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BSIG2018-000778-495 CALLE TAMPICO V 'i �NMIA�iI/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: SIGN/ Application Number: BSIG2018-0007 Property Address: 78982 HIGHWAY 111 STE 1 APN: 643080047 Application Description: AT&T / [3) NEW ILLUMINATED SIGNS STE 1A Property Zoning: Application Valuation: $15,000.00 Applicant: STEVE THERRIALT / SIGNTECH ELECTRICAL ADVERTISING INC 4444 FEDERAL BLVD SAN DIEGO, CA 92102-2505 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: C45 - License No.: 457406 / 1 1 Date: `-�zq- v Contractor: v r� o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or countythat 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 ofthe 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, 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: /�" C (76077-7125 (— FAX (76OF 77-7011 —INSPECTION ­S (760)<cf_-77-7153 mate:= �24/2018 Owner: 191 ONE ELEVEN LA QUINTA �l a w 78892 HIGHWAY 11,L STE 1B I LA QUINTA, CA 0 Q C.� p z ® z Ln t.0 C7 Contractor: SIGNTECH ELECTRICAL ADVERTISING INC 4444 FEDERAL BLVD SAN DIEGO, CA 92102-2505 (619)527-6100 Llc. No.: 457406 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: ZURICH AMERICAN INSURANCE COMPANY 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 Labor Code, I sAall forthwith comply with those provisions. Date: ! -ZA ) t Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and. employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to ent . Pon the /� above -mentioned property for inspection purposes. _ % 1 ' I Date: 2 a `/ � Signature (Applicant or Agent): i Date: 4/24/2018 Xpplication Number: BSIG2018-0007 Property Address: 78982 HIGHWAY 111 STE 1 APN: 643080047 Application Description: AT&T / [3] NEW ILLUMINATED SIGNS,STE 1A Property Zoning: Application Valuation: $15,000.00 Applicant: STEVE THERRIALT / SIGNTECH ELECTRICAL ADVERTISING INC 4444 FEDERAL BLVD SAN DIEGO, CA 92102-2505 Owner: ONE ELEVEN LA QUINTA 78892 HIGHWAY 111 STE 1B LA QU I NTA, CA 0 Contractor: SIGNTECH ELECTRICAL ADVERTISING INC 4444 FEDERAL BLVD SAN DIEGO, CA 92102-2505 (619)527-6100 Llc. No.: 457406 -----=--------------------------------------------------------------------------------------- Detail: AT&T (3) CHANNEL LETTER LED SIGNS [AT&T] SIGN PERMIT NO. 2018-0007 [JA]2016 CALIFORNIA BUILDING CODES. 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 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL 101-0000-42404 0 $53.06 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $53.06 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST 101-0000-42404 0 $26.53 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $93.62 Total Paid for SIGN: $226.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00 PERMIT# �6 loI9'—<0007. PLAN LOCATION: Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: kA IU 6 1 Applicant Name: Nt-YmI U UT Address: City; ST, Zip: 1 q Telephone: Email: � �� J i q ✓1t-eJ-7 CG /1, i Valuation of Projects Contractor Name: �lG-�l;L2H ��c �C/1C ACYv?2j 1Si/Vr New SFD Construction: -. Address: yii`) L� VD Conditioned Space SF City, St, Zip., GZ Garage SF, Telephone: Ce 2 7 Patio/Porch SF Email: Fire Sprinklers SF . State Lic: S� y Q(o CityBus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: ' City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: New Commercial / Tenant Improvements: Address: Total Building SF City,, ST, Zip Construction Type: Occupancy: : E 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY Submittal Req'd Ree'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM 10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Bun -tee Debris Plan Planning approval Public Works approval Fire approval. City Business License r STATE OF CALIFORNIA SIGN LIGHTING ref, 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: AT � � .Date Prepared: A. General Information Project Address: / 81 82 K-VJ I r 'Location of Sign is Outdoor Signs [].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 ® 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 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 same complete installation). 1 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 ❑ Yes g No '2 There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable provisions of §110.9 and §130.3 J Yes ❑ 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 c=TY CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE CH 1 BY B51 c12006— oo o:l- RECEIVED APR 03 2018: CITY OF LA QUINTA COMMUNITY DEVELOPMENT (.A tsutloing Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016 1 r a• ., C STATE OF CALIFORNIA 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: T Date Prepared: 1b. 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. © O §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. 0 © 0 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. © OD §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 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 p , (9) p 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. 0 is §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 4 reducing the lighting power by a minimum of 30% when receiving a demand response signal. 6) 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%. O OD Field Inspector Notes: .ti e r CA Building Energy Efficiency Standards' 2016 Nonresidential Compliance August 2016 r STATE OF CALIFORNIA SIGN LIGHTING w CEC-NRCC-LTS-01-E Revised 08/16 CALIFORNIA ENERGY COMMISSION '111W' CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Name: a y r j Date Prepared: / r 1 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 OPTIONAL Symbol ENERGY Specific light source used for Field Inspector p or Description VERIFIED label compliance Shall include only lighting Check that Sign Code (see technologies listed below Complies instructions (List all that apply) below) S O I WALL 5ICrr-,1 ❑ --7 ❑ S �Z wfk.(- (S16-VII) ❑ -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 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. D Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75% when 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 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% 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: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E Revised 08116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name: a.�„ Q ; i Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: `SZ'vt LazgI /A J t-T Documentation Author Signature: '— Company: �c.._ 514—n1TL-21i �2`z,�� gSinature Date: Address: CEA Certification Identification (if applicable): City/State/Zip: UN Phone: 1 ' RESPONSIBLE PERSON'S DECLARATION STATEMENT 1-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. 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 o er at occup ncy.. Responsible Designer Name: �iZNC /+�J �7 li-IL�2� Responsible Designer Signature: Company: 4N �__r `2�� / ^ � S /!U G `V�' Date Signed: � Address: H9 LA`� R�^r� L V,` U license: 9 S-i . U Qs City/State/Zip: c—^ ^ ' �1 U1 CA p Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016