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10-0530 (SOTB)r r _ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000530 Property Address: 78998 MILES AVE APN: 604 -032 -026 - Application description: STRUCTURES OTHER Property Zoning: MAJOR COMMUNITY Application valuation: 120000 Applicant: c&t! t 4 e(P Q" THAN BUILDINGS FACILITY Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S 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 Class: $�Contr.ctor, License No.: 842101 F1. Date: 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, after, 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 ($500).: 1 _ 1 '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 Cade: 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.). (_ 1 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 Law.). 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: LQPERMIT Owner: FAMILY HERITAGE CHURCH 78998 MILES AVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/01/10 Contractor: O SOLEX CONTRACTING INC 42146 REMINGTON AVENUE SEP n ���� TEMECULA, CA 92592 V (951)308-1706 Lic. No:: 842101 CITY OF LA QUINTA FINANCE DEPT. ----------------------------------------------- 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 STATE FUND Policy Number 1891506 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 shouldecoma subject to the workers' compensation provisions of Section 3700 of the Labor Code hall f r hwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECU WORKERS' COMPENSATION 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 andeenit'er dances and state laws relating to building struction, and hereby authorize representatives of this upon the above-mentioned property f n tion purposes. Date: Signature (Applicant or Agent): LQPERMIT Application Number 10-00000530 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 709.50 Plan Check Fee 461.18 Issue Date . . . . Valuation 120000 Expiration Date 2/28/11 Qty Unit Charge Per. Extension BASE FEE 639.50 20.00 3.5000 THOU BLDG 100,001-500,000 --------------------- 7 -------------------------------------------------------- 70.00 Permit . . . . . . ELEC-MISCELLANEOUS Additional desc Permit Fee . . . . 41.00 Plan Check'Fee 10.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/28/11 Qty -Unit Charge Per 'Extension BASE FEE 15.00 10.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 7.50 1.00. 18.5000 EA *. ELEC SVC <=600V/<=200A 18.50 -------------------------- 7 ---------------------- 7 -------------------------- Special Notes and Comments HGT CELL MONOPALM WITH 6 EQUIPMENT CABINETS, 200 AMP PANEL AND METER. 82 LIN. FEET 8 FT HGT BLOCK WALL PER ENGINEERED DESIGN. 2007 CODES. 2008 ENERGY. TEMP POWER IS NOT A PART OF THIS PERMIT. ---------- 7 -------------------------------- 7 -------------------------------- Other Fees . . .. . . . . . . BLDG STDS ADMIN (SB1473) 5.00 ENERGY REVIEW FEE 46.12 STRONG MOTION (SMI) - COM 25.20 Fee summary Charged Paid Credited ----------------- Due ---------- ---------- ---------- ---------- Permit Fee Total 750..50 .00 .00 750.50 Plan Check Total 471.43 .00, .00 471.43 Other Fee Total . 76.32 00 .00 76..32 Grand Total 1298.25 .00 .00 1298.25 C -I Bin # Qty of La Quints Construction TTC: MAMU0AQqy: BUIdIng a Safety Division Permit # P.O. Box 1504, 78-495 Calk- Tampko TRAcx3NG La QuInta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: >ALL— Owner's Name: rA*-YU Z 11 A. P. Number. Reviewed, ready for corrections Address: I - q K 16171 Legal Description: City, ST, Zip: 4,6(— e � ?Lq4? 0 - Contractor: TO,4:5 .-.So AIX Address: lwltl(o cot City, ST, Zip );;A�ArA 64 92S90 Telephone: %%/ 3a& -,( 70 6 State Lic. # : . I City Lie. C Arch., Engir., Designer. Address: 4tT�Iv. City., ST, Zip: 61�) Telephone: 41 State Lie. Name of Contact Person: Telephone # of Contact F N Submittal Plan Sets Structural Calca. Trun Cales. Title 24 CtIcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Project Description: -F+ 0 MIN � 1;71 Total Pe mit Few L/27A . 4 gezld.4 - J 7yV.