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09-0901 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000901 Property Address: 79120 CORPORATE CENTRE DR APN: 649-020-054-1 -29351 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: COMMERCIAL. PARK Application valuation: 105000 Applicant: Architect or Engineer: ----------------- I LICENSED'2ONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that�a;Z/Vr.fe nsed under rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinessssionaI de, and my License is in full force and effect. License Class: A/B + nse No.: 744137 Date: /—/3-/V Contractor: 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 ($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 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.). 1 _ 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: LA QUINTA 2 SPC 3255 W MARCH LN 4TH FLOOR STOCKTON, CA 95219 Contractor: WESTOWER COMMUNICATION INC 11067 OLINDA STREET SUN VALLEY, CA 91352 (818)2.55-0373 Lic. No.: 744137 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 I ------------------ WORKER'S COMPENSATION DECLARATION Date: 1/13/10 JAN 1. 3.2310 CITY OF8A:v r _NTA ELl,'-A-.*..(C_E-Almy. 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. 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 HARTFORD INS Policy N ber 20WNQUO523 I certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to beco subject to the workers' compensation laws of California, and agree that, if I should becom ubject to the wor rs' compensation provisions of Section 3700 of the Labor Code, I sh orthwith comply dir those provisions. Date: /4—/&Applicant:10, . 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 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, o essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov nformation is corrpCt. I agree to comply with all city and county ordinances and state laws relating to buildin onstruction, and Id — authorize representatives of this county to enter upon the above-mentioned prope r inspection purp Date: —1,3 /G Signature (Applicant or A t) Application Number . . . . . 09-00000901 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee 657.00 Plan Check Fee 427.05 Issue Date . . . . Valuation . . . . 105000 Expiration Date 7/12/10 Qty Unit Charge Per Extension BASE FEE 639.50 5.00 3.5000 .THOU BLDG 100,001-500,000 17.50 ------------------------------------------------"-----------------------_---- Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 36.50 Plan Check Fee 9.13 Issue Date. Valuation . . . . 0 Expiration Date 7/12/10 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 3.00 1.00 18.5000 EA �ELEC SVC <=600V/<=200A 18.50 --------------------------------------------------------- Special Notes and Comments 6 TELECOMMUNICATION ANTENNAS, 5 EQUIPMENT CABINETS, 2 LIGHTS, 46 LIN. FT. 6 FT HGT BLOCK WALL ENCLOSURE W/ (2) GATES. [APPLICANT:ROYAL STREET COMMUNICATIONS] 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 5.00 ENERGY REVIEW FEE 42.71 STRONG MOTION (SMI) - COM 22.05 Fee summary Charged Permit Fee Total 693.50 Plan Check Total 436.18 Other Fee Total 69.76 Grand Total 1199.44 LQPERMIT Paid Credited . Due .00 .00 693.50 .00 .00 436.18 .00 .00 69.76 .00 .00 1199.44 I Qty of La Quinta Building 82 Safety Division Per # l P.O. Box 1504, 78-495 Calle Tampico (�o La Quinta, CA 92253 - (760) 777-7012 p� Building Permit Application and Tracking Sheet Project Address: fatewfw Owner's Name: A. P. Number: 0 2,-PtC) \ Address: 2rj �j Legal Description: City, ST, Zip: ..:.....:...;::• Contractor: Telephone: Address:` CV- Project Description: City, ST, Zip: Telephone: -(,2s%.';;�' .a ss<• �`'<. ��' i., ...i. cv, ., •if`::,. v;• State Lic. #: City Lic. #; �, �j t}� , - Arch., Engr., Designer.(ted_ �� (A l . C Address: c C f k ig City., ST, Zip: tjt .. ON 11 2-(O P ` - t Telephone:'q(A , Lf'- 1007Q .a `,w: Construction Type: Occupancy: State Lic. #: �� '":?,mow; y� project type (circle one): New dd'n Alter Repair Demo ,.:..�:.. .,lk: Name of Contact Person: Sq. Ft: 7-qO #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 10� , APPLICANT: DO NOT WRITE BELOW THIS LINE rK Submittal Req'd Recd TRACIUNG PERMIT FEES Plan Sets 3 Plan Check submitted O` Item Amount Structural Calcs. 3 Reviewed, rpdp'o, �orsrectlon Clfl 2 r 1„ Plan Check Deposit Truss Calcs. �y, Called ContMact�erson Li ,� , I I Iw V Plan Check Balance Title 24 Calcs. Plans picked!upj AUG 2 5 .2009 1 Constructio�i=- �LkU Flood plain plan Plans resubmitted Mechanical Grading plan 2'1 Review, [tor=cos' sectio 5sue —'p Z.� Electrical Subcontactor List Called Contact Person VA....- Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review,.ready for corrections/issue Developer Impact Ree Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees