0111-0019 (ELEC)46600 Adams Street
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
"-Date%"' -f- IC&- Signature of Contractor'`
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
N(i ) I have and will maintain workers' compensation Insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
STATIS FUND lb34it5"d
(This section need not be completed if the permit valuation is for $100.00 or less).
() I certify -that in the performance of the work for which this permit is issued,
I shall not"emplloy/any,person in any/Ma (en so as to become subject to the
workers' corApensatlon laws of California; and agree- that .if I ish.ould become
subject to the workers' compensation provisions of Section 370b of the Labor
Code, -I shall forthwith comply,with-those pprovisions?
Date- ir...rb Applican`t`f
Warning: Failure to secure Workers' Compensation cove ra emis-unlawful'and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above mention ed property Jfor'i nsspection purposes.
7! l, / - ' Date 1 ,a..
Signature (Owner/Agent) -
BUILDING PERMIT PERMIT#
DATE l' / VALUATION I LOT (jl11-019 TRACT
I
.00T)M
JOB SITE
APN
ADDRESS
6-t'.St9£} ADAMS STR.UFF
OWNER
CONTRACTOR / DESIGNER / ENGINEER
LA Ltit37'A 2-113nC LLC;
JTTN11Y Cl:ib6BANY
37-55 WUM MARCH LICE
i W 1Q16T W'MAT, UJOIArAY 1, 60
l c"K'3YJki CA 95129
)_ LA.0797Lk CA 9200
(714)528-8813 03iI1 1569
USE OF PERMIT
G O.h9 OM- CXAL
SPRINT CELL, SITE PER A.PPR.OViota K.&NS CUP:174'01.0631
V .I.,sa,Ei'I') i7 ty 1S RIA 1.9
1+ISTROA' IO) d;'OSIZ(Ar (:i)M.s",f.:3.d►J4:".3'tf"alw
PER W. J., TIVER 9MMARY
PIAN CHPI 1* FEE 101.0010-139.318 V103130
SLEC'.TRICA1.,Ni, . $33.50
r
;11-;A-7`€i°3'AL c:ONRI'RLc, !Y{rix Ansi) PLANC111,r.s .
$826.80
FEB 0 8 2002
C9'Irlf CWL QLIII►l
I IIIII I III I I IIII IIII 36
IEr - —
RECEIPT
DATE
B %
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
"Drywall - Int. Lath
'
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole .
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and(ny License is in full force and effect.
License # Lic. Class Exp. Date
W. /' _ e/. t, t..'^ 1 I }f.�_j lisp/�. tj%:1'.•t
Date f ' Signature of Contractor' -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( )'I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the, Labor Code, for the
performance of the work for which this permit is issued'
,( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier` `,, Policy No.
. I F i• :- {ti it,^7 l.` iV�:uiyafi
(This section need not be completed if the permit valuation is for $100.00 or less).
() I certify that in the performance of the work for which this permit is issued,
I shall not employ any.pgrson in any�•hnanner so as to become subject to the
workers' con`Ipensation laws of Califbrnla, and agree that •it I/`should become
subject to the workers' compensation provisions of Section 370.0 of the Labor
Code,) shall forthwith comply.-with,those�povisions=,
Date~ Applicant
Warning: Failure to secure Workers' Compensation coverage-•is-unlawful*and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety/
for a permit subject to tHe, conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property;fo;:inspection%;purposes.
Signature (Owner/Agent) r" ` — Date
BUILDING PERMIT PERMIT#
DATE f VALUATION LOT ? 1 : j!? i:� TRACT
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
-j, 41' ."..,�:..YI
:.i:. i.'ti., ;:rs3'`.::z'.:' ''rf`.i? '`^r,`f r-
USE OF PERMIT
.,'�ied1'•%;' >}v.•_)�'v'v:",...._.. ... ,...,..'.ii �)•:. Pi , ri•...� ,"Ler )':`-.. - �!�' Ft;'.>� `L'.i::.
