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07-1055 (CONR)
u P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00001055 Owner: Property Address:- 53035 -MERIWETHER WY EAST OF MADISON LLC APN: 767-200-998-80 -330761- PO BOX 1482 Application. description: NEW COMML - AMUSEMENT LA QUINTA, CA 92247 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4530746 Contractor: Applicant: Architect or Engineer. LUSARDI CONSTRUCTION CO 0lV�,/'r�G �i� 1570 LINDA VISTA DRIVE SAN MARCOS, CA 92078 (760)744-3133 LiC. No.: 207287 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/08 ---------------------------------------------------------------------'---------------------------— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: A B C17 License No.: 207287 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ J iss d. Date41-4' C3% : ontractor: _ I haveve 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NAT' L UNION FIR Policy Number WC1593670 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to ,,/—r-Mertify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,. permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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).: Date ��Applicant� - �� 1 _ 1 I, as owner of the property, or my employees with wages as their sale 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 nbt build or improve for the purpose of sale.). 1 ✓_ 1 1, 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. or this reason w -1/ Date: LA -4- Vy \/w er: 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.). r Lender's Name: Lender's Address: LQPEWN11T 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 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 rela ed ' construction, and hereb a thori representatives of this county to enter upon the above -me conproperty for in pe rposes. / - � moo -\n -Cy\ Da e: y� ` Signature (Applicant or Agent): Application Number 07-00001055- 7-00001055------ ------Structure Information CLUBHOUSE ----- Other struct info . . . : . CODE EDITION 01BMP04E05EN FIRE SPRINKLERS MIXED-USE OCCUPANCY. B/A-3/R71/S-3 OCCUPANT LOAD 909.00 PATIO SQ FTG .00 1ST FLOOR SQUARE FOOTAGE 33289.00 2ND FLOOR SQUARE FOOTAGE 9746.00 Permit . . . BUILDING PERMIT Additional 'desc ($10,601.50 INV FEE ADDED) Permit Fee 21203.00 Plan Check Fee 6890.98 Issue Date Valuation" 4530746 Expiration Date 9/20/08 Qty Unit Charge Per Extension BASE FEE 14141.00 3531.00 2.0000 THOU BLDG 1,000,001 - UP 7062.00 Permit ... ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . 1196.42 Plan Check Fee 299:11 Issue Date Valuation . . . . 0 Expiration Date 9/20/08 Qty Unit Charge Per. 'Extension BASE FEE 15.00 59071.00-_ ---- ---0200 ELEC GARAGE OR NON-RESIDENTIAL 1181.42 J Permit MECHANICAL Additional desc .. `. Permit Fee . . . 872.50• Plan Check Fee 218.13 Issue Date. Valuation 0. Expiration Date 9/20/08 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 9.0000 EA MECH FURNACE <=100K 126.00 3:00. 11.0000 EA MECH FURNACE >100K 33.00 8.00 9.0000 EA MECH B/C <=3HP/"100K BTU 72.00 6.00 16.5000.•EA MECH B/C >3-i5HP/>100K-500KBTU 99.00 2.00'. 22.5000 EA MC B/C >15 <=30HP/500K-1M BTU 45.00 1.00 33.5000 EA MECH B/C >30<50HP/1M-1.75M BTU 33.50 3.00 11.0000 EA MECH AH >10K CFM 33.00 LQPERMIT 4. Application Number . . . . . 07-00001055 Permit . . . MECHANICAL Qty Unit Charge Per Extension 15.00 6.5000 EA MECH VENT FAN 97.50 32.00 6.5000 EA MECH OTHER VENT SYSTEM 208.00 4.00 6.5000 EA MECH EXHAUST HOOD 26.00 13.00 6.5000 EA MECH-OTHER MECH EQUIPMENT 7 ------------------------------------------------------------------------ 84.50 Permit . . . PLUMBING INV FEE Additional desc $1,304.25 INV FEE ADDED Permit Fee 2608.50 Plan Check Fee 326.06 Issue Date . . . . Valuation 0 Expiration Date .. 9/30/08 Qty Unit.Charge Per Extension BASE FEE 30.00 165.00 12.0000. EA PLB FIXTURE 1980.00 1.00 30.0000 EA PLB BUILDING SEWER 30.00 6.00 12.0000 EA PLB ROOF DRAIN 72.00 7.00 15.0000 EA PLB WATER HEATER/VENT 105.00 2.00 24.0000 EA PLB INTERCEPTOR 48..00 6.00 6.0000 EA PLB WATER INST/ALT/REP 36.00 1.00 18.0000 EA PLB LAWN SPRINKLER SYSTEM 18.00 1.00 15.0000 EA PLB OTHER BACKFLOW <=2 INCH 15.00 1.00 6.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 59.00 1.5000 EA PLB GAS,PIPE >=5 88.50 6.00 30.0000 -EA PLB GAS METER ---------------------------------------------------------------------------- 180.00. Permit . . GRADING'PERMIT Additional.desc 19300 CY TOTAL CUT Permit Fee . . . . 238.50 Plan Check Fee.. 45.00 Issue Date . . . . Valuation 0 Expiration Date 9/20/08 Qty Unit Charge Per Extension BASE FEE 238.50 Special Notes and Comments 59,071 SF CLUBHOUSE_ BUILDING. 3 STORY AND BASEMENT. B/A-3/R-1/S-3 OCCUPANCIES.TYPE V-1HR CONSTRUCTION.(SUBSTITUTION FOR 1 -HR CONSTRUCTION W/FIRE SPRINKLERS) (ALLOWABLE AREA INCREASES FOR 3-60 FT YARDS & MULTI-STORY)[CLUBHOUSE _ 45,386SF, GARAGE = 5,837SF, APARTMENTS = LQPEPWIT d Application Number 07-0.0001055 -------------------------------------------------------------------- Special Notes and Comments 7848SFITOTAL OCCUPANT LOAD = 909. 4/01/20.08 - INVESTIGATIVE -FEES ASSESSED FOR BUILDING AND PLUMBING WORK PERFORMED WITHOUT A PERMIT. CBC SECTION 107.5 [BUILDING INVESTIGATIVE FEE OF $10,601.5 & PLUMBING INVESTIGATIVE FEE OF $1,304.25 (TOTAL =,$11,905.75) ASSESSED TO PERMITS] April 3, 2008 8:05:51 AM bhanada. ---------------------------------------------------------------------------- Other Fees ACCESSIBILITY PLAN REVIEW 689.10 ART.IN;PUBLIC PLACES -COM 22633.73 DIF COMMUNITY CENTERS -RES 365.00 DIF CIVIC CENTER - RES 1145.00 DIF CIVIC CENTER - COMM. 16493.80 ENERGY REVIEW FEE. 689.10 DIF FIRE PROTECTION -RES 160.00 DIF FIRE PROTECTION -COMM 2305.03 HOURLY PLAN CHECK 131.25 DIF LIBRARIES - RES 1740.00 DIF PARK MAINT FAC - RES 105.00 - DIF PARKS/REC - RES 4380.00 STRONG MOTION (SMI) - COM 951.45. DIF STREET MAINT FAC -RES 195.00 DIF STREET MAINT FAC -COMM 5429.63 DIF TRANSPORTATION -.RES 5635.00 DIF TRANSPORTATION --COMM 155666.70 Fee summary Charged Paid Credited Due r-- - - - - - - - - - - - - - ------ -- - - -------------------------------- yPermit Fee Total 26118.92 .00 .00 26118.92 Plan Check Total 7779.28 5000.00 .00 2779.28 Other Fee Total 218714-.79 .00 .00 218714.79 Grand Total 252612.99 5000.00 .00 247612.99 LQPEPWIT Coachella Valley Unified School District 83-733 Avenue 55.; Thermal; CA 92274 (760) 398-5909 — Fag {760) 398-1224 This Box For District Use Only nF.VF1.0PFR FFFS PATI) - AREA AMOUNT LEVEL ONE AMOUNT: _- „ LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: . CHECK #: tNITIALS: CERTIFICATE OF COMPLIANCE 4 (California Education Code 17620) Project Name: Madison Club, Date: 1/07/08 :Owner's Name: East of Madison, LLC" Phone No. (760).391-2593 Project Address: 53-035 Meriwether Way. Project Description: 5 Condo Units and 1 Club House APN: 767-690-046 & 767-210-082 Tract #: J -Mo % Lot #'s: Type of Development: Residential !XX! Commercial Industrial Total Square Feet of Building Area: 7,848 sq. Ft. Condo Units . 45,386 sq, Ft. Clubhouse Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty. of perjury and further represents that he/she is authorized to sign on behalf of the owner/de eloper. Dated: 1/07/08 Signature: **s#ssss#sssss**sss***#sssss***sss,**#sss**s.s****ssssssssss#******sss**# SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) , Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number t f-SgXt. 7,848 sq. ft. / 45,386 sq. ft Amountper Sq.Ft. $ 3.48 / 0.42 „ Amount Collected $ 27,311.04 J 19,062.12 , Building Permit Application Completed: Yes/No By: Carey;M. Carlson, Asst. Supt., Support Services w ' Certificate issued by: Leticia C. Torres, Facilities Analyst Signae: Section 66020 of the Government Code asserted by Assembly Bill 3081, effective' January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 964ay period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and ,other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code.,/Additionally, the amount of the fees imposed is as. herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit bas not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. Ll':c/mydocs/devfees/certificate of compliance form tablesTO USE.doc 4 -;� `' ; 1/16/03 T V RECORDING REQUESTED BY: Fidelity National Title Company Escrow No. Title Order No. 9779859 When Recorded Mall Document and Tax Statement To: The Madison Club 80-349 Via Mirasol La Quinta, CA 92253 APN: See attached list . TRA 020-161 The undersigned grantors) declare(s) Documentary transfer tax Is $0.00 DOC a 2®t05-0822700 10/04/2005 08:00A Fee:36.00 Page 1 of 4 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder 1 1111111111111111111111111111111111111111111111111111111 GRANT DEED .. .� _....---..__. [ J computed on full value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND La Quinta Partners, LLC, a Delaware limited liability company hereby GRANT(S) to East of Madison, LLC, a Delaware limited liability company the following described real property in the City of La Quinta, County of Riverside, State of California: This Grant Deed is being recorded to correct the legal description in the certain Grant Deed recorded May 17, 2005, Instrument No. 2005-0389850, Official Records of Riverside County, California. DATED: September 20, 2005 STATE OF vltto COUNJY OF FFzf4NVa.I ON a rAlkV i1n 2aoS before me, e aw-ok personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness hand and offic' seal. Signature (� ND La Quinta Partners, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd., an Ohio limited liability company, its managing member By: . IjIA- A - Brian J. Ellis () . �o�p,RIAL S�l e REGINA RHOADS ORMOND = Attomey at Law Notary Public, State of Ohio ,sjq OF O,," My Co tion 147 03 R.�hation MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 9194) 1 GRANT DEED I=A 61 N EMMMM MIN7,1 mm no GRANT DEED .. .� _....---..__. [ J computed on full value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND La Quinta Partners, LLC, a Delaware limited liability company hereby GRANT(S) to East of Madison, LLC, a Delaware limited liability company the following described real property in the City of La Quinta, County of Riverside, State of California: This Grant Deed is being recorded to correct the legal description in the certain Grant Deed recorded May 17, 2005, Instrument No. 2005-0389850, Official Records of Riverside County, California. DATED: September 20, 2005 STATE OF vltto COUNJY OF FFzf4NVa.I ON a rAlkV i1n 2aoS before me, e aw-ok personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness hand and offic' seal. Signature (� ND La Quinta Partners, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd., an Ohio limited liability company, its managing member By: . IjIA- A - Brian J. Ellis () . �o�p,RIAL S�l e REGINA RHOADS ORMOND = Attomey at Law Notary Public, State of Ohio ,sjq OF O,," My Co tion 147 03 R.�hation MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 9194) 1 GRANT DEED I EXHIBIT "A" PARCEL 1: The Northwest 1/4 of the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, according to United States Government Survey thereof, Excepting therefrom the Northerly 30.00'feet, lying within 52nd Avenue. Also .excepting therefrom the Westerly 30.00 feet lying within Madison Street. Also excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive, and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 2: The North 1/2 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, Sari -Bernardino Base and Meridian, according to the Official Plat thereof. Excepting therefrom the Westerly 30.00 feet lying within Madison Street. Also excepting therefrom the Northerly 30.00 feet as conveyed to the County of Riverside by deed recorded October 19, 1959, as Instrument No. 89349, Official Records, which was not vacated by Resolution No. 2000-164 and 2000-163, recorded December 18, 2000, as Instrument No. 2000- 502483, Official Records. Also excepting therefrom any portion lying within Tract 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County. PARCEL 3: A portion of the Southwest 1 /4 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, in the City of La Quinta, County of riverside, State of California, according to the Official Plat thereof, described as follows: Commencing at the Southwest corner of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, City of La Quinta, County of Riverside, State of California; thence along a line that bears North 890 23' 56" East, a distance of 787.86 feet; thence North 080 15', 08" West a distance of 30.00 feet to the true point of beginning; thence along the same line distance of 1285.89 feet; thence North 89° 23' 17" East, a distance of 529.89 feet; thence South 00° 15' 8" East, a distance of 1285.89 feet; thence South 890 23' 56" West a distance of 529.89 feet to the true point of beginning. Excepting therefrom any portion lying within Tract No. 29894-2, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. ' � � � � PARCEL 4: The Southwest 1/4 of the Northwest 1/4 of Section 10\ Township 6 South, Range East, Sun Bernardino Meridian, in the County of Riverside, State of California, according to the Officio( Plat thereof. _ Excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22' inclusive and Amended Tract No. 29894'2. as shown by map nnfile in Book 327, Pages 56 through 88. inclusive, all of Maps, Records ofRiverside County, California. 9A�kCEI=5: The VVest 1/2ofthe Southeast1/4ofthe Southwest1/4ofSection 10,Township GSouth, Range 7 ' East, San Bernardino Meridian' according tothe Official Plat thereof. Excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22' inclusive and Amended Tract No. 29894'2' as shown by map on file in Book ' 327' Pages 56 through 88' inclusive, all nfMaps, Records ofRiverside County, California. -------- ' The East 1/2 of the Southeast 1/4ofthe Southwest 1/4ofSection 10\Tmwnship8South.Ronge7 East, San Bernardino Base and Meridian, as shown by the United States Government Survey approved ' December 15, 1903bythe Surveyor General. ' ' Excepting therefrom dzaSouth3O.UOfoetinpubic highway. Also excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305' Pages 14 through 22' inclusive and Amended Tract No. 29894'2' as shown by map on file in Book 327, Pages 56 through 88, inclusive, all ofMaps, Records of Riverside County, California. PARCEL 7: ` ' The Southeast 1/4cfSection 10,Township GSouth, Range 7East, San Bernardino Meridian. ` Excepting therefrom the Northerly rectangular 30.00 feet of the Southeast 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian' as conveyed to the County of Riverside by deed recorded October 19. 1958. as Instrument No. E9348 of Official Records of Riverside County, California. Also excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305' Pages 14 through 32' inclusive and Amended Tract No. 2983�'2' as shown bymap on�|u in Book 327' Pages 56 through 88' inclusive, all of Maps, Records ofpUvm,0;ecounty, California. PAR8EI-8: Lots F'Gand MofTract No. 2B894-1'inthe City ofLoOmintm.awshown bvmap onfile inBook 305' Pages 14 through 22, inclusive of YWmpo' in the O0hoo of the County Recorder of Riverside County. California. . ' .` . . . ' ' ' ` ' UaU —i `%ot ff ftf, '167--ann--Mme,-003 - off!-rJaBf (SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY) Transfer Tax: See separate statement, not for public record. ''--_-tified to be a true and correct copy of Recorded As Instrument of Official Records of+Is7�� County California By FID LE TY NATIONAL TITLE CQ GRANT DEED THIS INDENTURE, is made this Zi th day of Ayr,1 2005, by and between 120 ACRE PARTNERS, LLC (the "Grantor"), a Delaware limited liability company, formerly known as NRI-LQLP LAND, LLC, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215, and EAST OF MADISON, LLC (the "Grantee"), a Delaware limited liability company, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215. , WITNESSETH: That Grantor, for and in consideration of the sum of Ten and No/100 U.S. Dollars ($10.00) to it in hand paid by Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to Grantee, its successors and assigns forever, the following described land (the "Property"), situate, lying and being in the County of Riverside, State of California, to -wit: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. TO HAVE AND TO HOLD the same in fee simple forever. This conveyance is made subject to, and by acceptance of this Deed, Grantee accepts this conveyance subject to the following: (a) the zoning and other regulations imposed by governmental authorities, (b) taxes for the year of the transfer and all subsequent years, and (c) all easements, dedications, agreements, licenses, restrictions, covenants, conditions, rights-of-way and other matters affecting title then applicable to the Property as granted, imposed or suffered to be placed upon the Property by predecessors in title or Grantor. I-LA/828730.1 + r _ JELITY NATIONAL TITLE COMP�ir, RECORDING REQUESTED BY WHEN RECORDED RETURN TO: MORGAN, LEWIS & BOCKIUS 300 SOUTH GRAND AVENUE, SUITE 300 LOS ANGELES, CALIFORNIA 90071 ATTENTION: ANTHONY CIASULLI, ESQ. UaU —i `%ot ff ftf, '167--ann--Mme,-003 - off!-rJaBf (SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY) Transfer Tax: See separate statement, not for public record. ''--_-tified to be a true and correct copy of Recorded As Instrument of Official Records of+Is7�� County California By FID LE TY NATIONAL TITLE CQ GRANT DEED THIS INDENTURE, is made this Zi th day of Ayr,1 2005, by and between 120 ACRE PARTNERS, LLC (the "Grantor"), a Delaware limited liability company, formerly known as NRI-LQLP LAND, LLC, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215, and EAST OF MADISON, LLC (the "Grantee"), a Delaware limited liability company, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215. , WITNESSETH: That Grantor, for and in consideration of the sum of Ten and No/100 U.S. Dollars ($10.00) to it in hand paid by Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to Grantee, its successors and assigns forever, the following described land (the "Property"), situate, lying and being in the County of Riverside, State of California, to -wit: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. TO HAVE AND TO HOLD the same in fee simple forever. This conveyance is made subject to, and by acceptance of this Deed, Grantee accepts this conveyance subject to the following: (a) the zoning and other regulations imposed by governmental authorities, (b) taxes for the year of the transfer and all subsequent years, and (c) all easements, dedications, agreements, licenses, restrictions, covenants, conditions, rights-of-way and other matters affecting title then applicable to the Property as granted, imposed or suffered to be placed upon the Property by predecessors in title or Grantor. I-LA/828730.1 ei IN WITNESS WHEREOF, Grantor has caused these presents to be signed in its name on the day and year first above written. 120 ACRE PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd., an Ohio h liability company, its manai g em By: rian J. Ellis President/ Chief Operating Officer STATE OF C-A+;�•IA ) F2AN 14U N) ss. COUNTY OF RPf$E ) Te foregoin5 instrument was acknowledged,before me this 2y day of� 20O'by a�b5 as T', COO of Nationwide Realty Investors, Ltd., an Ohio limited liability company, managing member of 120 ACRE PARTNERS, LLC, a Delaware limited liability company, on behalf of said limited liability company, who is personally known to me ^r has-pr^�rP� +ho fellewingidenti€isation and did take an oath. ✓VIS--C�.- Printed arae: f2E 05 b +aiPA�A� SEy� NOTARY PUBLIC E`er - REGINA RHOADS ORMOND State of California at Large i Att°meP,state ideo M Commission Expires: 9 Law Wotary ublbSof Ohb y P 0 i MY Commission Has No EVh*m Section 147.03 R.C. O e,E 1-LA/828730.1 EXHIBIT "A" Legal Description of Property 3 Order No. 9779892 - A EXHIBIT "ONE" PARCEL 1: The West 1/2 of the Northeast 1/4 of the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to United States Government Survey thereof. PARCEL 2: The East 1/2 of the Northeast 1/4 of the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to United States Government Survey thereof. PARCEL 3: The West 1/2 of the Southeast 1/4 of the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to United States Government Survey thereof. Excepting therefrom the Southerly rectangular 30 feet thereof as conveyed to the County of riverside by deed recorded October 29, 1959, as Instrument No. 89352 of Official Records. PARCEL 4: The East 1/2 of the Southeast 1/4 of the Northwest 174 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to United States Government Survey thereof. PARCEL 5: The North 1/2 of the Southwest 1/4 of the Northeast 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and 'Meridian, according to United States Government Survey thereof. PARCEL 6: The South 1/2 of the Southwest 1/4 of the Northeast 1/4 of Section' 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to United States Government Survey thereof. Excepting therefrom the Southerly 30 feet thereof as conveyed to the County of Riverside by deed recorded October 19, 1959, in Book 2565, Page 203 of Official Records. .2 STATEMENT OF DOCUMENTARY TRANSFER TAX (Pursuant to Section 11932 R&T Code) To: Registrar -Recorder County of Riverside Request is hereby made in accordance with the provisions of the Documentary Transfer Tax Act that the amount of tax due not be shown on the original document which names: 120 ACRE PARTNERS, LLC (as grantor) and EAST OF MADISON, LLC (as grantee) Property described in the accompanying document is located in the City of La Quinta, County of Riverside, State of California. The amount of tax due on the accompanying document is $ 13,933, So (County) and $ (City). X Computed on full value of property conveyed, or Computed on full value less liens and encumbrances remaining at time of sale. Dated: T 22005 "GRANTOR": 120 ACRE PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty Investors, Ltd., an Ohio li 'ted liability company, its M na Mem r By: Bria J. Ellis President and Chief Operating_ Officer BOE -502-A REV. 5 (8-03) PRELIMINARY CHANGE OF OWNERSHIP REPORT (To be completed by transferee (buyer) prior to transfer of subject property in accordance with section 480.3 of the Revenue and Taxation Code.) A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's office for the county where the property Is located; this particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT ESCROW #: 10071 -KC ORDER 11: 97798598 & 9779892A SELLER/TRANSFEROR: 120 ACRE PARTNERS, LLC BUYER/TRANSFEREE: EAST OF MADISON, LLC ASSESSOR'S PARCEL NUMBER(S): per attached Exhibit 'one'. PROPERTY ADDRESS OR LOCATION: La Quinta Parcels, La Quinta, CA 92253 MAIL TAX INFORMATION TO: Nationwide Realty Investors, Ltd. 375 North Front Street, Suite 200 Columbus, OH 43215 FOR RECORDER'S USE ONLY NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, end one-half is due February 1. The first installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. If this transfer occurs after January 1 and on or before December 31, you may be responsible for the, second installment of taxes due February 1. The property which you acquired may be subject toa supplement assessment in an amount to be determined by the Riverside County Assessor. For further information on your supplemental roll obligationi please call the Riverside County Assessor's Office. PART 1: TRANSFER INFORMATION (please answer all questions) YES NO K. A. Is this transfer solely between husband and wife (addition of a spouse, death of espouse, divorce settlement, R etc.)? _ B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name change upon marriage)? _ X C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? _ X D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner)? E. Is this document recorded to substitute a trustee under a deed of trust.. mortgage, or other similar document? _ F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? X G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. Is this transfer of property: X 1. to a trust for the benefit of the Grantor _ Grantor's spouse? g_ 2. to a trust revocable by the transfer—or? X 3. to a trust from which the property reverts to the grantor within 12 years? % I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? • .1. Is this transfer between- parents) and child(ren)?_ or from grandparent(s) to grandchild Ire n)? • K. Is this transaction to rep ace a principal residence by a person 55 years of age or older?. Within the same county? Yes No X ' L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69.5? Within the same county? Yes No • If you checked yes to J. K or L, you may qualify for a property tax reassessment exclusion, whwi may result in lower taxes on your property. If you do not file a claim, your property will be reassessed. Please provide any other information that will help the Assessor to understand the nature of the transfer. If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation Code for any reason other than those listed above, set forth the specific exclusions claimed: please answer a# quesdons in each section. Na question does not apply, Indicate with "N/A.' Sign and date at bottom of second page. PART 11: OTHER TRANSFER INFORMATION A. Date of transfer if other than recording date , B. Type of transfer (please check appropriate box): _ Purchase Foreclosure Gift _ Trade or Exchange X Merger, Stock, or Partnership Acquisition _ Contract of Sale - Date of Contract _ Inheritance - Date of.Death Other (please explainJ: Creation of Lease Assignment of a Lease _ Termination of a Lease _ Sale/Leaseback Date lease began _ Original term in years (including written options) _ Remaining term In years (including written options) Monthly Payment Remaining Term C. Was only a partial interest in the property transferred? Yes X No If yes, indicate the percentage transferred %. (PCORSB.WPF)(1 1-03) BOE -502-A REV. 6 (8-03) Please answer, to the best of your knowledge, all applicable questions, sign and date. If a question does not apply, indicate with 'N/A.' PART III: PURCHASE PRICE AND TERMS OF SALE A. CASH DOWN PAYMENT OR value of trade of exchange (excluding dosing costs) Amount S 7 484 X705 B. FIRST DEED OF TRUST @ % interest for _ years. Pymts./Mo.=S (Prin. & Int. only) Amount S 0 FHA ( Discount -Points) _ Fixed rate _ New loan Conventional _ Variable rate _ Assumed existing loan balance VA ( Discount Points)_ All Inclusive D.T. (S Wrapped) _ Bank or savings & loan _ Cal -Vet _ Loan carried by seller _ Finance company Balloon payment _ Yes _ No Due Data Amount S C. SECOND DEED OF TRUST @ % interest for _ years. Pymis./Mo.=S (Prin. & Int. only) Amount $ _ Bank or savings & loan Fixed rate _ New loan _ Loan carried by 'seller _ Variable rate T Assumed existing loan balance Balloon payment Yes No' Due Date. Amount $ D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? _ Yes _ No Amount $ Type @ _% interest for _years. Pymts./Mo. = S (Prin. & Int. only) _ .Bank or savings & loan _ Fixed rate _ New loan Loan carried by seller _ Variable rate _ Assumed existing loan balance Balloon_ payment _ Yes _ No Due Date Amount S E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER?_ Yes _ No Outstanding Balance: Amount S F. TOTAL PURCHASE. PRICE (or acquisition price, if tradedor exchanged, include real estate commission if paid) TOTAL ITEMS A THROUGH E $ 12.484, 705 G. PROPERTY PURCHASED _ Through a broker _ Direct from seller _ From a family member _ Other /please explain) If purchased through a broker, provide broker's name and phone number: Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale: PART IV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: _ Single-family residence _ Agricultural _ Timeshare _ Multiple -family residence (no. of units: ) _ Co-op/Own-your-own _ Manufactured home X.. Commercial/Industrial _ Condominium _ Unimproved lot _ Other (Description: i.e., timber, mineral, water tights, etc. ) B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? _ Yes X No If yes, enter date of occupancy / 20 or intended occupancy / 120 (month) (day) (yeer) Imonth) (day) (year! C. IS PERSONAL PROPERTY INCLUDED IN THE PURCHASE PRICE (i.e., furniture, farm equipment, -machinery, etc.) (other than a manufactured home subject to local property tax)? _ Yes X No If yes, enter the value of the personal property included in the purchase price S (Attach itemized list of personalproperty.) D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? —Yes No If yes, how much of the purchase price -is allocated to the manufactured home? $ Is the manufactured home subject to local property tax? Yes J_ No What is the decal number? E. DOES THE PROPERTY PRODUCE INCOME? .'Fes X . No If yes, is the Income from: _ Lease/Rent Contract _ Mineral rights. _ Other—fp?—ase explain): F. ' WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? X Good Average Fair _ Poor Please explain the physical condition of the property and provide any other Information (such as restrictions, etc.) that would assist the Assessor ' in determining the value of the property: " Land to be used for future development - CERTIFICATION OWNERSHIP TYPE (0 Proprietorswit — / certify that the foregoing is true, correct and complete to the best of my knowledge and belief. Porwip „P e – This. declaration Is binding on each and every co-owner and/or partner. Other _ LLC g N /CORPOR TE ICER TITIE ' Brian LJ 1 is President & CEO SI TU N0 N RP OF ICER DATE D�(. Z8• Zoo_c� NAM OF E rT (typed wprznreW V FEDERAL EMPLOYER 10 NUMBER -1- EAST OF MADISON LLC ADDRESS (typed or panted/C1 TELEPHONE UMBER OA o Nationwide Realty Investors,.Ltd. ( ) (NOTE: The Assessor may'contact you for additional Information.) N a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary change of ownership report, the recorder may charge an additional recording tee of twenty dollars ($20). 375 N. Front St., Suite 200 (PCORSS.WPF)(11-03) Columbus, 011 43215 .. '"1r:+<11a7inLi;iLE ►r. RECORDING REQUESTED BY �o WHEN RECORDED RETURN TO: MORGAN, LEWIS & BOCK] US 300 SOUTH GRAND AVENUE, SUITE 300 LOS ANGELES, CALIFORNIA 90071 ATTENTION: ANTHONY CIASULLI, ESQ. -/"- , 420—/t? I Certified to be a true and correct .opy of , Recorded As Instrument No..�InS-9��98sD of Official Records of i County, C lifornia By FIDELITY NATIONAL TITLE CO M $ U PAGE WE DA PCOR NOCOR bf.1F hub - p RCOPY LONG REFUND NCHG EXAM All/. AP,V r1Gi �/0-013 Dia 0 , 03; 033 (SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY) "Al Transfer Tax: See separate statement, not for public record. GRANT DEED Awd THIS INDENTURE, is made this 26 th day of 2005, by and between ND LA, QUINTA PARTNERS, LLC (the "Grantor"), a Delaware limited liability company, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215, and EAST OF MADISON, LLC (the "Grantee"), a Delaware limited liability company, having its principal place of business at c/o Nationwide Realty Investors, 375 N. Front Street, Suite 200, Columbus, Ohio 43215. WITNESSETH: That Grantor, for and in consideration of the sum of Ten and No/100 U.S. Dollars ($10.00) to it in hand paid by Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to Grantee, its successors and assigns forever, the following described land (the "Property"), situate, lying and being in the County of Riverside, State of California, to -wit - SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF. TO HAVE AND TO HOLD the same in fee simple forever. This conveyance is made subject to, and by acceptance of this Deed, Grantee accepts this conveyance subject to the following: (a) the zoning and other regulations imposed by governmental authorities, (b) taxes for the year of the transfer and all subsequent years, and (c) all easements, dedications, agreements, licenses, restrictions, covenants, conditions, rights-of-way and other matters affecting title then applicable to the Property as granted, imposed or suffered to be placed upon the Property by predecessors in title or Grantor. 1-LA/828727.1 IN WITNESS WHEREOF, Grantor has caused these presents to be signed in its name on the day and year first above written. „ ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company By: Nationwid Realty Investors, Ltd., an Ohio lim;(ep liability company, its By: Dian J. Ellis v President/Chief Operating Officer oµ► o STATE OF e*LffeftN-rA, ) 'FRftN�Ll� ) SS. COUNTY OF RWERSME ) T e foregoin instrument was acknowledged before me this 2Vday of 1 200�b ,A K. 1$<<i S as �`�7 COa of Nationwide Realty Investors, Ltd., an Ohio limited liability company, managing member of ND La Quinta Partners, LLC, a Delaware limited liability company, on behalf of said limited liability company, who is personally known to me and did take an oath. 2o�PP'A` Sit E REGINA BROADS RMO Printe Name: 0 ND Amey NOTARY PUBLIC Notary Public, State of Ohio State of California at Large W commission Has No Evhtion Section 147.03 R.C. My Commission Expires:- 1-LA/828727.1 EXHIBIT "A"' Legal Description of Property Order No. 9779859 - B EXHIBIT "ONE„ PARCEL 1: The Northwest 1/4 of .the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, according to United States Government Survey thereof. Excepting therefrom the Northerly 30.00 feet, lying within 52nd Avenue. Also excepting therefrom the Westerly 30.00 feet lying within Madison Street. Also excepting therefrom any portion lying within Tract No: 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive, and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 2: The North 1/2 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, according to the Official Plat thereof. Excepting therefrom the Westerly 30.00 feet lying within Madison Street. Also excepting therefrom the Northerly 30.00 feet as conveyed to the County ofRiverside by deed recorded October 19, 1959, as Instrument No. 89349, Official Records, which was not vacated by Resolution No. 2000-164 and 2000-163, recorded December 18, 2000, as Instrument No, 2000-502483, Official Records. Also excepting therefrom any portion lying within Tract 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County. PARCEL 3: A portion of the Southwest 1/4 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, in the City of La Quinta, County of riverside, State of California, according to the Official Plat thereof, described as follows: Commencing at the Southwest corner of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, City of La Quinta, County of Riverside, State of California; thence along a line that bears North 890 23' 56" East, a distance of 787.86 feet; thence North 080 15' 08" West a distance of 30.00 feet to the true point of beginning; thence along the same line distance of 1285.89 feet; thence North 890 23' 17" East, a distance of 529.89 feet; thence South 00° 15' 8" East, a distance of 1285.89 feet; thence South 89° 23' 56" West a distance of 529.89 feet to the true point of beginning. Excepting therefrom any portion lying within Tract No. 29894-2, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 4: The Southwest 1/4 of the Northwest 1/4 of Section 10, Township 6 South, Range 7 East, 2 Order No. 9779859 - B San Bernardino Meridian, in the County of Riverside, State of California, according to the Official Plat thereof. Excepting therefrom any portion lying within Tract No. 19894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 5: The West 1/2 of the Southeast 1/4 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, according to the Official Plat thereof. Excepting therefrom.any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 6: The East 1/2 of the Southeast 1/4 of the Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Base and Meridian, as shown by the United States Government Survey approved December 15, 1903 by the Surveyor General. Excepting therefrom the South 30.00 feet in public highway. Also excepting the any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and .Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 7: The Southwest 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian. Excepting therefrom the Northerly rectangular 30.00 feet of the Southeast 1/4 of Section 10, Township 6 South, Range 7 East, San Bernardino Meridian, as conveyed to the County of Riverside by deed recorded October 19, 1959; as Instrument No. 89348 of Official Records of Riverside County, California. Also excepting therefrom any portion lying within Tract No. 29894-1, as shown by map on file in Book 305, Pages 14 through 22, inclusive and Amended Tract No. 29894-2, as shown by map on file in Book 327, Pages 56 through 88, inclusive, all of Maps, Records of Riverside County, California. PARCEL 8: Lots F, G and H of Tract No. 29894-1, in the City of La Quinta, as shown by map on file in Book 305, Pages 14 through 22, inclusive of Maps, in the Office of the County Recorder of Riverside County, California. 3 STATEMENT OF DOCUMENTARY TRANSFER TAX (Pursuant to Section 11932 R&T Code) To: Registrar -Recorder County of Riverside Request is hereby made in accordance with the provisions of the Documentary Transfer Tax Act that the amount of tax due not be shown on the original document which names: ND LA QUINTA PARTNERS, LLC (as grantor) and EAST OF MADISON, LLC (as grantee) Property described in the accompanying document is located in the City of La Quinta, County of Riverside, State of California. The amount of tax due on the accompanying document is $ (County) and $ (City). X Computed on full value of property conveyed, or Computed on full value less liens and encumbrances remaining at time of sale. Dated: 2`w , 2005 "GRANTOR": ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company By: Nationwide Realty investors, Ltd., an Ohio 'mited liability company, itsrge;MBy: Brun J. Ellis President and Chief Operating Officer BOE -502-A REV. 5 (8-03) PREUMINARY CHANGE OF OWNERSHIP REPORT [To be completed by transferee (buyer) prior to transfer of subject property in accordance with section 480.3 of the Revenue and Taxation Code.) A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's office.for the county where the property is located; this. particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT ESCROW #: 10071 -KC ORDER #: 9779859B & 9779892A SELLER)TRANSFEROR: ND ' LA QUINTA PARTNERS, LLC BUYERITRANSFEREE, EAST OF MADISON, LLC ASSESSOR'S PARCEL NUMBER(S): per attached Exhibit 'one' PROPERTY ADDRESS OR LOCATION: La Quinta Parcels, La Quinta, CA 92253 MAIL TAX INFORMATION TO: Nationwide Realty Investors, Ltd. FOR RECORDER'S USE ONLY 375 North Front Street, Suite 200 Columbus, OH 43215 NOTICE: Alien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, and one-half is due February 1. The first Installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. If this transfer occurs after January -11 and on or before December 31, you may be responsible for the second installment of taxes due February 1. The property which you acquired may be subject to a supplement assessment in an amount to be determined by the Riverside County Assessor. For further information on your'supplemental roll obligation; please call the Aiverside County Assessor's Office. PART I: TRANSFER INFORMATION (please answer all questions) YES NO X A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? X B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name change upon marriage)? X C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? 0. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security Interest (e.g., cosigner)? X E. Is this document recorded to substitute a trustee under a deed of trust; mortgage, or other similar document? _K_F. Did this transfer result in'the creation of a joint tenancy in which.the seller (transferor) remains as one of the — joint tenants? X G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. Is this transfer'of property: 1. to a trust for the benefit of the Grantor _ Grantor's spouse? X 2. to a trust revocable by the transferor? 3. to a trust from which the property reverts to the grantor within 12 years? I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? J. Is this transfer between parent(s) and child(ren)? — or from grandparent(s) to grandchild Iran)? — ' K. Is this transaction to rep aa principal residence by a person 55 years of age or older? _ ceWithin the -same county? Yes No " L. Is this transaction to replace a principal residence by a person who Is severely disabled as defined by Revenue and Taxation Code section 69.5? Within the same county. Yes es If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you do not file a claim, your'pioperty will be reassessed. Please provide any other information that will help the Assessor to understand the.nature of the transfer. If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation Code for any reason other than those listed above, set forth the specific exclusions claimed: Please answer ag quesdons !n each oeedon. Ifa question does not apply, lnd/cate with "N/A." Sign and date at bottom of second page. PART II: OTHER TRANSFER INFORMATION A. Date of transfer if other than recording.date . B. Type of transfer (please check appropriate bo)i): _ Purchase Foreclosure Gift _ Trade or Exchange X Merger, Stock, or Partnership Acquisition _ Contract of gale - Date of t ontract _ Inheritance - Date of Death Other (please explain): _ Creation of Lease _ Assignment of a Lease _ Termination of a Lease _ Sa eJLeaseback _ Date lease began Original term in years (including written options) Remaining term in years (including written options) Monthly Payment Remaining Term C. Was only a partial interest in the property transferred? Yes _X_ No If yes, Indicate the percentage transferred %. (PCORSB.WPF)(11.03) BOE -502-A REV. 5 (0-03) Please answer, to the best of your knowledge, all applicable questions, sign and date. ff a question does not apply, indicate with •N/A.' PART III: PURCHASE PRICE AND TERMS OF SALE . A. CASH DOWN PAYMENT OR value of trade of exchange (excluding dosing costs) Amount S 37, 633, 828 B. FIRST DEED OF TRUST @ % interest for _ years. Pymts./Mo.=3 (Priv. & Int. only) Amount $' FHA ( Discount Points) _ Fixed rate _ New loan , _ Conventional _ Variable rate _ Assumed existing loan balance _ VA ( Discount Points) _ All inclusive D.T. (S Wrapped) _ Bank or savings & loan _ Cal -Vet _ Loan carried by seller _ Finance company " Balloon payment _ Yes _ No Due Date Amount $" C. SECOND DEED OF TRUST @ % interest for _ years. Pyrn lMo. = S (Priv. & Int. only) Amount $ _ Bank or savings & loan Fixed rate _ New loan _ Loan carried by seller_ Variable rate Assumed existing loan balance Belloon payment Yes _ No' Due Dat; Amount $ D. OTHER FINANCING: Is other financing involved not covered In (b) or (c) above? Yes _ No Amount $ Type @ _% interest for_ years. Pymts./Mo. = S (Priv. & Int. only) Bank or savings & loan _ Fixed rata _ New loan _ Loan carried by. seller _ Variable rate _ Assumed existing loan balance Balloon payment _ Yes _ No Due Date Amount $ E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? _ Yes _ No Outstanding Balance: Amount $ F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid) TOTAL ITEMS A THROUGH E $ 37,633,828. G. PROPERTY PURCHASED _ Through a broker —Direct from seller _ From &'family member _ Other 1please explain) If purchased through a broker, provide broker's name and phone number: Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale: PART IV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: _ Single-family residence _ Agricultural _ Timeshare _ Multiple -family residence (no. of units: _� _ Co-op/Own-your-own _ Manufactured home X.' commercial/Industrial _ Condominium _ Unimproved lot Other (Description: i.e., timber, mineral, water rights, etc 1 B. TS—THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? _ Yes X No If yes, enter date of occupancy ! ,20 or intended occupancy / 120 ' (month) (dayl (year) .. (month) (day) (Vast) C. IS PERSONAL PROPERTY INCLUDED IN THE PURCHASE PRICE (i.e., furniture, farm equipment, -machinery, etc.) (other than a manufactured home subject to local property tax)? _ Yes X No If yes, enter the value of the personal property Included in the purchase price $ (Attach itemized list of personal property.) D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? —Yes No If yes, how much of the purchase Price -is allocated to the manufactured home? S Is the manufactured home subject to local property tax? _Yes _X No What Is the decal number? E.' DOES THE PROPERTY PRODUCE INCOME? Yes X .No if yes, is the Income from: _ Lease/Rent Contract _ Mineral rights. _ Other (please explain): F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? X Good_ Average Fair Poor Please explain the physical condition of the property and provide any other Information (such as restrictions, etc.) that would assist the Assessor in determining the value of the property: 'Band to be used for future development. CERTIFICATION OWNERSHIP TYPE W) p(oprietursNp — I certify that the foregoing is true, correct and complete to the best of my knowledge and belief. partnertlup — This. declara tion is binding on each and every co-owner and/or partner. other .Non x Other LLC ' OF NEW O NE C PORATE O F! E TLE ' Brian J. is President & WO SIGNATURE w ER ORP AT O I DATE Z�J'2WT- �^ o printed) FEDERAL PLOY 113 ID NUMBER R2-9 EAS ISDN.' LLC (251 ADDRESS (typed or printed) TELEPHQNE NUMBER DATE c/o Nationwide Realty Investors,.Ltd. ( ) (NOTE: The Assessor may"contact you for additional information.) if a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing' of a preliminary change of ownership report, the recorder may charge an additional recording fee of twenty dollars (820). 375 N. Front St., Suite 200 (PCORSB.WPF)(11.03) Columbus, OH 43215 41 Ae• � 7595 Irvine Center Drive t, . Suite 130 Irvine, CA 92618 Phone 949.453:0111 r, Lj;Consultants;-Ihc? : F- Fax 949.453.0411 March-20,2008 > �. Mr. Paul Goble w A., t Pub 1C Works -Department _ t > Clty of_La Quetta F 78-495'Calle Tampico . x - i'La Quints; CA 92253 . }£g.} Reference: _ 1Vladison-Club Clubhouse Tract3'4969 Pad'Certifcation for Basement 1. v' ... Dear Mr Goble: . } The followmg:.pads:for the captioned project have, been, surveved:under my direction and have been determined'fo be insubstantial conformance with the precise grading plan approved February 26'2008. More, specifically, actual and proposed elevations are as follows: ; L'ot., Klan-' Actual Variance 3 Number. (Actual .Y' — Plan) Mena 983.53 .983.45 .408 Building C, Pro 983.53 983.45 -0:08 Shop As noted on''the plans, the. enchmark.datum correction:states to subtract 1;000:00; feet `from all' <} elevations shown hereon to.reflectactual 1VMSL elevations relative to the benchn►ark datum. SJncerely'; 'Patrick F Cahill, RE- T .E.- = Project IVlanager f.' Co to QW3FESS/pay ;t Py. q , John Ganilin�Q�OP\GK F i CiFy � P \0502\0001 MDC\Admin\Pad Certificati0n\II 3-20-08 pad cert ch basernmi'doe U� cc No.:C55373 31— 6W, d'l CNII •''. P gIF OF ,C rF' Sladden Engineering 77-725 Enfield Lane, Suite 100, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 March 19, 2008 Project No. 544-4810 08-03-142 East of Madison, LLC P. O. Box 1482 La Quinta, California 92247 Project: Clubhouse Complex The Madison Club La Quints, California Subject: Interim Compaction Certification — Clubhouse Lower Levels This memo has been prepared to provide certification that the lower level building pad grading for the proposed clubhouse has been performed as recommended in the geotechnical report and that the fill placed on the project was placed as engineered fill material under the observation of my representative. The surface soil was previously over-excavated and recompacted. Based upon the results of our field testing and observations, it is my opinion that the engineered fill has been placed and compacted in accordance with the .recommendations included in the geotechnical report and applicable portions of the California Building Code. This memo should serve as certification for the lower levels of the multi-level clubhouse pad. If there are any questions regarding.this report, please contact.the_undersigned. Respectfully submitted SLADDEN ENGINEERING QPpFESSIpN , ANpFq Brett L. Ande Principal Engineer w No. C 45389 r Exp. 9-30-2008 (' Letter/gl s fIVlb Copies: 4/East of Madison, LLC Consulting Engineers August 6, 2007 F Mark Kelly BAR Architects 543 Howard Street San Francisco, CA 94105 VIA Email:mkelly@bararch.com Subject: Madison Club Clubhouse Project Pre-Truss- Submittal Dear Mr. Kelly.: The following letter is intended'to inform the City of La Quinta Building and Safety Department that KPFF Consulting Engineers has reviewed the Truss Shop Drawings and Calculations for the Madison Clubhouse Project. The Truss Shop Drawings and Calculations reviewed are for the Main Clubhouse Building, Men's Golf Clubhouse Building, Women's Golf Clubhouse Building and the Pool Buildings, and are all marked as submittal #061733-1061753-1, dated August 2, 2007. The Truss Shop Drawing were reviewed to verify the applied loads were in general conformance with design concept- only and the review does not relieve, the fabricator/vendor of responsibility for conformance with design drawings and specifications all of which have priority over shop drawings. Upon review of the Truss Shop Drawings and Calculations,-KPFF Consulting Engineers found that the applied loads reviewed are in general conformance to the design concept. Sincerely, Eric McDonnell ' Project Engineer • ' EM/em/ 105105-20070806-L 1 1160 Battery Street, Suite 300, San Francisco, California 94111 (415) 989'- 1004 FAX (415) 989-1552 www.kpiLcom Seattle Tacomi Portland Sacramento San Francisco Walnut Creek "Los Angeles 'Irvine San Dlego''Pho 6t, ' Denver' St. Louts New York ffl'�Zj i cc PkJ � JCM INSPECTIONS' Complete General and Special Inspection Services 39725 Garand Lane, Suite F, Palm Desert, California 92211 Ph. (760) 345-5554 Fax (760) 327-8907' January 25, 2010 Project No. 522-08079 Client: East of Madison, LLC c/o Sladden Engineering 45090 Golf Center Parkway Suite F . Indio, CA 92201 Subject: Final Report -Reinforced Concrete, Structural Masonry , Structural Steel/Welding& Bolting, & Structured Fireproofing. From 4/9/08 to 1/12/10 Project: The Madison Club — Member's Clubhouse 53-035 Meriweather Way La Quinta, CA Pro Shop, Men's & Women.'s Buildings, Main Building, Pool Pavilions, & CMU Retaining Walls Specification Compliance: Complies JCM Inspections performed Special Inspections on the following portions of work at the above address which required a Deputy Inspector and which JCM Inspections was employed to inspect. Reinforced Concrete . Conducted structural concrete inspection for footings, grade beams, column pads, concrete walls, slab on grade, and metal deck slabs. Checked rebar for grade, size, placement, coverage and splices. Also, inspected epoxy of anchor bolts and rebar dowels. Concrete cylinders were molded for 28 day compression testing. Test results submitted. Structural Masonry Inspected the placement of steel reinforcement in CMU Walls. Inspected the grout spaces prior to grouting and grouting procedures for low & high lift grouting. Also; inspected epoxy of anchor bolts & rebar dowels. Performed the sampling of grout prisms and masonry prisms for 28 day compression testing. Test results submitted. Structural Steel/Welding - Field Welder's certifications received along with the welding procedures for the field welding. Visually inspected the structural welding (fillets, flare bevel groove, single bevel full penetration welds,' puddle & stud welding of metal deck plus button punch of metal deck).One hundred percent of full penetration groove welds were ultrasonically tested and, after some repairs, one hundred percent pass rate. Reports submitted. Monitored the installation and torquing of A325 slip critical high strength bolts. Throughout my inspections, I checked the materials, equipment, details of construction, procedures, and the completed welds for type, size, length and appearance. JCM INSPECTIONS Complete General and Special Inspection Services 39725 Garand Lane, Suite F, Palm Desert, California 92211 Ph. (760) 345-5554 Fax (760) 327-8907 Structural Fireproofing Observed the application of spay -applied, fire resistant, fireproofing material, Cafco 300 for Golf Cart Garage in Men's Building. Density samples taken. Base upon my personal, observation and written reports of this work, it is my judgment that the inspected work was performed, to the best of my knowledge, in accordance with the approved plans, specifications, applicable workmanship provisions of the 2007 California Building Code, AWS D1.1/1.3/ & 1/.4, and approved written change orders from the Architect and Structural Engineer. If there are any questions regarding this letter, please contact this office. Sincerely, Jack C. Millin Michael E. Rodriguez ICC # 0842216 ICC # 8003124 AWS # 95030691 Copies: Owner's Representative Lusardi Construction Company Structural Engineer Governing Agency JCM File .1alluary 28, 20.1{) Mark Kelly BAR Architects 543 Floward Street Sall Francisco, CA 04105 VIA EMAIL: IPIKI:1.,I.,Y(nzbararch.com Subject; Madison Club .Project Final Inspection Report r Dear Mr. Kelly: To the best of my knowledge, special inspection of the subject project was performed by a qualified special inspection and testing agency in accordance with Section 1.704 of the California Building Code. Based both upon site visits performed by qualified individuals under my direct supervision, as the engineer of record; and upon substantiating testing reports provided by the owner's special inspection agency, which I consider to be adequate, this project was constructed .i» substantial conformance with the approved plans and specifications and the applicable workmanship provisions of the code. Very truly yours, .Marc Press. S.E. - Managirig Principal N4 P/gwi 1051 o5-oo-10I 00115-Ll U: Contractor 221 41-ain Street, Suite 809. San Francisco. Calilotni, 94705 999'1604 FAX .;4151 9894552 viwt'Op{i.com Seattle Tacoma Portland Sacramento San Francisco Yialnut Creel; Los Angeles Irvine San Diego Phoenix St. Louis New York ® Consulting Engineers January 23, 2010 Mark Kelly BAR Architects 543 Howard Street San Francisco, CA 04105 VIA EMAIL: M. ELLY(ttD.hararchxom Subject: i\rladison Club Project - Final Inspection Report Dear Mr. Kelly: ~ 11 the best of my knowledge; special inspection of the subject project was performed by a qualified special inspection and testing ag=eucy in accordance with Section. 1.704 of the California Buildim, Code. i Based both upon site visits performed by qualified individuals under my direct supervision, as the engineer of record; and upon substantiating testing reports provided by the owner's special inspection agency; which I consider to be adequate, this project was constructedin substantial conformance with the approvcd plans and specifications and the appl.icab.le workmanship provisioits of the code. Very truly yours, Marc Press, S.E. 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REMARKS: :'.tG �;a`.� r; s.:.::.. --- -_. 4. r� 05 ..36 �" --- RECEIVED BY: DEH=SAN 118 (Rev. 8/02) I-liSti-ibution' VVNIT�-.Q`Moe:; ANIAFlY--- As i, . . . . . . . . . . A :! COONTY:.OF -R COMMUNITY.....-,HEALIN AGENCY 'Y T �_-WEALTH: I. DEPARTMENT TMEN`0EN0' i E VIR0fiSl SUPPLEMENTAL -REPORT-TO -SAN. FORM.4 DATE SUBJECT', . - PERMIT: ADDRESS. INSPECTOR REMARKS: c, A < ey C4 C. A 6et rl.' 4, [A kle 43 vi C) Le s 0 4) G A N� ir no -5. Al ks '00000or 6 to l t, -JA I + e tj t ry c J: c, $ " Oki.. _v) vibi.L. n, T At, il w dao' m (ov +4_ T, Al �j V_ t oel x" s • d 4W istf.ibotbh` WHIT 4*aft± w RIVERSIDE RSIDE' COMMUNITY ;'H A3 -AG DEPARTMENT tN A ONWNTA 8NVIR ONIONT LC.--f- Ps" .:s ' UP. -EMENT' AL:-.REPORT-TO SAW FORM # ..DATE.. -SUBJECT T -PEFIMI-:'.N Q: �.kbr)RESS.:.: 'INSPECTOR REMARKS: ... .............. w q IS r\ i) .5 (\,-c4 vp, - OVAv, e .41 N IN tAck L 7 Pn k 0i. C., 105 vri (DEH4 ti 77 ev:8 02, 0 ti T� DEH -SAN -1. 18 (Rev 8/02) Distribution: WHITE 'Office; CANARY—Owner; PINK—Office .. 5=. ..•i. .. ..- .. .. .?.'�.. .._A r.._....,... -'w A _... .. (-..� ... _. .h..-.._ ..:.t: �...1 r.. .. ..., ♦.e. v.�.�1✓ .. i.. i ..... •... -.:.:H:. J'i.. ..._ k �..... ... n...._ ... .. COUNTY OF RIVERSIDE COMMUNITY .HEALTH AGENCY �� DEPARTMENT OF ENVIRONMENTAL HEALTH y -CIA Z ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM. # DATE j ..- -2.,, V SUBJECT Iv 1 01 PERMIT NO. ADDRESS S3 d S� Ivl o t r "�.J `� �'✓� �� i�. r INSPECTOR REMARKS: \•Q _ r� fin S � � v� c rD) C D � C\(,r CA n- f Vo. AA -46 -,.N r' 7 1 f r. n\ nk N*"i1 A. t) I t1 1 -Smi IL c 2 Z' r' -j I e,i k ,d 6, S, t ~ ' Iuv/ n1/ k �J.5 KJ c 1 NA 11 S+ 1, C S 6-._ r d>x�\ b— 1A I. rn\F-'t �� � .ti � 5� VA- l 4A , r � 1 � � ','f% u Ar, . % 1 y%i s" l , a T"Tr\— Wwl\ Atra ,lLt/t'L 5.r1fL t\ � al -t \�JGT`-� r, e-5, \ I .. 1 �CQ k• 1� 1tS d/� i L.�M�ia��n _ •�D Ja'tt. ., - - . \� Q`J �aJ... ..•� µ .,- •r+.r�/` Oq-LM1Ib�n�, L �,J�it.t...� .J ,a ✓ \i Cl a.a X74\,r•c� v��. � �: �.-P ✓S� •l� � i s � ��DU �� S � n � � . ' .�r 6�a�n� �, kl•'za�ri duct' l7cJ ��e��/ . DEH -SAN -1. 18 (Rev 8/02) Distribution: WHITE 'Office; CANARY—Owner; PINK—Office .. 5=. ..•i. .. ..- .. .. .?.'�.. .._A r.._....,... -'w A _... .. (-..� ... _. .h..-.._ ..:.t: �...1 r.. .. ..., ♦.e. v.�.�1✓ .. i.. i ..... •... -.:.:H:. J'i.. ..._ k �..... ... n...._ ... .. COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH f` ENVIRONMENTAL HEALTH SERVICES. SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT a a; s n �/ ' b PERMIT NO. ADDRESS INSPEC OR Co ( .1 REMARKS: Co 11 � - �' OC ��. �,Jq �� n 1T G ,A �r d.i .e • � wG,1 s My S•i' >-�.-. S � n -i' ' . - t k5 (-a J S < i ham. Qr c5 .. ., 5 e .. �'C r o S M�s� (k -k ok—ch 'o')%;A, c �ou.s WS��S Ce,'�• 1 1,-�'I, 4C �d:, bq �--• - La�j�.r.'Mmes 0"�. C ri o f,\ M4 \• C to yll 0 11 T. ZI 1.o a'n (-YC N.. S /�� -"A* 'ns, ± ' a . 'Lo 3� CO \n -`} C `a .�• ('� ..` 7 . , it. t �.• �.��: r , 5 ';'t. R� ...-�.w>.. tom;-..�-... ... N DEH -SAN -iia (Rev 8/ 02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office ti, xti �OUNIT � i s�S:id .x+>bs•�t..a#c�r,�xr.�se. i N/�RY�-0wner PINK: -Office,;::, b4:EMENTAL REPORT TO: SAN -LDRQ FORM4-1- E y= + jr' R " ..SUBJECT I"lq' �Sa^ V PERMIY5N0 x - ADDRESS 3 5 fl f hi t4-� �+l . DISTRICT INSPECTOR r RECEIVED BY: ,. DEH-SAN=118 (Rev ..2) Mtrlbutiok WHITE=Mce:; ' Gll�t 2 ... L Ck J y t L �"�. -. .: �, .OJ ���..-. ��'� '., � � � � �� �' �' � rte.. '�; . �x' e: ,� Ps;:Y,�:•. •,� Y ral- �x5 4 -rte, i N/�RY�-0wner PINK: -Office,;::, + jr' R " F r r RECEIVED BY: ,. DEH-SAN=118 (Rev ..2) Mtrlbutiok WHITE=Mce:; i N/�RY�-0wner PINK: -Office,;::, ....... st dMIS I �Tlll I "All MM SUPPLEMENTAL TACREPORTTO'SAN.TORM4, SUBJECT CUPPERMIT NO ' , ADDRESS FS -INSPECTOR .'�.:,:...-,- -:aEMA K&- H. r &r A 1 a 11 �z Wk 'K 11 Ld t65 i. .a. A (..6 s 6w, MR RECEIVED. BY 6EHS' N-118 (R6v DistribUtioWWHIi h6 FINK Office J ' *....1 — COUN_TY OF AIVEASIM� D+�3`, !4'A'Al,....... ...... ... } - �; .. ;- _ ;- .. (.� y':. i".� : A nY i4 >, iN � TY�+'r} 1} 1�"x!"SI s3.. 1NU SUPPLEMRNTAL REPORT tC?': SAN FORM # "(, r Ia''•ir",i ;DAT�f r the xr �� r SUBJECt \ "• V P.EI� ' I NO U ! i ) 5 -ADDRESS S 3 U3�j ' DISTRICT .�.C:�_�►.pe,c>�^�✓ : f 4 l , INSPRCT,OR x t I i ) REMARKS` "r. ✓ u 7777 XL l } 0v (.. ... ..7777 • Y 7 t - yL i a > f N\.�� (rtev.3. VuC►'- . A-1. - G 4r{"Fy(iXre> I f i f: �� 1 c: �t o y� ,. .. ; t1}k , ? `.`���� mow. r �4 Zc RECEIVED' BY: DEH -SAN -118 (Rev 8/02) DIStrI�UtIOn WHIM=Oifae aEA{�RY'wrfer PfNKCe': e ir.r•:.r!4t...•��:wyv.v;^�>:•..r..�:.iY'r«��„_✓✓,..,;.-... ,r.'r. ,.-ru..w---^wv_y,,,�. ..(, ... . .. � ..i �r�,.. .-..nn:... � r:�}}a,e-rL'�f �iy.*.it�t ;fw.:e•. �,, .. r, .�r..r. �..r COUNTY OF RIVERSIDE •COMMUNITY HEALTH AGENCY DEPARTMENT. OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT C1 PERMIT NO. Yom. ^n •�...: ADDRESS DISTRICT INSPECTOR... 1 REMARKS: 0.I\,m,: ,: � 5n 1t'S is ? �-��— 1 1 • 4 SN f CA • 2 � C c�J �.. � : ` Sln•. � ' � � nS 5 � r OS:S.. 5-�n .. c;,I e..H �...' C l l C And.A n / I � f J 3 /F: i rn i ��; :�a1)? c n.. ,. , ^ SOS. ' G n.� • �, /' � t ,. A10 4:5 e ems. c i c��,• G �- RECEIVED: BY: \Q. Ca1�`I'C'� 3r > DEHSAN-118(Rev8/02)��; y ��(-) �k o p�Distribution WHITE—Office CANARY Owner, PINK—Office \d i,_... ,;. X:. .,-., i. z1F7 ,: x,. _c:- ...,_.-_. st. +. ,.. ,.....a .�... ,. _:.. .. .v'..- _...,.-. .,, _..f.