12308 (SOTB) III II��IIII III 23
III�IIIII iE
P.O. BOX 1504 N o. 12348
Building 78-105 CALLE ESTADO
Address 81-600 Avenue 58 LA QUINTA,CALIFORNIA 92253
Owner Pic--Tel Cellular
Mailing BUILDING: TYPE CONST. OCC.GRP.
Address 3 Park Plaza 7th Floor 761 -170-013
A.P. Number
City Zip Tel.
Irvine, CA 92731-9707 (714) 222-7696 Legal Description
Contractor J ' �C , Project Description Cellular telephone equipment
Address
l � facility and antenna installation
7'/"-/ -0k �-5- 'r
City Zip Tel
State Lic. i7 City
&Classif. � Lic.# Sq. Ft. 484 No. No. Dw.
Arch., Engr., I Size Stories Units
Designer Universal Design & Constxuctic rNew ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Addr1 14 Avenida Del Ponien-e (714}492-14t 7
City Zi State
.
San Clement 2672- 446 Lic.# C 22291
LICENSEDCONTRACTOR'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
OWNER-BUILDER DECLARATION Estimated Valuation �Q 64�s��
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 or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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). Plan Chk. Bal. 101.28
O I,as owner of the properly,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 1 Z6. 0
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. i C•0y0
nn
builds or improves 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 Mech. 46
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical 31.50
of proving that he did not build or improve for the purpose of sale.)
❑ I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing
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. 2.25
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading
❑I am exempt under Sec. B.ti P.C.for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to;self-insure, or a certificate of
Worker's CofT�Obnpation'I'nsurancetor a certified cop pthgreof.(Sec.3800,Labor Code.)
Policy No.=.
o./�� "Company t ! f/:.(1
❑Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL 307.03
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE
XThis section need not be completed if the permit is for one hundred dollars ($100) valuation
r 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 o as to become subject to the Workers'Compensation
Laws ol,Cali ornia.
Date 7 "Owner r �_
NOTICE TO APPLICANT: If, after making thiVCertiy licate of-6—empt�you should become ZONE: BY:
subject to the Workers'.Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPE
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. Issued by: Date FPe..mi
I agree to comply with all city and county ordinances and state laws relating to building I ""
construction, and hereby authorize representatives sof this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date ll
Mailing Address Validation: Id
City, State, Zip
By_�,�'
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL. SQ.FT.® $ UNITS
YARD SPKLR SYSTEM
2ND FL. SQ.FT.
POR. SO.FT.® MOBILEHOME SVC. BAR SINK
POWER OUTLET ROOF DRAINS
GAR. SQ.FT.® DRAINAGE PIPING
CAR P. SQ.FT.
DRINKING FOUNTAIN
WALL SQ.FT.
SQ.FT.
URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH)
i
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY
AIR HANDLING UNIT CFM 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
SQ.FT.®c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID®11/4 c SEWAGE DISPOSAL
SO.FT.GAR®3/ac 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 FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING R 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
LUMBER GR. INAL INSPA 17q/ cu.yd.
RAMING —lo FINAL INSP. $ plus x$ =$
ROOFING REMARKS:
V 1/17/95 - BUildincr
N// Permit extended for 6
VENTILATION ^ _ additional months.
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
tWFORNL4 .
i��1gF111E4?`Di HINfSI�i•
� AuiFeroy RIVERSIDE COUNTY FIRE DEPARTMENT
c� Y In cooperation with the
D California Department ofForesiry and Fire 11'rotection
F T
210 San acro o venue • ems,California 92570 . (909 6900 • Fax 909)940 0
.• ,« I IIIIIII VIII III VIII IIII 17
`EtwE May 8,2001 IE
FE��iMEK1 �
Tom Tisdale
Fire Chief Bay City Electric Works
12208 IndustryRd.
Proudly serving the Lakeside,CA 92040
unincorporated
areas of Riverside Re: Aboveground Fuel Storage Tank
County and the 02-AGT-126/Verizon Cell Site—PGA West
Cities of:
The above referenced plans have been reviewed and are acceptable by the Riverside County Fire
Banning Department with the following conditions:
Beaumont 1) Provide a suitable portable fire extinguisher of not less than 40 BC rating within 50 feet of the fuel
Calimesa storage system.
Canyon Lake 2) Tank(s)shall have signs indicating the type of fuel(s)and the gallon capacities.
Coachella 3) All electrical installation shall be reviewed and inspected by the La Quinta Building Department prior
to Fire Department inspection for final.
