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BOTH2016-0007
Applicant: CHRIS LEE 1745 W ORANGEWOOD SUITE 3 `)P"P,I• [{, -A 92868 4 DESIGN & DEVELOPMENT 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 Professions Code, and my License is in full force and effect. License Clas : License No.: 1006833 i Dater ?i Contractor: OWNER-BUILDERV.,siness ION I hereby affirm under penalty of perjury thatt from the Contractor's State License Law for the following reason (Sec. 70and 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 ($500).: (_J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 Law.). (_) 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: N1T VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/27/2016 Owner: IMPERIAL IRRIGATION DIST P 0 BOX 987 IMPERIAL, CA 92253 Contractor: AMERICAN WIRELESS CONSTRUCTION INC 70211TH STREET HUNTINGTON BEACH, CA. 92648 (714)580-0295 Llc. No.: 1006833 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: EXEMPT Polity Number: _ 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 Secti n 3700 of the Labor Code, I shall forthwith comply with those provis/icns. Date: 2 7 1� Applicant: - WARNING: FAILURE TO SECURE WORKERS' ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100, 0) N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 construction, and hereby authorize representatives of th city to enter upon the above-mentione property for inspection purposes. Date: Signature (Applicant or Agent): 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BOTH2O16-0007 Property Address: 81600 AVENUE 58 APN: 764010012 Application Description: T MOBILE /ANTENNA Property Zoning: Application Valuation: $25,000.00 Applicant: CHRIS LEE 1745 W ORANGEWOOD SUITE 3 `)P"P,I• [{, -A 92868 4 DESIGN & DEVELOPMENT 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 Professions Code, and my License is in full force and effect. License Clas : License No.: 1006833 i Dater ?i Contractor: OWNER-BUILDERV.,siness ION I hereby affirm under penalty of perjury thatt from the Contractor's State License Law for the following reason (Sec. 70and 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 ($500).: (_J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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 Law.). (_) 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: N1T VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/27/2016 Owner: IMPERIAL IRRIGATION DIST P 0 BOX 987 IMPERIAL, CA 92253 Contractor: AMERICAN WIRELESS CONSTRUCTION INC 70211TH STREET HUNTINGTON BEACH, CA. 92648 (714)580-0295 Llc. No.: 1006833 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: EXEMPT Polity Number: _ 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 Secti n 3700 of the Labor Code, I shall forthwith comply with those provis/icns. Date: 2 7 1� Applicant: - WARNING: FAILURE TO SECURE WORKERS' ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100, 0) N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 construction, and hereby authorize representatives of th city to enter upon the above-mentione property for inspection purposes. Date: Signature (Applicant or Agent): Application Number: BOTH2O16-0007 . Property Address: 81600 AVENUE 58 APN: 764010012 Application Description: T MOBILE /ANTENNA Property Zoning: Application Valuation: $25,000.00 Owner: IMPERIAL IRRIGATION DIST P 0 BOX 987 IMPERIAL, CA 92253 Date: 9/27/2016 Applicant: Contractor: CHRIS LEE AMERICAN WIRELESS CONSTRUCTION INC 1745 W ORANGEWOOD SUITE 3 702 11TH STREET ORANGE, CA 92868 HUNTINGTON BEACH, CA 92648 (714)580-0295 Llc..No.: 1006833 cLiY.'I'iG5�'ACLATI6NOF T DIA MICROWAVE DISH ANTENNA WITH UGU i;cHINU NEW M/V1YDrSH'9 RADIO YINIT WITHIN EQUIPMENT SHELTER FINANCIAL • , DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, DISH 101-0000-42404 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, DISH PC 101=0000-42600 0 $133.43 Total. Paid for ANTENNA: $169.69 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 1.5 $180.00 Total Paid for BLDG CITY STAFF - PER HOUR: $180.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Pala for BUILIANG STAN13 RDB'ADMINISTRATION BSA:' DESCRIPTION ACCOUNT QTY AMOUNT STORAGE RACKS, FIRST 100 LF 101-0000-42404 0 $24.66 DESCRIPTION ACCOUNT QTY AMOUNT STORAGE RACKS, FIRST 100 LF PC 101-0000-42600 0 $95.72 Total Paid for STORAGE RACKS: $120.38 stn.# CS. City. Of. La Quihta Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico 1-a.Quinta, CA 92253.:(760) 777-7012 �-C)C)0_7 Building Permit Application'and Tracking Sheet Permit # �)DT Project.Address: Ja �% Owner's Name:. /kV �jz ( 10iJ A. P. Number. _ D ois Address: tcpj'JCN MAO,4 ,S Legal Description: City, ST, Zip: rc�,'( J cor Contractor: ] . Telephone Q— -s" Address: f Project Description: to ci-I,PY 101,,j 3 DIN City, ST, Zip: 0par—_ D1544 W OD Telephone: a q� C . • „ City Lic. #•: w. t I N®f tnl 'j�A � Vii 1Dt 10 State Lic. # : [AWl 1 1M Wt. Arch., Eugr., Designer. <f4JF J -C7 Address: l ��J (/V © D 0'1,• City., ST, Zip: 2Q-2(p't Telephone:1 r ap — Q.