SA2019-0007DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Permit Number:
Property Address
APN:
Legal Description
Property Zoning:
Valuation:
Sign
SA2019-0007
78772 HIGHWAY 111
643080037
$0.00
BUILDING PERMIT
eca Qa�&a
CALIFORNIA
Owner:
Applicant:
Contractor:
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 02/12/2019
ISSUED DATE:
ONE ELEVEN LA QUINTA
46753 ADAMS STREET, LA QUINTA, CA 92253
Jeff Grady
41945 BOARDWALK SUITE L, PALM DESERT, CA
92211
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 5/16/25 11:40 am Page 1 of 3
BUILDING PERMIT
Permit Type: Sign
Permit Number:
Property Address
SA2019-0007
78772 HIGHWAY 111
TUSCANO'S PIZZA & BREW QUINTA / SIGN PERMIT
Location on premises Sign Illuminated? No
Type Group Sq Ft Value
Invoice No. Fee Fee Amount Amount Paid
PERMIT-SA2019-0007 RECORDS MANAGEMENT FEE $10.00 $10.00
PL - SIGN PERMIT $263.00 $263.00
TECHNOLOGY ENHANCEMENT FEE $5.00 $5.00
Total for Invoice PERMIT-SA2019-0007 $278.00 $278.00
Grand Total for Permit $278.00 $278.00
Workflow Step / Action Name Action Type Start Date End Date
meview V. i
--------- ------------------------------
Sign Review v.
Receive Submittal
Issue Permit v.1
-------------------------------------------------------------
Verify Contractor info & Conditions have been met v.1
---------------------------------------------------------------------------
Generic Action
-------------------------------------------------------------
Verify & Invoice Fees v.1
---------------------------------------------------------------------------
Generic Action
-------------------------------------------------------------
Verify Fee Payment & Issue Permit v.1
---------------------------------------------------------------------------
Generic Action
-------------------------------------------------
Print, Attach, and Email Building Permit v.1
Create Report
Inspections v.1
........................................................................................................................................
Building Site v.1
Inspection
----------------------------------------
Footing v.1
Inspection
Final Inspections v.1
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.1
Inspection
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Printed: 5/16/25 11:40 am Page 2 of 3
BUILDING PERMIT
Permit Type: Sign
Permit Number: SA2019-0007
Property Address: 78772 HIGHWAY 111
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
iurisdiction shall not be valid.
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the buildina official.
Printed: 5/16/25 11:40 am Page 3 of 3
Description: TUSCANO'S PIZZA & BREW QUINTA / SIGN PERMIT
Type: SIGN PERMIT PLANNING
Subtype: STANDARD
Status: APPROVED
Applied: 2/12/2019 JLIM
Approved: 2/14/2019 CFL
Parcel No: 643080037 Site Address: 78772 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 25865
Block:
Lot: 13
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
Applied to Approved
ADDITIONAL
CHRONOLOGY
NAME TYPE NAME
ADDRESSI CITY STATE
ZIP
PHONE
FAX EMAIL
APPLICANT PD GROUP DBA SIGNARAMA -
WILLIAM SIGARDSEN
41945 BOARDWALK PALM DESERT CA
SUITE L
92211
glenn@pdsignarama.co
m
OWNER ONE ELEVEN LA QUINTA 46753 ADAMS STREET LA QUINTA CA
92253
•' •
CLTD
DESCRIPTION ACCOUNT
CITY AMOUNT
PAID
PAID DATE RECEIPT #
CHECK #
METHOD
PAID BY
BY
ONE ELEVEN LA
PL - SIGN PERMIT 101-0000-42434
0 $263.00
$263.00
2/12/19 R44765
7479
CHECK
JLIM
QUINTA
t777 Total Paid for PL - SIGN PERMIT: $263.00 $263.00
Printed: Wednesday, April 22, 2020 2:14:31 PM 1 of 2
_.:#?wSYSiEMS
■
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RECORDS
101-0000-42416
0
$10.00
$10.00
2/12/19
R44765
7479
CHECK
ONE ELEVEN LA
JLIM
MANAGEMENT FEE
QUINTA
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
