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09-1240 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001240 Property Address: 45280 SEELEY DR APN: 604-040-094- - Application description: STRUCTURES OTHER THAN Property Zoning: TOURIST COMMERCIAL Application valuation: 25000 Applicant: % Tiht 4 4 QuAZ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT BUILDINGS Architect or Engineer: g" ^mik-7 < & 844 3 3 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection�7000)Division 3 of the Business d Professionals Code, and my License is in full force and effect. Licens nse No.: 741137/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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). 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: LQPER,'VIIT Owner: EISENHOWER MEDICAL CENTER 39000 BOB HOPE DR RANCHO MIRAGE, CA 92270 (760)345-1377 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/10/09 Contractor: WDL CONSTRUCTION2309 4 74075 EL PASEO, SUITE B- PALM DESERT, CA 92260 (760) 674-9553 _ Lic. No.. 741137'"f;'-r' 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 DELOS INS Policy Number 01DKRM12007667 _ 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 I should become subject to the workers' compensation provisions of Section 3 00 of the Labor, I call forthwi�omply with those provisions. Dat % pplicant: WAR ING: 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, 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 cons coon nd reby authorize representatives �Yfhis count to nter u on the above -mentioned propert ecti s s. Dat� Signature (Applicant or Agent): Application Number Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . 09-00001240 BUILDING PERMIT 50 FT FLAGPOLE W/ FDTN 252.00 Plan Check Fee . Valuation . . . 6/08/10 163.80 25000 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 207.00 ---------------------------------------------------------------------------- Special Notes and Comments 50 FT HGT FLAGPOLE W/ FOUNDATION PER ENGINEERED PLAN. 2007 CODES. ---------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - COM 5.25 Fee summary Charged Permit Fee Total 252.00 Plan Check Total 163.80 Other Fee Total 6.25 Grand Total 422.05 Paid Credited Due .00 .00 252.00 .00 .00 163.80 .00 .00 6.25 .00 .00 422.05 LQPERMIT Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # C Project Address: tfd-- ZS6 Sor&7WOwner's Name: A. P. Number: `� ,a �y )ar , � SAD _ G 9s Address: - Legal Description: City, ST, Zip• Contractor: �y-tv� y Telephone:12d77 Fzz ?eD Address: 7k10-?a _ 15L Project Description: City, ST, Zip: 5Z?,66 Telephone: 7c, _ 47y 9s 3rCit—yLic. - - . �' ' 77 State Lic. #: 751//3 -7 Arch., Engr., Designer: —40AW #: &Q , Address � Z e L City, ST, Zip: ODD Z Telephone303_ State Lic. #: / y0 Name of Contact Person: Construction Type:/I—/A�e— Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: _ �_ Estimated Value of Project: 2 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd- TRACKING PERMIT FEES Plan Sets Plan Check submitted 1 Item Amount Structural Calcs. Reviewed, ready for eert'CrSifW Y� /w p Plan Check Deposit Truss Calcs. Called Contact Person `L iv Plan Check Balance Energy Cales. r Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Znd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person 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 Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees itf oF 4Qar«rw P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director-PDD Permit #: 09-1240 BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To PD: 09-04-09 Due Date: 09-11-09 Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: FLAG POLE Address or General Location: 45-280 SEELEY Applicant Contact: EISENHOWER MEDICAL CENTER The Planning Development Department finds that: ...these Building Plans do not require Planning Department approval. ..these Building Plans are approved by the Planning Department. ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Department for review. Les Johnson, Director-PD Transmittal Page 1 of 1 Transmittal AADt Project [07007] - EACC Core & Shell WDL Construction CONSTRUCTION 74-075 EI Paseo Suite B-3 Transmittal No. 07007-04818 Palm Desert, CA 92260 Phone: (760) 674-9553 Fax: (760) 674-9383 To Charles Morris Date 12/2/2009 Eisenhower Medical Center Items listed are being sent 39-000 Bob Hope Drive r Enclosed Rancho Mirage, CA 92270 Phone: (760) 773-1830 r Under Separate Cover Fax: (760) 774-1449 Via Hand Delivered From Brett Reichardt (WDL Construction) CSI Code 10350 - Flagpoles Subject Flag Pole Base Structural Calcs Pages 8 cc Shaun Evans (WDL Construction), Michael Garrett (WDL Construction), Mr. Eric Luck (WDL Construction), Shawn Martin (WDL Construction), Donald G. Willcox (WDL Construction) We are transmitting the following to you: r Product Data r Samples r Shop Drawings O&M Manuals Plans r Architectural Drawings r- Letters r Specifications r Prints r Addenda T Engineering Drawings r Change Orders r Submittal Remarks Please see the attached three (3) copies of the flag pole structural base calculations for the city submittal. Received By Linked Documents Printed Name Date Document Type IDocument 10pen I Description I Date Doc 07007-04025 1 k-1 19 JFlag Pole Base Structural Calcs 12-1-09 1 12/2/2009 Distribution Recipient Company Method Date Charles Morris Donald cox Eisenhower Medical Center WDL Construction Email: cmorris@ernc.org Eall: w w con ru o . 12/2/2009 Eric Luck WDL Construction Email: eluck@wdlconstruction.com 12/2/2009 Michael Garrett 1WDL Construction Email: mgarrett@wdlconstruction.com 12/2/2009 Shaun Evans WDL Construction Email: sevans@wdiconstruction.com 12/2/2009 Shawn Martin JWDL Construct#on Email: smartin@wdlconstruction.com 12/2/2009 https://seeure.eonstruetware.eomICommonIViewIDoeument Display.asp?DoeumentType=... 12/2/2009 Tit!t 4 4a" P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TRANSMITTAL TO: /UNG ❑VCA ❑ESGIL TODAY'S DATE: PROJECT ADDRESS: 1� APPLICANT NAME:S SUBMITTAL: zll�y 02"D BIN NUMBER: E D / : INCLUDED HEREWITH: QP�ANS ❑REDLINED PLANS E40TRUCT ❑REDLINED STRUCT ❑TRUSS ❑REDLINED TRUSS ❑SOILS ❑REDLINED SOILS ❑ENERGY ❑REVISED ENERGY ❑CORRECTION LIST ❑OTHER _ ATTENTION: _ DUE DA BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 ❑3RD 0 4TH ❑5TH PERMIT NUMBER: ❑REVISED PLANS ❑REVISED STRUCT ❑REVISED TRUSS ❑REVISED SOILS ❑APPROVED PLANS ❑APPROVED STRUCT ❑APPROVED TRUSS ❑APPROVED SOILS ❑CUSTOMER RESPONSES -BUILDING DEPARTMENT USE ONLY - GREEN SHEET TO: ❑CDD ❑(w/Plans) []PUBLIC WORKS ❑COVE CHECK (w/Application) LOCATION ON BOARD: LEFT MIDDLE RIGHT SENT TO: SY SV SH STRUCT/NON-STRUCT ASSIGN NON-STRUCTURAL TO: COMMENTS: -J 71-780 San Jacinto Dr. Ste. E2, Rancho Mirage. Ca. 92270 ph. (760) 834-8860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 12-8-2009 78-495 Calle Tampico City Due Date 12-11-2009 La Quinta, CA 92253 Project Address: 45-280 Seeley (Flagpole) Attn: Philip Plan Check #: 09-1240 Submittal: ® 15t ❑ 4th ❑2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Struct. Calcs ❑ Revised Struct. Calcs ❑ Truss Calculations ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Structural Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Revised Sht. A413 Comments: Structural content for the flag pole and footing is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Rancho Mirage Office: ® # (760) 834-8860 Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: