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BSIG2020-000878-495 CAI,LE'TAMPICO D -! � VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/11/2020 Permit Type/Subtype: SIGN/ Owner: Application Number: BSIG2020-0008 INLAND AMERICAN LAQUINTA PAV Property Address: 79024 HIGHWAY 111 STE 103 APN: 600390029 Application Description., PIEOLOGY PIZZA & WINGS / [3] ILLUMINATED SIGNS r Property Zoning: Application Valuation: $6,500.00 Applicant: U Contractor: RYAN YBARRA / THE SIGNS AND SERVICES COMPANY D /2�THE SIGNS AND SERVICES COMPANY 10980 BOATMAN AVENUE 10980 BOATMAN AVENUE STANTON, CA 90680 MAR 1 1 2020 STANTON, CA 90680 (714)761-8200 CITY OF LAQUINTA Llc. No.: 624675 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 Class: C45 License No.: 624675 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 tIM141. 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. Q. Lender's N Lender's Address: 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 ❑Sh w❑rk f❑r whtch this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti 700 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: AR RANCE COMPANY Policy Number: ZAWC125303 _ 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. WARNING: FAILURE TO SECURE WORKER CO PENSAT 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 ,equest and for whose benefit work is performed under or pursuant to any permit ssued 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 =mployees for any act or omission related to the work being performed under or ollowing issuance of this permit. 2, Any permit issued as a result of this application becomes null and void if work is iot commenced within 180 days from date of issuance of such permit, or cessation of ,vork for 180 days will subject permit to cancellation. 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 :onstruction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Hai M+� (Applicant or Agent) Date 3/11/2020 Application Number: BSIG2020-0008 Property Address: 79024 HIGHWAY 111 STE 103 APN: 600390029 Application Description: PIEOLOGY PIZZA & WINGS / [31 ILLUMINATED SIGNS Property Zoning: Application Valuation: $6,500.00 Applicant: RYAN YBARRA /THE SIGNS AND SERVICES COMPANY 10980 BOATMAN AVENUE STANTON, CA 90680 Owner: INLAND AMERICAN LAQUINTA PAV Contractor: THE SIGNS AND SERVICES COMPANY 10980 BOATMAN AVENUE STANTON, CA 90680 (714)761-8200 Llc. No.: 624675 ------------------------------------------ ------------------- ,------------------ Detail: PIEOLOGY PIZZA & WINGS [31 ILLUMINATED SIGNS ONE• EACH ON NORTH, EAST AND SOUTH EXTERIOR WALLS. PER 2019 CALIFORNIA ELECTRICAL CODES DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY 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 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 $54.74 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, EA ADDITIONAL PC 101-0000-42600 0 $54.74 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST 101-0000-42404 0 $27.37 DESCRIPTION ACCOUNT QTY AMOUNT WALL/AWNING SIGN, FIRST PC 101-0000-42600 0 $96.60 Total Paid for SIGN 2019: $233.45 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 "Kra Project Address: Z1 fJJ LJ Hwl j1\* PERMIT # �+( PLAN LOCATION: Project Description: APN #: Applicant Name: A,n "� 101, c Address: \1�3 '� Q 0 �oa��►.� L City, ST, Zip: CA- ,, (p) Telephone: Ok Email: C.OM Project Valuation $ (0 , s� Contractor Name: Fhti S'. $Ct,;u4 Lo New SFD Construction: Address: D <�O �� ,�, PO4 L Conditioned Space SF City, St, Zip S"4v- yti�n (� �� Garage SF Telephone: ! ,. ^� L� o w� Patio/Porch SF Email: 2J Fire Sprinklers SF State Lic: CtgV--;FS City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: Zr` latiJ p��,�; �,�., Address: ��+-3 ^ •►.•'t``'^ New Commercial / Tenant Improvements: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: /6495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 STATE OF CALIFORNIA Sign Lighting NRCC-LTS•E (Created 11/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-€ This document is used to demonstrate compliance with requirements in §110.9 1I . 2 §13Q.2§130,3 §24aS and §I41. L 2M for sign lighting scopes using the prescriptive path. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to §14Q.8 and do not need to complete this compliance document. Project Name: Pieology lReport Page: 4 Project Address: 79024 Highway l l jDate Prepared: CITY OFr—A 11 # j N MW2 0 1. GENERAL INFORMATION 01 Project Location (city) 02 Climate Zone 03 ❑ Building is a healthcare facility La Quinta 9 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 1� 40.8 or §141.0fb12M 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 :omplete 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 :omplionce method, please open a new form or use "Save As". 