BELC2018-002078-495 CALLE TAMPICO
4 sCPC
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: ELECTRICAL/
Application Number: BELC2018-0020
Property Address: 46600 ADAMS ST
APN: 600390008
Application Description: SPRINT MONOPALM EQUIPMENT UPGRADE
Property Zoning:
Application Valuation: $30,000.00
Applicant:
SPRINT (MICHAEL TUCKER AGENT) Db
200 SPECTRUM SUITE 1700 OCT 03 20100 IRVINE, CA 92618
CITYOFLAQUINTA
DESIGN AND DEVELOPMFNT DEPARTMENT
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 Professions Code,
and my License is in full force and effect. License Class:pLi �nse No.:! 7 �/
Date;,Jor_�'�I1 LS � Contractor,. �__ j,l} �
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).:
(_) 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.).
(_) 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.).
() 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 N
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-71S3
Date: 10/3/2018
Owner:
LA QUINTA SPC
3255 W MARCH LN 4TH FL
STOCKTON, CA 92253
Contractor:
TBD V,4m -rA e, E GotAPA rd Y
Llc. No.:
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.
1A al 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 insurl!an e c ier
and I'cy num er are:
Carrier: Policy Number: l 7�4 pp�—�v1
I certify that In the performance of the wo 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 prroo'visions. ,
Date:: 0 ,3 ` V Applicant: j4a,—
-_ _ _ —,�1- I
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 -men—
tioned property for inspection purposes.
Date:`i1� I ZS 4ignature (Applicant or Agent)�Ak!4�7
Lender's Add
Application Number:
BELC2018-0020
Property Address:
46600 ADAMS ST
APN:
600390008
Application Description:
SPRINT MONOPALM EQUIPMENT UPGRADE
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
SPRINT (MICHAEL TUCKER
AGENT)
200 SPECTRUM SUITE 1700
IRVINE, CA 92618
Owner:
LA QUINTA SPC
3255 W MARCH LN 4TH FL
STOCKTON, CA 92253
Contractor:
TBD
Llc. No.:
Date: 10/3/2018
Detail: REPLACEMENT OF SPRINT COMMUNICATIONS EQUIPMENT- INSTALLATION OF NEW TOP HAT ON EXISTING MMBTS CABINET, REMOVAL OF (3)
EXISTING 2500 MHZ PANEL ANTENNAS, INSTALLATION OF (3) NEW 800/2500 MHZ PANEL ANTENNAS, INSTALLATION OF (6) NEW RRH-S, AND INSTALLATION
OF 1-1/4" HYBRIFLEX UTILIZING EXISTING COAXIAL ROUTE. 2016 CALIFORNIA BUILDING CODES.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
Credit Card Fee
101-0000-43505
0
$3.02
Total Paid for Credit Card Fee: $3.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
0:
GEM of the DESERT -
PLAN LOCATION:
Project Address: 46600 Adams Street, La Quinta, CA 92253
Project Description: Pool, Remodel, Add% Elect, Plumb, Mech
APN #• 649-020-054
Remove (3) (E) 2500 MHz Panel Antennas.
Install (3) (N) 800/2500 MHz Panel Antennas.
Applicant Name: Sprint (Michael Tucker Agent)
Install (6) (N) 800 MHz RRH's
Address: 200 Spectrum suite 1700
Install (1) (N) 1-1/4" Hybriflex Using Existing Coax Route
City, ST, Zip: Irvine, CA 92618
Install (1) (N) Top Hat onto existing MMBTS Cabinet
Telephone: 949-936-008 5
Email: Michael.Tucker.Contractor@CrownCastle.com
Valuation of Project $ 20,000.00
Contractor Name: TBD
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
EEC: City Bus Lie:
Arch/Eng Name: Jeffrey Rome & Associates
Construction Type: Occupancy:
Address: 131 Innovation Drive
Grading:
City, St, Zip Irvine, CA 92617
Telephone: 949-760-3929
Bedrooms: Stories: # Units:
Email: Minahs@jrainc.net
State Lie: C-020876 City Bus Lie:
Property Owner's Name: La Quinta 2-SPC, LLC
New Commercial / Tenant Improvements:
Address: 3255 West March Lane
Total Building SF
City, ST, Zip Stockton, CA 95129
Construction Type: Occupancy:
Telephone: 714-245-2510
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
Vantage Company
A Division of The W Corporation
Project Management and General Contractors
License # 799597 Bond #1029230
September 13, 2018
To whom it may concern,
I authorize you to allow Teresa Sites of, The W Corporation dba Vantage
Company, the authority to pull any and all associated documents, business licenses
and permits regarding any said site. If there are any further questions, please
contact the general manager, Tony Watterson.
Sincerely,
r
i
Tony Watterson
General Manager
Vantage Company
1643 W Orange Grove Ave
Orange CA 92868
Phone: 562-343-0682
1643 W Orange Grove Ave, Orange CA 92868 Phone: 714-532-8800
www.vantagec6mpany.com