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BELC2015-0013 . . I II�IIII�III�II��IIII I��I 75 1 IE -` VOICE(760)777-7125 78-495 CALLE TAMPICO V FAX(760)777-7011 LA QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7011 153 BUILDING PERMIT Date: 8/7/2015 Application Number: BELC2015-0013 Owner: Property Address: 81600 AVENUE 58 IMPERIAL IRRIGATION D15T APN: 764010012 P 0 BOX 987 Application Description: ALTERATIONS FOR T-MOBILE @ CELL SITE IMPERIAL,CA 92253 Property Zoning: i Application Valuation: $25,000.00 Applicant: D Contractor: NATIONAL ENGINEERING&CONSULT AUSOLEX CONTRACTING INC G 27 ORCHARD 7 2015 42146 REMINGTON AVE. LAKE FOREST,CA 92630 TEMECULA,CA 92590 COMMUNITYp��Q(HIYTA EVELOPMEWDEPApTMEN7 (951)308-1706 Llc.No.:842101 --------------------------------------------------------------------------------------------- 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:B A CSO License No.:842101 of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as requiredby Date: �, 7 IS Contractor: ction 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 p6mply with t ose ovisions. Contractor's State License Law(Chapter 9(commencing with Section 7000)of Division. of the Business and Professions Code)or that he or she is exempt therefrom and the Date: Applicant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dolls WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_)I,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 year of completion,the owner-builder will have the burden of proving thatthe 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 (�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 rope y for inspection purposes. Lender's Name: ate: `7 Signature(Applicant or A epW Lender's Address: FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK-ESG 101-0000-42600 4 $392.00 $0.00 PAID BY METHOD RECEIPT# CHECK#. CLTD BY Total Paid for BLDG CITY STAFF-PER HOUR:. $392.00 $0.00 DESCRIPTION ACCOUNTC!TY. AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ;PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT; PAID PAID DATE DEVICES,FIRST 20 101-0000-42403 0 $24.17 $0.00 'PAID BY METHOD - RECEIPT# CHECK# CLTD BY DESCRIPTION:.'. ACCOUNT : QTY AMOUNT PAID PAID DATE DEVICES,FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT#. CHECK# CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE .PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY - METHOD RECEIPT# CHECK# CLTD BY Total Paid forPERM1T ISSUANCE: $91.85 $0.00 TOTALS: 0• r a, uI • , etails PERMIT NUMBER ' City of BELC2016 Description:ALTERATIONS FOR T-MOBILE @ CELL SITE rl Type:ELECTRICAL Subtype: Status:APPROVED Applied:2/17/2015 KHEParcel No:764010012 Site Address:81600 AVENUE 58 LA QUINTACA 92253 Approved:7/24/2015 JJO Subdivision: Block: Lot: Issued: Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled: Valuation:$25;000.00 Occupancy Type: Construction Type: Expired: No. Buildings:0 No.Stories:0 No. Unites:0 Details: RELOCATION 6 ANTENNAS,INSTALL 3 NEW PANELANTENNAS,3 NEW RRU's,3 RET CABLES AND 1 HYBRID CABLE. __j Applied to Approved ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION'DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 7/21/2015 7/24/2015 _ DIGITAL APPROVAL RECEIVED FROM ESGIL AND ATTACHED MONIKA GAVE ME THE ESGIL CORRECTION LIST SHE PRINTED FROM BURT'S EMAIL. I'M WAITING FOR THE PAPER PLANS TO NOTE KAY HENSEL 