13-0823 (SOTB)G�1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
^1
13-00000823
78788 HIGHWAY 111
643 -080 -015 -
STRUCTURES OTHER THAN
REGIONAL COMMERCIAL
5000
um&
T4hf,4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Owner: C,
COACHELLA VALLEY WATER DIS
- P.O. BOX 1058
BUILDINGS COACHELLA, CA 92236
Architect or Engineer:
/14 -
Contractor: .
POWER PLUS
1210 REDGUM
ANAHEIM, CA 9280'D
(714)764-0020
Lic. No.: 980589
/,j���jw u
Date: 8/29/13
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseClass: CC1>10 D31 LicenseNo- 980589
Dat Contractor: - -
O ER -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 ($500).:
(_ 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 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.).
(_ 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
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.
xl have and will maintain workers' compensation insurance, as required by Section 3700 cf 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 OLD REPUBLIC Policy Number AICW37451306
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
_ 700 of the Labor Code I shall forth' h comply with those p visions.
Date: � 3 -Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMP SATION 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.
1 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 this county to enter upon the above-mentioned property for inspe tion purposes.
Date: 7S Signature (Applicant or Agent):
LQPERMIT ,
r
Application Number . . . . 13-00000823
At Permit . . . BUILDING 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 5000
Expiration Date 2/25/14
Qty Unit Charge Per
Extension
BASE FEE
101.53
3.00 25.7400 THOU BLDG $2,001-$10,000
77.22
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Special Notes and Comments
.REMOVE & REPLACE EXISTING FUEL TANK FOR
AN EMERGENCY BACK UP GENERATOR @ AN
EXISTING VERIZON FACILITY.APPROVED PER
J.JOHNSON.
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Other Fees . . . . . . . . HOURLY PLAN CHECK
353.00
STRONG MOTION (SMI)
- COM
1.05
Fee summary Charged Paid Credited
-----------------------------------------------
----------
Due
Permit Fee Total 178.75 .00
.00
.178.75
Plan Check Total .00 .00
.00
.00
Other Fee Total 354.05 .00
.00
354.05
Grand Total 532.80 .00
.0.0
532.80
LQPERMIT ,
r
Bin I
City of La Quinta
Req'd
Building gi Safety Division
Permit # v
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Plan Sets
BuildingPermit Application and Tracking Sheet
Project Address: —76 —78e N
(1( Owner's Name f
A. P. Number: 6t3 —O Jr
uI1 h: l
Address: O -sox l SSS
Legal Description:
City, ST, Zip: L-OACL 2 2 3�
FF
Contractor: �8 �(��
`
PTelephone: 760— -
'.`�"'~'
398-265% X2523 6:":
Address: D N. i�6b SUM
SI , Project Description:
City, ST, Zip: 1EX1S-r
/
lNGr FULL (( 4FMK Fop -
Telephone: �/y_ %bS-7�.��
:� e s ,;•:..�,�^�;�. �•.�„r
::.•,�} .: ROUP
State Lic. # :I 90S-9 7
City Lic.#; � - S g % G .:RN.. SIS T -(H U C—R►2oN IMAELESS
Arch., Engr., Designer: AaTttoNY
TA -LF- VN AfNN— )
Address: 2600 F— r- ERP 0.%Sr ("qA-(V�6W OtC(L k T .
City., ST, Zip: LA(4e r-ORE.S 1 Cl�
92630
Telephone:949 (
%'4 ' Z 6 �9
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::� ;.2;
Construction Type: Occupancy:
State Lic. #: c�2_�f42S
a
%'” `�} '•�y M'
>:~ � y%�'>n$GFo^3n^c..
Project type (circle one): New
) Add'n Alter Repair Demo
Name of Contact Person: M 16LF C
Sq. Ft.: # Stories: # Units:
Estimated Value of Project: S- 006
Telephone # of Contact Person:
N
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
r'
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Balance
Tide 24 Coles.
Plans picked up
n
Flood plain plan
Pians resubmitted
l
Grading plan
2" Review, ready for correction issue
•
!Electrdical
Subcoatactor List
Called Contact Person
Grant DeedPlans
picked upH.O.A.
Approval
Plans resubmittedrading
IN HOUSE:- 4, y
''' Review, ready for rreetion 'Ssue
�� Developer Impact Fee
Planning Approval
Called C ct Person
ALP P
-JP-ub.AVJu._Appr
k.
-permitissue
tschool Fees
.e
N
Total Permit Fe
JUN +
7 013
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
7/17/2013
Td!t
"
Building & Safety Department
78-495 Calle Tampico
PO Box 1504
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
To: Greg Butler, Building Official
From: Les Johnson, CDD Director
To PD: July 3, 2013
Due date: July 10, 2013
Permit # 13-823 Status: 1St Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Division has reviewed the Building Plans for the following project:
Description: CVWD , R & R existing fuel tank for emergency back-up generator
Address or general location: - �7 - % 8 '� 14 w� �
Applicant Contact: Tim Wolfe, (949)716-9940
The Planning Division finds that:
❑ ...these Building Plans do not require Planning Division approval.
...these Building Plans are approved by the Planning Division.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return thhm to the Planning Division for review.
Les
Note: PLE.
DIVISION.
oNMunity Development Director
RETURN PLANS WITH GREENSHEET TO THE BUILDING
Date
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF: ;.
BANNING
BEAUMONT
CALI M ESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOrr
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. 4201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
July 8, 2013
RE: LAQ-I3-ABT-023 Above Ground Generator 78-742 Hwy 111La Quinta, CA
Fire Department personnel have reviewed and approved. the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for
the issuance of a building permit. THIS IS NOT AN OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H"
occupancy per 2010 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
A 4013C Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location
within 75' walking distance from any point in your building or suite. Fire extinguishers can be
installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the
extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire
extinguisher company must service extinguisher yearly.
Install Knox Key Lock box and/or Knox Pad Lock at gate leading to wireless facility parcel. Special
forms are available from this office for the ordering of the Key Switch. Key(s) shall be provided at time
of final inspection.
Provided information indicating who to contact in the event of an emergency. Post information on the
gate leading to the wireless facility. Ensure that the materials used for posting are weather
proof/resistant.
Post NFPA 704 placard on gate leading to wireless facility parcel. Refer to Material Safety Data
Sheet 416 for additional information.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. .
Requests for inspections are to be made at least 72 hours in advance and maybe arranged by calling
(760) 863=8886.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering Staff at (760) 863-8886.
Sincerel
By:
Jason tubble
Fire Safety Specialist