Loading...
9704-086 (MISC)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of -,Zhapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ( ) 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 & Professionals Code). % (X I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). f ! O I am exempt under Section B&P.C.:for this reason Date t Signature of Owner 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 & policy no. are: Carrier Policy No. (This section need not be completed if the permit valuation is for $100:00 or less). Nall I certify that in the performance of the work for which this permit is issued, I 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 provisions.- - �r Date: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth 'on his application. 1. Each person upon whose behalf this application is made & each person at�I whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall; indemnify &-hbld harmless the City of La. Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, -and State laws relating to the building IV copstruction, and hereby authorize representatives of this City to enter upon 2ignature e above-mentioned property for inspection purposes. 1� r g (Owner/Agent) Date ` 1'f BUILDINGPERMIT PERM T# °°NTR°`# DATE4'7 VALUATION LOT TRACT r JOB SITE ADDRESS 77-895.AV1.4NI0A NION'M : JAM APN OWNER CONTRACTOR/DESIGNER/ENGINEER 2240 1'i.1:tvI.AWA.Y 600 ElOLC.rNVE FIJI` .111"twl'ON CA. 92635 LA Wi•1BRA CA, 9(}0'31 USE OF PERMIT Mi :i1,��"$tl.lChl�.l�l_1S,t'.,INI!•�yt�tl.�`, f':".i+i.F1,216.L11�.ft��.F�+a�liaVfl,"s�t7' L'L�.[1f313�L+�l.L)�(� - ' PLAN 04E-(.% FVF? 101-000-434-318 � 1,260.fytt PLAN CRTCK PAI - LESS � RF. ,!A .�L�� $0.00,. APR 18 1997 ������,` NOW �a�,�t��.��► RECEIPT DATE 1 BY DATE FINALED INSPECTOR V. . INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing p j Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wail Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath 17 Al S Ff Final Final POOLS - SPAS BLOCKWALL APPROV LS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS:,X j P&—)59h4 I I /hj "� r ��/► ' l Q / 6/f� ` C �C- �`� I e / /C i /P / Final, Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring /ill Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) P.O. BOX 1504 78-105 CALLE ESTADO QUINTA, CALIFORNIA 92253 22- tState,Lia 8 Classif 9 Designer Address I Tel. City IZip Ia State LICENSED CONTRACTOW&DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (Commencing with Section 70001 t. of Division 3 of the Business and Professions Coda, and my license Is in full force and effec SIGNATURE OATS OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5.8usirim and Professions Code: Any city Of oourhly wlMeh reoulres a permit to construct, altar, improve, demolish, or repair arty structure, prior to Ifs issuance also requires the applicant for such p~ to file asigned sfatarnard that he Is mearhsed pursuant to the provisions of the Contractor's License law, Chapter 9 (co mmencYp with Section 7000) of Otvision 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis or the alleged exemption. Any violation of Section 7091.5 by 'arty s plkaM for a pamf subjects the applicant to a civi penalty of not more than live huandred dollars ($500). I, as owner o1 