• .... .... . ....<. _. f..._ .. _ ... .... ..- -.. ... ,. ..._ !��- .. .. I W -vt-`a.�+-�w�..ti-ti,,,;�div�"�rr!'••-.. �...'Y\..•-�t''tr.-.vN^i'��' „., COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM #, ' DATE SUBJECT PERMIT., NO. ADDRESS .5 '30 lj\ DISTRICT 33 !INSPECTOR REMARKS: �C e�\ •�5. n�� w� 5 f 2• < : \ ./o .eA S koCA, \� h ra r - • V0 e. , oCAlzi- v 1i 1 o r. ► C7� `� .G S.Q;� Svril.�C�� rr c �.� . ` r. , cv� o �t1 : 1 C O✓1 .M' . , \.� 1 C9 r�. _ 'ln , F. I A Y Z r 2f' - p It RECEIVED BY: DEH -SAN -iia (Rev aioz) `_/ Distribution: WHITE—Office; CANARY—Owner; PINK—Office V r a COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT G� ; ty C y b PERMIT NO. ADDRESS J 3 S� rN DISTRICT J INSPECTOR F o I REMARKS: S tis\ `4 a c S yz— ' U r 1 L>> Z e lc �,��. bac.\ '5) ���vtip. Cv1 A. Y� A, Y -�I Y ,� 'i��� t�� • �<. SIG �� .,��, � ��r ca��, -:� -e JJ \ Of . C-0,, Q. '.b S '1 Isle '�. l±� LY�Q! c C�n'S♦ Y`-' `t�..r C� J . nrs ��� d�+�Ys61=e � yn'�1��\t � �C �i�� �� r t + �F 1 3 C\V_ 6�1�'a k Npv"A ek:ZW rt � Cal 1ANi" � nv 1 14t y A.. /I� w RECEIVED BY: DEH -SAN -118 (Rev 8/02) ° Distribution: WHITE—Office; CANARY—Owner; PINK—Office s COUNTY OF RIVERSIDE - COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT,1 TO SAN. FORM # DATE SUBJECT M A d C CPERMIT NO. 'IDDRESS nj O �- ` C "� 2q�� > W DISTRICT I INSPEC ORr" REMARKS: 'i l ,y A/t'� C� �'�1 W, "� r �A `M° A\ •, r Al CA 1. VU ^r -A ` n s4,,\ I + kp\ K- 2 5a 1. %" t ..• KSSa o n, e' S . T jr'j, c� ' N M -N.. nv� ! 1r.,, r SA , 0 ni ` V t't r r r p� �c !s4 GS n lnlR� v.'tZ Se ;c<- a 1Ax .tel nr4,) �Iaa 3 WA cava, �- E ti ��� L1A rvs , F© ri0o.� c RECEIVED BY: DEH -SAN -118 (Rev 8/02) �""��e 1"� Distribution: WHITE—Office; CANARY—Owner; PINK—Office ,, ), COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT VA V\ C V PERMIT NO. ADDRESS rJ o e ) /L„' DISTRICT 3 INSPJECTOR �• S REMARKS: n Ck A -C -X k M \, -.r. \ Qo n)r: nv A N t aA -.f.,-CA J V r C\ect n.�v 1 ! �ON b QrK n ax v -14 to . of�I G F P i a,,; �� s / \ cs s a..� ' r���•r ; _ l V��. 5 •' n� sN v.' •e .� ' n 6ar C. x o 4t d j n \ IJ c... L \rt jol ov: ' �•'.� ►ia r'�i...ai.i-:. � i ��clLnftv{;►{..�^F .'W..�.. . •..w.7v/r- s......�.. . --- .- .... Y. �+,�. ...-r . �,,• 4.i:.:.r�s. �� ..-,:.._{�s:.;iCa, c1�,A. 't la COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY -DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM # DATE.' J SUBJECT' 4"N ` c I., 10 PERMIT NO. ADDRESS* MDISTRICT l INSPECTOR. REMARKS. `sA. �„� ct �. L CA A /-171 f A, -+ r, r RECEIVED BY:. DEH -SAN -iia (Rev e/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office - -1 ".% COUNTY OF RIVERSIDE - COMMUNITY HEALTH AGENCY DEPARTMENT. OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT SAN. TO FORM # DATE SUBJECT lq1 CA PERMIT NO. V� t3 ADDRESS DISTRICT INSPECTOR REMARKS `.J A lclll'-q�"v^l X. f v - (IVA c) N C llk\i I S N C\, 7 N ...... . ...... C-) e, s C I, - r 1-1 C. 'S -s I �to -M j 1IrN N A V-9, \Av I e e) A,*/ ko RECEIVED BY. DEH -SAN -118 (R6v 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office 9 L UNDP: �����5•'�5'�H' Y 41 Department '� -A_. s'1! 4%�.: ' Date . Received fromA.°= SfT'F'� I _ m N �I N.�� .Tt.�.r:� n �(1�'�,m,:..t� 6 Description _6'n 1'• f 4 9ta�� n ivlSlma ' - as �. BOUNTY r c OlITY 1 Department si� Received from —�LCt. P� — �.'�if"�.A•p syr, .! 1 tY+'•s � �yji)1i °�.: �—=--' i MI" t FI 3fi{}t" Description -fl �_l�r slaab1MRA �. . ��`-V—h—�"—�--`--`—C,^,`'ly '� `\ � 6l. ��+"�a"_.A._v�' I.i �'A--_`.__1�•.:..�-'lti'�...� +�'eO�i�. _..._j d1k�,6-..u�3Y 2�r f , ' 77" ro. c 'TYOF-,-RI cNIMUNIT ,-HEAL GE Alm' -W - AffiAll, All, liywlm SUPPLEMENTAL REPORT.--T.o Tf SUBJEC:� y DISTRICT Aor 71 -.:INSPECTOR' REMARKS: . . . . . . ..... ..... -4 A it cs V 00 1:., paA . UJ i v - u 4"\ S V. 7.f. I, J.QAA6 r -v t, r xl ' 1 '1 r L. bi 1v ON 4 77� r A -A -RECEIVED .-BY: , wn& PINK— on.- WHITE—Off" bi'stribUti'_Z70 DEWSAW 1 (Rev 8/02). .1 . : I PINK': —.Office ���,�rsrati s{aaa�,�a7rLj �ax�a�.a .I f --------- ----- ---- — SUPPLEMENTALAt:00: T.TO SAN. FORM __ ___ DATF_ _ _ SUBJECT —�•.�G • ,, %. --- P ` 1 -K } �F,Siq }I�.,� .. �'. . ADDRESS ff INSPECTOR —Y��'�J, i,1��G►�.'(1�_ ,.._..--- ---....... . �. REMARI1S T-1 � --------- ----- ---- — I ,; P ` 1 -K } �F,Siq }I�.,� .. �'. . UF�RL MENTA'REPORT fiO''SAN FORM # . 4Id SUBJECT PfiMIT NO -b o -Z� RECEIVE[ BY: DEIi-SAN-118 (Rev 8/02) (.W..'sla''dden Engineering 45090 Golf Center Parkway, Suite F; Indio, CA 92201 (760) 863-0713 Fax (760) 863-0727- 6782 63-07276782 Stanton Avenue, Suite A, Buena Park, CA 90621 (714)'523-0952 Fax (714) 523-1369 . 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7.743 Fax (951) 845-8863 800 E. Florida Avenue, Hemet, 92543 (951) 766-8777 Fax (951) 766-8778 January 28, 2010 Project No. 522-4810 10-01-013 East of Madison, LLC 80-955 Avenue 52 La Quinta, California 92253 Project: Madison Club Clubhouse, NWC Avenue 54 and Monroe Street La Quinta; California Subject: Compaction Testing – Site Improvements Summarized in this report are the results of in-place density tests performed at the subject site as requested. Testing was performed within the basement backfill and utility trench backfill as well as for the various site improvements including.the perimeter walls, curbs, sidewalks, patios and pavement areas. The clubhouse site is located within the central portion of the Madison Club development in the City of La .Quinta, California. The testing and observations_ performed during the grading of the clubhouse pad were'summarized in our previous rough grading report dated March 2, 2006; Report No. 06-02-120: Compaction testing was performed from February 12, 2008 through December 23, 2009. Testing indicates that after reworking areas of low density, the minimums of 90 and 95 percent relative compaction were attained in the areas tested, as required by the project specifications: The passing test results indicate compliance with the project specifications at the tested locations and depths but are no guarantee or warranty of the contractors work. Field Tests: In-place moisture/density tests were performed. using a nuclear density gauge, in' " accordance with ASTM -D Test Method -6938-08. A total of 399 density tests were performed. The test results are summarized on the attached data sheets: Laboratory Tests: The moisture -density relationships for the soil and aggregate materials were determined in the laboratory in accordance with ASTM -D Test Method 1557-91. If there are any questions regarding this'report or the testing summarized herein, please contact the undersigned. Respectfully submitted SLADDEN ENGINEERING QRCFESS/04,q — .MoF�soF2�i y Brett L. An s LU No. C4 y- o Principal Engineer °CUP. 9,10-20t0 Compaction/gl �lglft7F CAUF���\� Copies 2/ East of Madison, LLC 2/ Lusardi Construction PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California TEST. RESULTS PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested . Location Elevation Dry Density in place % Moisture in place Relative Compaction Maximum Density Storm Drain Trench Backfill 1 2/12/2008 Storm Drain to Clubhouse 2+15 PZ 98.9 9.5 90 110:0 . 2 2/12/2008 Storm Drain to Clubhouse 2+00 MT 100.5 10.3 91 110.0 3 2/12/2008 Storm Drain to Clubhouse 2+7S MT 99.3 11.3 90 110.0 4 2/12/2008 Storm Drain to Clubhouse 0+75 Top 99.3. 9.8 90 110.0 Key Way S 3/10/2008 Northeast Key Way SG 103.6 -18.4 94 110.0 6 3/10%2008 No Key Way SG 103.9 18.0 94' 110.0 7 3/10/2008 Northeast Key Way SG 100.5 15.1 91 110.0. Key Way Backfill 8 3/10/2008 Southeast Key Way 3' Fill 105.6 8.6. 96 110.0 9 3/10/2008 Southeast Key Way 3` Fill 101.9 . 11.1 93 110.0 10 3/10/2008 Southeast Key Way 3' Fill 103.2 16.3 94 110.0 11 3/10/2008 Northeast Key Way, 5' Fill 107.3 11.3 98 -110.0 12' 3/10/2008 Northeast Key Way 5' Fill. 105.5 9.9 .96 110.0 13 3/11/2008 North to South Key Way 3' BSG 109.7 14.7-' 93 118.0 14 3/11/2008 North to South Key Way 3' BSG 111.0 15.1 94 118.0 15 3/11/2008. North to South Key Way 3' BSG-- 108.1 14.5 92 118.0 16 3/11/2008 North to South Key Way 3' BSG 111.1 14.6 94 118.0 17 3/11/2008. North to South' Key Way SG 114.1 11.6 91 118.0 .18 3/11/2008 North to South Key Way SG 106.7 9.5 90 118.0 Basement 19 3/14/2008 Men's Building SG 107.2. 10.6 96 112.0 20 3/14/2008 Men's Building SG 102.3. 7.9 91 112.0 21 3/14/2008 Men's Building SG 105.7 7.7 94 112.0 .22 3/14/2008 Men's Building SG -104.6 13.9 93'. .112.0 23 3/14/2008 Men's -Building SG 10418 13:2 - 94 112.0 24 3/14/2008 Men's Building SG. 104.6 13.6 93 . 112.0 25. ' 3/14/2008 Men's Building SG 105.6 11.9 94. 112.0 26 3/14/2008 Men's Building SG 105.4 6.0 94 112.0. 27 3/14/2008 Men's.Building. SG. 104.8 11:2 94 112.0. 28 3/14/2008 Men's Building. SG 104.1 12.2 93 112.0 Basement and Pro Shop 29 .3/19/2008 Per Plan SG, 105.1 6.9 95 111.0 30 3/19/2008 Per Plan SG -105.0 105.0 8.1 95 111.0 31 3/19/2008 Per Plan SG 107.4. 9.1 .97 111.0 32 3/19/2008 Per Plan SG 108.8 . 8.5 98 111.0 33 3/19/2008 Per Plan SG 109.5 10.3 99 111.0 34 3/19/2008 Per Plan SG 107.5. 9.8 97 111.0 35 3/19/2008 Per Plan SG 104.9 8.8 95. 111.0 36 3/19/2008 Per Plan SG 107.9 7.0 97 111.0 37 3/19/2008Per Plan SG 107.4 6.9 97 . 111.0 38 1 3/19/2008 Per Plan SG 110.0 8.7 99 111.0 January 29, 2010 Sladden Engineering PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California TEST RESULTS PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place % Moisture in place.. Relative Compaction Maximum Density Pool Pad and Womens Building 39 .3/20/2008 Womens Building SG 118.5 7.9 99 118.0 40. 3/20/.2008 Womens Building SG 114.2 11.1 97 118.0 41'. 3/20/2008 Womens Building SG 109.0 8.9 92 118.0 42 3/20/2008 Womens Building SG 107.2 8,9 91. 1.18.0 .43 3/20/2008 Womens Building SG 112.8 9.5. 96 . 118.0. 44 3/20/2008 Pool Pad SG 106.5 9.8 90 118.0 45. 3/20/2008 Pool Pad SG 107.2 14.2 91 118.0 46' 3/20/2008 Pool Pad SG 112.1 10.1 95. 118.0 Sewer Trench Backfill 47 4/9/2008 Northwest of clubhouse.9+25 PZ. 99.0 9.7 90 110.0 48 4/9/2008 Northwest of clubhouse 9+25 MT 105.0. 12.1 95 110.0- 10.049 49 4/10/2008 Sewer Line 111+70 MT 101.9 10.6 93 110.0 50 4/10/2008 Sewer Line 112+50. MT 101.1 13.6 92 110.0 Outside Basement Wall Backfill 51 6/9/2008 Per Plan: 2' BSG 106.9 8.9 .93 115.0 52 6/9/2008 Per Plan - 8' BSG 110.3 1 10.1 96 115.0 53 6/9/2008 Per. Plan 10' BSG 108.4 9.3 .94 115.0 54 6/9/2008 Per Plan 8.5' BSG 107.3 10.5 93 .115:0 55 6/10/2008 Per Plan 4'BSG 107.6 11.4. 98. 110.0 56 6/10/2008 Per Plan 6' BSG 102.5 18.9. 93 110.0 57 . 6/10/2008 Per Plan . 6' BSG 103..2 15.9 94 . 110.0 58 6/10/2008 Per Plan 2' BSG 101.7 12.7 92 110.0 .59 6/10/2008 `Per. Plan 2' BSG 102.8. 12:9 93 110.0 60 6/10/2008 'Per Plan' 2' BSG 102.9 15.0 94 110.0 61- .6/10/2008 Per Plan 2' BSG 101.8 13.8 93 110.0 62 6/10/2008 Per Plan 2' BSG 100.6. 11.3 91 110.0 63 6/10/2008 Per Plan SG : 102.8 14.2 93 110.0 64 6/10/2008 Per Plan SG 104.1 14.8 95 110.0 65 6/10/2008 Per Plan . SG 101.0 10.8 92 110.0 66 6/10/2008 Per Plan SG 101.8 15.1 93 110.0 67: 6/10/2008 Per Plan SG 100.6 13.5 91 110.0 Dry Utility Line Relocation 68 6/23/2008 East of Dock SG 109.0 9.1 99 110.0 69. 6/23/2008 East of Dock SG 106.5 9.4 97 110.0 'Basement Wall Backfill 70 6/23/2008 West Side of Mens Basement' 10' BSG 99.1 13.5 .90 110.0 . 71 6/23/2008 West Side of Mens Basement 8' BSG 99.4 13.3 90 110.0 72 6/23/2008 West Side of Mens Basement 10' BSG- 106.7 9.6 97 110.0 73 6/23/2008 West Side of -Mens Basement 10"BSG 107.7 13.1 98 110.0 74 6/23/2008 West Side of Mens Basement 8' BSG 104.7 12.8 95 110.0 - January 29, 2010 Sadden Engineering PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California TEST RESULTS PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested , Location Elevation Dry Density in place % Moisture in place . Relative Compaction Maximum Density Basement Wall Backfill .75 6/24/2008 West Wall Mens Basement North 4' BSG 100.6 14.2 91 110.0 76 6/24/2008 West Wall Mens Basement North 4' BSG 101.0 15.2 92 110.0 77 6/24/2008 West Wall Mens Basement North 6' BSG 99.2 12.S 90 110.0 78 6/24/2008 West Wall Mens Basement North 4' BSG 101.8 .14.9 93 110.0 79 .6/24/2008 West Wall Mens Basement North' 6'. BSG 101.1 11.4 92 110.0 80 6/24/2008 West Wall Mens Basement North 6' BSG 98.7 12.6 90 110:0 81 6/24/2008 West Wall Mens Basement North 4' BSG 98.9 13.3 90 110.0 82 6/24/2008 West Wall Mens Basement North 4' BSG 102.8 16.2 93 . 110.0 83 6/24/2008 West Wall.Mens Basement North 4' BSG 99.9 15.1 91 110.0 84 6/24/2008 West Wall Mens Basement North. 2' BSG 101.0. 11.6 92 110.0 85 6/24/2008 West Wall Mens Basement North 4' BSG 101.9 15.4 93 110.0 86 6/24/2008 West Wall Mens Basement North 4' BSG 102.2 13.8 93 110.0 87 6/24/2008 West Wall Mens Basement North SG 99.3 12.9 90 110.0 88 6/25/2008 Mens Basement South 4' BSG 98:9 17.4 90 110.0 89 6/25/2008 Mens Basement South 4' BSG 99.0 15.8 90 110.0 90 6/25/2008 Mens Basement South 7.5' BSG 106.5 13.9 97 110.0 91 6/25/2008 Mens Basement Southeast 10' BSG .100.5 12.7 91 110.0 92. 6/25/2008 Mens Basement Southeast 10' BSG 98.9 12.9 90 110.0 93 6/25/2008 Mens Basement East 8' BSG 104.8 11.8 95 110.0 94 6/25/2008 Mens Basement East 8' BSG 99.0 16.4. 90. 110.0 95 6/25/2008 Mens'Basement Northeast 9' BSG 101.2 14:6 92 110.0 96 6/25/2008. Mens Basement Northeast 9' BSG 102.5 10.9 93 110.0 97 6/25/2008 Mens Basement Northeast 9' BSG 102.9" 13.8 .94 110.0 98 6/25/2008 Mens Basement East 8'. BSG 99.0, 13.2 90. 110.0 . 99 6/25/2008 Mens Basement East 7' BSG 101.8 '14.2 93 110.0 100 6/25/2008 Mens -Ba sement'Southeast 9' BSG 101.0 13.2= 92. 110.0 101 6/25/2008 Mens Basement Southeast 9' BSG 99:8 11.4 91 110.0 102. .6/26/2008 Mens Basement -Southeast 1'. BSG 98.7 10.7 90 110.0 103 6/26/2008 Mens Basement Southeast 6' BSG 101. 9.5- '92 110.0 104 6/26/2008 Mens Basement East 6' BSG 98.7 11:6 90 110.0 .105 6/26/2008 Mens Basement'East 6' BSG 100.8 14.5 92 110.0 106 6/26/2008 Mens Basement Southeast 5' BSG 98.8 11.9 90 110.0 107 6/26/2008 Mens Basement Northeast 4' BSG 98.9 14.5 90 110.0 108 6/26/2008 Mens Basement Northeast 5' BSG 100.1 15.6 91 110.0 109 6/26/2008 Mens Basement East 5' BSG 98.6 12.8 90 110.0 110 6/26/2008 Mens Basement East 5' BSG 104.3 14.6 95 110.0 111 6/26/2008 Mens Basement Southeast 6' BSG 99.4 13.4 90 110:0 112 6/26/2008 Mens Basement 4' BSG 98.8. 14.7 90 110.0 113 6/26/2008 Mens Basement 4' BSG 99.8 12.5 91 110.0 114 6/26/2008 Mens Basement 4' BSG 100.6 15.2 91 110.0 .115 6/26/2008 Mens Basement 4' BSG 100.4 13.1 91 110.0 January 29, 2010 Sladden Engineering PROJECT NAME: Madison Club Clubhouse LOCATION: La Qui.nta, California TEST RESULTS PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place % Moisture in place Relative Compaction. Maximum Density 116, 6/26/2008. Mens Basement 4' BSG 99.1 12.3 90 110.0 117 6/26/2008 Mens Basement Northeast 21 BSG 98.6 14.1 90 110.0 118 6/26/2008 Mens.Basement Northeast' 2' BSG, 99.6 12.2 91 110.0 Pad and Patio 119 6/27/2008 Southwest of Mens Basement Pad SG 102.9 14.9 94 110.0 120 6/27/2008 Southwest of Mens Basement*Pad SG 108.7 12.8 99 110.0 . 121 6/27/2008 Southwest of Mens Basement Pad. SG 105.8 12.8 96 110.0 122 6/27/2008 Southwest of Mens Basement Pad SG 105.3 .11.4 96 110.0 Loading Dock Wall Backfill 123 6/27/2008 Loading Dock Wall Backfill 2' BSG 99.0 15.1 90 110.0 124 6/27/2008 Loading Dock Wall.Backfill 2' BSG. 100.1 16.1 91' 110.0 Retaining Wall Backfill 125 6/27/2008 Wall "A" North 10+24 1' BSG 98.8' 16.5 90 . 110.0 126 6/27/2008 Wall"A" Center 10+50 2' -BSG 101.5 13.3 92 110.0 127 6/27/2008 Wall "A" Center 10+68 3' BSG 100.7 11.4 92 .110.0 128 6/27/2008. Wall "A" South 10+88 2' BSG 102.7 13.2 93 110.0 129 6/21/2008 Wall "A" North 10+16 SG 103.6 16.5 94 110.0 130' 6/27/2008 Wall "A"Center 10+36 SG 99.9 • 12.9 91 110.0 131.- 6/27/2008 Wall "A" South 10+76 SG 102.2 12.0 93 110.0 Basement Backfill 132 6/27/2008 East.Side of Mens Building SG 102.1 10.3 93 110.0 133. 6/27/2008 East Side of.Mens Building SG 103.8 10.8 94 110.0 134 6/27/2008 East Side of Mens Building. SG 104.8 12.8 95 110:0 135 6/27/2008 East Side of Mens Building SG 9.9:3 15.4 90 110.0 136 6/27/2008 East Side of Mens Building SG 101.7 .8.7 92 110.0 Patio Backfill 137 6/30/2008 Patio Area Mens. Building -1' BSG 100.6 12.8 91 110.0 138 6/30/2008 Patio Area Mens Building SG 108.3 ..14:8 98 110.0 139 6/30/2008 Patio Area Mens -Building SG .101.4 11.9: 92 110.0 140 6/30/2008 Patio Area Mens Building SG 100.8 11.4 92 110.0 141 6/30/2008 Patio Area Mens Building SG 107.6 15.0. 98 .. ..110.0 Womens Building Wall Backfill. 142 7/7/2008 West side Womens Building North to South 10' BSG 98.9 10.3 90 110.0 143 7/7/2008 West side Womens Building North .to South 12' BSG '..90.1 16.0 90 110:0 144 7/7/2008 West side Womens Building North to South 10' BSG 99.5 12.8` 90 110.0 145 7/.7/2008 West side Womens Building North to South. 10' BSG 98.8 12.7 90 110.0 146 7/7/2008 West side Womens Building North to South 5' BSG .101.8: 17.3 93 110.0 147 7/7/2008 . Pool Pumphouse East 6' BSG - 104.6 16.3 95 110.0 148 7/7/2008 Pool Pumphouse South 6' BSG 103.0 16.8 94 110.0 149 7/7/2008 Pool Pumphouse South 5' BSG 102.7 17.2 93 110.0 150 7/7/2008 Pool Pumphouse South 5' BSG. '99.1. 15.2 90 110.0 151• 7/7/2008 Pool Pumphouse East 4' BSG 102.1 12.4 93 - 110.0 January'29, 2010 Sadden Engineering TEST RESULTS PROJECT NAME: Madison Club Clubhouse PROJECT NO: 522-4810 LOCATION:Ia Quinta, California REPORT.NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place % Moisture in place Relative Compaction Maximum Density Womens Building Wall Backfill 152 7/7/2008 Pool Pumphouse South 3' BSG 103:7 13.8 94 110.0 153 7/7/2008 Pool Pumphouse South 2' BSG 101.8 15.1 93 110.0 154 7/7/2008 Pool Pumphouse South 6' BSG 109.1 9.6 99 110.0 155 7/7/2008 Pool Pumphouse South 12' BSG 108.8 13.5 99 • 110.0 Womens Building Backfill 156 7/8/2008 Per Plan 5' BSG 104.3 8.2 94 111.0 157 7/8/2008 Per Plan 5' BSG 103.4 10.4 93 111.0 158 7/8/2008 Per Plan 3' BSG 108.6 10.0 .98 111.0 159' .7/8/2008 Per Plan 3"BSG 103.8 14:8 94 111.0 160 7/8/2008 Per Plan 3' BSG 102.3 15.4 92 111.0 161' 7/8/2008 Per Plan 1' BSG 100.2 10.1 90 111.0 Womens Building Wall Backfill 162 7/8/2008 West side Building wall South to North 4' BSG 101.3. 10.1 92 110.0 163 7/8/2008 West side Building wall South to North' 8' BSG 100.0 11.3' .91 110.0 ' 164 7/8/2008 West side Building wall South to North 8' BSG 99.3 9.0 90 110.0 165. 7/8/2008 ` West side Building wall South to North' 10' BSG 95.0 12.3 .86 110.0 166 7/8/2008 Building West .1' BSG 106.0 10.3 96 110.0 ..167 7/8/2008 Build.ing West 1' BSG 102.1' 17.1 93 110.0 168 7/8/2008 Building West 1' BSG 101.0 18.1 92 110.0 169 7/8/2008 Building Northwest 10' BSG 103.0 15:1 94 110.0 170 7/8/2008 Building Northwest 12' BSG 103.2, 13.4 94 110.0 171 7/9/2008 Womens Building North Wall 4' BSG 99.0.. 18.1 90 110.0 172 7/9/2008 Womens Building North Wall 8' BSG 102.6 18.2 -93 110.0 173 7/9/2008 Womens Building North Wall 6' BSG 99.1 17.8 90 110.0 174 7/9/2008 Womens Building North Wall. 6' BSG 106.6 12.3 97 110:0 175 7/9/2008 Womens'Building'North Wall 2' BSG 103.3 17.8 94 110.0 176 7/9/2008 Womens Building North Wall 3' BSG 103.1 18.2 94 110.0 177 7/9/2008 Womens Building North Wall'.. 4' BSG 98.7 18.0 90 110.0 178 7%9/2008 Womens Building North Wall 4' BSG 99.1 14.4 90 110.0 179 7/9/2008 Womens Building North Wall 4' BSG. 99.7 14.7 91 110.0 Womens Building Wall 180 7/10/2008 West side of wall pad area 'PG. 108.8 13.8 99 110.0 181 7/10/2008 West side -of wall pad area PG 104.8 12.9 95 110.0 182 7/10/2008 West side of wall pad area PG 108.6 13.7 99 110.0 183 7/10/2008 West side of wall pad area PG 109.1 10.5 99 1.10.0 184. 7/10/2008 Westside of wall pad area PG 108.2 10.9 98. 110.0 . 185 7/10/2008 West side of wall pad area PG 103.4 9.0 94 110.0 Womens Building Wall Backfill 186 8/11/2008 Wall Southeast.of Womens Building 6' BSG 99.8.. 6.8 91 110.0 187. 8/11/2008 Wall Southeast of Womens Building 4' BSG 108.2 10.8 98 110.0 188 8/11/2008 Wall Southeast of Womens Building 5' BSG 104.1 15.1 95 110.0 189 8/11/2008 Wall Southeast of Womens Building 3' BsG 102.1 14.6 93 110.0 January 29, 2010 Sladden Engineering PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California , TEST RESULTS PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place % Moisture • in place Relative Compaction Maximum Density Womens Building Wall Backfill 190 8/11/2008 Wall Southwest of Womeans Building 5' BSG 101.1 7.7 92-.- 110.0 . 191. 8/11/2008 Wall Southwest of Womeans Building .3' BSG 99.8 13.7 91' 110.0 192 8/11/2008 Wall Southwest of Womeans Building: 3' BSG 102.9 14.4 94 110.0 193 8/11/2008 Wall Southwest of.Womeans Building 1' BSG 102.1 14.3 93 110.0 194 8/12/2008 Womens Building Northeast " 6' BSG 102.4 15.9 93 110.0 195 8/12/2008 Womens Building Northeast 8' BSG 102.0. 15.8 93 110.0 196 8/12/2008. Womens Building Northeast 4' BSG 99.5 15.2 90 110.0 197. 8/12/2008 Womens Building Northeast 5' BSG 103.4. 12.5 94 .110.0 198 8/12/2008 Womens Building Northeast 3' BSG 98.9 12.5 90 110.0 . 199 8/12/2008 Womens Building Northeast 2'.BSG 102.9 15.9 94 110.0 200 8/12/2008 Womens Building Northeast 2' BSG 102.3 .17.1 93 110.0 20.1 8/12/2008 Wall "A" Top SG 106.2 12.4 97 110.0 202 8/12/2008. Wall "A" Top . SG 104.8 11.6. 95 110.0 203. 8/12/2008 Wall "A" TopSG 104.2 12.2 95 110.0 204 8/12/2008 Wall "D" Top SG 108.2 13.4. 98 110.0 _ 205 8/12/2008 Wall ".D" Top SG 107.7. 14.2 98 110.0 206 8/12/2008 Wall "'D" Top SG 109.1 14.8 99 110.0 207 ..8/13/2008 Womens Building Northeast PG 108.5 15.0 99 110.0 208 8/13/2008 Womens Building Northeast PG 104.2 12.7 95 110.0 209 8/13/2008 Womens Building Northeast PG 102.9 12.8 94 110.0 . 210 8/13/2008 Womens Building Northeast. PG 104.6 12.8 95 110.0 211 ' 8/13/2068 Wall "L" South , 12' BSG 103.9 16:5 94 110.0. 212 8/13/2008 Wall "L" South 10' BsG '104.5 ..18.3' 95 110.0. 213 8/13/2008' Wall "L" South 7' BSG 101.3 13.0 92. 110.0 214 8/13/2008 Wall "L" South 8' -BSG 104.3 14.7 95 110.0 215 8/13/2608, Wall "L" South 10',BSG 100.7 15.8 92" 110.0 216 ' 8/13/2008 Wall "L" South 5' BSG 103.4 16.4 94 110.0 217 8/13/2008 Wall` L` South 6' BSG. 103.8- 15.6 94 110.0 218 8/13/2008 Wall "L" South 8' BSG" 106.6 16.1 97 110.0 Loading Dock Wall Backfill 219 . 8/13/2008 -Per Plan 4' BSG 106.0. 11.4 95 111.0 220 8/13/2008 Per Plan 6' BSG 107:1. 13.6 96 111.0 •221 8/13/2008 Per Plan 8' BSG 101.4 9.5 91 .111.0 222 8/13/2008 Per Plan 4' BSG 109.9 11.6 99 111.0 " 223 8/13%2008 Per Plan 6' BSG 100.3 15.8 90 111.0 Wall Backfill 224 8/14/2008 Wall.."L" South SG 102.5 9.4 93 110.0, 225 8/14/2008 Wall "L" South SG 101.9 16.1 93 110.0 226 8/14/2008 Wall "L" East SG 102.8 17.5 93 110.0 227 8/14/2008 Wall "L" East SG 103.3" 18.1 94 .110.0 228 8/14/2008 Wall Southwest of Mens Building SG 101.8. 17.2 93 110.0 January 29, 2010 Sadden Engineering TEST RESULTS PROJECT NAME: Madison Club Clubhouse PROJECT NO: 522-4810 LOCATION: La Quinta, California REPORT NO: 10-01-013 Test no Date Tested Location' Elevation Dry Density in place % Moisture in place Relative Compaction Maximum Density Wall Backfill 229 8/14/2008 Wall Southwest of Mens.Building SG 102.1 11.1. 93.' 110.0 230 8/14/2008' Wall Southwest of Mens Building SG 103.2 16:2 94. 110.0 231 8/15/2008 Wall Southwest of Mens Building 4' BSG 102.6 11.9 93 110.0 232 8/15/200.8. Wall Southwest of Mens Building 4' BSG 101.8 12.6' 93 110.0 Electrical Trench Backfill 233 9/16/2008 Gridline C1 to Pro Shop 1' BSG 100.8 15.3 91 111.0 . 234 9/16/2008 Gridline C1 to Pro Shop Top 109.4 13.5 99 111.0 235' .'9/18/2008 Clubhouse to Mens Building SG 100.7 15.5 91 111.0 Storm' Drain Trench Backfill 236 9/26/2008 Clubhouse Storm Drain PZ 102.1 11.5 91 112.0 Storm Drain Backfill 237 -.10/6/2008 Entrance to Clubhouse .PZ 97.1 .15.8 87* 111.0 238 10/6/2008 Northeast side of Loading Dock PZ 98.2 14.9 88* 111.0 239' 10/7/2008 Retest # 238 99.9 15.2 90** 111.0 240 10/7/2008 Northeast side of Loading Dock MT :103:3 10.1 93 111.0 241 10/7/2008 Northeast side of. Loading Dock. Top 106.0 . 9.0 95 111:0 242 10/7/2008 I Retest # 237 99.5 12.6 90** 111.0 .243 10/7/2008 Entrance to Clubhouse • MT 101.6 9.9 92 111.0 244 10/7/2008 Entrance to Clubhouse Top 104.5 8.7 94'. 111.0 245 10/10/2008 Storm -Drain PZ 94.2 13.4 85* 111:0 246 10/10/2008. Storm Drain PZ 92.3 10.2 83* 111.0 247 10/16/2008 North side of Womens Building PZ'- 110.4' ' 10.8 ' - 99 - 111.0 248 10/16/2008 Retest # 245. 108.0 14.2 97**. 111.0 249 10/16/2008 Retest # 246 103.7 11.5 93** 111:0 250 10/16/2008 Storm Drain PZ . 104.3 10.1 94 111.0 Sewer Line Trench Backfill 251 10/16/2008 South Loading dock Wall PZ .100.9 11.5 91 111.0 252' 10/16/2008. South Loading dock Wall MT. 104.3 14.3 94 111:0. 253- 10/16/2008 South Loading.dock Wall Top 103.2 9.1 93 111.0 254 10/16/2008 East Side Loading Dock Wall PZ 101.8 8.9 92 111.0 255 10/16/2008 East Side Loading Dock. Wall MT . 93.0 8.9 84* 111.0 256 10%17/2008 Retest 4255 104.2 - 12.1 94** 111.0 257 10/17/2008 Between Womens Bldg. & Main Bldg. PZ 100.2 9.8 90 111.0 258• 10/17/2008 Between Womens Bldg. &.Main Bldg. PZ 103.8. 13.1 94 111.0 259 10/17/2008 Between Womens Bldg. & Main Bldg. PZ 102.1 14.3. 92 111.0 260 10/17/2008 Between Wome!hs Bldg. & Main Bldg. PZ 102.7 13.5 93 111.0 261 1 10/17/2008 East Side of Loading Dock MT 103.9 10.8 94 111.0 January 29, 2010 'SladdenEngineering . TEST RESULTS PROJECT NAME: Madison Club Clubhouse . • t LOCATION: La Quinta, California PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place %Moisture in place Relative Compaction Maximum Density Storm Drain Trench Backfill 262 10/20/2008. Between Womens Bldg. & Main Bldg. SG. 104.6 7.8 94 111.0 263 10/20/2008 Between Womens Bldg. '& Main Bldg.. SG 105.4 8.2 95 111.0 264 10/20/2008 Between Womens Bldg. & Main Bldg.. SG 100.9 6.0 91 111.0 .265 10/20/2008 Between Womens Bldg. & Main Bldg. SG 103.2 6.6 93 111.0 266 10/20/2008 Between Womens Bldg.& Main Bldg. SG 99.8 2.2 90. 111.0 267 10/22/2008 Near Womens Building SG 106.1 6.8 96. 111.0 268 10/22/2008 Near Womens Building SG 101.3 6:9 91 111.0 269 10/22/2008 Near Womens Building SG 101.7 6.4 92 111.0 270 10/22/2008 Near Creek 25 foot West MT 104.3 7.1 94 111.0 271 10/23/2008 Southeast corner of Womens Building SG 105'.. 8.5 . 95 111.0 272 10/24/2008 South of Womens Building PZ 101.2's 8.6 91 111.0 273 10/24/2008 South of Womens Building PZ 102.0 10:2 92 "111.0 274 10/24/2008 South of Womens Building PZ 101.8 8.2 92 ' . 111.0 275 10/24/2008 South of Womens Building PZ 109.9 11.4 99. 111.0 276 10/22/2008 South of Womens Building SG 101.3 6.3 91 111.0 277 10/22/2008 South of Womens Building SG 100.4 8.8 90 111.0 278 10/22/2008 South of Womens Building SG. 103.8 10.5 94 111.0 279 10/22/2008 South of Womens Building SG 102.0 9.9 92 111.0 .280 10/22/2008 South of Main Bldg. and Womens Bldg. SG 105.4 9.1 95 111.0 281 10/22/2008 South of Main Bldg: and Womens Bldg. SG 105.4 8.6 95 111.0 282 10/22/2008 South of Main Bldg. and Womens Bldg.. SG 108.8 9.3 98 111:0 283 10/22/2008 South'of.Main Bldg. and Womens Bldg. SG 104.5. 9:2 .94 111.0 284 -10/22/2008 South, of Main Bldg. and Womens Bldg. - SG 103.6 8.5' 93 111.0 285 10/22/2008 South of Main Bldg. and Womens Bldg. , SG 108.2 10.4 97 111.0 286 10/22/2008 South of Main Bldg. and Womens Bldg. SG 104.4. 10.0 94' . 111.0. Sewer Line Trench Backfill 287 10/27/2008 Between Lusardi Office and Loading Dock_ PZ 100.7: 15.9 91 111.0 288. 10/27/2008 Between Lusardi Office and Loading Dock MT ..103.1 16.6 93 111.0 289. 10/28/2008 Sewer Line Backfill Lateral SG 106.4 13.2 96 111.0 290 10/28/2008 Sewer Line Backfill Lateral BG 128.8 7.0 95 136.0 Storm Drain TrenchBackfill .291 10/28/2008. Behind Worriens Bldg. and Main Bldg. SG' 103.3 9.7 93 111.0 292 10/28/2008 Behind Womens Bldg..and Main Bldg. SG 100.1 10.5 90 111.0 293 10/28/2008 Behind Womens Bldg. and Main Bldg. SG 104.7 6.9 94 111.0 294 10/28/2008 Behind Womens Bldg. and Main.Bldg. SG 102.2 7.2 92 111.0 295 10/30/2008 Behind Womens Bldg. and Main Bldg. SG 100.7 6.8 .91 111.0 296 10/30/2008 Behind Womens Bldg. and Main Bldg. SG 103:6 6.1 93 111.0 January 29, 2010. Sladden Engineering TEST RESULTS PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place Y Moisture in place Relative Compaction Maximum Density Storm Drain Trench Backfill 297 10/30/2008 Behind Womens Bldg. and Main Bldg. SG 104.5 8.3 94 .111.0 .298 .10/30/2008 Behind. Womens Bldg. and Main Bldg. SG . 100.3 13.4 90 111.0. 299 10/30/2008 Beh.ind.Womens Bldg. and Main Bldg. SG 101.4 13.1 91 111.0 300 10/30/2008 Behind Womens Bldg. and Main Bldg. SG 110.3 9.5. 99 111.0 Storm Drain Slope to River 301 10/31/2008 Side of Slope MT 103.0 16.3 93 111.0 302 10/31/2008. Side of Slope MT. 95.3 16.9 86* 111.0 303 10/31/2008 Retest # 302 104.4 13.6 94** 111.0 304 10/31/2008 Top of Slope PZ 106.9 8.4 96 111.0 305 10/31/2008 Top of Slope Top 110:8 8.7 99 111.0 306 10/31/2008 Side. of Slope Top 110.9 13.4 99 111.0 Sewer Lateral Crossing Backfill 307' 10/31/2008 Wall "K" to Womens Bldg. PZ 104.2 12.1. 94 111.0 308 10/31/2008 Wall "K" to Womens Bldg. MT. 108.4 . 10.4 .98 111.0 Fire Line Trench Backfill 309 11/6/2008 _ Per Plan 1' BSG 109.1 11.1 95' 115.0. 310 11/6/2008 Per Plan 1' BSG .107.4 10.7- 93 115.0 Storm Drain TrenchBackfill .311 ' 11/6%2008. Per Plan 2' BSG 103.2 10.3 90 115.0 Plumbing Trench Backfill 312 11/6/2008 Per Plan 2' BSG 113.4 12.8 98 116.0 313 Per Plan. 1' BSG 110.8 12.1 96 116.0 Grease Intercepter Backfill 314 7/24/2009 Loading Dock Area 5.0' BSG 108.6 14.2 96 113.0 315 7/24/2009 Loading Dock Area 2.5' BSG . 106.5 8.3 94 113.0 316 7/24/2009 Line Crossing to Courtyard SG _ 101.4 10.9 90 .113.0 Irrigation Line Trench Backfill - 317 8/11/2009:_ South of Clubhouse SG .. ' 99.3 6.2 ' 88* 113.0 318 8/11/2009 South of Clubhouse SG 102.0 8.5. 90 113.0 319 8/11/2009 South of Clubhouse SG 104.5 4.0 92 113.0 320 8/11/2009 South of Clubhouse SG 102.1 6.3 90 113.0 Loading Dock 321 8/11/2009 Loading Dock Area SG 110.8 7:1 98 113.0 322 8/11/2009 Loading Dock Area SG 108.4 6.9 96 113.0 323 8/11/2009 Loading Dock Area SG 109.8 10.4 97 113.0 324 .-8/11/2009 Loading Dock Area . SG 107.1 11.2 95. 113.0 325 8/11/2009 Loading Dock Area SG 108.2 10.1 96 113.0 326 8/11/2009 Loading Dock Area SG 111.2 4.8 98 113.0 Landscape Utility Line Trench Backfill 321 8/13/2009 Per Plan .5' BSG 106.4 8.3 97 110.0 328 8/13/2009 Per Plan .5' BSG 106.8 7.6 97 .110.0 January 29, 2010 Slodden Engineering TEST RESULTS ' PROJECT NAME: Madison Club Clubhouse ' PROJECT NO: 522-4810 LOCATION:,La Quinta, California REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place %Moisture in place Relative Compaction Maximum Density Landscape Utility Line 329 8/13/2009.. Per Plan 5' BSG 102.1. 11.6. 9.3 110.0 330 - 8/13/2009 Per Plan .5' BSG 104.7 12.4 ,. 95 110.0. 331' 8/13/2009 Per Plan 5 BSG 100.4 12.3 91 110.0 332 8/13/2009 Per Plan . .5' BSG 101.6 13.1 92 110.0 333 8/13/2009 Per Plan .5' BSG .100.8 12.9 '92 110.0 334 8/13/2009 Per Plan .5' BSG 101.2 12.6 92 110.0 . Clubhouse Parking Area 335 10/5/2009 Center.ofAuto Court SG 110.3, 13.8 .97 114.0. Curb. 336' .1-1/3/2009, South Island SG 109.4 8.6 96'.' 114:0 337 11/3/2009 South Island SG' 105.2 7.8 92 114.0 338 11/3/2009 South Island (Northeast.half) SG ` 100.7 4.2 88* 114.0 .. 339 11/3%2009 South Island SG 111.9 8.8 98 114.0 340 ..11/3/2009 Middle Island SG -113.3 7.7 99' 114.0 341 11/3/2009 Middle Island SG 110.4 7.7 '97 114.0 342 11/3/2009 Middle Island (Northeast half) SG 96.4 2 10.9 85* 114.0. .343' 11/3/2009. Middle Island SG. 103.9 9.9. 91 114.0 344 .11/3/2009 North Island SG 113.6 10.1 99 114:0 345 11/3/2009 North Island SG 113.4 9.9 99. 114.0 346 11/3/2009 North Island SG 113:6 8.4 99 114.0 347 11/3%2009 North Island SG 113.0 10.9 99 114.0 .348 11/4/2009 Retest #338 107.4 6.0 94** .114.0 349 11/4/2009 Retest #342 102.9 7.5- 90**. 114.0 Clubhouse Parking Lot 350. 11/16/2009 Clubhouse Parking Lot SG 111.9 9.6 98 114.0 351 -11/16/2009 Clubhouse Parking Lot SG 112.8 .8.8- 99 114.0 352 11/16/2009 Clubhouse Parking Lot SG 113..1 .9.2 99 114.0. 353 11/16/2009 Clubhouse Parking Lot SG 112.2 8.6 98 114.0 ' 354 11/16/2009 Clubhouse Parking Lot SG 110.3 8.0 97 114.0 355 11/16/2009 Clubhouse Parking Lot SG 113.8 7.9 99 114.0 356 11/16/2009 Clubhouse Parking Lot SG 108.1 9.4 95 114.0 357 11/16/2009 Clubhouse Parking Lot SG 113.6 8.3 .99 114.0 358 11/16/2009 Clubhouse Parking Lot SG .111.8 8.8 98 114.0 359 11/16/2009 Clubhouse Parking Lot SG 113.1 8.6 99 114.0 360 11/18/2009 Clubhouse Parking Lot BG 134.2 5A 99 135.0 361 11/18/2009 Clubhouse Parking Lot BG 134.6 6.0 99 135.0 362 11/18/2009 Clubhouse Parking Lot BG 133.8 5.2 99 135.0 363 11/18/2009 Clubhouse Parking Lot BG 130.2 4.3 ' 96 135.0 364 11/18/2009 Clubhouse Parking Lot BG - .128.8 4.2. 95 135.0 365 11/18/2009 Clubhouse Parking Lot BG 129.4 3.8 96 135.0 366. 11/18/2009 Clubhouse Parking Lot BG 129.5 5.6 96 135.0 January 29, 2010 Sadden Engineering TEST RESULTS PROJECT NAME: Madison Club Clubhouse LOCATION: La Quinta, California PROJECT NO: 522-4810 REPORT NO: 10-01-013 Test no Date Tested Location Elevation Dry Density in place %Moisture in"place Relative Compaction Maximum Density Clubhouse Parking Lot 367 11/18/2009 Clubhouse Parking Lot BG 134.5 5.2 .99 135.0 368: .11/18/2009 Clubhouse Parking Lot. BG 130.6 7.2 97 135.0 369 11/18/2009 Clubhouse Parking Lot BG 134.0 5.0 99 135.0 370 11/18/2009. Clubhouse Parking Lot BG 133.6 5.7 99 135.0 371 11/18/2009 Clubhouse Parking Lot BG 128.0. 7.3 95 135:0 372 11/18/2009 Clubhouse Parking Lot BG 132.1. 6.7 98 135.0 373 11/19%2009 Clubhouse Parking Lot Asphalt AC 146.2 99 147.0. 374 11/19/2009 Clubhouse Parking Lot Asphalt AC 140.0 95 147.0 375 11%19/2009 Clubhouse Parking Lot Asphalt AC 143.7 98 147,0 376 11/19/2009 Clubhouse Parking Lot Asphalt AC 144.9. 99 147.0 377 11/19/2009 Clubhouse Parking Lot Asphalt AC. 146.6 99'. 147.0 378 '..11/19/2009 Clubhouse Parking Lot Asphalt AC 146.1 99. 147.0 379 11/19/2009 Clubhouse Parking Lot Asphalt AC 139.7 95. 147.0 380 11/19/2009 Clubhouse Parking Lot Asphalt AC 141.6 96 147.0 381 11/19/2009 Clubhouse Parking Lot Asphalt AC 146.2 99 147.0 382 11/19/2009 Clubhouse Parking Lot Asphalt AC 143.3 97 147.0 383 11/19/2009 Clubhouse. Parking Lot Asphalt AC 145.2 99 147.0 384 11/19/2009 Clubhouse Parking Lot Asphalt At 139.4 95 147.0 385 11/19/2009 Clubhouse Parking Lot Asphalt AC 143.9 98 147.0 Clubhouse Drive 386 12/4/2009 Per Plan SG 111.6 7.6 98 114.0 387 12/4/2009 Per Plan SG 111.1 8.3 91 114.0 388. 12/4/2009 • Per Plan SG 112.0 9.7 98 114.0 389 12/4/2009 Per Plan SG 111.9 6.9 98 114.0 390 12/4/2009 Per Plan SG 113.3 8.4 99 114:0 391 12/4/2009 Per Plan SG -111.4-% 8.9 98 114.0 . Clubhouse Walkway Paver Stones 392 12/8/2009 Walkway Adjacent to Clubhouse SG 110.2 11.3 97 114.6 393 12/8/2009. Walkway Adjacent to Clubhouse SG .108:7 10.5 95 .114.0 394 12/8/2009 Walkway Adjacent to Clubhouse. BG 128.5. 6.7 95 135.0 395 12/8/2009 Walkway Adjacent to Clubhouse BG 128.1, 7.0 95, 135.0 Clubhouse Parking Lot . 396 12/14/2009 Per Plan BG 138.2 4:2 99 139.0 397 12/14/2009 Per Plan BG 136.8 4.6 `98 .139.0 Clubhouse Walkway Paver Stones 398 12/23/2009 Per Plan BG 135.7 6.2 98 139.0 399 12/23/2009 Per Plan BG 134.3 6.9 97 -139.0 January 29,'2010 Sladden Engineering 1�i o Final Acceptance Scner Date Contract 1#^�� Dear Sirs: We have examined the !• '. ,�`' s''- elevator. No. r - installed by you in the. 1711.1 xj 15 Al Street city State and find same satisfactory.and in accordance with the contract and we accept the.:elevator under the terms and gu4rantee of: said contract. Purchaser' Elevators or Escalators Are Being Turned Over With The Following Exceptions: (Damage to the equipment — other than noted below — will not be the responsibility of Schindler Elevator Corporation) . Furthermore,. in accepting this equipment, I agree that the architectural finishes on the cabs, entrances and fixfures'are acceptable: Finally, please understand that we will accept no.further "punch lists". I acknowledge receipt of the following: Car Station Keys6b,, Special Keys for Corridor Fr Car Station Fixtures. ;a':.. °•.:� Door Release Keys Side Exit Door Keys Set of Cab Protective Pads Emergency Power Keys Firemen's Return Keys Other ..ftp Purchaser Superintendent/Sales Rep. Maintenance f, Our Contract includes months of New Product Service. This service is effective X4, 1 4 and will expire 1 }a : Our, Service Technician will make periodic examinations and will perform all necessary adjustments,, greasing,.oiling and replacement of parts necessary to keep the elevator equipment in operation. Replacement of parts due to accident, misuse or negligence,by parties other than Schindler is not included. All work will be performed during regular working hours of regularworking days of the trade.-ln addltioii; 'I hour Emergency Minor Adjustment Callback service is included. F®r Service Dial 1 800-225-3133 Your building Identification number is '{ Notice: Providing a reliable and trouble-free installation is important to us. However, as you complete the remainingbuilding"construction work, elevator misoperations or shutdowns may occur that are caused byjob site conditions beyond our control. These conditions include. Y ° ' Y ,: construction dust ordebris, vandalism or misuse, voltage fluctuations and equipment room temperature below 55 degrees_ F or above k degrees F. We will respond to your requests for service as quickly as possible. Thank you for your undersiandlrig.and patience.. RE627120 (aEv. eioai White: HQ/Finance Copy Yellow: Field Copy Pink: Customer Copy >� nal Acceptance q t , i Seinl� Date ,t`�. }. ,� c Contract # Dear Sirs: We have examined the ^'° a°> C:' ' ; .? ' `. elevator No. .. rr"' installed by you in the 1 A .f , e!.•s s 'c-�' ,+' �pp " 'st Buifdin T4 .r' S t 4 "'a`:•- Sfl-�.5 _ g. Street City state and find same satisfactory and in accordance with the contract and we accept the elevator under. the terms and.guarantee of .. said contract: f ,r F Purchaser Elevators or Escalators Are Being Turned Over.With The Following. Exceptions: (Damage to the equipment — other than noted below — will not be the responsibility of Schindler Elevator Corporation.) Furthermore, in accepting this equipment, I agree that the architectural finishes on the cabs, entrances and fixtures are acceptable. Finally, please understand that we will accept no further "punch lists". I acknowledgereceipt of the following: Car Station Keys 1•1 K,r $ Special Keys for Corridor Er Car Station Fixtures .Door Release Keys Side Exit Door Keys Set of Cab Protective Pads Emergency Power Keys Firemen's Return Keys Other t } a Purchaser` "r Superintendent/Sales Rep. .. Maintenance Our Contract includes months of New Product Service. This service is effective aJ f.. f :and will expire:F 'mss' i r :. Our .. Service Technician will make periodic examinations and will perform all necessary adjustments, greasing, oiling and replacement.of parts necessary to keep the elevator equipment in operation. Replacement of parts due to accident, misuse or negligence by parties otl* than,.Schindler is not included. All work will be performed during regular working hours of regular working days of the trade. lnaddition, hour. Emergency Minor Adjustment Callback service is included. For Service _ Dial 1-800-225-3123 Your building•ldentification number is Notice: Providing a reliable and trouble -free -installation is important to us. However, as you complete the remaining building construction work, elevator misoperati6hs or shutdowns may occur that are caused by job site conditions beyond our control. These concIitiohSJnclude i; construction dust or debris, vandalism or misuse, voltage fluctuations and equipment room temperature beIow. 55 degrees For above 90 ` is degrees F. We will respond to your requests for service as quickly as possible. Thank you for your understanding: andpatience. CRDT.APP. a z REG277120(REV.. 6ro9)' White: HQ/Finance Copy .Yellow: Field Copy Pink: Customer Copyyu - .Final Acceptance`Schin' Date %ft Contract # Dear Sirs: We have examined the elevator. No'. installed by you in the i.>..r Building. Street City State and find same satisfactory and in accordance with the contract and we accept the elevator under the terms and guarantee of said contract. Purchaser w Elevators or Escalators Are Being Turned Over With The Following. Exceptions: (Damage to the equipment — other than noted below — will not be the responsibility of Schindler Elevator Corporation.). Furthermore, in accepting this equipment, I agree that the architectural finishes on the cabs, entrances and fixtures:are.acceptable. Finally; please understarid that we will accept no further "punch lists". I acknowledge receipt of the. following f a� Car Station Keys '. Special Keys for Corridor Er Car Station Fixtures ' �- o s" P Door Release Keys Side Exit Door Keys Set of Cab Protective Pads. Emergency Power Keys Firemen's Return Keys Other Purchaser ..ir Superintendent/Sales Rep. Maintenance , Our Contract includes . months of New Product Service. This service is effective `" ` (y , a and will expire' �'• .�A` Our Service Technician will make periodic examinations and will perform all necessary adjustments, greasing, oiling and replacement. of parts. necessary to keep the elevator equipment in operation. Replacement of parts due to accident, misuse ornegligence by par. ies-,othei ' than Schindler is not included. All work will be performed during regular working hours of regular working.days of the tradeAn addition ' > hour Emergency Minor Adjustment Callback service is included. For Service Dial 1-800-225-3123 Your building Identification number is ; t Notice: Providing a reliable and trouble-free installation is important to us. However, as you complete the. remaining building -construction _ work, elevator misoperations or shutdowns may occur that are caused byjob site conditions beyond our control. The se-conditionsin'clude. { construction dust or debris, vandalism or misuse, voltage fluctuations and equipment room temperature below 55, degrees F or above 90. 'degrees F. We will respond to your requests for service as quickly as possible. Thank you for your -understanding and patience. CRDT.APP. 4 REo27120 (REV. bios) White: HQ/Finance Copy Yellow: Field Copy Pink:'Customer Copy Yn;Final Acceptance Schindle o Date Contract# Dear Sirs: We have examined the ' elevator No:. installed by you in the Building.. ice. Y { 1 'tt f .-t.: 1 Y:' -r5 • Street City State and find same satisfactory and in accordance with the contract and we accept the elevator under the terms and guarantee of said contract. N Purchaser ' Elevators or Escalators Are Being Turned Over With The Following: Exceptions: (Damage to the equipment — other than noted below — will not be the responsibility of Schindler Elevator Corporation.) .i � i s�; €.. !`•^q �'�� r � ~: ria ., k'. j ` .s" .. ` r Furthermore, in accepting this equipment, I agree that the architectural finishes on the cabs, entrances and fixtures. are acceptable. Finally, please understand that we will accept no further "punch lists". 's I acknowledge receipt of the following " Car Station Keys Special Keys for Corridor,& Car Station Fixtures Door. Release Keys Side Exit Door Keys Set of Cab Protective Pads., Emergency Power Keys Firemen's Return Keys Other Purchaser �7. Superintendent/Sales Rep. Maintenance �: F Our Contract includes months of New Product Service. This service is effective �'s1;% f€ s 'and will expl(e e� 0ur Service Technician will make periodic examinations and will perform all necessary adjustments, greasing, oiling and replacement of.parts necessary to keep the elevator equipment in operation. Replacement of parts due to accident, misuse or negligence!by. parties.-other., than Schindler is not included. All work will be performed during regular working hours of regular working days of fhe.trade:'.In add'i'ti�ii; hour Emergency Minor Adjustment Callback service is included. For Service Dial 1-800-225-3123 Your building Identification number is t Notice: Providing a reliable and trouble-free installation is important to us. However, as you complete the remaining building construction :> work, elevator misoperations or shutdowns may occur that are caused by job site conditions beyond our.control. These conditions include construction dust or debris, vandalism or misuse, voltage fluctuations and equipment room temperature below 55 degrees (.or above 90 degrees F. We will respond to your requests for service as quickly as possible. Thank you for your understanding and patience. CRDT.APP. .16 k REC27120(REV.6/08) White: HQ/Finance Copy Yellow: Field Copy - Pink:,Custonier Copy t q� o �hFo ray C ER CYO. 2210 SOLEDAD CYN RD #13 v, h PHONE {661) 269-2232 ACTON, CALIFORNIA 93510 C.S.L. ��oos��� FAX (661) 269-5295 QAONI�S . SOU10 •� Acco Engineered Systems 9040 K.enamar Drive #406 San Diego. CA 92121 , Attrl:.Nic:k Williams Re: Madison GlLrb w Project #: 668200-805; F=ebruary 24, 2010 Dear Nick. Williams: - After.reviewing all the field test. sheets and meeting with the field technician working on the jobsite, I am able to Officially state that all air systems i.e. slipply air, return a.ir and exhaust air systems will meet the design requirements. The 1-tydronic systems are completed and.we are currently finalizing the air Systems. If you IWVe any cluesti.ons, please do not tres.itate to contact our office. Sincerely Ed Santana, Sr (818)63 -9282 T CERTIFIED MEMBER - NATIONAL ENVIRONMENTAL BALANCING BUREAU Riverside County Fire, Department. yy Fire Protection Planning Section Riverside Office: 2300 Market St.; Ste. 150, Riverside, CA 92501 Ph. (951) 9554777 Fax (951) 955.4886 - f • • . Murrieta Office: 39493 Los Alamos Rd., Ste A. Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164 ' Palm Desert Office: 77.933 Las Montanas Rd.. A 201 Palm Desert. CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072 Fire Department'Clearance/Release Date: a O To: LlX V v. I a(h E S�r te' Fax: Tract/Parcel Map #: Permit/Lot #: 07 V -USO Job Site Address: Y" ejKUM chl b"S Q S3 -b35 fileriwe'46 -wex Final For Recordation Release For Building Permit(s) Shell Final Only (No Tenant) AC( -f Pied Final For Occupancy Building Plan Check Fees Paid. Building Plan Check Fees Not Paid Other Fees f Fees Not Required' If you should have any questions, please contact the appropriate Riverside County Fire Protection r Planning office for further assistance. r AUtjzing Signature For Release , ` Print Name Form C — Revised 10/6/2009 a _ _} , . .'rI _ °•,. 'Iff j t4 vot, Ad 'we1�,�r l 3I ll r ` r Z a 7, t .......... A eleph.. ...... .. Te-lie"p-h6inje"f'. J19RS: Rater PIK' C• -.Com Lance Method Prescrt five C[ "" • e? Firm IL Street Address , Im � poles to B[lII7D t;ox NE" ..The house was edV: Approved as part of simple tesheg, but w&s not tested ebb li �dfi; igi't& Asthlijlii.ti i*tdr:!-p-rot vid.w" 'g'.::dtg y pqMp4.!_kfi d §'20 the L�d tested — 8", , " , T6W -CM-A --M Provided ifoo a iAh OSTATIO. "VE A; ver Aafion - 0 Wit Nulved Access V! "I' R i0:REFRIG, OM4 CAA'Rz MWAIS�JYIEM&T' .0rifiOtLtJ4hfbr Required Refrigerant ChEl S W.9 Rips[©"rt1alves , .. Outdcs�r:Unrt.'s6fi -ocati()'Il' 0 e ob :Miit,.Md f Cooling rt -.1 tb Vca ti6n.- ? Date tif.Themio'cduple a! r in OFand a m arge em mcht (outdoor air daAulb 55.7'. and -a C)te.,;.:'Thi6;systetn S' O'U'ld beinstilled.and.-chafjid in4c shall h 'a-: bCUMeME4 on CF -6R be'ford s Procedure nauve p outdo�17 _7" 77Aq Chi o T tedurie .-Protedur. �S.hr_Oeiefff 'bing.Refrigerdnt-Charge'ithe 'A co': of CF' -6R fix. 6itrt ea a measurement do 'DOW" 0 b No Yes b!l �' , "m - WIm p ' e � ^' . lI �' I z :♦' , '�l I "mak `A�r O'S� � , � i .L l^+' Biitlder or`;lnstaller Contact epho Telne pl 5. IIERS Rater:, -Telep bne . Aimet W f afrer ° rv� ` OilLE Com Rance Metliod rescn 'ye Clinitlte tie a ' Cetttfytng,Stgnatur$ Date: Santpl' bile �im�i r Firtn 1'r111iS �rfllrt . street Address Coped to $tTltt;D�j�'y:lrS�� S}RAS Win h / '- Yf'le Mouse wa3 ✓Tested ✓ C�' Ap��o��t�sl�'s.' .� of sairlple ti'sttttg, but was'ric� tested AilheiERB rater• providing d�agfiosttc testing nt ial' v the dtagi56sttt; tegted cfitfi 'i>dhi; r�gtiettie�sr,lt 81� disthbitt itsysfeth is i~ui�i dltcted °an8 t orre:r� tees ` ` bu Idtnnsf not relcasa t(1e?L`4)t Uitftl aioper►}ce�" daltt# r, Y e i` I`lie Installer has provided a copy oT CF�6Ir (insttlllation Mali ew duct4 are fully,ducted (l dry doesnctust byE�dng cave.43 btlum�o> Ia ,r to irirc NW. ;!W ducts wtfh cloth ba¢ke�; rn5i> `ad r ia�8s ctrt �sj .. 5.' .� 1kF. cloth backed tubber adTiestrve t(iict`�rli� `. r. t a€1 s, _, ' . { "" 1 Procediues tot fief �eirtficafiton end dtagt�ibstlit gtrtttt aoiii ' ,w r� , , �� Duct Di ogtte'Leakage Testtilg Rtsttltli v � ; i 5 i , -.,a ��� r �,' "'` � f 1VEi'V �CON�Jt'RiiCTIOV s DikiNess'4>r zation=Test Regults CFM 25.k 4 Enter;Tested get Elow to CEM . n+ l.. _....... �, Tan:F?Ibw* Calculated;(Nominitl ✓ O`.Cooltng ✓ I] t+IeattnQQ):or / eeauru+d ,,` 2 Enter°Total Fan Flow m CFI�f: - �'�� �, L 3 Pass if Leakage Percehtage .S� t A'LTTI01�T3; Duct;Sydteim,andloP AYAC u)puicntangt - Q' Enter; Tested:Leakage Flow iii CFM froth C=6R Prr Test oFPsxtdUitigRU43yst F t td : 4 DuctSystern Alteration and/orEgtuptnent Change•Oat Entet Tested l,eakage.Ftow ut CFM .Fid41 Test of New Duct Sy t o ,Alter, i>r 5 forDuct S stem,Altei'atton arid/ot E; ant: Chan e�Uttt. Enter:Rediiet3Tnt ttt Leakage'for Alfea 6d I�dci=�feni':[ (L a ;4n f ^, .' ,. i4 . yj r ifAppiicble) _ _ 7"; tet:Testt� Leakage Flow.in CFNf to Dtttslde (Only if Applicable) t Lntlrq�l�itdi pct 5yslem = Pass tf. Lea 8 e`Perof*nthgd < 6°i6 0U;3t • 1 TgEST (R WiRIICATION STAI�TDAQS• IFdr Altet'ed Dnct Systt±m,, iVotr C" 1 �HYYa �% iJse one t#f tb�e fil�tiPytiln 'fbyr''ebt oreP t atlbitr9ta� tirde,foc= Passiti'LealcAgeFer�entage.< r `i, 9 . s �� Pass,tf Leakaga.tobu, tside Percentage. <4 O'/o (100 Pass::If Leakage Reduction Percentage > 60% [100 xc (Lino.-# 6): 1] and Veriftciifton.b Smoke Test and: VIS ual.[ns ion mss t+atl Pass_:tf Sesiiti 'o€all:Accessible i eAs and Verification b : S i►okb TesR a.• d 1/+ ' Pass tr:One of Linetr �`� ttrfrdugl���' t;�t p�< , M � •; " t�� ` C� �atl Resic(ghlial (.'i�mplinnee Forms ,Z L� �7Q`b. j/� /)ecehther �nll5` >�.7) �. -2,3% C, N kia �.w WWRT 9je J'lWC, 'g M.7 ETERS Rater Telephortb " A-et1 ed Ceftif-ifi9:Si9riatdfe:* If gad.- ;�S' .y IV. F Tirm 'Street Address :..City All; 10 W., 0 1 }ie house was: f t - W�l &S' affipet* ih As th6;HM c, es ..... . n th gait 9�.. cgs. , mr the d�0 -W t AU em. mfoomp tance.roqu, -h bt 'A A U AD In", M, ME- A 56 W o,1,' T fav M. A.- & V A6 c Yes.. fit than . i�v . . . . . . . . . . Z.— CTM COOLING -MAXMUM.0APAC Procedures hi do mg, pp. Nwcr. & iF verified (see Adequate o. -A ese,or TXV N ry U yis n-cre -,0 "N k: bd Duct. 6h a R dit ver E 'No 3 #r JO 'dicot6d I W!v X.V I h -1-. If f o Coo6 ca d Yes Ld.vo capacity inane 141 Yes - CbNb t6mi; P►ipr4k ava as: L7.1`To EEtt values of inst$Ildd :stems ;aiatc�t the C)`! E. 2' ✓ Yes:' D. iso Fors let`s stem'ii�do�t coil t9 rtiatche;tootit�br,ail Yes: -,tN6 Time palsy Resideolliul Compliance 1--orms V66oi er'2005 49V4P iA V AG \1Fk1V 0WhA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTIN 3W -4R Project Address P 3. ► ill 3/ Builder or Insta Builder or Installer Contact Telephone PlaaPermit (Additions or Alterations) Number HERS Rater —� Telephone Sample Group Number 2 Fan Flow: Calculated (Nominal: V ❑ Cooling V ❑ Heating) or %/easured Compliance Method (Prescriptive) Climate Zone /$ Enter Total Fan Flow in CFM: Certifying Signature Date S o Sample House Number Pass if Leakage Percentage < o[ 100x f 3 (Li e # 1) (Line # 2)1] Firm ass ❑ Fail HERS Provider C P EG S Street Address: % l�r�� ; �- C.L City/State/Zip: G<� C.d9 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓Tested V ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked V on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF4R may be released on every testae building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of CF -6R (Installation Certificate). New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ew ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). �IlYIMUM .REQUIREMENTS FOR DUCT LEAKAGE .REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACK Appendix RC4.3 Duct Diagnostic Leakage Testing Results .V%/'Co;' )K P. < u�'/ a,/ A'maz 4, 6'-' ) V2„01 d- Ll y �l NEW CONSTRUCTION: Duct Pressurization Test Results (CFM ® 25 .Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: j, 2 Fan Flow: Calculated (Nominal: V ❑ Cooling V ❑ Heating) or %/easured Enter Total Fan Flow in CFM: ✓ 3 1 Pass if Leakage Percentage < o[ 100x f 3 (Li e # 1) (Line # 2)1] 3 ass ❑ Fail ALTERATIONS: Duct System and/or HVAC .Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing ct Syste P ' r to 4 Duct System Alteration and/or.Equipment Change -Out Enter Tested Leakage Flow in CFM: Final Test of New Duct Altere D tem Of 5 for Duct System Alteration and/or Equipment Chan e -Out. It Enter Reduction in Leakage for Altered Duct System [ (L' e 4 Minu (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) �/ ✓ Entire New Dud System - Pass if Leakage Percentage < 6% 8 [1 00 x Line # 5 / Line # 2 13 Pass 13 Fall TEST OR VERiF'ICATION STANDARDS: For Altered Duct System#d/or HAC quipment Change -Out 1/1 ✓ Use one of the following four Test or Verification Standards for m ance: 9 Pass if Leakage Percentage < 15% [100 x ((Line 0)1/ / ( ne ] 13 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x ( ne # 7) / (Line # 2)1] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) (Line # 4)1] I I and Verification b Smoke Test and Visual Inspection 13 Pass 13 Fall Pass if Sealing -of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑ Fail Residential Compliance Forms -9; �L) — Z Ll /,Z,-170 — /, 7/, J -0�Z3 / -- .9,7 1,7,(7v--2,37,, r j I I J L� I/ c." I.� �. • J �D 0ecemher :005 `k 9s%. % �Av&L XWV%Wii Air&rJA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF -4R Project Address Builder Nam ,/ ✓ Builder Contact Telephone Plan Number Access is provided for inspection. The procedure shall consist of HERS Rater Telephone !T-57 3 Sample oup Number (must be checked monthly) Date of Thermocouple Calibration visual verification that the TXV is installed on the system and Compliance Method (Prescriptive)Climate ❑ Zone S Certifying Signature l% Date Sample House Number Firm HERS Provider Yes is a pass Street Address: Fail City/State/Zip: v),17 r4, �....1.—. ........... a..a.9 Gr !81410 1311 LLLll\ls UC.rtvm t [VILEN 1 HERS RATER COMPLIANCE STATEMENT The house was: ✓.1� Tested ✓ ❑ Approved as part 6f sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the di gnostic tested compliance requirements as checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate). ✓-THERMOSTATIC EXPANSION VALVE (TXV) Z,,Apl Proceduresforfield verification of thermostatic expansionvalves are available in RA ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verifirminn fnr Rrnnirnd Ra£;—r—t M-- F C. 1;■ C-.......` 0— tatic Expansion Valves - Outdoor Unit Serial # --' - -- YIVY■ l IM - II IVJ Location ✓ ✓ ✓ Yes O No Access is provided for inspection. The procedure shall consist of Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration visual verification that the TXV is installed on the system and ❑ installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verifirminn fnr Rrnnirnd Ra£;—r—t M-- F C. 1;■ C-.......` 0— tatic Expansion Valves - Outdoor Unit Serial # --' - -- YIVY■ l IM - II IVJ Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity B /hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Note: 'Che system should be installed and charged in accordar shall be documented on CF -6R before starting this procedure. Charge Measure Procedure i manuf cturer's specifications and installer verification air d-4ulJa'I's below 55 °F rater shall use the Alternative Procedures for Determining Refrigerant Charge using the n areth d avairble in RACM, Appendix RD2. ✓ ❑Yes ❑ No A copy of CF -6R (Installation Certs irate) has Ifeen provided with refrigerant charge measurement documented. Residential Compliance Porins :April 2005 kkmS • t�vh� vc�if�cl�'�oa CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTIN CF -4R Project Address 5 d . due zr/Z1311— ❑ Yes Builder Nathe Builder Contact Telephone Plan Number HERS Rater Telephone /8- 5 - 3 Sam le Group Number Refrigerant charge or TXV Certifying Signature Date Sample House Number Firm T Duct leakage reduction credit HERS Provider Street Address: 75Y,l0r��% �v� l� , C� City/ tate/Zip: Z,i -,,;�T Gkf '.2-7- �..oplcs lU. OL1lLUGR� [LC RA CRV V lUl4R Al\L DU WUll�lb U!'.YAK 1 l� ��t I HERS RATER CC NIPLIANCE STATEMENT The house was: ✓ JO Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the di nostic tested compliance requirements as checked on this form. ✓ The installer has provided a copy of CF -611 (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing ofadequate ai ow are available in RACM, Appendix RE4.1. Method .For Airflow Measurement ❑ Yes ❑ No Duct design exists on plans ❑ RE4.1.1 Dia ostic Fan Flow Using Flow Ca i ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pr ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid ✓ ❑ Yes ❑ No Measured airflow is greater than the cl in Table RE -2 ❑ Yes is a pass Pas: ✓ ❑ . MAXIMUM COOLING CAPACITY Procedures &rde/erminin0 nlnrinu,m i•nnhfto DAr'l1i 'M Total CFM cfm/ton 13 Fail 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow cre it) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit 4 ✓ ❑ Yes ❑ No Cooling capacities of installedto axi c o ing capacity indicated on the Performance'F- . Nsy ✓ ❑ Yes ❑ No If the cooling capacities of insare > than maximum cooling capacity in the CF -IR, then thut for the installed systems must be 5 to electrical in ut in the C-4. ✓5 ❑ ❑ Yes to 1 2 and 3; and Yes to either 4 or 5 is a paw Pass Fail ✓,M[GFI EER AIR CONDITIONER/�(/n l'roc•edures or verification (ire mailable in i'AC5L1 A endix R1. l ✓ . es ❑ No EER values of installed systems match the CF - 2 ✓ Yes ❑ No Fors lits stem, indoor coil is matched to outdoor coil ✓ �/ 3 ✓ Yes ❑ No Time Delay Relay Verified (If Required) ❑ Yes to l and 2; and 3 If Required) is a pass Pass Fail Residential Compliance Forms December 2005 - 00-1 nk, if HERS RATER:GOMPLIANCE STATEMENT Af/ 5 ljh j pis The house was: ✓ested ✓ Approved as part of s;Eaiple testing, but:was not tested As the HERS rater providing diagnostic testing and field verlfiaatton I certify that the house identified on this form complies ofInsul with all applicable requirements of the "Iligh;Quallty Installation ahonf "protpcols as;speclfied ' theResidentiul , ACM, Appendix RH and as checked do this form cdmpliance credit,'NUNE of the BOXES below may be checked "No' a the firstThree boxes also mi�at be checked CFie(¢=�"�tE4ix onlytf the item is4notbpart of the desJgn. of the building i.e. sin le sto ..biult(i» do no have rlat oists:or,t ►erg rr�a ao re essi caw . ,a REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF!I1�3>ITLAT�IdN" CO .IIAICE CEUIT . ✓G The building is wood fraiti0 construction wiEli•wall studcaahes, ceilings, and roof asseihbhes insulated'with mineral fiber or cellulose insulation m low=rise residential buildings Tru Description of insulation, (CF 6R, formerly IC -1) slgned:by the installerstating;,insulation manufacturer. s. name, material identification; installed R values, and fol looso-fll Insulation rivnimum.weight:`persguare �r foot and minimum inches ✓ 2 Installation Certificate (CF 6R). signed by the installer.certtfying that th'e iiistallahon meets all applicable requireruents as specified in the High Qualityansuli t on Itista'llation Procedures ,. (ACM, Appendix RH) ❑ Yes ❑ No NA All floor joist cavity insulation' installed to uniformly fit the cavity_side4o-s Id and end to=end .