The URL can be used to link to this page

BSPN2014-0042f4� W�1378 495 CALLE TAMPICO p "1�� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 5FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/16/2014 Application Number: BSPN2014-0042 Owner:. Property Address: 47647 CALEO BAY ACCRETIVE LA QUINTA PARTNERS APN: 643200004 19752 MACARTHUR BLV 240 Application Description: REMOVAL OF TELECOMMUNICATION EQUIPMENT IRVINE, CA 92253 Property Zoning: Application Valuation: $7,000.00 Applicant: Contractor: HEALTH CARE REIT D a VINCULUMS SERVICES 28078 BAXTER RD STE 435 10 PASTEUER STE 100 MURIETTA, CA 92563 DEC 16 2014 IRVINE, CA 92612 CITY OF LAOUINTA (949)782-5400 COMMUNITYDEVELOP MENT DEPARTMENT Llc. No.: 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 Class: License No..- Date: o.:Date: I'L ( L-2-04-( Contractor: [' t 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 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 f a permit subjects the applicant to a civil penalty of not more than five hundred doll rs ($500).: (_) 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 o; sale.). (_)1, 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 Lender's '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:- Policy 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 Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ I. _ Date: �� .2�y Applicant: WARNING: FAILURE TO SECURE 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 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 this city to enter upon the above- mentioned property for inspection purposes. _ Date: I r Signature (Applicant or Agent): n� Ir Q LA3650 /DECONSTRUCTION PROJECT Caleo Bay 47647 Caleo Bay Dr., La Quinta, Ca., 92253 Slide 1 of 4 LA3650 47647 Caleo Bay Dr. La Quinta, Ca. Scott Clough 949 633-6351 12/9/14 REMOVE BATT CAB REMOVE RADIO CAB REMOVE RADIO CAB REMOVE ERICSSON LTE CAB REMOVE POWER PROT. CAB REMOVE ALL RELATED COAX, COAX CABLE TROUGH, GROUND BUSS, GROUND WIRE, ABOVE GROUND CONDUIT & ICE BRIDGE 111 1 1 1 L L{ I 11;1 I.1 -t _- 1' -q - CITY OF Qt J11' I� BUILDING & AF T. .-: _ 4.Pal 1�- T I _ T DATE 17-11 L ql � ,,.A r� � n 1 Slide 2 of 4 LA3650 47647 Caleo Bay Dr. La Quinta, Ca. Scott Clough 949 633-6351 12/9/14 I a QQ'—I I REMOVE 6 EA. ANTENNAS SECTOR ALPHA SECTOR BETA aso SECTOR DELTA .AMUTH SECTOR EPSILON SECTOR GAMMA SECTOR ZETA — AND ALL COAX,COAX CABL TROUGH AND RELATED HARDWARE --------T7-•— r.w mK.cr:.o-xrw uanr ro oe..•.: - AZI"TH DTS : TS?fCl YYF.. EQUIPMENT LAYOUT AND ANTENNA LAYOUT 7 — — — — --1 AZIMUTH —I AL761uTH J AZIhINTH W Slide 3 of 4 LA3650 47647 Caleo Bay Dr. La Quinta, Ca. Scott Clough 949 633-6351 12/9/14 a _.. J AZIhINTH W Slide 3 of 4 LA3650 47647 Caleo Bay Dr. La Quinta, Ca. Scott Clough 949 633-6351 12/9/14 F_ --'---_---- Slide 4of4 LA365O 47647Ca|eoBay Dc LaOuinta,Ca. Scott Clough 949 633-6351 12/9/14 FINANCIAL INFORMATION -DESCRIPTION ACCOUNT QTY : AMOUNT PAID PAID DATE SPECIAL INSPECTION 101-0000-42404 1 $72.52 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SPECIAL INSPECTION PC 101-0000-42600 1 $181.29 $0.00 PAID_BY`> METHOD RECEIPT# CHECK# CLTDBY, Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $0.00 TOTALS:• 00 Description: REMOVAL OF TELECOMMUNICATION EQUIPMENT Type: SPECIAL INSPECTION Subtype: Status: APPROVED Applied`. 12/16/2014 AOR Approved: 12/16/2014 AOR Parcel No: 643200004 Site Address: 47647 CALEO BAY LA QUINTA,CA 92253 Subdivision: PM 27892 Block: Lot: 4 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMOVAL OF TELECOMMUNICATION EQUIPMENT ONLY. THIS PERMIT DOES NOT INCLUDE ALTERATION TO THE EXISTING BUILING STRUCTURE OR ARCHITECTURAL DESIGN. ALL TERMINATIONS SHALL BE PER THEIR APPLICABLE CODE REQUIREMENTS. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT HEALTH CARE REIT 28078 BAXTER RD STE 435 MURIETTA CA 92563 CONTRACTOR VINCULUMS SERVICES 10 PASTEUER STE 100 IRVINE CA 92612 OWNER ACCRETIVE LA QUINTA PARTNERS 19752 MACARTHUR BLV 240 I IRVINE j CA j 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SPECIAL INSPECTION 101-0000-42404 1 $72.52 $0.00 Printed: Tuesday, December 16, 2014 3:56:31 PM 1 of 2 CRWYSTEMs DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SPECIAL INSPECTION PC 101-0000-42600 1 $181.29 $0.00 Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $0.00 TOTALS:i0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" BUILDING AJ ORTEGA PARENT.O REVIEWS . REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE NOTES BUILDING AJ ORTEGA 12/16/2014 12/16/2014 12/16/2014 APPROVED IATTACHMENTS l Printed: Tuesday, December 16, 2014 3:56:31 PM 2 of 2 CRWrsrEMS Bin. # C(C� City. Of La Quin to Building 8z Safety Division P.O. Box 1504,78-495 Calle Tampico CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # oc414.Quinta, Z Frojcct Address: 1,1 I Owner's Name:. A. P. Number. . G y 5 _ zoo — Address: is Legal Description: ��`, �,,� City, ST, Zip: Contractor: , u Telephone: 5--/. $2 (� I& t('l & NOJ>' Address: /� G�S�G sem) p� Project Description: City, ST, Zip:, Cj 2 I Z ✓n Telephone: -! Q qJJVZ fYoo ip ..`lr`� 'r State Lie. # : 17, yS23 City Lic. #: Arch., Engr., Designer. ` Address: City, ST, Zip: Telephone: Y ` State Lic. #: M '` Name of contact Person: MW*k-e_ 0 (,L Construction Type: Occupancy: Project type (circle one): New Add'n Alte Repair Sq. Ft.: # Stories: # Unit$: Telephone # of Contact Person: 1 �(, $_11' V, b $� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submittedItem Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cnlcs. Called Contact Person Plan Check Balance Title 24 Calci. Pians picked up Construction Flood plain plan Plans resubmitted nical Grading plan 21! Review, ready for correctionsressuecal Subcontattor List Caned Contact Person T.Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctio qa Developer Impact Fee Planning Approval Called Contact Person ` �7►. A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 3�a 3 A