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. Buisnose and Professions Code: The Contractor's License Law does not eA* to in owner of property who builds or improves (hereon and who does such work himself or through his own employe", provided that such Improvements are not intended or offend for sale. If. however, the building or improvement is sold within one yew of completion, the owner-6nader wY have ten burden of proving that he dM no build or hprove for the purpose of sale.) I; I, as owner of the property, am exclusively contracting with licensed contractors to con struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does no apply to an owner of property who build& or improv" t heron, and who contracts for such projects with a contractof(s) licensed pursuant to the Contractor's License Law.) I am exempt under Sec. B. d P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company F) Copy is filed with the City. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be conplated it the pamM Is for one hundred dotars ($100) vMntion or less.) I certify that in the performance of th0 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. Date Owner NOTICE TO APPLICANT: N. after makkg this Certificate of Examption you could become subject' to the wbriren' Conpensatiom provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which thiapermit is issued. (Sec. 3097, CMi Code.) Lender's Name Lender's Address This is a building permit when property filled out, signed and validated, and Is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is cowwt. 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 the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address__ City, State, Zip BUILDING DIVISION APPLICATION ONLY BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Zai trot'§@ FDescriptlon Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated -Valuation D OO PERMIT AMOUNT Plan Chk. Dep. D' CZ.? 2 5 ' Plan Chk. Bal. Const. Mach. Electrical Plumbing S. M.I. Grading Driveway Enc. Infrastructure TOTAL i $ Z so REMARKS Minimum SetbAck Distances: FINAL DATE :lir Line Prop. Line f Center Line lrty Line NSPECTOR Issued by: Date Permit Validated by.- Validation: y:Validation: -CNSTRUCTION EST;MATE NO. ELECTRICAL FEES v0-_!MBING FEES ;gT r 2ND FL AOR GAR CARP WALL ESTIMATED CONSTRUCTION SO. =' i UNITS ROUGH PLUMB. SO. FT ,R YARD SPK'-- S'rST=.M SG MOBILEHOME SVC. BAR SINK SG. FT. it POWER OUTLET ROOF DRAWS • SO. FT ..B DRAINAGE PIPING SO. FT 'a DRINKING FOUNTAIN SO F? lr URINAL VALUATION 4 WATER PIPING NOTE. Not to be used as property tax +aluation TEMP. POLE FLOOR DRAIN MECHANICAL FEES GROUT WATER SOFTENER /ENT SYSTEM -AN EVAF OCA OCD SIGN WASHERIAUTOtiDISHI APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED =S LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. KITCHEN SINK ABSORPTION SYSTEM B.T U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SO. FT. ig. c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID @ IW c SEWAGE DISPOSAL SO.FT.GAR 4 r%c HOUSE SEWER SPARK ARRESTOR GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. y(L = plus xS =S LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. INSPECTOR'S SIONATURESNNITIALS GARDEN WALL FINAL r - - 4 W � - 78-495. CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 CITY OP t 