BELC2014-1015 _ I
IIIIIIIIIIII 78
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78-495 CALLE TAMPICO D "� iILII�ICl/ VOICE(760)777-7125
LA QLIINTA,CALIFORNIA 92253 FAX(760)777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 5/22/2015
Application Number: BELC2014-1015 Owner: �
Property Address: 81600 AVENUE 58 IMPERIAL IRRIGATION D
APN: 764010012 P O BOX 987
Application Description: ADD 3 PANEL ANTENNAS IMPERIAL,CA 92253 z
Property Zoning:
Application Valuation: $10,000.00 D
Applicant: Contractor: M Q
t.7
CONNELL DESIGN GROUP JITNEY COMPANY INC m =' No
26455 RANCHO PARKWAY WAY SOUTH . 1057 EAST IMPERIAL HIC.IV;
LAKE FOREST,CA 92630 #605
PLACENTIA,CA 92670
(951)858-1122
Llc.No.:719304
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9(commencing with Section 7000)of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class:A.B.C10 License No.:719304 of the wgrk for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by
Date: Contractor:. Section 3700 of the Labor Code,for the performance of the work for which this permit
is issued. My workers'compensation insurance carrier and policy number are:
OWNER-BUILDER DECLARATION Carrier:- Policy Number:_
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State, I certify that in the performance of the work for which this permit is issued,I
License Law for the following reason(Sec.-7031.5,Business and Professions Code:Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct,alter,improve,demolish,or repair compensation laws of California,and agree that,if I should become subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions.
Contractor's State License Law(Chapter 9(commencing with Section 7000)of Division 3
of the Business and Professions Code)or that he or she is exempt therefrom and the Date: ✓' 12-2�/S Applicant:
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 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
($500).: 1 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( )1,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF
compensation,will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
apply to an owner of property who builds or improves thereon,and who does the work
himself or herself through his or her own employees,provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one yearof completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
( , J I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors'State License Law.). following issuance of this permit.
(�I am exempt under Sec. B.&P.C.for this reason 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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of this city to enter upon the above-
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned property for inspection purposes.
Lender's Name: Date: 'Z//S Signature(Applicant or Agent): � ��5/���/�✓
Lender's Address:
77
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Bin# - City of La Quinta
i
/. Building st Safety Division
Permit# l b(5 P.O. Box 1504, 78-495 Caffe Tampico
C La Quints,CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: P600 .S8 A/Q Owner's Name: l;i1 Tiie o �Ae
A.P.Number: �p 7 Address: 3 �. W
Legal Description: City,ST,Zip: ,tZ/'►C4X
Contractor:
Address: Project Description: /a 3 PQ K t21 4e QG1 m,&r
City,ST,Zip: 3
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Telephone:
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Amik.,Engr.,Hesigr : C O K Ke. Pe s UIMF
Address:cer< 17
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city,sr,Zip: 3,6
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Construction Type: Occupa& OF LA Q
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State Lic.#: ,2 ��3 � � Project type(circle one): New Add'n Alter Repair Demo
.........................:...............
Name of Contact Person: V! GK�ht Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: f��— of? 3 Z� Estimated Value of Projcc. 10 v0U
APPLICANT:DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rcc'd TRACKING Q PERMIT FEES
Plan Sets Plan Check submitted ` Item Amount
Structural Calcs. Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance.
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2pd Review,ready for correcti nsCssue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Decd Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN IiOUSE: '`'Review,ready for correctionsrissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
l�eVlh r ► '�Vlh 1 V►cj �B l�U(�`
4Z4,4� 71V
419
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rNyn,rDESCRIPTION4 � A000UNTr" QTY +AMOyUNT .: PAID , 3 �PAIDsDATE
..
