BELC2018-001678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
ELECTRICAL/
BELC2018-0016
78150 CALLS TAMPICO
770020024
TMOBILE / CELL SITE UPGRADE / INSTALL 3 NEW ANTENNAS
$25,000.00
Applicant:
RELIANT LAND SERVICES, INC
7201 E CAMELBACK RD STE 310
SCOTTSDALE, CA 85251 . .
MAY 10 201�7OD
8 �
CITYOFLAQUI-N-TTA-�
COMIUNITYDFUFLOPMENTOEPAATMENT
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: B. C10, C20, A License No.: 951819
C-Date: ` bb I I KContractor:
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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/10/2018
Owner:
DUNCAN SMITH
4519 ORCHARD OAKS CT
OAKLEY, CA 94561
Contractor:
PROCESS CELLULAR INC DBA PROCELL
3020 WEST HARVARD STREET
SANTA ANA, CA 92704
(714)617-9921
Llc. No.: 951819
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: CYPRESS INSURANCE COMPANY Policy Number: PRWC812960
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 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. Q
Date t7 Applicant: F/
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: 51[0, t K Sid- gnatur-e (Applicant or Agent): _
i.
Date: 5/10/2018
Application Number:
BELC2018-0016 -
Property Address:
78150 CALLE TAMPICO
APN:
770020024
Application Description:
TMOBILE / CELL SITE UPGRADE / INSTALL 3 NEW ANTENNAS
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
RELIANT LAND SERVICES,
INC
7201 E CAMELBACK RD STE 310
SCOTTSDALE, CA 85251
Owner:
DUNCAN SMITH
4519 ORCHARD OAKS CT
OAKLEY, CA 94561
Contractor:
PROCESS CELLULAR INC DBA PROCELL
3020 WEST HARVARD STREET
SANTA ANA, CA 92704
(714)617-9921
Llc. No.: 951819
Detail: REPLACEMENT OF T-MOBILE COMMUNICATIONS EQUIPMENT - RELOCATION OF EXISTING "C" PANEL ANTENNAS, INSTALLATION OF NEW "D"
PANEL ANTENNAS, WITH NEW.RRU'S, AND INSTALLATION OF NEW ADDITIONAL DUS41 WITHIN EXISTING RBS 6102 CABINET, REUSING EXISTING
GROUNDING, T1 LINE, AND AC CIRCUITS. CHRIS LEE ENGINEERING ENGINEERING. 2016 CALIFORNIA BUILDING CODES.
INFORMATIONFINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
HOURLY CHARGE - ESGIL MECHANICAL ENGINEER
101-0000-42600 2 $210.00
Total Paid for BLDG CITY STAFF - PER HOUR: $210.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
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
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
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
TOTALS:
Bin.#
Qty Of La QUInta
Building 8z Safety Division
P.O. Box I504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
e
Projectaddress: 78150 Calle Tampico
Owner'sNarne:. Duncan and Marjorie Smith
A. P. Number: 769-030-042
Address: 17 Ardendale Ct
Legal Description:
Contractor.
City, ST, Zip: Alamo, CA 94507
Telephone tstx '
Address:
Project Description: Install (3) New Panel Antennas to be
City, ST, Zip:
mounted on roof. Install (1) RRUS behind new panel
Telephone:
, '�! "�` "�
antenna.
State Lic. # :
City Lie. #.
Arch., Engr., Designer: Reliant Land Services
Address: 1745 W. Orangewood Ave
City., ST, Zip: Orange, CA 92868
Telephone: '
P 909-855-6916
State Lic.#: C61054 f'd.
^� •. � `•` "� � -
Construction Type: , Occupancy: TeleCOm FaClllt
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.: 140 #Stories: #Unit s:
Name of Contact Person: AI oshka Romero
Telephone # of Contact Person: 909=855-6916
Estimated Value of Project: $25, 000.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plaa Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2s4 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILOA. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A,LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
vsESG1
A SAFEbulff Company
DATE: 5/3/2018 ❑ APPLICANT
,P�,JLIRIS.
JURISDICTION: City of La Quinta
PLAN CHECK #.: BELC2018-0016 SET: II
PROJECT ADDRESS: 78150 Calle Tampico
PROJECT NAME: T-Mobile IE004478A CM478 Plaza Tampico
® 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
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 staff did not advise the applicant that the plan check has been completed.
❑ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted:�--
--%0
Fax In Person
Date contacted
Mail Telephone
® REMARKS: structural review only
By: Bert Domingo
EsGil
4/27/2018
Telephone #:
Email:
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576