•. ❑ ❑ ❑ NA No gaps - Yes . No NA Insulation in contact with.the.s-ubfloor or rim. joists insulated 13 ❑ 13. Hard to- access wall stud cavities such as; corner channels,.:wall i&e'rsections and behind tpb/shower Yes No N ulaInproperly supported to avoid gaps, voids and.aom ressonYes i ✓ .WALLS ❑ No. ❑ NA Small spaces filled • Y ❑• No . ' NA Wall stud cavi Insulation uniforml� fills the cavi �' y , tiysida-to sideaop=to-bottom, and frorrt`to-back Yes ❑ No•. ❑ NA No gaps - Yes . ❑ No ❑ NA. No voids over. 3/," deep or more.than 10% of 66 batt area: ❑ 13. Hard to- access wall stud cavities such as; corner channels,.:wall i&e'rsections and behind tpb/shower Yes No _NA: enclosures insulated toro ei.R-Value Y ❑ No. ❑ NA Small spaces filled • Yes . ❑ No. NA Rim -Joists insulated ❑ Yes. No. NA Wall.stud cavities caulked or foamed to provide an air tightenyelope Y. Residential Compliance Forms April 2005. S,iot F 1'R11 -2 t Y 771 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Pa `e 8 of..8 C 4R' Project Address Blinders Narrie I 314Z qhs. G. ✓ROOF/CEILING 1 ❑ NA PREPARATION Yes ❑ No ❑ NA All draft stops in place to form a continuous ceiling and wall air barrier Y ❑ No ❑ NA All drops covered with hard covers Recessed light fixtures covered ❑. ❑ Net free -ventilation area maintained at Cave vents YesNo LOOSE-FILI. NA All draft stops and hard covers caulked or,foamed to provide an air tight. envelope: jT ❑ ❑ All recessed light fixtures IC and air tight (AT) ratedaiid sealed wrth a:gasket or caulk'betweiih- iiie ' Yes No. NA housing and.the ceiling Yes ❑ No ❑ NA Floor cavities on multiple -story buildings have air tight draft stops to all;adjoining attics' ❑ Yes ❑ No NA Eave vents prepared for blown Insul'aUon = matnwn net.free-ventilatiori.area NA 0 13 Yes No NA Knee walls insulated or prepared for blown insulation :L . Yes Y NA minimum required weight for the target R value (pounds pet: -square ❑ Yes No NA Area under egtl�pment p s insulated latfocros.arld cat walko% accesstltle for blown.insulation ti ....... Manufacturer's minimum required thickness at time ofinstallation (inches) . j a o _ Yes No NA Attic rulers Installed D Yes No 1 ❑ NA No gaps " ❑ Yes " No ❑ NA No voids over''/, in_ deep or more than 10% of the batt s urface area ❑ Yes No ❑ NA Insulation in contact'With the air -barrier' ❑ Yes No ❑ NA Recessed light fixtures covered ❑ Yes No ❑ 1 NA Net free -ventilation area maintained at Cave vents ✓ ROOF/.CEILING LOOSE-FILI. ❑ Yes. ❑ No NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. ❑ Yes ❑ No NA- Baffles installed at eaves vents or soffit vents- maintain netfree=ventilation area of save vent ❑ Yes ❑ No NA. Attic access insulated ❑ Yes d -No .: NA Recessed.light fixtures covered. _ .13 Yes ❑.: . No > : NA Insulation. at proper depth —insulation rulers vrsilile and indicapn ' proper. depth an4R value Looses fill mineral fiber insulatton'meets or exceeds ' anufacta s mtntmum weight ar!'d%th kdes ❑ ❑ requirement for the target R value. Target R value Mannf cturet s Yes No NA minimum required weight for the target R value (pounds pet: -square foot). Sample Weight(pounds per.sq'oars foot).. ....... Manufacturer's minimum required thickness at time ofinstallation (inches) Manufacturer's minimum required settled thickness (Inches) Number of days since loose -fill insulation was installed (days)_ At the tiriie.of Installation, the'ms -iton 13❑ all be greater than or equal to the manufacturer's minimum initial ulstili t,on thickness If3the HERS Yes No NA rater does not verify the insulation at the time of installation, an if the Moose-frll<insulA ii has been in place less than seven days the thickness shall be.greater than the manufacturer's minunuin'required thickness at the time of installation less 1/2 inch to account for settling: If the insulation has been:in place for seven days or longer the insulation thickness shall be greater than or equal>to'the manufacturer's minimum required settled thickness. Minimum thickness measured; ;inches :. ; Residential Compliance Forms April 2005 .-..c.11ll.. 063534 (*--Sladden Engineering 6782 Stanton Ave., Suite A 77-725 Enfield Lane, Suite 100- 450 Egan Ave 15438 Cholane Road Buena Park, CA 90621 Palm Desert, CA 92211 Byeaumont, CA 92223 Victorville, CA 92392 (714) 523-0952 (760),772-3893 (951) 845-7743 760-962-1868 Fax (714) 523-1369 Fax (760) 772-3895 Fax (951) 845-8863 Fax 760-962-1878 Date - f legr Job No. FIELD MEMO Project Name✓�P,19 154 '! 1 .Client: Site_Address� Job Phone Work Done i Test Summary / Footings Inspected Test No. L6catim Elev. Dry Density Moist % % Relative Compaction Ref. Max pcf Moist % , L, 17 v �. t 6 /2- 7 0-3: 17- I �� 1= y't3 f. 7' A Comments (,', l.. A ti 4 r (/ Field Tech. Super. or Agent 24 hour notice requested to schedule. Field Technician. Thank you for the opportunity to be of service. Form SE -0001 (Rev. 9/06) . _ Site Address Job Phone.. Work Done ZO Test Summary / Footings Inspected S `�"+' Test - No`r Location' Elev. 063533 Sladden Engineering % Relative Compaction :. 6782 Stanton Ave., Suite A 77-725 Enfield Lane, Suite 100 450 Egan Ave, 15438.Cholane Road - Buena Park, CA 90621 Palm Desert, CA 9221.1 Beaumont, CA 92223*- Victorville, CA 92392 (714) 523-0952 (760) 772-3893 (95'1) 845-7743 760-962-1868 Fax (714) 523-1369 Fax (760) 772-3895 Fax (951 845-8863 Fax 760-962-1878 Date's b Job No.5 . L�� /'� FIELD MEMO ` Pro'ect Na Cil 1. Cli nt: Site Address Job Phone.. Work Done ZO Test Summary / Footings Inspected S `�"+' Test - No`r Location' Elev. Dry Density Moist... % % Relative Compaction Ref. Max pcf Moist , I 24 hour,notice requested to -schedule Field Technician. Thank you for the opportunity to be of service. - Form SE -0001 (Rev. 9/06) 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:-7 -10-6% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump(inches): ".5� Supplier: or_z��- �11*1 r Time Sampled: �� rr Mix Design: g s �(0 �53 Time in Mixer (min.): y� Specified Strength (PSI): ? ' Water Added @ Jobsite (gals.): ` Addmixture: @QT„� ,� Q� Concrete Temperature (F): �.. Truck M S Ticket #: �sZrm �\ Ambient Air Temperature (F): �j� Field ID Marking: r.. ❑ IBC ❑ Title 24 Other: Unresolved Items: "None E] See Below Location of Sample: �U*i� 1 R t� n V\ , � � � � S, I-�-j "r\ C'k, 0— �u t 4 No Samples Taken Description of Work Inspected: wb�{�Ah3,C, \\C� n� `� �o�c1r �c \� �C, •�r c1c\ w \ w �czYr\trr\ Gc'c�=COLI. Csanc�,. \ �1w+�CsnS Cj��•� 5 ��1\C \rj�t`�t �c' S�'b t>�(1 CC`�i: £� �� CCaa�C •Cc G ���•� ��.�' C �� c ��` C,��• �(��a . \rCr�(y f J�L�4ce. c"C- QS 11St . - C> Go (\SCS\� 1 n ('. r\„ qtr ec V'W ri ; Qu < �s , I hereby certify that I have inspected all of the above 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 project completion. Inspector' Jack\C. Millin IC(CCert'ficJtion No: 0842216-49 Contractor's Representative: -L'\i Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Governing Agency Page t of �r JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 1 MOW 92 INSPECTIONS WELDING INSPECTION REPORT Date: -7,9 _oq Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC ® D 1.1 Title 24 D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers \ Description of Work Inspected :o� ,k ��C�S , y \ �l M •� i ,� ❑ Shop ® Field Unresolved Items: None EJ See Below Waw Lk R � C�`-` Process Welder Cert on File . Electrode Detail(s) .1;Location/Comments Yes No Type Size t0 1� t 11 { � .�5 JAvC3 Q. y 1 "1�_ 0 lZ i1{s��] �r1 a CSCC�)K1 I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack�C. Millin ICC �Cerrtificat \Q;: 0842216-85 ContractorVRepresentative: _ v Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page F of Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:-7 9 — o'i� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ❑✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: ' Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: 0 None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: No Samples Taken i Description of Work Inspected: i F '3 t A _A-1, � w rY ';UA ° d �� �.� y� f tom. r,ir ����... � ,•1%'n -r �. :.r� c ,,j,e r e�..__ aeam� s �� _ O �f z. Fy i� f r rd ° �, �ft•VC� f-o."'A* _\R�\ C,na .. r r: r� C1 C '�P n) •"' a V e.. a _�, 3= •� `P �t� c.. -. � MSA � �� � � R r f i- . � w n > h � 6 C •C; t � o . . � �.. � e� n� � LF �' �.'l. _ c 1 ve E_ C \ \ ate,�� Co I'c\R.c.\ c. �`�•' � �,- n r h.,v -��� '�.bC,_ S' Q. N ms), CL,,\r C c. fire I hereby certify that I have inspected all of the above 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 project completion. Inspector: JacC. Millin ICC Certification No: 0842216-49 Contractor's Representative: ;:�� G � �' � /t2A Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Iy$_ cpz' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way 4 La Quinta, CA Client: Sub-Contractor: Sladden Engineering 11 c <11, C '%\ General Contractor: Architect: Structural Engineer: --'— ) Lusardi Const. Bar KPFF Consulting Engineers ❑ Anchor Bolts �Rebar Epoxy Type:T E. c ^� \ rt^n Cn� _. n n { ry'C�- Epoxy Shelf Life: \*T\ C'_" e9x)( o Hole Cleaning Method(s): Q,,` 0 C-r' VC N I r tv ,��r� f �,i�ic, (kt ❑✓ IBC Title 24 Other: Unresolved Items: EJ None ❑See Below ` Description of Work Inspected: � �� � � C. a� ry @. � ��� 1A"..%r o C_� 'Is INN 4 Rs- I'q tt- k. Ji' I— r ♦ o N-." ra k n \. n V-'h , ; .,��a �i L. r rw \r� r " Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 1-.eport issued at project completion. Inspector: JaFk C. MillinBICC zz'Cation No: 0842216-49 -/ Contractor's Rep? sentativ�e:�.✓ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: -7_$_ o% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9. C» Supplier: _ �� ��, Time Sampled: 71 ;,.--'25 n Mix Design: Time in Mixer (min.): q Specified Strength (PSI): �� D a T.. Water Added @ Jobsite (gals.): ,j n Addmixture: S. Concrete Temperature (F): c Truck Ticket #: (� q 111 Ambient Air Temperature (F): Field ID Marking:3 t� r j� x � ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ©`None E] see Below Location of Sample: l`.��( c>V� C G �. , ,, 5 \J -I% c. tI 4� h "It 1 �Yt ,�• t `� ❑ No Samples Taken Description of Work Inspected: ; ( t \-� tt c c A,b G I — t3 1 f1 t>. ��. r4` �L`a C `�\ /\.1t t .lr C.�L?l �1 ^ ��a \� /i7�� ��-�T• Y^�CGYtnt�'��p(+�1 i, (V�c1S. U C �� C� So\�r`�� •C' 1C. R�4?��� . ZA kR I hereby certify that I have inspected all of the above 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 project completion. r•. Inspector: Jack C. Millin ICC Ce ifrcation No: 0842216-82 \�.r��-�'"� •t `�;�M�----- � Contractor's Representative* L�, � �.� X11} v -w Copy 1 JCM Inspections Copy 2 Project Superintendent, Copy 3 Governing Agency Page , of `' JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECT IONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: * --7-09 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA Q D 1.1 ❑Title 24 D 1.3 ❑ Other Client: Sub-Contractor: Sladden Engineering White's Steel > �n� � a ❑ D 1.4 General Contractor: Architect: `Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: , �` a Field Unresolved Items: Below 0...,A,..❑See r g)~•3 .4- A r . U� mA : Jc�.\Azs� -Y 41 e.1A0 a • V •- w' 1^ L (Lp r J � � � ` �- �.,., e � r/a .4b ' � 1l � J I'ti 1 . . 1 ^ �. � . cM y C7 cz Cert on File Electrode Process Detail(s) Location/Comments Yes No Type Size "o, �-�Welder � \ n.� {�(� '� �n� a..�rilki; ,rte ON rkI% arc tib �... _O C1 ✓ a R n� a�11, n' ..�. h, w �S,T•.... \01 e-V.—. IIJt, nlriSF�'. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificate n `No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent \Cop3Y` Go�eg9 9en�Y Page of JCM Inspections 39725 Garand Lane Suite F ME,Palm Ll Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION s STRUCTURAL MASONRY INSPECTION REPORT Date: _ _ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: R,❑✓ IBC Time Design: Mix Sampled: ""^- �� p g s i i,. � -: Title 24 Time in Mixer (min.): - A ; , �� �.� Specified Strength (PSI):�c%�'-,� Other: Water Added @ Jobsite (gals.) \-,,. � ��� � Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: " Ticket # �� RV None Ambient Air Temperature (F): Field ID Marking: - "s-` See Below Location of Sample: [�`No Samples Taken Description of Work Inspected: ��� �� C.�t \J4� 4 A C`' �� .0 ` ��\�1 E":o4:Jt'<\Cr`� (tr'_� .c"e.g� tT.'\�' �•V� 3�o j -. V�a4}, 0f �E'e c�''rd��cv-e..l�re: r,•= ;�� A^1 © � tV C C�^ �• e 0��' -#c\ �` did u Z C , ��'r� t �" C+t�> • c , t�� (P`� fi,.0 : A. "9�. 1 e c ep a ��'k�fe e R=i.� KC'%,N - %w'2L t" ' �f GIF: \\�� \�= \ ' w • `� \�.°�E ', �'� f.w ,`e a� -4i ('°��'.a ,til .lea r C f1"XN \;i X\ `)�' �T tz`_f t+w�c=� �aA_V v,1� t•' f' r5 - �-AC i� c`t� k . i � I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin (BICC Ce ific tion No: 0842216-82 Contractor's Repreqgsen�tative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _� of I 'JCM Inspections 15 39725 Garand Lane Suite F LTMM.kiPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING - INSPECTION REPORT Date:-� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS D IBC ❑ D 1.1 F-] Title 24 OD 1.3 E] Other D 1.4 Client: Sub-Contractor:cC�q� Sladden Engineering VVh"ite"s Steeh,�;r \-"` c General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers � `1 \ \ Description of Work Inspected: � � - ❑ Shop O'Field Kr�'� �r� Unresolved Items: ❑°` None ❑ See Below `1 19 n�C v't1�s� ��c`c ��.��,kc �v�,� �1¢ tt 1:1) \, r ff'{ Pr. r .. x.10• � \\ � y �, n ..��� < N e+\S^. `.�C `• \:.. .�l,��r �?I ��, S��" 1�» lav fl va `ew f c.. �t u : I � , .�' f, 5� �G d� .l fie... �\ c � vJ �z r41S � ��r> �► � � Z G �r r Q !] r n (r+ .t c Q , . + �" i 1 '"� � c� 12� kGt` Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size SM "1' `-f"i C C .J \�1ry +/ (V 0;4.)— 'tR\� �_ L ` �` /S�+O �e\�E>;tt.; W�t� �e'r�e+,.12�cc� �•CRix.. � �RDi? �CcaVJ�nC;� • . �r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ce ifiC tion No: 0842216-85 Contractors Representative: r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy,3 Governing Agency Page ` of JCM Inspections ;39725 Garand Lane Suite F Palm Desert, CA 92211 I N S P E C T I ONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): �+ Supplier: ^ •�� ^ ^ , � `� ZIBC Time Sampled:3 Mix Design: I : ❑ Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): j Addmixture: C� ^ , Unresolved Items: Concrete Temperature (F):,.� Truck #: w �,, Ticket #: !' -None Ambient Air Temperature (F): Q LA Field ID Marking:y'-.N- _ q) , ❑See Below �. Location of Sample: � 4 , -. �' ❑ No Samples Taken Description of Work Inspected: ON ? y-....._"'.�l�r. � t t b �. %'i•r'�_ � Vim. u�nLJ� (l)' r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's Representative: �. . • C ) "NIN, Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of On JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: (0_---2L_,�h l Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC O'D 1.1 ❑Title 24 ❑ D 1.3 ❑Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: � ,� �cnrriknr [:] Shop 0`Field n 'An l � � ` � * —'Unresolved Items: ❑None ❑ See Below 1) Cr � • uJQ�� �, n, � ��..J 4.� � !�+'•<Y ���•. �'��r�c�. —�",. � . ��4 'r4,�'�n\s~r.(�' �� s�Gal �'.a : �r� .1.��n n'1 tl�}C M, t� ��� r.-.� r\J-. -e,.R__ � t.�•-__� �(\�-1 �i`t to ry r.� ` �nh� ��J.�l. Nt'(i—� ��r 4% rz C rU Q Iv 'W ( .�,, ,--�. .. \�e.. it 1 r\.•w n. rCe !',..��n. �f'r � \ �� 1 �!��'+\ r. .�A.�it !tK'. \ � C /'�-.+.Sl\�s+'�, e� Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ,oJ74' 5.�3 SA,tip! C_ fic�'."'CC.'r` � �1r \`>w' n � `� � I . i v� e`�LXr tt �. ee c�``�', c.t�i,� .`�..• Cec r � J .ic+J1 f'� \ l f/ v I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification'No: 0842216-85 G %\,�,_ - .. Contractor's Representative: .I--Y ! At ,/ Copy 1 JCM Inspections Copy 2 Project Superintendent 11__L�Copy 3 Governing Agency Page __� of JCM Inspections 39725 Garand Lane Suite F1E LTRM Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 6_3p^oa Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): . ;� Supplier: �' rV r-' "� pP � �yc � ❑✓ IBC Time Sampled: " '� ; fit rx �� �� Mix Design: (,�3k�r Time 24 Time in Mixer (min.): n�, *,`1__ Specified Strength (PSI):�� Other: Water Added @ Jobsite (gals.): ( \ Addmixture: ���6., WA Unresolved Items: Concrete Temperature F :�' Truck#: Ticket#: ^J` � Ambient Air Temperature (F): f Field ID Marking -"'-w' )Oy- "eZ,,\ �^ (�) None E] See Below Location of Sample: No Samples Taken v +tee Description of Work Inspected:�c-„� �� ��ti � �,, � � cxw” ��� �,- c, � z, ,_ ; e,�� .r �^�, ' \IoT�'' ��'^ C'1 0 L4`\4 off_ S •� 1.:a e.m... d')<'1 \C ��� ,� Q'.����`-� ��.=L fi°.�� Cf\hC ' ��1� • i�'1�����: !,k Fw.*;. �1,�� fr "�,:' �P�-�� C.:A :� _ F.. a � � fie\ A �. S Y �\✓,: , �' "(�, .e 77 R1.z`i-�.�,., I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found -this work to com,,,psssly with t�e approved plans, specifications building laws. Final report issued at project completion. -applicable Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contracjjtoor�r'vRepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ( of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ,,�-I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS F/] IBC 53-035 Merriweather Way La Quints, CA QD 1.1 R Title 24 ❑ D 1.3 F—] Other Client: Sub -Contractor: Sladden Engineering White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: [],Field �•J V\ Unresolved Items: \. \N. EZI-None IA ---r See Below I I y � � •t`_. `�, .._ \�7•. `` Y .. .`+ v w'(> \ `a'�+i` (]� � � y - t .�t`c t V'•'•i i Y Y ' ^�\\+/ �: '. •.- � � (`' • _ ty� .,yf . i Y Y � .. v �,r �i o e � � . , 1 `-�-- y "—+ V- � - v � m �. .y -y •. �U i v v p Y •� _ - -- � RA `s\.�r t•., .- \.., �''�`-, .,. MJ. k- L'. t�..r^ 1 _ �1w ,is M \ �" = \) \ '. l 4 . \ r-� .... V__ \ \ -,VJ.. �., .. \ .�_ � ,-.. .:� •\Y ,+.. �_- _ � -�. � i � . t..a a v � - � baa\ ` c . \ - Q..r- Y v •r.^ �> p.,� ., .. a �;, ``ilor,1. Y - ' - ° 1 c..• \.—.. t Y o a ..,..y ., y `:v�]� f .\�_ .. � �. ��. ,� .. mss✓ �. � .:7 \. 'a.y • . •. - � 4y.^`� � - � . �+ + � ` . a :: � _-_..., , v.. � . � , v_ I ` � r ..+ t Y a Cert e n Electrode J --� ��,, ��• S 6 t {� Process Welder Detail(s) Location/Comments Yes FNo Type Size r+v•.c c j� i R XT I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification -No: 0842216-85 Contractor's Representative: \_ '�\ U\\,`_ L'N� / ; . r I I I I ):k -1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page % of Y `+ LIP JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: (0—D�7_ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): ,�. Supplier: rte^ Time Sampled: Mix Design" Time in Mixer (min.): Specified Strength (PSI): �, Water Added @ Jobsite (gals.): v lee r� Addmixture: * Concrete Temperature (F): Truck #: -- Ticket #: Ambient Air Temperature (F): Field ID Marking: F-71 IBC Title 24 Other: Unresolved Items: ® None See Below Location of Sample: No Samples Taken Description of Work Inspected:-�� �,.� ,�rFx; �� �� � ;� c, �� °� ., � ").X C C n 1 t F Ck-. � \�> r'� G C , .,1 P , c_ f•. n���".c � ��d� n.-. 'y � � ��. � a ice\ .k._ 4" 1 [-..I � � �., �i � _ VV- CC , r - z� � �: ,-1�•�a C�.-ra�i� .:� i,+tf'„ �& �:� .4� r\ � � R �,� _ \ (\\ CN\C' CO � r l I�'y uU { � w q r\zl cx r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82Contractor's, Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 RA ah INSPECTIONS EPDXY INSPECTION REPORT Date: —Wo — dK Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts O'12ebar -1 Epoxy Type: 7 ... c, rn, .r r,.�c; �� r n!_ Epoxy Shelf Life: �cxc«"C' t -a 1 C) Hole Cleaning IVlethod(s):g1:,\, 1.\ . r \ r ,,,, �1 i`•,,, , 1:�. c.,•C } j1 , C . �C \►c r so c �l�E, �+ c I ❑✓ IBC 0 Title 24 Other: Unresolved Items: O None See Below Description of Work Inspected: -K C v\c O —1C� y RC- t7� CJn:�Rr`R r �r.cn i',tt' �pr`�. {� nr i c " ..,,3 Lin,_ cf` n .- \`1P .r �.li��"n .\]t,*�S'Lr.M C•7. •\.* fl Lb •\. 6 fl �` (!.r\C' �[^ �., Ta l rt !* �. tic) o.c py V, �fi A a nf� SL_' 'r t� _ n� �1k0 / �a )�r+� in.�<.,.���.+:�..,•,c';C �'�"�.. Cr�,nc•c�c, c �� _S,�c"��a,.; Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. I^ Inspector: Jack C. Millin C.ICC Certification .No: 0842216-49 Contractor's` Repjr y entative: Copy 1 JCM Inspections Copy 2 Project Superintendent r Copy 3 Governing Agency Page of On JCM Inspections 39725 Garand Lane Suite F LTRW=J -.9 goPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 On Prm INSPECTIONS WELDING INSPECTION REPORT Date: (0--a(D_(% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r-71 IBC D 1.1 Title 24 D 1.3 Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:_r1 5�� t cVJc''\ nr 1i� ' \ �� C rt r� i�till ri; Shop � Field f co cn,; n Xlc�$ lnia1 y "� �'tL C�. c1n n Unresolved Items: None EJ See Below C 'c'r'% \kV3 &X_1.. -- LI AJZ� . �%C, Rot nn1,�G 4]4}.>�,•,,_yy �% r �1� ��r I� bt• f u.�� Y�r���"'� .,��i t^lthrat�c{ P_39!5 s�•i�- �"1�1Y1�t�1�t�� ��Crl��� o �'4R��G �Y r✓CtCC1Co`tC e�(S� rl.l�cirl t { t��\ n �Jf,tlri^,'� 'l!G`C�\v�1t Ci k\s�f., Yl�C�,1C���(1—*�" �c{�,c�\a"� Process 0.Welder Cert on File Electrode Detail(), ' " Location/Comments Yes No Type Size �C�� C�trt��h �*a�lQ .U1c ` 1 �� ()� W +I'r ��( ►\ter fofcji V_Zcr \ C �X r I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack Q Millin ICC Certi. icatio�, No: 0842216-85 Contractor's Reyypresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ` of 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211LT..J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: (,.a(0_0S Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9,00 Supplier: P C' ,� Time Sampled: ; 3fy ei .r* f� Mix Design: CC-�j, Time in Mixer (min.): (OO Specified Strength (PSI):r- Water Added @ Jobsite (gals.): ip Addmixture: \v,o\ Concrete Temperature (F): Truck #: Ticket #: LAYOt' Ambient Air Temperature (F): -7q Field ID Marking: 3x-2yc.(r( q) J ❑✓ IBC Title 24 Other: Unresolved Items: '' None ❑See Below Location of Sample: Wtn+c�o,:s\��,1r+��lc c f ` fin �.• •� - � b` \ i `c �' l � ' � ' �J> No Samples Taken ❑ p Description of Work Inspected: R Ir t' —nr C �n^, QVi 1n 4't0.116 d� �11��T .� �v •��. � c_�.1. �-tc�s. ��«•.�_.'., ;� r'f'�r41.e:r�icr, �t�c���c"' �S �15=��`� Crnrr�tr�r� `C l k rte,. CA n. -.a a. S>i C S C (` S C° ��t�► �c�t t Q C \Q-� E. \ �� e ,�+ r, YLL_. A,.•^ h\ R `� .'1 ^„ ��4 ' 1.�Tt�. � r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent T Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F LLPalm Desert, CA 92211LTJ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: \�Cc.. , ❑✓ IBC Time Sampled: Mix Design: 11 , ❑ Title 24 Time in Mixer (min.):Specified Strength (PSI):a Other: Water Added @ Jobsite (gals.): C,_, Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: "' [`]`None Ambient Air Temperature (F): Field ID Marking: — ❑ See Below Location of Sample: ❑(/rNo Samples Taken A� Description of Work Inspected: \ L41, d —Cvn\ — ti `\ p � , "`f `' �\ S C •Q`�.°J��'3l C �. '! 6�:'c.>\ �:ls,Z""� �e��,..•-,o_,'" \Yt-.�-, roe'.:,\ �'d�0. \;,gyp' A 11 ` \ \ Ark O �� ���� �,n�Flr." s �1 F�+ �1�+ ! .� '> ti �,.^ i !� ���' ,, Cv qtr, Z -r �1 `." • C \ P' ` `':� f? � v ��yi . �'1\., C-, m C d 'o'Ta B /l�r,, a `.) ;� 1 � Cllv. A eQ �'\61 rw�` C!� 4 ? y> ��?: E %s��� L�f\' `� ,ti ;� „ c V I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's: Representative: \J a `�1-►—.=�.-.� 'k, i �,.C_`1 Copy 1 JCM Inspections Copy 2 Project Superintendent // Copy 3 Governing Agency Page of \ IVT JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: (,_c- yq aj� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers 1 Slump (inches): , 1� jS: �(� Supplier: es S eft "1r La "T.� ,, �4y��r�,. ❑✓ IBC Time Sampled: i-! Mix Design:� 3 ,,•,, Title 24 Time in Mixer (min.): V' Specified Strength (PSI): 'A Other: Water Added @ Jobsite (gals.):Addmixture: r �� Unresolved Items: Concrete Temperature Truck #� Ticket #� �� I F, :- Cir t I"' ®None Ambient Air Temperature (F): C►s y Field ID Marking: % See Below - �.� �• �� !<� �{ F C. �, � PO �^ �� Location ofSample-e:•^ ���Gi1Cb-i$ e.Ve No Samples Taken �� ����lis���"' qC �a Q��1ri � ,� • �. �-20� tC. �"a � � ��9 c=* t�a ����V���' `� f.�.", � !!Sim Description of Work Inspected:._tA %. ,W"L X C -71 ) i [fes,.• �'®��i c��a.,.�p0: :�� t' "t 1'`� Iq.� 3) \"'l:'4 C., . N. • �(Ca� �l !� r G • LA 11 C\ZAa ,� �' F; c,r c �1. c. � ,/�c �c* - rte; . C, 's Cr .. V I hereby certify that I have inspected all of the above 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 project completion. r-, /- . Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractors Representative: P Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F LT.mPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895. INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: ^ _CA Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 13. C)a Supplier: ��r `Cfl�r Time Sampled: -7 :[)-Z Mix Design: (�� Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: S'1 ;iw\\ Concrete Temperature (F): Truck #: ' in Ticket #: � Ambient Air Temperature (F): �� Field ID Marking: Mn `s' ^t �� ` "'�'"� ❑ IBC ❑ Title 24 Other: Unresolved Items: IJ lione E!J ❑ see Below Location of Sample: �- /" �y t f\v�1 ❑ No Samples Taken Description of Work Inspected: WU�(`�� S \c�-� �� � ��` C �iU` v) % —% \ �S\�.R.V�'\C51\ � C\a rv\. • t-'+ t1 S-�'fl C_ C�� 1"T�(:'�1 C 1��i"�C.ffr NI ��! �� �r�• tic C� On�*� Q �, t C7c1c CCS t,1c "' r>w'�vLA\ O Gtt • �,' , • tic, .� 21S a '11'HS I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Co'ntractor'sRepresentative: AIA Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F TMI Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 -.Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:i(, -'ro Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: R°None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: RNo Samples Taken l Description of Work Inspected: �� �� , �F -- '�� i� a , . _ W - '�, \;:v �\S�. rG,� �v.1,.:i� ��'!�`r.. t�`e<.'.Vt til+"�'� \'^::i��:'F ...��..�.,��.<�1.c; ci' "'',�•5. 'T9 � t,�.,. C§�:GE.; *:'*�R p� % AVf)t�v C. "'N• -ter, � ,� �'• ��;�: � (�; .��c� � -� �� �a-�- s?-'� � � a�, � � (a�� �F°.'a_� � e c f�?._.\` �ta�'�n � 'Co .», \ F...�. s:'.:�� iAt., r. f' F".'J f'� t �a '.,, 1`: �� �_:d ���c r C. •. �C',�, f'� tr? � ls_)��, J `+ '71 0 1T _. .. ¢ �P { C� { C o l� ��, " �:. ��" ^A I' a !` ;' F', , i' l �_' �" �.� 1 `p`� A'i .'i� ;1 1. \ �' S\ �J i • �NN �'', ins=a �Q �•7''�fin Q�i.'�e. ("..�!y' I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification,No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of 7 JCM Inspections 39725 Garand Lane Suite F ]E ah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: l0 aN_ ' -� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 'Cj' , Supplier: t. P �.� y - �✓ IBC Time Sampled: CJV,��� � �� Mix Design: � , ? F] Title 24 Time in Mixer (min.): Specified Strength (PSI): !?C,) Other: Water Added @ Jobsite (gals.): Addmixture: s-- � Concrete Temperature (F): Q Truck #: 1a t��+Ticket #: f�J Unresolved Items: None Ambient Air Temperature (F): I� Field ID Marking: o r ❑See Below Location of Sample: R(a ❑ No Samples Taken i Description of Work Inspected: t �, A �,.'� .� �r � r \,- 'Fp�.. �..4 ♦ G '')� c h ."a,♦ - _ G.i �J�f C� Y `�% { J �! a. e •... t rNA "I 4 �i •a r" rw� � Y .rs a� 9 rte.' '� ` �a k. �' � a C- `�S�e Y ?2 ^� r, '6 Cf< % �, C � 2� r, � � C� C R dT . � i ��� i' h u �' �' � � r." \ PP ✓�'� ��-� _ C —� N \ r en ep c f�� r�°�. �"9 r. - �. �eC.r, �,��'' .a.1 t' f.��•' %7".�G1'^-� 'fR'� _ r7l�..s-� y.. unless I hereby certify that I have inspected all of the above work, 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 project completion. Inspector: Jack C. Millin ICC Certificition No: 0842216-82 Contractor's_ Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page \ of INSPECTIONS JCM Inspections 39725 Garand Lane Suite F11 1&mWQ2 Palm Desert, CA 92211 LMIJ Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:` Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA AWS [7] IBC FJ_D 1.1 Title 24 EJ D 1.3 Other F] D 1.4 Client: Sladden Engineering Sub-Contractor: White's Steel General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Description of Work Inspected: AC� ,,�, 1 �r f1 w nn rl n r� �' a C �.. I'Y'�, A Shop Eetield Unresolved Items: ®'None -1 see Below r .1nra , {�� \ \/.\ �( �� r',��� X �(�-�,.,.��s �.,.. , rt-.r.0 a„,�r� a o t�,��(�C h� t�\ V�irl►t_� �T., ( 1Z, 'i r17 'r)C t�IrR: Va Vr�� ,�� �.�n.e•.e•l.n�.t. \ �..r� c��n,n c,r. nen' Qrr,r'l^(cr.nl. mot'.11cnrr\�t` tk v,3^U\ Var VIA �Z, l+e.1rR.��ACr R4v w - Q\tt� t� � r11�4 k i /\ tyN 1.I^ Process Welder Cert on File Electrode Detail(s) - Location/Comments Yes No Type Size CG�`^+ C.�n`ic. ♦w1.c¢ ,�� S7//[� �- ••1 / .�`7.Y'� S p` -t' \Cr,��1nA ?` \'C a vl''1 k N 0 r; C "[a` � � �•t> •:1Q �k �*'��f� �l cr mCr ���Cl I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack•C. Millin ICC Cert'fi ation No: 0842216-85 Contractors.Representative: Copy 1 JCM Inspections '-J Copy 2 Project Superintendent ✓ Copy 3 GoverningAgencyPage of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: (.0_ 1g_ C� Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC . PID 1.1 Title 24 D 1.3 Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers q.� \ j,_ Description of Work Inspected: ;. 00(- [] Shop ®'Field ^-� Unresolved Items: FQ1 None See Below C.. �v:SC����� •�! v�c.l.\! .��'-'' � ���'.c.'f S�� C �\ �A,\e..�. �� ��``�� vJ�� . Dc��� S'�� CS, Ito S,-,. C�_ iat -�kl 1 ht A Process Welder Cert on File Electrode Detail(s) , „Location/Comments Yes No Type Size � ,o -L -s. Ste, � F < =, r W \�1 � �cc�. t o.� ('►� �ecc� V I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certiifiicration No: 0842216-85 c-, \Nv\ _L - Contractor's Representative: .- X IJCIY \ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of 049773 SOaddent Engineering - 6782 Stanton:Ave.- Suite A .77-725 Enfield Lane, Suite 100 45& Egan Ave ' 1543& -Cholane Road Buena Park, CA 90621 Palm Desert, CA -92211: Beaumont, CA 92223 - Victorville, CA 92392 (714) 523-0952 • (760).772-3893 (951) 845-7743 760-962-1868 -Fax (714) 523-1369 Fax'(760).77-M895 Fax:(951) 845-8863 ;'Faz 760-962-1878 Date P t , Job No. S_71Z — FIELD MEMO Project Name lAA4c ,4n�-. 1 ;A (� Client: Site Address Job.Phone Work -Done rl Test Summary./ Footings- Inspected r. Test No. - Location'Elev: Dry. Density ' •Moist % %Relative Compaction Ref. Max pcf Moist % 1a A rY1OA4 ;.kn; f - lJ Comments Fieldh _ . Super. or Agent .24 hour, notice requested to -schedule Field Tech nician.,Thank.youJoe1he opportunity to.be of service-. Form SE -0001 (Rev. 9/06) ' ®49781 •Sla'dW En jeneerin� de : x 6782 Stanton Ave:, Suite A P,77--725 Enfield Lane, Suite 100 f - '450 Egan Ave . `1.54WCholane Road Buena -Park; CA 9062.1 ,. Palm Desert, CA 92211' Beaumont,'CA 92223:-.. `:' :Victorville,'.CA 92392 (714) 523-0952 '. (760) 772-3893 '(951) 845-7743' 760=962-1868 ` :' ..Fax (714).523-1369.. • Fax (760) 772-3895 ` . "Fax.(951)'845-8863.:• Fax 760=962-1878 Date q--?. Z -OF Job No. FIELD -:MEMO: • Project Name . IAA AL4j-/]Y7. ..Client y ,_ •- . -, ..Site ;Address . r-. A'D A al -4; Job Phone Work Done Test:summary / Footings-Inspected'— „Test r- Location.' . ev. Dry.. Moist %Relative Ref. Max Moist - No. ElDensity : %a' Compaction pcf oda '. 7 Comments /i.-+// 51-101-10 AM t,-Fidid-Tech. . Super. or Agent ' 24 hour -notice requested.to schedule Field•Technician-. Thank you;for.-the opportunity to be of -service. Form SE -0001 (Rev. 9/06) SIc n, Eh9ineenng F 049745 ddei .. :Test Summary [Footings; Inspected- nspected Moist • 6782 Stanton,Ave:, Suite A .. 77-725 -Enfield Lane, Suite 100,'- .. Buena Park;,CA 90621 • Palm Desert, CA 92211 :. (714).523-0952 (760) 772=3893 r Fax (714).523-1369 Fax (760)772=3895` - 450- Egan• Ave :Beaumont, CA 92223 ,(951.) -845=7743 ';,:.'760-962-1868 •Fax -(951) 845-8863 15438'Cholane. Road Victorville, CA 92392 - Fax -7.60=962-1878 Date _ Job Phone, Work Done -f'e., t;�..w vt-Gore �' �r15�f (1� Vj O/P amf 5"/lrf,�;� Test No. Location - Dry Density .:Moist %Compactionpcf¢ii�c.�- :Test Summary [Footings; Inspected- nspected Moist VEey. Test ya Test No. Location - Dry Density .:Moist %Compactionpcf¢ii�c.�- %Relative Ref: Max Moist VEey. ya Comments \)1q, � -,./------Field Tech. .: .. ._. V USuper. or Agent 24,hour notice:requested. to'schedule. Field Technician.. Thank:you :for the:opporturiity to be of service.: Form SE -0001 (Rev. 9/06) _ 045608 6782-Stanton:Ave., Suite A .77-725 Enfield Lane; Suite 100 ?a 450 Egan Ave, :, . -_15438 Cholane Road ':• _ Buena Park; .CA.90621 Palm. Desert; CA 92211 , Beaumont; CA 92223 Victorville,-CA 92392 (714) 523.0952': (760) 772-3893 ;`(951),845-7743. 7.60-962-1868 Fax (714) 523-1369: Fax (760) 772-3895 = 863 Fax760-962-18785 Date q14 Job No. /+ FIELDMEIVIG e Client;. Project Name �• "lLTG Site Address U4 LJob Phone " Work Done / .. Test:Summary /.Footings Inspected i Test, • .' Location. Elev.' Dry, . ' Moist•. %'Relative. Ref. Max Moist -No.` Density %: Compaction . pcf /'/0 4 tl v Field Tech.. % uper.(r Agent 24--ho.ur-notice, requested to-schedule>Field Technician:= Thank you,forahe opportunity to`be of'service. _. . Form SE -0001 (Rev. 9/06) 049512 ".SIadden Engine�rine� 6782 Stanton•Ave,; Suite A. 77-725.Enfield Lane -Suite 100 450.Egan,Ave . 15438 Cholane Road - 'Buena Park, CA 9062.1:__ _ .. Palm ,Desert, CA.92211 Beaumont, CA 92223 Victorville, CA 92392 (714) 523=0952 (760).772-3893 (951) 845-7743. 760=962-1868 Fax (714) 523-1369 Fax (760) 772-3895. -Fax-(951)845 -8863 - Tax 760-962-1878 = Date. / Job No. t7 Z Z FIELD MEMO } a Project Name Client: Site Address r'M 6�Lvr Job. Phone Work Done Test Summary/ Footings inspected ' Test No: Location . `Eley. • . Dry Density . Moist • . •:%: % Relatives Compaction fief. Max pcfi • Moist . t CommentsW. / s � _ Field.Tech. Super. or Agent 24hour, notice. requestedwto schedule Field Technician:. Thank you for the opportunityto be of service: = Form k-0001 (Rev. 9/06) Sladden=. Engineering 0493.85 . - .. .. 6782 Stanton Ave:,.Suite.A• Buena. Park, CA 90621 . 777725 Enfield Lane, Suite 100 : Palm Desert, CA:92211 .x 450 Egan Ave. ,: -,Beaumont, .CA 92223 -15438.Cholane Road -.VictorviIle, -CA 92392 i (714).523 0952 = . Fax (714) 523-1369 (760)-77273893. Fax (760) 772-3895 : (951).845-7743 F.ax.(951) 845-8863 760-962-1868 . - Faz 760=962-1.878 ' Date 28/4 Job No. <2 '2 �/a f o . :. .-FIELD MEMO. , :... Project Name j .. .Site Address 52 --r Au (.4, /,/; e,-� 1 to J ob Phone Work Done Test Summary /Footings Inspected. �. Test'.. - Dry, Moist %_Relative Ref..Max- Moist .No: Location . Elev.. Densi °Io `. Com action tY P Comments Field `Tech- Super: or.' Agent 24 hour notice requested to schedule Field Technician:- Thank you for the.opportunity to be of service: Form SE -0001 (Rev. 9/06) - •049375 .Sladden Engi:neerinc� 1 ' 6782 Stanton Ave:, Suite.A:!. 77-725 Enfield Lane, Suite •100 45a -Egan Ave 15438 Cholane Road Buena Park,•CA.90621 . '. Palm Desert,. CA 922.11 Beaumont' CA 92223 _..Victonrille, CA 92392 { (714) 523-0952(760) 772-3893 ."(951) 845-7743 760-962-1868 Faz (714) 523-1369 Fax (760) 772.3895.. Fax -(951) 845-8863 FAx'760=962-1878 Date j� c� / (� %S Job No.. 522 - FIELD MEMO Project Name' f lel li(� 5 �� l Client:. Site Address —� Job Phone 'Test - - No: ..Location Eley; Dry' Density Moist: % .: %Relative Compaction +Ref. Max .: pcf Moist:,. 11q. 2- , f-7 /I (i7- !r .. f 7/- !-/ 10 V ' � I 1 � �� 1' �' lLf• ? l Comments Field Tech:Super. or Agent"f 24:-hour.notice: requested .to schedule. -Field Technician: Thank -you for the%opportunity tote of'service.' Form SE -0001 (Rev. 9/06) _ 049354 . 1adden,. Engineering 6782'Stanton Ave., Suite A,, : 77-725 Enfield Lane, :Suite .100:. A50:.Egan Ave 15438'Cholane, Road. Buena,23 90621 ' Palm: Desert;. CA 92211 ;? :Beaumont,'CA 92223 Victorville, -CA 92392 ti (7.14) 523 0952 (760).772 389313 -r:(95.1) 845-7743 760-962-1868 Fax (760)772-3895'Fax.(951) 845-8863. Fax,.760-962-1878-369Fax(714)523 Date Job No. ? FIELD MEMO y, T . � Project Name t Vt t � X11 .4JGf_! 01'i . �l14i_/S�r Client:.;: + .Site Address. d, s Job Phone - _ ... -Work Done f r Test:Summary / Footings Inspected. Test .No: Location . :' Elev... Dry Density. Moist .. ;`%' % Relative Compaction Ref. Max. pcf .,'Moist flu J-0 S r 1. 1 n comments Field�Tech.Super. or Agent .244hour. notice requested to schedule -.,Field Technician-., Thankyou.for the opportunity.to be of service. Form SE-0001.(Rev. 9/06) - 059869. ��-Sladdien.-..E'nginedri,ng,... :6782 Stanton, Ave., Suite A - 77�725.Enfield Lane, Suite 100 - 4501 Egan Ave 15438 Cholahe Road. ..Buena Park,. CA 90621,, Palm'Desert; CA 9221.1 -.Beabrnont, CA 92223 *Victorvi Ile, -CA-92392. (71:4) 523-0952 -- -3893 -.(951) 845-7743 (760)772 760-962-1968 Fax'(714) 523-1369, 1 ' Fax (760)772=3895 Fax,(95.1):845-8863 Fax 760-962-1*878 Date -S �/ v/�cf Job No.. FIELDMEMO-*.......... Project Nam 4_'Ud)(4—S-K- 4 1 Client: .Jpc e. Site Address 417 400.Phone Work Done Ltj ...Test Summaryl Footings Inspected :' Test No.,Densit, Location Elev Dry,.2,-.'. Density.. Moist, RelatiVe �6m'pactio.n Ref. Max Ocf Moist. % /,03 - Y //0 k Id 3. uomme,nts- 4ze-�- 4� S Field Tech. Super. or Agent 24 hour�notice -requested to schedule Field Technician: Thank you,for the,opportunity to be'of service. Form SE -0001 (Rev. 9/06) 049347 Sladden Engine:*rind -6782 Stanton Ave:; Suite A 77-725 Enfield: Lane, -Suite 100 450 Egari:Ave 1.5438 Cholane Road'— Buena oad'Buena •Park,•CA 90621 Palm Desert, .CA•92211 Beaumont, CA 92223' Victorville,'CA 92392 (71.4) 523-0952 (760).772-3893(951) 845-7743 760 962-1868 Fax (714)"5237.1369:. Fax (760).772-3895 - J Fax (951),845-8863 Fax 760-962-1878 " Date A.0 Job No.- 5 Lic) FIELD -MEMO. Pro'ect-Name Iy{ `-I u.t . f(J ^� 1. td� tjl i��.Srrr��J, ' !�':., ... Client: :.. Site.Address Z. �f .. � .(it I! S � Job _Phone: .. Work Done �� -- y M er r6 Testi Summary / Footings.. Inspected.... ... Test,_. No. 1 . ,_ .. Location. = Elev: Dry Moist. %Relative Ref. Max Moist Density: °7° Compaction : pcf, %o v f u /0%. j 6` /62.3 { � al .S Comments Al / A Field Tech. Super. or Agent 24 hour notice•requested to schedule.F.ield Technician. Thankyou.for the:opportunity to be of service..` Form SE -0001 (Rev. 9/06) - - JCM Inspections - -- 39725 Garand Lane Suite F i Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:a Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA0'D AWS r✓ IBC 1.1 Title 24 E]D1.3 F-] Other Q D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ; ^ ciQ E] Shop .. . ©'Field t ` t ` - �• \ r .'TL. rl � 27 Lc Tf, h G \ln,l O f tr �, \- I � •9 n Unresolved Items: None El See. Below 0P(��i/}` Oa, — rnri\Gi \\) p_ i CAX � \A, to CC- 7 r r ; ( r £' L4 A.0 „"r S 7C c rn. 1\ A-. QS �C..y+ ra 1 •� _ n r.�: ) lc SC it o_ (..\1)0Af G I nLI, Q.r �[n .. \`c\ w off`!` c�l� CA 0 t. "C) \.-nl \�F�n�N\SPy.�\'�ls .t(�� VL3 C•�C G IP"A", , ()( Cr Q-. iS lA sl"1 [^C Q h. 1 UN NQ ri. ./ //, t- •\\Q\ k,-104 .+S CC-1nv C. 0 Fe -c- Oek-0 . (� 1/11 /� • `1 {\�1 `r�, �A I •�� ��`ft -..rte \1^G\�r� r; nr� �^)(�n.... \,\o\1% r l" CJ C(r��l n«.-�� \�A71 'ta 1` X \f -\C+`) 1ASi r1C 1 •� Ll -i" 13 A 1 C P ALA") n (A.n "!A 0 L -o Ox o Orm c9 \ C) r1 r- _A. r% N r n c a. \ �. C M C\\ e1J X)r�\ } T Ti) 9X0 Process Welder 'Cert on File Electrode�L- Detail(s) Location/Comments Yes No Type Size G AI \1; n F r, n e+ (4 �34- W 1 e .� t5�1 ^. 12 39 W i \ 600't n G n ao_\e�� dear. l C1C CSLr e I hereby certify that I have inspected all of the above 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 project completion. h Inspector: Jack C. Millin` ICC- e`tttifi fcaation No: 0842216-85 Contractor's Representative: -�. t v Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of r - JCM Inspections 39725 Garand Lane Suite F Palm Desert,. CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 — INSPECTIONS EPDXY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts ❑ Rebar \ Epoxy Type: Epoxy Shelf Life: MM 1_ I J Hole Cleaning Method(s): �1 r t. _ �'� ` r'_ �. _n f � , A _D ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑ None [—]See Below Description of Work Inspected: -7 Work complies with written approval from Structural Engineer and ICC Evaluation Report # —� I hereby certify that I have inspected all of the above 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 project completion. Inspector! Jack C. Millin ICC Cert}fication No: 0842216-49 Cont actor's Rep es?enttativd, Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page_ I of - _- INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 -- _+ INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date,4 �d Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub-Contractor: Lippert Reinforcing, Inc. General Contractor:' Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: 0 IBC Title 24 Other:. Unresolved Items: None See Below Location of Sample: --- —� [YNo Samples Taken Description of Work Inspected: Avo .. nrn x r •r rh �,- ,n nn..r 1'n.sX. v J� f n G.� C n ev•. n. _ "' ✓1 v r�hk 0,t�'n .' P n �. 1 i \_ __ _ _ .... ... .. J �. ,. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certi 16attit6n No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of Copy 1 JCspections Copy 2 Project Superintendent Copy 3 Governing Agency Page M Inof JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - - Fax: 760-772-3895 INSPECTION s STRUCTURAL MASONRY INSPECTION REPORT Date: ,.2— _, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way ' La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: 1t-` ce F-/IBC Time Sampled: R� Mix Design: �e ! ( A E] Title 24 Time in Mixer (min.): ` -, (� Specified Strength (PSI): — Other: Water Added @ Jobsite (gals.): Addmixture: a�' r r—� Unresolved Items: Concrete Temperature (F): �^ V Truck #: h` Ticket #: � None Ambient Air Temperature (F): �Field ID Marking: sir --k \ ❑ See Below Location of Sample: _ '[ �- �`-1_'- • 1 VNJ 'rT ❑ No Samples Taken �? _ . ; .. ��� Description of Work Inspected: NAe tC,C� l A%I 61 M inc) t. .4\' r %All c t "'Ti - Pig . - \ rf. Mf' nC r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin No: 0842216-82 Contractor's Re/p(resentative: ;CrCeiftification 4 1 \ Copy 1 JCspections Copy 2 Project Superintendent Copy 3 Governing Agency Page M Inof _ L INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 I _ t N s P E C T I o N s STRUCTURAL MASONRY INSPECTION REPORT Date:,=;Z_)--�_oq Project Name: The Madison Club - Members Clubhouse . Permit # 07-1055 Project No: 522-08079 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub-Contractor: Macon Masonry General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (minJ:V,, Water Added @ Jobsite (gals.) Concrete Temperature (F): Ambient Air Temperature (F): Supplier. (\ -� 2 r11 ptAJa u1A — Mix Design' I oAa t- o Specified Strength (PSI): o� o ecS Addmixture: o, Truck #:— Ticket #: Field ID Marking: ✓ IBC ❑ ❑ Title 24 Other: . Unresolved Items: 'None ❑ See Below Location of Sample: No Samples Taken Description of Work Inspected: e r. �'0 Cpm \ n\G��AL �C(��b CV�� t S o W hey Q.x1It(I to o /��('� wI -VL_c " ,, %n '1l-w— wLD1 l�'>c\ct� to iJ `� ter S er-�Ceti� blt9N*l�n. c G.S ec tc A.e, o:,r` 0.��uS Cam. ►7 S «�ac.�Ce� c'c�o,c• 'C� o �... Si zs. o �.h�e.. c.oVe r a�•. 4 � j4� • cG.e,A � Yv�t" C•O W , � ; I hereby certify that I have inspected all of the above 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 project completion. n� Inspector: Jack C. Millin IC�`Certt ication No: 0842216-82. C; . 1UL___J Contractor-s Representa(tive, Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Go`rning Agency Page ( of - JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: A_'-7_09 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Anchor Bolts ❑✓ Rebar Epoxy Typ \ y rr7i1 r\ Epoxy Shelf Life: \,-V\ �&.Xk "_:�01 © Hole Cleaning Method(s): Y�\l a. C \Qr, ^ Cg <1,'Xco\INe (c C'A ❑✓ IBC ❑Title 24 Other: Unresolved Items: O"None E] see Below Description of Work Inspected: C-MW pin\.nn t�of\Sinn CO CSM AO V ) ).'w1 _ IPncC\ POCn 50 c-\)e-� `Trot i z oi\j\ �k \,,,vQ\ bea Y,r. cPLar- � c r n %AVC'QOG]f\V1�\ \ s' V p 7( Ct lr �O annV kX tn, Q'\ n!1 =L 11CO3-'V"o n .� � ` e .v.\1 dam) Y1'1 � n `a, c' i�'1.� � � (' e_ C \ •Q �t c �: �7 t 2 �� Z�� � 'C �� ✓nen o � n ' 2 aC Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. . ack C. Millin ICC � ification No: 0842216-49 InspectdN'A'L� . �0 C`Co t actor's Re ;�Aqe�� v — tCopy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page T of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 _ I INSPECTIONS EPDXY INSPECTION REPORT Date: _I3.-09 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers © Anchor Bolts F-1 Rebar e `_ T Epoxy Type: 1 � e\n&on Diet o oQ 1 1 e- S4' Epoxy Shelf Life: 01 ,� p� (� Hole Cleaning Method(s)z2NknWn Gkea" �1 C",,,"nCc'Lo kiC. .DCr���1c�. J �c Were �t a A Z✓ IBC []Title 24 Other: Unresolved Items: Q✓ None See Below Description of Work Inspected: r_Q OX A(VA pf 'P5 MGA 6, :,hi n a " \z'A k,)Mce_ p nY�'Q V2r :c A. 'r.TQ 0-A Act conrrAq�_ j, (1 "J V t as 0 e nVVI P Qr n a /[ n�0 t Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. Inspector. Jack C. Millin ICC C reification No: 0842216-49 Contractor's Repr sentative: - - V `..•0- t Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _r of r JCM Inspections 39725 Garand Lane Suite F L: --6A Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I NS P E C TIONS WELDING INSPECTION REPORT Date: C;?_13 -07 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ED 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:�0 '� a o � �} �\� co r, ❑ Shop "Field Unresolved Items: O None See Below CSO O (1(NA•2. _ GSI Qva n /a2 Xg X $ t�� e�.�(� �• j� (} (� ` C` �Je� W t�0[�L C� U �( �'1 Ph ! oho �'{—p (�� S. v MCS e� 7� $ N/ ' 1 fb �� W ¢.�1�j t C3 o�C O v "OL , 1'S O �'1 a Co f1 tr1�C l I to 01 , Cn G f(6�1 2`F� cQ rr\jJpP``vAY �),oq `1, �v1aMr1 so G sok& lcC.+ t� F�\6 �. Wex4- _�b i)<?ftrr1 �i / b �•It u lQ_ v v `R C. C�C7�C QL..1 Z1 .. v J V , Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �W �\V 1WAr, c� '� 3�, \,w' / 61L, rip S 4.30 , q �1" � n c� At A4— +0 &QA 15 BICC I hereby certify that I have inspected all of the above 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 project completion. Inspector:• aacck C. Millin ICC CeFfikation No: 0842216-85 Contractor's epres ntative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ,2,— 1 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC E D 1.1 R Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work InspectedeO e c o — F%.4LQ Q e n ❑ Shop Field Unresolved Items: None see Below .S , Co v $ y.Q `� 17 Cts a 1 C��a�s �r3ec•� R..�ot e� �oC QCT iUt� UC�t �S �w V'&_ "ON V�kLS��t c3>�S 125eOVIS (� X %),- AU , U -P 9c towel I .,►� Q. C \-)A\, p �oT� Cr,.G rtp� `` $IZQ � tQ \�C'Q(GytC9. Process Welder Cert on File Electrode Details) Location/Comments Yes No Type Size �L�� �'�\\ arcs. ✓ v�",cei o-79 �•� W 1'n c�0+� 10 p�,� is Clc tc c . I hereby certify that I have inspected all of the above 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 project completion. Inspector• Jack C. Millin I `r,C %Ie fication No: 0842216-85 s C., ' - C/o/nnttrr.,ctor's Representative: l Z__ Copy 1 JCM Inspections Copy 2 Project Superintendenty13 Governing Agency Page 1 of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Datei,:z Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier. OL Time Sampled: Mix Design: � ax T .-�o Time in Mixer (min.): Specified Strength (PSI): !500 Water Added @ Jobsite (gals.):A, Addmixture: N O Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: 0✓ IBC Title 24 Other: Unresolved Items: Ee-None See Below Location of Sample: [�a'`No Samples Taken Description of Work Inspected: c r t l v )s ll� cw.\Ur rs' " o c- nnu o.. Co v n �)a11J.'s �4La �n�f ct Gn� u.S)s_,v VJr> � �� onLJ'N {� v I r N 0 \o t-.0 S- %W C �1u.. , i �C 4- c Q � � 4-%u s — • Q � . RG'� nAE� .Sr z� p�taca r.►�� J `9- OW GCS sQ( _ Qon .+. e.1.J � /' (^ n♦ 'unci I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin( ICC ertifca ion No: 0842216-82 Cont actor's Representative: c Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of E!M Arm JCM Inspections ftem 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date _(:)9 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC r/❑ D 1.1 Title 24 ❑ D 1.3 ROther ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: Ma;f) RAO W aa% nn [—]Shop 2Field ` J Unresolved Items: 2 -None ❑ SeeBelow o n L •1 \h c\,`� . cokla""r) C-01 0 ����y �n �t�l�0,7 Tpcb�, (� (�\S 1'S • (�Q 4 r� 37� bt �Johk k! A -O q�a(e�(o�� -7.(Z, 1 •S !'p U(�r(+1� ;�� n \ W @1t�►S _ cJt\ (�A- La r� w( /� O t1 e C O (N (10 c�r o(1 t� 1 S Q �' o , `G, (� (� t/)[9 5, tom: aC c_ ,u.iz� etc c., r�0 o e vJe S or vast ,SIt�, Pn `�O.A�c'o,CpJlcc, , Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size \W%% �0�] - WF,�:Ptl; (� I hereby certify that I have inspected all of the above 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 project completion. f Inspector: Jack C. Millin IC CM4'tion No: 0842216-85 Contractor's �tepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent y/3 Governing Agency Page� of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 -INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S REINFORCED CONCRETE INSPECTION REPORT Date: a _r; _ <(� Project Name: Project No: 522-088079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: \ 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 7 S Supplier: Asp Time Sampled: 9: JS lfv� Mix Design: X Time in Mixer (min.): GO Specified Strength (PSI): Water Added @ Jobsite (gals.): 15 Addmixture: Concrete Temperature (F): 60 Truck M Ticket #:' Ambient Air Temperature (F): SS Field ID Marking: Y.66 (4) ❑✓ IBC [:] Title 24 Other: Unresolved Items: ©"None F-1 See Below Location of Sample: Nor -R-\ F",n;, } Aik-(') Ca,) 4' Ln-�Tq DE'IV?_ J No Samples Taken Description of Work Inspected: CoocP(2 Placemen+ SamolinQ pIacerne4 � C0Wr� SoC t'klc , Fo-=I tp k-:eiw n Main (_'xn� ,n 4 �m ns 3L, Idi na a-, Wel ( c5 -4)p F��•n�,� \vl��i C o:�r+ \1 nit\/e �ur� U'4x; S , '/ � �" J " T� � � ems. 1 �' � 7•S . A (riQ, Y_ ..�( caC A (( sr,,t: �� G cG cre4e consAG k 9) LA a �xU �or�'1!�J�E'5SG!"1' i< wc2i�C 7 a 6), Q rilav; C -t...inc� { ;c n�i ��tAt�.� . . I hereby certify that I have inspected all of the above 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 project completion. Inspector: Michael Rodriguez ICC Certification No: 8003124-49 Contractor's Representative: i Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Age cry_ Page of JCM Inspections 39725 Garand-Lane Suite F ___J Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S REINFORCED CONCRETE INSPECTION REPORT Date: rO Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse = Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ❑✓ IBC Time Sampled: Mix Design: Q Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: [`None Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: i ®'No Samples Taken Description of Work Inspected. . to E, o` \ n "\, A r c .. .c. a r c r c r+o r_ ; n n.n �.' %, tA 1.is N- r n n e a e V_c>c��l r`�` it e CC., of a? or O. ] 2, S,c\h-kjC1 G ar akc ec, 3 tT Rsl 4.rnvrtSi^ r&0( &-o—me, mc- Pvc r o, o. C ec Cs c�YJe r' C nTut _[L �GcPmP'' ♦G�fG Lt� a G £ a o e'. r h. nx kAlp n. o r � �c� (5' !� r. a E o rCl C J^ _ _ r I hereby certify that I have inspected all of the above 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 project completion. Inspector: J ck C. illin ICC Cert' tcation No: 0842216-49 Contractor's Representative: U_ L=cz Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Age cry_ Page of I. JCM Inspections 39725 Garand Lane Suite F LIR Palm Desert, CA 92211 I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Datea_,�;_,.)9 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts Rebar Epoxy Type:i n- n SOG \ C O Cl R 1 i �� �-. � Epoxy Shelf Life: �V)0'xx (('�� tt /(�� Hole CleaningMethod(s): 0 C coal � I C _ I U'Alle�,f We r a Df ! V r - �-- ZIBC []Title 24 Other: Unresolved Items: ❑� None See Below Description of Work Inspected: C 1 � ,r nnk Lt r I,JP� n..T'ge% 4c C°UA�n� �* � rin n :� � �(tA �h\ \ f�✓K\ e` o��n Pt �v i n It �! TA iy rte` \ Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. s Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor' Representative: Copy 1 JCMI Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ( of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 -- INSPECTIONS WELDING INSPECTION REPORT Date:a�3 -p Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS] IBC /J'D 1.1 Title 24 E] D 1.3 ' Q Other D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:© tNr - F,TA Ej Shop Field r --� J Unresolved Items: E] None See Below `` .- 7n s C.n _ �_ , n\ �.�4 ..1 f c, 'n ^eN.. ♦.1n t..N'�L�1,n,,Z C n.: nn.nSVl4`n`1_! X_z_o ~0-M v,,. 0/ 1 w-, i °n . Mor '1'I \ n f+ .. •_ ► -\r1i•_,nn�. _- o-n � i.a r l�'.tt t � r\ r � :r; (� Mrs.nl.\ \.,\t'�d['+ Rn�t �� /~ r •t 7'\ ",'AJQA! `.. 2t`Ar� 1 C1 Cnr\ fn .4 r% - c. �I'00-1 .�c\: ���r "` U r 29 0 c� ., r G dl (Q0 Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size L INC cc o rtt`o �.n ✓ t4o_32 �K C\ ro. \c�� V 0 _ I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin IGC Certification No: 0842216-85 Contractpf's Re resentative: Copy 1 JCM Inspections Copy 2 Project Superintendent opy 3 Governing Agency Page of 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC ❑fi'D 1.1 Title 24 ❑D 1.3Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: c ❑ Shop O'Field Unresolved Items: E:] None ❑ See Below \oc \. Ab 0 1 �. \��n„,aflG,'��o W/ �4, �c �(� v /• _ _(�`` �j(� [� 11 arr:\�.1) .\. n)�!c {�" . \ .. r<A1 , 2, ! \ N—n11 \Ai v�XIH C Y� i 1 r ..^+O \ i 'i0 \ Q,n n~M G• Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No T�yp�e1 Size n r I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Ceftift ation No: 0842216-85 '^` c, Contractor's Representative: 4 Copy Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page -4 of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T LO N s REINFORCED CONCRETE INSPECTION REPORT Date: l --07-09 Project Name: Project No: 522-08079_ The Madison .Club - Members Clubhouse Permit # 07-1055 Project Address: City. 53-035 Merriweather Way La Quirita, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc: General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): �-{- Supplier: kSU �JiIX Time Sampled: G>'� Mix Design: / �6 �. '" Time in Mixer (min.): �Q Specified Strength (PSI): 4 5 Qty Water Added @ Jobsite (gals): O Addmixture: Concrete Temperature (F): 03 'Truck #: 6 Ticket #: q Ambient Air Temperature (F): GQ Field ID Marking:x5 (y> ❑`� IBC - Title 24 Other: -Unresolved Items: None ' ` See Below Location of Sample: IIX�� Pr�)ll}.�,n Q c,�Q�1 ,-t h �reukP _ NOi�h vV Copo No Samples Taken Description of Work Inspected: . l `T n C f` -�or '' ,l ab o P�� t: I n -1h IIIo�q w ise CA-woll a SoulhP"Y-1,? in ci P -,kap. T r - AS U `4 �I Y� 1PCI1Q: (1 I'M( V ► (' U S ( 1 Coil I C G� r uJ Q) Mol e ase : I -E`er c�av Urno tc�n -i- s=i ea . - . (I), OV5 (a , cArd one _I,_rrI l' a parpo I hereby certify that l have inspected all of the above 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 project completion. Inspector: Michael Rodriguez ICC Certification No: 8003124-49 74; Cont actor' Representative: it Copy 1 JCM Inspections U Copy 2 Project Superintendent `� Copy 3 Governing Agency • f Page A_ of r rRE CT 1,,C) S & C 0 N S U LTR\, a G 7338 SYCAMORE 'CANYON BLVD., STE. 4, RIVERSIDE,. CA 92508 (951.) 697-1000 o FA)< (951) 6197-1030 DSA FILE# N/A SPECIAL INSPECTI®N! REPORT.'' DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed Immediately. Separate reports shall be�prepared for each type of special Inspection, on a dally basis. Each report shall be completed and signed by the special inspector conducting the inspection. Client/Project Name: JCM1 Madison Club -Women's Building Date: .1-26-09 IIC Job No. 1488018 DFR #: Project Location: 53`d and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete O High Strength Bolting ® Other (Field). ❑, foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing) Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project. Two repair welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. I Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected X MET ❑ DID NOT MEET OF THE DSA APPROVED DOCUMENTS THE REQUIREMENTS OF THE APPROVED DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT KI PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTSr 'ect Architect- Si nature o ci I Ins ectorcc: P oI 9 f'�P PStructural Engineer- Wade A. Clark (Project Inspe Project Inspector- Printed Name and Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 IT&T Level II T 0 z C X m 0 m0 crno'oo2 m L 7w m Z iii o Z O 0 m 0 Z x m o CA C 'a Z O in N v0-nvi0 D A D Q o � � a a o b O B V rn�y-4 rn p M n W p m S c mmza acno3a Sze n°��� n� . Z o, a o� CL Cv z z z� r rn 0- , 15 ^'= wo'm m<OD �z -4 ME, a-zm m 0 m m D rnj �ugi,�pOA6 o 6ow N IDENTIFICATION N CA v i z Z m coD (A �I z f�D n� < M — .-� c!! ni I s M 0 0 m o c) . Uj 0 n m 00 w w 9 w o o m cn T fD a 0 m m > :Lw N O S S z O O x x ACCEPT REJECT 0 o TRANSDUCER ANGLE 90 N NODE DEFECT LEVEL 0 CA U REFERENCE n LEVEL D r ATTENUATION m FACTOR m v_ DEFECT p ' RATING LENGTH INCHES o m ANGLE DIST. m SOUND PATH 0 INCHES ro DEPTH FROM "A"SURFACE O INCHES z LENGTH OF WELD INCHES THICKNESS OF WELD INCHES i 0 m0 crno'oo2 m L 7w m Z iii o Z O 0 m 0 Z x m o CA C 'a Z O in N v0-nvi0 D A D Q o � � a a o b O B V rn�y-4 rn p M n W p m S c mmza acno3a Sze n°��� n� . Z o, a o� CL Cv z z z� r rn 0- , 15 ^'= wo'm m<OD �z -4 ME, a-zm m 0 m m D rnj �ugi,�pOA6 o 6ow m m rn m r� 0 n m m O m Cco CA v i z Z m coD (A �I z n� < M — .-� c!! ni I s C) o c) . Uj 00 JCM Inspections 39725 Garand Lane Suite F LT=.%iPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 1 ,�2j- 0 Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC E] Title 24 Other: Unresolved Items: ►M None See Below Location of Sample: No Samples Taken Description of Work Inspected: coo' Ci ', n �-• t , ��-, G.`' O \ - G ,��,�•tJ�.'"1 l � cc C���`�cCSLrh�v\' O3 RQ•ctt4; �� fi. Ct ' E- �' ti • C r t'G t�-. v�' M : .. r ,�t'� O v >` c �' ` `\ rt c� v C'. Q v\c ter t r Li„ v.I��SL C7�1C�Cj�` /rn ��1 !bc"�^t�Cll�` �K\�('OC Si ✓ C� S� c C.. C r' n • i - r A-�� � �v� r� j � � ��„ t �'r:� � � -n. fil�.J � V L �� ��— C k'Nccitc.�L.cc.��C^TSA-�Si11z �rca Thr � �C71^C� ��'-t EI 5 `��QS` `C C Wow {� fes. l} C.A„� t C7L�11d F� >V �v�i -W i'Sy ` 4'fn�t t t'� to0's. C d I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin �NC\Ceftiflcation No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent �j/ Copy 3 Governing Agency Page ( of— - JCM Inspections 39725 Garand Lane Suite F I. I CA 922111=1= _E��fi Palm Desert INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC , ED 1.1 F—] Title 24 O D 1.3 Other D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers (� ` n n t (� Description of Worklnspected:r�l�!wOMa,1 5 ��\G+[�(1 v n� E Shop E Field Unresolved Items: ' None ❑ See Below V tOn� a� C-tvC V e� S1G. �C a t 'f o' C) VI S1c, , c-• W O C\c, b o � c n ; n � . `�, G` Cho .� i n C� oke+.P'S rCc.r (1CQ i C1 \ nU\JI r\n ��c\C t,.;� �o.fS ��SOd'�6f�c1�v l�P\l CEc� \\ I t� (t? WeUpct^. o -,j X CV r hoJ e-Z M 1.7a 11 o, c A-1 r; n \r5 . S Cn. G f b _21 0l@r\'c1�1 ` Uel^o %n,^., Ps c l S,f �` (\C � �Pv o� d A n\1 @: ini p�2.hJ S �o r bC O.w\ To G©l u •n'\t1 CD��1(�¢ CJ1 t t� S . �.0 �"�?` •�� Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C QW AZM014c, \%\ G u n n ✓ tv2a,,3 \.� \C G �� r \ }. (j �i\` �QJ F\ \ U3 (e. l.�N �p�` �(lvJ•1 C'. W a& Qen— 1vi� Un t,ow SAP v CL I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jac C. Millin ICC Certification No: 0842216-85 llo, Contractor's Representative: 1 of Copy t JCM Inspections Copy 2 Project Superintendent Copy 3 Gove"ming Agency Page JCM Inspections 39725 Garand Lane Suite F L T.S. kniPalm Desert, CA 92211 L—Th INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: 1 -,r:93_ C)q Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers O Anchor Bolts ED/Rebar ^� �7 ^ Epoxy Type: �t r- ,n Irl 1 S Ccs n r',, 1 l C cT�`` r Epoxy Shelf Life:_7So1 ntaQ f %A Hole Cleaning Method(s):%,\ ,,"„N (''e n ,` Cca,*• ��tCISr?!.-' 1� , C t �j� a to ( ✓IBC F] Title 24 Other: ' Unresolved Items: None ❑ See Below Description of Work Inspected: ` 0 Q <1 - , 11t v�0 ^ r\ _S - i1 j P' Y • . !rrt"r ,� .. r� r1 r C n c' , n n"�'1 . t "{' c x.•11 f `'t to t' 91' l A U 11�1 'rC�1 A ^ ra r \&,)A(:,) e _J CC, �G t1k (�t 0WrV�[y C '•l7!-YY,i n`�,.1 rjlrl I', C c-�. )1, •ti� .l . 1 .' �1, r' X , , 1 C Qr r,( i.•- '"��u-C C'+ P\. i OA�'1'a R, .3 C\^-�`� ,, 14 �. f� .�^r '� 4 r'f W c l '+^ W 't- • ` 1 c �- 1 V \10-r \ 1 [ pN k.e �, r C' �t , 3 ` r t` ^ C fJ r1 C t+47rl-r(s, St �� � C �. ) �� . � w?•� : f. � t`. n + 1 R 1r` � 1 t1 $ r�n'r 1 '(` �• � • � t � n m nT'� r ��r- itnn' � s '• � `\rnt '� ,r Uz r, CR :r1 \r \ GnAAQA-_-)Ak '� 13-5 Ct.bGt �0u-*(;,a, i 4) (� jy L1 f�r��r>✓Y� 11N_ L4 C e?�. at V a�E�, Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. r- Jack G Millin JCC Ce+ tfication No: 0842216 9 Contractor's Rep'retentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page + of _ 663760 SIadden::Engineering S" 6782 Stanton Ave., :Suite A. -77=725_Enfield Lane;! Suite 100 `450 Egan Ave 15438 Cholane -Road, �,-Buena'Park-, CA 90621... Palm Desert, CA 92211 :Beaumont, CA 92223 Victorville,:CA 92392 .