BSIG2018-001178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:.
Property Address: `
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
PD GROUP DBA SIGNARAMA
41945 BOARDWALK SUITE L, .
PALM DESERT, CA 92211
D �il/ VOICE (760).777-7125
• FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/1/2018
SIGN/
BSIG2018-0011
79255 HIGHWAY 111 STE.6
600340005
THE PALMS CAFE / 2 CHANNEL LETTER SIGNS
$4,500.00
D
Q
.
JUN 01.2018
Owner:
1ST COMMERCIAL - DIANNE CRUZ
2009 PORTER FIELD WAY
UPLAND, CA 91786
Contractor:
Pb GROUP DBA SIGNARAMA
4194S BOARDWALK SUITE L ,
PALM DESERT, CA 92211
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)776-9907
Llc. No.: 830131
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License ClassD4J. C45 License No.: 8301AI
ofa work for which this permit is issued. '
I have and will maintain workers' compensation insurance, as required by
Date: V Contractor:
Section 3700 of the Labor Code, for theperformance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64396857
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair .
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with ho provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
/ 1
A,
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: 6 I / Applicant:
'L.1 T
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
heor she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuantto
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or.
(_) I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
work for180 days will subject permit to cancellation.
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
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-mentipnej property for.inspection purposes.
Date: / Signature (Applicant or Agent):
FINANCIA.L.I.NFORMATION
,.,.DESCRIP,TION'. ' ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $f.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1-.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Totaf Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
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, -EA -ADDITIONAL
.101-0000-42404
.0
$26.53*
'DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL PC
'101-0000-42600
0
$26.53
DESCRIPTION
ACCOUNT
Qw '
AMOUNT ,
WALL/AWNING SIGN, FIRST
101-0000-42404 . l
0
$26.53
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING.SIGN, FIRST PC
101-6000-42600
0
$93.62
Total Paid for SIGN:. $173.21
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $241.23
PERMIT # 0" —�
PLAN LOCATION:.
Project Address: j'C7u, �/( ��r_
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name: Re w e
Address: 1
City, ST, Zip: L
Telephone:
Email:
Jr
Valuation of Project $ 27�0
Contractor Name: _ M
New SFD: Construction:
Address: 221
l"" L u � : ��
Conditioned Space SF
City, St, Zip
Garage SF
Telephone: 76 C)
Patio/Porch SF .
Email: �� �� �7�
j 1 1�.� G�Y�
Fire Sprinklers SF
State. Lic: �J O 13 1
City Bus Lic: Q -7�76 J�yg 7.
Arch/Eng Name:
Construction Type:' Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic: '
IsT
Property Owner's Name: �c`tie— CVLu'v
New. Commercial /Tenant Improvements:
Address: '�� ��
TotalBuilding SF
City, ST; Zip 1 1
Construction Type: Occupancy:
Telephone:
Email: e
78495 CALLE TAMPICO
LA QUINTA, CA 92253 .
760-777-7000
1
Y,
STATE OF CALIFORNIA
SiGN LIGHTING `
CEC-ARCCATS-6t-E(Rcvzed 08115) CALIFORNIA ENERGY COMMISSION '✓
CERTIFICATE OF COMPLIANCE _ NRCC-LTS-01-E.
Sign Lighting [ (Page 1 of S)
.PfOlKl nt�ma: ` -.Date Prepared:
A. General Information
Project Address:
Location of Sign Ouidoor Signs ❑ indoor Signs. -
Phase of Sign Construction 21 New Signs Sign Alterations
Type of Lighting Control ❑ New righting Controls ❑ Replaced Lighting Controls JkNot 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
NOTi:5:
1. The some responsible person may install both the sign fighting 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 Meosures (sign lighting controls) are required for campiionce with the sign lighting, Stdndords. if the person
responsible for installing the sign lighting power is not also responsible for the sign fighting 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 complionce, each responsible person shall prepare and sign a Certificate of
Compliance and on Instollotion Certificate applicable to the portion of construction for which they ore responsible; ofternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declarotlan Statement
for the entire construction (e.g. a C-10 Cont'roctor may complete ports to and lb on one compJfance document and a C•45
contractor may complete parts 20 and 26 on o seporote complionce•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 XNa. 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 1b of this compliance document.
Ia. 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
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 Enero.Efficie'ncy Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA .
SIGN LIGHTING
W.
CEC-NRCC-LTS-41-E(Rev,se6 113116) CALIFORNIA ENERGY COMMISSION �
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting d j (Page 2 of 5)
Pmlea Name; - Datewopamd:.