Desert Hot Springs
10 Should there be need for further information and/or clarification,please contact the undersigned at(760)
Indian Wells 863-8886.
Indio
•r
Lake Elsinore Sincerely,
0 FRANK KAWASAKI,
La Quinta Battalion Chief/County Fire Marshal
Moreno Valley `
Palm Desert
.;. By
Perris Walter Brandes
❖ Fire Safety Specialist
Rancho Mirage
4V
San Jacinto
Temecula
Board of Supervisors
Bob Buster;
District 1
e
John Tavaglione,
District 2
Tun Venable,
District 3
Roy Wilson,
District 4
HAPEMPOATAILAOUNMPROJEM-AO TAMMO-AW-128Aoe
Tom Mullen,
District 5
EMERGENCY SERVICES DIVISION -PLANNING SECTION •INDIO OFFICE
82-675 Highway 111,2nd FI.,Indio,CA 92201 -(760)863-8886 •Fax(760)863-7072
•� SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
21865 East Copley Drive, Diamond Bar, CA 91765 page 1
Permit No. ,
PERMIT TO CONSTRUCT/OPERATE F56794
.... ..... .. ......... . .... �.... v:, ,... a-....... .it'- -_"�-.'•. F.xgii,. .�" '?tif` %::5'.t`:�'J_;.wv �.p.:,.
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.Y:��c. .r� ili:7:.^..:�:�1 -=�4.,.`• ..2r:� ._.�:.'-. -£L� t�?.irT'� K�;• vn.�i: .>.;
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.Y\X•' :ii.:.ti.y., ,ice .xE.. sS.• 4: �w "%'.(:SyJ,..1:a•. �&'+s' "•�...a �Z'•:..•"t '.r, �iy(..,-C`�'?. _.•j .1 i. ^.Y``-,,-.:,
-A':--'F.y. -'l t 'f H.....'l�'i �i`W1�'. i• ,{I:r.7-. s.::'%',Ml a>�. ':�"S'-�a '{l.(T_^.f..':..;.i.::• y r,:'.
...,? :-.G:" Gam, ....3-1:c�{xNi c� .Y.t.., Ar' �..�%C:•.?i..... 'wi..-..�.i iK:� tt i!:.Jdi,�.i:{, i:;A:'n' .`{<:
- :Tlis-uiittala rmit£iniist be.renewed ANIVi7�, LY,unless:;the= w meatris�=mope �.orTclian'es,owrierslu
S}%,:, - :;s' L. <.� �• xq,., :=�M, r>:4i -g�:::.^,:t` .ate,:. .:i+:;,�
:>3. ;��'�: . .;,:` ;. ,r ;. � d t tac r st:..�'.:.,;.�:�°a•:, ,,.::.:...
>`° .If the?billmg for annual renewaL.fee,(Rule 301��sgno reced.b�y.°th�;expuahon, a econ t tte.Distn .2,< „w.��;
:ii.' c-1 i 7=5-•� \.., .:-�.t.k-.�ah- r}S e.f.,r}:. .G y �M ••� S ':1.. '.W�-;'1:
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LEGAL OWNER ID 134684
OR OPERATOR: VERIZON WIRELESS
15505 SAND CANY014 AVE.,BLDG.D
IRVINE,CA 92618
Equipment Location: 81600 AVENUE 58,LA QUINTA,CA 92253
(PGA WEST FACILITY)
Equipment Description:
INTERNAL COMBUSTION ENGINE,JOHN DEERE,MODEL NO.4045D,SERIAL NO.0730516,DIESEL
FUELED,NATURALLY ASPIRATED,4-CYLINDER,71 BHP,DRIVING AN EMERGENCY ELECTRICAL
GENERATOR.
Conditions:
1) OPERATION OF THIS EQUIPMENT SHALL BE CONDUCTED IN ACCORDANCE WITH ALL DATA
AND SPECIFICATIONS SUBMITTED WITH THE APPLICATION UNDER WHICH THIS PERMIT IS
ISSUED UNLESS OTHERWISE NOTED BELOW.
2) THIS EQUIPMENT SHALL BE PROPERLY MAINTAINED AND KEPT IN GOOD OPERATING
CONDITION AT ALL TIMES.
3) AN OPERATIONAL NON-RESETTABLE TOTALIZING TIME METER SHALL BE INSTALLED AND
MAINTAINED TO INDICATE THE ENGINE ELAPSED OPERATING TIME.
4) THIS ENGINE SHALL NOT OPERATE MORE THAN 200 HOURS IN ANY ONE YEAR..
