 27 2017 07:53 Vista Universal 15107320591 page 2 :siatt;a :..CQNT-RACTQRS STAT€ 110ENSE BOARD r'^°e • " : M5 C,—jEdaE:.g0 iD, SaCRi+nitENTO. AZAUFd914L4 . _ c)eoamnaruoi :. :' " - NI WNG ADDaESS: P.O.' BOX 2A000 . ':�fl�Y"'�= : -. � • . �:. �' - - " " soorAnp�rio;_cAuroANvi ossze- �• • _ • . AffaWs - �; . - .. - .. .. �-• .. ---i•1800/321�CSI�B'- - - - - - • Auto loiKQ QbelK License Number: 377939 Entity: CORP VISTA UNIVERSAL INC 2430 AMERICAN AVENUE- HArNARO, CA 94545 STATE 09 CAUFaRmlik oEPARTUgNT Of f-b-InsumeT REGISTRAR OF = COMACTORS i l: OF O.AL1 CONTRACTORS' STATE UCENSE BOARD CON7RAC70R'FS LICENSE a. 3) i" ( 9v`9 This litenoe is the -.sopeny of the Registrar of Cantm=wx. Is _ Get tsaasietable. and sbail be rettltaed to the Registrar Gpoa - demand •vbeu smpeoded. .e- voked. or iov-afidated for may reason tt becomes void if not renewed. Pursuant to the provisions of Chanter 9 of Division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors' State License Board the Registrar of Contractors does hereby issue this license to: VISTA UNIVERSAL, INC.. to engage in the business or act in the capacity of a contractor in the following classiiication(s) : C 10 II.i.CMIC'AL(GENERAL) 17ITTNESS my -hand_ and afficial day of 9 y,1229 Registrar of Contractors 3�t ZLj-! z 1� V P Signarrrrs of lieeruea slarumu.e of pa"on ¢ne otsaliflad on bahall of she lic,,r SURETY C,01MPAkY' ofthe PACIFIC "' CONTRACTORS G�Ct� STATE LICENSE BOARD pr "-&. osT c o� ' ""^-""" ACTIVE LICENSE �E I W�'EROF CCN�AnCT1pF7'-' s-!t:EenS� Wnr05 : CONTRACrOR'StHIMINTMs CAMON CARD 377939 .. CORP t�f�se WUM9�s' BOND Wmae; caNOED SACS ts�...... VISTA UNIVERSAL INC N GOOD ST%Wo1n4G_No t Y s ;TA iiti ! Vx R S h L I tlr C10 C45 ; MAC Rf3vfWAL Dq� , t � CEsvSF txAssacandusl i eoNe.m os. 07/31/2019 www.csib.ca.gov i Jun 27 2017 07:53 Vista Universal 15107320591 r page 4 ISSUE DATE: 10-01-2016 POLICYHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT PO BOX 28000 SACRAMENTO CA 95826-0026 GROUP: POLICY NUMBER: 9143053-2016 CERTIFICATE - ID: 4 CERTIFICATE EXPIRES: 10-01-2017 10-01-2016/10-01-2017 NA LIC PERMIT#: 377939 INCEPTION DATE:10-01-2o% DO: NA This is to certify that we have issued a valid Workers' Compensation insurance policy in a form apprdved by the California Insurance Commissioner to the employer named below for the policy period indicated. This Policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this Policy be Cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the Policy listed herein. Notwithstanding any requirement; torm or condition of any contract or other document with respect to which this certificate Of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and Conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000 PER OCCURRENCE. ENDORSEMENT #1600 - SCH EIDER, DAVID CLARENCE, PRESIDENT TREAS - EXCLUDED EMPLOYER VISTA UNIVERSAL, INC 2430 AMERICAN AVE HAYWARD CA 94549 (REV.7-20141 [P18,NA] PRINTED : 01-16-2017 NA Jun 27 2017 07:53 Vista Universal 15107320591 page 3 CERTIFICATE OF LIABILITY INSURANCE oRT*f w THIS CERTIFICATE IS ISSUED AS ATWITTER OF INFORMA710N ONLY AND F212M016 TE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENDD OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERjS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, W the Certificate holder is an ADDITIONAL INSURED. the Policy(Iss) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conMto m of the Polky, certain Poticles may require an endorl:emeM A stamment on >BZe csrttflraLe dogs not confer certificate hofdar in lieu of such endorsamanflsl_ Opts to the PRODUCER C. Fischer & Co. KeRv Ritchie 1301 Ygnacia Valley Rd #100 " "E . 