BSIG2019-000378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype: SIGN/
T4ht 4 4P Qu&M
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSIG2019-0003
Property Address:
78370 HIGHWAY 111 STE 110
APN:
604050068
Application Description:
F45 TRAINING
Property Zoning:
Application Valuation:
Applicant:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
Q°DFEB 1 5 2019
CITY OF LAQUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Clas : D42. C45 License No.:
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 am exempt under Sec. . B.&P.C, for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/2019
Owner:
POINT HAPPY REALTY
8665 WILSHIRE BLV STE 410
BEVERLY HILLS, CA 92253
Contractor:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
(760)776-9907
Llc. No.: 830131
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 thp work for which this permit is issued.
,ksehave 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RW
_ 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 shall forthwith
comply with thos provisions.
pate: j Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVERAGJ~ 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 property for inspection purposes.
(]ate: Signature (Applicant or Agent):
Date: i/15/2019
Application Number:
BSIG2019-0003
Property Address:
78370 HIGHWAY 111 STE 110
APN:
604050068
Application Description:
F45 TRAINING
Property Zoning:
Application Valuation:
Applicant:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
Owner:
POINT HAPPY REALTY
8665 WILSHIRE BLV STE 410
BEVERLY HILLS, CA 92253
Contractor:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L
PALM DESERT, CA 92211
-i (760)776-9907
1 Llc. No.: 830131
? i
----*--------------- ------------------------------------
' i
Detail: (1) CHANNEL LETTER LED SIGNS [F45] SIGN PERMIT N,O. 2019-0606JCFL] 20,16iCALIPORN (A BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$27.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$96.06
Total Paid for SIGN: $123.28
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
130. 7"
�- 39.3------1 F-- 39.3-
M0000-
191,
L
WHITEACRYLIC FACES WHITE ACRYLIC FACES BLUETR/M 5'BLUERETURNS
W/CUT VINYL
it
Frontage: _45_ Linear Feet Customer:
F45 Training
Address:
78370 HWY 111, Ste 110
Total Signage _17.24_ S.F. I La Quinta, CA 92253
S4gnarama Contractor's Lic 9 830131 C45, C61/D42
The way to grow your business.
41945 BOARDWALK, SUITE L Workers Comp. #1936eo7
PALM DESERT, CA 92211
PH 760.776.9907 / FX 760-776.9844 J City Lic. #97005491
Internally Illuminated
Acrylic Faced Channel Letter
Depth: 5"
Aluminum Thickness: 040
Acrylic Thickness: 1/8"
Face Color: White, Blue, Red
Return Color: Blue
Trim Cap Color: Blue
Mounting: Back
Standoff: Flush
L.E.D. Color: White
ADMINISTRATI
CASE# SA2019-000
EXHIBIT#
INITIAL CEnN
DATE 02/13/2019 5:0 51
1NG
Telephone:831-296.4893 Jobsite:
Fax:760-xxx-xxxx Same
South FI FVATIOKI
DWg. No.: 94192 Rev.: 2
Date: 1-25-19
Designer:. GA
Salesperson: BS
CHANNEL LETTER & LIGHT BOX SECTION
INTERNALLY ILLUMINATED L.E.D-RETURNS
TORN ALUMINUM
RETURNS
WALL
► �` TRIMCAP
`�— ACRYLIC FACES
HOUSE
FO'��
L.E.D. MODULE
LOW VOLTAGE WIRE
DISCONNECT
55YIiCH-1 1
WIRE NUTS
EACH LETTER FASTENED BYA
MINIMUM OF 4 #10 SCREWS
WITH STUCCO APPROVED
12VOLT L.E.D.—tt
ANCHORS
DRIVER
#8 SHEET METAL SCREW
ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT
U.L 48
NEC ELECTRICAL CODE 2016
THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF
ARTICLE 600 ON THE NATIONAL ELECTRIC CODE AND OR OTHER APPLICABLE LOCAL CODES.
"'CLUDES PROPER GROUNDING AND BONDING OF THE SIGN THE LOCATION OF THE
ONNI SWITCH AFTER INSTALLATION SHALL COMPLY WITH ARTICLE 600.6(A)(1)OF
THE NATIONAL ELECTRICAL CODE.
CHANNEL LETTER CONNECTION DETAIL
A C�LITA 5NR CH . �
L'J H041,.=_ POWER
_t^!
