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BOTH2014-0006Applicant: EUKON GROUP 65 POST, STE 1000 IRVINE, CA 92618 JAN 0 S 2015 CITY OF LA QUINTA TY DEVELOPMENT DEF Contractor: STC NETCOM 11611 INDUSTRY AVE FONTANA, CA 92537 (909)714-0892 LIC. No.: LICENSED CONTRA OR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury th .1.. 1am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 78-495 CALLE TAMPICO6' � � � � D VOICE (760) 777-7125 92253 FAX (760) 777-7011 LA QUINTA, CALIFORNIA ��P COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT INSPECTIONS (760) 777-7153 ate: 7 Contractor: J Section 3700 of the Labor Code, for the performance of the work for which this permit Date: 1/6/2015 Application Number: BOTH2O14-0006 Carrier:— Policy Number: _ Owner: Property Address: 79120 CORPORATE CENTER DR EXTRA SPACE OF LA QUINTA ADAMS APN: 600390011 workers' compensation provisions of Sec ' on 37 of the L or o I shall ith PO BOX 320099 Application Description: 72FT HIGH MONOPALM CELL TOWER WITH ENCLOSURE ALEXANDRIA, VA 22320 Property Zoning: Date: t -5—Applicant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for Application Valuation: $70,000.00 ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO Applicant: EUKON GROUP 65 POST, STE 1000 IRVINE, CA 92618 JAN 0 S 2015 CITY OF LA QUINTA TY DEVELOPMENT DEF Contractor: STC NETCOM 11611 INDUSTRY AVE FONTANA, CA 92537 (909)714-0892 LIC. No.: LICENSED CONTRA OR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury th .1.. 1am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 {commencing with Section 7000} of Divis o 3 of the Busi si sCode, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: _ Licensg No.: _ Tandr of the work for which this permit is issued. 1 ,6 . 1`` 1 have and will maintain workers' compensation insurance, as required by ate: 7 Contractor: 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: OWNER -BUILDER DECLARATION Carrier:— Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from,the Contractor's State _ I certify that in the performaa of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any mane o as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agr a th , if I should become s ect the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Sec ' on 37 of the L or o I shall ith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: t -5—Applicant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose ( ) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. ( I I am exempt under Sec. . B.&P.C. for this reason 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. 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 Address: I certify that I have read this application and state tha the a:lb,,e information is correct. I agree to comply with all city and county ordinances a d state la rel ing i construction, and hereby authorize representatives oft is city to en r. pon t bov mentioned property for insection purposes. t ,Date: I b 'ZQ[ Signature (Applicant or Agent FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ANTENNA, CELL/MOBILE 101-0000-42404 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ANTENNA, CELL/MOBILE PC 101-0000-42600 0 $203.06 $0.00 PAID BY METHOD . RECEIPT # CHECK # CLTD BY Total Paid.forANTENNA: $346.06 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $3.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $3.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.19 $0.00 PAID BY METHOD'': RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT : PAID PAID DATE WALL/FENCE - FIRST 100 LF -PC 101-0000-42600 0 $60.06 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL, $107.25 $0.00 TOTALS:• •0 Description: 72FT HIGH MONOPALM CELL TOWER WITH ENCLOSURE Type: STRUCTURE OTHER THAN Subtype: Status: APPROVED Applied: 8/20/2014 AOR BUILDING Approved: Parcel No: 600390011 Site Address: 79120 CORPORATE CENTER DR LA QUINTA,CA 92253 Subdivision: PM 29351 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $70,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 9/10/2014 Details: 72FT HIGH MONOPALM CELL TOWER WITH ENCLOSURE. THIS PERMIT DOES NOT INCLUDE ANY ATTACHMENTS BELOW THE FAUX PALM FROND AREA. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Tuesday, January 06, 2015 12:24:29 PM 1 of 3 CRI". ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE _ COMPLETION DATE NOTES PENDING DOCUMENTS AJ ORTEGA 9/2/2014 9/10/2014 WAITING FOR REVISED DRAWINGS WITH REMOVAL OF MICROWAVE DISH FROM MONOPALM. ITEMS RECEIVED, SENT TO WALLY FOR REVIEW. NAME TYPE .NAME ADDRESSI CONDITIONS CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT EUKON GROUP 65 POST, STE 1000 IRVINE CA 92618 CONTRACTOR STC NETCOM 11611 INDUSTRY AVE FONTANA CA 92537 ENGINEER NATIONAL ENGINEERING & CONSULT 27 ORCHARD LAKE FOREST CA 92630 OWNER EXTRA SPACE OF LA QUINTA ADAMS PO BOX 320099 ALEXANDRIA VA 22320 FINANCIAL INFORMATION Printed: Tuesday, January 06, 2015 12:24:29 PM 1 of 3 CRI". DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ANTENNA, 101-0000-42404 0 $143.00 $0.00 CELL/MOBILE ANTENNA, 101-0000-42600 0 $203.06 $0.00 CELL/MOBILE PC Total Paid forANTENNA: $346.06 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $3.