01,19N7;,t� OCT October 1,.1996 BUILDING this 8ii -Lry LLQ. Mike and Anne Fisher 2240 Yuma Way Fullerton, CA 92635 Subject:' Requirements for Certificate of�Appropriatmess for 777.895_Av-enida.M ntezuma Dear Mr. and Mrs. Fisher: Please let this letter serve as a reminder that there is a review process with the Idistoric . Preservation Commission, through.which.'you must proceed, to obtain approval of any modifications to the above referenced historic. property. A Certificate of. Appropriateness must be•obtained prior to issuance of a Building Permit. Your recent submittal to the Building Department for rehabilitation of the shed roof and site plan can not be approved by the Community Development Department until it has been reviewed by the historic Preservation Commission. If you need additional application forms or a list of required information to submit for the Certificate' of Appropriateness, please let me know and I can mail them to you., If you have any questions regarding this letter, please contact the undersigned: Very truly yours, JERRY HERMAN Community Development.Director . SHE MOURI UA - QND Associate Planner c: Christine di Iorio, Planning Manager j Tom Hartung, Building Official a MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253®(� e�.i +rte 4 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000 FAX (760) 777-7101 TDD (760) 777-1227 December 19,1997 Mike & Annie Fisher 77-895 Avenida Montezuma La Quinta, CA., 92253 ' RE: Seismic Retrofit Permit #9704-086 Dear Mr.. & Mrs. Fisher The purpose of this -letter is to inform you that your Seismic Retrofit Permit #9704-086, for the project at 77-895 Avenida Montezuma, has expired. In accordance with 1994 UBC section 106.4.4, no further work may be performed until a new permit has been issued. Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any. information you need regarding a new permit and/or any required inspections. Should you choose not to complete the project, we. would then have to pursue any or all of the following actions: 1) Abatement of the project through the City Attorney's Office and Code Compliance Division. 2) Notice of non -conforming structure placed upon property profile. 3) Action filed with Contractor State License Board. Optional if Owner/Builder: Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and for any questions you may have. Sincerely, Mark Harold -Build' & Safety Manager Daniel P. Crawford r. Building Inspector I cc: file Is 0 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 cleivo, 4 MEMORANDUM To: Danny Crawford, Building Inspector From: Christi di Iorio, Planning Manager Subject: Fischer Building inspection Date: April 3, 1998 I reviewed the approved building plans and later met on site with Mr. Fischer. Two outstanding issues are the stucco texture on the new addition spanning from .the main building to the shed and how to treat the window that was removed and filled in to meet the seismic retrofit requirements. Resolution of the first issue is the application of smooth stucco finish to complement not match the existing building's smooth trowel sand finish. The window now filled in must be outlined with a REGLET plaster molding. Lastly, the west and east bargeboard may be plastered on the shed. 5 LOAD CALCULATIONS THE PANEL. CALLED FOR BY THE ARCHITECT IS A 100AMP-120/240 VOLT SINGLE PHASE 3 WIRE, 12 - 24 CIRCUIT. GENERAL LIGHTING " STORAGE AREA 720 SO.FT.