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BOTH2016-0001t:.r ..�s� g• 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 T-itit 4 4 Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BOTH2O16-0001 Property Address: 47647 CALEO BAY APN: 643200004 Application Description: VERIZON WIRELESS / ACCRETIVE PARTNERS / CELL SITE Property Zoning: 19752 MACARTFIUR BLV 240 Application Valuation: $90,000.00 Applicant: C= CORE DEVELOPMENT SERVICES 3350 E BIRCH ST STE 250 z BREA, CA 92821 city or county that requires a permit to construct, alter, improve, demolish, or repair VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 ofthe Business -and Professions Code, Date: 12/19/2016 Owner: License Class: BLicense No.: 969729 of the work for which this permit is issued. ACCRETIVE LA QUINTA PARTNERS I have and will maintain workers' compensation insurance, as required by Date: Contractor. 19752 MACARTFIUR BLV 240 0 r w� IRVINE, CA 92253 C= I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 72WEQIOS18 z C= 1 M 'lam city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the s workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor: m o 3 of the Business and Professions Code) or that he or she is exempt therefrom and the C I K POWER DISTRIBUTORS LLC S Date Applicant:IC 240 W GROVE AVENUE M D N o ORANGE, CA 92865 ( ) I, as owner of the property, or my employees with wages as their sole rn compensation; will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not (714)938-0297 m INTEREST, AND ATTORNEY'S FEES. Llc. No.: 969729 are not intended or offered for sale. If, however, the building or improvement is sold LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 ofthe Business -and Professions Code, _ 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: BLicense No.: 969729 of the work for which this permit is issued. f I have and will maintain workers' compensation insurance, as required by Date: 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: HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 72WEQIOS18 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 3 of the Business and Professions Code) or that he or she is exempt therefrom and the j basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Date Applicant:IC permit subjects the applicant to a civil penalty of not more.than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ( ) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation; will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (_J 1, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project: (Sec. 7044, Business and Professions Code: The Contractors' request and'for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or (� I am exempt under Sec. . B.&P.C. for this reason 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 Date: Owner: work for 180 days will subject permit to cancellation. 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 Na Lender's 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 t e above-mentioned property for inspection purposes. Date ignature (Applicant or Agent)•t�� M 0 Date: 12/19/2016 Application Number: BOTH2016-0001 Owner: Property Address: 47647 CALEO BAY ACCRETIVE LA QUINTA PARTNERS AFN: 643200004 19752 MACARTHUR BLV 240 Application Description: VERIZON WIRELESS / ACCRETIVE PARTNERS / CELL SITE IRVINE, CA 92253 Property Zoning: Application Valuation: $90,000.00 Applicant: Contractor: CORE DEVELOPMENT SERVICES, C I K POWER DISTRIBUTORS LLC 3350 E BIRCH ST STE 250 240 W GROVE AVENUE BREA, CA 92821 ORANGE, CA 92865 (714)938-0297 Llc. No.: 969729 Detail: INSTALL 12 PANEL ANT, 12 RRUS W/2 MODULES, 5 POWER/FIBER DEMARCATION BOXES, 3 GPS ANTS EQUIPMENT CABINETS, 1- 7'6'•SCREENING MOUNTED TO ROOF, 2 FACADE MOUNTED FRP SCREENS, 1 APPLETON GENERATOR. M 0 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 1 $101.84 Total Paid for ADMINISTRATIVE: $101.84 DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, DISH 101-0000-42404 0 $543.90 DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, DISH PC 101-0000-42600 0 $2,001.45 DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, EQUIP SHELTER 101-0000-42404 0 $181.30 DESCRIPTION ACCOUNT QTY AMOUNT ANTENNA, EQUIP SHELTER PC 101-0000-42600 0 $485.85 Total Paid for ANTENNA: $3,212.50 DESCRIPTION ACCOUNTQTY AMOUNT HOURLY PLAN CHECK - ESG 101-0000-42600 4 $392.00 Total Paid for BLDG CITY STAFF - PER HOUR: $392.