BSIG2017-001278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BSIG2017-0012
T? '. 4 a(fo QaAs-
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 79680 HIGHWAY 111 STE 102
APN: 600030016
Application Description: YOU GRILL WALL SIGN
Property Zoning:
Application Valuation: $2,500.00
Applicant: Dt�_
88 SIGN CORP 2017
1906 DOREEN AVENUE
SOUTH EL MONTE, CA 91733 CITY OF LAOUINTA
OPWTYDEVELOPMENTDEPARTMENT
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: C10 License No.: 702474
Date: /� Contr�� a C2 J2
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.). -
(
ale.):( ) I, as owner df 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/11/2017
Owner:
DUNES BUSINESS PARK
P O BOX 1216
HERMOSA BEACH, CA 92253
Contractor:
88 SIGN CORP
1906 DOREEN AVENUE
SOUTH EL MONTE, CA 91733
s
(626)442-8033
Llc. No.: 702474
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 370D 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 LaborCode, for the perfo-mance of the work for which this permit
is issued. My workers' compensation insuran•:e carrier and policy number are:
Carrier: E MPT Policy Number: _
�17c'ertify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner sc 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 5700 of the Labor Code, I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' CC_MPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIAAL 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 tlLe Building Official for a permit subject to
the conditions and restrictions set forth on this application. . .
1. Each person upon whose behalf this appi cation 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 tie 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
riot commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cance+lation.
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 property for inspection purposes.
Date:1� Signature.(A Iicantor Aeeaff
Date: 9/11/2017
Application Number: BSIG2017-0012
Owner:
Property Address: 79680 HIGHWAY 111 STE 102
DUNES BUSINESS PARK
APN: 600030016
P O BOX 1216
Application Description: YOU GRILL WALL SIGN
HERMOSA BEACH, CA 92253
Property Zoning:
Application Valuation: $2,500.00
Applicant: -
Contractor:
88 SIGN CORP
88 SIGN CORP
1906 DOREEN AVENUE •
1906 DOREEN A✓ENUE
SOUTH EL_MONTE, CA 91733
SOUTH EL MON-E, CA 91733
(626)442-8033
Llc. No.: 702474
Detail: (1) ILLUMINATED CHANNEL WALL SIGN (YOU GRILL]. PER 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS.SB1473 FEE 101-0000-20306 0- $1.00
Total Paid for BUILDING STANDARDS 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 foi 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#
City of La Quinta
0o 1 Building & Safety Division
1 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Application. and Tracking
O � . U ��IButldcng Permit App g Sheet
Permit#
...�iq
Project Address: f W
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G
V
10
Owner's Name:
A.P. Number
Address:
Legal Description:
City, ST, Zip:
Contractor: SI L J�
Telephone:
Address: �_ /tom
LIPj b 6
Project De cript5on:
City, ST, Zip: a EG MOA) r l
cQf
Telephone
(b4)4k—S '� C�
State Lie. #: Z City Lie #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Proj. Type I /Nem Add'n
Occupaecy:
Alter Repair Demo
State Lie. #:
Name-olC-ontacY:> Y7
SgFt: 4O G 54
#Stories
#Units: �O
Telephone of-C-ontast: �' [ Estimated Value of Project:¢
0 ;o ,
APPLICANT. DO NOIT 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 Cales
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechani;al:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
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STATE OF CALIFORNIA
�11GN LIGHTING
CEC-NRCC-LTS-01-E Revised 08/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of 5)
Project Name: nliz / Date Prepared: /
A. General Information
NOTES:
Project Address:.
person may install the sign lighting controls than the responsible person installing the sign lighting power.
_fy
responsible for installing the sign lighting power is not also responsible for the sign lighting controAs, then the owner of the sign,
Location of Sign
putdoor Signs ❑ Indoor Signs
Phase of Sign Construction
�
HNew Signs ❑ Sign Alterations
Type of Lighting Control -
❑ New Lighting Controls ❑ Replaced Lighting Controls ❑ Not Installing Lighting Controls
This Certificate of Compliance includes the following components (check all that apply):
❑ Mandatory Measures (Lighting Controls). ❑ Maximum Allowed Lighting Power ❑ Specific Lighting Sources
1. Mandatory Sign Lighting Controls
NOTES:
1. The some -responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person 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 controAs, 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 CompPiance Declaration Statement
for the entire construction (e.g. a C-10 contractor may complete parts la and lb on one compliance document and a. C-45
contractor may complete parts 2a and 2b on a separate compliance document — the Responsible Designer shall submit the two
,compliance documents together for the some complete installation).