@ 3. WATTS/SQ.FT.= 2180 WATTS AREA REA - 760 SQ.FT.@ 2 WATTSA/SQ.FT.= 1520 WATTS SMALL APPLIANCE LOAD , (2) 20 AMP POWER CIRCUITS 3000 WATTS TOTAL GENERAL LIGHTING & SMALL APPLIANCE 6700 WATTS 3000 WATTS @ 1000/o= +, 3000 WATTS 6700 WATTS - 3000WATTS = 3700, WATTS @ 350/o= 1300 WATTS NET GENERAL LIGHTING & SMALL APPLIANCE.. 4300 WATTS WATER•HEATER LOAD 5500 WATTS TOTAL LOAD= ' - 9800 WATTS 9800 WATTS / 240 VOLTS = 41 AMPS FEEDERS TO BE NO.1 COPPER CONDUIT TO BE 2IN. PVC , QM ARTH SYSTEMS CONSULTANTS SOUTHERN CALIFORNIA 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name�- Client Client Phone DATE wQ+? JOB NO. n3 G O ° 1 1, Q O Vcd ` t c o c-'nU .A QA 1 A&7 It w Zt Uj ? we c . 11—O+ Sf: ^ Cf7t O Q tDX ce.� t� ss V.7 Yl i C.�� Q. X�� 1 �� �'S 1Si �G/� it•L' �ck \nom w -e<e �t 7�00 PROJECT n c - ir7,'1 L t nSA cT��! '1 1. LOCATION 0 nl CONTRACTOR OWNER Ot-�� --- w e C n ck�l. � '1 a ,� Mrd c T � � s 1 �� ooc- (V ,e S k1 P lam" COc-A - G t / ~ WEATHERTEMP. ° at AM u n o ._ PRESENT AT SITE ° at PM r t. ^-- THE FOLLOWING WAS NOTED: n3 G O ° 1 1, Q O Vcd ` t c o c-'nU .A QA 1 A&7 It w Zt Uj ? we c . 11—O+ Sf: ^ Cf7t O Q tDX ce.� t� ss V.7 Yl i C.�� Q. X�� 1 �� �'S 1Si �G/� it•L' �ck \nom w -e<e �t 7�00 , ox.r 1Q c's ' Va --T. n c - ir7,'1 L t nSA cT��! '1 1. p r^ lb -Z P nl 0.�Q�VLA -•.r o,• `, Ot-�� --- w e C n ck�l. � '1 a ,� Mrd c T � � s 1 �� ooc- CPQ COc-A - G t / ~ CLIENTvREP,RES N AIIVE•S GNATURE FIELD REPORT -r c- %O *- a. fl't TECHNICIANS SIGNATURE w EARTH SYSTEMS CONSULTANTS SOUTHERN CALIFORNIA wr' a 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345;1588 Client Name �A t z 1 S 1RQ (I Client Address Client Phone '•.�..'""�"."''."'�t..%�"">'t`^'7"•Mt'•,.-!R.;,,_rr'r�r't"'"..�kry..-1ti$*'F'*-yrv�^'�, DATE JOB NO. k w1� Are,' L--. PROJECT 111A 1 O C1_9 f-dC ! U. C•� Qi i p LOCATION '-".�q-� PUt'1�k�G.t1r��Q3UP1Ca t� lei W GMS. 0 f t CONTRACTOR h Q i o% IA. 0 O � OWNER W CR O \ INS S. LA<yC rr r+Pb'X �� IT'� �1J`SI a C► 1 �(1 MAC,, WEATHER..,-.--' TEMP. oat AM u 1.t �• v.�u r f,,� 0 at PM PRESENT AT SITE A o It .1f 5a ++. c;1�rbt1 `. t.�n4r Ct,1 Eft 0 • t 2.. P�,�1P . . 1 1 7 P THE FOLLOWING WAS NOTED: © (,� � kk k w1� Are,' L--. A 111A 1 O C1_9 C.0 .rye,• i, aj • ' A SJttQnl. 1 �� }� -4�yf-1 ".I i -tc- a P!' �+ O' i� • ' W GMS. 0 f t h Q i o% IA. 0 O � trj\i t_% p -X*t-A x n W CR O \ INS S. LA<yC C 1 SZ1 .N2p 0nam •J�Cn.•t L �� r+Pb'X �� IT'� �1J`SI a C► 1 �(1 M GF-1ef�2 a A o It .1f 5a ++. c;1�rbt1 `. . . 1 1 7 P r J 1 i i tr t• p n1 YJ C� v`i P c> C.\a o:,��� . 0w n,.,.Cleft- a Z r <o cl( r P a C" • Ci Ni �stJn�! to c • O 13 . C j q r ,n, r C.�� JwQL•.o i L f �— CLI (1T Fi PRESE E SIGNATURE FIELD REPORT Tcso \a'L C . ,A �0-1Sb TECHNICIANS -SIGNATURE �N)oVA--S .=10,„•. �/ a' Earth Systems Consultants Southem Ca1lfomla SB/R.S CO. GOV. 79-8118 Country Club Ddve Bermuda Dunes. CA 92201 (819) 345.1588 • (819) 328.9131 TITLE 21/24 OTHER Building Permit No.: OSAApplication No.:_ C 1 Date of Inspection: Project Name: 6c' M, �+ a�t+ Q\ a no", (�i . TVA C V. c. ill (�. � (�c 1 1 %\i rr' J1ob No.: 6, SCi — e Project Address: -1 'l - %ci S Ry Q n t,r � YY10ykrY7 _u w„ r. Q kA; CT'a CC— Architect: Structural Engineer: Slrnucc� rz v General Contractor: Sub Contractor sc— \) . 