$10.00
TECHNOLOGY
502-0000-43611
0
$5.00
$5.00
2/12/19
R44765
7479
CHECK
ONE ELEVEN LA
JLIM
ENHANCEMENT FEE
QUINTA
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
$5.00
INSPECTIONS
diiiiiE�� REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
1ST PLANNING (1 CARLOS 2/12/2019 2/19/2019 2/14/2019 READY FOR APPROVAL
WK) FLORES
Attachment Type
CREATED
OWNER
BOND INFORMATION
ATTACHMENTS
DESCRIPTION
PATHNAME SUBDIR
ETRAKIT ENABLED
DOC
2/14/2019
CARLOS FLORES
APPROVED PLANS
APPROVED PLANS.pdf
0
DOC
2/12/2019
JACK LIMA
APPLICATION
APPLICATION.pdf
0
DOC
2/12/2019
JACK LIMA
PLANS
PLANS.pdf
0
DOC
2/12/2019
JACK LIMA
CF-111
CF-1R.pdf
0
Printed: Wednesday, April 22, 2020 2:14:31 PM 2 of 2
__ _.:ff-- WYSiEMS
City of La Quinta
78-495 Calle Tampico
La Quinta, California 92253
PHONE:760.777.7125 FAX:760.777.1233
Office. p .>` �;R;1 •'K` y,':,.
Case Number
Accepted Assigned 30-Day
By To Deadline
SAZOII-Ooo
NA
Notes:
SIGN PERMIT APPLICATION
- PERMANENT SIGNS -
D Q 0
FEB 12 2019
CITY OF LA QUINTA 0
1GN & DEVELOPMENT DEPARTMENT -
L�
FEB 18 2019
r�lnn:
Sections A and B are to be completed by the applicant in their entirety and shall be
accompanied by a site plan and any other applicable information listed in Section C
unless specifically waived by the appropriate City staff member and noted thereon.
No applications will be accepted by mail or fax
SECTION A - SIGN INFORMATION
Type of sign: .Y� Permanent wall sign(s)
❑ Permanent freestanding/monument sign(s)
❑ Other _
Name of
business: � '(' ' :I r� � � , � (� f � �2 r' ' , � �✓�
Site address/ /
location: -797`i ,-'
Sign program Information regarding if a City approved sign
(Application #): program is applicable to the proposed location
is available at the Planning Department.
Sign location: A%4.7% So Kok C�.S I: 14wr !7—k
Sign text: -P/ 2!�_ A / L',>n/L- l�
Dimensions: Sign width: Sign height:
Structure width: (f0 f Structure height:
Single or double sided S, �c (�. Total square feet of sign area:
Sign Permit Application - Permanent Page 1 of 2
City of La Quinta • Planning Department • 760.777.7125 08.30.10
P:\Application Submittal Form s\AppIications\SA\SA-P Application - 08.30.10.doc
i
SECTION B - APPLICANT/OWNER INFORMATION
Applicant Certification
I certify that I have read this application packet in its entirety and have read and
understand the City's sign regulations (LQMC 9.160) along with any City approved property
specific sign program applicable to the proposed location. I further certify that each
application item submitted is consistent with the requirements listed in the following
Section C and all proposed temporary and permanent improvements included in this
application are proposed in compliance with all applicable regulations. i understand and
agree that if during the processing of the application, it is determined the information
submitted does not strictly meet such standards or contains errors or omissions,
clarification and/or supplemental information may be required which will delay the
processing of this applicatio .�
Applicant's Signature: Date:
Print Name: r.�. S - IA20�t_
Property Owner Certification
I certify under the penalty of the laws of the State of California that I am the property owner
of the property that is the subject matter of this application and I am authorizing and
hereby do consent to the filing of this application and acknowledge that the final approval
by the City of La Quinta, if any, may result in restrictions, limitations and construction
obligations being imposed on this real pro erty. 1
Owner/Authorized Agent Signature*: Date: �
Print Name(s): 1_. A � v vY15
*An authorized agent for the owner must attach a notarized letter of authorization from the legal property
owner.