BSAS SB1473 FEE' 101-0000-20306 0 $1.00 $0.00
Y Y":kTr E ,i R f t'-j g K ;'Y _Y"�' '". 7r}-qs yfT Y eS.Y^:.. 'Y•"'SSiC3k 'y. ixY.i... ,r5i .x„t >!' i?,y
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PAID BY a �a METHOD ; i,.._ n RECEIP,T�# �;, � v` ��t CHECK# , i CLTD BY `
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Total Paid f6eBUILDING STANDARDS ADMINISTRATION BSa $1.00 $0.00
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4 DESCRIPTIONS ,. t
�� QTY, `PAID ; PAWbAlt
7 .
DEVICES,FIRST 20' --101-0000=42403`'. 0 $23.83 $0.00
,(i '• x .7_ ,-i_""vtt- , --- _x.;,i..„:. c�,5 F
h ,. PAIDBY >. '.;,x METHOD` . :. ax h, #°. ,. RECEIPT# X, ,CHECKa#Er` ,CLTDBY
i � yDESCRIPTION - ¢r ` ACCOUNT ` x 'QTY x AfVIOUNT s ` r�
L,� PAID PAID DATE'
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DEVICES,FIRST 20 PC 101-0000-42600 `0 $23.83 $0.00
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� :. .. -<.: � �` ;. ,s,Y�„:s �k..:..� RECEIPT# w;. CLTDBIf .
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Total Paid for ELECTRICAL: $47.66 $0.00
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x � tDESCRIPTION � 3g ..naW ryACCOUNTh CITY :4 AMOUNT t � 3, r PAID f PAID DATE
PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00
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x x RECEIPT# y CHECK# # ' YCLTD BY
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Total Paid forPERMIT ISSUANCE: $90.57' - $0.00
• � 00
a
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1 z DetailsPermit NUMBERPERMIT
V
CityC�4f.on,,isir. • •
Description:ADD 3 PANEL ANTENNAS
Type:ELECTRICAL Subtype: Status:APPROVED Applied:8/22/2014 PJU
Parcel No:764010012 Site Address:81600 AVENUE 58 LA QUINTA,CA 92253 Approved:9/26/2014 JJO _
Subdivision: Block: Lot: Issued: 35,
Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled:
Valuation:$10,000.00 Occupancy Type: Construction Type: Expired:
o
No. Buildings:0 No.Stories:0 No. Unites:0
Details: REPLACEMENT OF SPRINT COMMUNICATION EQUIPMENT-ADD 3 PANEL ANTEANNAS,ADD 3 RRU,ADD 1 FIBER CABLE,1 BASE
BOND UNIT AND 4 BATTERIES.PER 2013 CALIF BUILDING CODES 9/26/2014 A
__j Applied to Approved
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE. NOTES
PLANS RETURMED FROM YOUNG ENGINEERING-RESENT TO
PLAN CHECK SUBMITTAL BURT HANADA 9/10/2014 9/19/2014 ESGIL FOR STRUCTURAL REVIEW VIA EMAIL.
APPROVABLE FROM ESGIL
TELEPHONE CALLJIM JOHNSON 9/26/2014 9/26/2014 CALLED KEVIN MANNING ABOUT PLANNING DEPT APPROVAL
FOR MINOR USE PERMIT.DATED AUGUST 18,2014
CONDITIONS
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CONNELL DESIGN GROUP 26455 RANCHO LAKE FOREST CA 92630
PARKWAY WAY SOUTH
CONTRACTOR JITNEY COMPANY INC 1057 EAST IMPERIAL PLACENTIA CA 92670
HIGHWAY
Printed: Friday, May 22,2015 9:41:59 AM 1 of 3 C1?