1dA_r(i;�� TYPE OF INSPECTION: �Fi��/Shop Description of Work Inspected: 0 �elding Bolting Other 1; �wt-�C'c..t � (� [ ` t/�' (`� �+/�t f G.� •� Ca. �a 1. [�r�.�(. - { c] n A •n e',o "I n <_ r, C, 7 A) \_(-v Sen A. , . l,,0 J •2-ic T �. 1L.X c'119 5Tf R r a i n . t; b ` LL� \ f� Q ' (+ • I�QU� A nq e�� (JAS�Tr� i �a ni MYra r_�e\L 1 E C �rn�`ah { c 4-ADc.nrn.,co � Unresolved Items: nnsz✓ Welding Operators & Certification Numbers: ktr Type of Electrodes: K 1 JACK C.11AUN Ctrl I hereby certify that I have Inspected all of the above reported work. unless otherwise noted. and to the best of my ability I have found this work to cam with the approved plans. specifications & applicable building laws.Final report issued at project completion. �., tam S n r Inspector's Name/No .Jo�&-c' • '.1`: w� tk`35 �3bb�t! Inspector's Signature TeX: Lir r=te Time in C*1•y0 2 al Time out 1 ' 0e) oTLunch Straight Time T All inspections b ased on a minimumoff 4 hours; over 4 hours will be an 8 hour minimum. In addition. an Inspection extendingpast 12 m will be an 8 hour minimum. Contractor's Representative. 1. ! I'I 111 litI ! a, �.. r "I III [VIVY Copy 1 ESC Lab Copy 2 Project Superintendent' Copy 3 Governing Agency .. - a-..-�._-.-...�-..��r^w..�y�.,�vw•'p}+R-'.'-';'-?"'•",�+Fn+�s^w-.•�...�.Y�7ra r+tian�p.Esc'r�+,�`�F"�6�.�+�i:irs"�.'11„pi1'S^Ab'; +�«"+.;�r�''�"� 79-8118 Country Club Drive Earth Systems Consultants Bermuda Dunes, CA 92201 7 (619) 345-1588 (619) 328.9131 Southern California DAILY REPORT OF INSPECTION OF STRUCTURAL MASONRY SB/R.S CO.. GOV. UB • TITLE 21/24 OTHER Building Permit, No.:. OSA Application No.:_ Date of, Inspection: Project Name:l%a��,�1�.�cQ �e.ola�c- �.►r 1(`ncr �. Wk1 S, M1�. V-!i%1oc Job No.: ID I Project Address: i"�-R� �VRn�c�o. �o,.\c uv,�� tN%A Cao_ Architect: Structural Engineer: S�kAc_", Wn ca A T General Contractor: :Xe 'Ci Sub Contractor: f TYPE OF INSPECTION: Reinforcing Unit Placement Grout Spaces Cleanouts Grou in :C,) San Description of .Work Inspected: c t 1 1�1 n c,`n. l`.A.m•t`n\ O[ C,l t7lA i C eX'ee�Je" .G. iQ:inrt' �+1�Q ttAt�lLi.i C• i`��'\yJ[51� W Y�O Ce fCGr{[1 C%7:1 � � G..S G.Le-fitP:'t ANP—Q. 'i tT !�'1@G�'IG ni c_nl Ut hE- nr �JPtC 174o.2�L R i.G %,rl'7 r1U— 41 ! e...0 �1r, '� t, ii 1 E' 1 1�' o rs.e v 1 ., r t n sA A1o1R A 0+2'. '—`., Pn(, ^ 4•nP.n C CQo� tA`t�S tl n $C O�+�al [k4oC1 ♦ r�1r toNo O C c.vorv-\0tn&C,e%r hr,c.\ C S��lF,� �,i\e cS wn-t.& `es,' 1 cM� 1 O J.�so GUiILA�01)11 V on©cl � �9y� Unresolved Items:_ : 00.-Q_. PA Descriptive Location of Samples: h�� t f; �.'�`� t ; CTYN4 Slump: Oo•or-, n Grout Temp -_1% Time in Mixer: 90 yek '+n SupplierE'`a1-11-0r�,iz" `Admixture:���-�:�a ti�1 Water Added:s z Air Temp: Type Cement:,Jr ( it- Mix Design:%%i I.D. Mark: ` C.M.U. Unit Sizes 8, Colors: Bond Pattern RIA »^�., Mortar Type: -S trc to -0- �n I hereby certify that I have Inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this. work to comply with the approved plans. specifications 8 applicable building laws. Final report Issued at project completion. YC (1,0Inspector's Name/N0—,!;o,&. Ins C- '��' pector's Signature _ tr1X o t n ` �1'7$s . Time` in ` '� oo cA , Time out i ti o o 1v-, Lunch _ Straight Time T. D.T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any Inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative { 'v Copy 1 ESC Lab Copy. 2 Project Superintendent Copy 3 Governing "Agency Earth Systems Consultants BermuCountry �; a .