,`4
I
vY
",-�O
:6t (%_
WYOR aQUIRA ,
RECEIPT
DATE j
ey..-: _
DATE FINALED
INSPECTOR
1TSA�
S/
75-120 n
X
I
SSG Z
r71 �2b C.ol;.Q C-«-
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # . Lic. Class Exp. Date
719304 AB C-10 FlIC 02/28/2(
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier STATE FUND Policy No. 1634958
(This section need not be completed if the permit valuation is for $100.00 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, 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: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnity
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the,above-mentioned property for inspection purposes.
Signature (Owner/Agent) Date
A\
BUILDING PERMIT PERMIT# c
DATE VALUATION LOT 0111-019 TRACT
$65,000.00
JOB SITE
APN
ADDRESS 46-600 ADAMS STREET
649-020-054
OWNER
CONTRACTOR / DESIGNER / ENGINEER
LA UINTA 2 -SPC LLC
JITNEY COMPANY
3255 WEST MARCH LANE -
1057 EAST IMPERIAL • HIGHWAY #605
STOCKTON CA 95129
PLACENTA CA 92670
(714)528-8813 CBL4 6569
USE OF PERMIT
COMMERCIAL
SPRINT MONOPALM CELL SITE PER APPROVED PLANSlCUP #2001.063:
VALUATION 62,925.00 LS
6 FT. WALL 83.00 LF
E911MATED COST OF CONSTRUCTION
65,000.00
PERMIT FEE SUMMARY
PLAN CHECK FEE 101-000-439-318 $313,30
CONSTRUCTION FEE 101-000-418-000 $482.00
ELECTRICAL FEE 101-000-420-000 $33,50
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$828.80
LF -93 PRE -PAID FEES
$0.00
TOTAL PF'RMIT FEES DLTE NOW
$828,80
�IIIIIII
VIII III VIII IIII 37
IE
T
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
. SOAIy��.D
City Of La Quinta ,
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: 571 S.F. Sprint Unmanned Cell Site
46-600 Adams Street
Applicant Contact: Gene Enarson 949-307-8807
Application / Circulation Date:
Community Development Department
Christine di Iorio, Planning Manager
Public Works
Steve Speer,
11/7/2001 ER<f2—
Date
III V1 k 2 -
Date Date
'1167'
D to
r
Total Permit Fees
I
#
GtY Of La Quinta
Building 8r Safety Division - SCANNED
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
A31445 5r Z4 &)t)1A
Owner's Name: Z/ -C
A. P. Number: Z -D -
Legal Description:
C
Contractor. 7qq,,,C,2 17-Alfy
Address:
City, ST, Zip: TvrV 4? -1 7— ... .
Telephone: -1'5-Al_ ISOO x ) I k
--7
Address:
City. ST, Zip:
Project Description:.5
Tel
State Lic. 3 Y
City Lic.
Arch.. Engr.. Designer:
Address:
City. ST, Zip:
Telephone:
Const Type: OccupancN
. . . . . . ......
StateLic.
P ect type (circle on Ne%v Add'n Alter Repair Demo
Name of Contact Person: Sq.:Ft:.::55:7ZJ#:S7tories: # Units:
Telephone # of Contact Person: q-'I� 3,07Estimated Value of Project:
fgo - 7 - 1 66-, boo
10-7 APP - LICANT: DO NOT WRITE BELOW THIS LINE
Submittal Req'd Rec'd TRACKING I PERMIT FEES
Plan Sets 2- Plan Check submitted IYZ Item Amount
Structural Calcs.
17) –
Reviewed, ready for corrections
tAfelan
Check Deposit
Truss CaIcs.
Called Contact Person
V'o
Plan Check Balance •
B.I.,
PIEE
Title 24 Calcs..
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
—
Grading plan
Subcontactor List
2"' Review, ready f or correct ion issue
Called Contact Person
•
Electrical
Plumbing
Grant Deed
Plans picked up
S.M.I.
—
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
A.I.P.P.
—
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
/d�
b
I
0 /
<? (
Total Permit Fees
I
Ci of La Quinta
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: 571 S.F. Sprint Unmanned Cell Site
46-600 Adams Street
Applicant Contact: Gene Enarson 949-307-8807
Application / Circulation Date:
Community Development Department
Christine di Iorio, Planning Manager
Public Works Department
Steve Speer, Senior Engineer
11/7/2001 EA�X—
Date
172 01EA�X—
Date
Date
Date
YOUNG ENGINEERING SERVICES
Engineering Architecture•Surveying• Building &.Safety Services
Letter. of Transmittal
To: City of La Quinta
Attn: Greg Butler
Tel No..-
We
o..
