11-0842 (SIGN)J .
4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT- INSPECTIONS (760) 777-7153.
BUILDING PERMIT
Date: 8/05/11
CApplication,Number: 11-00000842. Owner:
_.- __ -
Property Address: 79740 HIGHWAY 111 99C ONLY STORES��_ — -a --�—�
APN: 649-020-040- - - C/O JEFF GOLD
��
Application description: SIGN 4000 E UNION
Property Zoning: REGIONAL COMMERCIAL COMMERCE, CA # 3
Application valuation: 8000 �t,� � w 2� i
;a i i
Contractor:
Applicant: Architect or Engineer: SIGNARAMA CITY CF c,-, QU1N'I'A
41945 BOARDWAL
PALM DESERT, CA 92211
(760)776-9907
Lic. No.: 830131
%
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 Profession Code, and my License is in full force and effect.
License Class: D42 C45 / 3 A 1cense No.: 830131
(
Dat+e: w O 1 rContractor: '
— r-, — O1WNER-B6,L4,R 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.).
(_ 1 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 contractorts) 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 Name:
Lender's Address:
LQPERMIT
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.
_ 1 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 STATE FUND Policy Number 1938607
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
C 3700 of the Labor Co , I s all forthwith compo with those provisions.
(DaIa:�Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE 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 Director of Building and Safety 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 Wildly co truction, and hereby authorize representatives
of this cou ty to enter upon the above-mentioned proper[ or in pection purposes.
Da[eDa —Signature (Applicant or Agent):
Application Number . . . . . 11-00000842
Permit .. . . . ELEC-ELECTRICAL SIGN
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee
.00
Issue Date . . . Valuation . . .
. 0
Expiration Date 2/01/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 15.0000 EA ELEC SIGN 1ST CIRCUIT
30.00
=---------------------------------------------------------------------------
Special Notes and Comments
(2)ILLUMINATED CHANNEL LETTER SIGNS
"TRULY NOLEN" SPA 2011-1540.
- ----------------------------------------------------------------------------
Other Fees .. . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------- ---------- ---------
Due
----------------- ---------- 7
Permit Fee Total 45.00 .00 .00
45.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 46.00 .00 .00
46.00
Certificate of Compliance (Sign Li htin (Page 1 of 2) SLTG-1C
Project Na A L Phase of Construction New Construction O Addition O Alteration
�� �'` � O �
Proiect Address , Type 160utdoor Signs O Indoor Signs
J %y0 Date Compliance Method Used Cl Maximum Allowed
�wl4 Function T
N"d� Eliz -0 �g BLighting Power ❑ Alternate Lighting Sources
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name S/D .S C eh L L, Q,rv1 Signature
Company
57/603-0—Date
YY1-c.
Address /�j/_ gys
_/ � •t i1.�/ jivi.. L 1 L� TL'" L If applicable:
�• CEA #
�• L »'1 1 -v► -1 `_u `Z2.) CEPE #
Cf City/State/Ziphon
Principal Lighting Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting
design.
• This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24, Pages 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name: Signature
Company:
Phone
Address:
License #
City/State/Zip: '
Date
Sign Mandatory Measures
Indicate location on building plans of Mandatory Sign Measures Note Block:
Mandatory Sign Lighting Controls
Yes
No
1
§133(a)1. All signs with permanently connected lighting are controlled with an automatic time switch control
that complies with the applicable requirements of § 119.
❑
§133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time switch control.
El
0
2
Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that'r uire illumination during
eq g
davlioht hours.
3
❑
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce
sin power by a minimum of 65 percent during nighttime hours.
13
Exception 1 to §133(a)3. Signs are illuminated for less than one hour per day during daylight hours.
Q
❑
3
Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require illumination
during daylight hours.
ES
1 ❑
Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon lamps are used to
illuminated signs or pans of signs.
❑99
4
i §133(a)4. An Electronic Message Center (EMC) having anew connected lighting power load greater than
15 kW has a control installed is capable of reducing the lighting power by a minimum of 30 percent when
receiving a demand response signal that is sent out by the local utility.