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $4.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $68.65 Total Paid for Credit Card Fee: $68.65 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURES, FIRST 20 101-0000-42403 1 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURES, FIRST 20 PC 101-0000-42600 1 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT POWER APPARATUS 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT POWER APPARATUS PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $96.68 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST.100 LF 101-0000-42404 0 $47.86 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 Total Paid for FENCE OR FREESTANDING WALL: $108.77 B`" t .City of La Caul+nta Building h' &r Safe Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #f Project Address: �1 le— Owner's Name: 5 A. P. Number: • LoO . (J—)e-4 Address: ZAQa M Legal Description: City, ST, Zip: Contractor: Tba T h ele one. P Address: Project Description: City, ST, Zip: aym Telephone: C--�1 101 l t State Lic. #: Cit- Lic. #.: Arch., Engr., Designer: 'I Address:.6W cav--A (-1) City., ST, Zip: 1 lAfflms e Telephone: P . - -_ Construction Type: Occupancy: U State to Lic. #: Project type (circle le one . NeAdd'n Alter Repair r De mo Name of Contact Person: \ S Ft.: # Stories: #Units: Telephone # of Contact Person: AL�6 -V 1 Estimated Value of Project: APFLICANT: 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 Cales. �—alled Contact Person Plan Check Balance Title 24 Calcs. ?lads picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan ;"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Mans picked up S.M.I. Ii.O.A. Approval Flans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, LAO C ft U— Tot 1 't gee v p LUIU CITY OF LA QUINTA COMMUNITY DEVELOPMENT FE t 440 October 9, 2015 Mr. Steven Ramon Core Development Services 15505 Sand Canyon Avenue Building D, First Floor Irvine CA 92618 SUBJECT: WIRELESS FACILITY MODIFICATION AT 47647 CALEO BAY DRIVE: MODIFICATION BY APPLICANT 2015-0007 MINOR ADJUSTMENT 2015-0005 MINOR USE PERMIT 2015-0003 Dear.Mr. Ramon: The Community Development Department has reviewed and approved your revised request to install twelve (12) neN Verizon panel antennas, located behind new FRP screening mounted on existing building facades, twelve (12) new radio remote units (RRU), five (5) new fiber demarcation boxes behind the existing roof parapet , and install/replace other associated roof -mounted equipment within a new 7' 6' high screen wall enclosure, in association with existing telecommunication equipment located at 47647 Caleo Bay Drive. As part of this request, approval has also been granted for the following related applications as concurrently filed: Modification by Applicant 2015-0007 The proposed project requires modification to the existing north and south building facades, to add fiber -reinforced polymer (FRP) screening. -t has been determined that the modifications constitute minor changes that are eligible for consideration under LQMC Section 9.200.090.C; speci ically, subsection C.S. These criteria were reviewed and were determined to be applicabl= to the changes proposed. Minor Adjustment 2015-0005 The proposed project requires an adjustment to the 40'_height limit of the Community Commercial (CC) zoning d5strict, to allow the proposed 7' 6" screen wall enclosure to exceed the height limit at on overall height of 40' 2", as shown on the approved plans for the Minor Use Permit. Approval of these applications is subject to the exhibits on fle for the Minor Use Permit, and the following Findings and Conditions of Approval: MODIFICATION BY APPLICANT APPLICATION: The Community Development Director has determined that the proposed plan modifications are minor, will not result in a significant chance in the project as approved by the decision-making autho-ity, and complies with the spirit and intent of the original 78495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.ors 4 approving action under Site Development Permit '2004-811. Therefore, the above referenced design modification is