We are forwarding: By Messenger
No. of Copies
1
Description:
Plans
Date: 11/8/01
Project: PC #0111-019 (1" check)
46-600 Adams St.
W.O..
Tract No.:
By Mail X Your Pickup
Monopalm shop drawings
Monopalm column/baseplate/caisson calculations
Soils Report
Comments: Structural plans and calculations are approvable
This Material Sent for:
Your Files X Per Your Request
Your Review Approval
Checking At the request of:
Other
By: John W. Thompson
Phone # 760-342-9214
47-159 Youngs Lane, Indio, CA 92201 (760) 342-9214
Bronz Young
0
TA'i
Building & SC
Of
Plan Review
Date: 11/16/01
Project Address: 46-600 Adams St.
Project Description: Sprint Cell Site & Mon,
Status: First Plan Review - Noi
Contractor/Applicant: Undetermined / Gene
Plan Review by: Daniel P. Crawford Jr.
Building Inspector H
(760) 777-7027
APPLICANT:
The following items are being returned
to you for correction:
1. Two (2) plan sets
Dear Gene,
The following instructions are provided to expi
* Provide a written response to each comment
the correction can be found.
* Show or note specifically how compliance w
* Please return all red =marked plans and/or calx
a"
Department
Correction List
Permit # 0111-019
son 949-307-8807
BUILDING DEPARTMENT STAFF:
DO NOT accept any resubmittal unless
ALL of the following items are included:
1. Two (2) plan sets
to your plan review for approval:
the following pages, noting specifically where
a code requirement is achieved.
itions with your resubmittal, Thank You.
1. Provide written evidence of Community Del elopment Department approval of this Project.
Contact the Community Development Department directly at (760) 777-7125.
2. Provide written evidence of Public Works Department approval for this Project. Contact the
Public Works Department directly at (760) 777-7075.
3. Provide written evidence of Riverside Coun' Fire Deparhnent approval for this Project.
Contact the Riverside County Fire Department�directly at (760) 863-8886.
4. All documents prepared by a licensed architl' ct or: engineer shall be stamped and wet -signed as
prescribed by the California Business and ProfIssions Code 5536.. Digital signatures are not
acceptable. (Sheets LSI, LS2, El, E2, & E3)
5. Note on Plans: "All construction shall
Mechanical, and Electrical Codes.
6. Noted emergency generator parking as pi
access hardships for adjacent dedicated RV
with the 1998 California Building, Plumbing,
I creates a circulation obstruction as well
spaces. Provide specific approval from listed.
departments noted above, line 1, 2 & 3 for 1
7. Submit structural calculations to support
Detail notes 5'-0" minimum footing width,a
8. Provide Contractor information.
9. Cellular Tower structural is approved
Please revise plans and/or calculations as nevi
plans and/or calculations, stamped and wet-si,
further information is provided and reviewed,
if I may be of any further assistance, Thank yc
Since ely,
ante . ra or r.
Building Inspector II
dpc
1
iosed generator parking.
posed 6' CMU perimeter block wall, detail 1/C6.
e grade 8". Reconcile.
reprint and resubmit two complete sets of:
by the professionals who prepared them. As
tional corrections may be required. Please call
YOUNG ENGINEERING SERVICES
Engineering Architecture -Surveying- Building & Safety Services
Letter of, Transmittal
To: City of La Quinta Date: 1/29/01
Project: PC #0111-019 (1" check)
46-600 Adams St.
Attn: Greg Butler W.O.:
Tel No.: Tract No.:
We are forwarding: By Messenger By Mail X Your Pickup
No. of Copies Description:
1 Plans
1 Structural calculations
1 Structural plan check comment list
Comments:
This Material Sent for:
Your Files X Per Your Request
Your Review Approval
Checking At the request of:
Other
By: John W. Thompson
Phone # 760-342-9214
47-159 Youngs Lane, Indio, CA 92201 (760) 342-9214
Bronz Young