- _ r� (819) 345-1588 • (819) 328.9131 1� Southetf'11N Califomia DAILY REPORT OF INSPEOON OF STRUCTURAL STEEL MRS CO. GOv. UBC TITLE 21/24 OTHER Building Permit No.: OSA Application No.:: :. � Date of Inspection: 0? 1.11& ! � Project Name: r,4Atel uALe,— Re psIr .,r T5% 0Aike,' is\ -K- T-- Job No. —t lsts Project Address: Architect: Structural Engineer: (ICJ4nefseIC G\r-,%' General Contractor: Sub Contractor":TC. 'JAUC s we-Q.'.�c, TYPE OF INSPECTION: field)Shop aidingBolting Other r Description of Work Inspected: Unresolved Items: CT at \,- ik,T�, �PeD\tQ �'� `CCi'w'' l'Q S4ia rc? G ft�A. f►,c, eG� - • �c c �'r rve r f� `1e�,�.o.ht � (� 1:� �. tr� 4i-�'1 c o t':1 P Pyr' } P :l iy Cl h.� £r CFttt? v.�A� 19•P a V> Cx43 nr 0 V4.?ti -�O t�15 t*n Fie !_4tnew M•� / � L' L'S 1n •DSr�r�1 c4G G 1r1>:�Ccyy� Thr .P Q' i r, c ,� 7 •1 n C � ,� c" C_ l 01Cd�� oftY t.w) ,S Welding Operators & Certification ra Numbers: 7Jnsc Cirn z _X Type of Electrodes: SIN) p,\►.l �z foe r l`s C . A- t o 19, 6,6 I hereby certify that I have Inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at roject completion. nr Inspector's Name/No L Y ��'►�oin S OaQ(ocij Inspector's Signature MA C.�-�- f Time in �b o o n w� Time out C;A -0� id t^aLunch Straight Time �� O.T. D. T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any Inspection extending past 12 pm will be an 8 hour minimum. �} / Contractor's Representative W. Copy 1 ESC Lab Copy 2 Project Superintendent. • Copy 3 Governing Agency Earth Systems Co �•� SOIYth011171 California S91R.S CO. GOV. 79-8118 Country lub Drive Bermuda Dunes. CA 92201 `1 (819) 345-1588 • (819) 328-9131 TITLE 21%24 OTHER Building Permit No.: OSA Application No.: �'`� ` Date of Inspection: Project Name:1�6r�V 1ACLVa- 9* CAr- 'YM( Mr. ` f' M,//�� Job No.: 'i7- SSS- @0 Project Address:-)"-)- SIS Noen,At- �Ylnh�ezun1Q- LA -04A. X. 11,.C°� Architect: Structural Engineer: c', ���--i General Contractor: VN:\ie F1 s�ta r- Sub Contractor�aCI _ \)& kA TYPE OF INSPECTION: Field/Shop Welding BoltingOt r �' Q� Description of Work Inspected: �n crko� 4 1 J (� A l r-� !_ j y� _ (o O� t ek i to, At-, P' 10-1 V-Qk - *+14 c e-,1 6" i S a �lf,k I P ,-A e}rx W -1Z f s a r� ei V i ��✓ i ?Ato CD,lCC1'ff?�ili c® 1mff�t�n S�r(NrtQ e`!C. ✓�dn5l�. 13�c�e+Cit)dr �:�Dn Crernanr7P..\ ��sS�PYW . p yam' ^, 9 ,� .. y, ailnri.p F°' i• tA. �n nrw�c 4t? 'rc I;l) Crt1(n�l�r�l.n.. t1s w A% ,r ' Al •� . i PSc ni^ i1•r,If,C ��n.nn �,�'n � � �4:. cr i ear f4`e°S4Ar 110$a- d �^ n �J� ►� Q 1• -' i F � (� n F P ell', ` Unresolved Items: Nome. �nr e-90lt1y A. Welding Operators & Certification Numbers: — Type of Electrodes: I hereby certify that I have Inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final reportissuedat project completion. r Inspector's Name/No.701& G , -"AV\ Inspector's Signature Time in Time out Lunch,Straight Time O.T D.T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. " In addition, any Inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative 1/ pA 1 iL i114 Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency ter' 1 i