(714).5237 0952 (760) 772-3893 " 845-7743 760-962-1868 - Fax(714)523 -1369.: • ?Fax (760) •7.72-3895.._ -.� Fax (951) 845-8863 -Fax 760-962-1878 i Date 1e2 -/C1 Job No. _;/f- /y FIEL®" MEMO_. Project:Name Client: Site Address% �--f ,�A?L�/a'r e/n _ _.... , .. Job Phone _..... Work Done Test .Summary / Footings Inspected _. Test. > No. Locatiori Elev. Dry . Density Moist . % OXa Relative Compaction' Ref: Max pcf Moist. C c � z I l `, 11277 / VZ y b 1 hyo, r r: t t Comments Field..Tech:. Super. or Agent ... 24-hour•notice requested to schedule Field, Technician. Than k:you for.;the o.pportunity.td be -of -service: Form SE -0001 (Rev. 9/06) . _ ._ - _- .. _ --••- -^ ....���.h u: .:�.: ._ti •. " ...+....� ar=*.<. • r -saw++ -<erx+c �.. 06375.8 :.Sladden'.-Engineering _ . 6782'Stanton Ave., Suite,A, 77-725 Enfield Lane; Suite -100 -".450-'Egan Ave 15438:Cholane Road: t _. Buena Park -."CA 90621. >:.. -.Palm Desert, CA 92211Beaumont,-CA 92223 ' Victorville,=CA 92392.. .(714)'523-0952'. i (760) 772-3893. (951):845 7743. 760-962 1868 Fax (714) 523-1369. ' .: Fax (760)•772-3895 ; Fax (951) 845-8863. Fax 760 -962 -1878 - Date Q /f 1 I0 ifJ Job No.5 Z 7 /1/9 LEL® MEMO , Project Name_?� i 1,1� C. _ . .lient.: n Site Address ._ r�� =P NNA 1-. _... . Job _Phone Work Done_, Test .Summary 1 Footings Inspected. No: Location Elev. Dry-, .: Density Moist % `.`: % Relative Compaction Ref. Max pcf - Moist j Jf r7.`.3 ./ l_�T . $' Comments d°Tech. Super,or Agent �., , :.a• 24 hour notice requested to schedule -Field -.Technician: Thank you.'.for the. opportunity; to:be,of.serVice,. _: Form SE -0001 (Rev. 9/06) 1 063755 �Sladden Engineerin 9 6782 Stanton Ave., Suite A 77-725 Enfield Lane, Suite 100 .450 Egan Ave 15438 Cholane. Road ' Buena Park, CA 90621 Palm,Desert, CA 92211 Beaumont, CA 92223 " Victorville, CA 92392 (714) 523-0952 (760) 772-3893 (951) 845-7743 760-962-1868 Fak (714)•523-1369 i Fax (760) 772-3895 Fax (951) 845-8863 Fax-760-962-1878-� Date Job No32,7 �` l FIELD. MEMO- Project VIEMO Project Name %/GtGG/,1,`/L'?� Client: Site Address.. C �fL%z,z i r . V (1 i1./ �.t � �► �I Job Phone Work Done �5 � �/j->''� �l� �._.-_ �.....-._� �_ �.t..- fie. --1 �--•" �f I/v Test -Summary / Footings Inspected :Test - ,Location Elev. Dry. .Moist %Relative Ref. Max Moist .,.,No. Density % Compaction pcf, Comments Fie Super. or Agent . 24 hour notice requested to schedule Field Technician. Thank you for -the opportunity- to, of -service. Form SE -0001 (Rev. 9/06) I f i Li s�e)UXf��- �f I/v oll %d t Li I J Comments Fie Super. or Agent . 24 hour notice requested to schedule Field Technician. Thank you for -the opportunity- to, of -service. Form SE -0001 (Rev. 9/06) VN 'yamY,_"AiMORIE C,n,MYIDM !2,LVD_ -STE, 4, R\JVERSIDE, C. 5 0 (9, 551 697-1000 , F AX\ (91 51 ) 007--1030 DSA FK170 rq/'N all -_UrFm(AAL iN5PF(fiuN REPORT DSA APPL$tN//: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant comdititm= ITIUst be distributed immediately. Snp?r,?te reports shaii be prepamd for each, type of special inspection, on a daily basis. Each rppoit shall he completed and signed by the special inspector conducting the inspection. Client/Project Name: JCMi Madison (:1vh-VV(,,rrlPn's Building 01ILP.: !-13.09 9SA Approved Documents! Wew-It Inspected, A,z t 1-(jm--ztPf1 by 01P Oi011l , �Jl I III r'I"fillif. pel fril-plon(j. (?lj tjl(z' '11-imic- hnTlf?r'f 1;1 km�l*. W-11 P inspected and two welds were Fomid mat to meet Ims D.1.! minimum recit,0rements. Please See attached ultrasorlic report: for iAeces inspectied, 1'hework V\1W-/\S Uwnsrlol The Work Irispected C_) w -.-r X nm lmr)t prri !1`15PECITI) IN ACCORL)AN(H INIIII T'HE THT !",EQUfREMENTS OF THE A!TMOVED 170(7vmrVI rr: Material Sampling I J WA -z ;J kw�' mo.j rrflf-ORMED IN ACC.0112ANCIE W11H OSA Al"ROVED 0cwtimEpIrc Project Ardlite(ft- Signature of sned?t Inspector sVklctliral Erigir'leer- Wale A. Clark (Project 71priPeCtOl') Project 111spe"Jor- Printed Name and TillP 1 -,GA OffiCe f_"-rHf1Q(1 14V School District- AWS 8 G I I. UP 2 21 11"PIT Level 11 rl () 53'� imi Morlro-, Q -7-01f, Mirage CA I jr�(A Locatium Time Arriverl: I f_nrlt! 7)CI.0r: Whites StE,el N(Jo flerrnit F: -111ne Revi-Vied 1.1v: I)a f e Pevipwed: I ravel Tit n6: Type of Inspection I Reinf!.)i cinc .j heel Pre -Post Tensioned -Tendon [.1 Fireproofinc F-1 Frirjirirr-,rPH Fill c7,trimngt-ti Rr?ltjviq I j Metal Decking (UMasonic Test.11 1(j) 11 Batch Plant [-'I M,aSrrrtry F-1 weldinq 9SA Approved Documents! Wew-It Inspected, A,z t 1-(jm--ztPf1 by 01P Oi011l , �Jl I III r'I"fillif. pel fril-plon(j. (?lj tjl(z' '11-imic- hnTlf?r'f 1;1 km�l*. W-11 P inspected and two welds were Fomid mat to meet Ims D.1.! minimum recit,0rements. Please See attached ultrasorlic report: for iAeces inspectied, 1'hework V\1W-/\S Uwnsrlol The Work Irispected C_) w -.-r X nm lmr)t prri !1`15PECITI) IN ACCORL)AN(H INIIII T'HE THT !",EQUfREMENTS OF THE A!TMOVED 170(7vmrVI rr: Material Sampling I J WA -z ;J kw�' mo.j rrflf-ORMED IN ACC.0112ANCIE W11H OSA Al"ROVED 0cwtimEpIrc Project Ardlite(ft- Signature of sned?t Inspector sVklctliral Erigir'leer- Wale A. Clark (Project 71priPeCtOl') Project 111spe"Jor- Printed Name and TillP 1 -,GA OffiCe f_"-rHf1Q(1 14V School District- AWS 8 G I I. UP 2 21 11"PIT Level 11 1 15 ".DYCAN-10FE CAINYON 0 L,! D. E) FE. 4, Riv-CF-,:--,1DE, CA 9250!--� (951) 697-1000- FAX (0!5'1) f397---1030. ULTRAWNK; 1-E51 INIU KhF(JK I CLIENT: JCFA Inspections (Job 4 522-011079) DATE: 1-13-09 .108 NO.: 148801.8 INVOICE NO.: REPORT NO.: Reviewed by. rROJECT: M?rflWl Club- CILIN101,1se WOFT'Prl's I. CODE: AWS 01.1 FABRICAI'011: Whites Steel TECHNICIAN: Wade ASNT LEVEL: 11 WELDING PROCESS: FCA%AI SURFACE: As Welded EPLI!PMEN T: Epoch 4 PROBES: 1. j NORMAL (XI ANGLE (XI HIGH ENERGY (I NORM ENERGY CALIBRATION: [XI SOUND PATH 11 PROJECTED DISTANCE COUPLANT: I I Olt. I I GREASE JXJRASTE I I GLYCERINE I I OTHER: OECIRAI- READING DEF'E`C1'I-OC-A*I 10N.- r -Repair fir 17.-19-08 Report 7-12 high Roof it CufvPd Stairs (WO Mens Elklild"'u-) R -m! Tube Steel Splices Numbered From Thp W-rth If) Sr),A!, c;!C,NA'rtJRE: U? lL 0 Ir ITEM 1QEl\JT!FI(-,ATl()tI M U 0.0. ILJ x 1'op 2 jrut,P 2 Corner Spice 3 -Ribe 3 Coiner Splice 4 Celle 4 Corner Splice -r,.)e 5 Comer Splice P(, 3390 North Come! L) X P(--, 3390 Splice 1 L) Pc 3390 Splice 2 Shop Pc 3390 Splice 3 Shop W rr 3390 Splice 4 I Pc 3044A Corner 2 FIc, 3053A North Coiner, r -Repair fir 17.-19-08 Report 7-12 high Roof it CufvPd Stairs (WO Mens Elklild"'u-) R -m! Tube Steel Splices Numbered From Thp W-rth If) Sr),A!, c;!C,NA'rtJRE: U? Lu 0 M U 0.0. ILJ x v Z Ix (r Is. t%. Ix L) X V1 U w L) (3 W 1.- V -i W rr D Ir z 0 I-- z (n W V.1 w Z w w Z w 0 uJ w L�L > W III LL > uj Lu 1- -4 z 3: tj _j (9 m Z IL : 7: z W ,u Cy w 5- ui W UA Z— 0 z 4 (n Luiz kil 52 24 -,�Ip 170 1&2 52 24 lift li 1,42 52 .74 5224 309 70 -1&2 1&2 52 70 1-92 52 36. 310 70 1&2 52 39 310 X 70 182 51 52 1 -2 36 1.4 .25 24 3/dl I A 76'- 1�2 51 52 1 2 36 T'i' 24 - -K2 52 - -- - I- 36 -.-. . Vt ..- I �70 - . -1— .. 192 - - - - 52 .... — .- . -- — 24 310 -1.70 1 TO 57 74 318 r -Repair fir 17.-19-08 Report 7-12 high Roof it CufvPd Stairs (WO Mens Elklild"'u-) R -m! Tube Steel Splices Numbered From Thp W-rth If) Sr),A!, c;!C,NA'rtJRE: - JCM Inspections 39725 Garand Lane Suite F T,__� Palm Desert, CA 92211 - INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 _ nl INSPECTIONS WELDING INSPECTION REPORT Date: (_ _oq Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit# 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC [e`16 1.1 Title 24 D 1.3 Other D 1.4 Client:, Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �� �\ g E]Shop ®-Field �/��/ 1r. J •`�} ' s, 1 A-0 f �) r.\ \l r� 1'� .�. 1 '7% V.i Q f \ 1 n f \ 1 Unresolved Items: None E]See Below k n o ) . I c e t9 - -k Ll .tom_ �(��� o a nj PR o (r � � of _ jn r n ) {cS�nl,-r, l M es,-\, .. _ T �r hn, .,.-�e.1 lr .,n - .,Oi". nl1 '7'LQ.. �.°1 '��.+1 ia. i�Pn R A CD Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Size C C \ W \ 1\ r� n _ ,Type \ r n /l % _cri A t, Az 1. R r �2.n 01\ k \r, t n.t\.'N nu 0.0 c a c ,-a ..- v C.Po, Nl ' -C AO C" r%' P) r I hereby certify that I have inspected all of the above 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 project completion. n Inspector.: Jack C. Millin IC-Certif (cation No: 0842216-85 Contractor's Representative: Copy 1 JCM- n�ctions Copy 2 Project Superintendent v Copy 3 Governing'Agency Page of l JCM Inspections 39725 Garand Lane Suite F _ Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: C) Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC Q'D 1.1 FITitfe 24 D 1.3 Other D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: , O�1 ` n n — �C��lrrn� Shop . 6. Field Unresolved Items: one See Below , .) e \ \.o . n ,n. 0 c sl �_) tL Yd! n 0 � AA r n .. •. .n \t. a1: nom. �..r. h� n...p.• � C� :\r tJ\'\G o 1e�cJQt `nt(a�n(.�. mn�G. -WlQ _ fo�N t. n n r\ .r. w// ., i.•. `n n\LA @ r� rt, i1. .A� �CCI� V.SPLM `nn L`o.CO _A; C x f re•, ..n C� 1I r' n :i \ .� r C? .'i n ! C_lN —R '. n a r'1 l h _V�1 �1� n� \i[ o \1 : . I\ .. hal R .. G. . r r O n .� i; (.. .� (� r1 r� .n-C? A i A C C� �. i� /\ M `i .O n7.C. \w�lR:?1 C Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I ave found thiwork to comply with the approved plans, specifications _applicable building laws. Final re ort issued at project completion. Inspector: Jack C. Millin IC Certifcition No: 0842216-85 A Con racto s• Representative: Copy 1 JCM Inspections Copy 2 Project SuperintendentCopy 3 Governing Agency \ Page ' of JCM Inspections ah 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 EM INSPECTIONS WELDING INSPECTION REPORT Dater —11-o Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC Q D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:! ` i ; n ❑ Shop O Field M Unresolved Items: El'None Ej See Below rok a r~n (� �!_(�� ��1 n rrw/ N 6,s2+n—^ 1 S , go o r,'1 %� X %� �l Slb Oc �S. �c�n �, /�X ��( 7g,1 �o\i �s� C' n ra��"4� S�r�c o� ua�v�►c �ror•. (o k,,_a J +-b a\0yr4 Tx) c So 1�1 c')'('\ �l 1`l ti�t 1 1 v(J�,\ � �n1� U) G�[J; c � �' I �� �'J� 1 . (o0\) QA ) t - n—(k( l to IQ's �A Process Welder Cert on File Electrode Det'ail(s) LLo'catio�n,./Commnenttss Yes No Type Size re OLV own �51� - �i �, 1 1,1' 1 Gam/ (� 1 t � 1�' 0.,.4 O (7\ n« C. 1 1 an W 15 . � On S&, x'\(aSAr"� \T C loS�ro3 �or Cin . Ct'c C_ ten\ rt n c.n . a I hereby certify that I have inspected all of the above 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. Finakrep�ort issued at project completion. j II No: 0842216-85 Inspector: Jack C. Millin IC Cektifi`tation Confractdr's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ��Copy 3 Governing Agency Page 1 of —L n JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I s -U I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS 7 IBC /n D 1.1 Title 24 F] D 1.3 ❑ Other EJ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers t . l n Description of Work Inspected: ` n — `QJ of rjiC � S U�% o� lick Shop '✓'Field .Al� � ��'~ \\ �(� .t,.,,. r, C'>'^� �a ) C r 1 •) �1 �„ 7 ;- i th /ti R `�, [..� �� rao C Unresolved Items: ❑✓ None ❑ See Below--�^'^�. e9 i IA `lt WcIZ • e oA c in t n� t\ w �r.� �� � � � \ i � .r.J r M'� C�\,1V. �:: (� t 4 n'�, • � �S . �� r ,�.� V,�c>; � a.. I f -�-.'� - -� t-�---r� C �1 �--r� r � ,. 1,\\A,, K- ./�1j 0.(\�� ry, ft\`��1 x r r'1 f1� �fY�(��j .r \,(\�. `Ci \p. f� CA rk .7 !�\ n S.. A A oO..a+ C is ii d� A 1i' �`�/ A a� Q /� Q_ u. N d Q C- �. Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �r '�c'�*,nrJ ✓ NRa3c1, lrllrL, .C)�r�.. r �/ S `% �.O A C` \.at r � n'R �r'In � CJ.A� �• �� �' C' a I hereby certify that I have inspected all of the above 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 project completion. r f Inspector: Jack C. Millin /I[CC Certificat oonJ No: 0842216-85 Q�, Contractoor'I Representative: Copy 1 JCM Inspections - Copy 2 Project Superintendent �py 3 Governing Agency Page t of / JCM Inspections EMM% 39725 Garand Lane Suite F L: Palm Desert, CA 92211 LIR INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 1 --_7.., )'I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers . " <� % � Slump (inSupplier: IBC Time Sampled: Q'y o n �y�\ Mix Design: r"-0-sc 1 ❑Title 24 Time in Mixer (min.): �y E:� Specified Strength (PSI): 7� Other: Water Added @ Jobsite (gals.): ®a� � Addmixture: s\ v—C, Concrete Temperature (F):,fo l� Truck #: Ticket #: � � �I' Unresolved Items: None Ambient Air Temperature (F): � n Field ID Marking: � y �► �_, ❑ See Below �F Location of Sample: "' o ;,,� < q ✓ ;S \ c ^� ,, {° NVA "inC ❑ No Samples Taken M p n� Description of Work Inspected: v 1'Q �1- � ��� ., g �l �[�. �� o� , �= � _ a e � . `� � P� to cl,, w It � a' Alt o - _ g � ,r �/\�`p A �, �, o �!'.`"� � �, •JV�=' \ \ ,1 �i �✓ `'" \ \' '�� 'A e e � 1 \ .J _`P YA �) �!: \l c' ��� lrv, tai f e � � � e .R_ ��, f. �• i \ f u --.i' lr� l N-�j o - ��' Ai A ?Fd C"� �`, Vii 6 pR e f G-1 7N b* I hereby certify that I have inspected all of the above 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 l k inakreport issued at project completion. Inspector: Jack C. Millin IC°C Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ! of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: _-7_nG Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 5.5 Supplier:MiX Time Sampled: 61 HO aM Mix Design: pl� �IP� � CJ Time in Mixer (min.): g Specified Strength (PSI): -1c)-Y-) Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): �.._-Z' Truck #: �Z Ticket #: 6?3N1�Q a Ambient Air Temperature (F): Field ID Marking: �✓ IBC Title 24 Other: Unresolved Items: �' None See Below Location of Sample: Q CA( 0 RAI INN- _ ,�\-Aiy . Com, � , K 'J a n No Samples Taken Description of Work Inspected: I�lDt�tl ]A+1+L ��) C7 A+ 1 . ' ..t PVY\0 � J r( -'no iP I t, Mn_ r\ 111, r3 :Jle' P 1 ._it�l' 1✓1� 1 �1 1. 1{�l� ) (/. In^'1 I 5Y1G��i f. 11 i f 11 T1 '• i�f( r� J rr �n C 13�f� +rte �' l.L r, Inns st" -�- � �. r1 ►. ,,,� D t,l,'�,rx� �f�%i ,,� �C:rr I,,' nA fdx f 16 I-4'c^�,�rnrr'. �. , 'P'ir tv � ' a� t ) (.� tf_ i ( Pr � T, e 7 _ 'C\e � t; `j]� i V !N f... A_ -Y\ (a) (10A )(,\h:!,al��G J I hereby certify that I have inspected all of the above 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 project completion. r Inspector: Michael Rodriguez J ICC Certification No: 8003124-49 / ��i� *JaJI� , �/7.t�t a. / Co t5actor's Representative: ' v Copy 1 JCM Inspections U Copy�2 Project Superintendent Copy 3 Governing Agency Page I of I JCM Inspections IPJ 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 1—.6_0C' Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC ❑ D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: � ❑ Shop [E]-Field �c]vrr. �+-• �` t ��n� --� \ ----� Unresolved Items: ❑None Below rc�S� ljl Q �tL� IQ C` C`Q.V. �L 17;1n t `C' ^�—R c�/�11� c`/!A 1, 4\, S'I k0_3 , �n 0�, l l n l ��i �� o� 1 1".1 �See `P (l Q �� CT rr �'�� 1 n ^ ,la�C` •4. n.d �' 1. ,) � k-) t%�� Q �V, .S + fI \�� it •ni =� �/!Q 1 .�• ItvY\ �,ft r i tt�\/� FLl /-4, • W�� � Par ' ?) n-\CC`_ro t,"(IS1 cle, F.r1%)r Crit,- Oreo'( 0\iraI. COA C,nrnAA �a3CJICNS �. -\. \ Y 1� A a_a�., St7.a.. Cn . � rZ,Ottermtn Fit c> Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �W ���k � vt n tui RV!Y3 \ ,J't t c_ l'7 Y t �' .3 .S , a.0 `� c \. ii r n R r41�k c n rr () J t r -rT I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C\. Millin ICC Certifcat on No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of ]ERM INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 IS INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: -,,, (- 09 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub-Contractor: Lippert Reinforcing, Inc. General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: Q✓ IBC Title 24 Other: Unresolved Items: Q`None F-1 See Below Location of Sample: [vJ'No Samples Taken Description of Work Inspected: Cy l-�V ,Qi Ck c`•\o r �� J If �}- ", ,\ e. c v t{ 4 rkN Q. fl M--1 (' I n.� �l�s� S C1 r1'd ( oe-v V r- A( rX, c-o lre c c c; v 7' I hereby certify that I have inspected all of the above 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 project completion. Inspector: J ck Cr. Millin ICC Certification, No: 0842216-49 Contractor'srR#presentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections 39725 Garand Lane Suite F LT2% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: %.. Jr_Q9 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Anchor Bolts'Rebar c Epoxy Type: SS.,c*�,Qsv n S�t `��� G St Epoxy Shelf Life: (� { Hole Cleaning Method(s):QSI o � n t. �, W, ron, r7(c 5 �.•?� � jt a S�� 2�'- 4 Air' C r Q C t '_J ❑✓ IBC F] Title 24 Other: Unresolved Items: ❑None [:]See Below Description -of Work Inspected: W O VnC1 ^-y • QjL, A P1 'n \n\c`R�n PQt�J� Cxr�}cnu�,�y CCcc'.�r���iorn �}C�ti �►Ct�j+ ���'�(10�� 11 ri Inc cw �t n \� ' r y C►1.-� no - G L; luta C t I Work complies with written approval from Structural Engineer and ICC Evaluation Report # 1 hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC C�eitif catiio\n No: 0842216-49 Contractor's Repre/sentati e �� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page \ of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I—-.o9 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City:. 53-035 Merriweather Way La Quinta, CA AWS [711 B C ® D 1.1 F-] Title 24 ❑ D 1.3 F� Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected n > p� l u Shop Field Al �r�� -•-�^ Unresolved Items: None�� 19, See Below 1 `"�,t 1 ���.•,, n e to\ � a A--\ '� t �° ��� '� �r. i� c 1 t �C +r MCI- f\. \_.1, �� ri1 �.\1 �� �,i w �n. C �In 1.�� f t=?i� t'1�{ ft 1 J. i eIco,m<_ \!N1U5, 4Z-� Ct s O I, •ti o r,�ny�.l, , t'�'���� Cr_ 0 �.,� `l \,) k'�F�tCT QQc !{-t ee r, i n r, ♦ i Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ,cta\\x . ` - '613-1 C1Ic,-n.ar.) �C\\ 11, SoIACA0,--r_ln� Xk, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Milin• ICC Certification No: 0842216-85 1\ J�, (,. .X� ....... Contractors Repreesentative: lnkkb/�� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of t JCM Inspections Lik 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 RA ER INSPECTIONS WELDING INSPECTION REPORT Date*o-,), L.1 -0?_� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS M✓ IBC Bb 1.1 Title 24 D 1.3 ❑ Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: Shop ®Field C,. C -,) -1U 't Sa Unresolved Items: None ❑See Below La J \Wo At\�r'c\r'r __3X fi x( T� C.4,r�(J� !n '�+ta �i?(��%}i,nC �.10 c c� VJc4'�G�C co�nc� �����(''�Pa CYtG (1�Ci'� J�' ` Ilnt, ����� uJ c+��.S .�( G (Z\lf�, T��.'•+ C\Iel(V%Aakitn1�'n2S Qrlw^A� J� \tC'4S C'oA ,�-� • ( 1 ��r�m���� bt :\\ \,3 cl lA 0- Process Welder Cert Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �' C Sew �� \�r,�'cr nr� tf w r .t�i'�t•)'�1� �` (� r'�1�o1 \jAogl�' ter., tai D�1f1." 1cx�l�Ut Qcce QV 1w'Ah., - y y ,"e\f N l nc-,Q +0 OCCCF p\Clt1fQ,.,, . I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Cehif'ication No: 0842216-85 Contractor's Reprreesentative: Copy 1 JCM Inspections Copy 2 Project Superintendent ~ Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC ❑V D 1.1 Title 24 D 1.3 ❑ Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: o ; n _ p ��! i n o Shop Field Unresolved Items: E] -None ❑ See Below 11� IS �U��`P�� �° 1�'ts.`0���c( c- �• +� WACe %4AQUO� awl St e7 (L,V \l (� \ �jj� v �C�.r1G'� n �n� co�( �D �� QQ C-& `1 Process Welde( Cert on File Electrode Detail(s) Location/Comments Yes No T{yyp-ey�� Size � � v',��c��Gr+o, ✓ w:�e. •0- 7:; �,Ci S`%,c�Kl �n�t Pn�. t ��n COove VJa_\ t1 @ Q 2_ '�o G.SC Com\ 0• �e," ; C__to o 1 'r0 v i) �'t� l0& 0,C C �0,")C-Q,,, , I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Celrtificcaation No: 0842216-85 Contract rr''s Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent 1 D Copy 3 Governing Agency Page I of i J Elk 92725 INSPECTIONS JCM Inspections 01M ITM 391%W Garand Lane Suite F 60 I&W go Palm Desert, CA 92211 LT1% Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: W_,;0_0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC 2b 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Description of Work Inspected: �. Y? /UA W in per, A -, V ❑ Shop ©ll ield Unresolved Items: OoNone Below �A:.�_ _L,,�1_� <3 C° ��.��,.�>x•r Cw,%Ic ,�e<- T tAl \ �? �. 7 11�` �❑See !%�r'le+ I n i •� •� ('�,. r. ..\n ..�� c n fie n, r.. ?'f c Mr -7 i ` —A,,.A � �r� nc'• r.,, c �.-�c..1 \\ �. �,� n n» c.',T� r) n'. � .. nit �iC. f°\C \a ., 1'�n �:� � .t[ lc+ C\E' Q• f� t r'±'0 i�C �,Ve� 1 r••1 e'Z CC c f . Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size irC lX �1'��G'kr. U : ✓ ;) �:t, l ( r� '1! �..�b n n �u\� f7t�t+(, 1 a ,rC, 1�10 ;,- l)Qf'r�` a I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractors Representative: �� 11 Copy 1 JCM Inspections Copy 2 Project Superintendent ��� ' ` -opy 3 Governing Agency Page t of JCM Inspections LIM% 39725 Garand Lane Suite FIN Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:k�11'9,c% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS RV IBC TfD 1.1 Title 24 D 1.3 ❑ Other Ej D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: E] Shop [j] -field Unresolved Items: V None E] See Below r a.- C° �ftx.10( PXS V1W C v� rc�/ / t4-(y+r�r, (�+ (�1 / T f 1`� �'`V! �� r1 A � C• 4 k'� ♦'�.-�'r7r3.l C;. �P S t C tR[ iii r.-, tJ Vr.1 -or% AM, J J Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C!\� Vc trio.,.k o \1,;�\ra�C„nn ✓ N 1 w:r� .n;1�- ,. / 52�v �<<d+•)i�.;lir W����r,�,C �1JC, C'_�u\��Ci-- '<;Qri\ ok\� rAAVQ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Wr C � Contrac%tor'ss RRe`p'resentative: / f f Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of l em JCM Inspections 39725 Garand Lane Suite F RA ` Palm Desert, CA 92211 ah INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: )-),I%_d% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC ED 1.1 Title 24 D 1.3 [:] Other D 1.4 Client: Sub -Contractor: VMN' . -Nc cN Sladden Engineering Infinity -Metals; -Inc �rn General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: \ Pt ,'ta vv; ❑ Shop R] Field Q k�' J f mom � i. ; �^ Unresolved Items: O None E] See Below t 1 �w . _j i(1�� ` � c1(�� c(��,��I � (��nys�� j 'tom Fi-�_ aj \?,-J� Fftm',n -, on L'tu kG �1 ���'� �,�A q ' V;-,, �' - a �. I I �t.os (%tN g• �� a...- v3pc- �1) ' ;\-�r0 4o _44 A ter- {y� =1\11r ps/Yl O4l ��1.� 'S� C{!%(�C'. "� Q(�l ��" S{*'A, n 1 k,- `'^\{1tsq rl_iI VIN ,.74� PC, .T1Z7;- v1�, t :U!' v �..A.— � ��, ar, _ ,, t •� t o4 Ci �r.� c� � 1.4 Q c+�CC�. � � t��� tC7 *� ��C l`a.t1,1 � ., ^!\ e_� WRQ C,... r- fI Gt+•si �'i�c O .���'G•��Ct �s]C*C'> ,\ �tkCj .,ct 4`(�+\•.�\r\r,� �J.:Q`r \ l! ! `�1�A.�r'�\ L,C� ��Cl tC �1=^`r� C,t'��it*i cT+'�i'-t � 1��, '� � G•QC r CCC f �a A.,� „y Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size J�,ra 1)�o V311c� fit"L ACO nG l*� C(-.lj (ccr\�J_ } c- 4 v I hereby certify that I have inspected all of the above 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 project completion. r Inspector: -Jack C. Millin ICC Certification No: 0842216-85 Contractor's/Representative: l Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of \ JCM Inspections 39725 Garand Lane Suite F ` Palm Desert, CA 92211 _-2 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS - WELDING INSPECTION. REPORT- Date: 0%; Project Name: Project No: 522-08079. - The Madison- Club - Members Clubhouse Permit # 07-1055: ' Project Address: City: r a. AWS ZIBC _f 53-035 Merriweather Way La Quinta;, CA E] D1. 1 Title 24 . E]D 1.3 E] Other'. Client: 1 ' Sub -Contractor: Sladden Engineering Infinity Metals, Inc. Q D 1.4 General Contractor: :` Architect: Structural Engineer: ' Lusardi Const. Bar "' KPFF Consulting Engineers Description of Work Inspected: r� �niA '1J;' -' 1t�`, -� (?,t, � i�As'���`•,r�,. Shop. ' .. Field Q' , t nom: .� i,=- ,r�� (`� J �.,•� `—� _ _ 't: INLAND .'INSFECT(ONS' & CbN1SULT1NG,,' 7333 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92503 ` (951) 697-1000 FAx (051) 697-1030 DSA FILE# N/A SPECIAL INSPECTION REPORT DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within 14.days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector. conducting the inspection. Client/Project Name: JCM/ Madison Club -Main and Men's Building Date: 12-9-08 IIC Job No. 1488018. DFR #: Project Location: 53`d and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing' Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High'Strength Bolting ® Other, (Field) ❑ Foundation ❑ Shotcrete ' . ❑ Metal Decking (Ultrasonic Testing) -❑ Batch Plant ❑ Masonry ❑ Welding _ DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project. Twenty welds were inspected and were found to. meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected X MET ❑, DID NOT MEET OF THE DSA APPROVED DOCUMENTS THE REQUIREMENTS F THE APPROVED D CU' TS Material Sampling. ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect- r Signature of Special Inspector Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- Printed Name and Title -DSA Regional Office- .Certified By Certification Number, School District- AWS 86110023 IT&T Level II INLAND INSPECTIONS & CONSOLTBNG: 7333 SYCAMORE CANYON BLVD., STE. 4; RIVERSIDE, CA 92503 (951) 697-1000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 12-9-08 JOB NO.: 1488018 ' INVOICE NO.: REPORT NO.: , Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Main Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY ' CALIBRATION: [X] SOUND PATH 0 PROJECTED DISTANCE COUPLANT: [] OIL[] GREASE [X] PASTE[] GLYCERINE [] OTHER: DECIBAL READING DEFECT LOCATION z O N u- N ZW W O H VLu V O Z Q NQ D a a'Qa LL OC1' NCU W CL Vul W NJ F- UJ W fYJ 20 F- UO = Huj W0�_j Z Lu K _�� = 2 !-� Z Z - a w ITEM IDENTIFICATION V w g Z O Lu LU w W Lu LL W W a s Lu . C 0 V W U a ca Q v 00 Lu LU � Q' a' H a z O J JU. Z t0 Z - w 3 = 3 1 Inside radius North Top X 70 1&2 52 3.5 1/2 2 Bottom X 70 1&2 52 3.5 1/2 3 Web X 70 1&2 52 8 318 4 Inside radius South Top X 70 1&2 52 3.5 1/2 5 Bottom X 70 1&2 52 3.5 112 6 Web' X 70 1&2 52 .8 3/8 7 Outside radius'North Top X 70 1&2 52 3.5 1/2 8 Bottom X 70 1&2 52 3.5 1/2 9 Web X 70 1&2 52 8 3/8 10 Outside radius South Top X 70 1&2 52 3.5 1/2 11 Bottom X 70 1&2 52 3.5 1/2 12 Web X 70 1&2 52 8 3/8 13 Inside radius Top.at Land X 70 .1&2 52 3.5 1/2 14 Bottom X 70 1&2 52 3.5 1/2 15 Web X 7,0 1&2 52 13 3/8 16 Outside radius Top at Land X 70 1&2 52 3.5 1/2 1-12 Stale Stringer at line B03 Field Splices 1 foot pieces (Main Building) 13-18 Stair Al Stringer Field Splices (Men's Building) 19-20 Stair Al Interior Out Rigger Welds at Southeast part of Radius (Men's Building) s INLAND INSPECTIONS & CONS'ULT'ING -7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE,. CA 92505 (951) 697-1000 0 Fax (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 12-9-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Main Building CODE: AWS DIA FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II , WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH [] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [.] GLYCERINE [ ] OTHER: 0 Q LLH H oITEM P- W CL W IDENTIFICATION Q uJ U pW ZJ- Q w Z DECIBAL READING. DEFECT LOCATION LLw OV xz 00 w LL OW NV LU Zz Yo F� z w O V F jx 'wW WW .wO G J � Q tai f'G LU LubD Q a �x V WQ. WLL xto maw LL Uj W JZW I--yx J? Q y Z p a Z 17 Outside radius Bott at Land X 70 182. 52 3.5 1/2 18 'Web X 70 .182 52 13' 3/8 19 West Outri er.Interior. X 70 182 52 24 1/2 20 East Outrigger Interior X `70 182 ' 52. 24- 1/2 1-12 Stair Stringer at line B03 Field Splices 1 foot pieces (Main Building) 13-18 Stair Al Stringer Field Splices (Men's Building) ' 19-20 Stair Al Interior Out Rigger. Welds at Southeast part of Radius (Men's Building) r On JCM Inspections am kbft N�97 EN Lh 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 6'-�_(�_C-)18 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC Q D 1.1 [—]Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering Infinity Metals, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: C� �'A'7CQ ,� r�Ct ti , t fi 1 y �.� ❑ Shop ❑ Field Unresolved Items: ❑ None EJ see Below Ll d� rJ�QX o< r1 �(l� i . t+ r� 1r c -r C)\(n1 e` �nc15�� '���V �'ZPU c'as0U„Q a1� C ►► 0 ,t, :� Sit , �c v.1e �. �'0 7 6 r-.. c V> 'j- S. ¢,e LI \C\ \A\C\ -1 r Ll 7� 'moi �.JaS Wc•4�t?S� '�v TS . (�ts��•> t • 4 1 \ Q n � � (r+1 t� � tJ T � C� >t C�• i \'1 P . �•� � 1� Q. "'V "4'(3 C.C' "Q_ SCI.a�( � �C7tnkitl l Zk r r� QI ('X-6\_�C>f�r\kms-eS(Z'.�Ly ''1 C� ���aC �•t ow � n W\�<e 'CIO C��rwn��-Y�-�o.�s����.�ca�� , T �1v E7 AV r� S\t'�fa �t�C �GF� L--tCfC`.Cr.b� 1 n �1� Y�\e c V_&o •�,+t h �¢ V% c�L \• ��, — C�,�i 1 �(Q WQ S ,1 � �`, °? W�'> �\ �.\,-C) - --- fir,<��•�e- �_nr1�c �,�c� ttt7 t\^- ,' ;�t, ,,., .J Process Welder Cert e n Electrode Detail(s) ` Location/Comments Yes No Type Size CStio 0 'Z. U , ;1 (� i 1 f' Vm1 P1� fy% ✓ C' r\ �' % C111C C � \'\--Q V\ on U'r_43 RCC C r [j v 5c� e�C; " ll Ck CC ` Y I hereby certify that I have inspected all of the above 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 project completion. Inspecto�K Jack�,C. Millin ICC,Certtifcation No: 0842216-85 10- — - I Contractors Representative: -P r IV V kbll� — . v Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 LT -1% INSPECTIONS WELDING INSPECTION REPORT Date: X5222-08079 Project Name: Project No: The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC a D 1.1 ❑Title 24 D 1.3 ❑Other���� ❑ D 1.4 Client: Sub -Contractor: W� ��(� ; ' Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:❑'Field 10n 0; Mr%. r, P,,, ❑ Shop ry� ' aTn. �--� I-�i—n �� — v_ t --� Unresolved. Items: ❑✓ None ❑ See Below "lei \ ` (� ►..n� � �^ C) -t Q{ J �� '� ce� rf�.. �/�� �: � -�., �r,tn n 1 CC\til a" Cf(1� (t / nr;� r, ` R,►�\ ^G,.�1 \ f>� ,r, �n\Jt . �. c A.t� �. 1nit. /n t C 1 Li C`,-\ nes - J ( I PIC C11 t+.c>t Q_Y\fi.l,!!�� .]f1`��n 6•�.r RIG\Cl._�1 ,�nft.. rN _Qn i,n—AVin, 1 r r!Cl n\ li n r ! \ 1 n? 3 /� !,n .\ r�.. 1R 1 1 � r !R n �� C e n ��f• 111 v ♦1, tiU �� � ! �1.� 1, i�C� �2 n � r, A e 1 t �.(' �e�A1�^ � A,� .7xd e_ 3� f1p�\�-4�tr� Crc+ 0r—'r)nrn tf-" , C.. ..n0n-I. r'_VQ'.. rn INI IA r rA �,, , n r'A cV t �l n t c� e-c e r t k t 1•+�.k/ n r Ccs, y f _.. \ Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size Pc"L'(�"At� \ 11^6b n r Q_0(\A1J 0VC a3-4• G\ 1 .f�Nn.. — 1 A fa r^. n r n. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Milliin� ICCCertificationNo: 0842216-85 � � C \ \� Contractor's Representative: CT / �-- Copy 1 J`CM Inspections \ Copy 2 Project Superintendent Copy 3 Governing Agency Page k of , , JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: a -g_o Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): ---- Supplier: e. @�iy oG c S Time Sampled: Mix Desigrs'�. �jSs a� k' Time in Mixer (min.):M 5;;:Specified Strength (PSI): IF'17 c 3 � Y •' f> t' G f � a : YY1 r1 Ha C7�.-� Water Added @ Jobsite (gals.)t \, r t>rG n��� S Q0G Addmixture: nrt Concrete : Temperature F P () Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: .- ❑✓ IBC ❑Title 24 Other: Unresolved Items: VO None ❑ See Below Location of Sample: ©'No Samples Taken Description of Work Inspected:��A VV)U rA�eNo� >� r � ,� �� '0 ,i _ J � � 1 ra � R c Av^r��.., A �: X � � `� C..'('!� x.11 � c. �' c'1 v°>•1n i1 � 1a� i"til U .^> l., t C.� �. , �. � f P1' r G l y At Qnci w� N kf,,n eovc_% '�Z,{ '&(c j .� QQ X K X n C 1"rl lA .� r` rF•e r'l � rs:-.�i� � i. . �<< � C Ct i I T��_n \>�\ VCt� kAN n 3 os r.�� c4 t�� (\ C C c.f.(1C' ►'> G � � c- ; P G ,, 3� ' n me r c:)�C �, to n '� nrKc_.'e-c Ice- NC C k, Q_\ A s I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack Ct.�Millin ICC( Certification No: 0842216-82 Contractor's /Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ' ` < - Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F RA Palm Desert, CA 92211 JON INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 5�c3 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA' AWS OIBC ®`D 1.1 Title 24 ❑ D 1.3 E] Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ; r t# � ,rye ❑ Shop RIField Unresolved Items: E] None ❑See Below �p i t c�:\ c,�1 C-f�tUS 4, .^. _�� �2 Yr�G , ri •' t�a�R3� dh1'., / t �` � �• 4 C, a1 t,�e tat., f^ r� �y C- A-.,tl > 1'-t i( 9C ct\ � '/ +'may �, 7 `. r�� �. ��(a � ?� `a `C' � ( _,,. �r� �.�. t G, tr �'1�-� � `J� `� •� '�f�re. �•.y���.. � ��� M1"y � £/ j - � I � r -Y � .. 1 \ "`��*� •� � t '�c,�r' cC fir, -w ��c..,.I N(. ,r �', ox �.A— 4 ���"n), f .1 w� �'�UQ ck(u,-AJ 4 `� �:\� '?tlo clvt 1ti Gzt� , [fit �c�\ c ca m `c `� 1 IL\ (-v,, o� � \ / 1 t tr r�. r,l c+.- tC f* J�'ol.a ala �a�ll -Rr�' ZI�7°1 ,Q t►a �� a [lC C(((�}�a ':.7r1 s� �(� 6#� ice... \'\R^ t . F!. i�T1- *K n ...'� • t K`t-.� 1 +� C N'\ �'`IA t1 l R A rti Ar7,`A?, t A;^rl I A i1 c y r y�G�n y Process Welder, Cert on File Electrode Detail(s) Location/Comments Yes rNo Type Size �C1� V%CMCI vf 0 \i.\nuc ✓ 4'i.tc •0�- �h�CttW�:l�it\�r\ We`J�-- �x I hereby certify that I have inspected all of the above 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 lrreport issued at project completion. Inspector: Jack C. Millin IC -C Certification No: 0842216-85 Contractor's Representative: - 1, _ --- Copy 1 JCM Inspections Copy 2 Project Superintendent . Copy 3 Governing Agency Page 1 of , JCM Inspections 39725.6arand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:_Dc� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC 0 D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: S Q3u< \ r1q Shop Q/Field .y N -y Unresolved Items: ®'None ❑See Below { Sc c o rD� 1 O t\\Cat J�G i C f..� �� �` l to Ck (D U f, r'� `St C. • X r (I r~ . o o r*'\k Cow *./� � �,) ra l.GLci,� � , 4 �\ \A\ W e.`�D' 5 cr) �. �'o�� s; �on�'�',j e> �¢ , ^l'C"'%t (� 3� C1ec?�! Cearr��Q�1 Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size � C"Cr v ri v v N WP B 1 1 Q OVIXL_+b� CL" o� �4' Q1CC TT I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICCCekifcation No: 0842216-85 •�" Contractor's R(epfr�esentative: --,No Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections LTRM 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: P" C-� ~aQ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: IBC Title 24 Other: Unresolved Items: KNone See Below Location of Sample: 1KNo Samples Taken Description of Work Inspected: � Q �-.'i O � .• � � � o �+ t� onLlne�G��C{o•L��, u r\.a, cG tl� c,)A C%;o �Q c• •0 � �t'1flr''r;�� l� a j 4.,��• C7 ` �(s\�or�,C`�' `� �'� C c. �-�J C�� C �� { r � �RC� Ze.. t•, c..e. �ec�, t C.O 1�F� Ct � 2 �; � �: c a� . R. f� t tr�0� n�j1 CA.tC�+"� C 'yS� Pocl CXV1 (Y r on" ir-lam ���� �o�Q:4�7�•-- \�C I hereby certify that I have inspected all of the above 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 re V issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's�Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent/ - py 3 Governing Agency ``Page ` of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ',^ Oq Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC Q'D 1.1 Title 24 ❑ D 1.3 Other Ej D 1.4 Client: Sub -Contractor: W\""\ -'- +(-Ikr, Sladden Engineering Infin'ity,Metals,Inc General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �• ,, �� \� , E]Shop [2'Field A Unresolved Items: ENone ❑ see Below r� y K)4C \ , 'a Ll y' Ll 1L.S_ �� ' 1 n. �.11.�'F.re,R+ •_�-_^.'>�� p� ,mss C�C . �1^.nir wi r1\ .�/1 r_\�'#✓� A\ 0 4 L x �� , �,�c� �,\� { � j \,Jc�i���'�'��,� . ra\ � t .�• ., c C' -4 4Z t��/ �a�- fir'.\\' \ �nV.� f %�'rr�t 1.1�"� (Q�ijc�+e-�nnC r r .wAn`�ia]�11 aIc�o � Gc\s�ttea AGn4�nfr����<� r _J r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Tyype-��� Size C n (� 4/ r u� N'r\'N h \/C1C ,Fti �(n ,1� lC_ P A -i 1 I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found thisworkto comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of T JCM Inspections RA39725 Garand Lane Suite F 6W '4mV LQ Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:`, A^� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC OBD 1.1 'QTitle 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Ski c` Sladden Engineering Infinity -Metals -Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: j� (� / r� `rn �} `{� n ❑ Shop Q'Field 4 n A !' , n ; Unresolved Items: None ❑ See Below Gn-1 -I-V\( c e' 0 _1L c� � X � U t, o t C Ur \)%ZD , f , n vJ c> 5 .CMS U M ox, .'> iR f .> �. C' r k j rN, e�� �<'O ty'1 . c,0 u rNVNI. o 6 J tj X9 S. ' S � •.�tS Az'CAMP<tLS Vnr,tl. `�, ti �ii%C�f�� C1 1�QS• Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size FO�W ( C% %r10 \t\b�Cn•„+. r/ 0 e.43� vf:tc. - •fSi� �( 57.1 SVA C� r I hereby certify that I have inspected all of the above 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 project completion. A f Inspector: Ja kkCC. Millin ICC Certification No: 0842216-85 ' 01-C-1, �ontractofr's Representative: 0 Copy 1 JCM Inspections Copy 2 Project Superintendent dV Copy 3 Governing Agency Page of. JCM Inspections Elm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: O Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump Supplier: �✓ IBC (inches): r r f_ Mi�c f Time Sampled: C4 l r i ��� Mix Design: iLip, fib( I Title 24 Time in Mixer (min.):O Specified Strength (PSI): 5,) Other: Water Added @ Jobsite (gals.): t Addmixture: Concrete Temperature (F): Truck #: A ;)q7 Ticket Unresolved Items: 6=. ;17_ -- - 2,i None Ambient Air Temperature (F): -7n .' :7-1Field ID Marking: i , Q (Is) ! : ,. r . r See Below { Location of Sample: _ ,�- A (, �,�_ r�}�l '�� f 4- ( �r_, ,t_,�^ ! o 1 t�i'�{) A-1 S A-3 -=z �'- /^' �� - �_. ., _ . _ - - . No Samples Taken �..�n .11 i� C :•..i 4 - Description of Work Inspected: t � �.�, /1 J'r�-�i-r.? .1-�r�..e�rar'vi•�- rY� �.i , .., � An""- C' i 1 _ a.- -..n - ! dray-• • \ 7 ���- /-�1'_ _.•• 2. 411I.-Irllrarl. c. --r f1 • "+L%L. �! i i Vi a .,/ 1 ii "li ° 9 'V` ��• P • ,,, v� ,y k � t .��v� Y ". �' .1.. < . ... .., .. ,� AD (,A,r, I n Ar\l _4-a. may, -t/• �� .``� i � ��� 1 �� � � � ! � � � i , _.... — /} , I w yV's F..J � Ln r tr•_,-� `'Y �.1� f �"7 .� �� - S'�•, e; .� SE { /a ilariw�l ' j "Y R K- `•eL. \ 1 �/ r ti . i i w i J� 1 Vt.. ° \ �..� 1 r- i \.. \ \.J`.Ii • r -...- .,.-.. ° i v' /� / j (. �, iii • i/�:v\i v 'i -�-i '✓.I \.Ji ,.o�.Jv-..i ,r � v �..✓ti r..:v+ v '- -` � •. . ,� �. y, ^- /��t y LA. nA,1.�,. _ . �- / _ UJAIC�11<. �� i� (•)< 7/ I hereby certify that I have inspected all of the above 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 project completion. Ins/pec�to/r)_: MichaelRodriguez ICC Certification No: 8003124-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page l of I On JCM Inspections 39725 Garalnd Lane Suite F 6TSInk4Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: `_ cLCa-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC ❑✓-D 1.1 Title 24 D 1.3 [:] Other EJ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:K]-Field ,r _ _ M c j�� ^ Shop K] -Field Unresolved Items: Q,None EJ see Below r ` ]] r!- � • c \I r � :, ; �� ,..� c�r-:. r e, �•h i • S • ��\ 1 ; � R �-0E' S i � � r �e1� � • e, 1 6 1 n ri n ( A' r'k. C (? + i\ NC_ !, A� f'�:;n•. 'e r\1� Irl. (' ("1 t a--�.`+1 Ji +% 1. �•^1 n r� w�� � � r r .�'a P 1`1 n�Ci �� � l\ f � f n i'y if f� {-i CES;? .1"`r. O t1,•e r't �`�, . \ hn % ✓(\ \ r1-. C n.',,. , . •� .\ ? 0 k1 n�: , CA "A C � f) 1A , �•� ..I - 6\Y rc Az t ..-e k'1.i. r C f1 ev, \ C -'o \ f.I AX. � �. ��, r r -4 A ^'► Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C Qom,` \ \��, 1 i/ ,:�� y s'S % , Ca • 4 jj 1 AAV t n �r 1 �t n i C� r n��� C �rJtrQS `�h�v"t�tOv.�A S. f�t*cr�-1�.. �nc� C..V1.(o:r•�,�\r� tc��dn� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jcckk C. Millin ICC Cerfification No: 0842216-85 UL Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent // 00 Copy 3 Governing Agency Page I of JCM Inspections TMI 39725 Garand Lane Suite F Palm Desert, CA 92211 L.TM% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: �✓ IBC Title 24 Other: Unresolved Items: 7/'None See Below Location of Sample: [] No Samples Taken Description of Work Inspected: J t 11 1n i nn�. c, �I G\ n ri C!�ta�f 1 (� e �i``/ /� �I<<' \�c `n' _`` r K.. t, C 't >•. !';'f n\ i 7 AA--n-A, . \3' .'T 'i, -\IA Qr+\Cii>ifl) norn in C "C1r Wog ).. �� 1(1 C\ c_x.Wul e n 1m,I 11 A-1 I- a J � Rrael��r`c s ,r�f{`Cc�.v+\� ,\ CFJt�rfc� c,, c-h\IrCC 2t+ r ��no i \ t C ) � C•� � w'.C��, .> t e < rtce•+-,,� i`C1G. Pti\ f0.NNaJ � C--Xl<-Nz Cl\C7ca�i,�;. �. in j� v Cn�Ttt1PS �n..� 1`ln i�C's %_001 (C01t13r0, 1 > � 11�0.�., !r�✓l x V% I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ^ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent XZ Copy 3 Governing Agency Page of I EM JCM Inspections 39725 Garand Lane Suite F LTMRIJPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 EM INSPECTIONS WELDING INSPECTION REPORT Date: _0 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS 0✓ IBC F(�'D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: i �, }, �� ❑ Shop ErField --� Unresolved Items: ®None E] See Below j��.r\c C�tY�u to ra�r�\e__,� mrc� �Cc�<.,� •S'a �. crl�{`�r„r \1 �1-e' be6�fv�aCPr�[ i�4ZM r skE%', t' ci f't 1 rn^ h d` W) ` t,, i c\ l t l!%l 5 . �` `') ' ri i N\ S . \_,IC`i���' s 0 � 1 GOA-v s CA n c, .e.i �) o t�� cJ1 'aiC (� (W�P� 01 �c,1CC\Ck CC3C�1�\t: VJh'rC \�\z)C SI Ln ,�v)^��1 ri47(?F1(�+�1r--�' Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ` rV1L1. r1 ri tA uJ;n:c�n�"1-�a.�, -- C` n 14 I hereby certify that I have inspected all of the above 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 project completion. � Inspector: Jack C. Millin IC,C Certification No: 0842216-85 Contractor's,"Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of Mm JCM Inspections 39725 Garand Lane Suite F LT1.%JPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 LT�J INSPECTIONS WELDING INSPECTION REPORT Date: "_fig-O% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r,7] IBC [E] D 1.1 n Title 24 E] D 1.3 F] Other EJ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �l Q Ee t n� �- �1�" ` ^ mr.l t, ! \, Shop ❑4 Field Unresolved Items: None EJ See Below VWn VJo .{e �J1C, 41, (� CD a nc , (n�-L\�)(3 �-- \k"C\w\ �b�C C '�-ca� u AN_ ,�1 �t, �. \ 0 v cl ^ ^ { \ C^altit^b✓ t� \n1 � f�.G'isL To W " a --T, C.1r.e A Process Welder Cert on File Electrode Detail(s) R ` Location/Comments Yes No Type Size 'Fc-kQS 'A 1 A D v ��\Ca n �C+ W �tQ 'd 2 �� �j v � 0[�` (� VA\2V \A, i 1C (� Q'11: +0((.I-A I hereby certify that I have inspected all of the above 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 project completion. n Inspector: Jack Millin ICC Certification'No: 0842216-85 Contractor's Representative: W w� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page lof I JCM Inspections 39725 Garand Lane Suite F LLIN Palm Desert, CA 92211 LIR INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: 522-018079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: • - Ambient Air Temperature (F): Field ID Marking: 0 IBC Title 24 Other: Unresolved Items: 0 None See Below Location of Sample: 0 No Samples Taken Description of Work Inspected: 1_'__ rz C"<— " —to toN C, ce�h ��n �zCR r'!rr rrc, o3. �'� �ec����.1tC•r(� r �c �' �c�Jt.>� S�Z�a.. �c+c o rn��. ��VQi c�•\c �- � p\�Ccg �s±�jGC VaclS O ' r l'•L A C � \\c+�nw'C, CN6o^ r A\v, r c)CK%S, c, C, 1e ger �:Q'� h1�•�tifi! I hereby certify that I have inspected all of the above 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 project completion. , Inspector: Jack C. Millin ICC Certification No: 0842216-49 �O-c� C--' ` , ��� ...,, Contract(o�r's� Repres�entativ/e: �• 1. �/ (''�/r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 On INSPECTIONS WELDING INSPECTION REPORT Date: 1�_ 0—,b% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC ❑ D 1.1 Title 24 © D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering Infinity Metals, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:\ � � W � � , -- p ` p� t 01 -z � Z `�--� rig , ' n '�, � �. ❑ Shop ❑� " Field Unresolved Items: ❑�` NoneO(Z" ❑See Below ` 1 C -NQ 1% �V�� e\ �� C� 1 f' c � �' `• �t� O' f� o o SSG C �OucOIAl n Ln1 AIL WAP& (� \ "" Q,J C9[� b uJ l ! 4, Ai SY�f C�Q,r PPc' 9 i' r\A 1 C,.ti. Sl,, p,(7p( 1S — k:;L U.C. .� / (V) r�� r� �o W�`cc t (C) ��+ \O"Ickrl �k".}1S` VJ . c ���(rJ �� �c\ ViF`LA/S ' l o(Or'ri (\'Vada.'\ \rev, o� G &on JvJ* GueN �r��' 4N 1`' O<< b��C��� - ��3��t1"L' �a' 0.c. ��Cl�r`cCG� r� Cpn��`n��� \./J�.fi-S �i.)C' 1�1'�-9",�'►LSa',,°n���1� �. �C)(Q�1Cn � q, • s Process WWe�elder` Cert on File Electrode Detail(s) Location/Comments Yes No Type Size o t C.N n + V 6a? I hereby certify that I have inspected all of the above 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 rep ouedat project completion. 1 Inspector: Jack -C. Millin ICC Certification' o: j0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent /Col5r3 Governing Agency Page 1 of I JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 RA LT1% INSPECTIONS WELDING INSPECTION REPORT Date: t, ILL > Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 5122-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS OIBC O D 1.1 Title 24 D 1.3 Other EJ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected f�,A�� � ,�� . _ ��� "s 1� V.Mrv-,nn ` Ot �'(:'i n_!�i F] Shop RI -Field Unresolved Items: QNone ❑ See Below t l _� (� ` LO \h) ^ C `` \..� �,? �.r � ` � .'{ 1 (1 �\.\ W e �I�Lc;�. %X. �,9 'C�`�� VJr�{gS � � V) `f 1 C C'r�l� � ��S �� lr� ��C ��XX' �!nr1ry ! 1n.4 w P`. S �. ��%`� f4.,3� 1 1 J"-)DP.- ''� Cy) � c �1 E �, C W CQ +.R a J'�, u n e- �1 t U(ew� 1_ irJ 1 �14 ice,\ C11 QJ 0 L' n ��a r+, Ste? r► `c��`W o �A v� eC ds�, ��11 ' G t 0 1,' .1 //"��J S� C\1\CC s,� carr-A0Q 410 *J) 'u—, �>t��t�.4 S� Cos �t'., :1� `.C�?Qen(0'0tn--, Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size FC a�li FrR t '�R :, ✓ w,� r.. ,tJ"12- S�o.'a pC ca v1'� n�ia ��`� e� liJ �i AJC n : t�or<aTo�a.0 �, v_f\t a C\4 - WQ� S RCC p\ I hereby certify that I have inspected all of the above 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 rep issued at project completion. /1 Inspector: Jack�Q. Millin ICC Certification No, 0842216-85 Contractor's epreset tative: Copy 1 JCM Inspections Copy 2 Project Superintendent py 3 Governing Agency Page of EM LTME.kiPalm INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 11_ E3-0,8 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA AWS Q IBC ® D 1.1 Title 24 ❑ D 1.3 F] Other ❑ D 1.4 Client: Sladden Engineering Sub -Contractor: White's Steel General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Description of Work Inspected: ; 0� AAV 0 C _ M(-,, S P-.U,`� ❑ Shop ®'Field Unresolved Items: ❑ None . ❑ See Below �\ct 1� �� \ J (�- /�. ! Lu �,1^s �. ,.��t' �S vJc`� W�� 1 Fh,�,D v.I�[l�S 3" k On �— r��w� G �b C�1C►.1nr�S �JQra �tt'��r„ 4��.5 ,,�rsi °�A�S , �"��u� - �S. 3x3. IUW,�(:\t-A 1r -NPl,, �AA- VaAA bl' �`s.� Cf�+ ���o�k� ' t "�!1 N �r, �• `� �„ c` �,:i1 tale `/4�i < kK, t C) k k 11 )__, �1c�rt�s c .�h w s �,_� '�a� 5,��,�c'v,� ,, aQ :, CL.", Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size GQt�r.t1�, I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack . Millin IC(CCertification�N�o: 0842216-85 Con,/tractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent T /� Copy 3 Governing Agency Page I of 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/IBC Q D 1.1 Title 24 ❑ D 1.3 E] Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: _ A ��-Field 1 1^ G' a ,')'1 e-, ' t� t t '� � � U 4 t ; :'� ❑ Shop i ` J �w..l r, . �c r nr �. �1r,\' •� .nom. Unresolved Items: El None E] see Below ` C 11' f, (� S Jrr� h')� ��){•� U. � C �1 �!}^?� ��� '+1it �<�` T WAS✓_. 1�l n nr ,. 'rCt Y'�V1�r\tr1_^.i".- A� �1 1C0M�Of'.'����(��)(IC ' le A-1n� ''Sr`, net) t\(� �rtv�h \���``., ^tR.� _. Yls' 7., 13�1 e- �. (� c iy S _ 1t R<•� \ rl d\ r�R n n C /' \ . < n r. n r+t. \ n." n o V- . 11 l t1,n (� r tr e,y� t 1 \ ... ; .,'.��n,n�� r�� l �a�`�'1� �l�-, -J'" 1 /� �'� 1 C,,iy. (C,..�(��, k Al) (C �RV'_S. C�.V INr ,r&A r�r lli �... �. �V(n CP\)k. Cx rflta'0 W C` 11 l . �� nr []�'rrA'v�'±-. iC7e.rt'SIzrPS. n� _�v� �1A�1.t �Pr�ir,� .�Ac..�r1,tC . r'� \ •�-�S'a�t�n nA�e�,Al �fa� �p(.r)tlto �rvs,r Cn,<-o n) Q-'ZVVn S SVr"\1)01t fit)`\x.11(, ,�Ll(, ��C V-4,0'!r2(nfatln'CV (op.\t•1l••lt., Process Welder CFe n Electrode Detail(s) WRQ ni�- \JNtda Location/Comments< Yes No Type Size c a`i � rf \1',�\�^.. ✓ R �.a.c� .(1=s���cr,.� �Fc ( \ k) `� n\) c t'G c \ �,:� t�c�tc 411A . 'ti r' «.>0 P n ( r# A c t i v (j r AS),, n b d 1in,�Al AxA � �'�n�ta�I•�^� �i (1rr0t,\nig _. I hereby certify that I have inspected all of the above 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 project completion. I Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: �r tt Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Y Governing Agency Page i of . JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 11-7_,-9 Project Name: Project No: Projectt Adddress1: City: t` A)r.' '-A/� r�.l�li�a ( (_1 Client: W v % Sub -Contractor: /V ev!,�n11AAC General Contractor: J �J Architect: Structural Engineer: k1pI- P Slump (inches): rZ Supplier: tr A " lot q Time Sampled: -7. �� Mix Design: V � �• • � ' •�' Time in Mixer (min.): (� Specified Strength (PSI):, lj Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): �� Truck #: )ci'? Ticket #: Ambient Air Temperature (F): �nQ Field ID Marking: F 13.1 > IBC � Title 24 Other: Unresolved Items: ,®,None See Below Location of Sample: MPr1�: Q tA,rt �Q A— trlr#r-A -- �-r�. �Ia r t%�� No Samples Taken Description of Work Inspected: l� 1 r 1 Ti.n „r�, �, �-,4 r��,nrCP cS �!` ,gin- i 1��,r .- �-,r.,�1r, r_:r,JAI {' I A ��`w "•i✓^ .0 ��� •'ti. t%�/� r yF t--+ �+(•-� _ J _ !\ �.J .�1 r v .e `,. - ... ``V' — a - y r._., .. . r .. ., � . ... ,.v 1 ...•., a+.-rw�... r v . �•' y:� ~l� Iv ,.QI jO CSW f�i- �^ /�, rl���-�f'C. '� r��t X -�r,� � �. � , r�r�i , tam � .,r � •.I r�y r�-� r. , t c� r�--.c,..-�- I hereby certify that I have inspected all of the above 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 project completion. t -w Inspector: MichaelRodriguez ICC Certification No: 8003124-49 Contractor's? Representative: Copy 1 JCM Inspections U Copy 2 Project Superintendent Copy 3 Govemng Ag Page i of I JCM Inspections em 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 11-6-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit 4i07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS n✓ IBC Q D 1.1 ❑ Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: >� •� '-\ `� C�t1 \ 4 e f, t r• t Rc) ❑ Shop ®'Field Unresolved Items: ❑ None ❑See Below (� ^� C^"a '� � lJ• C �1 � +J � A P'r> c• C � r nt7l ('� �-t' �^Q �J0r\ � J!,i_ ;\ T �rJa_\(�.s. �rx f„' bl>�la� Q tto�,;14� WAD,,M CCC ot.% ). r\cl_n o1„.\oon Como- 64�0m -inCt�'ttnn!� C��'1{lQc lc�. 4” 1,111Q n � l,w�OC 4a�c rM n Ca.X n, 41. " s,_AV", '.��� 41 rXNS �. �� o (rP_ �pc v e� C nr>Je W��� , e.�i. �- (� C O�1 Y•� CZN Ck", vin��1(�n ^�. ^nsc+� �✓ �C��t.en>fo.��'{��' S (it>r�c+ Ciw �1VA- �.1Cg, �\nt �. 1�C�1Ati C\k n,V4P_ " � LP I C? O t. t �� >L {', v1C` t+ n� `eS til V)C S `(a,OV 3� c, s. 7 r, �� .• et��i. rv>r r1CY` ��C�Chi M Ce1cle e+\G �t��e�rr,��c•�9�oS ttS+AsL� i�(G��I�r;!� Co'� •�en� �Gr(ti�� N,\\) -;I, -kA-T C -Lk C�e:�C a1 eti 1 .,r A-4PQ 1� J� � c Q c� ,.. � o_ vJ t+ S S t Z,.t3.., n. n, G ro 00 c3-- ` Process Welder Cert on File Electrode Detail(s) ,Location/Comments Yes No Type Size CRS i;\\r, n�.ci w'•c ,u`1 �hrca�etieal �n'' ale :nr,(\C7nn o['CL,1 0, cc ^�1. Rc�nr_ 1 cw\\t/� I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Certification No: 0842216-85 Con ractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent /Copy 3 Governing Agency Page of JCM Inspections ME, 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: ( ( _ G _n'2' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ���c��e?4e��i+�. Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: IBC Title 24 Other: Unresolved Items: [!�Nones E See .Below Location of Sample: �y -- ffl"No Samples Taken Description of Work Inspected: M .t � O n. S. Qjt 1 (�, a=7,17 L �����-�>�,Se'9c�-�;�c' �,��`�,t�.�iZ�, ��r��c�.�r°��;� , C©vF(n^�cz., �cj�\ihe�• 'V.c'L�!'�- vhr�: 4'�c'�.���,.-A-1^ 54k., �� A� ;t �� Cnv k\11f V\0"3IN C�eQK%', NC t- I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent /V, ' Copy 3 Governing Agency Page 1 of JCM Inspections 39725 Garand Lane Suite F .sk Palm Desert, CA 92211 6L INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ' _ _ _CP, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS R✓ IBC 0"D`1.11 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ; _ g U. `; Shop O Field _J Unresolved Items: F] None See Below ;� ` 1y. i 1 Wo T \ l� — T '� r C . �l\ C�,tiC. lJ(4 � CvIQQ.� (a� lC_". )SC<,r! ,r r`• t R i ` rtN V'\ 0A s� C w\ ( Q t\ �• �'�u. t �, 4t F W�f1:A\A, d\'C \]r�(l/�-4 — t •S .`y F( v�1. 1� �(� F�\ Cl d�r+e—t-S C rc-f\I4r T 1 .�r., u:.'1n� —" Q (, r)i,r'.\ n T o.. / �`f t? }, (1 7 ,•'1 `.�CCC�i R�'l.c UG At,-) fir. �'Lo-( C C'� Qr-, ? (a"n e A� r� l..\r\A�� ..r P. 1`r.,S �1 i.� .n e,r-e "r^. (1\.\6'r1r cru 4 41 A i V i C1 � r. 7T�vr,n <.-,. • A`wl?+-r. ,�? � l�f � f r, cT�l �. �a '— ��n c� i � �,� r> ��� �: c t A I u fiQ / �.]� i9.�ii.. CC ♦..Ir Cl'�,e.t]\h�<` 1,r>.�� J�,+e i1c�(rw.l(n.'1 i�.'lU�� � hr� �Nrll.i .ra�"tr» \l,i(`��r`�� t"7�+1 Clir�ii'.r. �im ; 4('Y p (� rY� Ci �R" �� �.ri• (-t!1M.n/', � A,[4 a�.7�/�.11 n,S n r" . '. C_ ,k w . ,...�. M� r A _C) r �I -C. , i�r r. �•,.� v, N '.\� 4 ' n_ t Mr O l l C].t1 �� 7 A_. 0.� n,��., . f?. FiA Q ex r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �r�a`,`. �•m :kms ✓ �(')[� h ,�)t rt,:l; rt^c �,�.�kf; n1 r -F .a,c+_. r1r� CAAt ('k C C n .'k'l I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jai �kC. Mllin ICC Ce,rtifiea�tioon �No: 0842216-85 Contr ctor's Represennttative: Copy 1 JCM Inspections Copy 2 Project Superintendent Y Copy 3�Goveming Agency Page I of 1 • JCM Inspections RA39725 Garand Lane Suite F A Palm Desert, CA 92211 1E INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC 0 D 1.1 F] Title 24 ❑ D 1.3 F] Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: OLA JQ fl ❑ Shop a Field Unresolved Items: ❑ None ❑ See Below r Fi 1 �C� r,�1 �On�r — t� \e �( t t� . C �'C��q{ t 1 (t t17 Cl-, ^t-- J cTnl 1 .\�. �Q �c0"YN 1r� �c7l ul\.,��:, l,. Or�nc GC('r�.�.;(�tt�C\j�y1J f re�*� `�nY�{]�- \C/�r,lk9 _ A �."7� n M"• A tri1:. \ "sl+�-" � !A- \,4 t C.L-e:'s. � �' \ a 1 CA::$ e.. 'r o, V C-' A Q-�k�r s a &N, Ck ( 0;_1 P) ..> \ -- '5 r C on � c nS nit O . o .P `�� ���C ^ r� >o a r+ 1 L7 t, inn i O , p t'- Tr=)T � N\ _ V\�� �S vaV -. Qt 4D,}�"oa\c_ ��c�-, ,cz �� � �o P,� � � �rJ��� -4 - ra� t�r+,n (� � 1 (�nE+cvk,I (ZAC', _ 'tic C; r.0- PC 1' OI,( tt>(�V CO0V A 4 Process Welder Cert on File Electrode Detail(s) Location/Comments , Yes No Type Size �� eS r loe t S�lr3r> ,6C O W 1Q I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508, .:: (951) 697-1000 m FAx (951) 697-1030 DSA FILE# N/A SPECIAL INSPECTION REPORT DSA APPL4# NIAr Special Inspection Reports must be distributed to the parties Listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by. the special inspector conducting the inspection. ' Client/Project Name: JCM/ Madison Club -Main and Men's Building Date: ' 1173-08 - IIC Job No. 1488018 DFR #: Project Location: 53rd and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed:} Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ . High Strength Bolting ® 'Other (Feld) ❑ Foundation ❑ Shotcrete • ❑ Metal Decking•' (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: ' As requested by the client, an Ultrasonic Inspection was performed on the above project. Five welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. ' Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected X MET 11 DID NOT MEET OF THE DSA APPROVED DOCUMENTS THE REQUIREMENTS OF THE APPROVED DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS - cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- Printed Name and Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 rMT Level II INLAND INSPECTIONS ONSULTING 7335 SYCAMORE CANYON SLVD., STE. 4, RIVERSIDE, CA 92506. (951) 697-1000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 113-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: , PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [.] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [XI PASTE [] GLYCERINE [ ] OTHER: O Q LL� Z ITEM IDENTIFICATION W v W 'w W, U G W Z� Q _ Z DECIBAL READING DEFECT LOCATION LL W O U =Z 013 - UJ W N U ZZ Y p LU P� Lu V W W W W o 00: � OZ H �� F� W O W Z oC a LL o Q U N Q � LL. in .D.aLU 0 N LL�N a ur JZ W F E W -1 Z a co Z p a z 1 803.6-136.4 Splice 70 182 52 14 3/8 2 803.6-BB.6 Splice 70 182 52 14 3/8 3 603.6-66.8 Splice FX 70 182 52 14 318 4 Al2-ACApex North Splice. 70 182 52 28 3/8 5 Al2-ACA ex South Splice 70 182 52 28 3/8 13 Pipe Column Spices (Main Building) 44 Rotunda Apex Beams Roof (Men's Building) � L SIGNATURE: , JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:k V7 `01C', C� Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC �] D 1.1 F—] Title 24 ❑D 1.3 ❑Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:; k0 k.0 0 M,.—'' r ,` ❑ Shop EJ'Field —�.� Unresolved Items: ❑See Below \ c••�r r►-�� r r��❑None v� *A A�� -r' M �.��.t ..�n�h'c !�. :'l'�_ r • 1./ ' . !, ,rw\ Tw . .�l` . . t.-,� X1.1 V C t 1, r �....r. � .� - ,,.\ .� 1%-C•� � .. Vk Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size Ncs P I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 C _ . �;����� Contractor's Representative: r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 4— JCM Inspections ` 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: J0 -3j _C)8 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC E D 1.1 ❑ Title 24 D1.3 0Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers yy�{��(� Description of Work Inspected:t.t;`i �Q�ir1 -- , ' tC'r1 S Pv �11�J� [:].Shop Q Field Unresolved Items: ❑ None ❑See Below �C,r_S, _. ail. i� 3`r~ � �Q C:a t / {, �1 ',,kQ • vJCV�.�E?�Ct C�{ onVe. -TS • Con 11 %Vt0 "C_ WC<c� `� ��G) (e ,Cnk0ur4 t7���(({���C�,br�1r—(( S1•� tis b,Sl F� ��",o{:� S reit o� "�\(�cin�pC: W�iC Ctto\� tQ 4)e�:4Q�`l N �C )_s f ,CQm t t,tItaCc:� �: caro, V�Slr S COO O Process Welder Cert on File Electrode Detail(s) , .. Location/Comments Yes FNo Type Size t.4Ons2.^hCU i1,CC I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Cert'ificatio t No: 0842216-85 W, Contractor'sRepresentative: A Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of JCM Inspections 39725 Garand Lane Suite F 6W N1.9 60 41 LT.INJPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: R) -2-korc9 Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079~ Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC Q D 1.1 Title 24 D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers _ Description of Work Inspected: \ .� _ \� ❑ Shop 91FieldUnresolved Items: ❑' None See Below --T rn "no � �r�� �S. o n. �. 1 r�� 5- Cl - (i� F. Qrw�n � .�n•.. . �c\.?,lc� �/ �" t', 1. ��\ �. r�,�:Ia �. Ac n �o [; ^1r1.• c- kAC.0 co t; (r) �'' 1 � �� e.. 1, t �'.'"� , . ^ti. r�, C��... fe. ��,1.� <� l� e .f'� _ !9 n t;� Q f n- \ e <i 1 .)•'�'\ .�� n s 1h /•� � 1 h � 1 �. f'� .I� e'v� (1� �i"?�.. �.1 V`��. _r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �w �� n ✓ p .O-Z�- �����lt).na-VA Al O.Ct_t��aTL I hereby certify that I have inspected all of the above 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 project completion. Inspector: 'Jack C. Millin ICC CertrtificationPNo: 0842216-85 ,.— � t X V � _ Contractor's Representative: C)I()UA4{/1/x ' — Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 10 _QF11 —OC6 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC Q D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:\G� _ �G, 1�1(>r \�i n ;y ❑ Shop [E] -Field (� \ �• 1'�\ /l^\ \10AZ , y '� Lk 1t v Jc.e�ri�� G` �4r•. ��,C� Unresolved Items: ❑None ❑ See Below llll(�- \\ ((�� {( r�\]. p� � I n t`ot�cCoo �nFoaa w�;�,�� Wc�l*, (%�du.�� `yam,-�n� �"Jt•'^t Inv-a1t4•�.. Ll ;A) Mhn % 9:k V�01 4\krl. Ct1 C WiC k1 / a4-'\C�')i�, �J . rk\nrv,3 gra? D' O( ..S rl \Qqv',t1(f ` (J "0— �_S X,. c._ Oco Dc cc\l k nc\ , C00� n�r,i i t���� G1 Ct•1� p`t r�►' W('f'�. \\\ y v Process Welder Cert on File Electrode Detail(s) , Location/Comments Yes No Type Size �-C�(�.ctr'c\'7 1 G� V'\�\nFc�,\r. "' `_;1346.` v-1",cam vUi�' S3,o Str��.,r�\�F\ p vJc���-, C�OeIa t /2 (� I hereby certify that I have inspected all of the above 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 project completion. , Inspector: Jak C. Millin ICC Certification Rb: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of _ JCM Inspections hfi IS 39725 Garand Lane Suite FIN Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 LL INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC © D 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers \� +( Description of Work Inspected: � s., � � n -� .