approved pursuant to LQMC Section 9.200.090, subject to the conditions of approval attached to MUP 2015-0003. FINDINGS — MINOR ADJUSTMENT APPLICATION: 1. Consistency with General Plan. The project is corsistent with the general plan. The proposed increase of 2" to the CC zoning limit cf 40 feet, will not affect land use consistency, nor be incompatible with or otherwise measurably impact surrounding land uses. 2. Consistency with Zoning Code. The project is consistent with the provisions of the La Quinta zoning code. The proposed increase of 2" to the CC zoning height limit of 40 feet is permissible under provisions of 9.200.040 a the zoning code governing minor adjustments, as it is well under the maximum allowable 10% adjustment (0.04%). Compliance with CEQA. Processing and approval of the permit application are in compliance with the requirements of the California Environmental Quality Act. The adjustment requested falls under CEQA Guidelin--s Section 15305(a) as a "Minor Alterations to Land" - Class 5 Categorical Exemptim. 4. Surrounding Uses. Approval of the application will not create conditions materially detrimental to the public health, safety and general welfare or injurious to or incompatible with other properties or land uses in the vicinity. The adjustment has no impact on health or safety issues, and will not affect physical land use characteristics in the vicinity. FINDINGS — MINOR USE PERMIT APPLICATION: 1. Consistency with the General Plan: The proposed equipment and related improvements are consistent with the goals, objectives and policies of the General Plan, in that the proposed equipment is intended to enhance community access to quality wireless communication services. Public Welfare: Approval of the new equipment and related improvements will not create conditions materially detrimental to the pi,blic health, safety and general welfare. The equipment will be adequately screened, and is mounted on o commercial roof structure which is inaccessible to the public. 3.. The proposed new equipment and improvementE; will minimize adverse visual impacts as the proposed replacement antennas will be placed on an existing rooftop and will be adequately screened from view a -id access. 4. The proposed equipment and improvements are designed to facilitate continued function and augmentation of existing service capacities, without significantly modifying pre-existing conditions to maintain the service provider's objectives for coverage within this portion of the community. 5. The proposed new and replacement equipment and improvements are necessary to improve community access to wireless services. 78495 Calle Tampico I La Quinta l California 92253 1 760.777.7000 i' www.La-Quinta.ors CONDITIONS The applicant/property owner agrees to defend, indemnify, and hold harmless the City of La Quinta (the "City"), its agents, officers and employees from any claim, or litigation arising out of the City's approval of this project. This indemnification shall include any award toward attorney's fees. The City of La Quinta shall have the right to select its defense counsel in its sole discretion. The City of La Quinta shall promptly notify the applicant of any claim, action, or proceeding and shall cooperate fully in the defense. 2. The applicant shall comply with all provisions of La Quinta Municipal Code Section 9.170 "Wireless Telecommunication Facilities". 3. The applicant is permitted to install the equipment and related improvements, as identified on the approved plans for MUP 2015-0003, as on file with the Community Development Department and enclosed with this letter. The applicant shall obtain all necessary building permits from the City's Building Division,'and is responsible for meeting all applicable plan check submittal requirements. 