78520 HIGHWAY 111 - BASKIN ROBBINSP.O. BOX 1504
Building 78-105 CALLE78-510 III LA QUINTA, CALIFORNIA
DO
Address 92253
Owner
Baskin Robbins
Mailing
Address 1327 Rost Ave.. Sate. H
City .Zip Tel.
Torrance,: 90501 336e6300.
Contractor.
P. 'N.''..ASsolciatex
Address'.
6048 'S..agnolia Mae.
Cit Zip Tela
tyhittier, C 06071 %3 i9- ..3032
State Llc ,.
h
City"`
Classlf 'x•°.392130 C. #
Arch. Engr - , ,
tzbeg erDesigner, .., Ph. 1.1ap
Addressl32.' ,P0' st Ave. Ste. 1T528v6300
Cit Zip State
rra ,pe 90501: Lic. # C 6353
J LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licegsed undernprovisions of Chap etr(commencing with Section
000) of Dlwsion 3,b the Businessand.Professions Codg ara8`my license is in full force and
uffor... _..._r. -fir .mss—I i' g/_I, ! -s ]it
OWNER -BUILDER DECLARATION ,
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city oricounty which requires a
permit to.construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant 'forsuchpermit to file a signed statement that he is licensed pursuant to
the provisions of -the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3. of the Business and Professions Code, or that. he 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).
O 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, Buisness and
Professions Code:, The Contractor's License Law does not apply to. an owner of property who
builds or, lmproves thereon and who does such work himself or through his own employees,
provided that:such.improvements are not intended or offered for sale. If, however, the building
or improvement is soldwithin one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con.
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1 am exempt under Sec. B. & P.C. for this reason
Date Owner.
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's.Compensati_on Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. -- Company
Jbco y is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making, this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of. the
work for which this permit is issued. (Sec, 3097, Civil Code.)
Lender's Name-
Lender's
ame
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinahces and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-.
mentioned property.for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 11981
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Tenant Improvement
Sq. Ft.
Size 128$
No. No. Dw. 1
Stories Units
New Add Alter Repair Demolition
Estimated Valuatio$25,.000.00
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal._4. IOU. .
Const.
2521 .
wv
Mech.
Electricals
Plumbing
S.M.I. m
Grading
Driveway Enc.
Infrastructure
w mer w
TOTAL M 0
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
t#
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ. FT. @ $ UNITS
SLAB GRADE
7 r
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS SEWER OR SEPTIC TANK
POR. SQ. FT. ®
MOBILEHOME SVC. BAR SINK
GAR. SQ. FT. @
POWER OUTLET ROOF DRAINS
HEATING (FINAL) OTHER APPJEOUIP.
DRAINAGE PIPING
CARP. SQ. FT. @
TEMP. POLE
I
WALL SQ. FT. @
GROUT
DRINKING FOUNTAIN.
SQ. FT. @
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
I WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SQ. FT. @ c BATH TUB
GAR. FIREWALL
SO. FT. @ c WATER HEATER
MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI
FE7
PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA
SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE
FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP.
REINF. STEEL GAS (FINAL) TEMP. POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
cu. yd.
plus x$
LUMBER GR. FINAL INSP.
FRAMING FINAL INSP.
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
1 Qum i
P.O. BOX 1504. APPLICATION ONLY -
Building _ 78-105 CALLE ESTADO
Address /A nitlifit&A In A c, LA QUINTA, CALIFORNIA 92253
Owner 99 Sd"a 44tvy /II - 5#4 A/-7
Q AZ keig a n w e- . 114) BUILDING: TYPECONST. OCC. GRP.
Mal1ing -
Address/;2.#7', pOZT NIfG F ,N A.P. Number -
City Zip — TTel.
1ULF 9050/3 03a?)
Legal Description
Project Description ,ci/6-. / AJ Ce10/e %UAAJContractor
E0
Lic. #
M PORot)6 ME — /6L -TER ATIOAJ F/lAddress
r'! LICENSED CONTRACTOR'S DECLARATION
kAKi
City Zip Tel..
State Lia City
Classif. Lic. # Sq. Ft. No. No. Dw.
