BSIG2020-000478-495 CALLE TAMPICO '11_a D �f— VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/29/2020
Permit Type/Subtype: SIGN/ Owner:
Application Number: BSIG2020-0004 INLAND AMERICAN LAQUINTA PAV
Property Address: 46650 ADAMS ST STE 104 P 0 BOX 9271
APN: 600390029 OAK BROOK, IL 92253
Application Description: SPORTCLIPS / [2) ILLUMINATED SIGNS
Property Zoning:
Application Valuation: $8,000.00
Applicant: L Contractor:
MIKE HEFFERMAN / SUNSET SIGNS AND PRINTING INP
SUNSET SIGNS AND PRINTING INC
2981 E WHITE STAR AVE 2981 E WHITE STAR AVE
ANAHEIM, CA 92806 FEB 0 4 2020 D ANAHEIM, CA 92806
CITY OF LA QUINTA (714)255-9104
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 908474
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 Class: C45 License No.: 908474
Date _q41110 Contractor:
OWNER-SUIL 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).:
() 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 Name:
Lender's Add
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�,wqk for which this permit Is issued.
have and will maintain workers' compensation insurance, as required by
Sec ran 3 00 of the Labor Cade, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: SECURITY NATIONAL INSURANCE COMPANY I 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 shall forthwith
comply with those provisions.
Date: Z Lo 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 enter upon the
above -mentioned property for inspection purposes. g
Date: 7 Signature (Applicant or Agent)-
Date: 1/19/2020
Application Number:
BSIG2020-0004
Property Address:
46650 ADAMS ST STE 104
APN:
600390029
Application Description.
SPORTCLIPS / [2] ILLUMINATED SIGNS
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
MIKE HEFFERMAN / SUNSET SIGNS AND PRINTING INC
2981 E WHITE STAR AVE
ANAHEIM, CA 92806
Owner:
INLAND AMERICAN LAQUINTA PAV
P O BOX 9271
OAK BROOK, IL 92253
Contractor:
SUNSET SIGNS AND PRINTING INC
2981 E WHITE STAR AVE
ANAHEIM, CA 92806
(714)255-9104
Llc. No.: 908474
Detail: SPORTCLIPS / [2] ILLUMINATED CHANNEL LETTER EXTERIOR WALL SIGNS. PER 2019 CALIFORNIA BUILDING CODES
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.83
Total Paid for ELECTRICAL 2019: $53.66
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, EA ADDITIONAL
101-0000-42404
0
$27.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, EA ADDITIONAL PC
101-0000-42600
0
$27.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$27.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$96.60
Total Paid for SIGN 2019: $178.71
DESCRIPTION
ACCOUNT
CITY AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-E
This document is used to demonstrate compliance with requirements ink 0.9, 110.12 �1 0.0 130.3 §140.8 and §141.0(b12M for sign lighting scopes using the prescriptive
path. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to 140.8 and do not need to complete this compliance document.
Project Name: SPORT CLIPS _ Report Page: _ * ipage 1 of 4
Project Address: 46650 ADAMS ST JDate Prepared: r .. flf-F( _ ; ' /281202C
A. GENERAL INFORMATION
01 Project Location (city)
02 Climate Zone
03 ❑ Building is a healthcare facility
LA QUINTA,CA
15
B. PROJECT SCOPE -
Table Instructions: Include any illuminated signs that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in
§14Q.8 or §141.OLb21W for alterations. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to 140.8 and do not need to
complete this compliance document. WARNING: Changing the Compliance Method in this table will result in the deletion of data previously input. If you need to change the
compliance method, please open a new form or use "Save As".
01 02 03 04 05
Name or Complete Sign Description Sign Status' Sign Type Compliance Method' '
Item Tag
SIGN 1 CHANNEL LETTER ILLUMINATED New Outdoor ENERGY VERIFIED Label
SIGN 2 CHANNEL LETTER ILLUMINATED New Outdoor ENERGY VERIFIED Label
'FOOTNOTE: Sign alterations that increase the connected lighting load, replace and rewire more than 50% of the ballasts, or relocate the sign to a different location must comply
with 140.8. See §141.0(b)2M for more details.
'The ENERGY VERIFIED Label compliance method is only applicable if the sign has a permanent factory -installed, ENERGY VERIFIED label certified by UL or comparable,
confirming the sign complies with §140.8. Note that using an ENERGY VERIFIED label is an optional compliance path, not a mandatory requirement. See the tool tips for this
table for more details.
C. COMPLIANCE RESULTS
Table Instructions: If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. for guidance
01
02
03
Total Allowed
(Watts)
(See Table F)
>
-
04
OR
05
OR
06
Name or
Item TagComplete
Sign Description
Total Designed
(Watts)
Compliant Light
Sources
ENERGY VERIFIED
Label
(See Table B)
(See Table B)
(See Table F)
(See Table G)
(See Table H)
SIGN 1
CHANNEL LETTER ILLUMINATED
>
OR
[OR1
YES
Controls Compliance (See Table F/G/H for Details)
SIGN 2
CHANNEL LETTER ILLUMINATED
>
OR
OR
YES
Controls Compliance (See Table F/G/H for Details).