01 1 02 03 - 04 05 Name or Item Tag A B C - Complete Sign Description i Sign Status' Sign Type Compliance Method Channel Letters New Outdoor ENERGY VERIFIED Label Channel Letters New Outdoor ENERGY VERIFIED Label Channel Letters 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.flLWM for more details. 2The 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 §14". Nate 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 Name or f 02 Sign Description 03 Total Allowed > 04 05 06 Total Designed Compliant Light ! ENERGY VERIFIED OR IOR• 07 Item TagComplete (Watts) (Watts) Sources Label Compliance Results (See Table B) (See Table B) (See Table F) (See Table F) (See Table G) (See Table H) A Channel Letters ? OR' OR YES COMPLIES Controls Compliance (See Table F/G/H for Details)] COMPLIES Table Continued CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: h1tRLwWeagrAXx?B %d%ftW!LQ�;ita ds November 2019 Ci'Tlf STATE OF CALIFORNIA Sign Lighting NRCC-LTS-E (Created 11114j CERTIFICATE OF COMPLIANCE Project Name: Pieology_ Project Address: 79024 fthway 11 Report Page: date Prepared: CALIFORNIA ENERGY COMMISSION �N RCC-LTS. E Page 2 of 41 3/10/2020 Table Continued _ B Channel Letters is m- OR ION YES COMPLIES Controls Compliance (See Table F/G/H for Details] COMPLIES C Channel Letters ii Z OR- IOR YES COMPLIES Controls Compliance (See Table F/G/H for Details)COMPLIES D. EXCEPTIONAL CONDITIONS _ ®, This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form. exceptional conditions apply to this project. ADDITIONAL REMARKS _ ibis 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 130.3 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 VERFFiED label confirming that the sign complies with the Section 14U of the California 2019 Title 24, Part 6 Standards. 01 02 _ 03 04 Name or Mandatory Controls _ Field Inspector Item Tag Complete Sign Description Item Dimming Demand Response' Pass Fail A Channel Letters Auto Timer+ Photocontrol Pwr. reduced 65%+ NA r B Channel Letters Auto Timer + Photocontrol Pwr. reduced 65%+ NA El ❑ fiC Channel Letters Auto Timer + Photocontrol I Pwr. reduced 65%+ NA ❑ ❑ Table Continued CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: Mtp./jwww. yl gy Sa,gSiV�.LL4e23�201951andards November 2019 fir^ STATE OF CALIFORNIA Sign Lighting NRCC•LTS-E (Created 11/19) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE T NRCCATS-E Project Name: Pieology Report Page: Page 3 of 4 Project Address: 79024 Highway it date prepared_ 3/10/202 01 02 03 04 Name or Mandatory Controls _ Field Inspector Item Tag Complete Sign Description g Shut -Off I Dimming Demand Response' I , Pass Fail 'NOTE: Selections with a `require a note in the space below explaining how compliance is achieved. LX: Sign within tunnel illuminated day & night; EXCEPTION to 5130.3,{a12A. 'FOOTNOTE: Demand response controls are only required for on Electronic Message Center having a new connected lighting power load greater than 15 kW � per §110.12ldl. !. 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 hops://www.eneMy.ca.gov/ title24 2019 tan ords 1019 compliance docurrigntILNqnresidential Documen 11VftC1 YES NO Form/TitleField Inspector _ Pass Fail NRCI-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. CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: Q199'4q j F* November 2019 STATE OF CALIFORNIA Sign Lighting NRCC-LTS-E (Created 11/19) _ CERTIFICATE OF COMPLIANCE Name: Pieology Address: 79024 Highway 11 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete Documentation Author Name: Company: Address; City/State/Zip: Kelly Alvarado Signs and Services Co. 10980 Boatman Ave, Stanton, CA. 90680 Report Page: Date Prepared: Documentation Author Signature: Signature Date: CALIFORNIA ENERGY COMMISSION NRCC-LTS-E 3/10/2020 CEA/ HERS Certification Identification (if applicable): Phone: 714-761-8200 x213 Page 4 of 4 3/10/2020 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. 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 owner at occupancy. Responsible Designer Name: Ryan Ybarra Responsible Designer Signature: dress: Signs and Services Co. 10990 Boatman Ave. Stanton, CA. 90680 Date Signed: License: Phone: 3/10/2020 624675 (951) 310-2896 CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: fgjJwww.eAUa.ca goJ titlg24120I9standardNovember 2019