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 uestions;
If there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
§130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time,
Y
N
NA
1
switch control.
O
O I
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
OO
2
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.
O
O
§330.3(a)28. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 6S% during nighttime hours.'Signs that
Y
N
NA
are illuminated at night and for more than l hour during daylight hours shall be considered ON both day and
O
O
O
3
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
1 O
.§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
[A
4
reducing the lighting power by a minimum of 30%when receiving a.demand response signal.
O
O
0
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
I O
Field Inspector motes:
C4 Building Energy Efficiency Standards- 2016 NonresFdentiat Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
OR
CEC-NRCC-LTS-Ot-E(Revised 08116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC•LTS-01-E
Sign Lighting I(Page 3 of 5)
2. Mandatory Sign Lighting Measures
I ave. 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
6
C
D E F G
H
1
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
_
T�
odu
a�
t7
Q
.=
E
Qi N Jn
y x
G W
e X=
0
o
v
u L
zr s; �..
❑
I
i o
� zb
❑
D
o
❑
❑
0
❑
❑
a
❑
❑
a
I Cl
❑
D
a
Cl
❑
0
❑
❑
(
1 0
❑
0
0
❑
A
Symbol or code used onthe'plans (when plans are required) and other documents.
a
A descri tion of the sin 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, facto(y-installed, ENERGY VERIFIED label, confirming that
the*sign complies with the -Section 140.8 of the California 2016 Title 24, Pari 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
C
authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC-Guide 6S by the American
National Standards Institute In -accordance with ISO/IEC 17011- Surveillance isy the Accredited Certification Body shall be an
ongoing annual inspection program carried out by a Type A Inspection body In accordance with ISO/IEG.17020, For signs with such
an ENERGY VERIFIED label, columns `b' 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 insquare 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 LiAhtin,& Power Density 00 = 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.
f
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
"15
CEC-NRCC-4.TS-4t-E(Revaed oa116) CALIFORNIA ENERGY COWISSION '%O'
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Signs Lighting (Page 4 of 5)
DHa Prenored; I G
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
Field Inspector
Symbol
VERIFIED
compliance
Check that Sign
Or
Description
label
Shall. include.only lighting
Complies
Code
(see
technologies listed below _
instructions
(List all that apply)
be]t'o'yw )
C.1 L
L CQ L i r C�.cNs+t' Gc
❑
❑
CI
❑
❑
I
I ❑
El
❑
❑
A
S rmbol 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 Pioduct Certification Body accredited to ISOf IEC Guide 6S 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 labet, 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 signs) 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 % 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-efflclency 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
S
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
1001% tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A.) Use only tamps with a minimum color rendering Index
(CRI) of 80; or B.) Use only electronic ballasts with a fundamental output.frettuency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 801)i; or greater.
Single voltage external power supplies that are designed to convert 220 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
Regylations (Title 20).
9
Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26).
E I
This page doubles as a•fiield inspection checklist.
Field Inspector Notes:
g Energy V p August 2MIS
CA Building Ener Efficiency Standards -20i6 Nonresidential Com� liance
STATI: Or CALIFORNIA
SIGN LIGHTING
-1
CEC-14RCC•LTS•01-f: Revised 08116 CP.LIFOR.NtA ENERGY COMMISSiON '1'
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
.Sign Lighting (Page 5 of -5)
ArajeetMame: nirp Prapn:ef; _
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation isacturate. and complete.
Documentation Author Name:
Ootumentatioa AUtbo1. Signature
4
Cgmppny;
SEnat;,rrg 9ats: - �/jJ /J
7 �1 a lti/i.ol 1.
CEACertifacation identification cif applicawel:
City/State/Tip:, ��. / ��. ,/' / '
Phone: 4'r
RESPONSIBLE PERSON'S DECLARATION STAYEMENT
certify the following under.penalty of perjury, under the laws of the State of California:
'i.: The information provided on this Certificate of Compliance is true and correct.
2. 1 am ellglble 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 f and Para 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 documegts, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building,permit application.
5. I will ensure. that a completed signed copyof this Certificate of Complianceshallbe made available With the, building permitis) issued for the
bwilding, 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 rovides to thp building owner at occupancy.
Respons+bte()efignerName: ,,�
itesponsibae0 sl�nn�/jrg z;
Company: C
Date Signed:
Address. l �� � � � /
Lkense: 0
CIfyJSaa[eJZip:
Phone:
FA
CA Building Energy Efficiency Standards - 2016.Nonresidential Compliance August 2016