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gLv title24/2019standards
07
Compliance Results
COMPLIES
DOES NOT COMPLY
COMPLIES
DOES NOT COMPLY
November 2019
PERMIT #
PLAN LOCATION:
Project Address: 46650 Adams St.
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
(2) Illuminated Channel Letter Wall Signs
Applicant Name: Mike Heffernan
Address: 2981 E. White Star Ave.
City, ST, zip: Anaheim, CA 92806
Telephone: (714) 399-3390
Email: mike@sunsetsignsoc.com
Valuation of Project .� 8,000
Contractor Name: Sunset Signs & Printing, Inc.
New SFD Construction:
Address: 2981 E. White Star Ave.
Conditioned Space _ SF
City, St, zip Anaheim, CA 92806
Garage _ _ SF
Telephone: (714) 399-3360
Patio/Porch _ SF
Email: mike@sunsetsignsoc.com
Fire Sprinklers SF
State Lie: 908474 City Bus 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: InvenTrust Properties
New Commercial / Tenant Improvements:
Address: 3025 Highland P". #350
Total Building SF
City, ST.. Zip Downers Grove, IL 60515
Construction Type: Occupancy:
Telephone: (630) 570-0737
Email: maureen.sharpe@inventrustpm.com
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E (Created 11/19)
CALIFORNIA ENERGY COMMISSION 0
CERTIFICATE OF COMPLIANCE NRCC-LTS-E
Project Name: SPORT CLIPS
Report Page: Page 2 of 4
Project Address: 46650 ADAMS ST
JDate Prepared: 1/28/2020
D. EXCEPTIONAL CONDITIONS
This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form_
No exceptional conditions apply to this project.
E. ADDITIONAL REMARKS
This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
F. MAXIMUM ALLOWED LIGHTING POWER AND CONTROLS
This Section Does Not Apply
G. LIGHT SOURCES AND CONTROLS
This Section Does Not Apply
H. ENERGY VERIFIED LABELED SIGNS AND CONTROLS
Table Instructions: Complete this table to demonstrate compliance with mandatory controls requirements from 1303 for illuminated signs using the ENERGY VERIFIED label
compliance method per §140.8 b as indicated on Table 8 of this compliance document. Complete this table only if sign has a permanent pre-printed, factory installed, ENERGY
VERIFIED label confirming that the sign complies with the Section 140.8 of the California 2019 Title 24, Part 6 Standards.
01 02 03 04
Name or
Item Tag
Complete Sign Description
Mandatory Controls
Field Inspector
Shut -Off
Dimming
Demand Response'
Pass
Fail
SIGN 1
CHANNEL LETTER ILLUMINATED
I Astrn. Timer+ Photocontrol
NA
SIGN 2
CHANNEL LETTER ILLUMINATED
Astrn. Timer+ Photocontrol
NA
*NOTE. Selections with a * require a note in the space below explaining how compliance is achieved.
EX: Sign within tunnel illuminated day & night; EXCEPTION to 130.3 a 2A.
'FOOTNOTE: Demand response controls are only required for an Electronic Message Center having a new connected lighting power load greater than 15 kW
per §110.12(d).
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.cg.goyLtitle24/2019standards November 2019
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSION M1
CERTIFICATE OF COMPLIANCE NRCC-LTS-E
Project Name: SPORT CLIPS IReport Page: Page 3 of 4
Project Address: 46650 ADAMS ST IDate Prepared: 1/28/202C
I. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
Table Instructions: Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed, please explain why in
Table E. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https./&www.energy. ca. govl
YES I NO I Form/Title
(0— 1 ( INRCI-LTS-01-E - Must be submitted for all buildings.
. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE
There are no Certificates of Acceptance applicable to sign lighting requirements.
Field Inspector
Pass Fail
❑ ❑
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energy.ca.gov/title24/2019standards November 2019
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E (Created 11/19)
CALIFORNIA ENERGY COMMISSION 0
CERTIFICATE OF COMPLIANCE NRCC-LTS-E
Project Name: SPORT CLIPS
fReport Page: Page 4 of 4
Project Address: 46650 ADAMS ST
JDate Prepared: 1/28/2020
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Compliance documentation is accurate and complete
Documentation Author Name:
V,�
Documentation Author Signature: f
Company: eSignature Date: 20
Address: Ar L. CEA/ HERS Certification I entifi ation (if applicable)-
City/State/Zip: A 0G Phone: 71LI. 3pC), 31O
L-I
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.
S. I 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 owner at occupancy.
Responsible Designer Name:
G
Responsible Designer Signature:
Company:
Date Signed:
Address: 2 Ave'. 81
License:
City/State/Zip:q-7-8
p
Phone: IN- 3,1_ T 3 O
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www.energv.ca.gov/title24/2019standards November 2019