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $3.00 $0.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.19 $0.00 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.06 $0.00 100 LF PC Total Paid forFENCE OR FREESTANDING WALL $107.25 $0.00 TOTALS:•0- INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" Printed: Tuesday, January 06, 2015 12:24:29 PM 2 of 3 SYSTEMS Printed: Tuesday, January 06, 2015 12:24:29 PM 3 of 3 cpff"SYSTEMS PLANS SHOW 2.S FOOT DIAMETER MICROWAVE DISH WHICH WAS NOT APPROVED AS PART OF PLANNING WALLY NESBIT 8/20/2014 9/4/2014 9/2/2014 REVISIONS REQUIRED UNAPPROVED THE CUP. ADDITION OF DISH WILL REQUIRE ADDITIONS AMENDMENT TO APPROVED CUP OR APPROVAL OF AN MUP. STRUCTURAL BUILDING 8/20/2014 9/4/2014 8/29/2014 APPROVED BUCKET REVISE SHEETS A-2 AT LEASE AREA, L-1 AT PLANNING WALLY NESBIT 9/10/2014 9/11/2014 9/10/2014 REVISIONS REQUIRED REVISE SHEETS A-2, L- IRRIGATION AND PLANTING PLANS, AND f-2 AT 1, E-2 ELECTRICAL SITE PLAN, TO DELETE MICROWAVE DISH. SUBMIT REVISED SLIP SHEETS. NON-STRUCTURAL AJ ORTEGA 9/10/2014 9/11/2014 9/22/2014 APPROVED PLAN IS READY TO ISSUE WITH LICENSED CONTRACTOR INFORMATION C PLANNING WALLY NESBIT 9/17/2014 9/24/2014 9/19/2014 APPROVED SHEET REVISIONS MADE Printed: Tuesday, January 06, 2015 12:24:29 PM 3 of 3 cpff"SYSTEMS �r -�Y'.' , �=ss�e� -= No'�'1N1�►L • �� x �o� � •.?. /8 � � � . . Bin #- c2P� (City of La Quinta Building &r Safety Division r _ , -P.O. Boz 1504, 78-495 Calle Tampico ` • La Qtiinta, CA 92253 - (760) 777-7012 - — Building Permit Application and Tracking Sheet Permit# �°�`�"O°O� Project Addr ss�'�q • �� lT ' --. Owner's Name: E1r1Y � OF L4 (u - A. P. Number: ^,. Address: 13 pyt �p eal Descri t' "' City, ST, Zip: ontractor4 ri rGtt SrCc V -r'L,o f k.- Telephone: P Address: I I b 1 .10 b Project Description: City, ST, Zip: �O a /�(' hl /► . 7i� J I Fr:. lv s+ . s State Lic. # : 1) City Lic. #; ' l 4e, S ' Arch., Engr., Designer: C—t;%tkv*j CSJWP -. � �.�+�'� AMO "00 Address: W. Parr ivrce testi �t. ' e:_-' �b• M &'.04 i •OQ •i�+ City., ST, Zip: IWW% :` Ch' Telephone: P <::`:'``::>':?:>:>:>'<:>:><::'•><:?:?i:><:::><:<': Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: J Sq. Ft.: - # Stories: # Units: Telephone # of Contact Person: e1410(0 '-, Estimated Value of Project: 10 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted �� Item Amount Structural Calcs.Reviewed, ready for corrections Plan Check Deposit Truss Calcs. + Called Contact Person e Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted r " Mechanical Grading plan 2°" Review, ready for corrections/issue �. Electrical Subcontactor List Called Contact Person Plumbing K Grant Deed - Plans picked up S.M.I. H.O.A. Approval Plans resubmitted ', Grading ' IN HOUSE:- '^' Review, ready for correctsrssue Developer Impact Fee Planning Approval Called Contact Person- • .. 1/� A.I.P.P. Pub. Wks. Appr ` Date of permit issue ` School Fees .w Total Permit Fees allyl - R�.•� --� s�'to t6 6944L . 1� k-AV4 -Co %,SVt.4.C7 ° w Wf-MdA c� L) Review Group: BLDG 3RD 2WK) 9/17/2014 9/19/2014 9/24/2014 - } PLANNING •'' ''' - WALLY.NESBIT APPROVED SHEET REVISIONS MADE • .. •lw ! • .. x +• . • .. may. w � t� x-•`' � 4 '_j �' •y+ + .S .. Y r• • .• •r4.' •74 +. , i✓,� a 1 -` ?� .. e. ..� a T'7 ,,, ' •_ � r , '.a3•yyye-i' �,*, .. f • ' w♦. _*c y -» r x i a ' M .`� _ +��Y'�'t Kia r• .. ... - t" � � y..� .�. . .z., �� '4, 1 ti+ - r. 4•. a ,') ., x't. .. � • _ Ir � d M . J J ' tl alb[- t •� • is � � ... .:` � •.. anew # - , C - • � • � t. ��,i J•t.�♦ i:+,fi r� , t ` Printed: Friday, 19 September, 2014 { ` ^ ° '., A a2 of 2 e3 w , �, srsreMs ... r t sw� ,tk4. �� -�' S -y Fjr' F .. , � �+ r a � del - S', r ' • � � 4" X EsGil Corporation In(Partnerskip with Government for Building Safety DATE: 8/28/2014 U APPLICANT O JURIS. JURISDICTION: City of La Quints` / 0 PLAN REVIEWER 0 FILE PLAN CHECK NO.:--BOTH2O14-0006 SET: I PROJECT ADDRESS: 79120 Corporate Center Dr. PROJECT NAME: AT&T Storquest RS0391 ® 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 fo ® 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: I ITelephone #: Date contacted: (by: ) Email' Fax #: Mail Telephone Fax In Person I tl ❑ REMARKS: By: David Yao Enclosures:, 13-0832 p,UG `� 9 2014 EsGil Corporation Yrs JUIN T ❑ GA ❑ EJ. ❑ MB ❑ PC 8/21 CIS oN p�VE1-CPMEN CoMMllN 9320 Chesapeake Drive;~Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576