SIGNATURE DATE
1 OWNER -BUILDER DECLARATION
Size o? 94 Stories Units
Arch., Engr., '
I hereby affirm that I am exempt from the Contractor's License Law for the following
Designer pmm it -.1'0,_JrPRrSs 84h)Td New Add Alter Repair Demolition
Address oTel. `
i•••'
12 2 AOw,--r A- ilg 7'E Li - 3a 4a- l 3 -A
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation -provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
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 the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing -Address
City, State, Zip
BUILDING DIVISION
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Permit
City Zip _ State
Lic. #
r'! LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
1 OWNER -BUILDER DECLARATION
Esti Val t'o
I hereby affirm that I am exempt from the Contractor's License Law for the following
ted G
reason: (Sec. 7031.5 , 031.S, Business and Professions Code: Any city or county which requires a i•••'
permit to. construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT , AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
A Plan Chk. Bal. l7 1, 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, Buisness and Const.
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees, Mech. r
provided that such 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 Electrical S'.d0ofprovingthathedidnotbuildorimproveforthepurposeofsale.) t
I.'1 I, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing 3 7. O 'c> i
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M,I,
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
7 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
r
WORKERS' COMPENSATION DECLARATION a
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) s•
Policy No. Company
Copy is filed with the city. Certified copy is hereby furnished.
r
TOTAL r U
CERTIFICATE OF EXEMPTION FROM REMARKSWORKERS' COMPENSATION INSURANCE
This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation -provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
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 the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing -Address
City, State, Zip
BUILDING DIVISION
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Permit
CONSTRUCTION ESTIMATE NO, ELECTRICAL FEES NO. PLUMBING FEES
IST FL. SO. FT. @ $
2ND FL, SQ. FT. @
POR. SQ. FT. @
GAR. SO. FT. @
CAR P. SD. FT. @
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
P0WER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE, TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SO. FT. @ c BATH TUB
SQ. FT. @ c WATER HEATER
MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1'A c SEWAGE DISPOSAL
SO.FT.GAR @ ?Ac HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA
SLAB GRADE ROUGH PLUMB, BONDING HEATING (ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE
FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP.
REINF. STEEL GAS (FINAL) TEMP. POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
cu. yd.
plus x$
LUMBER GR. FINAL INSP.
FRAMING FINAL INSP.
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
4V?
STORE NUMBER0617218TEBRUARY
17-PIEBRUARY 1993
16SWO FCR PLAN
1993
LA OUINTA SHOPS, SPACE OA -1-79245HI'GHWAY 111 & -WASHINGTON ST.
LA 091"TA. CA 92,253
92045
DRAWN ST.
H.M.'
APPROVED BY
A2.1
rim.
REVISED STORAGE AREA
FLOOR -PLAN
MM W. -Uffen= B*WoMd (310)84-55N
cwuorxlia 90086'
COUNTY OF RIVERSIDE -HEALTH SERVICES _AGENCY
r
DEPARTMENT OF FNVIRONMENTAL„EW1 ALTH
0 FOOD 'FACILITY -INSPECTION- REPORT'
Based on an inspection this -day, the items identified below -are violations in structural or operational requirements
which must be corrected by the next routine inspection or such shorter period of time'"as may be specified in writing.
Failure to comply with any time limits for corrections specified in this notice may result in cessation of your fo dis +` facility operation. The Department of Health appreciates your cooperation. Public health protection Is everyone s
responsibility.
ESTABLISHMENT NAME
CA as
l R, -0 1 \r,&
PHONE DAT TIME IN
LOCATION DISTRIQJ REINSPECTION DATEJ
OWNE 1 ACTIVITY & SERVICE CODEFUR,EM ENT OFFI"CES`
MAILING ADDRESS PERMIT --jRECEIVED BY 1 TIME OUT
NO. NAME:
EXP: TITLE: !,
DESCRIPTION OF ITEM VALUE REMARKSLOST
1. FOOD: Approved source 4; No
t C e
spoilage/contamination 4; Not reused 4
Properly stored 2; Properly protected 4; " "'
Use of sulfites I- Properly labeled L
VIY.\ OF Q 1 c Q .1 T 'e ex—or2. "TEMPERATURE CONTROL: Poten- ti....
tialiy hazardous food below 45' F 77 or
above 140OF j; Refer thermometer 1; S—,) Q 0+- 1 .S Q. -i o A
Probe thermometer 2; Food
4Z;
properly
thawed 4; Frozen food maintained
frozen or not refrozen L.
