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09-1119 (SOTB)54003 Madison St 09-1119 -U;:1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001119 Property Address: 54003 MADISON ST APN: 775-100-004- - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MAJOR COMMUNITY FACILITY Application valuation: 105000 Ap cant: '— - - O Architect or Engineer: `. 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION - 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 CI ss: B license No.: 879845 Date: T O Contractor: LCON'Yt OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 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 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 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 1$5001.: (_) 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 and Professions Code: The Contractors' State License Law does not 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 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 he or she did not build or improve for the purpose of sale.). ( _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law3. ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERDIIT Owner: CITY OF LA QUINTA P O BOX 1504 LA QUINTA, CA 92253 —._.._Contractor: ROLCOM CORPORATION 1680 RAILROAD STREET CORONA, CA 92882 (951)278-1040 ' Lic. No.: 879845 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/07/10 D) CdT L! n1" LA 00WTA 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 and policy number are: Carrier NORGUARD IND Policy Number ROWC123358 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 RKERS' CO"-Suaw.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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 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 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 county ordinances and state laws relating to building cons"' , and hereby authorize representatives of this county to enter upon the above-mentioned property for 'nsp ion purposes. Date:A(Al6 Signature (Applicant or Agentf: / Application Number . . . . 09-00001119 Permit . . . . . . BUILDING PERMIT Additional desc - Permit Fee 657.00 Plan Check Fee 427.05 Issue Date Valuation 105000 Expiration Date 12/04/10 Qty Unit Charge Per Extension BASE,FEE 639.50 5.00 3.5000 THOU BLDG 100,001-500,000 17.50 Permit . . . ELEC-MISCELLANEOUS ----------- _ ._ •--------Addt"orial desc --. --: •--------- -- ----- ---- ----- _ ___ _ .. _ ....... .. .... _ . _.. _ ..._ . __ ......__.:. __... , __ _-. Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue'Date . . . Valuation . . 0 Expiration Date 12/04/10 Qty Unit Charge Per Extension BASE FEE 15-00 8.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 6.00 X1.00 18.5000 EA ELEC SVC <=600V/<=200A I 18.50 ----------------------------------------------------- ----------------------- Special Notes and Comments 20FT X 11'-4" X 6FT BLOCK WALL ENCLOSURE ; W/ TRELLIS OVER 4 QTY CELL EQUIPMENT CABINETS. ADD 6 PANEL ANTENNAS TO EXISTING CELL MONOPOLE PER ENGINEERED PLANS. 2007 CODES. TENANT = ROYAL STREET COMMUNICATIONS CALIFORNIA, LLC. ------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) ---------. 5.00 ENERGY REVIEW FEE 42.71 STRONG MOTION (SMI) -''COM. 22.05 Fee summary Charged Paid Credited Due Permit Fee Total 696.50 .00 .00 696.50 Plan Check Total 436.93 .00 .00 436.93 Other Fee Total 69.76 .00 .00 69.76 Grand Total 1203.19 .00 .00 1203.19 .LQPERMIT Geotechnical Solutions, Inc. Geotechnical, Structural & Environmental Engineering Grading / Footing Observation Notice Date: ITI 19 12-0)0 Project Number: R J? 3 4- Project Name: 1 o Lt9e-yCD Coln cfA 28o-+ -PC' s. '- Project Address -54- b b I This is to serve notice that 2-2-S-3 man e -o• 1 t_c. n gle& a st 1+ hi cam}- f" --QJ-- 3o % 5 f t. Ate i'M IF •' ! sof- m 6_ is c. -- ° ---s , , - Has/have been observed and approved in accordance with the Geotechnical investigation report date:' e Weep Geotechnical Solutions, Inc. C Com- f _ Q pFESS/pNq Signature : Qk0 R. UJ GE 2T73 `t Exp- 06/301201,.?-- TitlekDl sled s, ., OrECNN G a Q v ter'` eN Vic ' - Copies to •5 Phone: (949) 453-0406 27 Mauchly, Suite 210, Irvine, CA 92618 Fax: (949) 453-0409 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: This Box For District Use Only ' DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATF, RFr..FIPT• CHECK N- INITIAI S - CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: Owner's Name:. City of La Quinta/ Nextel Phone No. Project Address: 54-001 Madison La Quinta, CA Project Description: Unmanned cell equipment enclosure APN: 775-100-004 Tract #: Lot #'s: Type of Development: Residential C-3 Commercial Industrial Total Square Feet of Building Area: 230 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: January 9, 2006 Signature: *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code . Gov. Code Project. 17620 65995 Approval Number of Sq.Ft. 230 Amount per Sq.Ft. $ 0.00 Amount Collected $ 0.00 Building Permit Application Completed: YWNo By: Carey M. Carlson, Asst. Supt., Business Services Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: _ Any structure aa OSs 0'sq f for less;s exempt from developtecfees! - Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the. 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. L1V:c!nndoe deck e,,certiiicate o£compliwice iiOrm uihlec.'1-0 USri.doc 1/16/03 T . ( Bin # City Of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760)'777-7012 Building Permit Application and Tracking Sheet Permit # 0 5 Project Address: 54 Owner's Name:6 , 0\_ A. P. Number: 100, COL Legal Description: 46j(o '114 Address: City,ST, Zi Contractor:\DATelP V Telephone: Address:(20 OAVWV Project Description: City, ST, Zip: C q c'mrx,\ Telephone: — r^ 2 eP hone: 4XJ O State Lic. # : City 'Lic. #: Arch., Engr., Designer: `1 L _ 1 V .r t 3\ \v/ ,o i \\ \ Lo C1 Address: \MCLAL City., ST, Zip: ' U ' , A ' C 1( v 6A U "1 • n tCoTelephone: ucti n TY P e• Occupancy: State Lic. # 'u , ` ' - "f`- V 3 Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: \ ' , J\Zu\ Sq. Ft.: ZVl # Stories: 1 # Units: V) Telephone # of Contact Person: O Estimated Value.of Projec 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted em Amount Structural Cates.—Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person/ ►1 Plan Check Balance. sk AV Title 24 Calcs. Plans picked up % Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready fo corrections ssue Electrical If 3 Plumbing Subcontactor List Called Contact Person Grant Deed Plans irked u P P j1p f I " S.M.I. • H.O.A. Approval Plans resubmitted -- Grading IN HOUSE:- '"' Review, ready for correctio issue '% Developer Impact Fee `• Planning Approval Called Contact Person A.I.P.P. • Pub. Wks. Appr Date of permit issue • School Fees Total Permit Fees Igq / ikct'' n A' ' n'NjnTT r TO: Building and Safety Department FROM: Eric Ceja, Assistant Planner DATE: 10/30/09 RE: ;54-001 MADISOWSTREET - TOWER CO. GO -LOCATION The Planning Department has reviewed the above mentioned plans and 'request that the following changes be made by the -applicant ;prior to Planning' .Department approval of the plans: . l r 1. The Planning•Department accepts the .proposed 'trellis' design above the wall. enclosure. The applicant shall revise .the plans and .remove the proposed wood 'lattice between the wall enclosure zand the trellis structure. The applicant shall identify a suitable low-mainte►ance replacement that can stand-up to' the .deserts" heat and sun fo,r this space: w 2. The applicant shall find a suitable screening material to screen the new antennas around the rnonopalm. The Planning .De,partm`ent recommends` that the applicant explore the use of a 'palm sckiTt' to start at the tower bulb and taper down beyond the new antennas. The palm skirt would be a similar design as the proposed Verizon Wireless Monopalm Tower. 3. The applicant shall state/clarify the vertical placement of the coax cables on the monopalm tower, i.e., contained within the existing tower or placed on outside of tower. The Planning Department cannot approve these plans .until the above mentioned 'items are addressed. Additionally, "the Planning -Department request that the applicant receive Planning Department sign -off on the job -card prior to final sign - off by the Building Inspector.