SECTION C - APPLICATION SUBMITTAL REQUIREMENTS `
APPLICATION SUBMITTAL REQUIREMENTS
TO BE COMPLETED BY CITY STAFF
-a
Each .of the following items is required for submittal
FDF
unless a waiver is granted by City Staff. All plans shall
# of
format
Waiver
`°
be legible, accurately scaled, representatively colored
paper
(on CD-
OK'd by
.o
with identified dimensions and presented on 8'i"x1l" or
copies
ROM)
(initials)
N
11 x17 sheets
❑
❑
Filing Fees Receipt ($100)
1
NA
❑
NA
Application
1
NA
NA
❑
NA
Site Plan (showing location of each proposed and existing sign to
5
NA
NA
remain)
❑
NA
Building Elevations (showing location of each sign on entire side
5
NA
NA
of building as proposed)
Sign Construction Detail (identifying size, colors, construction
5
p
NA
materials, and lighting components for each varying portion of the
NA
NA
sign)
Sign Permit Application - Permanent Page 2 of 2
City of La Quinta - Planning Department - 760.777.7125 08.30.10
P:\Application Submittal Form s%Applications\SA\SA-P Application - 08.30.10.doc
STATE OF CALIFORNIA
SIGN LIGHTING
C_EC-NRCC-LTS-01-E(Rev4sed 08/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE AIDrr i Tc ni
A. General Information
Project Address: j .7 -7 Z_ 14 ou I � � e t
Location of Sign Outdoor Signs Indoor Signs
Phase of Sign Construction ❑ New Signs ❑ Sign Alterations
Type of Lighting Control ❑ New t ighting Controls ❑ Replaced Lighting Controls ❑ Not 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
NOTES:
1. The some responsible person may install both the sign lighting 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 Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign,
general contractor, or architect shall be responsible to have the sign lighting controls installed.
3. If more thal1 one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
for the entire construction (e.g. a C-10 contractor may complete parts la and 1b on one compliance document and a C-45
contractor may complete parts 2a and 2b on a separate compliance document — the Responsible Designer shall submit the two
compliance documents together for the some complete installation).
I have responsibility for installing the sign lighting controls:'
❑ Yes, I have responsibility for the sign lighting controls, and will ' �No, 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 lb of this compliance document.
1a. 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 Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised 08/16)
CERTIFICATE OF COMPLIANCE
Sign Lighting
P rojeM Name' / �
NIA
WitPrepared: ' // / I
N RCC-LTS-01-E
(Page 2 of 5)
io. Manaatory 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 questions:
If there are construction documents, indicate where on the building plans the
mandatory measures (sign lighting control) note block can be located:
1 §130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time- Y N NA
switch control.
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- O O O
2 switch control, or an astronomical time -switch control. O O O
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
§130.3(a)2B. 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 65% during nighttime hours. Signs that Y N NA
3 are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and 1010 O
night.
EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be
illuminated both day and night. Y NA
9130.3(a)3. Demand Responsive Electronic Message Center Control. An Electronic Message Center (EMC) O O
having a new connected lighting power load greater than 15 kW has a control installed that is capable of Y N N/A
4 reducing the lighting power by a minimum of 30% when receiving a demand response signal. O O O
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute,
ordinance, or regulation to be reduced by 30%. Y NA
Field Inspector Notes: O O
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E(Revised OB/16)
CERTIFICATE OF COMPLIANCE
Sign Lighting
AMISS[ IN
N RCC-LTS-01 E
(Page 3 of 5)
2. Mandatory Sign Lighting Measures '
I have 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 B C D E F G H I J
OPTIONAL -
Symbol or
Energy Verified
Field
Code
Description of the Sign
Label (see
Allotted Watts
Design
Complies
Inspector
instructions
Watts
Y/N
Check that
below)
Sign Complies
1. U
a��y
J \
H
_tea, eC_n
Ln
0
vl
a
'a `E
N
3N`^
N
O
"
C 0
F+
pCp
in
X
C w—
II II
Q =- Lu
O
Q
��,,
0
O-
E
O
U
S/�
❑
l'?i
g' e�
❑
❑
o
❑
❑
0
❑
❑
0
❑
❑
o
❑
❑
ELI❑
❑ 1 0 ❑
A
Symbol or code used on the plans (when plans are required) and other documents.