4. The City may elect to add Conditions to this application request to mitigate any problems that arise not previously addressed herein. This decision may be appealed to the Planning Commission by any party who submits the necessary paperwork and filing fee of $1,595.00 to this office within 15 days of the date of approval of this permit. Should you have any questions please contact me at (760) 777-7069. Sincerely, Wallace Nesbit Principal Planner Encl. C Building Division Case files 78495 Calle Tampico i La Quinta i California 92253 1 760.777.7000 1 www.La-Quinta.org EsGil Corporation In (Partnership with Government for BuifQing Safety DATE: 2/10/2016 JURISDICTION: City of La Quinta PLAN CHECK NO.:. BOTH2016-0001 PROJECT ADDRESS: 47647 Caleo Bay Dr. PROJECT NAME: Verizon Wireless Nopal SET: I ❑ APPLICANT ❑ JURIS. ❑ 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: (by: ) Email: Mail Telephone Fax In Person ® REMARKS: structural review only By: David Yao Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ IUB ❑ PC 2/2 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 9or@ DEVI'f.VICES Date: 6/30/2016 Mr. Burt Hanada Building Official City of La Quinta - Building & Safety Division Address: 78-49S Calle Tampico La Quinta, CA 92253 RE: Request for an Extension of Building Permit No. BOTH2016-0001 Site/Meter Address: 47647 Caleo BaV, La Quinta, CA Mr. Burt Hanada In the past year, Verizo-i Wireless has been experiencing many transitions, such as changes in management and internal processes, and budgeting. Consequently, such factors resulted in Verizon's inability tca commence construction and schedule required building inspections, thereby resulting in'the expiralion of the aforementioned, previously issued building permits. Verizon Wireless respectfully requests a time extension for the. PC#: BOTH2O16-0001 as we now anticipate being able to commence construction and comply wih.the new building permit timelines. S' cerely, malia Villa A&E Project Coordinator Authorized Representative cf Verizon Wireless . I `* tof9 M E M O R A N D U M July 1, 2016 i To: Core Development Services Applicant: Amalia Villamil RE: Application BOTH2O1&0001 I have reviewed your letter dated June 30, 2016 requesting a time extension for the Building Permit Application at 47-647 Caleo Bay, La Quinta, CA Status of Application: Expiration Date: 07/26/2016 90 -day Extension date: 10/24/2016 Under the provisions of the 2013 California Building Code Section 105.3.2, your request is hereby granted. Please be advised that you must purchase your Building Permit on or before Monday, October 24, 20164 If you are not able to obtain the Building Permit by this date, an . extension processing fee of $97.17 will apply. Extensions granted after December 30, 2016 will also require the plans and supporting documents to be updated to the new 2016 Codes. NOTE: The effective date of the 2016 California Building Standards Code is January 1, 2017. If you have arty questions rEgarding this matter, please contact me. Sincerely, Burt Hanada Building Official —Building Division Design and Development Department PH: 760-777-7023 78-495 Calle Tampico I -La Quinta I California 92253 1 760-777-7125.1 www.La-Quinta.org CS � Permit Number: BOTH2O16-0001 Applied: 1/28/2016 - Approved: Issued: Finaled: ; Status: UNDER REVIEW ` Parent Permit: Parent Project: Details: . 1 Description: VERIZON WIRELESS / ACCRETIVE PARTNERS/ CELL SITE ' Site Address: 47647 CALEO BAY r , City, State Zip Code: LA QUINTA, CA 92253 r. Applicant: <NONE> - Owner: ACCRETIVE LA QUINTA PARTNERS Contractor: <NONE> LIST OFREVIEWS. RETURNED (CONTACT SENT DATE DUE DATE TYPE STATUS REMARKS DATE Review Group: BLDG 1ST (2WK) 1/28/2016 t 2/11/2016 1ST BLDG NS (2 WK) BUILDING BUCKET, Notes: aw 1/28/2016 2/11/2016 1ST BLDG STR (2 WK) KURT CULVER Notes:, -�� ----=— X2/1/2016 �-- ,2/8/2016 �- — N _— _1ST,PLANNING (2 WK) -.� . WALLY NESBIT %2�/bOY -Notes: PER WALLY, 1 WEEK TURNAROUND OK Building & Safety Department 9 78=495 Calle Tampico _._ OF PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice - (760) 7777011 fax Special Inspector Application Form The Following information shall be obtained from Special Inspectors for each Project and be on file with the City -of La Quinta Building & Safety Department prior to the authorization of each Project third party inspection: Date:Zi7 Project: l�w%zul. Permit #:20(6 600 Project Address: x(76 q % C o A-L:I Project .Owner:. Phone #: Engineer of Record: w5w• �/. ^j lL pay Phone #: . General Contractor. C 1L Phone #: Special Inspector Name: toA 2 kSA, Phone #: Type of Special Inspection being provided: (CBC 1701:5) Soils. Field Welding Y, Structural. Concrete Over 2500 PSI _High Strength Bolting. _Pre -stressed