5) THIS ENGINE SHALL NOT OPERATE MORE THAN 50 HOURS IN ANY ONE YEAR FOR
MAINTENANCE AND TESTING PURPOSES.
6) SULFUR CONTENT OF DIESEL FUEL SUPPLIED TO THE ENGINE SHALL NOT EXCEED 0.05%BY
WEIGHT. -
7) AN ENGINE OPERATING LOG LISTING THE DATE OF OPERATION AND THE ELAPSED TIME,IN E.
HOURS,AND THE REASON FOR OPERATION SHALL BE KEPT AND MAINTAINED ON FILE FOR A
MINIMUM OF TWO YEARS AND MADE AVAILABLE TO DISTRICT PERSONNEL UPON REQUEST.
8) . • IN ADDITION TO MAINTENANCE AND TESTING OF THIS ENGINE,THIS ENGINE SHALL ONLY
OPERATE DURING EMERGENCIES RESULTING IN AN INTERRUPTION OF SERVICE OF THE
PRIMARY POWER SUPPLY OR DURING STAGE I1 OR III ELECTRICAL EMERGENCY DECLARED
BY THE CALIFORNIA INDEPENDENT SYSTEM OPERATOR.
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
21865 East Copley Drive, Diamond Bar, CA 91765 page
No.
4
' PERMIT TO CONSTRUCT/OPERATE F56794
it•.i :•S.� '�. ::F'. sfii:!f{.�Fr
- �.�:s�=' y, .Ti:'`�k:•=.{x.,. K,•sa.. ,•,tr. .i�`�:t:t`� ;t� '�i'rt•<_., �,.
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_ ::�,. ,..�';:`•�..5' ':� ,:•.Y'., s....E' .•, ,:s7':. ,sem'',?t`" 'r r .:ew "••Ga�;',.L•Ezi:i a.. .x,,..X:..,ti..,`4`i:z�.,•: .3- :s.,s:.
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a,:�;1.. E?txm�y�a�^�r:>:'a'<a..,c.7,;.�• c,�`'.'..x:•.aY",°.'y^y�i.",•�.�y.. ':frr` ,r..�. ,c�,y a >1..����':( �' a !L'>?:}.;'�',:t$-i `c".
;'ht -'`O'er,. .� .1:" -6 h t >r �L� �.�N- �• PERA'FE'< ...: - �,._.
,,Y. .�,: •:�-:�•..�_>.:,•r,.� �w .-. -,�; �,CONTII`1UATION OFaPERM1iI'TO=CONS DUCT/O � .q _�;;,•,•;:;•« '�,'s,.>�r:�•::� :, .
- :'h-.)'. .•fi.C'• :�:+` .:5w h. N1r. ..�:�:te .t.. - .. -3:"ir� :�'dL::�A,.}.,:;5.
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.,f i??ci+Fii`�d`:' �.•.i^ Asa,,..c..-,+m...r_,.,:.�avaJ�iv�.d-s,�,,.�6�`..•i?3�•4...rmvir�:.�b,r.-.<et�b.air+,.F,.-.Pa'�ze•: .........a....x.�a"tY-.�.�..,w:�• � tn.s..,..
NOTICE
IN ACCORDANCE WITH RULE 206,THIS PERMIT TO OPERATE OR COPY SHALL BE POSTED ON OR
WITHIN 8 METERS OF THE EQUIPMENT.
THIS PERMIT DOES NOT AUTHORIZE THE EMISSION OF AIR CONTAMINANTS IN EXCESS OF THOSE
ALLOWED BY DIVISION 26 OF THE HEALTH AND SAFETY CODE OF THE STATE OF CALIFORNIA OR THE
RULES OF THE AIR QUALITY MANAGEMENT DISTRICT. THIS PERMIT CANNOT BE CONSIDERED AS
PERMISSION TO VIOLATE EXISTING LAWS,ORDINANCES,REGULATIONS OR STATUTES OF OTHER
GOVERNMENT AGENCIES.
EXECUTIVE OFFICER
By Dorris M.Bailey/am01
12/06/2002
• 4.
I. ,
IIIIIII VIII III VIII IIII 33
IE
RECEIVED
DEC 16 1994
RVI CORPORATION -NORTHERN DIVISION FINANCE DEPT
P.O. Box 17070-185 San Diego CA 9217
DATE: December 14, 1994
TO: City of LaQuinto
P.O.Box 1504
La Quinta, Ca. 92253
RE: Building Permit #12308
ATTN: Kelly Tropple
Building & Safety Dept.