�,.,v5do D 10 a -Jac Ty '5 Construction TTC: MAMU0AQqy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: 9 Units: Estimated Value of Project: ov APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRAcx3NG PFItMrlr FEES Plan Check submitted Item Amount, Reviewed, ready for corrections 7/t Plan Cb . ecit Deposit Called Contact Pemnle+-+ 4A Plan Check Balance Plans picked up Construction Plans resubmitted Mechaulcal Electric I at Plumbing 2"! Review, ready for correctio-AJ ?.I Called Contact Person Plans picked up SALL Plans resubmitted Grading 3" Review, ready for correctionsrwuc Developer Impact Fee Called Contact Person AXP.P. Date of permit issue � 1;71 Total Pe mit Few L/27A . 4 gezld.4 - J 7yV.�,.,v5do D 10 a -Jac Ty '5 P.O. Box 1504 LA QUINTA, CALIFORNIA, 92247-1504 , 78-495. CALLt TAMPICO ' LA QUINTA, CALIFORNIA92253' August 21 2012. t ' (760)`777-7000 FAX (760) 777-7101 Ms. Stella Shih Reliant Land Services, - Inc. 1576 N. Batavia St., Ste. C Orange, CA 92867 SUBJECT: MINOR USE PERMIT 2012-1046: 78-998 MILES AVENUE FAMILY HERITAGE CHURCH " IMPROVEMENTS TO EXISTING TELECOMMUNICATION FACILITY- Dear Ms. Shih: The Planning Department has reviewed and approved'�your request to replace'six* existing panel antennas with six newer, Ericsson AIR 21, 1.3M, panel antennas at an existing telecommunication facility, located at 79-998 Miles Avenue, within the property of Family Heritage Church. The approval of this application is subject 'to the exhibits on file in the Minor Use Permit and the following Findings and Conditions of. Approval: w FINDINGS 1. Consistency with the General Plan: The proposed new antennas at the existing telecommunication facility are consistent with the goals, . objectives and policies of the General Plan, in that the new antennas will -- increase the community's ability, for quality access to wireless communication services. 2. Public Welfare: Approval of the new rantennas on an existing telecommunication facility will. not create conditions materially detrimental to the public health, safety and general welfare. 3. The proposed new antennas at the existing telecommunication facility will• minimize adverse visual impacts through the design and.placement of the antennas in the existing antenna array. 4. The proposed new antennas are designed to function within the existing antenna array, . which is at an adequate height to achieve the. service provider's objectives for coverage. within this portion of the community. 5. The proposed new antennas are necessary toimprovecommunity access to wireless. services. CONDITIONS q 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 Conditional Use Permit 2009-124 (CUP 09-124). 4. -The applicant shall.repair and replace*,any damaged'faux palm fronds at the top of the towe.r.The new faux fronds are required to help screen." he existing arrays and existing: and new antennae. 5. The applicant is permitted- to replace and install a total of six (6) new Ericsson AIR 21 panel antennas; two (2) panel antennas per an array. Additionally; the. applicant is permitted to place three (3) new tower mounted amplifiers (TMA); one. per array and located behind the panel antennas. All new tower mounted equipment, including antennas *and `amplifiers, shall be painted to match the existing antennas on the array. 6. All cables required for the approved improvements shall be contained within the existing 'cable tray between the ..tower and the equipment enclosure. All cables shall be interiorof the tower and shall not be visible ' from.surrounding properties. s 7. The applicant shall 'obtain a building permit for the City's building and Safety Department (760) 777-7012. Approval , of this Minor Use Permit application will not result in conditions detrimental 'to public health, safety and . general welfare, nor injurious to or incompatible with other properties and uses in the vicinity. 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 anyone .provided they submit the necessary paperwork and filing fee of .$175.00 to this office within 15 days of approval of .this permit. :Should you have any questions please contact me at (760) 777-7125. Sincerely; ERIC CEJA Assistant Plan er V C: Greg Butler, Building & Safety Department