2/27/2015 2/27/2015 BE RETURNED FROM ESGI. JIM PICKED UP THE N/S PLAN CHECK AND WILL BE WAITING FOR THE STRUCTURAL SET TO BE RETURNED SO WE CAN RETURN THE PLANS TO THE APPLICANT. - NOTE KAY HENSEL 3/2/2015 3/2/2015 PLANS PICKED UP FROM BUCKET ROOM-"READY FOR APPROVAL"BY WALLY. NOTE MARY FASANO 3/17/2015 3/17/2015 FED EX PLANS AND CORRECTIONS TO AARON ANDERSON PER HIS REQUEST. PLAN CHECK COMMENTS FROM CONSULTANT ANGELICA ZARCO 3/12/2015 3/12/2015 RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT. RECEIVED Printed:Friday,August 07,2015 8:35:35 AM 1 of 5 CR SYSTEMS • NUMBER Ci : / of PLAN CHECK COMMENTS FROM CONSULTANT STEPHANIE KHATAMI 7/23/2015 7/23/2015 RECEIVED PLAN CHECK COMMENTS FROM ESGIL. RECEIVED PLAN CHECK SENT TO 'RESUBMITTAL PICKED UP FROM STEPHANIE'S DESK& OUTSIDE PC KAY HENSEL 7/13/2015 7/13/2015 PROCESSED. DUE BACK FROM ESGIL ON 7/27/2015 PLAN CHECK SUBMITTAL KAY HENSEL 2/17/2015 2/17/2015 SUBMITTAL RECEIVED BY MAIL. NO VALUATION LISTED. RECEIVED STRUC TO ESGIL FOR STRUCTURAL P/C-DUE 3/3/2015 RESUBMITTAL KAY HENSEL 7/13/2015 7/13/2015 RESUBMITTAL BY FEDEX. PICKED UP FROM STEPHANIE'S DESK&PROCESSED TCALLED AARON ANDERSON TO INFORM HIM PLANS READY TELEPHONE CALL JIM JOHNSON 3/10/2015 3/11/2015 FOR STRUC CORRECTIONS. TELEPHONE CALL KAY HENSEL 3/11/2015 3/11/2015 CALLED ESGIL(DAVID YAO)TO SEE IF THE STRUC.PLANS WERE THERE. THEY WERE AND WILL BE SENT BACK. CONDITIONS CONTACTS- NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT NATIONAL ENGINEERING&CONSULT 27 ORCHARD LAKE FOREST CA 92630 CONTRACTOR SOLER CONTRACTING INC 42146 REMINGTON AVE TEMECULA CA 92590 OWNER IMPERIAL IRRIGATION DIST P O BOX 987 IMPERIAL CA 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT.# CHECK# METHOD PAID BY CLTD BY HOURLY PLAN CHECK- 101-0000-42600 4 $392.00 $0.00 ESG Total Paid forBLDG CITY STAFF-PER HOUR: $392.00 $0.00 BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Friday,August 07,2015 8:35:35 AM 2 of 5 CRWYSTElv1S u` •c H` J OA DetailsPermit PERMIT • : • . of 4 1 1 .. DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD BY DEVICES,FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES,FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid forELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE ELECTRICAL FINAL" PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE NON-STRUCTURAL BUILDING 2/17/2015 3/3/2015 2/27/2015 APPROVED APPROVED NON STRUC APPROVED PENDING STRUC BUCKET APPROVAL. ADDITIONS&ALTERATIONS TO T-MOBILE PLANNING WALLY NESBIT 2/17/2015 3/2/2015 3/2/2015 READY FOR APPROVAL MUP2014-1017 PORTION OF CELL SITE. ASSIGNED TO WALLY. STRUCTURAL KURT CULVER 2/17/2015 1 3/3/2015 2/26/2015 REVISIONS REQUIRED STRUC TO ESGIL-DUE 3/3/2015 Printed:Friday,August 07,2015 8:35:35 AM 3 of 5 R? sysTenns ui 'c Oti - yG.e. \ z DetailsPermit City • C6'�OE �3ffi f La Quin'tal 01.The following design loads shall be clearly indicated on the construction documents. (Section 1603.1) Wind load. o Ultimate Wind speed(3.-second gust),mph,and nominal design wind speed o Risk category o Wind exposure o Applicable internal pressure coefficient o Components and cladding(the design wind pressure in terms of psf to be used for the design of exterior component and cladding materials not specifically designed by the registered design STRUCTURAL KURT CULVER 2/17/2015 3/3/2015 2/26/2015 REVISIONS REQUIRED professional) 02. Provide complete input data for the RISA run f (i.e.location of all nodes,member location and size,all loads input and location..etc)for the mount frame. 