� �(`��� � � Wp.r,�n �' .� �j,�`�;�,� ❑ Shop ©Field �'S• l.�nr� �0:,CS,L4*L( Unresolved Items: ❑E None See BelowWr0,01_`t ❑ Qr ��j�r`f\� \a�C:� s•'1 1 )� Ct�ncc �ge(�cS 4. �''/1 <.W\ r,U)-1.[wL�aC0 'i���� cs� t�11e n ; (� � � �, t�• �. a e � �, o �1 j; �' ,~� � v �e � c, - � o �) VS o�(rl��r. i-�- �> C`•1cc..`(..t'W `C ,T 4•(� l ° � r cr F, Sc.�r�c, c � t � 17c► t o.�(t ar`t � ('c�r�� ,� � c , > �'R..\ � c�\•�� c�c�.� � S �.) -`�' a 51 �'C''I 1'•r! �� 1 4'S Ca. 7 �}CJrt L j1, t1 t 4.� Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size LAW v�,\f��c'10. � w`*C. ��%.�•• /J3•�S�r'',`rx,j' �'1,`.� W��i/'� (f�r)t+�^1�`rl.t� - 1 ens ccc.ee ,4x I hereby certify that I have inspected all of the above 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 project completion. Inspector' Jack C. Millin^ ICC\Certtiifiica�tion No: 0842216-85 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of , JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS NAILING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: _ Sub -Contractor: Sladden Engineering Gauthier Framing General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑✓ IBC Title 24 Other: Unresolved Items: None See Below Description of Work Inspected: r `fJka.! .i C`n r. K�> / ens,\ e ] .� �n,1[�l I, •1/� A 1 .t r\r+;`i ..r —� � rT,-'♦..� �,i4 R!�l.. j Ca. .r^��l A.. I I hereby certify that I have inspected all of the above 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 project completion. / Inspector:a C(.�Millin ICC Ceriiffi� ation No: 0842216 Contractor's Rep esentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of On JCM Inspections 39725 Garand Lane Suite F 6TWEakiPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: „6ca Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F-/] IBC Q D 1.1 F-] Title 24 ❑ D 1.3 ❑Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: WOi �� _c,}` mon S �]t,�i n� ❑ Shop a9Field �� �` �� Unresolved Items: ❑ None ❑ See Below \. C�ry 1a��..1 Sores ��ar''ra��cc� �n A ��G.�r.�_ Q'rt `��ct.'.� `\ 7G: 1 1 �� P�r>o u��y• W 4 'S . AV S� r`C s, �.��� la,,� �, N6 �^'�):c� �cct,•�Scr►+��o. -1.140Q Cb- Srrllo, I a.t0tI Q_ (� X21 y VI'Ac_ ZC101n +nc�l� W�cCn WcQ. � 't c�� .�o\isr•Ins �c�-`C' PGi��. cc,,vn-�n W�� t, �•,"�$ a�n�tVS ,��,�G�tOts,•7� y"o2Si�s� C,C" p\-Cvo 'Out Tnr 'i`:,�- t y-ru �tr3,�^,1 . �.C1 (�D�'1atc�nC Process Welder, Cert on Fite Electrode Detail(s) Location/Comments( Yes No Type Size �GPQ VAV �a ✓ aKa ` �lr7 � S K. t . a �►C� o�S . � C' p ��1 �`r' 1. ^� `G'i C7f CJ' �7 0 _ I hereby certify that I have inspected all of the above 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 project completion. Inspector- Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: -- ...s ` r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of t 1J. JCM Inspections T am A-" 39725 Garand Lane Suite FRA Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 6T1% INSPECTIONS WELDING INSPECTION REPORT Date: LIn2 Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC Q D 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:\ _ 1 n c . rN r1 ❑ Shop © Field k, I , 1, s1,1 Unresolved Items: ❑ None ❑ See Below \ l.,l r 'fit- �*'C; 1 ' Rn �.� l �Atr+ u 4;�N V -P., rC;ln C)1trrc e-- �k - n eye V ls�.'!I"a �1,�f:�.+, l.R C1 (',r+.. As.�rtr� n / ��• r",..,A. se�/�c �I �'i /1 A.�t� k-,AVIn� �-A r,,,c f .n 1 >>r1 �f. .r. �(�Rl e r'1� � C t,\, \nn Q:r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size � l�,�l ...n` �I'. ✓ W�� �� f� _ �..� � �r e 1 �Q .'1n� r. 4'..� ., ! � ln� � �-1n.,� �.< l I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Certification,No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of t JCM Inspections LIMN 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 RA INSPECTIONS WELDING INSPECTION REPORT Date:' caA-LAR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/ IBC Q D 1.1 R Title 24 EJ D 1.3 ❑ Other D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers _ Description of Work Inspected: A Shop Field Unresolved Items: O'None Ej See Below Y �1�Qi1\iC \!1r ��7�,�t�...St a..\p(1r� '1 �c�t f�l7i�rT�'t•1tl�Q_� • a Process Welder Cert on File - Electrode Detail(s) Location/Comments Yes No Type Size A ` •�g' 7)S3.C��,;�,,"'.K* �A�+`1�i11r1 Nov\r\ �JCltt " I hereby certify that I have inspected all of the above 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 project completion. / 1 Inspector- Jack C. Millin ICC Certification No: 0842216-85 '. ContractoPs Representative: K-, /11*1ZL, Copy 1 JCM Inspections Copy 2 Project Superintendent �� Copy 3 Governing Agency Page f of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: %O—a(_CB Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CAV❑ AWS IBC D 1.1 Title 24 D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: r« ��CC n �� �\ �,� ❑ Shop Field -A,; Act ..- � O o� CtCv \ � t.- t, .moi —^ J Unresolved Items: [E ] -None ❑ See Below �.(�� vldokJ�nlJ1n�5 \CQac 0 �lv-� \ va¢(C ��`� keNft�� -- T\O _mstk•1z,. �Ry �a`C-Q(� CO<(cC`c\e r.r�oJis �� v�eC•b1S� ��1`� Rtni P .ccs uc pCo4>nro. ton K (3 --)17 n go nI� (7 , o rt^NP NC- i a a—rs VJ(A\em i, �\((V��r s( C\"Cc SZ S. A4 ! V.hIPS�1�l� a �. <\k'Nt �-c 1' ilv( �t<e ei ^\VVI VeNCN Process Welder Cert on File Electrode Detail(s) Location/Comments, Yes No Type Size �Aae'\n s va.(a e673- `Vk;nom\ rie�n�o �C,0 z,,, CCcC.c { o, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Cetft"Ification No: 0842216-85 Connttrraactor's Reprpresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent `'� Copy 3 Govern gaAgency Page of r JCM Inspections LJ1M% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554, - Fax: 760472-3895 ME INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: �a -,It .0q Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar . KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength,(PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: �✓ IBC Title 24 Other: Unresolved Items: None See Below Location of Sample: No Samples Taken Description of Work Inspected: C11p f� ; l r'J f1 �? RC9..c+1c�.`� � C1r, r� tP rr�h� {'c��.—C-.� C Man S Q�� �o tr..�,ln � ��s��• F C0YIC- hcyWvn.or:= �� �LOkl�r�bor S\r�c�,-� la�.e.. ws(u� o�oJ�UC''�tCr (�� Mc nc•,n;c o'�t �'t ta< <:lr V.1W5 LSc) +J C'vns"\ A'A C� a n�t>f(Ak`��, (�Vi(�t+i,� t�:� eC`°C QGGS'�4^ I hereby certify that I have inspected all of the above 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 project completion. ` f Inspector: Jack C. Millin ICC C rtifi atlon No: 0842216-49 Contractor'sRepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent ' ' , /0py3 , Governing Agency Page I of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC s ® D 1.1 F-] Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �,W c � W% ��� ��L o � � �4`�� „1 ... ❑ Shop ❑ Field Unresolved Items: 0 None ee Below )L '7 �` 1_&Z C c, fo v aBL�h! � y L L9 v.-t , vJr c c. vJ44 ! <Z� 1 �° R S C. �J a .���j�G' l tSLi �t'Ot 1"y: i CairnPl^a�. tS�Zc.,raqNt��\.y r c(`� �''� �_ �'o �, � ; ^ 4\ o�p C�'. c� •� c �r �3� `�'Q nS'� n n - S��"� n 1 �j;''� '�`�M�nr �n_� ('�� "\\ r- cn r��ln l `T`� 'o < �C VIC An A < o�- Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size iV-,+ i nr\ Cor �rn �r I hereby certify that I have inspected all of the above 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 project completion. , Inspector: Jack C. tllin ICC. Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent/Copy 3 Governing Agency Page ' of JCM Inspections 6W Mmv goPalm Desert, CA 92211 LL1% T Im X39725 Garand Lane Suite F INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: /0_1-7-.0$ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS 0✓ IBC f] D 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ` \ 0(� Description of Work Inspected: f t.r Q V�Jt+J C i�� �,N( e r, � i )Ai / -- ❑,Shop M Field u w _ Unresolved Items: O None ❑ See Below � .�,-t o i to ,00— . ^ a.! 3 `� } r Coc�,u; S t Aj\j C%t`U"� Z� Y'� C c.\cr� C7 Q � � \ ^��� v�t..?�� �► �i7 rC �''��" 1 S t Z L`••.1 rQ ^ 7 ^ \< �-� � �t � � �R r n `� �-.�%/ v t> a -4\ Mon(-of ��C�\��,r $ ♦rymtfi `�7`�lr1�t tat ^ S. Process , Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size tjMa SV; raA b V',\�,Fa ..cam C�t� ���`�! vJ^�n� c�n,'c, I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found thisr work to comply with the approved plans, specifications _applicable building laws. Final repK issued at project completion. �a Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Repres/en/tative: Copy 1 JCM Inspections Copy 2 Project Superintendent Cop Governing Agency Page of 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 1 Elk INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-018079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC F,�'D 1.1 Title 24 ❑ D 1.3 ❑ Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: (� f ^ t\ (��\ ❑ Shop [: 'Field Unresolved Items: E] None ❑ See Below LJ 4 L -I `"1 n r _ i'�� < rA -_ . �A �-^- _ `^ k•+sn �.��n u�1�e '. ,���.�a.n y.aar•�. �..'tt1�.\.. �� fin.., I,C J� _5..- �\��1,\`.... /' �\ J \_ I CA �. Z���i, •. nr._,.� i' �'1•n• * �1 ��. 1 �'-"\�.�.. �-_ i �n, 1. -��-. r.�.. �. ..1,'.,5. ! .�M ,., r .. �'w. n. „�, I ���'` •.�y n� � A VN n n �. ! !` �K- r, a �F!'' f orf, t -�..-� f .-� .•[� .w '1 n � '. I, r•. �.,-�'{'�• �enn e � �n.•�n�-. �'. r1n!1. rsvrrr +w r.. ` y Process Welder Cert on File Electrode Detail(s) /Comments Location` Yes No Type Size � : J I hereby certify that I have inspected all of the above 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 project completion. i Inspector: Jack C. Millin ICC Certification No: 0842216-85 �_.., Contractor's R resentdtive: Copy 1 JCInspections \Copy 2 Project Superintendent �.. Copy 3�Governin� yPage of l V Inspections 39725 Garand Lane Suite FRA LTIM%JCM Palm Desert, CA 92211LL INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA Q=D'1.1 ❑Title 24 ❑D 1.3 ❑Other Client: Sub -Contractor: Sladden Engineering White's Steel A • ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: °!q ^ ^ ❑'Field Unresolved Items: X_ \i .\_ 1 . S! �' 9 --4�, . C rl ❑ None ❑ See Below w _ (�{ � �7 � C � .�. n ....,., � . A. �- .. _�,1 •� .;�� ... =� i - r� !\. .,. r -, 1 , : �., �l C:.A .a►" � , _ '��.: .,� �� m .,,. a•.:,r, �.,t A, � (�_ � -� 1 ; ��� Rn 2. ! � � � �,�, (_: � n c�t��,��. IF- k' �' ., ..1.' ; �•.. . vZ. ,.n n _ \ \n �A # . �.� R1Jt+ n ., �n �11 n a Al C` .-IrIn I[\ I 11 r, S pt n r \Y � .. A^ ,. / t w .+a n.t'\.. ( � 1 C .. �. Y A 1 n i:, � w� �,., r �, \ ,.! - � • 'K'n �- J Cert on` k - File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size Y ' I hereby certify that I have inspected all of the above 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 project completion. A Inspector: Jack C. Millin ICC Ce■rtiification1 No: 0842216-85 Contractor's,. Representative: f Copy 1 JCInspections Copy 2 Project Superintendent py 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F 1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 0^9 -15% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 5� � Supplier: 1 55 oc. o a � ar 1�tt\'l' , Time Sampled: ",2;k n c\ r� Mix Design: E-5 6�J 3 (o 1\�� Time in Mixer (min.): W r Specified Strength (PSI): Q.I,y Water Added @ Jobsite (gals.): �/ Addmixture: Concrete Temperature (F): Truck #: 20c> Ticket #: ;L%o 0-1- Ambient Air Temperature (F):-1 Field ID Marking: r- , - .. , Z IBC E] Title 24 Other: Unresolved Items: a None ❑See Below Location of Sample: ;1 n:a c • %.r!•}. (x\ ❑ No Samples Taken ,Description ` tion of Work Inspected: ' P P V'�3-\U (``1G'� [`i S �• � f1 G -.� Qom. (� Ct C4 r'1a'{���' D C1Ci t - C7[c C c � rr. Cr tl C w� ('r` C� (1 a Ate` J �7�` `. sl G� O (1 3 C t%e 1 kN�` t c �c.�� 1 n c� �•7� i ^ rte. C cS ^b51. c; C c o.S �v �, -�'�.�.. C c.� C,�S . -> ACX c-�t . t S . Ac— J cCO.1Ctr(C CO C C `\{C CC\.µ nr G�j C . .. �. C�rv-�1�iCjSIG><1 I@ S �E'.C� �� a I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the be's't of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Fin report port issued at project completion. -_ Inspector: Jack C. (Millin ICC -Cert fication No: 0842216-49 Contractor'%'s. Representative: Copy 1 JCM'1_nspe.tions Copy 2 Project Superintendent' / C* 3 Governing Agenc� Page of JCM Inspections almk 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: m—C', ^0O Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F-71 IBC ®'D 1.1 Title 24 [—] D 1.3 Other E] D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KP FF Consulting Engineers Description of Work Inspected: w �fi , ^ ^ Q ! V t a S Shop �✓ Field M�\ (\� ---� J Unresolved Items: None See Below \ S � i1 e..� --� r'' .� -o� Ytii l.�nc�_ �P elc .a! ((�� cC a �3 � Y . ++ -�- • � .>~ �IA .1, N__0 � . ��t� ,ems ....i .!6 r+l+ 1 •f_ \ ln... XA �...i - : r { 'RS �[\ �/� , 1 '� .-9 r 5 n ter ♦.M \ r ... 1 AIr I t'n• ! �� i •a� ��,. .. .. Q'. -,.. r �i-i , ... � ..� C� �. l? �'C.. �, � ��� n �,•. �` r, n^.ca � i i , �: \ � �?� C�rDt'4V S � G^{\ \ •} �� .. \ \ c� C`� `tnt (; c. C+_ 0c,oar)-c:V rn 1 t nA n0C' 0 (1Ne,��_ Process Welder Cert e n Electrode Detail(s) Location/Comments Yes No Type Size �i i C\, .s e\\� Q.. f/ .. ( t #�^' \`. LAI, �� S !\ ^ t1 r kl � O-A.4 I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certific tponiNo: 0842216-85 Contractor's kepresserntative: Copy 1 JCM Inspections Copy 2 Project Superintendent/Copy,3 Governing Agency Page � of t JCM Inspections 39725 Garand Lane Suite F ]Ell Palm Desert, CA 92211' INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:�� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: 'None Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: 2"No Samples Taken Description of Work Inspected: LIF�Dn(' �`A—\ C.� - - tz_'N Cn� c nr tQ r�r, f•%.o . C, 11 1 • 03 _z. ( t L Cr . e l�� n . rkC IN l�.)rx fnir r��\' G1 V[•� n\in (` s(YVA ' a ,f; I'>.,r\___1a i; 1zt--, ���>. Q.,. kt��� yS�r mac,. _�,r �:�� �1�� .c _ata r" �Mk CQ •trP1 .. r �._kC o,So,,'� ('7 Ca. /J'• �`.i'� . �C. i t"r s r R, t. r Al�Et�' t r RGnMR.n n�1�rc,^\c.. '� p`l cc�.s. obo•- �� � ♦ vC f' f' •-'�'^.. � T c'� (� e � � fC^'n - �a� t �l n n c � t�/�2. Yl n !'t n1 S � C�� C \..:a � e f\ ; � i . C7, \.i� lr ., � n !^�_\ Ss•n +` r i '. Y� ` C Q �� ll r� t !)+�'1,�. n n e , C?' � �n _ eV^ ANC gr C 1�. _1n' )iz I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millliiin� Certif ci ation No: 0842216-49 Contractor's Re/p/r'esentative: . (ICC Copy 1 JCM Inspections Copy 2 Project Superintendent •• •, `Copy 3 Governncy Page ' of 1 JCM Inspections LTIMN 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 -'Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: �p-(0 _68 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS D IBC Q D 1.1 Title 24 D 1.3 F-] Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ` ( ` Description of Work Inspected: `NO, � in 4� \A � ��� �t � ,1r�1 y+`�, �� Shop Q Field Unresolved Items: F9 ---None �See Below ,\n\ �, r Y1C c c �sr c., r4 .i C�\n�n� 14a W �: �'cx� v t13 tLS ct �r\rr\S W\ICCC��'{�"+fes �Lf '\\ Wc3�`St�Gt�t�.•}sL Tl \ ` \\-a r'� {.•� ��C1 C.'K- p fl (3� IQ J -L-1n� �- o Jk \,vQ_ ;6,0, j �- y.,r 4 C.(,V iJ 1 �� �i1 rt\n \CT.,1�r1 C.r� (' `•-��J'� t� t�..j l [7f1 1 nr� = �j` l L1 iON r 1 � \� rr��n�v1 \�i1 V3C,y�S p (� t S 1'LC.t w�'ti1^RC1 j t a Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C1��,) ��•\cam ✓ 'j0( " 13riY / �S- a t',` 7, � C1cce�o I hereby certify that I have inspected all of the above 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. \ Inspector: Jack C. Millin ICC ,Certif`cartion No: 0842216=5Contracfor's�Reprlesentative: Copy 1 JCM Inspections Copy 2 Project Superintendent! Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: O -_ og Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC Q D 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:-�'. Q ��� ` .� �`(1 �, ^\ SVS��• �� ry ❑ Shop Q Field �-j Ott���t� Unresolved Items: © None ❑See Below �`� t, r�tr c- feceT 1 ��.\��.,L �+�•cL',. �-,) �D�UK++r�� 1JPC��'�: !f4 � ['\�' \ Vicsl t✓� f� C Dts nd5t. �1 �\� c �`L � r� C � .r�1 *T -c � w e� � �, -�`t. � �-. S•t �.�.., �� ., ��i'� � �, n: p �•er� � re �1 cc...-• Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size \.Q•� �� n*r.y1 Wil. ���*E• F-s„� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin `ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 1®- 3 o Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 00 Supplier: .� ���c� �`-- Time Sampled: Mix Design: �- , . Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): (� n �Addmixture: r 1�f ���� Concrete Temperature (F): 431 Truck M ((, Ticket #:E Ambient Air Temperature (F): "� C� Field ID Marking: C,�kN -x �r ( ( ❑✓ IBC ❑ Title 24 Other: Unresolved Items: None ❑ See Below Location of Sample: \"�® k�� \�� ti �� c� �- ��� �►.� 0 17) (\��I ❑ No Samples Taken 1 Description of Work Inspected: , 1 1,ti,e. ka\�c�...Mt',%� �� cRc���:� '\��c `�� X`� C-`C`\l1 ��c� �e�"• _ 1 t�;s\ L?:,�,�� r (�C<<�P��'�C� \t' �a di fiJKl°'a �>d`�,�,�' '�t�:`1`",.r,��G'1.(1�� �'1.,8 �' Si"��' � •��a� o N r -A fQ_' 4 n • "\ � 6 1r1'NN' zt1 m' r.�1J�S�^i Cz ln:fTl ".;�:� w � �v i i \ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC .Certification No: 0842216-82 Contractor's Representative�� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of v JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 ER INSPECTIONS WELDING INSPECTION REPORT Date: 1 O- I _i~,g Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way , La Quinta, CA AWS ❑✓ IBC ® D 1.1 ❑Title 24 ❑D 1.3 ❑Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: O t •` �i . ^ ' ��\� W n^ i �C _ e vl ❑ Shop O°Field �����\� b`.•t 1 r , `, Unresolved Items: [;7'1'None ❑ see Below (� Q CM�rt Ohl S } I LOW ©�� \ •t C Y� � O �. l- b�m\�.n.;,C� `ye \ C `O�l(R'0 V Jt• IN G iC K� �uJ G Q2f0�t �'� Icy ►` t7rr Q\ A- `` h� � • ' ((.'a�\ C`l f�1 �' T �• �'�r �� C r r'. J�k.t•`�.L �a� t •� 3 V.1C'h��� vel\�,,t�i t r�rv*�\a: Ie, ` C� C3 t% WG&N.vo � 4c �C�>S . i�^r`r�� c+1 � �`\�\ �r.lA1h1� 'C.� �.�Pa S'ti°R ���•�1����1. .G� CCC 6 (1CC_� 1 Process Welder Cert on File Electrode ; Detail(s) Location/Comments Yes No Type Size We. &I",101 rte^ IV��t{ �,-• �E� `� (\ � �.. �:\\t2\ D�c?�b0.�A'��"�7�r1 y jn vkc C e v 1 hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found4his work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. R Inspector: Jack C. Millin ICC Certificarti "ANNo: 0842216-85 Contractor's Representative �% Copy 1 JCM Inspections Copy 2 Project Superintendent if copy 3 G Governing Agency Page i of (y e a JCM Inspections A 3x9725 Ga and Lane Suite F 1E Palm Desert, CA 92211 ZM INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: p _ I_0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches):,--.—. —+ Supplier: �% �, Time Sampled: Mix Design"- a v �_ 1K\ Time in Mixer min.: (min.) %n: ,�� Specified Strength (PSI): �S0� Water Added @ Jobsite (gals)� ca�c 1018 nt <� �CC Addmixture: N S Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC ❑Title 24 Other: Unresolved Items: ❑ None ❑ See Below Location of Sample: Q'No Samples Taken Description of Work Inspected: \ C: � c, rs cot , c , s cola 3 b s 3 . OCA vI, (S • U�-i . C 0,t are S%1Z e_ Af%,t 0-VN%� . r 01,10, s a e z, ��;o\: ec a �G•r�.n ♦h\ f I hereby certify that I have inspected all of the above 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 project completion. Inspector: kack C.Millin ICC C rtifrcltion No: 0842216-82 k Contractor's Representative: C4L�� Copy 1 JCM Inspections Copy 2 Project Superintendent �/ /Copy 3 Governing Agency Page kof ! JCM Inspections 2 LIM% 39725 Garand Lane Suite FIN Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 6L INSPECTIONS WELDING INSPECTION REPORT Date:q, _,(R Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse . Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS FI] IBC Q D 1.1 Title 24 D 1.3 [_1 Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: 1 ` ❑ Shop O Field �^ Unresolved Items: ®None See Below n<„T.�C.,,t,mr\ cnex{\c+7.�tr10S,�,wa.VA?��*' �� �,%nn�� C.�c k'm _ \ I \ ` `l' �. .w JP a'� t TM .�\ � ir�\c ry - t �t n � lr� i, -�t n '-i� e . '! r. .1+.r.. !7 .1.,, r+ : r f � i'ak-� \ e M .. 1 r, (� 911. 'IV VIn�(��.�r?. t�1�A al.,. F,'4 •�. r1/Y'1�� 1a.�. [\1fi�. �eiw\`..'`li r'�JJ by\w\�a1. .\4. k?, (�\�.A� ' rel \ ('� � 0r [lrrraC�in.. Cnt�T.\'rc�ninrc �t��krf•ccn_ t' /�-tee,\t.•il re -� i\ T c, T� .t \, � � C,rr r��1�# '\�^r, e Vt a b�",i � X y Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size q_a- lit Q•c+��.ir n�� '-' �n � ��A cl't�i.! I hereby certify that I have inspected all of the above 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 project completion. 1 Inspector: Jack C. Millin ICC +Certification No: 0842216-85 Contractir'slRepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Cppy 3 Governing Agency Page __L of JCM Inspections Z1%39725 Garand Lane Suite F k " Palm Desert, CA 92211LT.J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date- Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF,Consulting Engineers Slump (inches): (� n Supplier: AA `. y Time Sampled: 2,�P� l� Mix Design: (o�GP u --r-= � Time in Mixer (min.): qn Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F):� Truck #: i Ticket #: Ambient Air Temperature (F): Field ID Marking: � ((, Q✓ IBC EJ Title 24 Other: Unresolved Items: None See Below Location of Sample: f a✓�` f.? .� I� ft ' 1 ne(� ro4 AAnrti dF1 � R f �� G e o erve e � J No Samples Taken V-4-J-10 ri Description of Work Inspected:f1�ft S,.� I�JYi.�i C1 flf' �Gfl �� ""(` 9C "` I1' �` \.t1 "��Y'?A� a+4 : f lA( n / t- Y ,'� �tt A� : t � �� t I3� 1 `YY M .e� ■ IAt/ 0\,A ^.0r ,,-- 0CJr t�'� l �_ •:.� k-� � � ��' f f f J I hereby certify that I have inspected all of the above 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 project completion. Inspector: Michael Rodriguez . ICC Certification No: 8003124-49 i''Sh 7 4 "' AJ'1R 1 91)n Contractor's Rfepretsentative: Copy 1 JCM Inspections Copy 2 Project Superintendent`s Cyopy 31 Governing Agency Page i of 1'. Sep 30 2008 10:43AM HP LRSERJET'FRX 19515099049 p.2 J INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD'., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 DSA FILE* N/A SPECIAL INSPECTION REPORT DSA APPLO N/A Spacial Inspection Reports must be distributed to the partles listed below within 14 days of the impeetlon. Reports of non-compliant conditions must be d(stributed Immediately. Separate reports &,hall be prepared for each type of spacial Inspection, on a delis tams. Each report aha(I be completed and signed by the special inspector conducting� the ecdon. Cllent/ProjectNams: JCWMadimonClub- Clubhouse Date; 9-2"8 11C Job No. 1488018 DFRa Project Location: Sr and Monroe;, Rancho. Mirage CA Tlme Arrived: Contractor: Whites Shead Bldg Permit : Time Departed: Reviewed by; Date Reviewed: Travel Time: Type at Inspection ❑ Reinforcing Sbeel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Conc ❑ High Strength Bolting ® Other (Field) ❑ Foundation ❑ Sho ❑ • Metal Decking (Ultrasonic Testing) [I Batch Plant 13Maso ❑ WZelding DSA Approved Dotromentsl Wank Iespeeterh ' As requested by the client, an Ultrasonic Inspection was performed on the above project. 52 welds were Inspected and were found to meet AWS D1.1 minimum requlrements.•Ptease see attached ultrasonic report for pieces Inspected. Urs AddRbnal Shaem If Needed The Work ® wAs ❑ w -As WarThe Work inspected X MET ❑ OF THE DSA APPROVED DOCUMEUMENTS DID NOT MEET INSPECTED [N ACCORDANCE THE REQUIREMENTS THE REQuw.EmEvTs oF-mE APPROVED DOCUMENTS Material Sampling ❑ wAs ❑ wns NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMERM r cc: Project Architect- Signature of Special Inspector Structural Engineer Wada JL Clark (Project Inspector) Project Inspector- Printed Name and Title DSA Reglonal Office- Certified By Certification Number School DlstrlCtr AWS 86110023 ' TMT Level i1 Sep 30 2008 10:4.3AM 1,; ., HP LASERJET FAX 19515099049 p.3 INLAND INSPECTIONS CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 - FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCIiA blopeboes (Job S 522.0811179) DATE f.ms�9 JOB NO.:148801EI NVOICE NO.; REPORT NO.: Rsviwed by;' PROJECT: Madison Club- ChbU me Men's wId Women's SMkV CODE: AWS D1.1 FABRICATOR: WhftS Stem) T IAH; Wade Clark ASNT LEVEL: II WEL IDING PROCESS: FCAW SURFACE: As Wanded LPUIPMENT: Epoch 4 PRosm ij NORMAL. pq ANGLE vq HlOH C1IIE wy [ j NORM ENERGY CAUBRATION: ptI SOUND PATH 0 PROJECTED DISTANCE COL" ANT.- (I OIL[ I GREASE [xl PASTE [ I GLYCERINE [ ] OTHER: DECIBAL HEADING DEFECT LOCATION I -a 3E ITEM IDENTIFICATION w w 9 o � 1 AY.8-A22 East Web UR X 170 132 32 18 318 2 CF -C12 East Top RmW X 170 132 52 7 1/2 3 Bottom Flange X 1 70 132 52 7 112 4 CF -C12 East Web X 170 1&2 52 21 318 5 CF -C12 West Top Flarge, X 170 132 52 7 112 9 Bottom FluMe X 1 170 1&2 82 1 7 112 7 CF -C12 West Web X 1 170 1&2 52 21 318 8 C(3 -C12 East Top Flan e X V 170 1&2 52 7 112 9 ' Bottom Flange X 70 tat 52 7 112 10 CC -C12 East Web X 1 70 182 52 21 3/8 11 CD -009 South Top Flange X 70 1&2 52 6.6 5/8 12 Bottom Flanne X 70 1&2 52 6.5 518 13 CD -009 South Web X 70 132 52 17 1318 14 CC -007.5 North To Fig X 70 1a2 52 6.5 1518 is Bottom Flame I X 170 132 52 6.5 . ate 16 CC -007.5 North Web X j 70 132 S2 17 318 I. Repair for 942-08 ID W 2-19 ManeM Frame Beams Roof Wftn m BtMnM 2040 MomerA Frame Beams Root (WW& L ouwe Bu kuna) 29.62 Moment Frsmm 6ae"m Hoof (Mab+ aWkftg) SIGNATURE: Sep 30 2008 10:43AM HP LASERJET FAX 19515099049. p.4 C-- INLAND INSPECTIONS & CONSULTING IL 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 ULTRASONIC TESTING REPORT CI.IEW% JCM truveC tlons (Job S 522.OMM wn"e: •-zsjes JOS NO.: 14UOIS vfvoCE NIX: RETORT NO.: Rft4wed by: PROJECT: Madison Club- CUftuse Mena and Women% Bteldov CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clerk ASNT LEVEL: 11 WELDING PROCESS: FLAW &"ACE- An Welded EPUIPMENT: Epoch 4 PROBES: [j NORMAL pq ANGLE PQ ISBN ENERGY j I NORM ENERGY CALIBRATION: (lQ BOUND PATH I] PROJECTED DISTANCE COUKANT: I 1 OIL (I GREASE DII PASTE I I GLYCERM I j OTHER: OWMAL READING i DEFECT LOCATION W y to ul _ ITEM IDENTIFICATION F W 9 17 CC -COS South Top Flange X 1 70 1&2 52 1 16.6 518 18 Bottom Fla X 70 1&2 52 6.6 5/8 19 CC -COS South Web X 70 1&2 52 17 3/8 20 AY -A21.4 South Top Fig 70 132 62 6.6 7116 21 Bottom Flange X 70 Ll&2 52 6.3 7116 22 AY -A21.4 South Web X 70 i 182 162 17 3/8 23 Ay -A21.4 North Top Fig X 170 182 62 1 6.5 7116 24 Bottom Flange X 170 1&2 62 1 16.5 7116 26 AY -A21.4 North Web X 70 1&2 62 1 17 316 26 AY -A21 South Top Flange X 70 132 52 1 6.5 7116 27 Bottom Flan e X 1 70 1&2 1 62 6.6 7116 28 AY -A21 South Web . X 1 70 182 1 52 17 318 29 BF=806.2 East Top Flame X 1 70 132 52 6.5 7116 30 Bottom Flame X I 7O 1&2 62 6.6 7116 31 BF -806.2 East Web X 70 132 52 17 316 32 BF -1306.3 West To Fla e X 70 1&2 52 6.6 T/16 1- Repair for 8-22481D 93 2-19 Momwd Frame 0u m Roof (Women's BuWd") 20-0 Momod Frame seams Roof (M.n's Lo uVe Building) 28-62 Moment Frorno Beano Roof (Main Widbg) SIGNATURE: Sep 30 2008 10;43AM HP -LASERJET FAX 19515099049 p.5 INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 . ULTRASONIC TESTING REPORT JCM inspections (Job P 622408070) DATe: v4! . JOB NO.: 1488018 REPORT NO.: Reviewed by: PROJECT: Madison Clot} CkOhmm Men"o and Wonten'a SU§ft CODE: AWS W-1 FABRICATOR: Whites Steel TECFU+IICIAN: Wade Clark ABMT LEVEL: 8 WELDING PROCESS: FLAW SUFWACE: As WeWd EPUIPMENT: Epoch 4 PROM. I I NOWAL pg AMIKE Prj HIOH ENERGY I ] NORM ENERGY CALIBRATION: (X] SOUND PATH p PROJECTED DISTANCE OWPLANT: (I OL [ ] GREASE p(I PASTE I I GLYCERINE I I OTHER: DIECIIIIAL REACH DEFECT LOCATION ku ITEM IDENTIFICATION 111IILLLLL F do Vai j aa 33 BF -808.3 West Bottom Fig X i 70 l&2 152 6.5 7116 34 BF -808.3 West Web X I TV l&2 52 17 318 35 BH -802.2 East Top Flange X 170 1&2 52 6.5 7118 36 Bottom Flange X 170 1&2 62 6.5 7116 37 SH-BO22 East web x I 70 1&2 62 17 316 38 BH4802.4 East Top Flan e X 1 70 1&2 62 6.5 7116 39 Bottom Flange X 170 1b2 1 52 6.3 7116 40 BH -802.4 East Web X 1 170 18.2 62 :17 1318 41 BH -B02.4 West Top Fig X 170 1&2 62 6.5 17116 42 Bottom Flanue X 170 1&2 52 6.5 -7/16 43 BH -802.4 West Web X 170 1&2 52 17 3/8 44 BH -802,6 East Top Flanat_ X 170 1812 82 6.5 7116 45 Botbom Flange X 170 1&2 62 6.5 7116 48 BH -121102.6 East Web X TO 182 1 62 17 318 70 1&2 52 6.5 7116 47 BH -802.6 West T9��l 48 Bottom 70 1&2 62 6.5 17116 1• Repair for 0-2240 ID 03 240 Moment Frame Bsame Roof (WopWO's Butldptg) 40-28 Moment Owns Beams Roo? (Nbn's LOUVW But bV) 18.02 Motrnnt Frame Beams Roof (Ma1n Building) Sep 30 2008 10:43AM 14A HP LASERJET FAX 19515099049 p.6 INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD:, STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 - FAx (951) 697-1030 ULTRASONIC TESTING REPORT CUHNT: JCM trwpectlons (Jab* 622490% DATca 04948 JOB NIIX: 1488018 INWoICE NO., REPORT NM: Reviewed by: . PROJECT: Madison Clubs Clubhouse M ft end women's BuldkV CODE: AV4 D1.1 FABRICATOR: WBltes Steel TECHNICIAN: Wade Clerk ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE. As wielded EPUIPMENT: Epoch C PROBES: (I NORMAL [XI ANGLE pII HIGH ENERGY [ I NORM ENERGY CALIBRATION: [Xi SOUND PATH p PROJECTED DISTANCE COiPLAMT: [ )OIL [ I GREASE pq PAXTE (I GLYCERINE [ I OTHER: SIGNATURE: ITEM IDENTIFICATION MOO SH -302.6 Wag Web .: . __ _ . ,.7 ©r �r :© r�■irrrr■r�■srrr��rrrrrs MFM�r�rr�r■rrrm��r � r. ■r �r ��rr■�r�■rrrrrr■rr■��r �rrrrrr�rrrrrrrr�r� �irrrr�r�rrrrrrrrrrr��r r■rrirrrrr�rr�rir�rrr� .■r ■�r�rrr�rr�r_�rrrrrrr� �■ rrrrrrr�rrrrrrrr�r� r■r Mr �rrrrr�r�rrrrrrrrr�r �r■r�rr��rrr■���r� FEW ��rrrrrr■�rrrrrrrrrrs�r FEW r�orrr�rrirrrr■�r■rr�■■� � rrrrrr�■■rrrs�■r�r�r I. Repair W 1142-00 tD, 03 2.19 Mamni, Fmm Down Rwf (V4~8 041"119) SIGNATURE: Sep'30 2008 10:43AM HP LRSERJET FAX 19515009049 p.7 INLAND INSPECTIONS 8c CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 + DSA FTL.E► N/A SPECIAL INSPEC 11414 REPORT, USA APPLS N/A Special Inspectlon Reports must be distributed to the.partlet listed below viftin 14 days of the Inspection. Reports of non-oompllant conditions must be dlstrfbuted Immediately. Separate reports shall be prepared for each type of Special inspectloo, on a dairy basis. Each report shell be completed and signed by the spedal Inspector conducting the inspection. Chert/Project Name: JCM/MadMirlClub- Clubhouse Date: 9-29-09 IIC Job No. 1488018 OFR #; Project Location; S3'd and Monroe, Rancho Mirage CA Time Arrived; Contractor: whites Steel Bldg Permit: Time Departed: Reviewed by: Data Reviewed: Travel Tlme; , Typo of Inspection ❑ . Reinfbi ting Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High Sbenath Bolting ® Other (Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry ❑ Welding . DSA Approved Documents: y Work Inspeeteefi As requested by the client, an Ultrasonic Inspection was performed on the above project. 52 welds were inspected and were found to meet AWS 01.1 minimum requirements.- Please see attached ultrasonic report fbr' pieces Inspected. , ' Uvo Additional Sheets K Needed ' The Work ®WAS ❑WAS NOT The Wort[ Inspectad X MET ❑ DID HOT MEET INSPECTED IN ACCORDANCE wrTH THE REQUIUMEN75 of THE DSA APPROVED DoamEFYiS TME REQt1tRd1EN'f5 THE APPROVED DOCUMENTS Material Sampling . ❑ wAs ❑ wAs aoT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMEWM cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A, Clark (Project inspector) Project Inspector` Printed Narita and Title DSA Regional Office- Certmed ey Certification Number School DlstlictAWS - rMT Level 11 7 Sep 30 2008 10:43AM HP LASERJET FAX �11ta 19515099049 p.8 INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 ��— MAGNETIC PARTICLE INSPECTION REPORT Client ,ICM Inspections A Date: 9-29-2008 Project MOdrson Club- Clubhouse/ men's Bu kkv and women's Bulbdk+g Job No.; 1488018 DSA No.: N/A AY,A21,4 South Bottom Flange X lnvoioa No.: Building Permit No..''. AY A21 South Bottom Flange X Report Ho- 5116' Reinforcement (Men's Lounge Roofl CF -C12 West Bottom Flange X Revlvwed By. Fabricator: Technician: Wade A. Clark Code: AWS 01.1 Welding Proceag: FCAW Surflace: An Welded ASNT Level: II Equipment Magnaflux Y-8 Teat Method SWelard: Acceptance Standard: Product Form: Build up Type of Material: Drawing No.: Production Stage: [ ] In Process Gd Final [] Other For Welds: [ ].Root Pass ( ] Intermediate [xj Final Pace Technique: ( ] Wet Method p(] Dry Method [ ] Fluorescent [x] YaiNe (j doll / Cables (] Head Shot . [) Prod Method [x] Yob& Method BH -802.4 West Bottom Flange X 13H-802.4 Fast Bottom Flange X Current [xj AC [ ]DC Amperage N/A W Meter No, _N/A Product/weld Identllicafion LL. Imp A $ Defect Location Or Remarks AY -A21.4 North Bottom Flange X SM67 Rainfomement (Men's Lounge Roof) AY,A21,4 South Bottom Flange X 5/18' Reinforcement (Man's Lounge Roof] AY A21 South Bottom Flange X 5116' Reinforcement (Men's Lounge Roofl CF -C12 West Bottom Flange X 5/16' Reiinforrement (WomWa building Roof) CF -C12 East 8oltom Flange X 5/18' ReWorcernent (Women's building Roof] CG -C12 East Bottom Flange X 5/18' RehOorcement (Women's buBding Roof) CD -009 South Bottom Flange X 5/16" Reinforcement (Women's pudding Roofl CC -007.5 North Bottom Flange X CC -005 South Bottom Flange X 5/16' ReirMxcement (Women's bulding Roofl SAI)w Reinforoement (Women's building Roof] 8F-808.3 West Bottom Flange X 5N6' Relnfoocemont (Mein buildfng Roof) 13F-808.3 East Bottom Flange X 5/16" Reinforcement (Main building Roof) 81-1-1302.8 West Bottom Flange X BH -B02,2 East Bottom Flange X 5/16° Relnforcement (Mein building Roof) 5118" Refnforoemer t (Main building Roof) BH -802.4 West Bottom Flange X 13H-802.4 Fast Bottom Flange X SMS' Reinforcement (Main building Roof) 5/18' Reinfbrcoment (Main building Roof) 91-1-802.8 West Bottom Flange X The UV imenalty was verllled at the prescy§0 intervals: 151161 Rekftrcemwd (Mein building Roof) r 1 1 No P9 Not Applicable Sep 30 2008 10:43RM HP LASERJET FAX V 19515099049 p.9 INLAND INSPECTIONS & CONSULTING 7335 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 •ir . -(951) 697-1000 FAx `(951) 697-1030, MAGNETIC PARTICLE INSPECTION REPORT Client:.ICM Inspeouorta - Date: 9-29-2008 Project , Madison Clubs ClubhouW Mwa Bukrw and Wonw'a Bullring ' Job No.: 1488016 DSA No.: N/A Invoice No..: Building Permit No.: Report No,: + Reviewed By. . Fabricator" Technician- Wede.A. Clark .. Coda: AWS 071.1 Welding Process: FCAW Surface: As Wakled i ASNT Level: II Equipment; Magnafiux Y-8 Test mod Standard: Acceptance Standard: Product Form: Build up Type oT Matertai: Dr&Mng No,: Production Stage:. [ ] In Process Final [ ] Olher For Welds: , [ J Root Pon. [ I lefienmediste . [xi Rnall Pae® Technique: [) Wet Method bd Dry.Method (I Fluorescent [x] Visibte [ ] Coll / Cables O Head Shot [) Prod Method (x) Yoke Method, _Current: N AC [ IDC Ampam9e_WA W Metier No, NA - /AProductI Product Iweld Identification Defect Location Or Remartoy BH -1302.6 East Bottom Flue X 5/16° Rehrforcement (Main building Roof) The UV intensity was verified at the eecnbod Intervals: 1 Yes I I No M Not ftpkable - JCM Inspections 39725 Garand Lane Suite F LT.1%JPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 9-1;r, -a� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: Q✓ IBC Title 24 Other: Unresolved Items: P�JNone ❑ See Below Location of Sample: ©i o Samples Taken Description of Work Inspected: W 6 r1 p -,•\Q J , n t i,-,) C ( Jlk 0 ' I\ C\04) i-1)r?b�(�i CCaS\ P C \ C��Q `�-o C` 1 `f'o� C"1+r1 JttQ Mc+,� Q �C t\ �r S� t�I l CL_l Z CC, JC`1Cktt�tC..� �� SS,o\ f'C-� �<<��<� �• �, „� �: �•, ,�-� ;4.031 S I .03, �� GQ .�<«. A'X ; .\S 0t1 S5•� 01 >C C �, SIZa nr\GCC �'%r-C Ove{C ��B C fir' a ,C t u: �t C h rC, r c� vx> q Y11'k X C� V �T e� rs� ^� CL.. r V AE r� o\ { �..�� O r\C L IX e. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification N 10 0842216-49 Contractor's Representative,/ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _L of L am JCM Inspections 39725 Garand Lane Suite FRA ah LTR Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA O=D -1. I ❑Title 24 ❑D 1.3 ❑Other Client: Sub -Contractor: Sladden Engineering White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: �ti ^ , ¢Field ,�- +r.•. _ _J Unresolved Items: ❑v'None ❑ See Below r-��,�("_� �.� V �� 1II� M 1 + , .^� !'! K A .� 1' \.� A GI nr►. .. �•ip l,I l� � p� `1 ry �'C,•� , r1*rr. e.�.�sM .,n n ar�n 1� �_ ��aicVPIC% A�-, . � r a Cn t� '. �c.r..4 r, ,•"5='�' r+.«. r, .l. R"C-e..-k.. , .,1�1��1.\n,� 1 IF• f��r. r\ r MK r, 1 -- _\ ^. � 1^F^ . , .+� X"� / ' � �. \ n\ I A— � •..J f ,., A r• S /: n ^�r�.-. n art, r n . . Y I Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size r `;�\\.��. ✓ ��� �,��_ (�GNn 1 �..�� ��ra�lrr^�',.� �����r� c rr �f � �� '••r+r tl, lACnr1.� nr i T I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Re'ppresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent � / p�3 Governing Agency Page of On JCM Inspections ffin 39725 Garand Lane Suite F 6T=1k.4Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:CT— Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS IBC 53-035 Merriweather Way La Quinta, CA 0 1511.11 Title 24 ❑ D 1.3 ❑ Other Client: Sub -Contractor: Sladden Engineering White's Steel cn ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected \ ��� , ❑ Shop t f Field i�'1c. �1 + " r (�h i ^ ^ "J r. J� Unresolved Items: [],None ❑ See Below n �� n. r A rt �. . s „s, R : ��: A- - i r -r a'"r �, _ .•.�y� .. Y .\�}'. `� R 1..��re �4R`,' ywf- �� .-�R�n ` !:l ..� �.♦`4,r� ._. \\.-, `. `y. ... �; ) !',.. .,ti _ W R t�� a`� e �� t. - �i �.y • !'=- i -,.•n, n s ti!, +\ VtN •'• ,`, _• -. .\ •�( /.� ^ (� .`.., . -A n. ,. , ..-\ , \_ A— . C C i�.. � \�. i ! • t \_ l� �t� t - A— � /' • r..-� �\ Ck^ \ 1 � � � �tC" .?1 �„1 r� � , .�•- t -a Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size Oil I hereby certify that I have inspected all of the above 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 project completion. 17 Inspector: Jack C. Millin ICC Certification No: 0842216-85 \ Contractor's Represeritative: � e� Q,_ - \ �_ K / __� . - — , - Copy 1 JCM Inspections Copy 2 Project SuperintendentCopy�3 Governing Agency Page � of� C/ JCM Inspections Elm% 39725 Garand Lane Suite F Palm Desert, CA 92211LT==J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date —A.LA-03_' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/ IBC ® D 1.1 F Title 24 ❑ D 1.3 F] Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:';-a U J O.' in -+� � � � � � �\j.`�` n� ❑ Shop 0-Field Unresolved Items: None 2\ ❑ See Below { C Qa���(�� A 0oc.1 Se �c� `-(L,[,�� . ,('�U0e��i;� rQi� C1��. t , C,�,.. •.r, Cr,��rrl.+�,• `c.'1f�r'noitn�l.i� L. \V n In A/ e., , \V*,r Ceyr-O, r .(r+n.Iri���Jc� s <�•� F. �� r.( `ta[.�n�C-�. _i. v - V 1-i V�J(e- tt� I ''T—/..'1 1 l` le.� nVi- ti • T a� I s 1..\r� �� "Li\\-1 �a All 1'1� �% [ 14to M .� 1 �(� t'(t. _�, . n e r r:� • fie.. r- f7r -.� [l`. n� -�. t \�, Ll.]w...k+� A •: S .\. 1 � , .`�t1 ]1 Q . � f� = `Mil fi,Q` 1�% l�G i f..S ( (� ,. �� `7 �1 cjl�\^\p� lff/13.n w E\a �3t�s `'�i�'�. i �r�`J% �'��^t'+ ".\t w w`\ Ll•�� .. Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Size FCR�1 v.\\•_ ,� '� _YType la.� e i1�a / SLA. 10 n (� ��,�� �o� [ r,. • i�.i(>QA'` (0c, Cio I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ceftification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency �� Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LER INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:9 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q IBC 0=D 1.1 Title 24 E:] D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel i A c, A � General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ` M l {� Description of Work Inspected:, r\ � 1 �� . n �. _ h1n :, `� �^ { 1 \i�'r �\ r,', 1 �1� , .\ Shop ®'Field y -.J �1 � � , � � �>• � Unresolved Items: O'None See Below .n o _ rt �- s7n n n t . � � � � R •�� � l r � o to sr . � e^� Y\Ar. �� ��'1� A . �tA !1 :1 R`�. .. .1,^ �.I �>\ .•. I�� ' lin. \n f+.\` S ..\R 4%i1 :'1 �f ��Il�.''� �� nR?et �.- )s`t� t k, d t \ �t"t', n ���s ✓+.�s - 1�n S��nYa \rf,� \n,, ILA ILA k7r�x �nrnr+. z4l� % `�.aXt •���nr re V J ♦ `�. . s., L.t , V__m lt� 1..c� , r+ ,, 1. 1 6 � !1.1 . l f n .,� • : � ^ {'r� � � �% �!'. r`. n <� r1 r1 f1 (\ n� �{ ,r.. r"a ''! t � .. sa i _S �^" � { f'X r . Sint M�.�qq`%% �t\\e\ \ �2n n n 1.\e. \.�\:�A?Y v� 18 RIA\ \M �M.I:S -F 1, ��a1^ ICT'rr�.�`. V'1\k.e /��•� (�^ \ ��n ill..1.� Pr•�.rt�.. d• -e` +� !.� t...1 n�l.Mc �+..�. `�1•.Tn �i+.,,�\ _ G ('. .��., r� �.�n � 1�r'f-r t�._l\ Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size (\ N Ri��� . �'7� ` +1-,. I � � � . ��J .'-.1r'�. �IA {, !, ti /. n�F i'� l '\ W�%R�'\ t Cii \l .0 C..r• V A( t n \!"111r -irt, k.; n!1y J S �(��� rY\a\I17�f � '�f•i12 1 ' r+}, I0 C_ Fr:S.ta'i_ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216_-85 Contractor's Fi6prreesentative: Copy 1 JCM Inspections rv0q Copy 2 Project Superintendent s Copy 3 Governing Agency Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F w'Palm Desert CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 Elm aft INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: (�ya•0' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): �,Q Supplier: .� gay lX G�nC*e Time Sampled: %Q: �13: (, Dwn Mix Design: ' �� Time in Mixer (min.): -70 r-� Specified Strength (PSI): !cbG Water Added @ Jobsite (gals.): O 0 Addmixture: �UJ "31p Concrete Temperature (F): Truck#: Ticket#: 1 Ambient Air Temperature (F): �C> -7g Field ID Marking: 44 C�) cQ s,pAs ❑✓ IBC Title 24 Other: Unresolved Items: None n See Below Location of Sample: 5-'Aa\3 t-)(\ cC 4wCa c4 C.CQi(l (Mem Ota 'ick `J No Samples Taken Mt�ial , t;���— `�;��k�>S�' ���neC C care�oc� Description of Work Inspected: o , p mQ � Smo\k IrAac C(' .. �, �-r~ L C 0' a S k% 9 ctvir'(6- Vt men Metls L.ia ,:4 3� 7)�)A r \Ac'. a lA rn AA,A f I hereby certify that I have inspected all of the above 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 project completion. Inspector: Michael E -Rodriguez ICC Certification No: 8003124 9Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 6overning=Agency __> Page ( of KLAN® INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 v FAx (951) 697-1030 DSA FILE# N/A SPECIAL INSPECTION REPORT DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a dailybasis. Each report shall be completed and signed by the special inspector conducting the inspection. Client/Project Name: JCM/ Madison Club- Clubhouse Dater 9-22-08 IIC Job No. 1488018 DFR #: Project Location: 53`d and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High Strength Bolting ® Other (Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project. 63 welds were inspected and one weld was found not to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE DSA APPROVED DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect - Structural Engineer - Project Inspector - DSA Regional Office - School District - Use Additional Sheets if Needed The Work Inspected ❑ MET X DID NOT MEET THE REQUIREMEN FTHE APPRO D UMENTS Signature of Special Inspector Wade A. Clark (Project Inspector) Printed Name and Title Certified By Certification Number AWS 86110023 IT&T Level II S INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 9-22-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH [] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: DECIBAL READING DEFECT LOCATION z O Q U U) Q Uj OQ LLx LLCn yx Z V U H oW F- z W Q Ix 1- x Oa 2LL LL� y Ov xz Nv WZ Z. _LL Q- U W W U) Z W UJ W W O'J W W ZO WF. U� WZ FW V' W0LU JZ :x F-(nW F- (9� Yp v w ITEM IDENTIFICATION U w' z O w w w W Q W . w w v Z o v W° U LU z W w w �J QLL JZ Q VIZ Jai 1 CC -00.5 North Bottom R X 70 182 52 7.7 5/8 2 CE.4-C12 East Bottom Plt X 70 1&2 52 6 1/2 3 CEA -C12 West Web X 70 182 52 21 3/8 4 CF.3-C12 East Top Flange X 70 182 52 6 1/2 5 Bottom Flange X 70 182 52 6 1/2 6 CF. 3-C12 East Top Plate X 70 1&2 52 6 1/2 7 Bottom Plate X 70 182 52 6 1/2 8 CF.3-C12 East Web X 70 182 52 1 318 9 CF.3-C12 West Top Fig X 70 182 52 6 1/2 10 Bottom Flange X 70 182 52 6 1/2 11 CF.3-C12 West Top Plate X 70 182 52 6 1/2 12 Bottom Plate X 70 182 52 6 1/2 13 CF.3-C12 West Web X 70 182 52 21 3/8 14 CF.7-C12 East Top Flange X 70 1&2 52 6 1/2 15 Bottom Flange X 70 182 52 6 1/2 16 CF.7-C12 East Top Plate X 70 182 52 6 1/2 1-30 Moment Frame Beams and Seismic Plates 1 Floor (women's Building) 31-36 Moment Frame Beams (Women's Building) 31-63 Moment Frame Beams (Men's Lounge Building) INLAND INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE: 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 622-08079) DATE: 9-22-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH [] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: Z O Q Q _LL ~ Z ITEM IDENTIFICATION F 9- U W W Cvi 'w Q W LU Q GW �J Z z FQ W O Z DECIBAL READING DEFECT LOCATION of LL Lu Lu OU SZ �-- ZG J J� LL to 0 Lu W U) C-) W Z Z- Y0 V J Lu 4 9 Z Lu= 0 F Z Q f- W 00.' F- UJ �-� ZO UO W W W W WR WZ w W uw > 0 LL~ 0J IX -1 Qu- 0� g w vi~ OQ pa �LL S LLD: F W W0W -'._� W t� JZ l.y Z = n. -= W Z Q(Oaz 0aZ 17 CF.7-C12 East Bottom Plt X 70 182 52 6 1/2 18 CF.7-C12 East Web X 70 1&2 52 21 3/8 19 CG -006.5 East Top FIg. X 70 182 52 5.5 3/8 20 Bottom Flange X 70 182 52 5.5 318 21 CG -006.5 West Top Fig. X 70 182 52 5.5 318 22 Bottom Flange X 70 182 52 5.5 3/8 23 CG -007 East Top Flg. X 70 182 52 5.5 318 24 Bottom Flange X 70 182 52 .5 318 25. CG -007 West Top Flg. X 70 182 52 5.5 318 26 Bottom Flange X 70 182 52 5.5 318 27 CG -007.4 East Top Fig. X 70 182 52 5.5 3/8 28 Bottom Flange X 70 182 52 . 5.5 318 29 CG -007.4 West Top Fig. X 70 182 52 5.5 3/8 30 Bottom Flange X 70 182 52 5.5 318 31 CD.3-C12 West Top Fig. X 70 1&2 52 6 1/2 32 Bottom Flange X 70 182 52 6 1/2 1-30 31-36 31-63 Moment Frame Beams and Seismic Plates 1 Floor (women's Building) Moment Frame Beams (Women's Building) Moment Frame Beams (Men's Lounge Building) ✓//rte'- INLAND INSPECTIONS" & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 - FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 9-22-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH [] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE (I GLYCERINE [ ] OTHER: SIGNATURE: DECIBAL READING DEFECT LOCATION z O _ N a W LL M LL LU 0 VI 0 Lu ZU. Q V LL F- Q oW t- Z W �� f- x C. � LL O V Mz N U Wz Z W(J W 0) Z W U J W W D: W W Z O WF U Z W_ F. U' wow W W JZ .' W �y H (90 X0 w 0 ITEM IDENTIFICATION c0i w � z O W W W W � Q w� W z z =O v w Q v W w v w Q tY 1--a Z OJ �J QLL � JZ QUIZ O Z -1 33 CD.3-C12 West Web X 70 1&2 52 18 5/16 34 CD.3-C11 North Top Fig. X 70 1&2 52 6 1/2 35 Bottom Flange X 70 1&2 52 6 1/2 36 CD.3-C11 South Web X 70 182 52 18 5/16 37 AZ -A21.2 South Top Flg. X 70 1&2 52 6 112 38 Bottom Flange X 70 182 •52 6 1/2 39 AZ -A21.2 South Web X 70 1&2 52 18 5/16 40 AZ -A21.8 North Top FIg. X 70 182 52 1/2 41 Bottom Flange X 70 182 52 6 1/2 42 AZ -A21.8 North Web X 70 1&2 52 18 5/16 43 AY -A21.6 North Top Mg. X 70 182 52 6 1/2 44 Bottom Flange X 70 1&2 52 6 1/2 45 AY -A21.6 North Web X 70 182 52 18 5116 46 AY -A21.6 South Top FIg. X 70 182 52 6 1/2 47 Bottom Flange X . 70 1&2 52 6 1/2 .48 " AY -A21.6 South Web X 70 182 52 18 5/16 1-30 Moment Frame Beams and Seismic Plates V Floor (women's Building) 31-36 Moment Frame Beams (Women's Building) 31-63 Moment Frame Beams (Men's Lounge Building) SIGNATURE: ONLAN® INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 - ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 9-22-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ I NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH (I PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER:. z .0 Q U LL z Lu G ITEM IDENTIFICATION ~ a U LU LuN U 'W Q a W U D yJ O I.- O z DECIBAL READING DEFECT LOCATION OW. \ HF V NQ &LL = Oa U. F -W WGW .'I==LU z= a S= a= = Wz acOn? oaz LLW OV Sz' z_j w� LL uNiU W z Z -j UUA �� W O U H H W �� H UJ W-1 z0 U� w W w> W Lu Lu U1 W V LL~ o-1 W- Q� .,a 49 AY -A22 North Top Flg. X 70 182 52 6 112 50 Bottom Flange X 70 182 52 6 112 51 AY -A22 North Web. X 70 182 52 18 5/16 52 AY.2-A21 West Top Flg. X 70 182 52 6 112 53 Bottom Flange X 70 182 52 6 112 54 AY.2-A21 West Web X 70 182 52 18 5/16 55 AY.6-A21 East Top Flg. X 70 182. 52 6 112 56 Bottom Flange X 70 182 52 j 112 57 AY.6-A21 East Web X 70 182 52 18 5116 58 AYA-A22 West Top Flg. X 70 182 52 6 5/8 59 Bottom Flange X 70 182 52 6 518 60 AYA-A22 West Web X 70 182 52 18 318 61 AY.8-A22 East Top Flg. X 70 182 52 6 518 62 Bottom Flange X 70 182 52 6 58 63 AY.8-A22 East Web X 70 182 53 52 1 0 18 1.4 .25 18 3/8 1-30 31-36 31-63 Moment Frame Beams and Seismic Plates 1 Floor (women's Building) Moment Frame Beams (Women's Building) Moment Frame Beams (Men's Lounge Building) t ♦ MNLAN® INSPECTIONS- „ CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 • FAx (951) 697-1030 DSA FILE# . N/A SPECIAL INSPECTION REPORT DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. Clieht/Project Name: JCM/ Madison Club- Clubhouse/ Men's Building and Women's Building Date: 9-22-08 IIC Job No. 1488018 DFR #: Project Location: 53rd and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed: -� Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High Strength Bolting _ ® , Other (Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Magnetic Particle Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Magnetic Particle Inspection .was performed on the above project. 16 welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached Magnetic Particle report for pieces inspected. Use Additional Sheets if•Needed The Work ® WAS ❑ WAS NOT X INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected MET El' DID NOT MEET, OF THE DSA APPROVED DOCUMENTS T14EREQUIREMENVOF THE APPRo D MENTS Material Sampling ❑ WAS ❑ WAS NOT' PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- f Painted Name and Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 IT&T Level II h # �7.�''. ,,.. INLAND INSPECTIONS & CONSULTING 7335 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 , FAx (951) 697-1030 MAGNETIC PARTICLE INSPECTION REPORT Client: JCM Inspections a, 0 ai o � NY 'm `m (D :_5 ti J (X Project: Madison Club- Clubhouse/ Men's Building and Women's Building DSA No'. N/A X Building Permit No.: AY.6-A21 East Bottom Flange Fabricator: Technician: Wade A. Clark Welding Process: FCAW Surface: As Welded Equipment: Magnaflux Y-6 Test Method Standard: Product Form: Build up Type of Material: Production Stage: [ ] In Process [x] Final [ ] Other For Welds: [ ] Root Pass [ ] Intermediate [x] Final Pass Technique: [ ] Wet Method [x] Dry Method [ ] Fluorescent [x] Visible [ ] Coil / Cables [ ] Head Shot [ ] Prod Method [x] Yoke Method Current: [x] AC [ ]DC Amperage—N/A UV Meter No._ Date: 9-22-2008 Job No.: 1488018 Invoice No.: Report No.: Reviewed By: Code: AWS D1.1 ASNT Level: II Acceptance Standard: Drawing No.: Product / wetd Identification a, 0 ai o � NY 'm `m (D :_5 ti J (X Defect Location Or Remarks U 0 7 O AY.2-A21 West Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AY.6-A21 East Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AYA-A22 West Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof]) AY.8-A22 East Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AY -A21.6 North Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AY -A21.6 South Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AY -A22 North Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AZ -A21.8 North Bottom Flange X 5/16" Reinforcement (Men's Lounge Roof) AZ -A21.2 South Bottom Flange X 5/16" Reinforcement (Men's building Roof) C12-CD.3 West Bottom Flange X 5/16" Reinforcement (Women's building Roof) C11-CD.3 North Bottom Flange X 5/16" Reinforcement (Women's building Roof) ' C12-CF.3 West Bottom Flange X 5/16" Reinforcement (Women's building 1ST) C12-CF.3 East Bottom Flange X 5/16" Reinforcement (Women's building 1S ) C12-CF.7 East Bottom Flange X 5/16" Reinforcement (Women's building 1sT ) C12 -CEA West Bottom Flange X 5/16" Reinforcement (Women's building 1 ST ) C05.1 -CC South Bottom Flange X 5/16" Reinforcement (Women's building 1sT ) The UV intensity was verified at the prescribed intervals: I Yes No x Not Applicable �'.+ �. i _' . y-JCM Inspections , w = 39725 Garand Lane Suite F ^• Palm Desert, CA 92211 ,• : INSPECTIONS ` " Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS ,. WELDING INSPECTION,REPORT i' { Date:,,j Project Name:,Project No: • 522-08079 The Madison Club - Members'Clubhouse: , ' Permit # 07-1055 Project Address: r,. City: c r AWS ZIBC 53-035 Merriweather Way - La Quints, CA, �] D 1.1Title 24 s + ❑ D 1.3 Other + _ Client: ; ` - Sub -Contractor: ` j�5 , Sladden Engineering ",1"^ White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer:. , Lusardi Const. Bar KPFF Consulting Engineers =r ❑ Shop Descriptionof Work Inspected:C o�. 6, ('r o , u Field ,c,�J Unresolved Items i Q Nonex'� t",+ ❑See ^. \'L.4. 1�`�` C' .�?�• c7� �!�c� i'Li �W���C '° O-3� �, C'��e ,,rs �o�ia'mc, '.�c>t�t�c'�i;ta1ealcW�Si�c� Xi�Vcti�' �it?l1C a�t� 1 M(o4»1^� Wp JS. t ? 'c, b "\�c? •��(,t;��r�C$ (�(li 1't�s �c V. GS f1,CC%M� C`�1:�>R '�" Cc nj VC,; �.u coZv-►e r.'It� \ 3�" . a`� _�\�.x�-., ;1 fl -W �. � i:�\: �c oa� • �r�10 R,•'�.�`>'. C" �3�'S ��� �(� �\, .� `��� ,p�-�5 C�•�ot\c� ��`�a4•n�'\a;.� '� �r�i.��,S \lam- `1��,'1 �t°i�'�n ��C�;'��. ,! �� , \.5Q. C��r�\ �, n�►� 1�Pl�t, �a `+54��L. jC�`.l,`� ['�prt•. \E� Cert on Filet Electrode Process Welder Details), Location/Comments Yes No i Type Size V`. t O.5 G1C*1 "S\�f �k\, �- 1`. :'1n%f `.\,'l'\ J fn ' . � ' i t ° • ', .. 'c a��c��vc �c�1 f��on r .;��.�1� �''�,� n,�� I hereby certify that I have inspected all of the above 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 project completion. � Inspector: Jack C. Millin ICC Certification No: 0842216-85 . Contractor's Representative:,-' Reprewsentative:,-' Copy 1 JCM Inspections 'Copy 2 Project Superintendent a r, 7 r Copy 3 *Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F LTsmk Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: q —;�Q -bl�' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: 0 IBC Time Sampled: Mix Design: F-] Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: [g -No Samples Taken C Description of Work Inspected: to— r �e k. P 1 r 1 I! c� t,• 'P C r..- r _C_ I e, 'i6l I Z. \ AteN C, _r A_�t 'S r q.^ Ar. \)P t � t.:.1 :-. nom,VN r:r 'c C, \ h o 'A. t o �1 4 v � r. r .. ^-N e,� c, 0' M ' r . r r% S. c r c �_\x n ��(. `-,r7 r ktAn ^ ccc� r• nF� 1 rC. I hereby certify that I have inspected all of the above 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 project completion. Inspector- Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Goveming Agency Page % of N L W •JCM Inspections is y,39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Datett_v@ F 0% Project Name: Project No: 522-0.8)079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS . F,/] IBC ED 1.1 Title 24 F] D 1.3 F-] Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel t_ 1 ` General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:. , , ..� `(1. Shop Q Field �,,� ,\Q .S Unresolved Items: ED -None ❑ See Below n ..\ �o .�c �\ r+�c•. �.\t+ rlst} i� (-� \C�C C U4� �Jr. n:^ / 4 !.\\ .s.a rVkly r• I lal Q .C.. C\� ck �� �,k'... 4 c_c• .. k G t c - e- n r .``C1 .. a `7 rn I�.-. • (* ;A-�7R+.n. n - J�Sc o n, -,C F1 (src+tnc�..iaw.c1 Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size G � r• t S tr c X3,3, w;c a . �- � � �) •,(7 ( �- ` � . ( � l' el.Q ;MAV -4 �\V\J't TCC_ v -i OR fA 10 / S T. O -.4- I I hereby certify that I have inspected all of the above 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 project completion. a Inspector: Jack C. Millin ICC Ce ification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ' Copy 3 Governing Agency Page 1 of \ 1 , JCM Inspections a Ni-.W 9239725 Garand Lane Suite F LTE.k.,Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 Im LL1% INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS 7✓ IBC Q D 1.1 Title M F� D 1.3 nOther ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers t�Shop Description of Work Inspected: ] �'`K�' � ; — C�1 nS •�, \1JGirK1f� S P,$', +\P n4�,C 0 Field �Y)Lp'on1�, C�_ — 'AQ-0 f(o rr; n Unresolved Items: ElNone ow ❑ See Below 0 C 0 L.i ne�i p t 5\ o Q ^ ,.� `� �� l (\ o c �'1 �' C.% C1A\`ic_(j)qnA\ i\"'Ai c�•� 6v�c( V� C�QoO n �.� t}S1•-�f! 1L t .�\"\4tS*�'%Z wt,\ovaA) ,.5 D,SS 01�-, (? �o�)IV�Qi (.1 ? \ -0`C rn0nak1 t► . f r 6 r+� C t.;L- ct- 3� w� � � � O t�Z i7\ _ �fD G M ��, n t` e ,- `D 1 � e G���`j+ , ^�"`„ L�• `�• ` � �.sJ i+V �j � rii.v1 \•' C'. C{ M.S. 1 t.:� �Q\,� .��Q� �� " 1 b �\ 1l !� =a ` cL") �"` 1 `� � CG F•-�' t'.! r n {Y� Q\�� �^' C S �+) �<.y.'�2'>Z.a �'�t z•Q � 1i � �� \'1 � �. rA Q.f1 { (1 ti CG ' Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size a c� a pct w_.\�lJ// G �� � c !, t . t.. f h (� � 1 , ti 1 S y e3 C P C if "S f,' ( l (1 C G S,S I-Ak 0.:r i + C_ n ^ `6�,O� QCCS I hereby certify that I have inspected all of the above 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 project completion. - Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections IS 39725 Garand Lane Suite F J1PJ Palm Desert, CA 92211 6W NO W go INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date Q nR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS Q IBC 53-035 Merriweather Way La Quinta, CA ❑ D 1.1 Title 24 ©'D 1.3 ❑ Other Client: Sub -Contractor: Sladden Engineering Infinity Metals, Inc. ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: _... (�Field \ r •• € Unresolved Items: C. �� t: None E] see Below � att r ��, 0V• J � (All .� ^ F rt rl'.0 -fin r\' A Yf►.. r w \/ !9-,N ,.� _ Jrl Cert on File Electrode Process Detail(s) Location/Comments Yes No Type Size `Welder \ ` a ;1J 1. 4-, S4;5I.(- \Ir•\�e.T s.C' . I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificafibn\\No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent /Copy 3 Governing Agency Page l of 1 J �/ JCM Inspections LTMm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: a---IQ_02 c�� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Stump (ashes): 5 �� 5 Supplier: A�.,C1Cicn 4�j y� �.:J�t'2 tX Time Sampled: 7 Mix Design: �_ �7� �bpki � Time in Mixer (min.): G Specified Strength (PSI): ?� Water Added @ Jobsite (gals.): Op Addmixture: - Concrete Temperature (F): Truck #: r;� t '3 �� �.Ticket #:�a'None Ambient Air Temperature (F): �5 QO Field ID Marking: �� �'VIr(1f�PCS ❑✓ IBC ❑Title 24 Other: Unresolved Items: ❑ see Below Location of Sample: Se+ t\-- SOQ on gc(Ae 6a IJ een 1 I nes RG.q t3E. W . U'CU ,7 e 683 ""r E] No Samples Taken Se -t- �-- (311 I►ase C _� ke���Pr� CC. � CD Description of Work Inspected: C onece-v.. Raceme4 SCS inG V lAnlA G uth 6a8In -- DtJ� G(N orp_ cuf ood c din') k C) �r tr `_ - t1 ��1 t'y. V� SCC f�'It?C�i1ntCC�1 V i kiCa c U . ' 'lid u(15 �1" . ick.. cue 21 ikk. erA D CA t Vi C"x a-6 day rl mo is � a-� `�/fir pa<s g)-7 .. Lv - G � Y ( I hereby certify that I have inspected all of the above 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 project completion. Inspector: Michael"E Rodriguez ICC Certification No: 80031244 Xonnt ar ctor,r's Representative: . Copy 1 JCM Inspections J 0 Copy 2 Project Superintendent �� /py 3 Governing Agency Page _L_ of I JCM Inspections 39725 Garand Lane Suite F Ina LT�IkjPalm Desert, CA 92211 "T.J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:9 _ 12 -01 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS F-71 IBC 53-035 Merriweather Way La Quinta, CA ©'D 1.1 Title 24 D 1.3 E] Other Client: Sub -Contractor: Sladden Engineering White's Steely �ta5c� t rC� \ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:ko W Q r Mh I L 4 WC) mq n� �� � E] Shop ©'Field _V Fr /I ,I! I., n Unresolved Items: None �_ �.� ., mn T r rl -n, c� n rf � V r ❑ See Below n •� ��-.. �, \ Q !, �\ t r .n n ` n ,1 t\ C_r i u .1 N ,V R'1 !'r, c7-f�iS- A�./ 1 �'Nt` ate, Y7t' V� t '� - trilr � A 11 1t% \ �f, ♦ o+/� c . \�C \ �i C� l �!� �� l 1 k� a C �� f:\ ri 14� 4►� (�C'. (^ VVI ....�,11�1 !, ,fX_fA!�/</\1J... l 1\1r7MKi/a A J'�t • _nr1� �i /A 1/ti1 rc� v.) n _c,ray` , wl c �, L � O C 1 t..l .T]C.i� !rte a t n n racy r f n, nh\.1 �-t-+:y{X ss1.� 1 - d ,,,y J L -N c r, 1 V11v J -,1; r .,V' c n _ n A A— A c? . ! o :� n�! ., , ri 9 titan t n .