SYSTEMS
` Permit
Details PERMIT NUMBER
. •
F3 - '•
��. ofLa Quinta BELG422810417-4410115
CONTACTS
NAME,TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
OWNER IMPERIAL IRRIGATION DIST P 0 BOX 987 IMPERIAL CA 92253
FINANCIAL • + •
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# •METHOD PAID BY CLTD
BY,
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
DEVICES,FIRST 20 101-0000-42403 0 $23.83 $0.00
DEVICES,FIRST 20 PC 101-0000-42600 0 $23.83 $0.00
Total Paid forELECTRICAL: $47.66 $0.00
PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
SEQID INSPECTION TYPE. INSPECTOR SCHEDULED COMPLETED RESULT REMARKS• .NOTES
DATE DATE
ELECTRICAL FINAL"
REVIEWS
REVIEW TYPE REVIEWER E8/22/2014
DUE DATE RETURNED STATUS REMARKS NOTES
DATE
TOM
STRUCTURAL HARTUNG 9/8/2014 9/10/2014 ASSIGNED FROM YES TO ESGIL
TOM
NON-STRUCTURAL HARTUNG 9/2/2014 9/16/2014 9/26/2014 APPROVED APPROVED
Printed: Friday, May 22,2015 9:41:59 AM 2 of 3
C#? SYSTEiviS
DetailsPermit NUMBERPERMIT
U j
Cff9v of
OFy? K
STRUCTURAL BUILDING 9/10/2014 9/17/2014 9/19/2014 APPROVED ESGIL APPROVED 9/19/14
BUCKET
PLANNING WALLY NESBI7 9/24/2014 1 10/8/2014 1 10/3/2014 1 APPROVED MUP2014-1006 ASSIGNED WN 9.30
'BOND • ' •
ATTACHMENTS
Attachment Type CREATED OWNER, DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 9/10/2014 BURT HANADA 3003_001.pdf 3003_001.pdf 1
DOC 9/10/2014 BURT HANADA 4173_001.pdf 4173_001.pdf 1
DOC 9/10/2014 BURT HANADA 4182_001.pdf 4182_001.pdf 1
DOC 10/7/2014 BURT HANADA IgBELC2014-1015(2).pdf IgBELC2014-1015(2).pdf 1
DOC 10/7/2014 BURT HANADA IgBELC2014-1015 FEE IgBELC2014-1015 FEE 1
(2).pdf (2).pdf
Printed: Friday,May 22,2015 9:41:59 AM 3 of 3
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Permit Number:BELC2014-1015 " Description,ADD 3;PANEL ANTENNAS.`
-- _ - _
'Applied:8/22/2014 Approved:9/26/2014 Site Address 81600 AVENUE 58
Issued: Finaledi City,State Zip Code:LA QUINTA,CA 92253
Status:APPROVED Applicant::<NONE>
Parent Permit: Owner:IMPERIAL-IRRIGATION DIST s
Parent Project: Contractor:<NONE> Y
Details:
REPLACEMENT OF SPRINT COMMUNICATION,EQUIPMENT-ADD 3 PANEL ANTEANNAS,'ADD 3 RRU,,ADD 1 FIBER CABLE,1 BASE BOND
UNIT AND 4 BATTERIES.PER 2013 CALIF BUILDING CODES 9/26/2014 JJ.
LIST OF
PITON
:zT
SENT DATE �v DUE E s CgNTACT 7,a4�
STrATUS REMARKS
K. fs�
Review Group:BLDG 1ST(1WK)
9/2/2014 9/26/2014 9/16/2014 NON-STRUCTURAL TOM HART LING APPROVED APPROVED
Notes ��vf�b s' ia+,. ai a:lL+ t e tix R.> u54r yMY E r1 , An' t `��,W .,:l
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9/10/2014 9/19/2014 • '9/17/2014 STRUCTURAL ' • BUILDING BUCKET APPROVED ESGIL
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9/24/2014 -10/3/2014 10/8/2014-- PLANNING' -WALLY-NESBIT APPROVED MUP2014-1006
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Review Group:BLDG 1ST(2WK)
8/22/2014 9/10/2014 '9/8/2014 STRUCTURAL TOM HARTUNG ASSIGNED FROM YES TO ESGIL
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��Li �O Illlllllllllllllllltlllll 79
��OFTN� 78-495 CALi_i, TAMPICO
(760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
August 18, 2014
Kevin Manning, Zoning Manager
Cortel, LLC
35441 Stockton Street
Beaumont, CA 92223
SUBJECT: MINOR USE PERMIT 2014-1006: 81600 AVENUE 58
�n ... A
�a� :R�Oti_:,�;.�1..;�: E:NTS .�••O'E:g::c.sTJE`?G -i�—�:� ��'.�.�u��,r,•:�:E_''
Dear Mr. Manning:
The Community Development Department has reviewed.and approved your request to
install three (3) new replacement panel antennas, three (3) new radio remote units
(RRU') and one (1) new fiber cable on an existing tower, and install associated
equipment in existing cabinets at a telecommunication facility located at 81600 Avenue
58, within the Imperial Irrigation District's headquarters. Approval of this application is
subject to the exhibits on file for the,Minor Use,•Permit .and the following Findings and
Conditions of Approval.:
FINDINGS -
1. Consistency with the General Plan: The proposed equipment at the existing
telecommunication facility are consistent .with the goals, objectives and
policies of the General Plan, in that the proposed equipment is intended to
enhance community access to quality wireless'communication services.