925�27-5469 Nalnut Creek CA 9459E '1Aa M"ie@rcfischer.corn INsuRm VISTA 2 -- Vista Universal, Inc. IpsIIREIea: 2430 American Ave. D+suRER c Hayward CA 94545 INsu: D.- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYVITHSTANDING ANY REQ IIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO 13Y THE POUCIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOTTIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR TYPE OFMSURANCE POLICY NUMBER POLICY E" EXP�-wccu LIMITS A X COMERCIALOMRALIrABgITY 8KW5W12918 1112017 1/12018 n RRENCE ;1000 ODO CLAMS-NAOE > ^ I OCCUR A B (� GEML AGGREGATE LIMIT APPLIES PER: POLICY a PRO. LOC OTHER: AUTOIlOen E LlAsalflr ANYAUTO ALL OWNED AUTOgOgUL� NONOWNE0 HIREOAUTOS % AUTOS Ix % UNBRELIAIiAB % OCCUR EXCESS 114E CI000 MADE N I A BAA66412916 USA58412818 BICVVmiti29m8 1/112017 1112017 11112017 111RD18 1H2OT8 1H2O18 PERSONAL 6 ADV INJURY ;1.00D,000 GENERAL AGGREGATE $2.000 000 PRODUCTS- COMPXIP AGG S2.000,000 EnV Ben- 111,000,000 $1,00D,000 BODILY WARY (Per Person) $ BODILY NARY (Peraoma q 4 AMA Pdracddeid)S EACH OCCURRENCE i S4,0W.000 D % RETEN110NS 10,000 WORKERS COMPEMSATM ANDEMPLOVEWLU B UTIr YIN ANY PROPRIETORIPARTNEPAD(ECUTFVE OFROEANEMSER EXCLUOEOT EI IM+rdelory In NW) It yusdesoiEe under DESCRIPTION OF OPERATIONS Eslow RentedAzased EqtifPmenI AGGREGATE y4.00D,000 P TM - ER S E. EACH ACCRIENT S E.L. DISEASE - EA EMPLD $ E.L DISEASE - POLICY UM S Lhrllt 40,000 OESCMPIIDN OF OPERATIONS / LOCATONS I VD*CLES (ACORD 101, Addd=d R®aMa SChO f 1r „xy ye> R MM SOM IS M** o) RE License #377939, Contractors State License Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box26000 THE EXPIRATION DATE THEREOF, NOTICE YIILL BE DELIVERED IN Sacramento CA 95826 ACCORDANCE WITH THE POLICY PROVISIONS. AUrHORMED REPRESENTATNE ACORD 25 2014/01 @ 19882014 ACORD CORPORATION. AN rights reserved. ( ) The ACORO name and logo alre registered marks of ACORD NED VOICE (76' 78 49$ CALLE TAMPICO FAJ('(760) 7T7-701'1 LA QUINTAXALIFORNIA.92253 " - , DESIGN & DEVELOPMENT,DEPARTMEN7. INSPECTIONS�(760)'777-7553 BUILDING PERMIT Application Nutrtber; BSIt;2017-0009 r> :Owner: t� Property Address: 74490 HIGHVVAY 111 ' TESORO SIERRA PROP ,! { rti Y APN: 600390010. 1. P,O BOX 597,809' . a �. -Application Description:`:. USAS.GAS / RETRO FIT MONUMENT SIGN SAN ANTONIO, TX 92253 L Property Zoning:; r; Application Valuation: $2,30000.f y ltppilcant: Cpntractor:, 'TRUUT'ESIGNS:INC `TRULITE.SIGNS INC 2990 HALF MOON CT • ;2990 HALF.MOON CT NORCO, CA 93860 NORCO;' CA 92860 LIc. No:? 8,46199, LICENSED"CONTRACTOR'S OECLARATfON ¢y WORKER'S COMPENSATION DECLARATION i hereby affirm.under penaltyof per(urythat l am itcenseQlunder provisions of chapter 9 , I.hereby:affirm under penalty of perjury one of,the:following declarations::• (commencing with Section 7000) of Division 3 of the Business and Professions Code;°and" _ i have and Willrna+ntain a certificate of consent to self linsure for workers' my License is in fuii for and effect: � compensation; as provided for by Section 3700.oftheILaIbor Code, to the performance ' license Class: _ .license No:•846]89 k for which this permit is issued. s,,r��I have and w+il maintain workers' compensation insurance as required by Contractor % Section 3760 of the Labor -Code, for the performance of the work for which this permit is issued. My