� ¢?j State Lie. #: " ` C% ^z ` :":72 . , Name of Contact Person: S C�� {-i t+} Construction Type: V Occupancy: Project type (circle one): New dd'n Alter Repair Demo . Sq. Ft.: #Stories: N # Units: N)1 Telephone # of Contact Person: SA --o Estimated Value of Project 2Vj Bva APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted. Mecharilcal Grading plan tad Review, ready for corrections/issue 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 correcdo'nsAssue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Titf 4 4 Q" LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TRANSMITTAL BUILDING &SAFETY DEPARTMENT (760) 777-7125 FAX (760) 777-7011 TO: ❑YOUNG eESGIL ❑VCA COMPLETE PLAN CHECK/N/S-STRUCTURAL TODAY'S DATE: ? ` • I DUE DATE: PERMIT NUMBER: �%` • OOO PROJECT ADDRESS: 8t • AVE• �� APPLICANT NAME:. �• MO'��t,,E SUBMITTAL ROUND: ! �� BIN NUMBER: o Sap INCLUDED HEREWITH: VANS ❑REDLINED PLANS VTRUCT ❑REDLINED STRUCT ❑TRUSS ❑REDLINED TRUSS ❑SOILS ❑REDLINED SOILS ❑ENERGY ❑REVISED ENERGY ❑CORRECTION LIST ❑OTHER []REVISED PLANS ❑REVISED STRUCT ❑REVISED TRUSS ❑REVISED SOILS ❑APPROV.ED_P_LAN.S_ ❑APPROVED STRUCT []APPROVED TRUSS ❑APPROVED SOILS ❑CUSTOMER RESPONSES -BUILDING DEPARTMENT USE ONLY - GREEN SHEET TO: ❑CDD ❑(w/Plans) ❑PUBLIC WORKS ❑COVE CHECK (w/Application) ASSIGN NON-STRUCTURAL TO: COMMENTS: Sh6ily'Just - From: Tommi Sanchez <Tsanchez@la-quinta.org> Sent: Wednesday, July 06, 2016 2:13 PM To: - Shelly Just Cc: Ramses Sevilla Subject: FW: T -Mobile AAV MW project site id# IE04420A site address: 81600 58th Ave., La Quinta, CA 92253 Attachments: permit_app.pdf Hi Shelly, For Permit Submittal you will need the application (which is attached), 3 Sets of Plans. 2 Sets of Structural Calculations and 3 Sets of Plans + P.C. Retainer of $290.00 min. (they can submit concurrently with Planning process. Please let me know if you have any other questions. Thank you, Tommi Sanchez I Permit Operations Supervisor City of La Quinta 78495 Calle Tampico - La Quinta, CA 92253 Ph. 760.777.7077 tsanchez@la-guinta.ore Hi Tommi, There would be a review consisting mainly by Structural (ESGIL only), Planning and Non-structural for coordination purposes. For Permit Submittal: 3 Sets of Plans. 2 Sets of Structural Calculations and 3 Sets of Plans + P.C. Retainer of $290.00 min. (they can submit concurrently with Planning process. Thanks, Burt Hanada I Building Official Design and Development City of La Quinta 75495 Calle Tampico - La Quinta, CA 92253 Ph. 760.777.7023 bh an ada @ la-qu i n ta. org Website: www3ai-Quinta.ore From: Shelly Just[mailto:Shelly.]ustCd)rlsusa.com] Sent: Wednesday, July 06, 2016 11:09 AM To: AJ Ortega; Tommi Sanchez; Ramses Sevilla Subject: FW: T -Mobile AAV MW project site id# IE04420A site address: 81600 58th Ave., La Quinta, CA 92253 Good afternoon, Could you please let me know what the submission requirements for building permit are on this project? I have attached the plans for your review. Scope of work: Installing (1) new 3'microwave dish on existing tower and (1) new ODU's mounted behind new microwave dish. At RAD center 69. Valuation: $25,000.00 What are the fees? Can I submit concurrently with Planning? Thank you, Shelly Just Site Development Specialist RLS Isom RELIANT LAND SERVICES ntains information from Shelly Just at Reliant Land Services Inc., which may be confidential or privileged. Such information is - solely for the intended recipient, and use by any other party is not authorized. If you are not the intended recipient, use by any other party is not authorized. If. you are not the intended recipient, Please be aware that any disclosure, copying, distribution or use of this message, its contents or any attachments is prohibited. Any wrongful interception of this message is punishable as a Federal Crime. If you have received this message in error, please notify (714) 685-0123 or by email Shelly.Just @RLSusa.com, thank you 2 e EsGil Corporation In Partnership with Government for Building Safety DATE: 8/2/2016 JURISDICTION: City of La Quinta PLAN CHECK NO.: BOTH2016-0007 SET: I PROJECT ADDRESS: 81603 58th Ave. PROJECT NAME: T -Mobile SB -201 Imperial Irrigation IE04420A ❑ APPLICANT �IS. ❑ PLAN REVIEWER ❑ FILE ® 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: �— (b �) Email: c. Mail Telephone Fax In Person ® REMARKS: structural review only. By: David Yao Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 7/26 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 City of La Quinta BOTH2O16-0007 8/2/2016 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of La Quinta PLAN CHECK NO.: BOTH2O16-0007 PREPARED BY: David Yao DATE: 8/2/2016 BUILDING ADDRESS: 81603 58th Ave. BUILDING OCCUPANCY: BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. cell site revisions Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Ilq IManual Input Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: P1 Complete Review ❑ Repetitive Fee � Repeats Based on hourly rate Comments: ❑ Structural Only ❑ Other a—LLO y 1.5 H rs. @ EsG11 Fee $105.00 $157.50 Sheet 1 of 1 macvalue.doc +