Dear Ms. Tropple:
Please extend our permit #12308 for an additional 6 months
beginning January 14, 1995.
Please send written acknowledgment to RVI Corporation, P.O.Box
17070-185, San Diego, CA 92177.
Sincerely,
Robert Vaughan
President
cc: file
JOB NUMBER:JOB
NAME:
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IIIIIIIIVIIIIIIIIIIIIIII 35
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TYPEOF INSPECTION: -
PERMIT NO:0,
RPT. DATE: 2-q-95
Day
Date
Key
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E, aIVS 710
Form 101
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1446 EAST CHESTNUT AVENUE
SANTA ANA, CALIFORNIA 92701
(714) 647-0277 FAX (714) 647-0745
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SANTA ANA, CALIFORNIA 92701
(714) 647-0277 FAX (714.) 647-0745
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�i 1-40,9
r P.O. BOX 1504 APPLICATION ONLY
Building�Q l — `DO 78-105 CALLE ESTADO
Address UU fJ /Iij,(�[ ,. LA QUINTA, CALIFORNIA 92253
Owner
Mailing 7/�
Address
City _ zip Tel
i Iy2- lel
Contractor
Address
City !Zip )Tel.
State Lic. City
& Classif. Lic. #
Arch-, Engr.,
Designer rtJ
Address lm -/1 I Tet
CityZip State
AG-�7a-yy6,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under orovfsfons 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.
_$n, NATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the fallowing
mason: {Sac 703 f .5.&minass and Prolessions Code: Any city or county which requires a
Permit la consf=f, arfsr, Improve, demvt . or repair any strucfurs, prior to gr Issuance also
requires the applicant for such perm r7 fa Isle a signed statement that he is kensed p�rsuanf to
the provisions of the Conlracfor7s License Law, Chapter 9 fcommencing with Section 7000] of
(Nvivon 3 of the Business and Prolessions Code; or that! he is exampl therefrom, and the bards
for the aiwged. exemption. Any violation of Section 7031.5 by any appilcarnt for a pern2
sub0cfs the RPAllc8n1 to a civil Penally of hot mora than five hundrad dollars (S 500).
I I, as owner of the property, or my employees with wages as their sole compensation, wlil
do the work, and the structure Is not Intended or offered for sale. (Sec. 7044, 1knaness and
Professions Code: The Contraclor's Lfcanse Law does not apply tb an owner of property who
builds or "prov8s thereon and whD does such work himself or fhrough ius own employees,
provided lhdf such improvements are not intended or olfered for safe. if, however, the burdding
or improvement rs sold within one year at conygetlon, the owner-bLWder wk have the bweran
of pfov+ng that he old nor build or hnprove for the purpose of sale.)
I, as owner of the property, am exclusively contracting with licensed contractors to con-
strucl the project. (Sec. 7044, Business and Prafosslons Cade: The Confraclor's License Law
does not apply to an owner of property who builds or improws fhareon, and who contracts for
Wth projects With a cbmiactbr(s) ricens od pursuant tD rho Can flacfar's License Law.)
I7 I 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy NO- Company
F1 Copy is filed with the city. ❑ 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 makino this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Leber Coda, you must lorfcome
comply with such provisions or rhfs 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 Address.
This is a building permit when properly tilled out, yigried and validated, and Is subject io
expiration if work thereunder is suspended far 180 days.
I cortffy that I have read this applicafton and state that the above information le Correct.
t agree to comply with all city and county ordinances and slate laws relating to building
rons.iruction, and hereby autharlxe fepresonlallves sol this city to enter the above
menilohed.property for inspection purposes.
Signature of appllcant -Date-
Mailing
ateMailing Address
City, State, Zip
RI III IIIAIf`_ nnn�tnr.f
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 76 ! lar 3
Legal Description
Project Description ./ �r
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Z
Const.
26-00
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
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:
IIIIIII VIII III VIII IIII 31
4 IE
Ci am
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
February 17, 1994
Robert Vaughan
RVI CORPORATION
2744 Frankfort Street
San Diego, CA 92117
Dear Mr. Vaughan:
The Building Permit No. 12303, issued to you on January 14, 1994, for the
installation of cellular telephone equipment at 81-600 Avenue 58 in La Quinta,
California, includes fees for all applicable trades for the construction of the
facility building.
If you have any further questions, please call me at (619) 777-7012.
Sincerely,
BU ING AND AFETY DEPARTMENT
Kelly Tro ple
Counter Technician
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253