2. Public Welfare, Approval of the newequipment for an existing
telecommunication facility will not create conditions materially detrimental to
the public health, safety and general welfare.;
3. The proposed new equipment at the existing`telecommunication facility will
minimize adverse visual impacts as the proposed replacement antennas will
be placed on an existing lattice tower and not add any additional number of
..anten as Mnd existing. The associated equipment will also be placed
en I i xisting equipment shelters.
AN 2 2 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
4. The proposed new and replacement equipment is designed to facilitate
continued function of the existing antenna array, without modifying the height
or other pre-existing conditions to maintain the service provider's .objectives
for coverage within this portion of the community.
5. The proposed new and replacement equipment is necessary to improve
community access to wireless services.
CONDITIONS
1. The applicant/property owner agrees to defend, indemnify, and hold harmless
the City of La Quinta (the "City"), its agents, officers and employees from any
claim, or litigation arising out of the City's approval of this project. This
indemnification shall include any award toward attorney's fees.
The City of La Quinta shall have the right to select its defense counsel in its
sole discretion: The City. of La Quinta- shall=promptly notify the applicant of
any claim, action, or proceeding and shall cooperate fully in the defense.
2. The applicant shall comply with all provisions of La Quinta Municipal Code
Section 9.170 "Wireless Telecommunication Facilities".
3. The applicant shall comply with all provisions contained in Conditions of
Approval for Public Use Permit 1993-015 (PUP 1993-015) and Conditional
Use Permit 2001-059, Amd. 1 (CUP 01-059).
4. The applicant is permitted to install the following on the existing tower array:
three (3) replacement panel antennas on the existing antenna array (two
panels .per sector); three (3) new radio remote units (RRU) and associated
cable (two RRU's per . sector); and, one (1) Raycap unit. All new and
replacement equipment shall be painted to match the color on the array.
Applicant is also permitted to install all related equipment, as identified on the
approved plans for MUP 2014-1006, within the existing equipment cabinets
located in the lease area.
5. New cables running from the equipment shelter to the new antennas shall be
contained within the existing cable bridge between the tower and the
equipment enclosure. All cables shall be interior of the tower and shall not be
visible from surrounding properties.
6. The applicant shall obtain all necessary building permits from the City's
Building Division, and is responsible for meeting all applicable plan check
submittal requirements.
7. The City may elect to.add Conditions to this application request to mitigate
any problems that arise not previously addressed herein.
This decision may be appealed to the Planning Commission by any party
the necessary paperwork and filing fee of $1,573.00 to this office within 15 days
date of approval of this permit. ys of the
Should you have any questions please contact me at (760) 777-7125.
Sincerely,
Wallace Nesbit
Principal Planner
c: Building Division
File; CUP 2001-059
EsGil Corporation
In(Partnership with Government for Building Safety
DATE: 9/18/2014 ❑ APPLICANT
(❑ JURIS.