03. Provide calculation to show the connections for mounting frame are adequate. 04. Provide detail analysis to show the existing tower is adequate to support the extra load from the revised antennas. NON-STRUCTURAL- JIM JOHNSON 7/13/2015 7/27/2015 7/24/2015 APPROVED APPLICATION APPROVABLE PENDING 2 WK STRUCTURAL REVIEW DUE BACK 7/27/2015. STRUCTURAL-2 WK KURT CULVER 7/13/2015 7/27/2015 7/21/2015 READY FOR APPROVAL BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW BELC2015-0013-1ST DOC 3/12/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 1 COMMENTS COMMENTS.pdf Printed:Friday,August 07,2015 8:35:35 AM 4 of 5 SYSTEMS a ui O� Permit Details PERMIT NUMBER SS ji 01 City of La Quinta BEIL , cF p ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED 1ST REVIEW NOW BELC2015-0013-1ST DOC 3/12/2015 AJ ORTEGA STRUCTURAL REVIEW NOW 1 COMMENTS STRUCTURAL COMMENTS.pdf 2ND REVIEW BELC2015-0013-2ND DOC 7/21/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 1 TRANSMITTAL TRANSMITTAL (APPROVED) (APPROVED).pdf N CHECK ESGIL DOC 7/23/2015 STEPHANIE KHATAMI 2ND ESGIL PLACOMMENTS 7-22- 0 COMMENTS 7-22-15.pdf 15.pdf Printed: Friday,August 07,2015 8:35:35 AM 5 of 5 CL i1 w.1YSTEti1S IIIIIII VIII III VIII III 15 IE Bin � City of La Quinto -- - — C Building&r Safety Division Permit# W0 P.O. Box 1504,78-495 Calle Tampico 15" La.Quinta,CA 92253-(760) 777-7012 E Building Permit Application and Tracking Sheet Project Address: 81600 58th Avenue Owner's Name;. Imperial Irrigation District A.P.Number. 764-010-012 77]. Address: PO Box 987 Legal Description: t sbAL peSc%%rndm'k"&tA1tsp City,ST,Zip: Imperial,CA 92251 Contractor• 760-482-9856 Telephone: Address: Project Description: The proposal consists of the relocation of six(6.) City,ST,Zip: antennas,and the installation of three(3)new panel antennas. The Telephone• _ ;.: � r new,proposed antennas will be placed on new t-arms and attached State Lie.4: City Lie.#; to new pipe mounts. The proposal proposal also calls for the instal- Arch.,Engr.,Designer National Engineering&Consulting lation of three(3)new RRU's,three(3)RET cables,and,one(1) Address: 27 Orchard hybrid cable. City.,ST,Zip: Lake Forest,CA 92630 Telephone: 949-716-9990 v Y `� Construction Type: . V-N Occupancy: U-2 State Lie.#: S 004468 ��„ u�• Project type(circle one): New Add'n ter Repair Demo Name of Contact Person: Aaron Anderson No additional Sq.Ft.: s ft #Stories: N/A � #Units: N/A Telephone#of Contact Person: 562-485-8612 Estimated Value of Project• 2 5 (/l APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd 'Rec'd TRACE NG PERMIT FEES Plan Sets 3 Plan Check submitted /7 Item Amount Structural CaIcs. Reviewed,ready r corrections Z)2 Plan Check Deposit. . Truss Calcs. Called Contact Person 2 Plan Check Balance Title 24 Calcs. Plans picked up AD Construedon Flood plain plan Plans resubmitted. . YM Mecharilcal Grading plan X"Review,ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- '^`Review,ready for correctionsfissueDeveloper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees 'C �4 S Permit Reviews Cityof Quinta CFMOP Tttt'v� Permit Number: BELC2015-0013 Description:ALTERATIONS FOR T-MOBILE @ CELL SITE Applied:2/17/2015 Approved: Site Address:81600 AVENUE 58 Issued: Finaled: City,State Zip Code:LA QUINTA,CA 92253 Status:REVISIONS REQUESTED Applicant:NATIONAL ENGINEERING&CONSULT Parent Permit: Owner: IMPERIAL IRRIGATION DIST Parent Project: Contractor:<NONE> Details: RELOCATION 6 ANTENNAS,INSTALL 3 NEW PANEL ANTENNAS,3 NEW RRU's,3 RET CABLES AND 1 HYBRID CABLE. LIST OF REVIEWS SENT DATE RETURNED DUE DATE TYPE CONTACT STATUS REMARKS DATE Review Group:BLDG 15T(2WK) 2/17/2015 2/27/2015 3/3/2015 NON-STRUCTURAL BUILDING BUCKET APPROVED APPROVED Notes: NON STRUC APPROVED PENDING STRUCAPPROVAL: 2/17/2015 3/2/2015 3/2/2015 PLANNING WALLY NESBIT READY FOR MUP2014-1017 APPROVAL Notes: ADDITIONS&ALTERATIONS TO T-MOBILE PORTION OF CELL SITE. ASSIGNED TO WALLY. 2/17/2015 2/26/2015 3/3/2015 STRUCTURAL KURT CULVER REVISIONS REQUIRED Notes: STRUC TO ESGIL-DUE 3/3/2015 01.The following design loads shall be clearly indicated on the construction documents..(Section 1603:1) Wind load., o Ultimate Wind speed(3-second gust),mph,and nominal design wind speed o Risk category o Wind exposure o Applicable internal pressure coefficient I Components,and cladding(the design wind pressure in terms of psf to be used for the design of exterior component and cladding materials not specifically designed by the registered design professional) 02, Provide complete input data for the RISA run(i.e.location of all nodes,member location and size,all loads input and location..etc)for the mount frame. 03. Provide calculation to show the connections,for mounting frame are adequate. 04. Provide detail analysis to show the existing tower is adequate to support the extra load from the revised antennas. Printed: Monday,02 March,2015 1 of 1 CI SYSTEMS EsGil Corporation In Partnership with Government for Building Safety DATE: 7/21/2015 ❑ AP ICANT PVIURIS. JURISDICTION: City of La Quinta ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: BELC2015-0013 SET: II PROJECT ADDRESS: 81-600 58th Ave. PROJECT NAME: T-Mobile IE04420A ® 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 checklist 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: Mail Telephone Fax In Person ® REMARKS: structural review only RECEIVED By: David Yao Enclosures: JUL 2 2 2015 EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 7/15 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576 SOLEX Contracting, Inc. August 6, 2015 City of La Quinta Please allow our employee, Curtis Young, to act as a representative for our company in regards to the administration of the IE04420A T-Mobile Project through the City of La Quinta. Our California contractor's license number is 842101. If you have any questions Or concerns, please feel free to contact me. nk you, erald Ev II President .Solex Contracting, Inc. A notary public or other officer completing this certificate verifies f only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. ACKNOWLEDGMENT State of California County of Riverside On August 6, 2015 before me, Barbara Zaragoza, Notary Public, personally appeared Gerald Evan Allen who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or 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. WITNESS a fficial seal. BARM957C5 ZA r��ComMssion,� . Signature (Seal) i _ Notary Public-California z o cry's signature) Z ' �" - Riverside Count D My Comm.Expires Oct 19,2015 (951) 308-1706 Fax (951) 308-1856 Email: jeLry@solexcontracting.com 42146 Remington Temecula, CA 92590