DIMCUMING STUCTURE
. L. LI TED AND LABELE
IY MPLiES WITH 016 CA ELECTRIC CODE, ARTICLE 60
us omer Approval:
Landlord Approval: 6 )Z--
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN A'RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECTDESIGNAND INFORMATION. THE COLORS SHOWNARE ONLY
REPRESENTATIVE OFACTUAL PMS COLOR CALL OUTS, FINAL COLOR WILL �r r
BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
THIS DESIGN IS PROPRIETARY PROPERTYAND MAYNOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGNA•RAMA. Al
STATE OF CALIFORNIA
SIGN 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: F45 TRAINING Date Prepared:
A. General Information
Project Address:
78370 HWY 111 STE 110
Location of Sign ❑✓ 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) 0 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 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 1a 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 same 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 1a and 1b of this compliance document Someone else will complete parts 1a 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 ❑ 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 ❑✓ No
73n
hereare existing sign lighting controls that do not comply with the applicable provisions of §110.9 and §130.3 and I will be
stalling sign lighting controls that comply with the applicable provisions of §110.9 and §130.3
❑ Yes ❑✓ No
Ty OF gyp, ()UINA
BUILDINGDIVISION�
REVI CODE
COMPLIANCE
August 2016
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E Revised 08/16) CALIFORNIA ENERGY COMMISSION iW
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
Project Name: F45TRAINING 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.
O
O
O
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time-
Y N
NA
switch control, or an astronomical time -switch control.
O O
O
2
Y
NA
EXCEPTION to Section 130.3(a)2A: Outdoor signs in tunnels, and signs in large permanently covered outdoor
areas that are intended to be continuously lit, 24 hours per day and 365 days per year.
O
O
§130.3(a)26. 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
O
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.
O
O
§1303(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC)
Y
N
N/A
having d new connected lighting power ioad greater than 15 kW has a control installed that is capable of
4
reducing the Ilghtin power by a minimum of 30% when receiving a demand response signal.
O
O
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 O
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
Wa
ULU-NHUU-L I5-01-t(HewSen 0e/1E) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 3 of 5)
Project Name: F45 TRAINING Date Prepared:
2. Mandatory Sign Lighting Measures
I 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 compliance 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
Energy Verified
Design
Complies
Inspector
Code
Description of the Sign
Label (see
Allotted Watts
Watts
Y/N
Check that
instructions
Sign Complies
below)
° w °
Ol
C)
J \}
:
M
v onovi
_
f0
�, ? N
LL
N O
!�
N
Q
f0 C-0
C C
N
3 N M
ri N
O
X
a) �
C
T
C
in
N +'
c w=
Q �. w
Q
f- ° ?�
0
1
F45 LED SIGN
❑✓
12.24
1
12
146.88
120
Yes ❑
❑
0
❑
❑
0
❑
❑
0
❑
❑
I
❑
❑
❑
ElI
❑
❑
0
❑
E]L�!Wr
ryry{�
VMR
0
❑
❑
L.
0
El
Symbol or code used on the plans (when
documents.
B
A description of the sign, or location of sign on the building; and the oca to ruction documents.
OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that
the sign complies with the Section 140.8 of the California 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 VERIFIED Certification Marks
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American
C
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).
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:
August 2016
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION 'wi
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 4 of 5)
Project Name: F45 TRAINING 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
OPTIONAL
ENERGY
Specific light source used for
Symbol
VERIFIED
compliance
Field Inspector
or
Description
label
Shall include only lighting
Check that Sign
Code
(see
technologies listed below
Complies
instructions
(List all that apply)
below)
❑✓
7
❑
1
F45 LED SIGN
❑
❑
❑
❑
❑
❑
❑
_
❑
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 SO mA. The ratio of the output wattage to the input wattage is at
100% tubing load.
i
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
Re ulations (Title 20).
9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26).
This page doubles as a field inspection checklist.
E
Field Inspector Notes -
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
ULU-NRUC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION —qlgp'
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Project Name: F45 TRAINING Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
SIGLkeL►�
Documentation Author Signature:
Company:
Signature Date:
Address:
CEA Certification Identification (if applicable):
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified
on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are 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 ow er at occupancy.
Responsible Designer Name: ILL 1 �� C
19
Responsible Designer Signature:
Company: f J� ^
Date Signed:
Address:
License:
City/State/Zip:
Phone:
ao
OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE��,�gy
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance
August 2016