\c J Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size c wr w� \bl . %5L\ �C>4 C_ vC lflA �Ty' Q(� �..uSc,cc4� ✓ � :'\A 1>1 ✓ -10a N c"'^\VvZXr` , I hereby certify that I have inspected all of the above 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 project completion. i Inspector: Jack C. Millin ICC CCee�rtiffc tion No: 0842216-85 Contractor's Representative: J l( Copy 1 JCM Inspections Copy 2 Project SuperintendentCopy 3 Governing Agency Page 1 of 1 39725 Garand Lane Suite F LTIMNJCM Inspections Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 On glwl;� INSPECTIONS WELDING INSPECTION REPORT Date: —I -7,� Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ❑ D 1.1 F-] Title 24 Q'D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering Infinity Metals, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:-` p _ ,1n; R \Jn.� r• 1 st r ('a MC: � c ie e yhs `` ❑ Shop Z'Field Unresolved Items: Q None ❑ See Below r n r• A,`! �\ r`� - �� r 'C �r� r '1 rs�c'� ��ro , Lt �.jc C C. It C (�1 t t ,z\ rn X- 11cA, rJ:\1A 1� PC 7n..� lI Ar\, ,�.�. . �-.. K • 1 t it eft t n'a h. +� IZ 'a� r.n n, e r �1 �\(��j. � i Al''' .,..... n ..er \,� n`i.�t_e_ll '�/ 1� h Cn _-, a.. n. I t �1 � 1"�P C (' CC's � . ,r .•� " in� � 'Z,�._ 4'1 e•r�. R.1-, . R` ea, ..... �, �lrt ! \ NA D,ql- r. —A • I! C, ri ;,>.-C �n. J� \ f r: Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size S a . o 1i+ �.J�. /1`"I � �a� h.', l l n.� r S w f'.n.. \ r 1 n V A C'lc C t+ c, \ , _ ` r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ce[rttiificafon No: 0842216-85 2\ ml I C-1 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent 'Copy 3 Governing Agency Page I of JCM Inspections :Is 39725 Garand Lane Suite F Palm Desert, CA 92211 LIR INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: ^ 1"7rl Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: 0 IBC Time Sampled: Mix Design: F-] Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: [V]`None Ambient Air Temperature (F): Field ID Marking: F-1 See Below Location of Sample: © No Samples Taken C Description of Work Inspected: n W^+mrtC,�4mo U to_ YY1 r` 0— •r'� r-.. • ti.� f'�,\ C: Ca t�, / C1�) D 4" I � C V-A .. k, ,r. 1 A r �Ci « � t� � 1� 1 • � � r r, r C �i.,� � C� C�.n Y', c r< � i�_ v ' �- `'-r � '� � � A rc•�n ri - \� C� r)w re l: mr nCi not .�c�F` Rn r c. Cine CCt.C,n 7 t] _ n� _ .-, r'� � to Y /� r��• � �, r. n \ � r � n .. t t � in'� p � c# ^ F< � �r.. � �' � C'?�1.� \Cni 1 \ rs- ��r�C n�1n �� c+ -.`'rlCr± o �.rA�) (r�R[�. G U�t� c+��r,`\1iJG 1Z p� V-) 0\7), •1i fit• tl r\< t.I\\ t.. � CC i^..-� 1 rr A-�11- _. ._ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certific tion No: 0842216-49 Contractor's Representative:- �,v) __ - Copy 1 JCM Inspections Copy 2 Project Superintendent - • Copy 3 Governing Agency Page t of JCM Inspections 39725 Garand Lane Suite F ..+4a Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:q _\6 ,-0?S Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 - Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ❑ D 1.1. F-] Title 24 ❑{/ D 1.3 ❑Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering Infinity Metals, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �� _ W p s ``� ❑ Shop ®'Field 1'; t A �� �C\. �r r n 1 i r ; C k.G k — C-01 1-�� Unresolved Items: Q None ❑ See Below Ct1©v�+�-�� c- t+'e�•c�'ee vJp_1 Q-o C S� t�, `T `c,. < gip. c �� , c +, CUT- � e,vPQ�� bl t.� •G- �,,`� C cc`.}Y�t�`. Sw!) m,r-)c s \I� ���c3 1Cvrt_1���e�14t�KIr,+cV .Q..;;>�n�Ci�cs� + I Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size 1��.1'\ Q�G��.��, � 'lolb • �, SS.f�I,��,�,1 W�`�.t2a�_ Cif\S *,JCC1i4trille�l� \ec�'�t'C� \ +\c,fir. A 0 r +, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC\C, Ceft�ification No: 0842216-85 .+ �y: t'.�\J � \ • ' .' Contractc rv`kepresentative: 1 M.._ ���� _..rte' Copy 1 JCM Inspections Copy 2 Project Superintendent ..- l Copy 3 Governing Agency Page 1 of T JCM Inspections do% 39725 Garand Lane Suite F Palm Desert, CA 92211 23 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: C?—)(0 _01� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts ®Rebar �\ 7`c'1^– Epoxy Type: 1 Yr�j �U.s"1 ^�"( r� rtC� 1 ,t �_ p`, Epoxy Shelf Life: n c\—nN�ec , . Hole Cleaning Method(s)(.?,` �.; t n \na r�lCr�-��C Q S�^� �+ C �C ��5\lci� C+ \.kNoC c 1. k %A : 0 IBC ❑ Title 24 Other: Unresolved Items: EJ None ❑ See Below Description of Work Inspected: Ott fle.NAK w\s,Cc— 1t- C.M01 �Nr 1y .i T�K7 �s rsC �h 1\c3 ►r�J L ?0C'< r C. �(X c'l!,J) I c v �� 'SCC. �a To �4 OX tie � (��,�-�\ccan -�. � n���e`�k.►'• �� \ ] h ����c-t • • ,�, S C rn `�C+�1 YY'lr' n>s � ,�h i o vim\ �. ' 1 �.}�t � Lr Ar Work complies with written approval from Structural Engineer and ICC Evaluation Report # I �� I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICCI ICertification No: 0842216-49 Contrraactoes Representative: Copy 1 JCM Inspections Copy 2 Project Superintendentopy 3 Governing Agency Page 1 of /.//C / V JCM Inspections zmm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Dater _ is _ o% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers F-1Anchor Bolts 0 Rebar Epoxy Type: �'N !l.e. SA, `��< L7 �1 r• i \ Q Epoxy Shelf Life: MO-..-., (� - Hole Cleaning Method(s):9c:'\0W 0 at n.,w� �o r-%-;? I'k' t* N-1 `.�� \S\1�?. �i W P cG\3C l\ ❑✓ IBC []Title 24 Other: Unresolved Items: ❑ None ❑ See Below Description of Work Inspected: OX k\ 0 r t� w n 0.�,1k�, �r cow I v q �t' • . �+ , D `� �+�C C C= Ca ✓,y C � *I-,- "A 1. I A -A-` ,�R C '� C� �G 7 c U}��� 1� 1 C \r "}i"\V' Cir (� r!n� �� fr oc-'J \04' `� '^ t1C.r1 `' c- �c S�C� C�b�+ ,� (>�Gly�`1 .. \1- o E�;N I,,, O n < < V' �1 QC n r t?�O`it k_ AS t � \ � ` � KI � A f Q� I O \ �'t fir• � �,.� �, Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. Inspect r: Jack,(�C. Millin ICC e\rtiffic jation No: 0842216-49 Coontractoi'ss Representative: Copy 1 JCM Inspections V Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections LTIRkA 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date9— 15-0c Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS R✓ IBC [E] D 1.1 Title 24 F]D 1.3 ROther ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:; ^�� ... �J� - n� ❑ Shop O'Field L"A Whik•,tD R Ic,(VrA?,(Cr Unresolved Items: E] None See Below \ , i. 1. .1., c 11 r\' �aan.r �R. t �c', . � � .� � A c rSTI n.�c c\t],o�� 'C•1���5(n�l\1r'�. r \\`� �^. CC�f1C, rid c,^ 1 �:lt r. a tl.\Cl,t. o T11n .1 \e.1c+V �!0 '1 D WAl t , t �- �]� /1.. / � t C�1�A /' 1\A� �.l C \ /1 f �✓ � CI \I` f.•�r.� I' � ,� '.) rC {,r•�/ 1f.']�2. �.--.- /�,,./D yr,. 1 L -I, - Q�•'+. ��;` -t1Joti-flit WI �ll._r C/,A`1 \ �r�rilJ1[S. -•, h'r1 .1^., !U C'. K'�n1�`1 C, MCC, + C h v�.11 n (�`�C r[ 1 �c+ tP r 41 A 1. A' , ./ r C�n^-�. < ,,.l t' !�( 1a Qom.-. SIZn 1 ♦., �. f•� .�.�rf (t ,lf A Process Welder Cert on File Electrode Detail(s) Location/Comments Yes FNo Type Size 10 rif\,n S5•ol `tlif'xy ii?I` tom'�t^f,' - J Pr,,..((1 .. V0 4^., QJ!Plr)\ \ ( r) e%-,) G v I hereby certify that I have inspected all of the above 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 project completion. % f Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's,Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent / Copy / Governing Agency Page t of mn an JCM Inspections am 39725 Garand Lane Suite F LTnPalm Desert, CA 922116T INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Dater -)^6_1,_0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC D 1.1 Title 24 D 1.3 ❑ Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers • Description of Work Inspected:;` W e� -.- ``(fir rN �`� 1 l� nr�C� Dr�lcx �� 5 ❑ Shop [!]'Field NY) � r �� Unresolved Items: None See Below 1 �• +b Crtr t�+� �-- o rl L aoA\-t�( ' �CC\1S\� �•it\(�ir�\t�:l C)n "�:�;� `tea c�c �� Do C �4',t\a,Ai b -1-N �C,(C��trw� Yin C ��-r`av'el /�tlaaS(. . `` V)0 Ct �(` it �hl. ` i O i r� � �-r � S 0-7 ��' C 1C 0=, \^' � h ` �1W_J I2r Q fes.. t,*41, �wculs Process Welder Cert on File • Electrode Detail(s) Location/Comments Yes No Type Size ���,� V \ ��c, �c,, � N�� \.A -,( CL, U. Sjsy.� a -4 �� V WA\r Fa c �n � v 4'' Q` ,�S.O t ��'n\ �\���• ilE'C�� �n QQSS u�(c _,^r�c,.,,�r' i1 rnC a c Ck C FT I. hereby certify that I have inspected all of the above 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 project completion. /^ Inspector: Jack C(.�MillinICC CeKification No: 0842216-85 Co tractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy py 3 Governing-Agencya--• Page I of _ JCM Inspections IES 39725 Garand Lane Suite F Palm Desert, CA 92211 ah INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Ca •_6-) -M Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): C� �� Supplier: �..� iC�QCCe. Time Sampled: vtl Mix Design: ��� ( -. Time in Mixer (min.): 2;0 Specified Strength (PSI): © Water Added @ Jobsite (gals.): A O (W_ Addmixture: S � Kc�� \ Concrete Temperature (F):Truck #: `(p 3f� Ticket #: $`"� Cj Ambient Air Temperature F : p O (� (.� Field ID Marking: ��(3 � {�� . (•i� ❑✓ IBC ❑ Title 24 Other: Unresolved Items: 0 None F-1 See Below Location of Sample:i^ 11`f� � "� n i M. \ N .Ss F C A_ Gk C'A C ❑ No Samples Taken L° cc�c^utnK- Description of Work Inspected: Com- � u ouC L4 -`�x(10 `�fd. j_` C�c- •w`�� �c,� r� CcC� C�f Q '�' �+ r\ MEc Vlafir c i� �a r�- 1r 1( `i lE�^' Tc� C (�llS�\ A_GCow \Cn. S� �G k' C Cnfir IC n_ r. -n► LSC.. V.)zkc.. AU%� W saMCS Clu r"k t?!#a 1s_Mt 4 X C". kN iCAV\ 11 ( 5,\ C@.0 1 �CL,A�\. � A 1�.-" GT c►0.�aS .i�1 'i t•1rl�s . �qC by lCl^• Qw%P�SttJ' y r i J I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's�kepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Cop Governing Agency Page I of JCM Inspections Em 39725 Garand Lane Suite F1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: q_ I 1 XIR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC ©•D 1.1 Title 24 D 1.3 ❑ Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: \ n(I C, F] Shop [g -Field o n1\ Unresolved Items: ❑t.. None See Below 1 L,nra C �` QC)c v \ ��., o�� n^ t�,r��.c� .� C — ~ �c„��t� '"'1- ;`. �N11 �A0.t �.? _Irll V(' Al .- P J 'I"vn K_\ �j�,Iu ..^1 !''V `�"'1�.11 n+'� \ n.A lA^ � ^T At {.l�n h�:R?.r �� 7A fi^!R'�Rt•.!. �\\j�` !/�'lA l�S l4 blare /'�yy(.'? l�, t^� �A�(�(F /•1 .n. •r,. . C..lf f . /` {.. ^ l 1 •. ,, � 1. ANl••\ e -R C �- A ..�. i- C � Rt,(', 1 1 yam, j/`y(1 �n.1 �`l! !�. 1 n ...-. /. n .. . n '1 r.^1 \('. f' 4 \ ,A f. -. C% fl� R. 1.1 R• !.1 r) i'� I t� 1•� 1{/\�' a F S, tr\ \` `` {\�\4 .y C\Vr ���'' �: w n ,.. �,� I\ -t ��, ., � r� , ��c t.,.- �; c.► �_.'��.Ao,\ c _)txantr,,,fa. Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Size t+e R nC o ',Type tl W.1 14, w,IXL , 0-1l s 5�.� ,aD , \ @ n ..\� OQ n� rkk' �n f1 tr,rn _ Uan.l k�c I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Governing Ageficy" "'—r Page of T_ JCM Inspections 39725 Garand Lane Suite FIN Palm Desert, CA 92211 2 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: — 10—d& 10—d& Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC ®D 1.1 Title 24 D 1.3 Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: `J)'NO; /) �tc(1 �ti� W Q rr►cr� 4� , ❑ Shop 'Field Unresolved Items: ❑t`'None See Below 1 :C..n��-k'kNQ e\,-4,ai c�.�.Vr>\�e \XN(&k() \.J\vt�to Cc�u;C,,�)��a ♦►:C_ � � CS7 t1U�� \ (� W t1 cork r1 S. Y>� _ C V (1T t -Q) G : S (t\�Y'(\'\ X47 P rAv `.r,.J((�� tom\ ZN;e S If -N _�M P C� W 0 A7r 1_) Vf.ii _% a_ Mk V U YZ- �-N r�Ae+ Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ` \ f Cc NW ��n © \1'e A (cr%nrl- a 9.a� W,(e-- .0 31 r ` 9 f S� X1 1 l�\C'•1 �Mir%kll� - \:`�:•n�A, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C.Millin ICC Cert`ific tion No: 0842216-85 Coonf'ractorr''whepreesentntative: Copy 1 JCM Inspections Copy 2 Project Superintendent / Copy 3 Governing Agency Page I of Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency,,,` Page of , JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:q ^ In—eg Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar. KPFF Consulting Engineers Slump (inches): _ Supplier: �^ r- ❑✓ IBC Title 24 Time Sampled: Mix Design:- Time in Mixer (min.) Specified Strength (PSI): Other: Water Added @ Jobsite (gals -)s , Addmixture: ~^ —�` Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: Q'None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: . No Samples Taken Description of Work Inspected: r , 1 V ,...�,r .. \—. Y r s. /� fl R t4; A..,C._ f r- c e'1 A \ , • ITR _. V, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 T Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency,,,` Page of , JCM Inspections a 39725 Garand Lane Suite F LT=l% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 LTIN INSPECTIONS WELDING INSPECTION REPORT Date: C? Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS OIBC Q D 1.1 Title 24 D 1.3 Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers (� ( Description of Work Inspected: �, �. ��y t .� �0 L E] Shop [E Field v Unresolved Items: ©None El See Below 1 �mo� 1 t Ar\ r Or 1�n2_, f�� �rA'` C��T�� �' v�e��h�� i PCQL "t°.�a� 17�o rw,�o eec``>tt� `— \44, , "o Cir O.r� �'C 1'i R_4 _ AUS ViQ� . ��Jc•����. �f n �b\ la mn �lct.1^, �- W�' 11..,��*il � uJE"lAC � b��c�m {'�ftl'(,:t. t� ��i G ^�C�V v1s �Ot� "v,)h 'l - '�� Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Size ���w�•1�+A'�11C� � �yType W.ta ���'.�" �� �,��rlJ-'� �V�Y �C'Cic\t"" \� 11 \h�n�� ►�C'��� R L I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 el�\ I.&, cz, - - - , , Contractor's Representative: K, Z /,�� - Copy 1 JCM Inspections Copy 2 Project SuperintendentCopy 3 Governing Agency Page of "' - _ JCM Inspections. 39725 Garand'Lane Suite F Palm Desert, CA.92211 1 INSPECTIONS. y Phone': -760-345-5554 , - Fax: 760-772-3895 INSPECTION'S WELDING INSPECTION REPORT .Date: C Project Name: ; Project No:. 522-08079 ' The Madison Club - Members Clubhouses Permit # 07-1055 ' • ; Project Address: City: AWS Q✓ IBC . 53-035 Merriweather Way Ea Quinta, CA 0 D'1.1 Title 24 � D 1.3 Other Client: Sub -Contractor: Slad den EngineeringWhite's Steel E] D 1.4 y General Contractor: Architect: ' r Structural Engineer:, Lusardi Const. '. Bar-, ; KPFF Consulting -Engineers i Shop ` Description of Work Inspected:-. ` Z \�; , O^Field r �+ \f �;� .•' A� ; n� Sr Unresolved Items: I 1`ry �. r n � Q. u w e R, >.: rJ a . G+' x x � • c_r c \1 r. n.r\ t, �, - r. �. iC . 21None' y. -I L\n r C' eti�.'~1- 1, t. R .n r e,`� `���t'.:� �� n;: k: .,,r.�crn'r.tc•cGs1:J' ��`�SeeBelow J ` � `. � Mi r i..�9� c' a ��.,�..� . s li�`7 iC .�.� i� , n ecTnl k' ton 1l r �a ti!-� \ >le� t•e� 3 '� "� }'t�� e n a f ' �`ra�i� '. •�.i�irrn.r. +rA\nA 4N'01`,.. n'.. \\ \a�C�"C:l� .+a..\.�. =ea r, e• ":�(�RO. R).t-a'`,'la' SJI.n � l 1,lh `r -., Al .\n(' t W^��' �r .\ n� <!: �/�L. 1 '^ 4 �r�-,•0 ,• �•..\ I`1 f" C7 PTT\n C. +.�'Ci„ r �Y•� ^�ilnr� �` � :r14*,�-- .�. . - ,. il��0ir�r:. -+ t n unci`. .•�n 4�t � ! 1�1P� i?tn?.'f+ ( ./•' , �`,\— l� ��, V' r -Ofl W f�n ...���/•'\ �.�, r �n.n r.•no(��\• \. ta\` i.1.r 1 Ct .•\:A\C\:.rR \IC• \, [ c. E t• "•iJC dT P 4-M 1�°l'\. R A •l e�n X�� (n�-[.` /11�h1 t; ` " 1' +'1 S T_...."PT�' •....-.'�- \ r1' e�+� n C ,r' '� ! \•T n. • t �i.. \` �\ A .f� r1 n �!� red �S\ r ,r --In \ .rte is . C: t� • t. (\ 11'x.. P • � r .J4 �r. � lA, 1 ! e..1i `r\'.-..\ .. ` t• \, c� t•xr tC"(1-1 %thy) \L fir)\ ��f?'fr.n.n � �9n�\.1n.IA�C•.A, „' \ "R'Jh�\t w Ar• 4••.��1 !1` rim f•. \ `f 0.� X C 'ii of n\ �. f'a sr�^•.\r t'+1�! \.�R?XRts'QA 4-,. :.>-[1:.., �A.i/•Q•t. ' : Cert on File Electrode ,, r: •'s• . Process Welder Detail(s) Location/Comments Yes r No Type, , Size %r i1.� \1'.��arra��n •�..\'.cc - 1o"i=i �/•� �% .'�f"�. '1 'i' .." 7a nn�f �.�i• n-.\'• ni r nn�;r+�:� \iJ��S •.�iPe��- 1c'a1� QC1�^•; �1,��'I C��C'ae•\rr �i+C1:`h . .'1 rA I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Cert i Vicat on No: •0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of r- JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Dateq _ S_D� `5122-08079 Project Name: Project No: The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA❑ AWS Q✓ IBC D 1.1 Title 24 F] D 1.3 ❑ Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected ; \� ^ ` s ` ❑ Shop D Field r- 7 ....• r n � o /� .�.� �twa .,.. t M �l l `M �` ---J - k a Unresolved Items: O None See Below n (� \\ "� 1 a. V 11r4 "�� ,��_ 4r, d R ... A rt, 1/1. i �f'� R "�. i- hi �• C� -,.�, , 5A-, . � w^+ it+� t fir. G\�.i O.`C � a�A " ,or) n .(��` t� 1� 1 c� Q ��� c \tn. �Ga 4.� k'r" �) e-� ` Lt „� .� \ `r� C ` t: art- . 1 i J\, h!'w .. � . [�r15 l l.Y. \ J LL , `..Y'.c'- c ` n c ---` ^1- 1' WTM4u °a l �C7a • ,1' �_A t I V-)1 1t � J�,- s_ "rQ- L• c1 4 � ^ iis ([T.. c\\rN-R, �I.-IX1. � \\PC` `, 7� �+\ asa��[��C ``• WOM'!•as �,• -Process- --{ - Welder Cert on File Electrode Detail(s) Locatio1n`/Comments t Yes No Type Size G rO.ua ,l -,1\ �M I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ce�rtir kation No: 0842216-85 t C, Contfacto�,'s Representative: ( , I 41� Copy1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing g cy� Page I of 1 " . INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 ah INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:q S -Qi4 Project Name: The Madison Club - Members Clubhouse Project No: 522-08079 Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub -Contractor: Lippert Reinforcing, Inc. General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Supplier: j\ n�.�� �h rte Time Sampled: Mix Design: 1 S �G❑Title Time in Mixer (min.): Specified Strength (PSI): u]1 C)�C� Water Added @ Jobsite (gals.): I n Addmixture: Q a Concrete Temperature (F): �(Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: �., \`r , ❑`� IBC 24 Other: Unresolved Items: ❑ See Below Location of Sampler v J ti ❑ No Samples Taken Description of Work Inspected: � \ A f r:♦ CnA�'\�' �_ 6. (:n 1 n n \ n ..-. . �,•._. `,�, I .. l.. r ! r P' er r. f... '. � f� e- 1 t A, f^ l r s^ 1• I hereby certify that I have inspected all of the above 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 project completion. 1 ' Inspector: Jack C. Millin ICC"C\\e�\rtification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections em ZEM ]ERM 39725 Garand Lane Suite F Palm Desert, CA 92211LT% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: q _ -1 —O -e, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC [E°b 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers /'�1 ` Description of Work Inspected: � \ 1 \C.\l'Q. �r'\ iYh "— \YAC C . U'.l,QYn� 1. N t11C✓ [] Shop ©, Field Unresolved Items: ✓ None See Below 4�e N , -.. r� e., d1 �.� \ �fl �, A#1 •t- n 1, R'Yn A--'M�i\A Qn � c •. � rR ..(�..1.��. �a *w �, .., n a �- ....n r, .nn � � n �r, `Wen c n � t Y: t r\c `i � �OIC`Q: ut�tla-- w r r r tf��k rvi Ari 0 w1/It�� Y 4; Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ( C C-, I hereby certify that I have inspected all of the above 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 project completion", Inspector: Jack C. Millin ICC Certification No: 0842216-85 Cori tractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent // Copy 3 Governing Agency Page I of J Y EM JCM Inspections EM 39725 Garand Lane Suite F Palm Desert, CA 92211 "Thj INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:q Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS R✓ IBC E] D 1.1 Title 24 [:] D 1.3 Other EJ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ��n WU i�1(�c� P) `��� � � „ Shop Q•Field Lins� —fin n"C\\etjor (`(�r�t+��( ��L c, Unresolved Items: None See Below r!� f,� CN , q vve•,'\ n: n rt c� 3 (j)�C \/ Cs.c•�nAM \In-r;�r.lr�.lkZQ%I S 111'\ d Qvp w� fader\sem �,1^ Cci n ai•,�Al' k`_.1CCCD +11CZ r�l r-.,> _JC0 t..c pca- Dkt1J^ t , ie0. n.)VVV�\11(�s,. \a,- Nix rt`\a-, 7T�\n\� \� Cli `C.� \(' 0"L . rc— . Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C nn,^1 .- I hereby certify that I have inspected all of the above 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 repoosued at project completion. l' Inspector: Jack C. Millin ^ICC Crtifcation No: 0842216-85 �� ., ! - f Conttractorr''' Rep(resentative:'^ 1. .�I ♦ rf � ../ .I Copy t JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: ` _ra Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers `.�b"❑✓ Slump.(inches): f ` I� Supplier: �(�` ^ , IN, IBC . �,, � ,,, _ M;yam Time Sampled, �)r n Mix Design V k . l(o����-� ❑Title 24 ei Time in Mixer (min.): Specified Strength (PSI): vl S36 X Other: r. Water Added @ Jobsite (gals.)- Addmixture SPF~}`ua n� Concrete Temperature F : t )Y� �ic-e � P 1) Truck # r- Ticket #: 11 • H t,(p f G7l.e Unresolved Items: c $ ^! L.[ Ambient Air Temperature (F):,,)G� Field ID Marking: 6 None h r ❑ See Below Location of Sample:. tt - t ❑ No Samples Taken - o... L r' ei.�.... A ' iia t, I rr-• ' ,� t -9 Description of Work Inspected: , `0,, "'"��a ,>� -- ry Y i e tj'" t� t • -., ; � v t �_ � �. � �� �.,� .v v� v `' /off ` ..0� \\ 1 ��: , , '\L)C'�— ,> �e \.... + �,..� J'Lr e.0a r;. ii ,. rte..,..., j - , • - _.- imp . �� cam. ., "E VIC .cc mrnl cmc r .; „{c e �y :,,�y at ' v �r `�i�'l �' ,\' V ♦.e`"r\rt��.. i• i 1� \...i . \1D vy-i .. Q. .. ♦ �. �.r.•'f ar ,. r� 1 �r \ v!•• i R O r• t\ .. �. \1_ . -A, p /' � %� l YEA • _ !� .,. ' et• I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative: r� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page � of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Sluump (inches): ,, ++ Supplier: ,. �- �. e �, ' -=aT Time Sampled: _ p �^^ _.- � � ' t.l Mix Design'C � � -g �, i i Time in Mixer (min.):(, Specified Strength (PSI):Other: Water Added @ Jobsite (gals.): \ Addmixture: f a ^ ^"' ®�f'-� -, �j� rd.c..- i� �� Concrete Temperature F :/^� �- P O d`�i '�f� Truck Elw,Ticket Ambient Air Temperature (F): r,+ Field ID Marking: ( t% Q IBC a Title 24 Unresolved Items: None See Below Location of Sample:�,, . �j1 �, ��90l� No Samples Taken ♦ _ Y � r -� 1 ^ is /1 z C 1 %� � "i .47 �' Description of Work Inspected: I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC kCeitification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page -a. of r � JCM Inspections r 39725 Garand Lane Suite F. INSPECTIONS Palm Desert,'CA 92211 Phone: Fax:,760-772-3895 ' 4 760-345-5554 -• • +: I N S P E C ' REINFORCED •CONCRETE INSPECTION: REPORT Date: Project Superintendent • Copy 3 ;Governing Agency' Page of Project Name: r f,Project No 522-08079''. The Madison Club- Members Clubhouse Permit # 07-1055 Project Address: City: t , 53-035 Mernweather Way La Quinta,,CA r Client: Sub -Contractor; Sladden Engineering y "r Lippert Reinforcing, Inc General Contractor: Architect: Structural Engineer: 'Lusardi Const.' Bar KPFF Consulting. Engineers'. Slump (inches): Supplier: Z✓' IBC ` Time Sampled: Mix Design:,,0 Title 24 Time in Mixer (min.): - Specified Strength (PSI): �." a< Other: Water Added @'Jobsite (gals.): Addmixture r! �' Unresolved Items: a Concrete Temperature (F): . r " Truck #• Ticket #: z. � � None_ Ambient'Air Tim' perature (F): Field' ID Markin g: , See Below ocation of Sample: �No'Samples Taken.. Description -of Work In ted 'l�e`��c,'\r'�s (�.\ 1�1\(�:_ �• \r+[1' i 9" [ ` +1 n ..ri�.i'l r `/''r,� �.'�a •i�r•` rr , n• �r+,r•n _' L '�.'Tn\„ I ���i'n'?� ���.\_ ar.fsrhl- 7` .Q(;J•�y. `� r j •t �j n n `( S) L�lt - PQ rl C� % i \ , 1 I�r,' �.�C �rl�� �t .` Q. �•C' .. '/'lit, .-..[R.� 1,C\'n\ 'n .. r'.0 r. .4r "` uvr.� r!Y. C �I �� �', 1s ,e, - •c-'irSir.' Q•.�r !�•f.L'\:ic i. n. ;fir,! _ ft c. \. .3 .t+'r.,•',�a l'� (•�f1'C�}•.ror '" ► W y..•:� 31 CvYu ^,. . :lf.^ .�J� er(e• hC�ia'.f;lt ` R` fnr-::•\l.n'V !, r.�.nM� ry :.,� r, �.ar•�.. f� �..1.� it ~ ,- Yl.�� : �CS" 1 •'n,. �, C t� �' � .1.�. �^ + ... r , A- !"\ h 1 C ' �/• .•-T r.: A r ,r ",-.��.�.. �' L. r- fes_ rn n fi�ti � r n , a , d'- t, ..t�1 .�1'_ } ?� rl• (., n� �_1,_� _c-t.�.. r*1 r �'a Yl�"��,/` ._�' •�w�.-0 \n/'f ♦A\,.ex h,..l"e'er./..~ t .. �tP��.: r\. l err 7\U1it aA. _ .f`a�'l..n /t.1rY' r1'9..b1/ \'l rt\'f,\A,Cr�i 11r 1:11 �l'1\G` T�,.) •i 0� .. ,� r.� � rz•�,.��+ lith .1"i'(Pr� 3 I hereby certifyrthat I have.inspected all of the above work, unless otherwise noted; and to the bes$of my ab+hty.l'have found this work to the approved2WQ comply.with plans, specifications -applicable building laws: Final report issued at project completions Inspector: Jack C.'Millin ICC Certification No: 0842216-49 Contr ctor'sRepresentative: JCM " : 4 Copy'l JCM Inspections Copy 2 Project Superintendent • Copy 3 ;Governing Agency' Page of «4-• JCMnlrispections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760,345-5554 - Fax: 760-772-3895 INSPECTIONS NAILING INSPECTION REPORT Date: 9-3_01R Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: ` Sub -Contractor: Sladden Engineering Gauthier Framing General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers \ C 1 G� %Itsc9�L,'� —����tc.rc� JC .:t. „`�1t � \ �!-�J�"01 aca'.`A -71 1AS� nc�`1-� ��c' ` CeJC'mCC_ � "��'�3,4r s`.0 111 l -o` s- (SLn.UI 0 IBC Title 24 Other: Unresolved Items: Q'None See Below Description of Work Inspected: , ._ ^^ ��,� r �� �� \V �; *�� �\ �� e'A (IV 0 Aq�' C \-Sy J1l Ci7� '• > !/Y(21C � /_`\,, �t� (1".'�.}-tom t •) � iQ... f1. C' �' r� ra� ' (fin.. \.:�� `C�'A' ICS tl��° ����� �• �.lf �C'9�r,Co � Cr.1\� 4" r-, Vv t h "XR �'{�.., � , r* _ n -. �.. ,. �..,�•��'� � . a- Q' w�� rM{.. r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C.fMillin ICC Certi��ion No: 0842216 r..� %__ Contr��ac`tor's�>Re�presentative: 1—Nfl IY A Copy 1 JCM Inspections Copy 2 Project Superintendent �� �'� r Copy 3ming Agency Page , of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 11 a INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: •: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts O`i2ebar Epoxy Type:\:.:. rtic .�:.��..r�r.�� e `in �'.�-- Epoxy Shelf Life: \`Nc, r• c•,,,,, -,c � _�( ��n� E. �� „ ;.� H �(� Hole Cleaning Method(s); ��. _.. �•c a.�l t` m,, c n ��.r�.1 (k'.c Y�Ic %-I 4N E �C� Ce. cC � t \ , t _. F - /-]IBC Title 24 Other: Unresolved Items: None ❑ See Below . Description of Work Inspected: t�r� ��C4 VN _ A C' 0� 1rQ A co_ r - A' 1 1• kT� t s��c-tir..S� �i,..['- r'.�1�ev ^.n^� /"1. r1 a s n 1ce'\"7..t5 A "K It f3 �./ a +t h [ ��., r'n • .nnn +� � � .. C'i.� -. t {Q._MQ►.'. t� "r1�.__ Q.�1.� f �� �S` .. � -. n n nor c �.' - ..•. T ^"C � .. n',h .. ..�� , XIN Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I'have inspected all of the above work, unless otherwise noted, and to the best of my ability l have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: J` ck C. Millin ICC Certification No: 0842216-49 i Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page l of 1 JCM Inspections MLIMk 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS Q IBC 53-035 Merriweather Way La Quinta, CA [JD 1.1 Title 24 D 1.3 ❑ Other Client: Sub -Contractor: Sladden Engineering White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected:.""\" �� O'Field `� w ^� Unresolved Items: None O 'See Below ^ •. +., u.Mi` V Y . \ V �r�. . y I`'R O-`i^i _ y V s /�(� �.� r ` 1 r mt 11! n n c tet' ^ M '`.� ` 4 v v,� \ \ _ �, .V ..�f A• 1 . T.. l� �,.� tR iN h! _ ws• Ak- w rN V ..7,. _n �-t : Y^ 1.�i C /` C! _ ,...�' / � �'.` �_ !, s � R.Y Y... � ` r•++� J..� � w\ t+� lY'. e� •T Y'� n .� � T� P V[\ w� 1 ( n \1 A �1 � �i. o \ f� ��r_\ Y \ ."cam. -� 1s_ r, � 1 . C. ' � rte: � � - �`� �. �'�,R. *• c \ F_. � �-� � � � ` �W ..,.. . .,. ..•. . .\ n .l n� VQ Cert on File Electrode Process Welder` Detail(s) Location/Comments Yes FNo Type Size !� \ •. \\ .."1 ` i ' r1 h 1 Tl�� �1'� n n \ �i r�. • 1(' r oL r' �0�C�, � • .. �R ` t r .lf�.•. a.Qt h1,l a\,' S1.+n •�\ t 11 k. fi]l 1 hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 N Contractor's,Representative, - _% ,.C- ,nL , "-/ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections 39725 Garand Lane Suite F1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING . INSPECTION REPORT Date: 19 'z-A_QO Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS OIBC O D 1.1 Title 24 ❑ D 1.3 n Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:�k f� �Z; cl M n S �v IT � � ❑ Shop Field Unresolved Items: ❑s t' None ❑ See Below j��7 'r ` J..��..'( ; �1r'1 — CG� � � as Vl � \o�o;.��C `c,,..+ (C�.. f C)� gr•t\ �`c�\'t��l �G_`l�a h' �•Kc, 0\�,4_kA "VNA- \k)rLC. \\�� w ` n \A X Q) yl � `\, �� W c4.11 -S � o,, �� , �o\� S.r cr. . 0"') "c p r, P\—h- n c c c�- r ,Z� eer, ,� �.. w t� �.:ay., o WQc� Wcx)yr' W�W{•c! u,(� , �a 1 CVI11,C.,Q- Corr. � � .1ANv�c\t S �ot e,,S1�� r*(241 `1 0 Qa.�ClR�g� . x, Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size F�\ C�� M nj� � C \t\0 -'C",, 041-VA0 CUA "'CO•Inp�`n I hereby certify that I have inspected all of the above 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 project completion. I Certification No: 0842216-85 Inspector: Jack C. Millin Jilz�, to'sR epresentative: ContracBU4411.� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of Q JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: S Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/]IBC ❑ D 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:;CNo l ]C nIx 1 1 vr_Nt C � t, `1 In-,\Q'Field ❑ Shop -__J Unresolved Items: ©None ❑See Below �t\J 3"' �E�raf i C+rr+�nrr -- 1')c�iikIv ��le d0SL+ce, V) -1 `e Ac\_ \13 CLAS YV � (I%c?C c n cc, C R aa�' QA\ " 'c_ V s.?� 1 t� � c.(�� c n 1.1 e .o 11 Wu�,� � ���a•�s a� ( \\�{ `1, (�'v A-1 arc c�, nen�J\ 4k� vJ `1�L� 'C r, J DQO,It, 11FU Process Welder Cert on File Electrode Detail(s) Location/Comments Yes FNo Type Size vv,mts(,Cip� � (`II��13� W°.t ¢� Ci� ��ee.tL -� 5� •a 1 C�os�, t � a v� c. S (� �' Ch., a o CAC G GCC e o\ �J I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin{ ICC Certification No: 0842216-85 Contrac�torl's,Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page —4 of Elm% INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: oZta-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA AWS ❑✓ IBC Fl -,],D 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sladden Engineering Sub -Contractor: White's Steel General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Description of Work Inspected: A\ ���; n �� r S ❑ Shop Field Unresolved Items: ❑ None E] see Below C j a � 1�) � :.r+ � n s� w� r1 n rn � r ��. �! 1 t.. . r l , T__ �az )' ar�... N\ � / rx \�lStr'�,� r-��[» \ can ��'\r�,_S ��sc v.� nr ,.,1 �S.• / a 5f"l�.-. r ��r`r\fr, 1�'' �` � `��1�C�C-1 4. 1fl�ln� !. MmiXw�.7 - ♦,.� Aw n♦� 'C'n.f �:\`t� f.\n � �, t-CAv" ^1, •Q %'NAks S,+e. - n..-. 4. �i7�%•- e Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size \ cNi W\'a �c\t`hcrt�.vta �.\R •K�oA �' t4&213 1n1 stn .Q�ii �/ /Iy �S.�..1(•1� (� t ♦ -�\cP 1..� C .(- I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _V of 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 ah INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:��_ Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Q C" Supplier: Q $__ Time Sampled: -7 '. tl r3 o ^-i Mix Design: `��q R� Time in Mixer (min.): t Specified Strength (PSI):f�r_+ -3 t? � Water Added @ Jobsite (gals.): AddmixturN \ L.k-' \ c• ��tc Concrete Temperature (F): "� C� Truck #:� f Ticket #: (= "Z Ambient Air Temperature (F): 3 Field ID Marking: ` Z IBC ❑ Title 24 Other: Unresolved Items: RI-None ❑ See Below Location of Sample: "� ,� , " � � "r\k_. ra ❑ No Samples Taken Description of Work Inspected: �, �• r -. �� c_n M 1 ' C3a i'� aIN—so e C U�\ ' l IC Cti C {e 1 N ^•f (^ _ i� /4 �l i e.. 1 4 Y' " .7 X 1 I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin^ ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendents Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Lim=%J Palm Desert, CA 92211 ER INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: g:;zS-C72 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers a Anchor Bolts Rebar Epoxy Type: ♦ rn -SOn l �� \ CL. Epoxy Shelf Life: �c' �0 C 1 iZ pp t l t� Hole Cleaning Method(s):D`p"tn �`c�t1�/ ���°'Q�e��� ��f� �C�A�e �, WQ.(C. IAC lJ� �✓ IBC Title 24 Other: Unresolved Items: O'None ❑ See Below Description of Work Inspected: G1Q0X lJL �'• CSS-13�� � ��cP.V •� ��vms\(�r`ut�, '�,�o��neb � - NN /-� Cytav�4 �\,N)o' VJC �S.� 4c a lonS— -Le. �. mac\ry Qv�� 0`C fU i��"-00'% C �GCIri�) 1C)" �p eY��0(Gr"+,✓ 0 S �C� ��GS' LSUc "L S Ori 4tip LINPC L NS P �� ���' g — g a P vt ��/\�1Q 'art D �40�'` c'�51 C-Y�Iu �►JG i S l C�: CCe� U .t 4" p4 . Work complies with written approval from Structural Engineer and ICC Evaluation Report # ' I! - I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certifca216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page l of _/ 3K JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211LE INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 8 t:;t5_-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC a•D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected � , \P_s Z� J\ i�\ — h S W Q A10l� =a t'�ts e ❑ Shop Field ❑Field K] - Unresolved Items: ✓ None ❑ See Below 1 \nv1 1-.:I.n 1f\� \_ n r.J �.-.`�� �. 5 "Tn .5 _. n�+ \� {❑� j ,\ C fit? A-" �aA\A .Si�ir V)en S \ -- : c lr,.' n r, � k1r, W y n w�.,T�a Cra� \. m �c� t\Y1 C t r� (\ (\ c\ n\r, l o c \ x) P" z 10 \11)<,_1 11A, k �i \n` �Wrt �tr1d\(f\, '\De1 CNx n�a�,Nc— k, o 'c. l•.kkr+m �1G 11s,E�".�A l► G ArN . \Ar>0!\ Pr�n� n �G` C �x (moo, t \ca:�. 1hc n \JNal to k. Cp'�n`��rc'%.7�; :`\;' %.40 t.Noef-p- '�N �-.\# CCL. nCn\k'Ft' xM d i n pQf%\^Cly to C� to.An�l'1�51�1 "'\c-�1n\\c:l+eci�_. O•oS,,"�'e�1�., �- prr1�,\'{•,��.n..`x+y. 06"m5 1 C 0T Q` � a c \.� f+Y I %52.. \ U •C1f�, I �. � O Don f C? A C W � Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size m * uw 3 \\\-, �c\aS V kN tarreX,1)C., C \\r � C �, �� � I hereby certify that I have inspected all of the above 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 Iawsr! anal report issued at project completion. Inspector: Jack C. Millin ICC Ce ification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F LIR Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:_ _ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC Title 24 Other: Unresolved Items: Q`None F-1 See Below Location of Sample: [9 -No Samples Taken Description of Work Inspected: 5 ij u'�\t} (1 CN ,t Ml?n\.e. c� " txS of C\G4. I ! r7S.b^� �ec�Sc\nc c. •.�' - I �'� noro�Cuc c?:�D f. � e,r,S1 a3 t.�cn4,10 �"r P���ss f,re �� a� 4t+.�`. C C�'1iP [C+ �.0�\•-?C-�A t' �I�i (71.S �CCl1 Cr\: c h r, e F. c ! \ A f I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC A\i7flEatlon No: 0842216-49 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of 1 f 3F WEAN® 'sPECMNS CONSULTNG 7336 SYCAMORE CANYON SLVD., STE. 4, RIVERSIDE, CA 92506 (951) 697=1000 .. FAx (951) 697-1030 DSA FILE# N/A k SPECIAL INSPECTION REPORT .,DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within. 14 days of the inspection. Reports of non-compliant conditions must be distributed Immediately. Separate reports shall be prepared for each type of special Inspection, on a dally basis. Each report shall be completed and signed by the special inspector conducting the inspection. Client/Project Name:. 'JCM/ Madison Club- Clubhouse/ Men's Building and Women's Building Date8-22-08 IIC Job'No. 1488018 DFR #: Project Location: 53`d and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: - Time Departed: Reviewed by: Date. Reviewed, Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Engineered Fill ❑ Concrete ❑ . Foundation ❑ Shotcrete El Batch Plant El Masonry ❑ Pre -Post Tensioned Tendon ❑ Fireproofing . ❑ , High Strength Bolting ® Other (Field) ❑ Metal Decking (Magnetic Particle Testing) El Welding DSA Approved Documents: Work Inspected: As requested by the client, an Magnetic Particle Inspection was performed on the above project. Ten welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached Magnetic Particle report for pieces inspected. . t .. . . „ _ .• +, •Use ,' Additional Sheets if Needed The Work .® WAS. ❑ WAS NOT X INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected MET 1:1 DID NOT MEET OF THE DSA APPROVED DOCUMENTS THE REQUIR ME OF THE APPRO ED POCUMENTS Material Sampling. ❑ WAS E] -WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS". cc: Project Architect- Signature of Specia Inspector Structural Engineer- Wade A. Clark (Project Inspector) .' Project Inspector- : • Printed Name and Title DSA Regional Office- Certified By, Certification Number School District- AWS 86110023 ' IT&T Level II `,1nfr�,�gy� INLAND INSPECTIONS & CONSULTING 7336 SYCAMORE CANYON BLVD., STL 4, RIVERSIDE, CA 92505 (951) 697-1000 a FAx (951) 697-1030 MAGNETIC PARTICLE INSPECTION REPORT Client: JCM inspections v m o v N v h 16 Date: 8-22-2008 Project: Madison Club- Clubhouse/ Men's Building and Women's Building Job No.: 1488018 DSA No.: N/A Invoice No. : Building Permit No.: X Report No.: 5/16" Reinforcement (Men's building Roof) AD -12.5 North Bottom Flange Reviewed By: Fabricator: Technician: Wade A Clark Code: AWS D1.1 Welding Process: FCAW Surface: As Welded ASNT Level: II Equipment: Magnaflux Y-6 Test Method Standard: Acceptance Standard: Product Form: Build up Type of Material: Drawing No.: Production Stage: [) In Process [x) Final [ ] Other CD -C11 North Bottom Flange For Welds: [ ] Root Pass [ ] Intermediate [x] Final Pass 5/16" Reinf. (Women's building 1st Floor) Technique: [ ] Wet Method [x]Dry-Method. [ ] Fluorescent [x) Visible [ ] Coil / Cables [] Head Shot, [ ) Prod Method [xj Yoke Method X Current: [x] AC [ ]DC. Amperage WA UV Meter No_ N/A Product/ weld Identification v m o v N v h 16 l4 C ` Y 3 Defect Location Or Remarks V m d m AD -12.5 North Bottom Flange X 5/16" Reinforcement (Men's building Roof) AD11.5 South Bottom Flange, X 5/16" Reinforcement (Men's building Roof) AD -12.5 North Bottom Flange X 5/16" Reinforcement (Men's building 2nd Floor) AD11.5 South Bottom Flange X 5/16° Reinforcement (Men's building 2nd Floor) CC -007.3 North'Bottom Flange X 5/16" Reinf. (Women's building 1st Floor) CC -005 South Bottom Flange X 5/16" Reinf. (Women's building 1 st Floor) CD -C11 North Bottom Flange X 5/16" Reinf. (Women's building 1st Floor) CD -009 South Bottom Flange X 5/16" Reinf. (Women's building 1st Floor) C12 -CD West Bottom Flange X 5/16° Reinforcement (Men's building Roof) C12 -CEA West Bottom Flange X 5/16° Reinforcement (Men's building Roof) The UV intensity was verified at the prescribed intervals: Yes No x Not A icable 1NLAN®1N8P cTa®N.S & CONSULTNG W 7338 SYCAMORE CANYON t5LVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 - FAx (951) 697-1030 DSA FILE# N/A SPECIAL INSPECTION REPORT DSA APDL# N/A Special Inspection Reports must be distributed to the parties listed below within 14 days.of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a dally basis. Each report shall be completed and signed by the special inspector conducting the inspection. Client/Project Name: JCM/ Madison Club- Clubhouse Date: 8-22-08 IIC Job No. 1488018 OFR #: Project Location: 53rd and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel Bldg Permit #: Time Departed Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre=Post Tensioned Tendon ❑• Fireproofing ❑ Engineered Fill ❑ .. Concrete ❑ High Strength Bolting ® Other (Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: ' Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project. 41 welds were inspected and one weld was found not to meet AWS DI.1 minimum requirements. Please see attached ultrasonic report for pieces. inspected. t Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work InSpeCted ❑ MET X DID NOT MEET OF THE DSA APPROVED DOCUMENTS ' THE REQUIRr=t .ENTs THEPPROV OCU ENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A. Clark.(Project Inspector) Project Inspector- Printed Name and Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 ' IT&T Level II INLAND WSPECT9®N.S & CONSULTNG 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8-2248 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building . CODE: AWS 01.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: . FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ) NORM ENERGY CALIBRATION: [X] SOUND PATH a PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: SIGNATUR��/'`� ✓� �r DECIBAL READING DEFECT LOCATION z O W OW Z W U Z Q N Q may 0: LL LL�y 00 00 ~ C V W CW U) _j Z W F- 0_j W W u�xy _j W W z WF' U W? I W GW O JZ =M W HtA =z f'— (go zLu z Wa W ITEM IDENTIFICATION W v W 9 z 0O W W W W Q w ~QQ W z z O z w a z W w = w . 0 Q R HQ z OJ D±J QU_ GK _j Q W D Z J9 P- 1 AD-Al2.5 North Top FIg X 70 1&2 52 7.5 112 2 Bottom Flange X 70 1&2 52 7.5 1/2 3 AD-Al2.5 North Top Plate X 70 1&2 52 7.5 1/2 4 Bottom Plate X 70 1&2 52 7.5 1/2 5 AD-Al2.5 Web X 70 1&2 52 18 318 6 AD -A11.5 South Top Fig X 70 1&2 52 7.5 1/2 7 Bottom Flange X 70 1&2 52 7.5 1/2 8 AD -A11.5 South Top Plate X 70 182 52 7.5 1/2 9 Bottom Plate X 70 1&2 52 7.5 112 10 AD -A11.5 Web X 70 1&2 52 18 318 11 AD-Al2.5 North Top FIg X 70 1&2 52 7.5 1/2 12 Bottom Flange X 70 1&2 52 7.5 112 13 AD -A11.5 South Top FIg X 70 1&2 52 • 7.5 1/2 14 Bottom Flange X 70 1&2 52 7.5 112 15 CC -00.5 North Top Fig. X 70 1&2 52 7.7 518 16 Bottom Flane X •70 1&2 53 52 1 0 4 1.5 7.5 518 1-10 Moment Frame Beams and Seismic Plates 2 Floor (Men's Building) 11-14 Moment Frame Beams Roof (Men's Buikting) 15-41' Moment Frame Beams and Seismic Plates Floor (women's BuiUng) SIGNATUR��/'`� ✓� �r F - INLAN'D INSPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92503 (951) 697-1000 FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8-2248 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison, Club- Clubhouse Men's and Women's Buffing CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: ['] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH [) PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: DECIBAL READING DEFECT LOCATION . z Lu 0 ul 0 0 Lu O _ � W Q O V Z NQ � d .N RQ U. OU Z NU Z LL f- H Q. V U O W �� z (7 G F- UJ a> �� Lu > �� zo W F- (� v a = y rul z= WeUJ �= x� a�= �— z L Z V W z ITEM IDENTIFICATION �Q Z DW �LLLy. t~1 ~QQ W Z (J'1 Qt0 Uj Lu J� W H� 0 Q fY KJ QLL GOG Az GQZ 17 CC -007.3 South Top FIg. X 70 1&2 52 7.7 5/8 18 Bottom Flange X 70 1&2 52 7.5 5/8 19 CD -C11 South Top Fig 70 182 52 8 5/8 20 Bottom Flange X 70 1&2 52 81 5/8 21 CD -C11 South Top Plate X 70 1&2 52 8 5/8 22 Bottom Plate X 70 1&2 52 8 5/8 23 CD -C11 Web X 70 1&2 52 18 318 24 CD -009 North Top FIg X 70 182 52 8 5/8- /825 25 Bottom Flange X 70 1&2 52 , 8 5/8 26' CD -009 North Top Plate X 70 1&2 - 52 8 5/8 27 Bottom Plate X 70 1&2 52 8 5/8 28 CD -009 Web X 70 1&2 52 18 3/8 29 C.12 -CD West Top Fig X 70 1&2 52 8 5/8 30 ' Bottom Flange X 70 1&2 52 8 5/8 31 C12 -CD West Top Plate X 70 1&2 52, 8 5/8 32 Bottom Plate X 70 1&2 1 52 8 518 1-10 Moment Frame Beams and Seismic Plates Floor (Men's Building) 11-14 Moment Frame Beams Roof (Men's Building) - 15-41 Moment Frame Beams and Seismic Piates 1" Floor (women's Building) ' i .�u a `�li�dsv INLAND INSPECTONS®6. UL` INN 7333 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92503 (951) 697-1000 ® Fax (951)'697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8.2248 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's and Women's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ j NORMAL [X] ANGLE JX] HIGH ENERGY [ J NORM ENERGY CALIBRATION: [Xj SOUND PATH 0 PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ j OTHER: z O li !- Z. - ITEM IDENTIFICATION ~ M.. a U W W a W w O W N J z Q W z DECIBAL READING DEFECT LOCATION LL W O U tz U' 0 W NU W z z — Y O W O F- z 3 Q' �— C7 a -j �J z0 U W W W W W !- W Z Q W LLaW' Q LL o �x �V. 041 yQ x' t = 0 G a 'N </1 ~W WCW U. C± -i z 1- to W z z y z o Q zUj 33 C12 -CD Web 70 182 52 18 318 34 C12 -CEA East Top Fig 70 182 52 8 '5/8 35 Bottom Flange rx 70 182 52 8 5/8 36 C12 -CEA East To Plate 70 182 52 8 518 37 C12 -CD Web 70 182 52 18 3/8 38 C12-CE.4 West Top FIg X 70 182 52 8 5/8 39 Bottom Flange X 70 182. 52 . 8 518 40 C12 -CEA West Top Plate X 70 182 52 8 5/8 41 Bottom Plate X 70 182 52 8 5/8 1-10 11-14 15-41 Moment Frame Beams and Seismic Plates r Floor (Men's Building) Moment Frame Beams Roof (Men's Building) Moment Frame Beams and Seismic Plates 1st Floor (women's Building) JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:%— -y-1Xv_C J� Project Name: Project No: 522--008r079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC O D 1.1 Title 24 D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: Q t ` `\�•.I: Shop Field Unresolved Items: ❑L tNone ❑ See Below �`. -- �� .. n • :., r� �t n i �f , �, L, to �� ( \ :` re r�+c a ( C+o { �.� • A 1 r— 0�, rr. �� \� r* �Jc�\r am \,3A i_S) 1011-1-1- 01 C�S�� • fad •�c^,no..1 n..nG Kern: r, A A r IN r, � n� a_ �• C 1_�c� c Si r Cta\ u n,(l� ,c� Q .cam." .'T.♦ iw.,\ eaA..n �n n t� 4i 4 w11r� n)r Cit 0 o. V -a '.) k. cwD \� r - v 1:,� .- P h —C) < c S+ C. Ao ..1 r A C 7 cam_.. A c' Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size f \\•"„r,�"..,.r, � �,a'.c r �071°- "hr 0 rl,�u k r, 1.��v)r.1 ��\ 4 n Cnn ; \ `\Otr,..nr `` .. a• �� ,n\n}•G ' ^ SSC ra.l�cCc�, p0 pj>b I hereby certify that I have inspected all of the above 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 project completion. Inspecto: Jack C. Millin ICC Certification No: 0842216-85 Contractor's"Re.presentative: Copy 1JC Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections LIN 39725 Garand Lane Suite F RA ah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS OIBC 53-035 Merriweather Way La Quinta, CA FtJD 1.1 F Title 24 D 1.3 Other Client: Sub -Contractor: Sladden Engineering White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Shop Description of Work Inspected:�A) D �� �� , ���� �� r ©'Field --711 Unresolved Items: ® None See Below .� V�A.r�n ,�.� t : ��c� .. f ,� fir. - , _ _ , J, nC c (� �1A� �l ,S\X c* ^\i f. X, �.n, rx K �.a��t� 040 ./-gra ? ti. .-� .��nn, fir- 1 W,\ •, 1.1 n`f,_ �� ,.c ✓'1 (� (��. t" �. ,,-r.. � �'(i . � `� �..^"�-� �//��� r c_...,..., n t ln� X1-1. 1 `!-� �\ , _ n �� �� �\ � ,�.!l�V YV C L, lc� z ... r✓ _, rr- (�� r�� \'a I11 r1.R �r. �1. -?rpt' Cc^an ar'��t!'1., ' t'i.:�rxl�•.. C`hK'�nn � �L`�.On^e.J �X,MO���'y�A A• 4. r..! L`c .1r. I�11n' 4'K`��� � ^�+� C� q' � r / 1 l1, Cert on File Electrode Process Welder Detail(s) Location/Comments' Yes No Type Size c� c—� F�'�� �. � � r l t,x. ..�,'`V r. rr �. n`, r rt. R�i� cw 11 �'� � r -an �e • �/' I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin IC Certification No: 0842216-85 Contractor'jjs,Reiipresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page --A of 1 JCM Inspections LIM% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: R-,) n—f.A Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS F✓ IBC 53-035 Merriweather Way La Quinta, CA Q D 1.1 Title 24 2M 1.3 Other Client: Sub -Contractor: Sladden Engineering White's Steel ��C r • c . ;�o ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers 04�"V 0-, Shop \Gq"\�4Q tn� Description of Work Ins ected: n ����n� E'Field `'l Unresolved Items: None See Below �I C'v�� 0- t3 n fln � C__ �� itiSL CAU ta`\uyc+1 � �`� Jl C M y1 rel A ! 1 � r eJ r �r-_. +1c\y� tr\� C d1C�l �1 U '�, !� tAov�., �•� 4ti� x. "\cam A � • k�r,'�n ;•1 �`t. ��e� � �`\� S �c l�C� . �l .c� n f'1 � � 4 b k \ ~'� ;.� l lrti � r' � n. 1 1.SL fr'7 it r r .r;"� l'r �' trJnS �..)r ^ Cl � n r. C, ,�^ C �� �.� �a,� `�•• N '�. \'a!n� \ O m \•� h r `fi r... \in 7 W G ((I LT' 0, j C' C, �l�' ��'1� .�. 0+ �,'n' r �' ` n. CG � C..} ♦ r= � 1'� \ A+nw+�^\r �Ir C,") o��! _'1CCr, `ice` lair Gam+\c�lttre'� r1' !!. 41• !.\\n\\.1nVG� cn� r;s S r..4 V>sk. �' L`ry� � < <s,,���., �� r�.;nQ. A �. 4Z„„� u�.�..,,. Mr NA,) �z. I`a6..•� �.. �/ Tl.h• < >:�r('.7k�n A,(f\krla1 IZc__r _r>-',, P�i�, i• r)n Ir•�• `Rn..+-r^A@ (fTc�. {?�!'..� [,C�yi� C r .. � 'i w�� � 1t�C\�,i . �4�' .r•>w. � r-. RV � �a,nn � \ ...� C� r w� R^Q� -?. � y� �� P \ *+.,. "� ^�'• ." 1 �.t-i� 7'! �1 � �'i r C C nl�./ ik it rllr .rr tC Ce 11 .S +�.. + �.x wn r..., ,T�� \ . 1, , • r \l,A t It r'^ nn<. • .'c n 1.._ 1( U ^r• `I 1� M1(1 Mn T Q �. \ — `f�+ ra.. `. \n L ^ �� t� n (ri tr'• � r •enc ��i� rM l a i C�\r. � , IM, IN l:3� n 1 CC + ! �� 1 �r� P " 'Ain Cert on File Electrode Cr�t� At, Q___ Welder Detail(s) Location/Comments Process Yes No Type Size trM.�U ; \XrnA. ..twc, tl`13 1. t-�7•. o � SFT �!i ✓r � �r>d �V•Q� �•4 �.>f ri1�Hm, ffl1��,1�� `�. 211 V I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C.rMillin ICC Certification'No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ! of C1 R' JCM Inspections 39725 Garand Lane Suite F �LlkLT=M% Lai I&W go Palm Desert, CA 92211 . INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 6" Nmg INSPECTIONS WELDING INSPECTION REPORT Date: g Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC H`D 1.1 F-] Title 24 Q -D 1.3 ❑ Other [:] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel cc � �^ a1i> n�,�i \c 3mC General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ` r`hA! t �� ^�- ❑ Shop ®'Field J Unresolved Items: [!]'None E]See Below n, b��C (�t>1� � G�,�1 t rnci r�c�a. a� �� �.hn� "C�IC�:cc\ r owrN I^14 -111><1 7r- Nq \J31kY Llo i Z,; \ 1 r W r r ^re. I �r ..n \ \ c t � V D ii>_ 0 -Owl (N e � \\h. VI. -Ar )k, 4,r. r,�i . �� hn� Qx S 89 S I' I\K(79Dn'ntr,mee_,, Process_ Welder Cert on File Electrode Detail(s) Location/Comments No Type Size W�.kr � �,� V (Y�ess `c4 A c S + 17)Ci a I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page aof rJ"1 A JCM Inspections EM 39725 Garand Lane Suite F 1E 6W Nim. Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: q3 NC Project Name: Project No: 522-08'0179 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA O'D 1.1 ❑Title 24 [�JD`1.3 ❑Other Client: Sub -Contractor: Sladden Engineering White's Steel F .�� -- ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑ Shop Description of Work Inspected: O,Field Unresolved Items: /" �','a i- n'G.`. 1 i �•'1 \\ ., -�-Y' , • _ 1MlrC ElNone ❑ See Below --i 1 �� `� �r'� , _� �� ., .� 1.:�� .,, ,1. alc \ �� ��r.��s f'; r r.,. ,.� -,�.. ..A 0.fiw•', .eft^, a .A .'] r. e . ••�� ter_^ r sem, ,/ V—\ - eN '�_\(`� �� ���.\r 1.,. `r..t. t.^, n. •, .n F'! I• -.. ,.r ♦� C+� �- v ' e ., hri1 .n \ 1 r,.hf1 i n _� Q• _�� �S._ n r.�� �� e- G ����a ��rl� �. - (.�J r.�C �Ja��t_t�.+�%� n r� ^`f- � . ...��� t a ,.� y . � i r. ,.r �. )�. t�.r ..�' ��r -.\ -� ., r, :. ��r��. A. a '- 1 �.��• �...e� ter. ..\ � ` R l0 �� (I .G `�. ►�n „cr r,�.. 4�C� ^, iarr \ R _ \ r... /Q, J \ 4� -.J c \ .-.?. "�... /� �`�/j -� n. h1 E w r.\ rV 3�i ��w e r . 4._ `.�,..R V.X �v :. w• .t.\ �A'1h . `. _ ,� t r�� �n` -.. � v.�1•\ • er. T, ti ^-(' Re ,w,.. n : -. � f� C � . +e e A n � .(� \� ` _..\�_.�,,�'c. a I ��� 'T• �' �1.� `\f, !f e.� 1,.♦ 1 'k\'ter /.:-. L ��.,. �'1 . f. .\f,.^J•\ 1`. ...tom , � � C('a� C Fite n Electrode Yes No Type Size Process Welder Detail(s) Location/Comments Q. Cfr, rT-r�. ..,1. ,n •,� t"�-e �'.r .��,fe r. �.t e�. DA, Ir e , : V - _0- V 1 yrs ,t -IrA c, a ��c_ `.. 3`? C�" ., I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC CertificaXtior+No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of - JCM Inspections 39725 Garand Lane Suite F 6W N6.9 gig Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: (,,(I rly, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q✓ IBC a`D 1.1 Title 24 ®:D'1.3 0Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: l �� ❑ Shop [E -Field J Unresolved Items: None See Below .,lV `_ . �� � .� _ ,� �, i d : C �_ .� E, c `�`. •.^ � � � .��1,. r «•A ,.-:. �, � r•r t rw ..� 111 � �, n � t•. .• G ^ 1 . r .'! AN— ! �E fly � y � � -j�.a , � �� ('�1t'1\�`j ..,1p�'� � ., t ! . - � _ a • ..,,. \].� +V M� r � �e.. R � �, .w r .•w .,.. �\ .�! . e+ 1, e+?' � � 1\�•. �`.9` Y..�. �L/�,C r! A1n �_ A . � � , .1�` M.s- �i �, n, �'!�_ \r. �, IT /_y`�v`!.. !. \..�1' �r\1, e -` \ r•� Wt, V!.a f �.n�A 4�..s�A/!• .f�.(�^+�..!♦ \•��� 1.-�tM, nY�e�n. .._1.1 l ��/n� ^S! ^w �'1`- � F. i+.\e..l.' \r?� `� n-111^ Y� C. ,• vr^� nClr�� .. .. � ra� +,n �. r.+e ('� _!� Yr• �•. �r'e �.� �S-1 ..\ n.. \ _ f,1'1..�-,". \ f� R' n _ wt-!� .\` �•w `� ,5e S`�.��. \n �. ..\_ �.�.n1.7\.A !'M err �� o � 'a ^"'� _ - VC`i - 1 tom` _ < `, . .,� � �!w . _-i � V'1 ` `i \ - v'-•] �^ ( Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size i T I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 \ " C, �� Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page -7) of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 Ll E, INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: q, \C k C>g Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): r. ca Supplier: �_ i Cd Time Sampled: _\ a n -'n Mix Design: (j S's 0.3 Time in Mixer (min.): d U Specified Strength (PSI): A Water Added @ Jobsite (gals.): 5 Addmixture: r&•N_Ct, %\ Concrete Temperature (F): 9� Truck #: j (,,2R Ticket #: O Ambient Air Temperature (F): Field ID Marking: SfElsee Q✓ IBC Title 24 Other: Unresolved Items: [E]' None Below Location of Sample: No Samples Taken Description of Work Inspected: i ��'+�S •>4cy \-\1\ rn`�Q,1 C liSC�/ -1- G rO��n�n•,C -� tt tic ,,r - -� ,• `,� �n' _ --.�9. yq�,�k: rtk" clt."Snk O V r . J (i �. l � \'C ` t Q• �,1\ C4,S'..t,.\ .t ri.�• D6 (X n v. \I"t'1c r. \cc r: � \ c n �i 1 'f�i a n � 4)tRs . t �t o).1 � c� o �1 Sn\: (� � t1y�o •J �- \c'w 1t o (,•\ • r I hereby certify that I have inspected all of the above 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 project completion. /-N, Inspector: Jack C. Millin ICCCertification No: `0842216-82 C.-' , Contractor's Representative: t--, k r. 1 1A— 1. - Copy 1, JCM Inspections Copy 2 Project Superintendent -I Copy 3 Governing Agency Page 1 of V, v .' • JCM Inspections —LIN 39725 Garand Lane Suite F 1 RA ' Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554; - . Fax: • 760-772-3895' INSPECTIONS WELDING INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 « Project Address: r City: AWS ❑✓ IBC 53'035 Merriw_eather Way La Quinta, CA' Q'D 1.1,r E] Title 24 O D 1.3 F-] Other ❑ D 1:4 Client:Sub-Contractor: Sladden Engineering White's Steel i -( '�l" U� = •� '+r+ General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers' ❑ Shop , Description of Work Inspected:' W : _ ? ti• \� ��� i r �' �r« p� . ui..nnS a`Field. Unresolved Items: ❑ See Below, �>, C �+•tv. Q (' "'.'i1 '�f �t C�� �n��r .n�' C� v'ft'it..i�n'• •�`�' •� ^• l C,+�M:,�n, '•q .*'\ 1.1 •LQ' �'.0 ft[aC 1 1,�+ 1� �J • . \7P /1.•va \ � > � n`'\ r'�n 1 �'" `rP� it1' nC^ '(. [11.5' •ITSr�rl- trs A t! F+�v,t fv t (•� \+� t•'�I!' c•>.!\'-�,� St h!\�4��c' UO � �-e\S�t i�:Jl �l r�1 %)rt ,- ira I.O r1�'L• �.►� �`� �., , �••,�nr���G'11 �b•.c� C, r�e-� \r1C�,.;' � \4� «Y1L C`. •. C:n c�.D �IO r:. 1 \1.>•R! l: t+ ! \ 1.� :f'h 1� i�flm �i�`�'A �r�:.� , ��'`A...UCi=tK..� Sl 'VJ l'S: CCxv.n ll 62 : C hf.v-1"\ )'\'� ��' V"`-Q-/!� IQ)* 1;; (1� t\�\ e7.�(�10�1 4� X11 r�i`.r t� <• /� t�`� E+� itis PPP ?tk,\�j� ' [1�1�\(o�c1 • • •.;� !gra \.�.•a 1-5� kst' Q C' Cot� � r'�\«�s .£.�.. C, C [A\\ � S.t,+.GTS�r� r [ IMG ��A:,, t iA-c� -v rS 11 4 /�".S. 1 1, � ?�....1. �K t `Ctr^!'Ni, C1.qnt., 'CC 9 V^•(rQ C; GCr�k C �eZi•.'.C,c. O 1 �i is S1�\l C'. SC Arr.0 C I•G G'- L G, i Y\C' 4-4h !1 �Vr l r C C--, P.. m'.c'ar;.')'�r;-#\C G C.Yr:l.,l.,•••}\Rjt� �/�5'1p�« �C,.\ c'WC�.r+1"'i•it} /�.•'t'«�`. �,'(�f'+ {n r W� �') `'�C\�ca. tt'+tA'r(S4�N�a• Y�L:�'I.C> '�f? •C"'� v),Ck. I(e.„''`*C'v\..e`, - �u��,���-.��,d�_t4;'.r�f;,,. i) f Y `.. C[./ ic+ rt \ t, rt f ca._-. C c Cert on Filet E Electrode •, + ' • �; 1 Process .'Welder•. Detail(s) +, . Location/Comments Yeil No 'Type - Size tic �1�; �� ;c� + � N 1L�3�• .. .. , t cnc � dam: 'I• • i• f �J �J•'b t�. � &L {�tC f �' " �� •�` Nl�,�.(I � a�y'�•�.3g"�'p'�`�;�c� '•�iC..�,\(! [ C\G��1�trtiLG/+ .-. ,. ; -v 0.1, �\t\.vyCNS ,6 6, 'h h� C c L4 C, i �\ -?*—I -C., ,I .C? ' 1h u ; ' • + a� �•� ' I hereby certify that I have inspected all of the above 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 project completion. t Inspector: Jack C. illin ' ICC CertificationNo: 084,42216-85' .` '_: Contrac`tor's Representative: r t Copy 1 JCM Inspections ` - Copy 2 'Project Superintendent Copy 3 Governing Agency • Page 1 of JCM Inspections Mft 39725 Garand Lane Suite F 1E Palm Desert, CA 922116TO . I N S P > I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: . \%-OT Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): ---- Supplier: e��,t`f� (�t c d�\,�jS x Time Sampled: Mix Design�R Ct. "+4 --- (.�-�s�, M Time in Mixer (min.) b� r�k Specified Strength (PSI): " ,Soo Water Added @ Jobsite (gals.): Ste, l`� ���. �� i , Addmixture:+ \ � Concrete Temperature (F): Truck #: --- Ticket M Ambient Air Temperature (F): Field ID Marking: - " IBC ❑ Title 24 Other: Unresolved Items: None ❑ See Below Location of Sample: - fffNo Samples Taken l� r` Description of Work Inspected: Mer1 ;W", of �� cx;,\+� � ,! `r: n�; r\ �pc� `4 C. 4.1 �.``v`�.. �� l3<v+- Qhc��{�'' in't�• `.`CC'r T•�! `�� n;n+r� W� � � �d`�tts �f �� ��.,...� cru �••c - S r-+\\ .� . q.�\l ©3' t(` �`�''�• n•�rl� . (���tcaGSX ��t�s+�, Y•"\ �S n� '(1A IN' �^o�\>w_ ��c�U�ran., \tr -'J� L' 'ten « � ,, �pc� LY c+ r•�,�► Mia �'} "c.X,' arl_a. C-c,r�l -�i�kk' li.>_ c ) C -Ir 6.\1). `� o 1 •' • � c�r�`�r�nM��,.c mr+� Fas ^t C�IC��•, � a L't#SIS `, +P a �o :il �� "Jc•©l�. S17•C � `f tC MQ a� 1 f�^d�''. � R ^eQrd ��.5�•i rC.Y. . `� \aokC V1k r\Cc,n y N\ (� + I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 I 4a CM JCM Inspections Em 39725 Garand Lane Suite F T1.%J LTW1=k4Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ql_k5-p% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS IBC 53-035 Merriweather Way La Quinta, CA rq,61.1 Title 24 [Q•D 1.3 Other F]D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel, 2{, General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:' �0 � � e_Q • I, r. c Mc^ Q ko £ \ � `• n , G U i I "� 11 Shop Q�Field a Unresolved Items: None Below �t��; c,c c..+ r,�r�� c C 1 �, 1®'See C -Nr ,ori qjo.,ke, 1�1pIII, q) M�) � r�..�. � K !. A i, A pro ii ,.. ,� ;iy'•�) y . e7�.i �_ �•e ,-.-.. .> r W1 V'? {` 4 !•! � �. 6 O '. i "1 c A n �, CT r S•) l x .� let-_ . �\ \ � `n, � . �� �,1. 1 � -T . .... � . c1 : > .1.1 G. Q' r� rr. "�1 Y �` ��� .\ `, �..\ �� �i �• �.i. � c�. �1_l!` � r� � � ti � � spa , N �. M . � � \ � { n � �, il�^ 1^1 �. .. \ �. \,� �. f..�p../w� f'• •4 t±, �.A.ql r'�. \ �. �.P�l� .r �C �..\ � ,+� !. ��' • ��i 4T �l�( � �.'at+ .�.\.....N, X•. �R �r.... F"w. +a-e�: - /^ v1C•�ltP'e1��K•�,1�.:�' i s i Cert on File El ecroe t d . Yes No Type Size Process Welder Detail(s) Location/Comments C i4�+`� f� \1•. �.;��- ,n � �ra•tC r � 1 P+ �• �. �.,��nd r. � �c)Tci A «"'a� � •l i� t, �'! o It � {VC�1cL. 1l��Ci.,a� � CC�r���^� � t_�C C...I :.�o,J�j. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification` No: 0842216-85 Contractor's.RRepres6n�taattiive: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Goveming Agency Page , of J' .SCM Inspections LTIM% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: _ Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): C� , Supplier: '��� C c�^ Time Sampled: C1 ; p a ,� Mix Design: (n t-., c, � Time in Mixer (min.): C U Specified Strength (PSI): C, r, Water Added @ Jobsite (gals.): N Addmixture: S•,�� ���p\ Concrete Temperature (F): % u` Truck M �(� � Ticket #: tip y`_� Ambient Air Temperature (F): 3 Field ID Markin a g' 3X •' � �"i, Q✓ IBC Title 24 Other: Unresolved Items: rq`None n See Below Location of'Sam le: t No Samples Taken Description of Work Inspected: �� �� ��• �. �,� ; c, `.n` k? mlSS r AC,Ca r& 1rn n�" Wc�\ AXq,v C — t -^¢, ra c �-• L! „ \ M 11 T "s J N% ., ,, c- N=a 0 rr', r -- - L1" •\� %� c)• w • `tai i� ,A ., ` A t ►) n U 4r 0 A-, / r+.� c � , M rt n. , 11 rk t n krx,.A carr.-0ksXS 'r,�n ,lrs �`n t Vt�P nr v, OfiSrr I hereby certify that I have inspected all of the above 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 project completion. [Inspector: Jack. Milli(\n\�\J ICC ` Certification Nod 0842216-82 Contractor's(Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of i r.� JCM Inspections On a On 39725 Garand Lane Suite F Palm Desert, CA 92211 LT.1%J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: $_ I y _og Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA❑ AWS F✓ IBC D 1.1 Title 24 [Z'D 1.3 Other �] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel E�. ''�,ci , � r $end General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �� S W di c , \� n ^ ` r �, f�t. t r Shop Field ` (1 \ s ,. - �.\1. ► — �\ � t tl A^ � r �n t �\ � v, A` Unresolved Items: [—]None ❑ See Below \\ �'\\ ((''�� C rnm.t7\ .} w _V y \ a �� 1 q, C, r, e.- 1, \'�1 r. r � `(�1 r ,r; �. Q��O 19 4, 1 *>' o"i-DID �I � .P �, mN ,, v.\ ,q `f". tom' \ -1 \ tJC�mQ n 5 ��a� �1 "1� Q r ri� �c�t+r.. �o 1sr Ito ;107. :.. r, MU 1.+_\0 L,/l— cos (\n tJi C r, 1%\^ \� ' t'O..7f- Ir.At^ . Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size ,r+ F'�G+�,.l.� W t\V n..nc�. ♦ � 1RC'oc\ 6 '�'CCn.�c I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 ,Contractor's Rep es�entatve: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 JCM Inspections 39725 Garand Lane Suite F .MJ Palm Desert, CA 92211 LT.M% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: q.