workers compensation Insurance carrier and policy numbeiare: OWNWOUILDER DECLARATION Carrier: SYA7+ CdtNpCf `SATION i I ANCE i UNn Polity Number: 902 560 l herebyoff. irm under penalty of perjury that l am exempt:from the Contractor's State I certify that in the performance of thework for v�ihidt this permitis issued, i' License Law for -the folloWingaeason (Sec 7031.5; Susiness and Professions Code: Any shall not.empioy.any person In any:manner so as to become sobjialto'the workeW city or mu»tythat requirosa permit;ty construct, alter, Improve; demolish: or repair,aity compensation laws of Californiii, and agree ihat, ifrshouid become subject to the structure, prior to its issuance also requlres.the applicant for the permitto file a signed. , workers' compensation provlsions of section 3)06 of the,LaborCode, i shall forthwith statement thatthe orshe is licensed pursuant to the ;provislons of the Contractor's State comply with those rovisions. License Law (Cho er 9 (commencing with Section 7600):of Division 3 of the Business and Professions Code) or that hoorshe is exempt therefrom and the basis the Oate: 5 Erw 1 t- alleged exemption. Any violation ofSection 7031.S by any applicant,for a permit _ subjectsthe applicant to o civil periolty of not more than five hundred doilars ($SW).: WARNING FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, (_)I;-Osowneroftheproperty oimyemployPeswiihwagesa;theirsole ANDVILirNSUPT_{1` compensation, will do the work; and the structure is no0niended or offered for sale: OfJ11NuNORg, 1 i{I9USftNi .pOLLARS ($i()0 00Q) IN Ag01TI0N�f0 lfik C 51 Uf (Sec. 7044;.0usiness and..0tofessions Code:__ The:Contractgrs' State license Law does not CC+rvIPGM1SSltT10N;;DAMrtGES AS PRbUIDE010{2'iN SECT'►C?tV 31aG Ot TI k,1 FlRt3R C,(3o _ applytoanovrnorofpropertyWho builds or#mprovesthereon; andwhodoesthework I INTtRI$1 ANQ/IFYA�iNCY'$FLE5? V ✓x himself or herself through his or her own employees +provided that chic improveme»ts are notintendedror offered for sate: If, however, the building or improvementis sold PLICANTACKNOiA>tkOGEiVIENI within one year of completioit,.the::owner builder will have the bti'rden of.proving that; he IMF!bp IANT Applicatlonis httr�by made to £ho Oalid,+,'oflicittE'12i� hrvnitvbject t4 , ..., ., or she did not build or itmprove for the purposeof sale,j. ihe.eondiuonx'and restriet(anr8et idrXh on th'rS applteotit7n. (_ _) I,as oWner�ofthe propeny,�am exclusively confracfing with licensed contractors to t, leach porson.upoltauitAse ixh lttlthis api5fitattoil i 5lsadC, coshrSonaRyvhge� construct the•profect. (Sec: 7044 Buslness and Professions Code: The Contractors' State f.006i;and be-opt�� ti5rii to pry perrmik is; yed . License Law does -not apptyto an owner of propty vvn0 builds or Improves thereon, a$ are#uit of thisappllcatlon, the ovrncr, andhe appircTittt, etch ar ices to and sfiall= and who contracts for the projects with a contracfo'r(s) licensed pursuant to the d¢fc»tl fndentni{y and hpiil homrilr ss:th4 Crty'gi La Quinib ns'orticers agents a dr Contractors' State License law) emplloyoes for 4py , ied ' Wuxi being prrrrorm�yd u�irTer nr:.: (_) I am ezemptunder Sec B &P C, for This reason _ foljoviji rsauanCi'oCtifis permit a 7 Any permit tssuod ,s a"re4ultdf iifi pPpifcation becomes nu[I and vo,d i f v�ork is na't:' ' eommenceelSvitfiln380.4 ys(E2rnrlate" btr '1uarrcenf;utltpe+ntit,ortessai onofwor, Date:. - owner:.. for`t8t7 days wittsubiGd,permitip <fi(rceliatlo»;r 61,154UCTfON LENOING'A6ENCy s t cerdN. that t It lye read this 6pplic on and statethat<tho ,yboveaiifrirmation:is earn t; .. I hereby affirm under,pehalty of perjury that there is a construction lending agency for t anret o corr!piy with tiil;cify ono county otdiitonees anti state lavrs'fetatiri8 to bu+tdrrtgi the performance of the work.for which this permit.is Issued (Sec. 3097, Civ. Cr). construction ,and hr, rebyauthor �e rcpresenfativcs 0(il is ciiy to'enter upon'the lbtsve Date: 5/22/2017 Application Number: BSIG2017-0009 Owner: Property Address: 79490 HIGHWAY 111 TESORO SIERRA PROP APN: 600390010 P 0 BOX 592809 Application Description: USAS GAS / RETRO FIT MONUMENT SIGN SAN ANTONIO, TX 92253 Property Zoning: Application Valuation: $2,200.00 Applicant: Contractor: TRULITE SIGNS INC TRULITE SIGNS INC 2990 HALF MOON CT 2990.HALF MOON CT NORCO, CA 92860 NORCO, CA 92860 (951)735-5525 -------------------------------------------------------------------------------------------- Llc. No.: 846189 Detail: (1) RETRO FIT LED SIGNS [USA GAS] SIGN PERMIT NO. 2017-0018. PER 2016 CALIFORNIA BUILDING CODES. F FINANICIAL INFORMATION DESCRIPTION -ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL:. $50.66 DESCRIPTION. ACCOUNT CITY AMOUNT MONUMENT SIGN, FIRST 101-0000-42404 0 $76.00 DESCRIPTION ACCOUNT CITY AMOUNT MONUMENT SIGN, FIRST PC a 101-0000-42600 0 $139.84 Total Paid for SIGN: $215.84 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bind � j Permit ;i c / ProjectAddress: �7 T4o • L,._ r /+� 7 p� iy �1 ty lJ( b .Ql.ii f t Building &r Safety Division 78-495 Calle Tamj)ico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet r/f' �Owner?sName: �g Gr.O A. P. Number: ` Address:.! 9 Qb dladd �%w Legal Description: City, ST, Zip: Sao.. �}NR7 of#r,!-X �Co'nt�acoTr U e Telephone: e: � /d- 62 6- 22 2ddress� y� d /-9 //(gyp c/T. � -` _ _ • - P�roject Description':' City; ST, Zip: t�Grlio Gf} gr%i�L d L 'Telephone: S 7 3S= � S - t ..State Lic. # : City Lie. Arch., Engr., Designer: - Address: City, ST, Zip: ' T 1 h e e one: P s n Ca tructi n T Occupancy: s o e: c O Y P P Y• State Lie .# . Project type circle one : New Add'n Alter Re air Demo o` Name of Contact Person:. 1 F rLv %`� , Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:��'(_?3 S- SS2 Sr � _ Estimated Value of Project: � 2 � Q (, " APPLICANT: DO NOT WRITE BELOW THIS LINE ii Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit ' Truss Cales. Called Contact Pcrson Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical - Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Pcrson Plumbing Grant Deed Plans picked up S.M.I. h II.O.A. Approval Plans resubmitted' Grading IN ROUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Pei -son A.I.P.P. Pub. Wks- Appr Date of permit issue _ School Fees, r s Total Permit Fces ' RECEIVED MAY 1, 5 2017 `TV I-V 01' LA QUINTA CUv11,iu,wilY DEVELOPMENT May 4, 2017 RE: 79-490 Highway I II La:Quinta, CA 92253 TESORO To whom it may concern, I; Bill: Hamilton (Authorized",Signatory), owner of the subject property, do hereby authorize the si&t, vendor, Trulite,.under contract with Lytle Signs; and their representatives to act as our agent for filing and securing the required permits for the above mentioned location and scope of work.. this authorization is valid -through 12/31/2017. Should you have any questions or concerns, please feel free .to contact me at 210-452-5407. Sincerely; Bill<Harnitton 0 STATEOFGAOFORNIA ' SIGN LIGHTING