B
A 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
the sign complies with the Section 140.8 of the California 2016 Title 24, Part 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 65 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 label, columns 'D'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 in square 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 Lighting Power Density (LPD = 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 orequal to the number in column G. Otherwise, the sign does not comply.
J
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
CEC-NRCC-LTS-01-E(Revised 08/16)
CERTIFICATE OF COMPLIANCE
Sign Lighting
Vrp)nct NZ— _
COMMISSION
Date Nepu d: 2-// )_ / Ice
N RCC-LTS-01-E
(Page 4 of 5)
211b. 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 g C D E
OPTIONAL
Symbol
ENERGY
VERIFIED
Specific light source used for
compliance
Field Inspector
or
Description
label
Shall include only lighting
Check that Sign
Code
(see
technologies listed below
Complies
instructions
(List all that apply)
below)
El
El
' t: , '
❑
❑
❑
A Symbol 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 Product Certification Body accredited to ISO/IEC Guide 65 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 label, 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 sign(s) 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 88% 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.
D
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 7S% when
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
5
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
100% tubing load.
6
Fluorescent lighting systems meeting one of the following requirements: A.) Use only lamps with a minimum color rendering index
(CRI) of 80; or B.) Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7
Light emitting diodes (LEDs) with a power supply having an efficiency of 80% or greater.
Single voltage external power supplies that are designed to convert 120 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
Regulations (Title 20).
9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26).
This page doubles as a field inspection checklist.
E I
Field Inspector Notes:
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance August 2016
STATE OF CALIFORNIA
SIGN LIGHTING CEC-
NRCC-LTS-01-E Revised 08115 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting
(Page 5 of 5)
PrnJcet Name:
�e /+ 0 5 uatePieParea:�y�y� f r
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Jeff Grady
Documentation Author Signature:
� �• "
Company:
Signarama
Signature Date:
2/7/18
Address: 41945 Boardwalk Suite L
CEA Certification Identification (if applicable):
City/State/Zip: Palm Desert, CA 92211
Phone:
760-776-9907
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.
5. 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 Compliap5e is required to be included with the documentation the builder provides t the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Company:
Signarama
Date Signed:
2/7/18
Address: 41945 Boardwalk Suite L
License
830131
City/state/zip: palm Desert, CA 92211
PhO1e
760-776-9907
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015
New face
47"
Replacing word F1L
" _J ,
L ` L=
-14%:J
Sig arama-
The way to grow your business.
41945 BOARDWALK, SUITE L
PALM DESERT, CA 92211
PH 760.776.9907 / FX 760.776.9844
NORTH ELEVATION
Existing
E-1 a
Frontage: _100_ Linear Feet
Total Signage S.F
Contractor's Lic # 830131 C45, C61/1342
Workers Comp. #1938807
City Liic. #97005491
Internally Illuminated
Acrylic Faced Channel Letters
Depth: 5"
Aluminum Thickness:.040
Acrylic Thickness: 1/8"
Face Color: White
4 color process
Return Color: Black
Trim Cap Color: Black
Mounting: Back
Standoff: Flush
L.E.D. Color: White
PLANNING APPROVAL
ADMINISTRATIVE
CASE# SA2019-0007
EXHIBIT#
INITIAL cflores
DATE 02/14/2019 5:19:47 PM
76-772
Customer:
Tuscano's Pizza Brewerly
Address:
78-772 Hwy 111
La Quinta, CA 92253
Dwg. No.: 94698
Date: 2-7-19
Designer: GA
Salesperson: BS
FEB 18 2019
Telephone:909-215-7351 Jobsite:
Fax:760-xxx-)o= Same
NorthELEVATION
Rev.. 1
CHANNEL LETTER & LIGHT BOX SECTION 5" .040 ALUMINUM
INTERNALLY ILLUMINATED LED, RETURNS
I WALL , TRIMCAP
ACRYLIC FACES
HOUSE
POWER- / L.E.D. MODULE
VL
LOW VOLTAGE WIRE
DISCONNECT WIRE NUTS
SWITCH EACH LETTER FASTENED BY A
MINIMUM OF 4 #10 SCREWS
WITH STUCCO APPROVED
ANCHORS
12VOLT L. E. D.