Concrete Sprayed -On Fireproofing _Structural Masonry _Epoxy _Designer Specified, explain . _Other, explain . "Registered Deputy Inspectors shall communicate and coordinate field report submittals With the assigned City of La Quinta Project Inspector directly on a weekly basis. if that therabave information is correct, Special I spector Signature Print Na P OTOCOPIES: Current Drivers License _Copy of inspection contract with the Owner. ICBO/ICC Certification Cards and/or Engineer of record. Other Certifications Directions: The Special Inspector shall submit this application form to, the Senior Building Inspector.for review and approval. prior to performing any Project inspections: Failure to obtain prior approval may result in third party:special. inspection report rejection. Please attach legible identification and certifications to.this application. OFFICE USE ONLY Ap ro ed Date 4'4 *t�I Building &Safety Department *4.95 Calle Tampico PO Box 1504 La Quinta,.CA 92253 (760) 777-7012 voice - (760) 777=7011 fax ct 1: 7.l (!�5 y;�1,►00 ,ccs,-i� Special Inspector Application Form The Following information shall be obtained from Special Inspectors for each Project and be on file with the City of La Quinta Building & Safety Department prior to the authorization of each Project third party inspection.- Date: nspection:Date: Project: r�z�n.4.,v�l,as 1 Permit #:E�-o-TA -Project Address: L L 4'_ Project .Owner:. Phone #: Engineer of Record: Phone.#: . General Contractor: C'f k -?6 U.; Phone #71+��C $ Special Inspector Name�< Phone #:�l Type of Special Inspection being provided: (CBC 1701.5) _Soils Field Welding _Structural. Concrete Over 2500 PSI _High Strength Bolting. _Pre -stressed Concrete —Sprayed -On. Fireproofing _Structural Masonry _Epoxy Designer Specifie a lain. Other, explain`��i5, �: ,.w � C, ►-� " Registered Deputy Inspectors shall communicate and coordinate field report submittals with the assigned City of La Quinta Project Inspector directly on a weekly basis. s i ies that the above information is correct, )h14tiS�t�,y pe, ial Inspector Signature Print Name P . OCOPIES: _Current Drivers License _Copy of inspection contract with the Owner ICBG/ICC Certification Cards and/or Engineer of record. Other Certifications Directions: The Special Inspector shall submit this application form t.o the Senior Building Inspector for review and approval. prior to performing any Project'inspections: Failure to obtain prior approval may result in third party special inspection report rejection. Please attach legible identification and certifications to.this application. OFFICE USE ONLY Approved Date • , ��" � i, ,�.,a ., f .. f v , Site Development Mod RTI Form Date: 2/19/2016 RTI Date: 2/19/2016 .To: Gita Ig Re: Nopal NCD Project & MTX: NCD / 44 SD Vendor: Core Development - A&E Vendor: Core Development BUILDNG PERMIT READY TO ISSUE NOTICE: Building Permit MF_i e LAQ-16-MISC-004 B g: By address (47647 Caleo Bay, La Quinta) General Contractor: TBD I Permit expiration date: 7/?8/2016 Other Requirements: Enter in any other requirements at the Building and Safety desk: The approved Fire plans are located at the Palm Desert Fire Department, located at 44400 Town Center Way, Palm' Desert, CA 92260 City, and they can be reached at .760-863-8886 the Building approved plans are located at City of La Quinta Building and Safety Department located at 78-495 Calle Tampico La Quinta, CA 92253 They are open M-TH 7:30 - 4:30 and Fri 8 -.4:30 ` and can be reached at 760) 777- 7000 The GC will hate to pay a fee of $ 1,000.00 please note that this is an estimate and might change at the counter. . 1. Ca State Contractor License Card: ' y 2. Workman's Comp & Gen. Liability Insurance Informaticn 3. Business License Comr men For any BP rel'3ted questions, please call Amalia,'Villamil at 714-604-7212. No comments, were issued, both Fire and' Building are approved. Please note that this site only has 160 days for the, ,permit to be pulled since the city of San Jacinto counts the 180 days (6 months expiration start day) from the day that it was submitted. This means that by July 28th we will need to have the permit in hand if not earlier. PLEASE NOTE THAT YOU WILL NEED TO PULL THE FIRE PERMIT BEFORE THE BUILDING; PERMIT IS RELEASED,