I ve responsibility for installing the sign lighting controls:
Yes, I have responsibility for the sign lighting controls, and ❑ No, I do not have responsibility for installing :he sign lighting controls.
will 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
Th re are existing sign lighting controls that comply with the applicable provisions of §110.9 and.§30.3
—Wes ❑ 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 ®'Na
Ther are existing sign lighting controls that do not comply with the applicable provisions of 6110.9 and §130.3 and I will be
3
Ins Iling sign lighting controls aht 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
" S'i.GN LIGHTING
CEC-NRCC-LTS-01-E Revised 08/16 CALIFORNIA ENERGY COMMISSION v+
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name: yov Date Prepared: /
1b. Mandatory Sign Lighting Controls
If the personsigning 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.'
❑
❑
§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.
❑
Q'
§130.3(a)2B. All outdoor sign lighting that is ON. both day and night is controlled.with a dimmer that provides
the ability to automatically. reduce sign lighting power by a minimum of 65% during nighttime hour,. 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
❑
❑
d
night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intenced 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.
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%.
❑
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
v
fiRRI
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: V ' A Date Pr ar :
2. Mandatory Sign Lighting Measures
1 have responsibility for installing the sign lighting
❑ Yes, I have responsibility for the sign lighting, and will complete ❑ No, I do not have responsibility for installing the sign lighting. Someone
parts 2a and 2b of this compliance document else will complete parts 2a and 2b of this corrapliance document.
2a. Maximum Allowed Lighting Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist.
Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this
Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance).
A
B
C
D E F G
H
I
J
OPTIONAL –
Field
Symbol or
Description of the Sign
Energy Verified
Label (see
Allotted Watts
Design
Complies
Inspector
Code
instructions
Watts
Y/N
Check that
below)
Sign Complies
N
o v� 04—
3
w
m. X33
N M -6 X
v 3 r.i 3 0
,• 3 2 n D
in
to
c°
H
ai
n
(i
°c° 0
in c w= Q C.:
o
Q
m„
H
V1
❑
L4% 6 40:6x12
14 15 h2
t❑
❑
,
❑
❑
❑
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A description of the sign, or location of sign on the building; and the location of.sign on construction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY-lERIFIED label, confirming that
the sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards, using the Maximum Allowed Lighting
Power method.of compliance. The only labels that will be recognized for this purpose are ENERGY \.ERIFIED Certification Marks
C
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/EC Guide 65 by the American
National Standards Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certifcation Body shall be an .
?
ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/ EC 17020. For signs with such
an ENERGY VERIFIED label, columns 'D' through'I' are not required to be filled out. Note: Using an E JERGY 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
` S1GN LIGHTING
C -N RCC-LTS-0 1 -E (Revised 08/16) CALIFORNIA ENERGY COMMISSION '00
ERTIFICATE OF COMPLIANCE NRCC-LTS-01-
ign Lighting , (Page 4 of 5
oject Name:i• 0 , 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
OPTIONALx
t ;, .
ENERGY
Specific light source used for
Symbol
'
VERIFIED
compliance
Field Inspector -'
Check that Sign.
or
Description
label
Shall include only lighting
Compiles W
Code
(see
technologies listed below
instructions
(List all that apply)
,
belo
,
❑
u �0,,41
❑-:
❑ 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 supply efficiency greater than or equal to a minimum efficiency of 75% when
D
•4
the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at
100% tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68%when
5
the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at
100% tubing load.
6
Fluorescent lighting systems meeting one of the following"reg6ire_ments: 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.
Light emitting diodes (LEDs) with a power supply having an efficiency of 80% or greater.
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a
8
nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency
Regulations (Title 20).
9
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:
t r.
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
r
r
STATE OF CALIFORNIA
SIGN LIGHTING
-NRCC-LTS-01-E(Revised 08116) CALIFORNIA ENERGY COMMISSION 14
RTIFICATE OF COMPLIANCE NRCC-LTS-O:
n Lighting (Page 5 of
ect Name: &AIZ Date Preparedo„ 141
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation A thor Name:
Documentation Author Signature:
Company:
Signature Date:
Address: _ /�
CEA Certification Identificatio (if applicable)
City/State/Zip: fNr�Y/
Phone:
44z -
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 defign 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 Sart 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 submi _ted 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 bUlding 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 bL ilding owner at
occupancy.
Responsible Designer Name:
Responsible De ' igna e:
Company:
Date Signed: �]
Address:
License:
City/State/Zip:
Phone:
ti
CA Building Energy. Efficiency Standards - 2016 Nonresidential Compliance August 2016