DRIVER � #8 SHEET METAL SCREW
ALL WALL KNETRAIIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT
U.L. 48
NEC ELECTRICAL CODE 2016
THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF
ARTICLE 600 ON THE NATIONAL ELECTRIC CODE AND OR OTHER APPLICABLE LOCAL CODES.
THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN.THE LOCATION OF THE
DISCONNECT SWITCH AFTER INSTALLATION SHALL COMPLY WITH ARTICLE 600.6(A)(1) OF
THE NATIONAL ELECTRICAL CODE.
CHANNEL LETTER CONNECTION DETAIL
12VOLT L.E.D. DISCONNECT
SWITCH
DRIVER r�
L
MOUNTING STUCTURE
HOUSi POWER
laTE—WMl IT!+B� 1Lc!�� l la l
U. L. LISTED AND LABELED
COMPLIES WITH 2O16 CA ELECTRIC CODE, ARTICLE 600_
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN*A*RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OFACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
THIS DESIGN /S PROPRIETARY PROPERTYAND MAY NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN*A*RAMA.
New face
28"
Replacing word
Li
Ar
Sianarama-
qW The way to grow your business.
41945 BOARDWALK, SUITE L
PALM DESERT, CA 92211
PH 760.776.9907 / FX 760.776.9844
EAST ELEVATION
Frontage: _90_ Linear Feet
Total Signage S.F
Contractor's Lic # 830131 C45, C61ID42
Workers Comp. # 1938807
City L'Ic. #97005491
Internally Illuminated
Acrylic Faced Channel Letters
Depth: 5"
Aluminum Thickness:.040
Acrylic Thickness: 1/8"
Face Color: White
4 color process
Return Color: Black
Trim Cap Color: Black
Mounting: Back
Standoff: Flush
L.E.D. Color: White
PLANNING APPROVAL
ADMINISTRATIVE
CASE# SA2019-0007
EXHIBIT#
INITIAL cflores
DATE 02/14/2019 5:19:47 PM
Customer:
Tuscano's Pizza Brewerly
Address:
78-772 Hwy I I I
La Quinta, CA 92253
Dwg. No.: 94698
Date: 2-7-19
Designer: GA
Salesperson: BS
Telephone:909-215-7351 Jobsite:
Fax:7gp-xxx-xxia Same
East ELEVATION
Rev.. 1
CHANNEL LETTER & LIGHT BOX SECTION
5" ALUMINUM
.040
INTERNALLY ILLUMINATED LE.D. RETURNS
WALL ��—
TRIMCAP
�—
ACRYLIC FACES
-
HOUSE
POWER-1 �
L.E.D. MODULE
LOW VOLTAGE WIRE
DISCONNECT
WIRE NUTS
SWITCH
EACH LETTER FASTENED BY A
MINIMUM OF 4 #10 SCREWS
WITH STUCCO APPROVED
12VOLT L,E.D,
ANCHORS
DRIVER
#8 SHEET METAL SCREW
ALL WALL PENETRATIONS TO BE SEALED WITH UL LISTED SILICONE SEALANT
U.L. 48
NEC ELECTRICAL CODE 2016
THIS SIGN 15INTENDED TO BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF
ARTICLE 600 ON THE NATIONAL ELECTRIC CODE AND OR OTHER APPLICABLE LOCAL CODES.
THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN. THE LOCATION OF THE
DISCONNECT SWITCH AFTER INSTALLATION SHALL COMPLY WITH ARTICLE 600.6(A)(1) OF
THE NATIONAL ELECTRICAL CODE.
CHANNEL LETTER CONNECTION DETAIL
12VOLT L,E,D, DISCONNECT
�
SWITCH
DRIVER 1 ! iC)' I:ii POWER
MOUNTING STUCTURE
U.L. LISTED AND LABELED
COMPLIES WITH 2O16 CA ELECTRIC CODE, ARTICLE 600
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
AND LAYOUT, RELEASING SIGN"A"RAMA FROM RESPONSIBILITY /N REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OFACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSE AS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
THIS DESIGN IS PROPRIETARY PROPERTYAND MAY NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN A"RAMA.
A2
New face
28"
Replacing word
F 71
17.3" � ' .
7/1
I .1�
I' L1. 1 1/1
WEST ELEVATION
y-�� r, J�!jV .z �+c�
t1_ 1, 1 tii
Internally Illuminated
Acrylic Faced Channel Letters
Depth: 5"
Aluminum Thickness:.040
Acrylic Thickness: 1/8"
Face Color: White
4 color process
Return Color: Black
Trim Cap Color: Black
Mounting: Back
Standoff: Flush
L.E.D. Color: White
PLANNING APPROVAL
ADMINISTRATIVE
CASE# SA2019-0007
EXHIBIT#
INITIAL cflores
DATE 02/14/2019 5:19:47 PM
CHANNEL LETTER & LIGHT BOX SECTION 5" .040 ALUMINUM
INTERNALLY ILLUMINATED L.E.D. RETURNS
r WALL] TRIMCAP
�— ACRYLIC FACES
HOUSE
POWER—► L.E.D. MODULE
LOW VOLTAGE WIRE
DISCONNECT
WIRE NUTS
SWITCH
CH LETTER FASTENED BYA
;TANICHORS
NIMUM OF 4 #10 SCREWS
H STUCCO APPROVED
12VOLT L, E. D.
DRIVER
8 SHEET METAL SCREW
ALL WALL PPNETRATIgNS TO BE SEALED WITH UL LISTED SILICONE SEALANT
U.L. 48
NEC ELECTRICAL CODE 2016
THIS SIGN 15 INTENDED TO BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF
ARTICLE 600 ON THE NATIONAL ELECTRIC CODE AND OR OTHER APPLICABLE LOCAL CODES.
THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN. THE LOCATION OF THE
DISCONNECT SWITCH AFTER INSTALLATION SHALL COMPLY WITH ARTICLE 600.6(A)(1) OF
THE NATIONAL ELECTRICAL CODE.
CHANNEL LETTER CONNECTION DETAIL
12VOLT L.E.D. DISCONNECT
DRIVER SWITCH
FOT
H(7_iSi POWER
MOUNTING STUCTURE
CFOV#a LOW I I C1OMEi
U.L. LISTED AND LABELED
COMPLIES WITH 2O16 CA ELECTRIC CODE, ARTICLE 600
Frontage: _90_ Linear Feet
Total Signage S.F.
Customer: Telephone: 909-215-7351
Tuscano's Pizza Brewerly Fax:760-xxx-)o=
Address:
78-772 Hwy I I I
La Quinta, CA 92253 West ELEVATION
Jobsite: Customer val:
Same
and p oval:
V
Sigparama-Contractors
e way to grow your business.
41945 BOARDWALK, SUITE L
PALM DESERT, CA 92211
PH 760.776.9907 / FX 760.776.9844
Llc # 830131 C45, C61/D42
Workers Com # 1938807
p'
City L'Ic. # 97005491
Dwg. No.: 94698 Rev.: 1
Date: 2-7-19
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OFDESIGN CONTENT
AND LAYOUT, RELEASING SIGN*A*RAMA FROM RESPONS/BILITY/N REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
REPRESENTATIVE OF ACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSEAS POSSIBLE, COMMENSURATE WITH MATERIALS USED.