Cao ij t,c g- (s, a+ A3. PERSONNEL; Foodhandier cards 4
Personal hygiene 5; Clean clothes 2;
Food handling 2; Hair restraint 2; No^
cei QQ \l v ` \ 1 l 0•
nnsmoking3; Clothing storage 1.
a 11" CQO .e 11 PJ-- n
4. WATER & SEWAGE: Hot and cold
potable water under pressure j; Liquid
waste disposal 3; Plumbing In good
repair 2; No cross connections 2.
S. EQUIPMENT: Maintained In clean
condition 16; Maintained In good
repair 10; Properly protected 4;
i
e. Approved 3. M t V ! I
1t
C
6. UTENSILS: Proper washing 4, Proper
sanitizing 7; Clean 3; No dameg¢ 2; "
a. Properly stored R, Testing material
provided
7. FLOORS: Clean 2; Good repair 2.
OWALLS & CEILING/WINDOWS &
SCREENS: Clean 2; Good repair 2;
Light color 1.
8. TOILET/DRESSING ROOM & HAND
l
SINKS: Good repair 3; Clean 3;
Self-closing doors 1, Hand cleanser 4;
Towels 2; Proper dispensers 2; Toilet
tissue 2; Hand wash signs 1;.Properly
vented : Adequate L
V. LIUMT& VENTILATION: Adequate
Exhaust filters 2; Functioning 2; .
Fixtures protected 1.
10. PEST CONTROL: No insects 4; No <>.'
rodents g; No animals or birds I Outer .':'''+;•>`
openings protecied'2; Self-closing
outside doors 1.
11. REFUSE: Properly stored 2; Containers
covered 1; Adequate 2; Clean
Surrounding: clean 1.
12. OPERATION: Toxics labeled and >`>'
separated 1; Living & sleeping quarters
separated 1; Signs posted 1; Cleanlog
equipment storage 1, Proper linen
storage 1 Spoils area maintained 2. 9 i P
POINTS POSSIBLE 200- POINTS LOST-: 2" = TOTAL SCORE
This"facility is required by local Ordinance to dis lay a grade card in a conspicuous place selected by the Enforcement Officer. The grade card hallnforcementnotbeconcealedandcanonlyberemovedby -the f Officer.
GRADEREPRESENT THE FOLLOWING SCORE RANGES:' A = 100-90, B = 89-80 and C = 79-0.
RIVE . RSIDE HEMET-- PERRIS BANNING PALM SPRINGS INDIO BLYTHE TEMECULA
358-5172 788-2478 867-0738 849-8794 778-2235 342-8287 922-8158 894-5022
otofi•snNo2etREv1 Orig.- Office 1st Copy= Owner 2nd Copy -:-Office Page _of._Pages.
PROJECT NAME
Baskin Robbins #6172
JECT ADDRES§ighway 111 & Washington St., La Quinta
PRINCIPAL DESIGNER - LIGHTING TELEPHONE
Habegger & Brown Architects (310) 822-5564
DOCUMENTATION AUTHOR TELEPHONE
Energy Etc. (800) 690-2090
DATE
1-29-93
GENERAL O.
DATE OF PLANSBUILDING
1-4-93
CONDITIONED FLOOR AREA
1284
BUILDING TYPE NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM
PHASE OF CONSTRUCTION NEW CONSTRUCTION ADDITION ALTERATION
METHOL ANCE
GHTING COMPLETE BUILDING AREA CATEGORY TAILOREDCOMPPERFORMANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements.
The Principal Lighting Designer hereby certifies that the proposed building design repreresented in this set of construction
documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other
calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements
contained in sections 110, 119, 130 through 132, and 146 or 149.
ase check one:
I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this
document as the person responsible for its preparation; and that I am a civil engineer, electrical engineer or architect.
I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of
the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a
licensed contractor preparing documents for work that I have contracted to perform.
I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section.
of the Code to sign this document as -the person responsible for its
preparation; and for the following reason:
NER - NAME IS4NA
Indicate location on plans of Note Block for. Mandatory Measures Sheet 2.1
LIC. NO. DATE
UK& Z.,.
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
TG-1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans.
LTG -2: Required for all submittals.