Y
❑
N
❑
N/A
M
Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or regulation, .
including but not limited to exit signs and traffic si ns.to
Y
❑
N
❑
N/A
2008 A."onresidentra.! Compliance Forms
August 2009
Certificate of Compliance and Field Inspection Ener Checklist Sign Li htin (Pa e 2 of 2
SLTG-I C
Date:
Project Name: YLtk t ` `, L L " V�/l
1. 1�J
Compliance
Method
Maximum Allowed Lighting.Power
g
C D E F
G
H
l
J
K
A
Design
Complies?
Light
Field.
Allowed Watts
Watts'
YIN
Source
ins ector2
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Description or location and plan location
t ST' �' Lc V ti i s v
a
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A
d
❑
❑
❑
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❑
❑
❑
❑
IT
❑'
Total Sign Area:
5T., D
1. Design Watts = total connected lighting load installed in the sign, including power used by lamps, ballasts, transformers, power supplies, etc.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary, Use additional sheets i necessa .
The sins identified above; use only one or more of the following technologies: list all applicable numbers that apply in column i above
High pressure sodium lamps
2 Pulse start or ceramic metal halide lamps served by a ballast with > 88% efficiency
3 Pulse start metal halide lamps that are < 320 watts, are not 150 watt or l75 watt lamps, and are served by a ballast with > 80% efficiency
4 Neon or cold cathode lamps with transformer or power supply efficiency >_ 75% with rated output current < 50 mA
5 Neon or cold cathode lamps with transformer or power supply efficiency ? 68% with rated output current _> 50 mA
6 Fluorescent lams with a minimum color rendering index CRI of 80
7 Light emitting diodes LEDs with a power supply with >_ 80% efficiency
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC output, having a nameplate output power less than or equal to 250 watts, and
8
certified to the Ener .Commission as complying with the a' licable requirements of the Appliance Efficiency Regulations(Title 20
9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24IE26
l0 1 Electronic ballasts with afundamental outpuifteguency>_ 20 kHz
Field Inspector Notes or Discrepancies
2008 Nonresidential Compliance Forms August 2009.
Bin #
Qty Of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per 't #
1
Project Address: __74-f0 741W Y 1 1 l
Owner's Nam 3 ;y,_%
Address: 60 1
V� ISON
A. P. Number:
Legal Description:
City, ST, Zip: �� --�� �' 2 JL3 1
Contractor: ff
Telephone:
Address: 41/---9l�lS ' ` L
Project Description: <'
i
City, ST, Zip: i""•�, L (5�
P,
LJ
Tele hon %60 7 _
?'<>% ;::,:<>s'''>"~.:v><:>
City Lic. #.:
State Lic. # :
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: :_„.> ,�y .<• c• cam:::-:: r:<r:<:;»:::;
Y:W.,.i,ktY }$jf +: f•}.i>'r{C:2j?:L:+:{ j ;•ii � y n4x,'.
State Lic. #: "'':r#'ss> w.;J..r'.`'.:><.s<:>;:;4;::
v-,v:•s;;:,.,: >;
Name of Contact Person: T) Lc SGt.*%a n
Construction Type: Occupancy:
Project a circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Perso
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
-Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Tide 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2” Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees '
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLF TAMPICO
LA QUINTA, CALIFORNIA 92253
August 4, 2011
Mr. Bill Sigurdsen
Sign -a -Rama
41-945 Boardwalk, Suite L
Palm Desert, CA 92211
SUBJECT: SIGN PERMIT APPLICATION 2011-1540
TRULY NOLEN
Dear Mr. Sigurdsen:
� F x
(760) 777-7000
FAX (760) 777-7101
The Planning Department has reviewed and approved your request for two building-
mounted, illuminated channel letter signs ("TRULY NOLEN"), located at 79-740
Highway 1 1 1 in the Jefferson Plaza commercial center. The approval is subject to
the following. Conditions of Approval:
1. This sign permit grants two permanently -mounted illuminated building:
identification signs. The total square footage for the building -mounted signs;
will be no greater than 25.00 square feet each.
2. The signs will be mounted on the south and west building elevations as
shown on the exhibit.
3. The signs shall conform to the approved sign program for Jefferson Plaza.
-
Should. you ,have any questions or need additional information `please feel free to
contact me at (760) 777-7125.
Sincirely, .
yWuu
ociate Planner
C: Building & Safety Department