ctc-NFCCG-Lr5-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE s NRCC-LTS-01-E Sign Lighting (Page 1 of 5) Project Name: f ' 4 �a v t ' Date Prepared: � / . A. General Information - Project Address: Location of Sign EI Outdoor rigns ❑ 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 I] 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 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 1b 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 ❑✓ No, 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: 1 There are existing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3 s ❑ 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 0 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 J SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Project Name: Date Prepared: 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. 1,f © 0 §330.3(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. .60 Q 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 that provides the ability to automatically reduce sign lighting power by a minimum of 6596' 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 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. §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. 0.0 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 3096. 0 Field Inspector Notes: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016 IV .. STATE OFCALIFORNIA SIGN LIGHTING riiic%I%I CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION` CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3-of S) Project Name: Date Prepared: .2. Mandatory Sign Lighting Measures I have responsibility for installing the sign lighting ❑ Yes, I have respo ibility for the sign lighting, and will complete ❑ No, I do not have responsibility for installing the sign lighting. Someone parts 2a and 2b of thi ompliance document else will complete parts 2a and 2b of this compliance document. 2a. Maximum Allowe Lighting Power Method of Compliance Certificate of Complian and Field Inspection Energy Checklist. Complete this part if there re signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this Certificate of Compliance if t re are signs using the Specific Lighting Sources method of compliance). A B C D E •F G H I J OPTIONAL — Symbol , Code 'Description of the Sign Energy Verified . Label (see Allotted Watts Design Complies Field . Inspector instructions Watts Y/N Checkthat below) Sign Complies C w v ? H ri a w J \ \ N 19 LL — ii1 H ~O vl 2 •w • d Q 10 C c E: -0 � d1 ryt 3 . � r`i M X °' 0 C w h di C tl0 y ��a�.•') 0 11 11 p —� d . an Q _ Q tC— O V ✓ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ ❑ ❑ 0 ❑. '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 constrzVon documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENER VERIFIED label, confirming that the sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the aximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VE FIED Certification Marks C authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC ide 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 7® 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 WIRNO OPTIONAL 9 ENERGY Specific light source used for 0 < Symbol VERIFIED " compliance-a�=f Fleld,lnspector. or Description label . Shall include only lighting Check'. at Slgn Complies Code (see technologies listed.below � z. instructions (List all that apply)r 's below) D7 �M mON4 /✓ ✓ ❑ 7 t''❑ . ". ❑ •❑ r ❑ '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. Neon or•cold cathode lamps with transformer or power.