JURISDICTION: City of La Quinta ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: BELC2014-1015 SET: I
PROJECT ADDRESS: 81600 58th Ave.
PROJECT NAME: Sprint Imperial RV54XC489
® The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
EsGil Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation'staff did advise the applicant that the plan check has been.completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person .
® REMARKS: structural review only per city of La Quinta. rj ;
By: David Yao Enclosures: SEp 9
Z�14
EsGil Corporation �e�C
❑ GA ❑ EJ ❑ MB ❑ PC 9/10 .
00
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
x.
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80
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' www.iid.com
POWER
A l:C'19 a`t ay0 f�e 1 FICC: Real Estate Section
(760)339.9239
7/21/2014
City of La Quinta Building& Safety Division
P.O. Box 1504
78-495 Calle Tampico
La Quinta, CA 92553
RE: Letter of Authorization for Processing Planning and Building
Applications and Permits; APN: 761-720-021; RV54XC489
TO WHOM IT MAY CONCERN:
I hereby authorize Sprint/Cortel Inc. to process planning and building associated applications for
the installation of a wireless facility on our property located at 81-600 Avenue 58, La Quinta,
California,92253. Please contact me at(760) 339-9239 if you have any questions.
Sincerely,
Sh 1),4n Flrelr',
Asst. Supervisor
Imperial Irrigation District
Real Estate Section
333 E. Barioni Blvd.
P.O. Box 937
Imperial, CA 92251-937
RECENED
AUG 2 2 W4
CITY OF LA QUINTA
COMMDNYTY DEVELOPMENT
IMPERIAL IRRIGATION DISTRICT
OPERATING HEADQUARTERS P.O.BOX 937 IMPERIAL,CA 92251
ACKNOWLEDGMENT
STATE OF CALIFORNIA )
COUNTY OF IMPERIA )
On July 21, 2014 before me, Sandra Solorio" ,
NOTARY PUBLIC,personally.appeared Shayne Ferber ,who proved
to me on the basis of satisfactory evidence to be the person(s)whose names) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in
his/lterAheir authorized capacity(ies)-, and that by his/!ff/tieir signature(s) on the instrument the
person(s),or the entity upon behalf of which the person(s)acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
WITNE land and official seal.
OFFICIAL SEAL
r : SANDRA L.SOLORIO
NOTARY PUBLIC-CALIFORNIA
' COMMISSION#1982386 C
N �. IMPERIAL COUNTY
u is My Comm.Exp.June 17,2016
(Se
SECTION C - APPLICANVOWNER INFORMATION
Applicant:
(Name) (Phone)
(Mailing Address) (Email)
Owner(s):
(Name) (Phone)
(Mailing Address) (Email)
Architect:
(Name) (Phone)
(Mailing Address) (Email)
(California State License#)
Applicant Certification
I certify that I have read this application packet in its entirety and understand the City's
submittal and review process and the requirements for this application. 1 further certify
that each application item submitted as part of this application Is consistent with the
minimum required contents for that item as described in Section D of this application. 1
understand and agree that if during the processing of the application, it is determined the
information does not strictly meet such standards or contains errors or omissions,
clarification and/or supplemental information may be required and the preparation of such
information may be considered, in the Planning Director's judgment, an unreasonable
delay and will result in a suspension of processing time limits in accordance with the
California Code of Regulations, Title 14, Section 15109.
Applicant's Signature: Date:
Print Name:
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 pling.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 rea roperty
Owner/Authorized Agent Signature*: Date: 7/21/14
Print Name(s): Imperial Irrigation District By Shayne Ferber
*An authorized agent for the owner must attach a notarized letter of authorization from the legal property
owner. Any off-site work identified on the plans must be accompanied by a statement of authorization with a
notarized signature of the subject property owner.
Minor Use Permit Application Page 3 of 8
City of La Quinta • Planning Department • 760.777.7125 05.20.13
P:\Application Submittal Forms\ApplicationsWUMMUP Application-05.20.13.doc