LTG -3: Optional. Use only if lighting control credits are taken.
LTG -4: Optional. Use only if Tailored Method is used. Parts 2 and 3 used only if applicable.
INonresidenb'a/ Compliance Form December 1991
PROJECT NAME
Baskin Robbins - La Quinta
DATE
1-29-93
LUMINAIRE NAME
eg. Type -1, Type -2, etc.)
A
B
Neon
11
CONTROL LOCATION
Room #)
Sales/Storage
Sales Area
CONTROL LOCATION
Room # or Dwq. #)
LAMPS
TYPE NO. OF
LAMPS WATTS/LAMP
NO'
N 1:1 El
0 1:11:1
1:1 E] El
EJ 1:11:1
1:11:1 E]
El El El
1:11:1 El
1:11:1 El
LEI
El OF
3 38.3
1 60
1 40
N/A
57
1 8
N/A
F&I El El N/A
11 F-1 EJ
1 3
CONTROL
IDENTIFICATION
4
cL
CONTROL
IDENTIFICATION
CONTROL TYPE
Auto Time Switch, Exterior, etc.)
Dual Switching
Daylit Area Switch
CONTROL TYPE
Occupant, Daylight, Dimming, etc.)
r
BALLASTS
TYPE NO'
F-E'—FO' S NO. LUMINAIRE FI
0 0 1.5
1:1 0 N/A
ff] 0 E] N/A
N/A
F&I El El N/A
11 F-1 EJ
El El El
El El
JE1 :1 El
Provide Supporting Documentation
SPACE CONTROLLED
Entire Space
Sales Area
LUMINAIRES CONTROLLED
TYPE I MOF LUMIN.
NOTETO
PROJECT NAME DATE
Raaki n Rnhhi na — T,a Qui nt-a 1 1-29-93
LUMINAIRE
NAME
A
B
Neon
if
11
NUMBER OF
LUMINAIRES
17
1
3
2
1
WATTS PER LUMINAIRE
Including Ballast) DESCRIPTION
2'x4' Fluor. 3 bulb F40 low watt
Surface Mtd. incand.
1'x5' neon sign.
3' round neon sign
1' round neon sign
2568
NUMBER OF
LUMINAIRES
17
1
3
2
1
WATTS PER LUMINAIRE
Including Ballast)
CEC DEFAULT
WT
X
1:10
115
60
40
57
8
Retail & Wholesale Store 2.0 1284 2568
TOTAL
WATTS
1955
60
120
114
8
Note: Neon lights figured at 8 watts per sq. ft. SUBTOTAL FROM THIS PAGE 225 7
not using ft CEC Default value, please provide supporting documentation.
ALLOWED LIGHTING'POWER. (Choose'One Method)
PLUS SUBTOTAL FROM CONTINUATION PAGE D
LESS CONTROL CREDIT WATTS DFROMLTG -3)
BUILDING CATEGORY (From Table 2-53M)
ADJUSTED ACTUAL WATTS 2257
coM .:: $13 LDI G .METRO. > >><<><>>>'><><>>>>><><>>>«<>«><::>::>:::>:»:«::>:>:»»:::»>:>:«:><:<:::<:<:><:>; »:<:::
ALLOWED
WATTS
BUILDING CATEGORY (From Table 2-53M) WATTS
PER SF
COMPLETE
BLDG. AREA
Retail & Wholesale Store 2.0 1284 2568
AREA CATEGORY (From Table 2-53N) WATTS AREA ALLOWED
PER SF (SF) WATTS
TOTALS AREA WATTS
i Ai Oa R PE ANC E,METHOD.
TAILORED PERFORMANCE TOTAL ALLOWED WATTS
From LTG -4 or from computer run.)
NonresIdenhAf Compliance Form December 1991
of V/T
t
C it r ui 14d(Quinta
ulbing 'anb 'afjot r 34ilitkiion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-510 Hwy 111
Use Classification Tr -L- rroam Shop Bldg. Permif.No. 11 481
Group B2 Type Construction VN Fre Zone Use Zone CPS
Owner of Building Baskin' Robbin$ Address 1327 Post Ave- Ste- H
City Torrance, CA 90501 Richard Kirkland
By.
Dote: June 7, 1993
Building Official';
POST IN A CONSPICUOUS PLACt