$upply efficiency greater than or.equal to a minimum efficiency of 75% when �/ 4 the transformer or power supply rate_ d 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,supplyefficiency, 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. 4, 6 Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index 'a (CRI) of 80; or B.) Use only electronic ballasts withfundamental 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 watt ts; shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). - 9 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 •.STATE OROALIFORNIA = SIGN LIGHTING EC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION qW 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 AuthorName:NICOLAS NOLTEN, Documentation Author Signature: Company:TRULITE SIGNS, INC. Signature Date: Address: 2990 HALF MOON CT CEA Certification Identifications (if applicable): N/A City/State/Zip: NORCO, CA 92860 Phone: 951-735-5525 RESPONSIBLE PERSON'S DECLARATION STATEMENT L 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 thata completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder to building provides the owner at occupancy. Responsible Designer Name:ERIC ERWIN Responsible Designer Signature: 5c n (/ Company: TRULITE ompany:TRULITE SIGNS, INC. Date Signed:(� Address: 2990 HALF MOON CT. License: C45 / 846189 City/State/Zip:.NORCO, CA 92860 Phone: 951-735-5525 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016 tl sv z a !L U ma m s� m � O `4 tYiLE SIGNS rY91T it, At: 2lCyHi REy[&vEi7 sLU N% C �p C? 8l1LU f C} N ryye ra L Lytle Signs Inc. Twin Falls office RO. Box 1925 KIMBERLY RD. TWIN FALLS tEa"o &W ,% � 248.733.1739 o w !aaa^98.135.$6S3 a L3 7 z Boise/Meridian Office o0 2070 E. (OWERCIAL ST IAERIDIAW>IDAHO 83642 z Z 2D8.388.1339 � fax248.388.3966 � www.lytlas�gn€.(am WMA � sa(as t�sfytEes+gns ram vs " ..,_ A, 4'-0 1/8' llii�!-�XaUKIM MONUMENT SIGNS_- REFACE PRICE CABINETS - TWO IDENTICAL CLEAR FLAT POLYCARBONATE FACES SECOND SURFACE DECORATION IN USA COLORS USA BLUE (PMS 280) & WHITE NOTE: BLUE BACKGROUND IS OPAQUE 8" PWM SMD PRICE DISPLAYS (THREE WHITE, ONE GREEN PER SIDE) 2 3/4' TALL SECOND SURFACE WHITE COPY GREEN TRANSLUCENT VINYL DIESEL BACKGROUND ART15 SIPQ$,Ep 54G IAGE. AR715j SIMUi ATION_.QF_NtG4 47 TIME APPEARAtJG. i � S F^tA `.. Z IL > J o d IL CR SIGNS 11c", 2017 a.0 arc.+rs aesp:.;v�c; d w w y Hw �w �G sz Lyme Signs Inc. a Twin Fulls t7he 2,0 eo. eox 305 1925 RiMiERIY RD. T MN FAt k S, fox"o 83m 208 733.1739 H 1.800.d21.d83d a &A208,736.8653 v 8 Z80 Boise/Meridian Office Zara F. roxM RaA; s `A MERIDIAN, IDAHO 83E-17 z Z 208 388,1739 G a ?zr208.388,3966 u� Q wwwlytlssigns corn u sales i Elssigns.€am _a 4 ..l . _ MO _!. F I.C. �`1i� ...... _i ;�1ODULE INS i t' 1�.:: Y C )NJ-RC)I.-,-- ` R — POWER SIJRPLI' , 10 A MAXIMUM POWER CJNSUM=-' ;CCiN I RC}--LER WII.:_L RUN 1-.-8 PRIG. MCGULE- S) RIBBON ClaBi.....1__ FOR D TI-1, TRANSFER ICA...... EX--RUDI'l "': ;C;f CURE. 0 F 1l .E.. WI I ICJ_i-S. AN I NYLOC NUT R0_'TER Yr iCAL.... POLY ` A � E-31O • f ..._...... CF'ME FACE_.: DUI__ LISTED OJENI: - TESORO UATE: 5-11-17 DRAWN BY: (�S A}!7F2ES5: VARIOUS' SCALE: WO #: LYTd.E SIGNS© 2000 THESE DESIGNS ARE THE EXCLUSIVE PROPERTY OF LYTLE SIGNS INC. THEY MAY NOT BE USED IN PART OR IN WHOLE WITHOUT THE EXPRESS WRITTEN CONSENT OF SAID COMPANY. THE SALE OF THE DESIGNED MATERIALS DOES NOT CONSTITUTE THE TRANSFER OF OWNERSHIP OF DESIGN OR DRAWINGS OmQ&®PD@�H�D