— f L4 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts Rebar ❑✓ IBC ��~~}} Epoxy TYPe `\ , ,�... ,• , �* r �� 7 0 Title 24 r V Other: Epoxy Shelf Life:t--, Unresolved Items: Hole Cleaning Method(s): g`..,..a ,, l' �. �.,.- ,c�rR+cc 1 ' M7�', f �.�a�,�1. C \A1n „�l f� `None �� See Below Description of Work Inspected: nn X � .. , �� ON � � vlt+ c 10 �.\i �df`?A•� �. l.R`t1K.R� a � ����r`•�, D� fir.\ t�s�.�.�t� � t'�,�''t.\�.r�..r( � �I..�1,. LA./_� A � .- � r n L t. _ n .n r* •s. � �,.\� .r c+ r.t1 n�C; lQQrf �� r :r, •- Tom. — 7--., .Y .. . � .^f �_ f .'} r �•.n „ r rz�'\ few. C�tC� e� r n M�[� a n�C -�f` f e.� �b, � �-. ' \p ,n�� �^f+ _n n l ?4.� L •^4-/� �-n. A D w na x �,�r � � —.. 'fit '�1�.1 r Qe A, t ai A �n f� / r- A 1. If;. f �1 F's- .r' � t .1 ����-i� rkrl V s- Ll 1 , • Il, a R /?'.. - 1� �.I C S'!.'+�• '.�s. t I t ' ^ \�. �^ f'YK` Work complies with written approval from Structural Engineer and ICC Evaluation Report # --) -� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jck C. Millin ICC Certfication No: 0842216-49 Q � Contractoft RRepjresentative: t )' %. C __ . V t I'll .✓' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of t I� JCM Inspections ]Is 39725 Garand Lane Suite F Palm Desert, CA 92211 LT.M%J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-080791 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): r-,�- Supplier:"' .' k�� "- k -4 o I� Z IBC Time Sampled: Mix Designs;R,- -_\m;.j„ -T, , Title 24 Time in Mixer (min.)Fr� a� <,�,�,y Specified Strength (PSI):� Other: Water Added @ Jobsite (gals.) , „� d- � iv �, c r Addmixture: _ Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: -'— ®"None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: y Eg° No Samples Taken F_ Description of Work Inspected:, /p 1 V��iC !\ 1. ?! k, q. �..f..�'>•�a <S�A `C�'ti\�-.' t�ch��!C� `,.�sj ��'1� '�` .,.,� �l�.v( �P.. �4�-\�.%�^ 6s n E+��\ + .1 ^ � � t✓`%GG. � S'1�"� ��, F� \!. �'�, },;� t� :1 �? i'� f� 9 `✓` � � �. J� !i C\ e� � t C� e' Q �3"`' Y � � t� 1" �� IL - ��;77— k_�,Vl��a 'i,'�'`rT,�)��i�1Qi���� r�CiO� Lig{,. 1 r, v- ;� �� °' �� a� ,���13 1 v'V e, I&14 � H �• �=� G �� i 7 I � .J / �� : � v �') � � � 9 r' � ` � `� ' r �'. R ���� f:, rw7� A f C�.ec�cr�% e���'G� ra r,�,� cyo r'� � c�R�'aRE� sr�'ds Pf��c' � < r_.• ; t, �� �r� , I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certifcati6n No: 0842216-82 Contracts Representative: e Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page \ of JCM Inspections is 39725 Garand Lane Suite F ER Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: a-, �-0k Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA ®D 1.1 ❑ Title 24 ❑ D 1.3 ❑ Other Client: Sub -Contractor: Sladden Engineering White's Steel �� ,� A��� ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:MCI �� ,'� ❑ Shop t rt \�)� �`R ��©'Field � .uva � r. .•M, f1 . r (, e', M .., ,r /� /1 l.. t -. t .» TN Unresolved Items: EJ -None P t See Below r, , .e :r_ : -. 3� O �.. A..� �A Q\ ^an,l. C. `r y '��` �\n,.." �Jw1 e"' t\n.tr�!. n� f'n-i e\ lw1r�T �a it C\hi.n.,:�nT'��<•-.� ��n�G..�f=\ fn -\t l V a C c. C '� h .rt. .� n !n �.+,ld'+C hr K•� � R��-}Pi <<l. �M r CY .�. .. a n.w .ra 1�! f"��1'ttl \n�,eA 1,, �. R, A�t At r1.7 f��i C Fite n Electrode Process Welder Detail(s) Location/Comments Yes No Type Size N vkoaa s ...w AS hr c tw r•n,�cartir� n �r w C� Zi f' s e,% o' , I 1 �� . � O •� rc. R'.n. ra tR. (l x �.I� e r .. - �.^.� k lr. v� rr .A1 C R' R•n. n r n I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificat orn,(No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of c c. JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 'R,-W-&o �1 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC DD 1.1 nTitle 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �,� A _ 1 �� w , ^� ^ ^ ❑ Shop [j]Field 0 \ ��t , .�, Unresolved Items: ❑ None ❑See Below `Cl ^��,... I `� „c r a 1 rel •! n A .-,.�n, �../ r� r,�l . \ �1J I :\� ., +\ r V ��n K S r r 7 , y o A 1, >~ A�.•.tl �,-, r- \ A" e. ., 1# +� n\Vs 1,]. Rn T %J t, ear r`+. IN Process Welder Cert on File Electrode Details) \ Location/Comments Yes No Type Size `\ �0.�(S w C r11 • v SS.nt r xr I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 -Contractor's R�epp�resentative:. Copy 1 JCM Inspections Copy 2 Project Superintendent : Copy 3 Governing Agency Page % of ! JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Lf Supplier: ❑� IBC Time Sampled:Mix Design: .r ❑ Title 24 Time in Mixer (min.): r` Specified Strength (PSI): !n r\ Other: Water Added @ Jobsite (gals.): Addmixture: C ,� ^� Unresolved Items: Concrete Temperature (F): Q I Truck #: ty_ C Ticket #: F None Ambient Air Temperature (F): , Field ID Marking: ,� _\ ❑ See Below ♦ Location of Sample: ^ -, r ❑ No Samples Taken _44 Description of Work Inspected: µ " —VtL °rte rN-att t\ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification'eNo: 0842216-82 Contractor's Representative: ,u Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of r LT.M�=,Palm INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: cam, I' _nc3 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub-Contractor: Lippert Reinforcing, Inc. General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Supplier: IL 10 Time Sampled: r n n� Mix Design: kc"L\3 —� Time in Mixer (min.): n �� �\ Specified Strength (PSI): LA Water Added @ Jobsite (gals.):Addmixture: Q^•Z-�- �c'fi Concrete Temperature (F): a+ Truck #: 4y Ticket #: ( 0� Ambient Air Temperature (F): Field ID Marking: ` ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ,`None See Below Location of Sample:(' n ray t , r ^ r•, n � (`. C; r \� No Samples Taken Description of Work Inspected: �,�� 4 ���•` \ �'� r� LT�u,�n J- A t n. h� �'�r. • r\ r ..-\P C`P, r���` .i \ C?.� r �i \.•r. f"' � � ��al ., �4 ..t o ♦ �•en piin ;c , J Ne ti t, c y F, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certif'cation No: 0842216-49 \ to c) t� .,�... Contractor's Representative: , f� QA x-r "� Copy 1 JCM Inspections Copy 2 Project Superintendent ;T v Copy 3 Governing Agency Page t of JCM Inspections " 39725 Garand Lane Suite F Palm Desert, CA 92211LT INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 60 INSPECTIONS WELDING INSPECTION REPORT Date: 11-0ff Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS 7✓ IBC 0 D 1.1 Title 24 F] D 1.3 ❑ Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:; \RI��eJt�.7; nn M e �(. ^� ❑ Shop [E-Field 'J Unresolved Items: ❑ None See Below L.Iw1,. =. �. < n . r ,. �• R►, ? 4 T -N C, c.• , CA P � ��1 �_ % �► �;��:�' 1� s, A— , C, 'k .. r S .. ; ., •-, � �_ C •.. o S � 11 `\^1� t> �. r�tS F n ? ` M'a "i . � r n:,,i U 1n . (o,* -1; AA A r 'Q r. �Ary WiZV �� rQ C�•,-- y` r �� rP� t �,\ .'Ar V-114- C_10 _✓ I <s�t r.3 ` �nn !..• ,.,tom ^�i y \ - C" ,n,._-•\n?.��.r#,•l� :.... Vs � �. n... .:1 ' n A' M � Al. .. 1;. ii f' f' ..4 . 7 Y J l Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size (� y VY Ir '. rP P l �� c. Co �(O X LA I hereby certify that I have inspected all of the above 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 project completion. o- 0842216-85 Inspector: Jack C. Millin ICC CertificatM__. X. ( r tive: Contractor's�Rjf/erP �, R 7td Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of t JCM Inspections 39725 Garand Lane Suite F Ll ME, Palm Desert, CA 92211 Ll Em INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: g_ \ l_ 0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): R, 00 Supplier: tt \?- Time Sampled: �', X15 •.�\ Mix Design: 6_'35 r)2,Title Time in Mixer (min.):Inh Specified Strength (PSI):a J 0 C, Water Added @ Jobsite (gals.): o l Addmixture:.SlV c. \U Concrete Temperature (F): $ n Truck #: `�ot j� Ticket #: g 5a Ambient Air Temperature (F): Field ID Marking: -,5 3 X k (� Cl�l Q✓ IBC 24 Other: Unresolved Items: ]'None � See Below Location of Sample: CK`t\ Lk �Ar, ; , • r W c}.Iy �� C, \'1l, - �i Cj t (3v —L) I`o ' ❑ No Samples Taken Description of Work Inspected: Cil pr, i V(�t..k r �r \ , ` e (1 r c �i •e:\`'�t+i � lrairf L � �-rte 7')�"� .�� t_L'i � `�\� �•• `c'�; Qn �� ��v; i,7.� C_ Toth o\c _�G,IS r.\1\� rF\C. �. CC.dr\ CStT " j C, r',, t r}, t .) 3•j � U C Q1\,t , IS t,'. ` 14 (�� �Cj y �• �� 5 •.•,\ `.. rt• •n $ Lt -C S.�. t'a`i T , n r t Ar -A• z n ,'1 N t` r k<-- \ cCo t. wog C_\<1;3Y c�cr+ V, Wl�. +x r 1 �\,\ : Cl �"C1, � C � . ♦ r'�s. �\r� C r I �f . \ \ '�'�C r�1n 1 � c n.Y V i 1J C�� C1 ^' �+ 1ct S (A t �� � � � r, � n` � W\0 , r?\ �� q (,j>n1��t�C def �C7.� r Vr\Q <C.�.1C1 C .l C:>KQ11� 01' f>.\. S �� 4r n.'l2. r1 i t� � �i�\ ^ 1\ i �DSCS , •". , I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C.Millin ICC Certification No: 0842216-82 \*,�! ► C.-, . Contractor's Representative: r--101V,V-a",✓t C--./ - Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 L—T.M% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: $ , ` pg Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Q✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: `None Ambient Air Temperature (F): Field ID Marking: 0 See Below Location of Sample: a No Samples Taken Description of Work Inspected: OX ,r` Wi c," . Rc3 —� M.InA0 a o\ rc' 71nr r . .,V. \tet' h C r d rte: P, n /1 c . r r . �� c c e. l 2. C r( CC_' c C \1c' n ^, C � >.ce.S C� : UNM.S 1c �_ +•'� rc(t Cf ,, � Q+ Q+� 0 \^ Va0'1 � tN�vo, A\� r` e"'n4, C.- r,\) _(3. c r\t, �1 r n' t "A I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack\C. Millin ICC CertiflCatlOn No: 0842216-49 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendentpy 3 Governing Agency Page of� .1 NLAND'INSPE-CTiONS & CONSULTING 7333 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92503 (951) 697-1000 ® FAx (951) 697-1030 DSA FILE# . N/A SPECIAL INSPECTION REPORT DSA APPL# N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. , Client/Project Name: JCM/ Madison Club- Clubhouse/ Men's Building and Pro Shop t Date: 8-8-08 IIC Job No. 1488018 _ t DFR #: , Project Location: 53`d and Monroe, Rancho Mirage CA �' Time Arrived: Contractor: Whites Steel Bldg Permit,#: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel O Pre-Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High Strength Bolting ® Other (Field) ❑ Foundation ❑ Shotcrete ❑ . Metal Decking (Magnetic Particle Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Magnetic Particle Inspection was performed on'the above project. 16 welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached Magnetic Particle report for pieces inspected. ` Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS the Work'Inspected X MET ❑ DID NOT MEET OF THE DSA APPROVED DOCUMENTS THE REQUIREMENTS OF THE APPROVED CUMENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS c cc: Project Architect- Signature of Sp cial Inspector Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- Printed Name and -Title DSA Regional Office- Certified By Certification Number . School District- AWS 86110023 IT&T Level II INLAID® INSPECTIONS& CONS' ING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-10.00 ® FAx (951) 697-1030 0 MAGNETIC PARTICLE INSPECTION REPORT Client: JCM Inspections. a a) N UY N Q m 7 L U_of Date: 8-8-2008 Project: Madison Club- Clubhouse/ Men's Budding and Pro Shop Job No.: 1488018 DSA No.: N/A AG -A8 South Bottom Flange Invoice No.: Building Permit No:: AD -A9 North Bottom Flange Report No.: 5/16" Reinforcement (Men's building 2nd Floor) AD -A8 South Bottom Flange Reviewed By: Fabricator. Technician: Wade A_ Clark Code: AWS D1.1 Welding Process: FCAW Surface: As Welded ASNT Level: II Equipment: Magnaflux Y-6 Test Method Standard: Acceptance Standard: Product Form: Build up Type of Material: Drawing No.: Production Stage: [ ] In Process [x] Final [ ] Other X For Welds: [ ] Root Pass [ ] Intermediate [x] Final Pass X Technique: [ ] Wet Method [x] Dry Method [ J Fluorescent [x] Visible X [ ] Coil / Cables [ ] Head Shot [ ] Prod Method [x] Yoke Method X Current: [x] AC [.]DC Amperage N/A UV Meter No. N/A Product/ weld Identification a a) N UY N Q m 7 L U_of Defect Location Or Remarks ` C U n D S AC -A9 North Bottom Flange X 5/16" Reinforcement (Men's building Roof) AG -A8 South Bottom Flange X 5/16" Reinforcement (Men's building Roof) AD -A9 North Bottom Flange X 5/16" Reinforcement (Men's building 2nd Floor) AD -A8 South Bottom Flange X 5/16° Reinforcement (Men's building 2nd Floor) AG -A8 North Bottom Flange X 5/16' Reinforcement (Men's building 2"d Floor) AG -A7 South Bottom Flange X 5/16' Reinforcement (Men's building 2nd Floor) AG-Al2 North Bottom Flange X 5/16° Reinforcement (Men's building 3'd Floor) AG -A11 South Bottom Flange X 5/16' Reinforcement (Men's building '3`d Floor) AG -A10 North Bottom Flange X 5/16" Reinforcement (Men's building Roof) AG -A9 South Bottom Flange X 5/16" Reinforcement (Men's building Roof) AG -A8 North Bottom Flange X 5/16° Reinforcement (Men's building Roof) AG -A7 South Bottom Flange X 5/16" Reinforcement (Men's building Roof) AG-Al2 North Bottom Flange X 5/16' Reinforcement (Men's building Roof) AG -A11 South Bottom Flange X 5/16' Reinforcement (Men's building Roof) AD -A9 North Bottom Flange X . 5/16" Reinforcement (Men's building Roof) AD -A8 South Bottom Flange X 5/16" Reinforcement (Men's building Roof) The UV intens' was verified at the rescrii) intervals:. Yes No x Not licable INLANO - NSPEC. ®NS & CONSU.LTiNG 7335 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 ® FAx (951) 697-1030 } DSA (FILE# N/A SPECIAL INSPECTION REPORT DSA APPL# N/A, Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special Inspection,, on a daily basis. Each report shall be completed and signed by the special Inspector conducting the Inspection. Client/Project Name: XW Madison Club- Clubhouse Date: 8-8-08 IIC Job No. 1488018 DFR- Project Location: 53nd and Monroe, Rancho Mirage CA Time Arrived:" Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel. ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete 0 High Strength Bolting ® Other (Field) ' ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic,Testing) ❑ Batch Plant. ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project.., 71 welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. r Use Additional Sheets If Needed The Work ® WAS ❑ WAS NOT . The Work Inspected X MET ❑ DID NOT,MEET INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS THE REQUIR MEN OF THE APPROVED DO MENTS OF THE DSA APPROVED DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS f . cc: Project Architect- Signature of Special Ins ector .A Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- Printed Name and Title DSA Regional Office- ' Certified By Certification Number School District- AWS 86110023- IT&T Level II 'M :t N' LAN' D INS'P,'.ECTIONS.& CONSULTING 7336 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 , Fax (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8-848 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's Building CODE: AWS 131.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [Xj ANGLE [X] HIGH ENERGY [ j NORM ENERGY CALIBRATION: [X] SOUND PATH,[] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ I GLYCERINE [ j OTHER: SIGNATURE: ' DECIBAL READING DEFECT LOCATION z O W LL= LL O W N= ZW O Q V V N~ Oar Q LL� OZ W Z H W V Co J W' UJ Lu �W ZO 0 I' ku JZW =OW W �O YG W ITEM IDENTIFICATION V W z Q O W W U. J Q w w v Z O V Z Lu a u W W = W Q F Z G J K Q LL O J Z Q to O. 1 AD -A9 North Top Flange X 70 1&2 52 7.5 112 2 Bottom. Flange X 70 1&2 52 7.5 1/2 3 AD -A9 North Top Plate X 70 1&2 52 7.5 1/2 4 Bottom Plate X 70 1&2 52 7.5 1/2 5 AD -A9 Web X 70 1&2 52 18 3/8 6 AD -A8 South Top Flange X 70 1&2 52 7.5 1/2 7 Bottom Flange X 70 1&2 52 7.5 1/2 8 AD -A8 South Top Plate X 70 1&2 52 7.5 1/2 9 Bottom Plate X 70 1&2 52 7.5 1/2 .10 AD -A8 Web X 70 1&2 52 18 3/8 11 AG -A8 North Top Flange X 70 1&2 52 7.5 112 12 Bottom Flange X 1 70 1&2 52 7.5 112 13 AG -A8 North Top Plate X 70 1&2 52 7.5 1/2 14 Bottom Plate X 70 1&2 52 7.5 1/2 15 AG -A8 Web X 70 1&2 52 18 3/8 16 AG -A7 South Top Flange X 70 1&2 .52 7.5 112 1-20 Moment Frame Beams and Seismic Plates 2 Floor (Men's Building) 21-30 Moment Frame Beams 3r° Floor (Men's Building) 31-09 Moment Frame Beams Roof (Men's Building) 70-71 Repairs for 7-29-08 Report SIGNATURE: ' 7338 SYCAMORE CANYONBLVD., STE. 4, RIVERSIDE, CA 92508 . (951) 697-1000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 622-08079) DATE: 8-848 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's Building CODE: AWS .D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH 0 PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: SIGNATURE: 4 DECIBAL READING DEFECT LOCATION Q V LL W N Co V O N a Q W Q. H OW f, {Z J mar �� N. Cai,N W G �LL U. W �V =Z F.. — N(J zUj Z ►- W V W N J Z z W U J W W R W W Z O �u!- U Wz ~ W C9 JZ W 0 =� W HU! 0 C9� Yp W ITEM IDENTIFICATION 0 W O w W W W F 4g U. W Z z O uai Q W W = w Q R.FQ Z 0J �'� Id LL 09 �? ca —Z 0. 17 AG -A7 South Bottom FIg X 70 182 52 7.5 1/2 18 AG -A7 South Top Plate X 70 182 52 7.5 1/2 19 Bottom Plate X 70 182 52 7.5 1/2 20 AG -A7 Web X 70 182 52 18 3/8 21 AG-Al2 North Top Flange X 70 182 52 7.5 1/2 22 Bottom Flange X 70 182 52 7.5 1/2 23 AG-Al2 Web X 70 182 52 18 3/8 24 AG -A11 South Top Flange X 70 1$2 52 7.5 1/2 25 Bottom Flange X 70 182 52 7.5 1/2 26 AG -A11 Web X 70 182 52 18 3/8 27 AG -A11.3 West Top Cant. X 70 182 52 4 1/2 28 Bottom Flange X 70 182 52 4 1/2 29 AG -A11.6 West Top Cant. X 70 182 52 4 112 30 Bottom Flange X 70 182 52 4 112 31 AC -A9 North Top Flange X 70 182 52 7.5 1/2 32 Bottom Flange X 70 182 52 7.5 1/2 1-20 Moment Frame Beams and Seismic Plates 2 Floor (Men's Building) 21-30 Moment Frame Beams 3°d Floor (Men's Building) 31-69 Moment Frame Beams Roof (Men's Building) 70-71 + Repairs for 7-29-08 Report SIGNATURE: 4 INLAND INSPECTOONS & CONSULTiNG 7333 SYCAMORE CANYON BLVD., STE. 4,, RIVERSIDE, CA 92503 (951) 697-1000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8.848 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X) SOUND PATH a PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ j GLYCERINE [ ] OTHER: DECIBAL READING DEFECT LOCATION S Q LU W W y S Z LU 0S W N Q O U V W U Zw Q G a Q LL ce LL O= V w Z H W IL W CO f3 Lu W W _jZ W W WH Lu �W JZW Hf'AW L70 Yp cITEM IDENTIFICATION Q z Q J6L > it a LL c Q Z Q y z o Q Z 3 a a 33 AC -A9 Web X 70 182 52 18 3/8 34 AC -A8 South Top Flange X 70 182 52 7.5 1/2 35 . LBottom Flange X 70 182 52 7.5 1/2 36 AC -A8 Web X 70 182 52 18 3/8 37 AG-Al2 North Top Flange X 70 182 52 7.5 112 38 Bottom Flange X 70 182 52 7.5 1/2 39 AG-Al2 Web X 70 182 52 18 3/8 40 AG -A11 South Top Flange X 70 182 52 7.5 1/2 41 Bottom Flange X 70 182 52 7.5 112 . 42 AG -A11 Web X 70 182 52 18 3/8 43 AG -A10 North Top Flange X 1 70 182 52 7.5 112 44 Bottom Flange X 1 1 70 182 52. 7.5 1/2 45 AG -A10 Web X 1 170 182 52 18 3/8 46 AG -A9 South Top Flange X 70 182 52 7.5 112 47 Bottom Flange X 70 182 52 7.5 1/2 48 AG -A9 Web X 70 182 1 52 1 3/8 1-20 Moment Frame Beams and Seismic Plates Floor (Men's Building) 21-30 Moment Frame Beams 3'd Floor (Men's Building) 31-09 Moment Frame Beams Roof (Men's Building) 70-71 Repairs for 7-29-08 Report INLAID® INSPECTIONS & CONSULTING 7333 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA -92508 (951) 697-1.000 ® FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8-8-M JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse Men's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE pq PASTE [ ] GLYCERINE [ ] OTHER: SIGNATURE: 1♦ DECIBAL READING DEFECT LOCATION 1 v W U. U. OW y U c, _ Fai _ Q � a Q V LL H lL O CO J H Z J tea' O f U O W ��. W W U. =Z Z - W Z z - H W W Z til 0.j W W W W Z W H W Z (9 -�Z Z W Fto 00 Yp QITEM IDENTIFICATION Q � � Q z Q J Wa' � Q LL o ga � z Q N z Lu � Lu Lu 49 AG -A8 North Top Flange X 70 182 52 7.5 1/2 50 Bottom Flange X 70 182 52 - 7.5 1/2 51 AG -A8 Web X 170 182 52 18 318 52 AG -A7 South Top Flange X 70 182 52 7.5 1/2 53 Bottom Flange X 70 182 52 7.5 112 54 AG -A7 Web •X' 70 18.2 1 52 18 318 55 AD -A9 North Top Flange X 70--182 1 52 7.5 112 56 Bottom Flange X 70 182 52 7.5 1/2 57 AD -A9 Web X 70 182 52 18 3/8 58 AD -A8 South Top Flange X 70 182 52 7.5 112 59 Bottom Flange X 70 182 52 7.5 1/2 60 AF.2-A10 South Top Cant. X 70 182 52 5.5 318 61 Bottom Flange X 70 182 52 5.5 318 62 AF.2-A10 North Top Cant. X 70 182 52 5.5 318 63 Bottom Flange X. 70 182 52 5.5 318 64 AE.7-A10 South Top Cant. X 70 182 52 5.5 318 1-20 Moment Frame Beams and Seismic Plates 2 Floor (Men's Building) 21-30 Moment Frame Beams P Floor (Men's Building) 31-09 Moment Frame Beams Roof (Men's Building) 70-71 Repairs for 7-29-08 Report SIGNATURE: 1♦ 1 INLAND NSPECTONS& CONSULT�NG* 7333 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951) 697-1000 . FAx (951) 697-1030 ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 8-8.08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison. Club- Clubhouse Men's Building CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: FCAW SURFACE: As Welded " EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [X] SOUND PATH 1] PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: z O Q LL ~ ITEM IDENTIFICATION F- d 0 Q -W, d' O W NJ z13 Q c Z DECIBAL READING DEFECT LOCATION W =z H z W JE U. OW ZUj Z Yp O W H3 z Fz 0a' F- Ve U-1 z0 U a> LL> W v IL P CJ �J QLL G� S' zW N G4.y W �N W WOW =SW z= O.5 = a= = JZ QUID a 65 AE.7-A10 North Top Cant. X 70 182 525.5 3/8 66 AD.7-A10 East To Cant. X 70 1&2 52 6 7/16 67 Bottom Flange X 70 182 52 6 7/16 68 AD.7-A10 West Top Cant. X 70 1&2 52 6 7/16 69 Bottom Flange . X 70 182 52 6 7/16 70 AG -A11 South Top FI R X 70 1&2-. 52 7.5 1/2 71 AG -A11 Web R X 70 1&2 52 18 318 1-20 Moment Frame Beams and Seismic Plates 2 Floor (Men's Building) 21-30 .Moment Frame Beams 3`" Floor (Men's Building) , 31-09 Moment Frame Beams Roof (Men's Building) 70-71 Repairs for 7-29-08 Report 5 JCM Inspections 39725 Garand Lane Suite F LTMI.NJPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 On INSPECTIONS WELDING INSPECTION REPORT Date: $ _,;... 02 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/ IBC 0 D 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �� t, c l 1 w. �J \�. P ❑ Shop O'Field •N)'n r Unresolved Items: 21", None ❑See Below (� (� �\ �•\r4 t-3 )(� C � -� � U � � c� C ° t� �( r',jI'v r+ \ i .,n �n� L'�l f! .^' r"\lc>>Jo t1�(4S ("n� 0 nxz . ;l o W CAD 4) C T� 7 �. F?o `F nr 1 P n � � �� (? �' YJh n m S'� 1�0 5 co ` C, rk I C` . r 3\ . r t n frt V,�\ \ � �c� C t' s1 c \ r,-,,r C_ O n \r• 1 (J yr-1 t - 1 a._TQk �O T��o�- laJ�-?7�� �r n•;``t v��`s . r�t `"��n W, (7 .C-.� vJ a� x.11l\l�) t._ r.,� \C d �-, t c, r., � . \�P� \n) c? 744' i �.>.C' \ , %,0— Sr LQ � � C, 't ^,\\ � �' v�i``!?``�'� �n''t.,-\ `1� �C,1r'1\.', ��A (�� �r �b �ta A23�7(5�r�1�n ►-�(n+'� �(����1fi t t k nl�S -' v! �� . � 1 Ct m� 1 n O �.a c.1-<•� 5�\���� ��-. Jcj"� '� . �`t RM �n C� �7'�, n`F �tC� t' �n.`li�f r , � v Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size Fc� cocn�r� ✓ W:C� ,U7�, SL's. .3a C',r15 ✓ [`!3�Lit�'t4_ lJ\\1jor•C�Ct1r` y Ir f� i �tt t� ,� r'{�r> C fil 'c„ c t C I hereby certify that I have inspected all of the above 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 issl eedd at project completion. Inspector: Jack C. Millin ICC Certificat on No:�, 0842216-85 G I� - Contractor's Representative: r _1b _I K' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of 1 kc_ JCM Inspections 39725 Garand Lane Suite Fii Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: :&=I _08 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ❑ D 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �) W — •Q'% F-1 Shop EJ-Field O +� �� �� .cz -� 4.t Ln� �� t: � , P n n .. o .1 unresolved Items: ff None E] see Below C� Steen �� oCe`l�.rn Cc7n,lcc����y WceC 1r�,G�e•(� �c��t 4��Si `y oDJ `� vac "C�1S l ISD Tnn 7���c,.�.�,�cic W�(.0 r� ��� DC7\l .�r� �Ics ,11ce.,^7 %ll� • ����^ �.M t� �t ��o�� 'fhc� c� �`-•C 1 > ''C{ 0 fXi t n.1 t",&, �. _ G`?CC� t1�\Q•cr.n��1 R �� l � 1` \So,` t —A r) I1\Tf , <<�r1 Q t tac?�C �IJc`\tiS �� l c� �O r� �\cv^ c �} (A C, (1t1C\a c? n (�1nu NG e- ?.`� � \\�• '�`� �c°� v�� • �. �—�n� �G `cam �\\ � �1�" � 0'2, '�n� C 'r'�^��: G�'e.._ �ets m �, , � �.t� .. A. Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �1\\oss � � � yS���3Uz3 Ls\�^�..�b! ��ec�. e�:ec,��•��sL �. Ct1[r (�c�'�7rC\�cC I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 \C,UZ_, Contractor's Representative: "_J� 0.4�� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of JCM Inspections 39725 Garand Lane Suite F ` Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 -- 511 - INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: -1-o% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): C Supplier:- r^Ce C t' Rc C� Time Sampled: S-r� p p : Mix Design: p Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): b,\ Addmixture: �j;1��c \ Concrete Temperature (F):"7 4� Truck #:(F r��{ Ticket #: Ambient Air Temperature (F): � Field ID Marking: SA -1X._ �w (� � k, Q✓ IBC Title 24 Other: Unresolved Items: �✓ None � See Below (� Location of Sample: C tr�71 c> , n , -� c � �- - Cc, �V Gc Q ��� 5 t _ L� " `� No Samples Taken err Description of Work Inspected: � A ) � lzl\ca ceNf-nc A �`C �aZ r c. r • , n W �.. C_ C' 4�'N\-Z , t L1 Ct , C. C QS 4 to c, co�i�r 1,•S�Ln t �3 cl' .O �pr�cczS "Agnc. le -4 cFCcT0 - \ ,a \ c.QW'P o 0 oc �e ,n� W 5,2r \t,n stn �n�c�y, Cu.\• �' \K CCT. •� !1 Y't\C.C�Ci1�,C. VI��'«� :i\ W� lt�j� / (j C(�i'l\�b��.0. t-'�. \ \�: � >; ' 1 a , , t � a"� �� c oz CS- a I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 C" ' %!L_ - Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page A— of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 1 Em INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: S- 7 -Z)c?, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: , �3 �^ Time in Mixer (min.): LIS Specified Strength (PSI): Jf�n Water Added @ Jobsite (gals.): Addmixture: P n n 7. 4 P7r] n Concrete Temperature (F): ��� Truck #: Ticket #: in�C�2 Ambient Air Temperature (F):Field ID Marking: ❑✓ IBC ❑ Title 24 Other: Unresolved Items: O,None See Below Location of Sample:„ • �"� r, ❑ No Samples Taken Description of Work Inspected: LN r. I \ R 1 \ c '. � c o .�'1 t ,- r �. � .. ri_ r• a c, Ll .�.'"-s -3 . CJ' ���Wr �..� r.� � n r'.Y.��n c� ,c.. �r•r..c�� '�-, C,��rirn r� \ -•�- I"ct �� y •C _ {� tea' C.P" An, (n A e, r < r f, r. E MCA'� l I� � > �� r� . � �t>r,�� n• /c5�h r ..� [^ h ... .. `� r � a Q v re.. ,•`\ ( tt .-.� � � h_ tom/ �?� 1 1i . �� � f'! r \. � n ^ I. r ` `� r\ e . M •• Ja �'4 � i� � r\. /•f .1 �, r q n h c�._ vC c� c� r r• c- w �� r c. '_ �.. s#NIL C M. -r 40. v t r n , GWS 1 91N 1. ,le-, Ad r,� •. _e s Dta. A�%t•a` I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificcation,No: 0842216-49 Contractor's • Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of JCM Inspections Mm 39725 Garand Lane Suite F LTIMNJPalm Desert, CA 92211 6TW1.%J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: %(.0— d$ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS ❑✓ IBC 53-035 Merriweather Way La Quinta, CA Q D 1.1 Title 24 O D 1.3 Other Client: Sub -Contractor: Sladden Engineering White's Steel E] D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers (� Description Work Inspected: [—] Shop of ❑ Field R. Unresolved Items: None ❑ See Below , ,»l, c�.e+,...,�c. .\ \ \ i(• ( `. , W/ .. 1, \a�, 1r�-- �•.\1*` r n ^ (F i . rt r ^,N - i 4� _T'� � � � 1 r_ r'� ` � e �� � �, n�^•C' �'1 .Ka ..n � m... `�F\ a '""l ^ � �'1 n r !.i • . fes, k-� . t � t rl a� n . W ���.. �•��nA A.�. �.�f!ra� ..��r. ^ i_ �.. .-, — �. ��.N -c'1+. �.r^.el +'-i.f� Cr1o\r Ir r•n� , C R � r ., �(a� � �w s b � "!r-. rw �- la., ,..�� ., K'� n .. v`• 5 � l'T£' k'� ,...� r....� �, t �(', ^, !L k- O R r \ '� p C� Ae b�, n •+ 4. .e C.r1 A��.. .4 1 !, f?.+T11 �. n\.1 r\•� 1...\f`t I..A X U10 -l.. 1 ''^\L \`. �.-< .. +���-.e W� ���f� `,. S\lam rVA�we ♦_�.�V�d. A.1 .%d..� Wr�A4 ,i.�\1�i��S " Il�\ r1\...�r r`„ \-�d_�c..'c 1•.. r,i sE.,. .,, n \ wtil-n F. �a l c+_- � , �n 1 F � nDt�n f1.1 Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size �.. Q -W ��'• l.�r.�ia. r'S w>\.�' !•.� .tl I�,.. � �,ri. � f .,! i �f^.� r�t +'. �. � � \R.�`(� �. iiltw � `! 1 t -+'1O r..� r'•.o V � � t'' . �') . � � 1�n �4l fi. \J4 S� 1.+. Y'C t r, r. n', t " \tom .� ^ '*V � N l �Y rC C 1� •-# �. .. a .. CRS n k1 V'�! r rV C� R+. +� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificatron',No: 0842216-85 ContY ctor.'s Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of �� JCM Inspections 39725 Garand Lane Suite F LT.MJPalm Desert, CA 92211 1 ME INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: -cc-�Qp Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches):Supplier: .r ❑IBC Time Sampled: tj ; aO e_ -,V -e\ Mix Design: ��5� ❑ Title 24 Time in Mixer (min.):q p r Specified Strength (PSI):-�-1oC� Other: Water Added @ Jobsite (gals.): Addmixture: -4--C ked Unresolved Items: Concrete Temperature (F):�� Truck #: 1(9 Ticket #: dNone Ambient Air Temperature (F): �tQ Field ID Marking: - 3 y�j( jr, ❑ See Below Location of Sample: IZ_%1(<N11k IR r,•, Q`C _3 y ' �� y\ _ ` �G ❑ No Samples Taken Description of Work Inspected: A IrX�� ntCYlltr�i ��T� ,l>sV �� , t C-c-1ICjCS�1C V LCrQC...�- ``D ,.� t c>� >•5 v. ��c, c . r1 n , -�a.� 1 s = ��,. tor-•, ���. Q of s n „� - u ��, � n S V.1� S -- � f - D Lk 1A ���k \ •C� V�•Sisnf; W ,. �,� �t�w1 G�� �� CC.G ( �n !� CU�1�,,,� v�c� t C�,LS�� ��C� �� l ham. �[!� ..3t, q q —o" o�_ C,„,� ,� � alp�(,k\G��+ �r, S<C-�1�,� . A �1 cc Cc�� t�ccc.rr\e,. �� or �c c• a, 3, JS3 ()q ar3,'-1,5� S,3.o5 't�f�. 1cViS t' f J3'ot i�I j3 b, 7i �S,LlLt ; os . cvcc\\Cc.IX,C p�cc , t ✓ ��Gcv �' QncCS v,�f`CC �� r�?c<<.! ,^\\ ..t�., ••-� yl(1$ O \ G,t . �S \� C ^ ,rte`- : 1 • � ♦ A l'�'1 C".C�'�f1 ,� , C� t 1J l �"�.: ii `C' V.Y” .� l l� n � � (7 C i� (1 �`F' � ��- � ^1 _ t e 4 M cs�f'�.': �((�� o.,._ - �.c ��c� Co, CcSS�c�.•� S �. �CCr. `F -S L' '� �C�, t�, ;7'`�JCl�: I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certii ci ation No: 0842216-82 Contractor's %Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of JCM Inspections 39725 Garand Lane Suite F LTM1k=JPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: a- 5_ OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q IBC O/D 1.1 Title 24 E] D 1.3 F-] Other E] D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: V'` O`A ) ` r�S �`�� > �.\ _ [-] Shop 0 Field ,W1�- t��\ t� z( ^��} Unresolved Items: None ❑See Below � �(Jr^r\t-A 1 r nuc���j�,L( l/�'� � \ �nM 0CC)x<IM�h�rO anet\} "�n.�. \.AC ck.Q) �IS�n��c� NDOVJA '�t �1P4 5 ,�c. 4 o c>.r� \r<\�r<c,� �S � W n� , kl o C>C• (-r,, Q\� cmc► , `` 1 °` :4-oWAC\ C. IN. 1Z tr n-�r,1, i C. . �C 1) c Ccs. C r ., r� 1 �<',�Fy 4?�l � C i� 1� e \r< �� mac, f` J-\ obn��°r �� r\e".�1�� o •1 , C; t?o rt C n 4) t as P , o s 3 \ \ �"\ G , , ). \ - Sa � r .1 f•, �(\ � �1 %1 •--'\M—�r�c�w'— 2 \' rlNX, C�'1\ S e 1, t IP n a �j,� � _�.r r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size \\v\R llC �f'C71. Q`�1C Cj I r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Ja k C. Millin ICC Certifica Itlt on No: 0842216-85 �. c-, \ J Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: (� Mix Design:S Time in Mixer (min.):rl l \ Specified Strength (PSI): �— o ff' reng Water Added @ Jobsite (gals.): 1A Addmixture: 5•� ��� Concrete Temperature (F): Truck #: Ticket Ticket #:�P '� Ambient Air Temperature (F): Field ID Marking: ���' 3 � 3 X � � ZIBC ❑ Title 24 Other: Unresolved Items: ©None ❑See Below Location of Sample: --- J ❑ No Samples Taken Description of Work Inspected: A Vr �h c. C n ra r c�.s , V nL� �2 n n r� W S ` • ` r' 1 t + \ ll < 4� �' •\4\•� - VGA\ •ll�r �(1 'iC�rk 1�^1 Ili' 1f��t— �p.�I�. C CT�1�.\'G ,• \ LA �� . \ ^ (.�4 � F� M�� 1n ►. ?•1 . o n S(`r�\' r\ C.,. �`tc. C LN ,(`� '^[ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. M'Ilin ICC Certificatio No:. 0842216-82 L -•i Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LLM% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: g_ S Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches):nr , Supplier: Time Sampled: q Mix Design: Time in Mixer (min.): Specified Strength (PSI): O c7 Water Added @ Jobsite (gals.): J�--. Addmixture: %R611 Concrete Temperature (F): �,� Truck #: I-PTicket #: �(J Ambient Air Temperature (F): Field Field ID Marking: �a c-, C IBC F] Title 24 Other: Unresolved Items: O�None ❑See Below Location of Sample: '(fin �.� ❑ No Samples Taken Description of,Work Inspected: P `` rInn � �!! r% r% \h 0 4)YX. UA.\tP��. r{ln c �k r�r�r to r C.�1 t ♦ j�� \ n of C�Scr+ �"\ R Xv ra 1 a A I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificafio�n\No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections amm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 IT.M.J INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 5�'-L�-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): r, SupplierS>vc c_ V ��� ov Time Sampled: Mix Desigr7,,� c c- � f� -Q. Time in Mixer (min.): Specified Strength (PSI): dDb Water Added @ Jobsite (gals.)S ?e� �n , Addmixture: n ��- Concrete Temperature (F): Truck #: — Ticket #: - Ambient Air Temperature (F): Field ID Marking: IBC ❑ Title 24 Other: Unresolved Items: eNone ❑ See Below Location of Sample: E]No Samples Taken Description of Work Inspected: (1', IA -)L Y_ LL C V"\lU's co�,�s�� ��, �� F',t� c� C>'o --LA � 1 ♦ 1 � �C Y.L. ` , � `' e �. \ ,/y� f' r . c� \ c�� as �_�,r�t+�• a _c, s C S31# L4s3 0 4 LS 3 1 S3 6`7 SL4 L-1 i Q'S q S- C�'IC.C.`�- J Gu 5 C.� r C' CF "I r-%Ct' l(1 r I hereby certify that I have inspected all of the above 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 project completion. Inspector: kack C. Millin ICC Certification No: 0842216-82 G ...- Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Cdpy 3 Governing Agency Page 1 of JCM Inspections - 39225 Garand Lane Suite F Palm Desert, CA 92211. INSPECTIONS Phone: 760-345=5554 - Fax: 760=772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT . Date: <:& — -o Project Name: Project No: 522-08079 The Madison. Club - Members Clubhouse Permit # 07-1055 Project Address: .City: 53-035 Merriweather Way La Quinta, CA Client: t Sub -Contractor: Sladden Engineering t Lippert Reinforcing, Inc. General Contractor:Architect. Structural Engineer: Lusardi Const. 'Bar • KPFF,•Consultipg Engineers Slump (inches): Supplier:' ❑✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): :Specified Strength (PSI): Other: , Water Added @ Jobsite (gals.): ` Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket#: None Ambient Air Temperature,(F): Field ID; Marking: See Below Location of Sample: ©',No Samples Taken Description of Work Inspected: o ..� •• Q ns, � u � nG` �1G' ; d• \ w. q•d�'1n t� . � .+� r. n -* �. f S �Jra f . \ l '�,�e., `O:n t c, ,y C. �? e .L C '�01 n:! S oc Ccs to ��CC0w1�`;... f1 inc —6 1Q.uc. ar- ` L cl� c Lt3- rv\,f G c r i •a �, Inc 5 3 Q © I. — �� I— 3• . C ?��? s'� 3.�( ',�.�i:1G?S''''�S3'ol _'`� q o-`-, n c• S c� e r�..�_ . `', . '��-�.� 3 • l� �+'�• �Y- C o C7 QLsr�' S� :`n e�.�.. " • ' 1 .KKK �.� � C C .s �� oo•C' . ` � �<<, `r.�. � on � 1F�f'�-. � • ' G- n . n ( f v �� in r ; c7 \C.c4 A' 6 `CC 1. Le "C O' c:t?1Z` \nn ,- CCe\'.-r,• n Si.Z..��Cc.�v.�•f',�� •�'(J\scoS c \�5 SCcu �1cn _I�- 14 ••-C..C7Jf>C'Ac:C,�, 10 t �• ,-oAtom.. 1l� , Vt, (t, r7 Y� � S �i�8 �6Y\C�,C O�1 J''�i'.:.� /s'a7'�i`;l ' � ` � "' 4, t5^� e•ns �'�c. .F� nuwr\. 'n.. G,n C. S• . C[�Cn-ate �V� � \\ «� V� k\ C.ilh� l W £' .rt '� ^ t� �t-.%' ' • o.�� �i"vA O^C S�CS )ee C� ut1 Gja(1 ( L r Q�SmnS t!T�ri Ott�l".. V^11 I hereby certify that I have inspected all of the above work, unless'otherwise noted and to the best of my abili 1 have fiound this. to comply ork with the approved plans, specifications -applicable building laws. Final report issued at project completion. �, Inspector: Jack C. Millin . ICC Certifi atiom-N�o: 0842216-49 Con tFacto rs Re6resentativ' `..� • Copy 1 JCM Inspections Copy 2 Project Superintendent ' Copy 3 Governing Agency . . ti Cn v 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE,, CA 92503 (951) 697-1000 0 F,vc (951) 697 -1030,- u - DSS; A- 97-1030.✓aA. FI LRE WA - Soeciai inspection Reports must be distributed to the parties listed beiori within i4 days of the inspection. Reports of hon-comoiiant cohamons must be distributed immediately. Separate reports shad be prepared frir each type of special inspection, or, a deity basis. Each, report shall be :rrnpleted and signed by the special incper4or conducting the Fnspedion. Client/Project Name: JCM1P/ Madison Club- Clubhouse/ hen's Building and Pro Shop Date: 7-23-08 TIC Sob No.. 1488018 DFR Proiect Location: 53" and Monroe, Rancho Mirage CA `rime Arrived.: Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travei Tillie: Tvpe of Inspection ❑ Reinforcing'Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing 1iEngineered Fill ❑ Concrete El High Strength Bolting 0 Other.(Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Magnetic Particle Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: T As requested by the client, an Magnetic Particle inspection was performed on the above project. Nine welds were inspected and were found to meet AWS DIA,minimum requirements. Please see attached Magnetic Particle report for pieces inspected. Use Adaitional Sheets if Needed The Work ® was ❑ WAS NOT INSPEC CG11V TRE REQUIREMENTS The Work Inspected X MET 1:1DID NOT MEET ' OF THE DSA APPROVED DOCUMENTS Tit€ PFQuzPrm€NTS OF TRF APPROVED DOCUMENTS Material Sampling ❑ WAs ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A. Clark (Project Inspector) Project Inspector- Printed Name and,Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 IT&T Level II ANLANDIISPECTIONS & CONSULTING 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA -92508 Y+LL (951) 697-1000 ® FAx (951) 697-1030 MAGNETIC PART!CLE INSPECTION REPORT Client: JCM Inspections i �' Date: 7-29-2008 Project: Madison Club- Clubhouse/ Men's Building and Pro Shop Job No.: 1488.018 DSA No.: N/A rn I U Invoice No. Building Permit No.: I Report No.: . Apex Frame North Column Bottom Flange X Re'vievved By: Fabricator: Technician: Wade A. Clark Code: AWS 01.1 Welding Process: FCAW Surface' As Welded ASNT Level: If Equipment: Magnaflux Y -C- Test Method Standard: Acceptance Standard: Product Form: Build up Type of Material: Drawing No.: Production Stage: ( J in Process [Al Final [ J Other For Welds: I I Root Pass f J Intermediate Ixl Final Pass Technique: [ j Wet Method [x] Dry Method , (J Fluorescent [x] Visible [ J Coil / Cables [ ] Head Shot [. J Prod Method [x] Yoke Method Current: [xi AC (]DC Amperage. N/A UV Meter No. N/A Product i wald identification i �' l �j UL I I� j I J I ti, I c rn I U j t, ch I Defect Location Or Remarks j Apex Frame North Column Bottom Flange X 15/16" Reinforcement (Pro Shop) Apex Frame South Coiumn Bottom Flange X I I ! 5/16° Reinforcemertt (Pro Shop) , l nn nen 1'1V-f1Not— nVa 1V I 111 Olt l i-- I'511 F7ne:_V_oe("en'sVng nd mutt I 'AG -A9 South Bottom Flange X 5/16" Reinforcement (Men's building 2"d Floor) AG-Al2 North Bottom Flange IX xI � 5116" Reinforcement (Men's building "° Floor) 2 AG -A111 Suuth Bultorn Flange — .�_.�.._._._._.--�'—'-._ ) 5116" ReinfurcernentMen's buildin9 2"d Fluor AD.2-A7.5 North Bottom Flange X ( 5116" Reinforcement (Mien's building 2"d Floor) A^.2 A6.5 South V--LL0m Flange 5/16" Reinforcement (Men's building 2"d Floor) I f I The UV intensity was verified at the prescribed intervals: (J Yes [ ] No [x] Not Applicable i "f„ _ - •. , *, a �� + � •, rd. �'' - , . A',- INLAN*D INSPECTION. 7338 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951).697-1000 v FAx (951) 697-1030 . ; DSA FILE# NjA .a 0PECii-L ®INSPrICTIGa'141 RIEwRIV IF v Lsa Ne;aL;. N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shalt be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conductin.g,the inspection. Client/Project Name: JCM/ Madison Club- Clubhouse Date:, 7-29-08 IIC Job No: 1488018 U! Proiect Location: 53`d and Monroe, Rancho Mirage CA Time Arrived: r a Contractor: Whites Steel Bldg Permit #: Time Departed: Reviewed by: Date Reviewed: Travel Time: Type of Inspection ❑ Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing '-1 Engineered Fill Concrete J High Strength Bol! ng L Other (Field) ❑ Foundation ❑ Shotcrete ❑ Metal Decking (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Tnspection was performed on the above project. 35 welds were inspected and two welds were found not to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected. Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected ❑ MET X DID NOT MEET OF THE DSA APPROVED DOCUMENTS TI;E PeQUIR mrzkTs OF T14E AP ROV D DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT PERFORMED IN ACCORDANCE WITH DSAAPPROVED DOCUMENTS cc: Project Architect- Signature of Special Inspect Structural Engineer- Wade A. Clark (Projectpector) Project Inspector- Printed Name and .Title DSA Regional Office- Certified By Certification Number School District- AWS , ' 86110023 IT&T Level II I LA -D -IONS &'CONSULTING N' INSPECT r 7338• SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, Cid 92503 c (951) 697-1000 0 FAx (951) 697-1030 iil::iCr7L,iFC6*.s F ES i iiC.iS REPORT ' cl-!ENT-CM. -' -• Ma JOB NO.: 1488018 INVOICE NO.: REPORT NO.: , Reviewed by: rcR eprrr. T�r!ic-n ..^.l::!i ?•:!::=F..::c� ns�nw' �L'3£ nwe •. .. - FABRICATOR: - Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: FCAW SURFACE: As Welded . `:Siii �iir=.ii �' `•'moi." v �OVO`=�. ! t A��JC:1 AC fII %R, C- E Iv. il:./._H u-uERC-y S' IN0F '.Ji EP.,ER V`J CALIBRATION: [X] SOUND PATH g PROJECTED DISTANCE COUPLANT: [ } OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: ii i I i DECIBAL READING DEFECT LOCATION i i(I i ' Z �Lu'WiL0 ! i I i L) ! ~I t -I q�W ! �- w I ��1 ►- x Ion „nm. LL I xz Wz Z. ITEM IDENTIFICATION i U I Fu zJ 9Qi W 0 .I I W LL _._ W LL Zu6 U I �QI ZK LL i- Lu `0 C?W Z w �zW f9 � �(A ��W n_ 00 WW I Y®. II =W U( ar W( �. 0 z WWi ems. WW ZOZI,W- Z I 1 AG -A10 North To Flan e X 70 182 52 7.5 1/2 7nunM Slor.�o , Y 7!L '! 9.7 S') 7 e w i7 3 AG -A10 North To Plate X 70 182 52 7.5 1/2 Rnttnm pinta L! . 7n ix? , !4? 7 4 1�? 5 AG -A10 Web X 70 I 1&2 52 5 AG -A9 Snuth Top FlannQ X 70 . 192 1 . 52 1 1 1 1 1 17-5 . 1) 7 Bottom Flange X I I 70 182 1 1 52 1 1 1 1 i 1,7.5 1 1/2 8 AG7A9 SOLahth Tota Plate . X 1 170 1 182 . 52 , I I I I 1 1 7.5 . 1/2 9 Bottom Plate I X-1 70 1 182 52 • 1 7.5 1 1/2 10 AG -Ag Web I X 70 1 1&2 5218 318 11 AG -A11 South Top Flange X 70 _ 182 _ (54-( 52 (1 -(1 2__ 1.4 1.4 7.5 1/2 �12 Bottom .Flange X 70 182 52 7.5 1/2 13 AG -A11 Southth Top Plate +.X 70 182 52 17.5 1 1/2 14 Bottom Plate X 1 70 1&2 52 1 7.5 1 1/2 15 AG -All Web X 1 70 1 182 153 52 1 10 . 2 1 1.5 1 .25 18 318 16 AG-Al2 North Top Flange X 70 1 182 1 52 1 7.5 . 1:1:2:d 1-29 Moment Frame Beams and Seismic Plates 2`" Floor IMen's Building) 30-36 Moment Frame Apex (Pro Shop) INLAND; INSPECTIONS & CONSULTING 7335 SYCAMORE CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 (951)- 697-1000 ® FAx (951) 697-1030 Iii o e 'a¢ag3633 _e FIR 3K!r1 RFPf)RT —aLR`T. J/.RR Fiib Tai:�.��ia a i�v[� � C�f.fwuv.4I{ �K'V1r..•9 J�fj l/1� tp���src ntn --- REPORT Ali}.: Reviewed by: ua:,!ra i�r'•7• nnoriicnn f:111T_ a•IIIAT/111CC P"f iF iF• PaHiL` FE'S -'E FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: 11 WELDING PROCESS: FCAW SURFACE: As Welded P FPUIPAAENT: Epoch PQQACC. i i 4=�OAAAa fix, �i�� C;y_, eaa ae.caa y i i' �nin `nv`A�V nL!SRAT!0N: s: t SOUND onTU atoen IECTen ngcTAN-C c�r;SE :YS ancT: s • GL•: r r AC'S; • • !14 SCA• 1-29 Moment Frame Beams and Seismic Plates X- Floor (Men's Building) 30-35 Mornont Frarne Apex 1pro Shorn) " Pending Structural Engineers Approval SIGNATURE: DECISAL READING I DEFECT LOCA!ION I I I � i 1 Vi I I I UI I c Iii i i i i i F , �LL oa Na I oa 111LU Uj LL Lu Z LU1 ITEM IDENTIFICATION r ul ` U I w( LU 0 .1�1 l O 8 1 -jul � I ►s -Lu s i Q t a' ffff F a flit z 17 AG-Al2 North Bottom Fig x 7.5 70 1&2 18 AG .A.12 Nohh Toa, mato X 70 1 i 2 19 Bottom Plate X 52 70 1&2 20 AG-Al2 Web I X 7.5 1 70i&2 21 AD.2-A6.5 South Top FIg -moi X I 70 1&2 22 Bottom Fiance 52 I X 1 170 1 1&2 23 ' Web 1 1/2 X 52 70 1 1&2 24 I AD.2-A7.5 North Top Fig X 1 112 I 70 1 1&2-- &225 25 Bottom Flange X 1 70 1&3 26 Web1-X r 0 1&2 27 1 Ab-.2-k6—.5—West Top Fig_X 52 70 1&2 28 _._ ._i_.._....__ Bottom Flahge _ 7.5 X i , TO 1&2 I.. 29 (AD-AD.6)-A6.7 Brace 1 170 1 a 1&2 1 Splice ` �X l 30 Apex North Col. Top Fig X ..__.._..__:...._-_._ 70 1&2 31 Bottom Flanae X _.1/2...___. 1&2 32 1 Web I X I 170 I -10 ' 11&Z I 1-29 Moment Frame Beams and Seismic Plates X- Floor (Men's Building) 30-35 Mornont Frarne Apex 1pro Shorn) " Pending Structural Engineers Approval SIGNATURE: DECISAL READING I DEFECT LOCA!ION I I I � i 1 Vi I I I UI I c Iii Uj I , �LL oa Na I oa Uj 011 r ul { aLL owl LU 0 .1�1 V-) 8 1 -jul � I ►s -Lu s 52 7.5 1/2 52 7.5 112 52 7.5 1/2 52 I -moi I 18 318 52 17.5, 1 1/2 52 7.5 1 112 52 18 3/8 52 r I 7.5 112 52 7.5 1/2 13/8 52 1 1 a ._._.. ._L. �s m_....__ ..__.._..__:...._-_._ ____.._._...i....-.._ 5..._.._..:, _.1/2...___. 1 52117.5 1 112 52 7.5 1 1/2 52 7.5 112 1 52 I 1 I I I I 1 18 1318 z 0 ULL iL ~ o ITEM IDENTIFICATION At 4 F a w wLu Lu 93 rnJ z F- Q w O _Z M .1:NLANLD;1' INSPECTIONS A CONSULTING to)pw =z Ur W W J wz z_ Yp = w F- 7338 SYCAMORE. CANYON BLVD., STE. 4, RIVERSIDE, CA 92508 gU S Ga LLQ:' I --LU wpm rn U' w JZw Hf'Aw z z z O z W Q 0 J- Qtq'z Ct 33 Apex South Col. Top Fig - (951) 697-1000 ® FAX" (951) 697-1030 - 70 182 +- • i* ULTRASONIC TESTING REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 7-29-M JOB NO.: 1488018 7.5 INVOICE NO.: 34 Bottom Flange REPORT NO.: ' Reviewed by: ` PROJECT: Madison Club- Clubhouse CODE: AWS D1.1 ` FABRICATOR: Whites Steel . TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ ] NORMAL [X] ANGLE [X] HIGH ENERGY [ ] NORM ENERGY CALIBRATION: [XI SOUND PATH 1] PROJECTED DISTANCE COUPLAW: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: z 0 ULL iL ~ o ITEM IDENTIFICATION M w U 0 Q F a w wLu Lu 93 rnJ z F- Q w O _Z DECIBAL READING' DEFECT LOCATION . to)pw =z Ur W W J wz z_ Yp = w F- Ujz�� N w �I N VJ Ix -j z0 c-)0 U1 Lu ww wF Lu w w w Q w OJ QLL. O gU S Ga LLQ:' I --LU wpm rn U' w JZw Hf'Aw z z z O z W Q 0 J- Qtq'z Ct 33 Apex South Col. Top Fig X 70 182 52 7.5 1/2 34 Bottom Flange X 70 182 52 7.5 1/2 35 Web X 70 182 52 18 3/8 1-29 Moment Frame. Beams and Seismic Plates 30-35 Moment Frame Apex (Pro Shop) ' Pending Structural Engineers Approval Floor (Men's Building) y SIGNATURE:./��/�-z s/� y �zws _•`t ��, y, � S ..�� •. t ,,t*. ,may. ;. t K :1NLMD INSPECToON ®NSULNG 7338 SYCAMORE: CANYON BLVD.; STE. 4, RIVERSIDE, CA 9250$ (951) 697-1000 0 FAx (951) 697-1030 DSA FILE# N/A SPECIAL INSPECTION REPORT' DSA APPL#N/A Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed.and signed by the special inspector conducting the inspection. Client/Project Name: JCM/ Madison Club- Clubhouse/ Men's Building * Date: 7-16-08 IIC Job No. 1488018 DFR #: Project Location: 53rd and Monroe, Rancho Mirage CA Time Arrived: Contractor: Whites Steel 'Bldg Permit #: Time Departed: Reviewed by: Date Reviewed:. Travel Time: Type of Inspection Reinforcing Steel ❑ Pre -Post Tensioned Tendon ❑ Fireproofing ❑ Engineered Fill ❑ Concrete ❑ High Strength Bolting ® . Other (Field) ❑ Foundation ❑ Shotcrete + ❑ Metal Decking (Ultrasonic Testing) ❑ Batch Plant ❑ Masonry. ❑ Welding DSA Approved Documents: Work Inspected: As requested by the client, an Ultrasonic Inspection was performed on the above project. Four welds were inspected and were found to meet AWS D1.1 minimum requirements. Please see attached ultrasonic report for pieces inspected.: , Use Additional Sheets if Needed The Work ® WAS ❑ WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS The Work Inspected x MET El DID NOT MEET OF THE DSA APPROVED DOCUMENTS. THE REQUIRE NTS OF THE APPROVED DOCUMENTS Material Sampling ❑ WAS ❑ WAS NOT / PERFORMED IN ACCORDANCE WITH DSA APPROVED DOCUMENTS cc: Project Architect- Signature of Special Inspector Structural Engineer- Wade A. Clark (Project In pector) Project Inspector- `' Printed Name and Title DSA Regional Office- Certified By Certification Number School District- AWS 86110023 IT&T Level II ` s 4 7335 �IN'LAND-INSPECTI-ONS CONSULTING YCAMORE CANYON LVD., STE. 4, RIVERSIDE, CA 92505 (951) 697-1000 FAx (951) 697-1030 ULTRASONIC TESTING -REPORT CLIENT: JCM Inspections (Job # 522-08079) DATE: 7-16-08 JOB NO.: 1488018 INVOICE NO.: REPORT NO.: Reviewed by: PROJECT: Madison Club- Clubhouse/ Men's Building _ CODE: AWS D1.1 FABRICATOR: Whites Steel TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 4 PROBES: [ j NORMAL [X] ANGLE [X] HIGH ENERGY [ j NORM ENERGY CALIBRATION: [X] SOUND PATH [I PROJECTED DISTANCE COUPLANT: [ ] OIL [ ] GREASE [X] PASTE [ ] GLYCERINE [ ] OTHER: z OIi F- U IL ~ z W G ITEM IDENTIFICATION f" CL W V 0 Q H 0 W -� W W W 0 W yJ Z Z Q W •0 O Z DECIBAL READING. DEFECT LOCATION LLW 00 z � (70 Z -i W W yW Co C) W Z Z� Y0 V J = W W O z Q I- W Q' I- 0J IYJ ZO 0z W W W W WI- WZ IL > Ii > U IL I- W W W W G Q W Q 0J of -j U. 0 Z I -N. OW z = W U Jz �X �V wQ o -'U. 0 a LL W uz0 =0N -j I-VJW 0 = a _ = Z O O W a z QfAZ. 0. Z 1 AD -A8 North Flange- Base X 70 1&2 52 7.5 3/4 2 South Flan e- Base X 70 1&2 52 7.5 3/4 3 AD -A9 North Flan e- Base X 70 1&2 52 7.5 3/4 4 South Flange- Base X 70 1&2 52 7.5 3/4 1-0 Moment Frame Column to Base Plate q a K JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211LT.J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:(.,, q,05< Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): , Supplier: �� rr Q✓ IBC Time Sampled: a� . Mix Design: ..) Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture:S�<c i�� � i Unresolved Items: Concrete Temperature (F);-1 (0 Truck #: H,(=,)Ticket #:, �1Q �—�- None [Q,None Ambient Air Temperature (F):-1 4 Field ID Marking:`l 3X3 (�(4 [:]See Below Location of Sample: No Samples Taken Description of Work Inspected: \ A v'),% 1.1, 1 - , .� .. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 r Contractor's Representative Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of JCM Inspections 39725 Garand Lane Suite F IE Palm Desert, CA 92211 ah INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: (a_3_0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9.00 Supplier: Time Time Sampled: Mix Design: �'. A� C.rl1 Time in Mixer (min.):_ Specified Strength (PSI):�0 Water Added @ Jobsite (gals.): .3Ca Addmixture: Sc�cq�J Concrete Temperature (F):-1 C Truck #: LO�DD Ticket #: - ]�` � �-- Ambient Air Temperature (F): g Field ID Marking: S�� 7f.3 j., C \ F; IBC 24 Other: Unresolved Items: ®None ❑ See Below Location of Sample: P n �, (Z}� 1 W :N1 101. „41p 3 I� '` No Samples Taken � I 1 - Description of Work Inspected: t,r>^_1 74. 3 fi �.� `��, .7 e �k C ��. ' I • k d '�\'N n VJca�J v n _0'a_Sz k-cC- . - -_3L Cups r!ce�.' Mc�ni�{�:c.� �! `(71t. \J4.S �%S �O Cb(►aca�',r�dG " n A .� .� n w ' m o c rar,� � r SS � C� _ X 1 hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 ��s a , co - �&� � Contractor's,RepFesentative: 1� it `` Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F LTMm% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:tr,_ -Q� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): — Supplier: n o�u Q✓ IBC Time Desi n: Mix Sampled: p Design:-,, ��,,�-� M Title 24 Time in Mixer (min.):-_ Specified Strength (PSI): Other: Unresolved Items: Water Added @ Jobsite (gals.), n 1 A^ i1 cC S Addmixture: �y% Concrete Temperature (F): Truck #: "-pl Ticket #: � "�' R -hone Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: R"No Samples Taken Description of Work Inspected: _ ((( mn \ w_ ..\ r l:ln G, f'.n Wr C`i \�-\Ci..fL.. C_ _ _� N L C`r �>JQ(. Cl.+.�l.a n' 'r5 \d n 'Svsnra �f' Vl!\nf i\rl2 Cn ^ L n\ I P chn".. l .•+ CN C r\ w �VI.RA.. )'\ `Q` CG\ - n;'tn"Q�� 'ti1C'i1'1 V .. \ ('+ Q_Q t>t. C`\ 1 fi.. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's,. -Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of ! I Elk JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: _S- f �- Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier:IRA ❑✓ IBC Time Sampled: Mix Design: ❑ Title 24 Other: Time in Mixermin.: ( ) �-- Specified Strength (PSI): � � � Water Added @ Jobsite (gals.): Addmixture: R �` Unresolved Items: Concrete Temperature (F): �ec� Truck #: _ Ticket #: -.,� ❑ None Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: No Samples Taken Description of Work Inspected: Mtn n ('� Y 73" LI 5 n� f \ e \ fa - n' _ __ \i?. Lam• �t I 4-- h� R A �.0 Po .R ��. lv°. ;� ... P , r .�>• � � � I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 r ;n Contractor's Representative: a IA,1--- Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 TN.MJ INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 19-Q110% Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): o <a Su tier: �, pP Q,_X Time Sampled: ""I : � D p reg Mix Design: �o ��� ) �_�A 6,?, Time in Mixer (min.):q Specified Strength (PSI):tai Water Added @ Jobsite (gals.):,20 Addmixture: �^�� �( Concrete Temperature (F):--T Truck #: (c,ll Ticket #: SS`_� Ambient Air Temperature (F): Field ID Marking: ��� _S�_� ��-3X`t�. Ix t='� ❑✓ IBC ❑Title 24 Other: Unresolved Items: None See Below Location of Sample: \'Y\ C, sr. j \\ ❑ No Samples Taken Description of Work Inspected: � V) A N�"�Vl%C�.... P �a�.� 'A',; ✓.4 � C "A �� �''" I �" � , ! '�' (3 e�°j � ;'.�;` � t,s `l \A, -71 li � Or- -\J) Cf.1) SA?, 4_5 el (�-"�t �.�� Ll \\E� Com. e,�. ��n.-r�.+ .''_ fIC1�\tom rx t V. I hereby certify that I have inspected all of the above 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 project completion. Inspector: IJ ck C. Millin ICC`,C\ert fication No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of QD JCM Inspections Palm Desert, CA 92211 LTMm% 39725 Garand Lane Suite F11 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:Sa' _( Fe Project Name: Project No: 522-08079: The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Cr," Supplier:�1;i-,r r� o M A Time Sampled: (p Lf o M Mix Design: �1"� r�-3(zs Time in Mixer (min.): Specified Strength (PSI):Other: :5;'no 0 Water Added @ Jobsite (gals.): �(ZD Addmixture: -Z;t_.` A Concrete Temperature (F)-7 � Truck #: �"7Co Ticket Ambient Air Temperature (F):--� Field ID Marking:] To y �~\ ❑� IBC ❑Title 24 Unresolved Items: Q�None ❑ See Below Location of Sample: Ca \t 0 CrCT ❑ No Samples Taken stet t Description of Work Inspected: Ael r o ren, •. ,, c. r�. (D `` c c° r] n r f C c� (` est _ O Y�- 1 �a ( O RC `CSC t A L rz, o1c, �ti � Gw.t.{c.5 47t(�L9�1 Mkc ,Ic* 1 n" r-ny*lC a_ ct.t1'% Ael ( Q;. I hereby certify that I have inspected all of the above 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 rrepoissued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 —'s OL C-1 - \N Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of t t% JCM Inspections 39725 Garand Lane Suite F ]E� LJ1M% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ❑✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: [ZJNone Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: �No Samples Taken Description of Work Inspected: n -in l ^ ` �i ' A ., o , 1 s.. �1 , f •.n .+� , ., �:\ i- A n f R, .. F ' \ \ � � t . �` X � r \_ i _. �'T ti �' ,t:].. .� n W1 lr .lnn..r \J�u� •. 'nom r �.\� S > 3 , 13r�� '1r� ,� r ' n � � ,. W � re c R> r, r�- r J . I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jac C. Millin ICC Certific to ton No: 0842216-82 Contractor's Representative: �, 3) , C , . I�C�J_ — ") - Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of Elm% JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:S— ZA Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ❑✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: ©None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: Q-No Samples Taken Description of Work Inspected: ��.. £.. : rr C C••.. h. V, t�12�. C R.r P\, k L 1 n • n rr�a.`t. O nttS R t?�11Q t5 n : na '� _.` n,.\ n`i M.,. C'/1 K��-� � C nJ (`ccs i pr f���•J,i \ ti� �t ,� � �w ,.\ t �' h , n n. 'e,� e- e• a'.1 ' r7 � c � t�ra, �..i h !f C h X. I\-"- - (C� CR e T < . r \ort(;P_-,1,(A., . �: 1 G, !- Own r • �_ n�^ \.1�ea� .� l MC ' _ u n C\ e) •{ i AC% \ <! A F(, l 0w . �.n h •, F -. 1 r_ r R r n t. ea h\Ai IN C- y [NC �C Xk nor rt,s �n�1 I hereby certify that I have inspected all of the above 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 project completion. ,sem, Inspector: Jack C. Millin ICC Certificat on No: '1 C. . 0842216-49 Contractor's Representative: ,� __ol' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 7.60-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 5-R'7-0i� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 7 . <Y::� Supplier°��' r�� c �. c� Time Sampled: g; �� _ Mix Design: �gr5���� — Time in Mixer min.}:�� Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC ❑Title 24 Other: Unresolved Items: EJ None ❑ See Below p \r � \ c Location of Sample: >� ���4 on °rte=� _ �j r �•y� �O�A _ ' �,�,° f a �� ,�1 ❑ No Samples Taken . Tl� { j Description of Work Inspected: c:��� � �ti r"R N ice ( _, Qui \ a r ' Lb Lz u mLA w,, � Y�. f -e- ;- \�➢cl'-.C1.'iti� as iv� \.�a„� - j f V `6 'i� ' i } �C C1 t ,'9 °: a °' hl�S M , ? • t y .A;��c . `r te �L.. � ���a m _" R me ��� ; � wN, '�V M'r rN G� Co FU�—` °1 � <Cr\rjc3� ,\ _`a� c\"l�f vet" !� � � �J6E,�t2F�.,,� �F^FS—� C \A=`,�%Pc IlA`6` � va y. C.®<^`. .,J :• ,��1)r+`a E, PQ' �! �y� V,, ,'•1 r�\ :•i r`!` c t �•" bi.> a E-�� iP� ` d �j C�'�-°�-. Y+=:.. .. \�,r `�� q �!Oa�: `1, '�` ,-<' ' \t „F\- L^ (S - f 1� !A V", I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ce-tt,ficatton No: 0842216-82 Contractors,Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of 1 T JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LT.1%J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date PZ ^ Cha Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar Consulting Engineers Slump (inches): yKPFF � Supplier:Q ,�, �-4H �Y' � ur � IBC Q✓ Time Sampled: ; Mix Design:. -�� a ^ n ' Title 24 Time in Mixer (min.):® Specified Strength (PSI): Other: Unresolved Items: Water Added @ Jobsite (gals.): Addmixture: Concrete : O Temperature F P Truck #: Ticket #: ©`None Ambient Air Temperature (F): Field ID Marking: _-- ❑ See Below Location of Sample: No samples Taken Description of Work Inspected: e� rs VM 2 " •� Ln W4 7 v z-Qxc�,ki n Y'm lz r _-�� cn mac t y y a ley 4" � ,�exc,� �- a� IJP y�s.,•® L1.�Gf Ark,; Q � t INA At I I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ce ificatio'n No: 0842216-82 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent - Copy 3 Governing Agency Page 1 of k JCM Inspections 39725 Garand Lane Suite F LTMm% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:� c�a Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (n h 's):q. Supplier:° �;❑✓ t 3 IBC Time Sampled:/ ; l��f; 4 q c�a: Mix Design ��y ( F]Title 24 [ Time in Mixer (min.): Specified Strength (PSI): >.0.06 Other: Water Added @ Jobsite (gals.): Addmixture: �A �� Unresolved Items: Concrete Temperature (F):. Truck #.P., `1 Ticket #. ,s'None Ambient Air Temperature (F).-, . Field ID Marking: E:1 See Below Location of Sample:` r� �� E]No Samples Taken a 1 Description of Work Inspected: C, rte, a ;VIA �� � �Jd� of � � a �iA^.i �A. .Bt�.,, in c�'. 1�. t�1 1 �ff _�. `(G k"\qA f -} fl Fe r NI A I _C'l `% CA, ,.�. -. va 7 n , C. N ..to is < u 12sP c l e I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin/ ICC Certi cation No: 0842216-49 Contractor's;, Representative: Copy 1 JCM Inspect Copy 2 Project Superintendent Copy 3 Governing Agency PageI of _ 1 M JCM Inspections 39725 Garand Lane Suite F ]E Palm Desert, CA 92211 6T!%J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): � �.� Supplier: a � �,,�, c � ,. �✓ IBC s Time Sampled: Mix Design: r Title 24 Time in Mixer (min.): n Specified Strength (PSI): V �, NF1 fl Other: Water Added @ Jobsite (gals.): Q Addmixture: Q F 1l Unresolved Items: Concrete Temperature (F): Truck Truck #: I , rqz-_ Ticket #: ©,None Ambient Air Temperature (F): Field ID Marking:QX it See Below Location of Sample: Rcostn vr\ 4 1 k e.- � +(. r� � T� F \ \5 � No Samples Taken Description of Work Inspected: e �. �' A neo n ♦ �+ �.. �� %- I" t .:i Nl p_. ->� zl J I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No:N0842216-82 Contractor's Representative: ,"_A .