THIS DESIGN IS PROPRIETARY PROPERTYAND MAY NOT BE USED WITHOUT
THE EXPRESSED WRITTEN CONSENT OF SIGN*A*RAMA. A3
Designer: GA
Salesperson: BS
New face
28"
Replacing word
FXY D D17.3n
L U 1
SOUTH ELEVATION
Internally Illuminated
Acrylic Faced Channel Letters
Depth: 5"
Aluminum Thickness:.040
Acrylic Thickness: 1/8"
Face Color: White
4 color process
Return Color: Black
Trim Cap Color: Black
Mounting: Back
Standoff: Flush
L.E.D. Color: White
PLANNING APPROVAL
ADMINISTRATIVE
CASE# SA2019-0007
EXHIBIT#
INITIAL cflores
DATE 02/14/2019 5:19:47 PM
CHANNEL LETTER & LIGHT BOX SECTION 5" .040 ALUMINUM
INTERNALLY ILLUMINATED L.E.D. RETURNS
WALL �--� TRIMCAP
ACRYLIC FACES
HOUSE
POWER--* L.E.D. MODULE
LOW VOLTAGE WIRE
DISCONNECT WIRE NUTS
SWITCH E
ACH
CH LETTER FASTENED BY A
NIMUM OF 4 #10 SCREWS
H STUCCO APPROVED
12VOLT L.E.D.
DRIVER 8 SHEET METAL SCREW
ALL WALL NEt MRA 4 TO BE SEALED WITH UL LISTED SILICONE SEALANT
U.L. 48
NEC ELECTRICAL CODE 2016
THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF
ARTICLE 600 ON THE NATIONAL ELECTRIC CODE AND OR OTHER APPLICABLE LOCAL CODES.
THIS INCLUDES PROPER GROUNDING AND BONDING OF THE SIGN.THE LOCATION OF THE
DISCONNECT SWITCH AFTER INSTALLATION SHALL COMPLY WITH ARTICLE 600.6(A)(1) OF
THE NATIONAL ELECTRICAL CODE.
CHANNEL LETTER CONNECTION DETAIL
DISCONNECT
12VOLT L.E.D. SWITCH -► I—r�1�
DRIVER i ���—HOUSE POWER
MOUNTING STUCTURE
U.L. LISTED AND LABELED
COMPLIES WITH 2O16 CA ELECTRIC CODE, ARTICLE 600
Frontage: _100_ Linear Feet
Customer: Telephone: 909-215-7351
Jobsite: customer oval:
Tuscano's Pizza Brewerly Fax:760-xxx-xxxx
Same
i,.
Address:
78-772 Hwy I I I
L ndl p Val:
Total Signage S.F.
La Quinta, CA 92253 South ELEVATION
SicrnaramaContractor's
Llc # 830131 C45, C61/D42
DWg. No.: 94698 Rey.: 1
YOUR SIGNATURE ACKNOWLEDGES FULL APPROVAL OF DESIGN CONTENT
The way to grow your business.
Date: 2-7-19
AND LAYOUT, RELEASING SIGN A*RAMA FROM RESPONSIBILITY IN REGARD
TO INCORRECT DESIGN AND INFORMATION. THE COLORS SHOWN ARE ONLY
41945 BOARDWALK, SUITE L
Workers Com #1938807
p'
REPRESENTATIVE OFACTUAL PMS COLOR CALL OUTS. FINAL COLOR WILL
BE MATCHED AS CLOSEAS POSSIBLE, COMMENSURATE
Designer: GA
PALM DESERT, CA 92211
WITH MATERIALS USED.
PH 760.776.9907 / FX 760.776.9844
City Llc. # 97005491
Salesperson: BS
p
THIS DESIGN IS PROPRIETARY PROPERTYAND MAY NOT BE USED WITHOUT
A4
THE EXPRESSED WRITTEN CONSENT OF SIGNA`RAMA.