- Copy 1 JCM Inspections Copy 2 Project Superintendent l -r Copy 3 Governing Agency Page 1 of f,A !r 2 JCM Inspections 39725 Garand Lane Suite F1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Sal—olo Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: ❑✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: [✓]None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: r,.•�ErNo Samples Taken pp � tr Description of Work Inspected: ` 7 I �,�_� � �,� �A�� ���� ,,_�Gr��� WCQ�'1 I`Lrsy T\�.�ja� ���� �� ♦�j��� i"� � (� � ��� .� � �R "1 � � �=tom I.rt e\c ��— t „ � ��rG � • � � ��! G- � sr>�' 6r-� w f� �`i � tt.rh �i � a �, c C =X�"•�� �L c, - r � � � a •�� � � _�, ©J ^ r� ` (�4 A �kk f c f .7'v i1� � �.: N �' � �'% � e� \ � `. \ E 9 �• CO:yx�vVS to 1 0 A� Pra,�-a`iTn1 .f�� CTS Aa. 'e ',3,r. c ' 1'4 r; C_ c Ac -Q r ! t" erAv- &'I I�X, s AV" r- �a a- lct� \ S" �`-\ �� fi • _F \-"l� i'� v ��' F . i \1`i �'c3. {'? :'•9 ��1 �� �G'i.l �e%f y�� K) +11 \fie_ �'„P 1 n't '-' P� sin r I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Ceriification'No: 0842216-49 C, Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of JCM Inspections 39725 Garand Lane Suite F 6W N6. Palm Desert, CA 92211 as% iv GO INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 5 -ari __0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: _ fi Time Sampled: —7 ;; Q n Mix Design: r Time in Mixer (min.):' 05 Specified Strength (PSI): Water Added @ Jobsite (gals.): lo Addmixture: S lc WA Concrete Temperature (F): q' Truck #:(Q5C5 Ticket #: t. Ambient Air Temperature (F): Field ID Markin 1 g'�' g' �� �' � � '�� trC 0 IBC Title 24 Other: Unresolved Items: ❑V None F� See Below Location of Sample: �c E] No Samples Taken Description of Work Inspected: t 1r \C1� _B �. i. r rt f D \ 1 tt .� c + n 1 �►�+G�1 �. o q U (LC f ; n �.i A'. r C\ f v.� rf i( T� \An L.. �i "" a �••'- t7 rOu\ �:iUCL1 VE ' \•-F ra t� r r V � n'� � n fs � � � in �r �• t7 r�\ n W��Qp 1 � t � S \ C O W1 t U �' � '.' [�V t 'r.�r. t�^ ll)r�_'i �i .It�� O C�%�a�t_ 1 in - I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Q ca ion No: 0842216-82 Contractor's°Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F LTIM% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS 11 STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Q✓ IBC Time Sampled: Mix Design: [:] Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: g one Ambient Air Temperature (F): Field ID Marking: F] See Below Location of Sample: ©'No Samples Taken Description of Work Inspected: - J -� "z . � 41L 1 • �`� •�`� • ,'✓ �� Naa �� "1 _�: 9 �1 Df C' 0 Cn • ^ t, > �,,.��Z AV,�- \ i �� T ^ r '� 10.9 ��% F :"l C. � /. a - e f _�' � /' 1 \ i \ • �a �19" �ti�� i ',! �l �' d`�f" -P?-- .^ e f _ I'r� i f3 !� a ce�s _,pC \�t"ti\ d ,t o � 14 ^� \ �a ca�e o�C !!Zes 'cam, 'C'1Zt' �. I hereby certify that I have inspected all of the aboVelork, 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 project completion. Inspector: J' ck C. Millin ICC Certification No: 0842216-82 Contractor,i Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ( of P JCM Inspections 39725 Garand Lane Suite F1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:S Project Name: Project No: 08-14 Toscana Country Club - Spa Project Address: City: 76-009 Via Club Villa Indian Wells, CA Client: Sub -Contractor: Sunrise Colony Teserra General Contractor: Architect: Structural Engineer: Owner\ Builder HSA Design Group, Inc. Patrell Engineering Group, Inc. Slump (inches): oc7 Supplier:) c r- Nl �' r1GG.. Time Sampled: , ; �p t7y{\ Mix Design: r€ Time in Mixer (min.): 9 Specified Strength (PSI): �J Water Added @ Jobsite (gals.): b Addmixture: Concrete Temperature (F): "t $ Truck #: Ticket #: b, 0 Ambient Air Temperature (F): (o Field ID Marking:-. k— 3 X3 >'(� �� Z IBC ❑ Title 24 Other: Unresolved Items: ©`None ❑ See Below Location of Sample: C c r .. i y L r (� cr2'' v n m We 1�► AA Lj. -- ❑ No Samples Taken Description of Work Inspected: 1' caL2) JC �� ct«�rf� • W t �. o.- a J . Lang V O�N RUy r - �-C>c . tC� 1, h� kz. VS CSL <sSs A 1� " A '�NLc� C' u V C o. C �_ A� G7 a �S. �' 2 Yt V�1�=5.�SS 1,C'\ \1 \t) (' �.)Ct3 `` UIS�aL►.1. �p t� .11 S.�` � �� C. h v. W o r"� �w I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C- Millin ICC Certification No: 0842216-82 cs- ' Contractor's)Representative: & Q � 1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 ot? JCM Inspections 39725 Garand Lane Suite F I 31:.1J Palm Desert, CA 92211 ah INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 'S-- o% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): C7. (moo Supplier: _` a fl �b Time Sampled: ice'. �G,-` Mix Design:® �,! y' Time in Mixer (min.): C1 O ,A , % � ,,���, 'S ecified Stren th (PSI Water Added @ Jobsite (gals.): [) O r Addmixture: � ��� Concrete Temperature (F): Truck M 1 � � Ticket #: g Ambient Air Temperature (F): 9% Field ID Marking: - 3 X x6� t_►� l ❑✓ IBC Title 24 Other: Unresolved Items: , None ❑ See Below Location of Sample: Qi C_'WNlol \,d ' 611 L6..– NC'•ate "� No Samples Taken Description of Work Inspected: �; r F ���ti F c If, a. L=J `` � v 1�e�€Va,-. � �i iit � via �:1�. c� C O,-\ r \l I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability�l have.f and this work to comply with the approved plans, specifications applicable building laws. Final report issued at project completion. Inspector: Jack G. Millin ICC Certification No: 0842216-82 Contractor's,,Representative:_— Copy t JCM Inspections Copy 2 Project Superintendent �j �� Copy 3 Governing Agency Page of G/r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy3 Governing Agency Page of G1i JCM Inspections 39725 Garand Lane Suite F LTIMN Palm Desert, CA 92211LT.J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 5_i _pz Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier:fit; inn\ ❑✓ IBC Time Sampled: Mix Design :�- --C- r ❑ Title 24 Time in Mixer (min.): Specified Strength (PSI): 45u 11 r; c> Other: Unresolved Items: Water Added@ Jobsite (gals.) ) �^ Ir" 5. Addmixture: PIA 9 N% G 4_2 Concrete Temperature (F): Truck #: Ticket #: __.� None Ambient Air Temperature (F): Field ID Marking: ❑See Below Location of Sample: C [e -No Samples Taken Description of Work Inspected: ^ s C.. ,k Sz C r v l i c C� t r t. ! C C, it . . r•\ C, N,� C .� r r c., \ C ; \ n .. c . i Cc I hereby certify that I have inspected all of the above 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 project completion. / Inspector: Jack C. Millin ICC Certificati6n No: 0842216-82 Contr ei�,,,..-- �_ �tor's Kepreseentativ\�!� ll 1/,,-, _%. c: e __ — ___ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy3 Governing Agency Page of G1i JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: S-Q-08 Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9.00, Supplier: Time Sampled: 1?':�,� r,� Mix Design:TG Time in Mixer (min.): 9 Specified Strength (PSI): Z f Water Added @ Jobsite (gals.): o Addmixture. j&'_ Concrete Temperature (F):-)"-7 Truck #:+G�;;'j Ticket#: ( Ambient Air Temperature (F): Field ID Marking: 1 1 ❑✓ IBC E] Title 24 Other: Unresolved Items: ,N-. © one ❑ See Below Location of Sample: Me %-N" wD < Ln\ ,' ILN _1U tn_. -- N q0«t (4 1f `r1` � 1 t E]Cj No Samples Taken e, ' Description of Work Inspected: a U CMtM \l C kA _ l i ✓1 �T�', ta�C'Ev� C f� a��'� ��� ll a�ci�•" `A Cv'.�� c? , �, 1C���►Cc�1G� ��` ' �'� i�c' �) F1 rt� �:�- 1`0 6 C'r V' I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Cey ification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent oPY3� Governing Agency Page k of i r' +"N JCM Inspections 39725 Garand Lane Suite F1: LTMm% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: _ ^^�� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump•Ct "ekes): Supplier: Z IBC tr Time Sampled-� /� � `' Mix Design: Title 24 / N � f �•, •, �� � Time in Mixer (min.):ro 3, Specified Strength (PSI): Other: Water Added @ Jobsite (gals.)-���� Addmixture: i ` "I , �h` Concrete Temperature (F): �-r' Truck #Q. XI l Ticket #�° �sa'IZL30 Unresolved Items: Ambient Air Temperature (F). Field ID Marking: � L{ G '� LkNone See Below r Location of Sample,-� e , _A i. -''r����IC7, v1, ti -- a Bert=s "Arl ,. I v ❑ No Samples Taken \\ rA ina� Description of Work Inspected: sz) .A '" • _•� `— �� .ky 'c �, :F� ° :.7 '° ♦' a . '.','J M1U, ' Cit AI ! 2- 7T. •. kA I ►V 0, f V. �-- .. a eC a e,•„ _ .-..� — — ,. -, V "a, °.Y. I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of y� G JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Lis% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 15_P_0 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: L C Ml t Vc f p ZIBC Time Sampled: MixTitle 24 Time in Mixer (min.):`, mQ�„ Specified Strength (PSI): �� � Other: Water Added @ Jobsite (gals.) Addmixture:n,t Unresolved Items: Concrete ( Temperature F p ) Truck #: Ticket #: ®!None Ambient Air Temperature (F): Field ID Markings ❑ See Below Location of Sample: [t] No Samples Taken Description of Work Inspected: S\ h LA C (lt C,1(` u (%.W1 C Ar\ L-q-vw'h' x 9, Y, C_ V'r\ U o f S � O Yl � i A -a- S>' C o rr'\ � � rts✓ a () % a on L /L.r. 'Z—\ro 1 a_) AC7 MQ11► �,..© �C�S L>{' � 3� t7. f . �•c 3J� Gly � � '� I':\�cror,, L,n>z S S�"I 1. Nar- �.3 u�,, \ r C Sr.S -. �' �t.3K, Civ! S�Kc� SC.,l1 (c_ov\F X r,s�� a� S3�03, $3.Ci ,6a t,D14 (CTv- LtcS �'Isvo.S.,�t0AS Cmc �i o WcC .,ri^S ov�Cl4 �o�1 Nc�'ce y ©t'+ Si •a / , ` C. \V Kc < �C ccr .vSl2c., \ClLe rah+..\ . �O�X` [ R G �r C>\SC S 1 �,�� . 7_T" 's iR\1 lir ! S c C "A _ o Lcs wr t c -Cc � Aoo C �� • cQ �b.L r; I hereby certify that I have inspected all of the above 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 project completion. e / Inspector: Jack Millin ICC Certifi atl'on No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections _ Copy 2 Project Superintendent 1! Copy 3 Governingcy Page , of JCM Inspections Palm Desert, CA 92211 LTMm% 39725 Garand Lane Suite F1E INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 5_)'q Project Name: The Madison Club - Members Clubhouse Permiy # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: IBC Title 24 Other: Unresolved Items: [None r_1 See Below Location of Sample: [�;-No Samples Taken Description of Work Inspected: h vs, '(1'� i.W r ar, c. vcri, �n Lincs t(�J i``e*JiC Si24r \acr ewe. t, in r• nra O_.. CA 'r,S o� l„ . <• CDC, fen �`n� (Z \ Ll U , ri •_'1 L> l� c C C Cos, iL.. �, �wfK 0_. \7.� 1�.��. �i • `c11 A tl+'� � C1 t r C t Cry cA flt ,'r\v :.. I hereby certify that I have inspected all of the above 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 project completion. , Inspector: Jack C. Millin ICCCCert'fication No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of —L - -- LT INSPECTIONS JCM Inspections 39725 Garand Lane Suite'F Palm Desert; CA 92211 Phone: 760-345-5554 - Fax: 760-7,72-3895 I x S F E C T I O N S STRUCTURAL MASONRY INSPECTION REPORT Date;Jr Project Name: The Madison Club - Members Clubhouse Project No: 522-08079 Permit # 07-1055 Project Address: 53-035 Merriweather.Way City: La Quinta, CA . Client; . Sladden Engineering Sub -Contractor: Macon Masonry General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): i;t Supplier:P��. A �.� T e,,, Time Sampled -1 , y -r-n :, ,� Mix Design: (V S:,&0? 1 G -Time in Mixer (mini}� f�—` Specified Strength (PSly: Water Added @ Jobsite (gals.): hn o v Addmixture: Concrete Temperature (F):`•'' D Truck #: ((�r� Ticket #: SQ9. Ambient Air Temperature (F): S Field ID Marking�•��{ Z_J L'� 'l.. Q IBC ❑title 24 Other: Unresolved Items: None ❑ r •' See Below Location of Sample: VDc, \ \� .. sr JcQ C'rn k 1 n'n L.i A r� Q No Samples Taken Description of Work Inspected: \ c i q I A V 0 r 4: t�s1, t7 ' C" AIL 'e /L 1� �_ f' M L+i �.� TC1, S _ `C \n E;.' ! 1' +r �r' t'Lk T�k . w C.i C:ck. • 1 . n, d k� t. c.. _:li^ .. hereby certify,that I have inspected all of the above 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 project completion. ` V Inspector: Jack C. Millin l/ICC Gertifcation No: 0842216-82, ;Contractor's. Representative: Copy 1 JCM Inspections Copy 2 Project SuperintendentCopy 3 :Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F IE Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:_ - OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: © None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: ®`No Samples Taken Description of Work Inspected C3 C ����` .1 ��- A- f, Lg r t G J C ' r � .� �e f�:J=: � n °► ?► r 1. til \ 4r, � � )` C' Ye: i;A-V" f m, Com. AAA (�'.��e @.`. r, "��*� � .�, �' �a\C�. V�f�+'1i�.+�=.. F`�� 7�/� � t� ��iV� i�•!1 �" C. e,�� �1^ V��__�' \`cif`' C�� ' 'A VO ry . .[� e� l ' C e R'� ,.� t\ C d\ a �AE��F.>r. Inv� %��� � � f _ . � , fij�, a - � •" CL , �' ^5 e !J M l � �9 Q a `, r=� a n r�- � r�� rl'�s''-'� - r�. R�C [�F> � f.. r�h P'1 0��+. _;. `- '! a�•�'`N ^. �." i ���>�-- V^"�� !�!''�u �f ��T`a'i���.�'��> e.�"`> t tal l� Cr�e;Y �t�' �n �1 n�- CZ>Fb'f � ^, (4"n�•,t _�\ _- A- r I hereby certify that I have inspected all of the above 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 project completion. s. Inspector: Jack C. Millin ICC Certficat,on, No: 0842216-49 Contractor's Representative: of Copy 1 JCM Inspections Copy 2 Project Superintendent p Copy 3 Governing Agebcy Page JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: S -$- Project Name: The Madison Club - Members Clubhouse Permit # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: IBC Title 24 Other: Unresolved Items: ✓None F-1 See Below Location of Sample: ©'No Samples Taken Description of Work Inspected: ,- q� S td �\ �� �, � � ��i � �„p , �,. � Vt r—mLk J ; � elft t ` -` me Vi n � c\ C,<. e C, � � g. roes (t v 1 � eu n ,:, r .�_ fl- 1 A t4 L, -v _ Ak- a *O L:1 ALO_ 0 c_,, %C- ,Vs- r"� � co ti NA 9 1) sem02� o,���� .1� �� �, SI .ol �;i ' p�,6S2„f--» � lrw ��" � lt� C �.. rA , �� rs •: a .. r� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jac C. Milli�[CC Certification�0842216 s82 Contractorrr's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ,J/Copy 3 Governing Agency Page 1 of_ G JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: �9_ 4� A$ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse . Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9, 0-0 Supplier:A-' Cfc-�C� Time Sampled: '� 0a n'�-YN Mix Design: ��;�o�� � Time in Mixer (min.): / 0 Specified Strength (PSI)-,;ZJc- e Water Added @ Jobsite (gals.): Addmixture: "��l--' Concrete Temperature (F): �-Truck #:I Ticket #: — A 9S, Ambient Air Temperature (17):(C6 Field ID Marking: ' �- ( �l a:� ZIBC ❑Title 24 Other: Unresolved Items: Q`None ❑ See Below Location of Sample:-^- \��' ❑ No Samples Taken TI Description of Work Inspected: m o,i y J { ( Cell V0V, 1 �� a =•' � C' A� � �a \� '••' '�-\ • \ � �� t `1��.3, � � cA ° \ �.) :'�e-tea 't'� � �� _ � �F' ���"1!� ° , r EC� \ �. �, 9 a v �wPv 0 !a' C ql iA G GJ 'a — �,=`C l.� 'o� i,c_,._. G.I C� \I !, 4) '' • �. �* S ce Z' �;� i,i r �' ;, \\�� ��\�`t�� �lo���:?t1:��R��.`�"1�'-� ���\\at����.�,tee� ")��SC�°•�1t?'��,�f����'� �a.l �t. �.. O��n G11 IP (vn`d �,� ���. 0 �._ � � � ` �e e � f) r1r'Y�� �^`�'� w r-, I hereby certify that I have inspected all of the above 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 project completion. Inspector: ack C. ((Millin ICC Gert+ i ation No: 0842216-82 G Contrractor's.Representative: y Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page � of , JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 LT'MnM%J INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:S 'S-""0 Project Name: The Madison Club - Members Clubhouse Permiy # 07-1055 Project No: 522-08079 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: �' x Time Sampled: Mix Desig'(_�-_ sc.,4i\'��'-C tQ� Time in Mixer (min.): � V��Ct� • Specified Strength (PSI): Water Added @ Jobsite (gals.):';- Addmixture: Concrete Temperature (F): Truck #: -"- Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC ❑ Title 24 Other: Unresolved Items: None ❑ See Below Location of Sample: Samples Taken Description of Worklnspected.\,VNC �� �,• ti�� .��l� ��;5��c�-� Vt 1!(-� �3, ( � � cam« t�"Nk"4-f, A ! CSS Ct��•i � L'e i� �t"��l „}�t� �1.,��. �SF`'�ai)�-`l :��+�:' ' ��•®� �f�a�'�� 1.1 °3SCc �j��,,, �� i CSC' � I � � • Q3 fpk�F-a t .-% F'a��i•� '1�'�CC�� ��r r`�? WEA\ d v' � • �'.• ,��n' • ,n''a ' F. "')fes` �'.:) f'._1 ��t� � � 1f`�' •5;;•� `''\t C�i�c',::`," 434�E7 .v.:• �,��•;. 1 � � 4t ,, 1 hereby certify that I have inspected all of the above 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 project completion. _ 1-1 Inspector: Jack -C. Millin ICC Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LL1% INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:_(p_�$ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump(inches): �Cp�\�•�.R�' �✓ Time Sampled:M Mix Design: Q n: S31-1110 Time in Mixermin.: g ( . ( ) C' Specified Strength PSI) Water Added @ Jobsite (gals.): t D Addmixture: Qprz_-t...-200 a Concrete Temperature (F): U0 Truck #: Ticket #:(p3;t 7 0 Air Temperature(F):770 Field ID Marking� a— IBC Q Title 24 Other: Unresolved Items: FAmbient -1 see Below Location of Sample: Vi_�p ^ , tt 6 ❑ No Samples Taken Description of Work Inspected: i \ �v RCCT;h�h Q GCPCr�\C Chd1�'Se. CC )�pC V(4'k n - , 17t \1� C11k, J:t:�' t (76r was kkil �� n5��'• �.� � eco c�c.c e, � G® Comrp Cc.SS'N CS CS W) 6Q (4s 0--1 SCI I hereby certify that I have inspected all of the above 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 project completion. Inspector: J ck C. Millin ICCCCeejrtification No: 0842216-49 Contrn 4f et'o�r's}Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of _ JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: S S — Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑✓ IBC Title 24 Other: Unresolved Items: ['1None See Below Location of Sample: i f (r I ► v PoIoNo Samples Taken Description of Work Inspected: C� n r� -- �p 0-'A. Corn C So\A a.`c\! UNDShkv6l . �. \ b1 �t%c"►s c.o�, t� r ,ca�'e.�VICA�tet'�� vJc�S fe1_10veNr0rn `�1cz oa ►nr' , 1���1� 51K4'.S. V,.'Cl.S c.CoVa-CC% r�eee �o oc CEJt�S.Cc 6'.� \�«v`cCQfi ' I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 \� 1'1_� C-1 WA__ — Conteactor's Rep er sentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of ` JCM Inspections 39725 Garand Lane Suite F LM Palm Desert, CA 92211 LT.J INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 5- tt _0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): 9 .eco Supplier: c, �17Q Time Sampled: ; �� Mix Design: ��' Time in Mixer (min.): �� Specified Strength (PSI): Water Added @ Jobsite (gals.):— Addmixture: 5��� \b 1 Concrete Temperature (F):," Truck #: `mac Ticket #: Ambient Air Temperature (F): --•�Q Field ID MarkingA%X _%"1 ��-�4Sa IN t'\ ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ® None ❑ See Below c� {{ Location of Sample: �c e: S - ow•c-r t„ A an Lina.. ��- I e ❑ No Samples Taken Description of Work Inspected: �� �j�,�` _ Lown.c MLx W (a nc cin n cxn_ O.'1 L w"'e,_. " � X � W'►X`s..3s i�' `A fl rl �AA gg /tea n S >— wl M �i .+ tL41i fl X R X 'M U VIN -1A,` r • n WC o n Li its AC ca irks xen ` w -' �'' t'4A i OU C. "LA dna. "I G' M` I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Co(ntiactor's Re/pr esentative: Copy 1 JCM Inspections Copy 2 Project Superintendent �/ jCopy 3 Governing Agency Page _L of i - JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 -. Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 57— 1 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy #.07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump'(i.. hL : S Supplier: M 1y► %��i— GAP:.. ter_, n `" Q IBC Time Sampled: �� , Mix Design: ! f` J of E] Title 24 Time in Mixer (min.): { _ Specified Strength (PSI): Other: Water Added @ Jobsite (gals.)- \\ �� _ Addmixture: Unresolved Items: Concrete Temperature (F)"I—I --, C�11 Truck # Ticket #V ����r) -fir, [, None 1 Ambient Air Temperature (F)1A_ Field ID Marking: ❑ See Below Location of Samplet� rSa `� L • �� C C_ V ra 0 c*�G� S tom= , �� Q r \ ❑ No Samples Taken r/_ �+� C .^reF'�c .��j "dT t •1-cC✓� .. e,.'.I?. C 4�.� GG Lea Description of Work Inspected: . �• ti ` , �c+ V� �, nav r rt n t L 0,C. >r Ir r q tl CrR r, ..,r."C' C •,r1.. C C. _ "Y-."/- W I hereby certify that I have inspected all of the above 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 project completion. r Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor'srRep/resentative: Copy 1 JCM Inspections Copy 2 Project Superintendent `Copy 3 Governing Agency Page J_ of f JCM Inspections ]EP 39725 Garand Lane Suite F ah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: y_'aD_as Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: �✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: None Ambient Air Temperature (F): Field ID Marking: n See Below Location of Sample: _ [KNo Samples Taken Description of Work Inspected: e, At.__ �� (l • ).. n71 A - r n-io I L h - � " l : �,K�� "� C` Cf, a1:1 t '• _ �� �d � � e:. C C�' r \r. R°n' .cl-�, '1. `e �t c:��- \�~I.w%nF. 4.� P,j ^1 '•_,��,\��, � ..'...�. / .c I hereby certify that I have inspected all of the above 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 project completion. J e' Inspector: JacktC. Millin ICC Cert if'ca io�No�0842216-82 Contractor's�Representative: � a Copy 1 JCM Inspections Copy 2 Project Superintendent �� Copy 3 Governing Agency] Page I of JCM Inspections 39725 Garand Lane Suite F ah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 -.,Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: �-,f �3n_cA Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #:,` �-None Ambient Air Temperature (F): Field ID Marking: See Below Location of Sample: [P/No Samples Taken Description of Work Inspected: �_ E �� �. VA�:N �e, ; _� 16 t r . n , _ r"' C— • G �^- �� ca o nr _ qa 1 o QO`Rp.n� a 4 rr) a Cc7)�)�.Vr, �K � �`-�• csx kA vor"°C' C. -=l' &"s rn <a v I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Milliin�� ICC Cel ifica�tio N . 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of —Lsm% JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 L.T INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: 14, _n?' Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit# 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): (�Q Supplier: Time Sampled: q Mix Design: CL�� Time in Mixer (min.): ! CIO Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: ^ ' S. -� `�!>`. Concrete Temperature (F): Truck #: & Ticket #: q 7 � h Ambient Air Temperature (F):Field ID Marking: {� _ .Y %f j� ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑yrNone ❑ See Below Location of Sample:��—`1 /' i ❑ No Samples Taken �a Description of Work Inspected: AfN Ac A > _ 1C-�K-77.aA Rr're✓ \ A r \R\ ` �4 t is �.• nl0' De*( ntnR I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 \ . _o w C.. U Contractor's Representative: / �. /.. , " J c Copy 1 JCM Inspections ` Copy 2 Project Superintendent ` Copy 3 Governing Agency Page —4— o�— Copy 1 JCM Inspections C py 2 Project Superintendent Copy 3 Governing Agency Page 1 0 ! .,. JCM Inspections 39725 Garand Lane Suite F 1 Palm Desert, CA 92211 1 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date:— Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permi< # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Q✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: None Ambient Air Temperature (F): Field ID Marking: F-1 see Below Location of Sample: No Samples Taken Description of Work Inspected:LIZ n ` w a 4. 31 A r - Inc Aqe -, s 4 R I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections C py 2 Project Superintendent Copy 3 Governing Agency Page 1 0 ! .,. JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: ,,,AS_og Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: 0 IBC E Title 24 Other: Unresolved Items: (None See Below. Location of Sample: [S?No Samples Taken y Description of Work Inspected: i r,:�OAI sCkc a S i c..nCAIN CA_yr%r. G.6U r C, n "o. IZ01 i r e_ a r„ rr e _ °L � O I k ;t r�,n. �.. pan, 4SV i 4, C- V.%1.5. C1AC J.- . c C, a G�+� Sy A., C.c.4 c ... (� ` S e k e_ Q n NT 1 n-0CS or , r r r,�l V C_^ c vi'` C e- __36 Q -Se, r c C— _. N t_ v.ic,�1 • 1 r1kX qzr>nrb_t ` o rrr,+. %ACA) "/t Vle t\t�e 2� Y'� L1 WAS. r► i n 0 ' t-3 ,t f �C7 M t)( t J IA f7 ala ' iNr n Vac '.e. r r r% es \,)Q a x►n ,c on Lin ` �1cc nie 1 �l•� O O t lcorr- \ e�_ o f1 ta� r e r G' S a I hereby certify that 1 have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC CertificSbQ No: 0842216-82 �t�L L.` � Contractor's Representative: (*r'/©5 fir, /) Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page C�,of INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211LL Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 4 -m_ 0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse PermiV# 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub -Contractor: Lippert Reinforcing, Inc. General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: �✓ IBC Title 24 Other: Unresolved Items: None See Below Location of Sample: Rr No Samples Taken Description of Work Inspected:O_ g,,• �� Mo a �� �� to, `a n C 7 !l \CI (•.-. 'r 1 Q a. t,o�-a sem. 1a,cAll s11411 4 enCA n V& OfA -n I J 1 \ rr.t I hereby certify that I have inspected all of the above 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 project completion. ICC Certification No: 0842216-49 Inspector: Jack C[�Millin(-,q �w rk /I. 1 , W\,-- - Contractor's Representative: P�t/nd-r,-) Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F RA Palm Desert, CA 92211 ah INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date:q_ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering = _ General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Anchor Bolts ©Rebar Epoxy Type: � � l c � u1 �� �� S1 C1�1 S'� 1 �� ` � Epoxy Shelf Life: 75 % O\J.C, gz C Hole Cleaning Method(s): Z IBC Title 24 Other: Unresolved Items: None [—]See Below \ \ Description of Work Inspected:��� 'VC'1 k= '�K`:' �`��V'1ti� ��}'�Ta ®� �t�C._91 � �• �i1 u'11.��C�a �Vp rc3 ��,�,�1����1���;;. ItA ll� V, ,�_ �.� c v A \� O �: c'r (tom �sa —Ub � o X11 soL,,NVA Ar-� yc,,tA ,�����7 e \'.c a� e �X�•� �Q��e a l � Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above 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 project completion. Inspector:. Jack C. Millin ICC Ce tification�No: 0842216-49 Contractor's`,Representativea Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of_ 41 JCM Inspections 39725 Garand Lane Suite F LTMm%Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:w,,2 ,OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ❑✓ IBC Slump (inches): Supplier: Time Sampled: Mix Design: it-�tg Title 24 Time in Mixer (min.): Specified Strength (PSI): ,.� e Water Added @ Jobsite (gals.): Addmixture: Other: - 7 Unresolved Items: Concrete Tem O Temperature F : P rl (, j Truck #: t: Ticket #: j Ambient Air Temperature (F): Field ID Marking: c� See Below Location of Sample: � ,�\1 6r+,�4 ��,.a 6� R� t Lin No Samples Taken n Description of Work Inspected: r rc� �° r cv. � � '�, .. F. �c�. � e f r- n arc• �� c.t` c^� � , 1 IlkltN.:'� AA -A Em JcW4,?l. f•^,v� �� ti^`� I- - n % Ile- C% .N . t l K, n 1 , \ 1 r'� ri � V sir ,y Ar J, F" rC 1 I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification �No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page � of JCM..Inspections " 39725 Garand Lane Suite Fo Palm Desert, CA 92211: INSPECTIONS Phone,760-345-5554 '- Fax: 760-772-3895 INSPECTIONS, REINFORCED'CONCRETE INSPECTION REPORT Date: Project Name: ' z,, Project No: 522-08079 The. Madison Club - Members Clubhouse Permiy # 07-1055 . Project•Address: City. 53-035 Merriweather Way La Quints, CA Client: Sub -Contractor: Sladden Engineering _ '. Lippert Reinforcing,,, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. .'Bar ' . KPFF Consulting Engineers Slum Inches P(� ): ), -�© Supplier: '�Cic a-� n ', riit>� �✓ IB CG ' Time Sampled:T Mix Desi n: E] Title 24 . Time in Mixer.(min.): 3 • Specified Strength (PSI): Other: Unresolved Items: Water Added @ Jobsite.(gals.): + Addmixture: h2 P9 % Concrete Temperature F : 9 % P. ( ) "-j Lt "� Truck #: Ticket #: f� L (_kNone Ambient Air Temperature (F): �n� Field ID Marking: - �L�— . ` ��t S - ❑ -See Below r Location of Sampler tM' �C �Vo k�I� `) No Samples Taken Description of Work Inspected: ae . ,• n Hc' �� X, if��-i .1 •..- •T f.- r �l`r�. rl CnncCr' C_ L, \Ir -3 .. hC%i esS'= oma, - w ` I hereby certify that I have inspected all of the above 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 project completion. + , Inspector- Jack C. Millin' IC Certification No: 0842216-49. • ` Contractor's Representative: Q CJ A_ i �i4----�-,�- Copy 1 .164 -inspections Copy 2 Project Superintendent. Copy 3 Governing Agency Page t of S �• amm% JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: LI -1 R _05� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: _ �✓ IBC Time Sampled: Mix Design t Mo ir ❑ Title 24 Time in Mixer (min.): n Specified Strength (PSI): Other: Water Added @ Jobsite (gals.).,,_ � �'C-L r Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: © None Ambient Air Temperature (F): Field ID Marking: __-'- ❑ See Below Location of Sample: PNo Samples Taken Description of Work Inspected: pk- — ^ N C. r 10 • � J - , . A LA AA- I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jac C. Millin ICC Certification No N0842216-82 Contrac�r's/Represe tative: Copy 1 JCM Inspections Copy 2 Project Superintendent/'Copy 3 Governing Agency Page I of 1'J hPalm JCM Inspections 39725 Garand Lane Suite F L, Desert, CA 92211 I N 13 P E C T I O N S Phone: 760-345-5554. - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:[,_ ! 1�_6% 72'2-08079 Project Name: Project No: The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF,Consulting Engineers Slump (inches): Supplier: IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: 0 None Ambient Air Temperature (F): Field ID Marking: 0 See Below Location of Sample: _ ® No Samples Taken Description of Work Inspected: 4 • 6 jtar V f �.- �,.l la i �A r a Gr ,P1 ® l•F- Y aP i C .V C 1 r 0 -� X`7 . n r e aN c. e !n C�• lt�\�rr -a . roc_„ j° 1 �3. � .A.. N SO.0 r- n, --A .n Lip J r'vV 5 °: ire., r i\ `� . ` j 1 t, 1 e o I hereby certify that I have inspected all of the above 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 project completion. Jack C. Millin' ICC Certification No: 0842216-49 Contractor's Representative: [Inspector: Lc, '�k\ �_L, _3 O_ ti �-� 6' ,r 1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 ;Governing Agency Page —A— of l a04 t JCM Inspections 1 39725 Garand Lane Suite F Palm Desert, CA 92211 I*S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No .S t Project Address: City: 11, � !```l ` ���Ate,''\ \ \ 1 f" � 4 �.1�\t: �-Q a - "y Client: = Sub -Contractor: A General Contractor: Architect: Structural Engineer: r' Slump (inches): Supplier: [E] IBC Time Sampled: Mix Design: ❑ Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: R' -None Ambient Air Temperature (F): Field ID Marking: E]See Below Location of Sample: ©No Samples Taken Description of Work Inspected: Lo \_43r"< V �AC I„ . �!. j�`! In •� L`�-, C� ['f � � A' \ c' �� �.'.�I P �` k` \ !_#.]f,�k�� �1 � l�•f �� ,. �T'f A , \ L” % e� a� K� �''l ��� G' • � A d t 'k' a Y-� — li��.�A��;.���c:�-. ._�r.�'�A�i�s �:a<� 1V �• �� YJ 1•:*�����, �J�� ��� �A°a: �r _a AnC'Al CA -1 t, In \ c';a �� � ci, t �r t.� � ',l J i' 1 °`Tai �i'v-n � n� R�.t � � u�-_ �,., Qom- `a (�1 r�-\ i \\�?-t, �l. Cr�f`� 1 ;. <•i _a JI„ Vi. ". yA XC'`1 x, aC e) A<n- a�� i, �i �\4^ je p • G' 1 �, A^ �,\ 4.a le i�Mh ACA 1'IA fi A i� A ���'�"^`.,lC �A, �'V+r�-a. t p I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Cert'.f\%ation No: 0842216-49 W�_IL Contractor's Representative: 77 "t C-1 Copy 1 JCM Inspections Copy 2 Project Superintendent y ` Copy 3 Governing Agency Page —a of 0-1 1 JCM Inspections amm% 39725 Garand Lane Suite F ah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: q_I(P_oz Project Name: , Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: �� e.+11�;�e��+ ❑✓ IBC Time Sampled: --- Mix Design'–��c�l'r 9- 1+� yV ❑ Title 24 Time in Mixer (min.): �t ��.� Specified Strength (PSI): Other: Water Added @ Jobsite (gals.) ; Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: — Ticket #: ErNone Ambient Air Temperature (F): Field ID Marking: — ❑ See Below Location of Sample: _ _ eNo Samples Taken Description of Work Inspected: �� ;+� ; ..� �"I"C' a1 A? \ . rl��,��C I x� Y11 Colt o o k P 4C ,C j ' R ' 1 � 1 0 1 P "N iN i 0, I® \ �C'� ��(��v _r���c �� r. �1 i'��s e P [p� iVi.. ems.. v °: �e•. cv, c �> e�e�\ �y��[ c�uKsq_. c Ct>>tc-���n��.� e� T- X1'1.@- ��C�5Pi1v� � Vi�'t=�e�9-��^��'��r,� �s s 1 k– V, V��a �• t_ c'F VNO• \ y _'' c 7 C frt ti-I yn C-� ``ACt i l I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICCCertificationWo''. 0842216-82 C ntra�yc(l'ytor''slRReepresentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of a JCM Inspections 39725 Garand Lane Suite F TMI .]Erm Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: y —I 'A _oz Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permiy # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers '�& Slump (inches): L sm � Supplier: ❑✓ IBC t a Time Sampled: ��,��y ��'`� ��R� � Mix Design: i��'�' Title 24 Time in Mixer (min.): LAO Specified Strength (PSI): Other: Water Added @ Jobsite (gals.):�^ any !� Addmixture: �ta L,,� vC "�°' I Unresolved Items: Concrete Temperature (F): �- -�1 Truck #': Ticket #:CL L -k-26141 d 0None Ambient Air Temperature (F):_1Field ID Marking: �n r EJ See Below Ldcation of Sample: F %� L° �� iz � C- �- R�' f kt � f1C^ �, No Samples Taken Description 6f—W6ikI snI pected: cr?,`4"ev%'N < �s+ 7 C Cf�CNC < r � 1c- ''°< �t-^�- ti -\ l F`� ""•�. 1 6- m � i L 1r_ � e� e n_ `i. u % ' Q _ C1� . `1 , n ` n --N-\ ' r"A r,h to - �1 k' . Q C" r -Q-, ��� . �� < mN L t'Iu 1 , v a✓ c..� S ! s'i (_r� �- r� k "'C �, • ,�s a� t 1 � 1 _ r, �. S�t - .e; V rV0� � ' Vtte.4; Ci .I'A' a< rxo. 10 'Z' C v \ Ff,-A' 5 p"- L1• 0— � �1 Aec ..w �` G s"� F 4z,l,\ r� �'7'+.� • Al {'- �'�6• �� i\;� t(,�y i/•�?� `"C Ar ` V"N• :Oc 0' ice.( �C�6 d� 'r,! zt,'•a(J `^ 1� k" a wAr"d,A�, �.��F� . �e 'r a. Teti` \�v� p� .r�• c� �1� Cf..,,>v I hereby certify that I have inspected all of the above work, unless otherwise notid, 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 project completion. Inspector: ack C.(Millin ICC CIerfifieation No: 0842216-49 Contractor'stRepresentative: � ` of Copy 1 JCM Inspections Copy 2 Project Superintendent / / Copy 3 Governing Agency Page 1 JCM Inspections IS: 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 4_1 / _ Project Name: The Madison Club - Members Clubhouse Project No: 522-08079 Permiy # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub -Contractor: Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: ❑✓ IBC Title 24 Other: Unresolved Items: None Fj See Below Location of Sample: ®.No Samples Taken Description of Work Inspected:Willt .� � �a� ..� �� "f"e` fit'+ G _' ♦ t .:-6'� `1� ;.Ci r1.a - <.'� t' r 61"4' 7=t � F \1\ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractors; Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of IES39725 INSPECTIONS JCM Inspections Garand Lane Suite F Palm Desert, CA 92211 ah Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: -'/ _0% Project Name: The Madison Club - Members Clubhouse Project No: 522-08079 Permiy # 07-1055 Project Address: 53-035 Merriweather Way City: La Quinta, CA Client: Sladden Engineering Sub -Contractor: Lippert Reinforcing, Inc. General Contractor: Lusardi Const. Architect: Structural Engineer: Bar KPFF Consulting Engineers Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Ticket #: Field ID Marking: IBC Title 24 Other: Unresolved Items: `�` one ❑ See Below Location of Sample: ..,--- ® No Samples Taken .. Description of Work Inspected: `(`( y". p\� �� �� o ,, -- Lx:>\,..1 ex Ye? t,, V C' o rb. Ln p V r; — Li 0 r, 9 �5z'wNe-( som. ee� Ct�n otcQ*% ,n CL 14. ��ce�Ccl S3•rJ� ��, �b�f17 el C CS ncknp< b•)\ - 5. wo CC St C_u fa tei aot,;1 I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative L Copy 1 JCM Inspections Copy 2 Project Superintendent -t . Copy 3 Governing Agency Page of 063439 Sladden Engineering 6782. Stanton Ave.; Suite A 77-725 Enfield Lane, Suite 100, '...450. gan Ave 15438 Cholane Road. Buena Park, CA 90621 Palm Desert, CA 92211 Beaumont, CA 92223 •Victorville, CA 92392 (714) 523-0952. - (760) -772-,3893 {951) 845-7743 760-962-1868' Fax (714)-523-1369 Fax (760)'772-3895. Fax (951)P45-8863 '. 'Fax'760-962-1878 Date Job No. - t. FIELD MEMO.:. ProjectName d �/ S �'' C ..14 Client:. Site Address- 47 . i hPt_s '1z,- SGS') Job Phone i _.....- Work Done t 14 Test Summary / Footings Inspected -Test No. Location r ,. Elev.' - `6ry- .Moist. ' %Relative .Ref. Max Moist Density % Compaction pcf W 0�, wt7 IMUYVS. ; lig Lvu t t -P kel,; '� /!) Sr - k ;. % 3: U Comments 7- Field Field Tech. Super. or Agent 24 hour notice requested to schedule Field Technician. Thank you for -the opportunity, to be of service. Form SE -0001 (Rev. 9/06) JCM Inspections T Im 6W gohmi 39725 Garand Lane Suite FRA Palm Desert, CA 92211 ER INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 8_ I _A% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ED 1.1 [-]Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers r , P P W \ 1 _. �.� Description of Work Ins ected: ` �y t � � �, � S � � � �� t, ❑ Shop O'Field Unresolved Items: E] None -® See Below V> ,� Iv I n rrLS, �"'Ca : N t4 �" ice' "OV-11- L ,'lam `����,,r n W �� , > �\ {�G- cr Ln4_5 ���.r b n tr•,n � o,; We t `C^�•(1e• 11--G� _�( T1? `Q ��•, �-w,�AelA�1\" c.�\ua A`.�\t+. �,Je�j E `��\,;t� `C� nr��_ �`Q.� �< �`o r [c� �� WAA4 �1 �� � r•^_i o �� , �`\t` \na I-JO r� ►.�! �X � 4k► j VJ f\ cT-�'-{C� rr� �, n.n `f,.ie�^, l �r, vel k w�� � V" . �y` ,� \ 1/ �\" 1 n \1 r�'l��jc, t�L,.•11 �X,t V.�Oi � c.Y��+>�)\"�-�_ 1 �hJ� i\Pr`s ,1 C7`�./ kkLP t1 V3 , �IA I1ACr`�n.'1 C" r,'M0 I0A(,.S AQt1,QA-,_J�GLtH_(^\�—,( C\nr,\DC-r��n4 h el @ln � amu. -� � !7 �� �' \ �� t, Q P ir.^ ,)�.t` t Process Welder Cert on File Electrode Detail(s) y Location/Comments Yes No Type Size �N0 N'KA.-1a- y �1CC__ k.,rn it., \_t oM Skc „\rt- IIC-,' C\C,<c tr %-341:,. CZS j 1\9 ,k, 130" M�` �' : ,��\����.-��S ba., Cr Q � � e cc,- C V>T 6, rC. f-( et ^n cL I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page \ of k A) JCM Inspections 39725 GN6V &0arand Lane Suite FRA LTMR.JPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 ER INSPECTIONS WELDING INSPECTION REPORT Date: —I-31 -0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS Q IBC Q D 1.1 Title 24 ❑ D 1.3 Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: L�+ o cn , — �.� �r� � �en•� �>', Jnr ❑ Shop Field �\ c�` �� --} Unresolved Items: ❑L None El See Below 1 n51S 1 7A- C C �c. �t �r• `nom 4t,)\5> Cd vv-,),"C� c� tt-�� J�� c' 1 orvr Cc AW� \� • (��6 C i\ MnrC' `-,\0 `c;,AC,t \<Grh4?.-eta t iCn -s VX -�`� \ 1j• »(r�c_o- rPl��� �, VJn CN "\ia r\t\�:, \ "-` �,� K Q\\�\ W1`�1s �Or1r'4r?, y f)•r'1, S+Xzs. Nn.Xn Pyr A-, 4� tv"UQcr) y3,VL `Q„cA1`a-, S%La, n-Xk �n��A.�•,(1r r' Y�r7n �h� d. -' mak?... L� �� F CSC rr+ �1 ^.AL_ � + r Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size c Fl %A:.. W:C19-A I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification NoR 0842216-85 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of , JCM Inspections L On 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: X30 _ 62, Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS Q✓ IBC 53-035 Merriweather Way La Quinta, CA Q D 1.1 Title 24 D 1.3 Other Client: Sub -Contractor: Sladden Engineering White's Steel E] D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Shop Description of Work Inspected: t q. a Field c\ 14 n\,S—V c f , �\ s ' v Unresolved Items: None O ❑See Below �/ �/ {� A / (�]j' IT (n ,...'1'., ai /_ C ra i l-i� �h ,,J >� rf.�• N I �'• �" , \ 4 Y r Com, .---i��- +f r.1,1� C1 /A ..w ��11 t'I1\ Ae n"� �� l� ✓7 +r� A.f � \ � /1� ..� ! � �l \'�\ ��� � � n°' N.. / �Ci (', Iri � \ ' 1/� � f ,� 4_ R-�,� .-a ere `C'r n, •- T rr n o ew CX r n ;\ C C n n't n n G C CR\ rhk—l'i mel �Q �/•_ �tl�". �, r)AiP�^. A �/FIC (� �1At �., ��l.l? � t.JK iL\i 1 S•, -0/' 'l— %f 0 t• n r t ,•, r, ♦ t n ! i K� c� .n,. n •1 ^\� �^• C` rt.0� t to r \ r �: A .�i c. \ .0 • �, n \ \ C- P 'e r-tr (T o l U, ` (� tet' l � I a ;4 n _i A ;, r � 1�\n .. k'. e Cs �� , n ^ t �/CZ X \A v�%X_r' i R_� -lr � " r1 c\ Cst r1. l - l r ' �T i -1r' � C n � �' \ � l n .�V4. n� � G.i7 P t��l.. `'l I D'ra ^ � *`� • �., r Aa - �.�� �+\ e �� i --= N ! Cert on File Electrode Process Welder Detail(s) Location/Comments` Yes No Type Size C)ft�C a I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 Contractor's Representative: h ICS Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite Fha Palm Desert, CA 92211 LLIN INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: 7 .-a !—Q lJ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS ❑✓ IBC ErD 1.1 ❑Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:li� �� ' a�� �\ Af ❑ Shop V Field Unresolved Items: 'None ❑See Below �� r �. \ 1,�(-�0 �� 4 n 1,, riv 1� • r�— n i ( '.11 (y Y (`.1 4 r x nn h. C t��,ier WC�'.!t�/S \ O �^ C7h ar•�1 l.Ci r\.C1.,_%. Q\ 1,; `M V•�o�j _ We Q \1DIN4n r•• \;nlrr�C_,._1� VAe- \f") (I '%ZCNN, (>\) n\ CztCa_ ClR!in-f, A.\on C�CC�r_ %A QVC Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size C�1•� x u V:�1n�nr,K) � N v.Ac� .U-i�a ( 5�,.30.� 1 �` r• (t'1>(��\�c."�^S1\n.^� a� �(pV�n,�S `\,�, -I 1,�Q.- \�J�S A �Cnc n c c a\t r.• c \.�.a�.l. �C'c Qcy �\ - v I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificatio . :0842216-85 I'Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Goveming Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S REINFORCED CONCRETE INSPECTION REPORT Datel , r�F Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit* 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. \ Bar KPFF Consulting Engineers , Slump (inches): r' C E �" (l Su li nr,c�E_ ✓ IBC Time Sampledt ;_�n„� j� : a9 ��, , 1 _�.,���+ Mix Design: r r+� ❑ Title 24 Time in Mixer (min.): r r) Specified Strength (PSI)- Other: Water Added @ Jobsite (gals.): � t, _� . - �--� Addmixture: Unresolved Items: Concrete Temperature (F):-Jr) q�1 Truck #i� 3"" Ticket #:Vl None �, C, �,, -'� % Ambient Air Temperature (F): ' caiy� Field ID Marking: ❑See Below Location of Sample "N' �� r �. ��� v . ❑ No Samples Taken V x It CIIA P ff'! Description of Work Inspected:1,0 \711K , f \ Ret, ( < �AC 'V- 'X r.t� �a4 lay ��.��"I'�t- rTa r � � to i A C V� rt.A\.1 €�_, rr ��. �' 1`1 1t1 C�\r i �' f• \C �r\�•• /i2a�t �' F� o �A. t� ��t�c� �^�C+ :w,�� Yr! 1� �'��ea� cti �oll�: Wry\ �� �vnQ � "r� 1�' acv\ i� �t- (��`� 67 )C, % �� � . 4. ��,�FM_ �� G^ s1"` �.- Ll Tt ` _T,1'7 \h) � ��ca 't ��3 <;Xel- ;• r > +�� o aF � r a e �. ry C a c Q Y A scl C CD e AF ie r ;) �^ ✓ R�� �aJo �� , ° vt-��v: �: V ('1! F t Pe W t�r� c ?i"Ar, �y r� � .�a,.., �' na.\Pr tSC v j � J ( I O'� 1�1 I "I VIA, — \ "' w ° �� t !J, e u''01 / \y ( \A) kin t r_ WCt,b A \ nt.%`9,N .A (� c* Q'\ V, , 'C_. 'd '� Y'w • i i ;a� „. = "e: , r' -j"- - i\,,o- I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contra�cto�r,'%Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of I JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: -" A%, 05B Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F/� IBC Q D 1.1 Title 24 D 1.3 Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ,t a—' �! G r� i n Shop 0 Field "^� ----j Unresolved Items: M O.m S a *ri ®c� Line NC_ QrP/�� l �'�— l `• p n l-:1� �� c41 1 \ 1 None �, C7 E] see Below \^S t'C.C.��C\� �`\�(i l�'� Slf( \C.tc.. �(r•�Ri�IhC�� (��t]cl� 01;PV� -vJCX \ter C1 Cn n n � o� \IJ Js) Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �j'.� AC-.�c" ✓ w4C_, blg 113,`, S�3r>'2. I hereby certify that I have inspected all of the above 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 iss20•at project completion. Inspector: Jack C. Millin ICC Certification No- 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F1E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 1'19%_off Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers ' Slump (inches): Supplier: 0 IBC Time Sampled: Mix Design: E] Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: R None Ambient Air Temperature (F): Field ID Marking: F-1 See Below Location of Sample: P�'No Samples Taken r Description of Work Inspected: ��,•� n Qt, AQ': ' 1 Mf r .S R>u lAP : ,^ c VM c� _ U t i ,i i Q_— � � e c� , n i n r vAl n: h. f1 r1 . n fa nir S IA r,Irk .x A�.w p � �, t+.•\ r �� � t t °':f�1 Ci +' l C' �G'� f • �' �.3 • G •1 ,A -5 3� .,�� • C7 � I S \\ {` (� n r r�3 1 - J�J C+n`SA `nr\ �JJ�+/ 1 n.. r �( f4�o-f t7r r.\rTVIt o\-�W� A� ��'1s G, 110.5 A r ' N\ 10 �1 • • n,r n c� r e r V� c�?.S � illec\n}n -. Qy, � --,j�y t`�` \ „ ` ch P c1C �, n oX C r�\(n t CQ ^1 �•� _ k"" (�1 , t �tn1� 1 `} flt5�. 2 y r rhC7 (���.cCvr�o Cotl14'(A-'tt:_ i _'� ir.e �' i \A'PG, `'cAt(41 ,SJfGP e �n � t.� . h• � G o n .� • � t\ A fit" �! . , iS v I s Wit' ri S .O ) C (k. r ir�. �, rn4 ter. sfc,r� nrt� VJn$ nrnclVrY�-' lrl..,�. vt n{•r r cit" r A& ' I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack \\C. Millin ICC Certirf cati�on`/`j No: 0842216-49 Contractor's=\p#:`yfe\'(pr/es�e/nntative: Copy 1 JCM Inspections Copy 2 Project Superintendentt •��,;� opy 3 Governing Agency Page _�_ of f em JCM Inspections On 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: -7 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC Q'D 1.1 n Title 24 [-] D 1.3 Other E] D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: 00 QAC * A^ � � � A &4 � ! Shop Q'Field 1�j ..� J 1. Unresolved Items: None ®See Below i -a- '. L��e �nu nn ��1.n 1 l a.n Q..>'J ���0.�1, L! ` c t n((���1 t,n..� �-Y.,_. lT�s.�... �n.�nr`�..�� \es.\r�.�e�+' 41'1ri\A• Y�Pt�r� Ta.\\' �RnP��.,\inn Y'rrrr�•JC, ills\�i✓Cn ��Gn P., t} \n�� n .�ltkA A Imo.\1. (\/�� �_�. �... \� ��'• Y111.'-, r .:. n., 11 l?C I t•nrn Ca /1 1 iQ C� _tX111, .^a\ �� � �•1��\ s.Wr�G��` C rI7u.1}1._ n (C��or<r.Yra 1/; e�� Vti;Gr���ee• a �i.�I+C nni.l�.�at ��fllrA„e ��f1^1nP�lCr L7few{1e� e. N Nom+ S.I_'� �� Min • �. d C� 1.R1 eKl faArl.. N R . w w V CaJ_�. � � ,r � ?� � 1 �% (1 v� n t r� � � 6 0 w) C, A; n iJ Process Welder C Fite n Electrode Detail(s) J Location/Comments e Yes No Type Size C W xv' Sr�Ah (/J 1 \ M r A r f a 1�,\nV7�1�i"c r ftrr� � I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certifica 'on No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of I� JCM Inspections RA39725 Garand Lane Suite F I Tim %aPalm Desert, CA 92211 I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: _ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC ® D 1.1 Title 24 D 1.3 ❑ Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers M (� Description of Work Inspected: ` n` 1 ti 1^�) Y i�r •� ln C rA Y Yom, h•�/ � Shop ❑V Field �. Unresolved Items: ® None ❑ See Below 1� ALN H i. rr- \ G'A+ ,nom e-n.•a I!r .� 'i n � C. /a �, ��. ,...nC, \ \4\�s).;' r� t �' •Y e�4 �-,e�\ �' • !?Cy . e z, .ti rz C fn )"r% -AIrQ A-") L. �1•.�"11. r. �\� •,r C S Yn.- rY int+_ (I— _ \ \A"., �. � •�'�..., r\ \ten \r x n ... - N. 1,Nr C n ccX Irl. ! f� :.: r\� -.. �^t, �f /� Fes1. \N�5\ \ t . r� 4.. t"� �F' n e,,. �,1 swIN- (11, to t� �� d ra .., !•r J• Ct �Q `ert r.R r !„1 !'. ♦,_?��"1��.t(\�%.X' �(\�+\.n„•v�t.� /1�\i; l �� 1 he r�•al.) .+. �. !��\r r.�,� Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size 0�-•� ^ -. ( L C. ,3r) , �{„ tl e n 1 ��Jh .. r. 1, f".�./\ c ! ^Ae IK- \!J'U—S Irl �!`nCn t) 00471 -71 0At UY Vl e7cf.,.,,� :p r• I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack G. Millin ICC CertificationQNo\0842216-85 {� i Contractor's Contractor's Representative: j Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page k of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895• INSPECTIONS STRUCTURAL FIREPROOFING INSPECTION REPORT Date:-7_a�_Cg Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Fireproof Coatings, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers DENSITY SAMPLE: Fireproofing Type: C �. n ano Required Number Thickness (in) Area (sq in) �.L 1� t Beam: Admixture: \v �� < Column: I Metal Deck: sL l i.(� Other: ❑✓ IBC []Title 24 Other: Unresolved Items: [E] -None See Below Description of Work Inspected: n -_S •` LPN c, .� <��,. -,r ...•h- ER1,S ,a -- f:..'�!'T\.1 M., I C v'Y\C .+�.' •�C�tt� 4.•'• C C, .f^t N, l rw� !• e•�, _ /'1 1M. /\ R\ 1 n \ t • A ce . 1.- "!t1 \ .I; C+��\ Pf ur1. f e r'1 1 rTw �la �C .� f�•�+ �L1\!,A ,n ,M1.� � f: fi - �, f `A, <� �C?� t���'C` .n �l'1! f+� � � ��.,., n Q1.5 ra e� rr s\ \ M l q .r-, n } C f\ S �C r� S (r� l+ m i 1 �►�1 RIC`( \7 it cK An A4G act p, rr. n..� OnK �tltl.C�r�c+«., cc<c„.Acc_rnn ��\C ni�r���,,�3. 1Q_ t�tPca� S`-'7Ccti>_���c1 • {�t�, \- ` -� 4� X� C.� ri+ \� r � O,r- . � v��CC.. Cc r� C c t, l+ �\" I �1 C \r\c car« n �.fCN 1 3 ' fir, Fa, �� <,._..�� s• � r. n �_ 't � 7 iV'1 � • � v'\ 11 ?1:1 � ., r ! i v .b+t` (1 T'�� . � t .) • 1 � .� In c.tc\,+sn\l :fnuc+,V,.,•. GCC•nC �T � �c M\lk% nvJ CrmG� _/ `i t\crcz, cU... 1 hereby certify that I have inspected all of the above 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 project completion. Inspector: JackC.C. Mil�lin ICC Certification No: 0842216-86 \CI Contractor's Representative: 1 ` Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of _ JCM Inspections ]ERM 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:`-����� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: P ❑✓ IBC Time Sampled:i i!Mix Design:�� , ❑ Title 24 Time in Mixer (min.): Specified Strength (PSI): �4 Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #:�l� Ticket #: _ None \�� Ambient Air Temperature (F):r^ Field ID Marking: See Below Location of Sample: \ n ❑ No Samples Taken Description of Work Inspected: s - �� �, .N : r� R f C� - Ar<Q�G�Jc+� O�:�A iR R� i��, F����a.R"t"��� h \1E1 �_� �• �l>�iA r1 _� � �. f a .T .(1 <C� - L: C R \ \�P Z t v' ('9�,, �;^ '1 � •�' /?� ��_ C+�A P/{ �i f. �� w� � z°P C t' .� F,�, �. e�� = c rs 1 �" i 1 �. 1, 4 1 \�rr�_ 1C��0 ? r i r%IM, ��6_�. )!rr ,;A �' Iii Scr L? �. .k0 SL 2 n6w.�fG' a+nn w /�r�� r��,"' 'e. li m,_ [ Dir,. �.717. _��. \ V • •P �Y.-rV-' to r II1 G FFA �M- f I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification"No: 0842216-49 Contractor's,Representative: } Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _ of e kA JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: _a -Q_ OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS r✓ IBC a D 1.1 Title 24 D 1.3 0Other D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: ❑ Shop O6Field Unresolved Items: ❑ None See Below �., ` (� f 11 �S �x Ih� r Iim Q__10 t�� �_�,1r+ �..�-Dn\\+1 a 1 i�nc t11.J C .. 1 \11,, 111t— .a (ter J Ir�� �>n� �tl�TiP �ln��.k� r11 Awa i,..�f �ti1n� �. n... � y ` ✓ n , n r11 t% Nrl —,2j 1�\ ,,. rr- 1 � n.�n ♦.1�1-11.�c �.1 �.-.. �� � f. rte\ t . r+1 C` C v� � ���+��"^--,.�"�' ��+1� •J r\ � �,.JR� � F Il,n \ A �, -gin I:, nn.1r' l r.� rll N .-+�. 4-� ��� �`,r.��oS� �, �.�n.x�� \�c�ll.,� ..1� Qon���i�%�, Cl(nrt�IC� \►�nitr�S � �t1�'�. (��{.wn 1`� rt„.., •. r �,r �� �; � .. r�. n. �< ,(,�.�. �"�fi a-\ ♦ ..1n. Aa?, o ..A?tr � ��r t� "C f, �1 n, P � `�_. 1� (��I'�� rsr,\- r, l rr;. �7 c\C <1n 1c1 h 1� CQ A n n, c�i i w/ G, �. r-, t . ren EE r .,(/�A;,f�. n^� n 'kCk(r+.`�e XN r+�..� _�L0CC�1�catr� E(Yl1C,P, a a�t�i#r1 �"� nn�� n.rte.�. woo•� a-�+:�� A 4\ or. )l ML.. ZO- Process Welder Cert on File � ` Electrode Detail(s) A Location/Comments Yes No Type Size tk-\ . � IN t.114( 3�- ,o"f I va.��.�. x:nS v� � 4/ "���"l . �f�,� fl-C'c•`��._ r. ('aF�l��. ����1A �c�n�c_�t�;11 A^ V% f r hf�\ rt n C C_ ., 0.P\ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin �^ ICC CCertification No: 0842216-85 Contractor's( Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent r Copy 3 Governing Agency Page A of 1 JCM Inspections LTMm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone, 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dater -.2a - OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: Q IBC Title 24 Other: Unresolved Items: None ❑ See Below Location of Sample: Q`No Samples Taken � 1 Description of Work Inspected: �.�� VO L) %[\ ton t C, \ r 1 t- sJ c. G- � e' e ` C e � r,'C� t c_cz. r•� r• n c..S � e� �.., r.,: � �.a � , C� n \C2L yt. Nt v C) t^t/ �C-O C i. L G In "!I-,.sO �a wr 1 r�'�lp r".'1 A Q p ViC..• \Yr\ k A \.k\ r&, N on h".0, ".0, ' C o , n t tz 1r*�• h r s c �� J3 . til S3 O 1 cc P.S. a� n t� j 3 a A S,\-" 3 £` 3 • Otl � 1 _� Q1 CS /•� � _� � Q ti N__1cr VIZ -Cc _ n,r. •- C"rAID -7.4cl- 6cC w1t1 ee-Ut'tGr a. E <n�1 t � � trc �r)C1a Gt,, c\n� t• � E . S w, c� s��("`� 3-,t, a 01 � r� \� _ l c`c�t �:� lam, r•`c• r�`ti� c c'. rn c t �� v.�(t.� t �� nli o ^r\ tc 90u( 11C -AtN. �', 1 , C, c r,>\CVJ01. �C 116V4 i J ,n • n c� �� Ct��t?<L\C�. (1Vr� `'� c� (ti-. YNt� I hereby certify that I have inspected all of the above 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 project completion. Inspector: ack C. Millin IC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL FIREPROOFING INSPECTION REPORT Date_1—,;V —0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Fireproof Coatings, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers DENSITY SAMPLE: Fireproofing c+.. c©20D Required T yp e: Number Thickness (in) Area (sq in) Beam: Admixture: C>Y10_ Column: Metal Deck: Other: Z IBC Title 24 Other: Unresolved Items: None See Below Description of Work Inspected: �\ ' ' e �j �U � � �-t r\ �, (' ve.4 c` ! 5�� - Cd,� t r, C\D c C1C C �� �1 '�•c� C�1 � e v� -�� Cc q � � � � � � � c c � <o p�� � ; -A AS t W� c�,S t c, L\ �, c S : t,\- � \�. G. Q'a7�. C c.: �r� � � S < oa-\\ " °` +7'��' � '�..,:- ,n1 e ,•� �� o tiS � +` C � i� � <� � n�t\'�cL e � � g vc�� y l.t?\\ n\41'. '�.�M�, ► !•\ C` e V�£e i1 �01Qoy" L,k,.k-!` \, e+. W C c N �C S� tc rcr�t� c WQS I hereby certify that I have inspected all of the above 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. Fina re kortjssued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-86 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ` of \ JCM Inspections am LM 39725 Garand Lane Suite F 6W N6. Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: ) _n Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: AWS IBC 53-035 Merriweather Way La Quinta, CA ®,D 1.1 Title 24 ❑ D 1.3 ❑ Other Client: Sub -Contractor: Sladden Engineering White's Steel ❑ D 1.4 General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers E] Shop Description of Work Inspected: \ \(\ ©-Field r t. ^ " Unresolved Items: �r c None 'ice �, • •.. r �- , .. , � . ," - • .. , -, �-- - - '" , -, � �': l" . , � � �...�}...—.,...-.�c-- Ej see Below `y `.� � _ '� -a.r c.• r� � �.� .,,_..-��s G`�w.. Ats' ,. � c v .:.u... _„ ...., (.� . -`- 'iy'- . r � v y - � o r `k r rV ` .ter �� l.-.. w �1 . \ � �...,r.\ � \ r.^ � c'!, .�. � -k' ..• � - ` 4� 4a .. �� '- � - . � ,r.". , � � »-.!, ` n, s`� . n`: ��_ ,� _ ������•�� ., .d, .� . �vua �'��ti.� r `' 1 _Q�v� ►���� 1.�. .,.� V+1� �� �.lA �r.F r�AY�t` uv0, .i`\_ 7 �} ` Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size I.�...rlref —A I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-85 1vI Contractor's Representative: � c �. t00,tt0,VA, a ,, Copy 1 JCM Inspe ons" > Copy 2 `Project Superintendent Copy 3 Governing Agency Page 4- of y 1 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 ' . INSPECTIONS WELDING INSPECTION REPORT Date: / -1 g-0% Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS F✓ IBC D 1.1 Title 24 ❑ D 1.3 ❑ Other ❑ D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected: �p h S v it r .... :--� ❑ Shop Field Unresolved Items: ❑ None \ See Below U L I��nR.S" 11 £� •5 or.S [1 C r1 c* c�� „P•0 - n�rY Q� �. ���M � � C�\�M�, c�,P •R�r� /� ��r\��' v�sr �crrDU;�, 0 O H) ; •N lls��1 CN nlC S 011) N— -e }� -SSS Y fi " r✓ I t)� ke,csL- t7iZ Cn. Process Welder Cert on File Electrode Detail(s) Location/Comments t Yes No Type Size T-- \�C_11 z� W',CG .ta i nn �E c � cm I- t__ n Q� t t1t►: ` <X:a C � r z - %t~ r 0�1� C� Ct' S�1ct.c h �vvV I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved7r plans, specifications -applicable building laws. Final ort issued at project completion. Inspector: Jack C. Millin ICC�Ce'rtifcation No: 0842216-85 ��- C-''����----- ' Contractor's Representative: VT -,- Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ( of J JCM Inspections 39725 Garand Lane Suite F LT.M.4Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: -7-1 $-p� Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches):' t' n Supplier: �_- riS k 4�r\A' 4Z.- ,,,,� ; � � R rra g r �� Time Sampled: Mix Design: J Time in Mixer min.: �P (min.): C�P'f Specified Strength (PSI): Water Added @ Jobsite (gals.): 3 o Addmixture: Sit; �{� Concrete Temperature (F): ar� Truck #: lkZirl Ticket #: --70%-6 Ambient Air Temperature (F): Field ID Marking: C'-_ �X ❑✓ IBC Title 24 Other: Unresolved Items: ©-None See Below Location of Samplea No Samples Taken Description of Work Inspected: � 0 the r•�S. ..'��r0' � r �+ r" c:•� a � ,� n. G �1 c c11 1�1_ 'C' ♦ �'v rr `'r Q, t CC%t%C' _�,�� ' rc ., i ��+�. wear i C< hh.• 1 ,c -+ti C n � 0�1 :i J v fir• Q c� fc_"�aA \V-0 " 'k, Cr �1( ,,.,� `�� cru. C>1'•�n.S n � � Cnm�resSt � �C*�,� i CC�� t°..� �c.�.�51I� hfTA.e, I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C.kMillin ICC Certificati n�No:\�0842216-82 Co`n2� tractor'/s�Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of I(,, - Copy C -. + Copy 1 JCM Inspections Copy 2 Project / i Superintendent Copy 3 Governing Agency Page �of 41) JCM Inspections 39725 Garand Lane Suite F LTMm% mmj Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I O N S STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): ��, Supplier:Rt lo e ❑✓ IBC Time Sampled: — `^- Mix Design:< ry0.c ��� ?�V{� i C ` Title 24 Time in Mixer (min.). Specified Strength (PSI): Other: Unresolved Items: Water Added @ Jobsite (gals.): ry a Addmixture: nn4: Concrete Temperature (F): Truck #: Ticket #: --- allone Ambient Air Temperature (F): Field ID Marking: , _ -, E] See Below Location of Sample: []iNo Samples Taken Description of Work Inspected: QNNN` t o .r,f rr n . tt l c IX `?n \)o�,�t�� r, � 1 ++ tj e• ... \ V k N . t-t� \ ' C 5� �`S t t�yt .T R 1i� R. .. 1 h C\ . !� t J ` h 1�� e' ..r r • ` C „C C e i f,e�r tv _ t�-•r•- . a .. w !`,taC,-" �I.. L4 1 �� •�.�} e ` a fn �,.r t, S c6L) to.1t •o6 �. 5 -3-0S .1 ^��, t\}r: �C ., !1 e I 1 K 1 A U �.- •�...- n , rt r ` n , C t, �e i ti C 1 i c C;a ` I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificatign, os. 0842216-82 cz_-'�": Contractor's / Representative 4,014 + Copy 1 JCM Inspections Copy 2 Project / i Superintendent Copy 3 Governing Agency Page �of 41) C� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Pageof I ' JCM Inspections 39725 Garand Lane Suite F ah LT.rPalm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: -1-7-d?-N Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches)Cz nn . Q, �,. -��• � Supplier: , A . � y1 IM�� ❑✓ IBC Time Sampled: ��•� Time Time in Mixer (min.) —'n � e'!S �.P7 !(„� � ,� Ir,. c•�d+� Mix Design: �,�, r CSD Specified Strength (PSI�'�I �� - p)o Title24 Other: Water Added @ Jobsite (gals.): In Addmixture �� ^^ 4L � 1^^ J -- p Unresolved Items: Concrete Temperature (F):c�' `��, n t^ �( Truck #: Ticket #: F � .., SI � �_ None Ambient Air Temperature (F):C17 Q r Field ID Marking: C_� C.. See Below Location of Sample '�—a^ C -r Q �-r, r Q a . f F� b A, No Samples Taken r Description of Work Inspe ed: ,St A, \ &T; , n,', A n 1 r: f n_ «,1 n Q t \ c r\� n <• .S' ,•, < 'S'1 h � C ` �t � , j, T 1 vel _ C r, 1 hi. t o r\ C n r r n '�`�r,_ i x n rt t\N � :. � _ _` I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certificatio . No. 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Pageof I JCM Inspections On arand Lane Suite F11 I&W go ER 39725 G69 Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date: I-1 (0_ CQ Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS OIBC 0 D 1.1 Title 24 F] D 1.3 F-] Other Ej D 1.4 Client: Sub -Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Q Description of Work Inspected: '(��. �nS kA �`� , Y1� t+ w tncE �t D��not� [:] Shop ®'Field �� �' )��`��� +lt^ Unresolved Items: Q None See Below t, +ham. n '� 1..� r�� 1 f�\oi \ 6 c e s. v� �J.dtr#� d D c s O (�� la �a �• �� a ccr> j j1� h\t yiCC rn P G _I— t � fi �c�rc�c�{�! T �nyi \ fi t C rs J -iS vJ� ce(�W�`►CSii~,..� o c> 4\n�clQ `,\� srcov11Q _ti I \WtC A ��nock. r ra�..c�\'�e�l �Q����...• �> u�.St�..a.. 1r�. \� , �-� �xf� Zen, rn coy , Process Welder Cert on File Electrode Detail(s) Location/Comments Yes No Type Size �CAA �E,Mnn7�0 \i�Y�inn V.l`��e�► ♦D (� � L�� 1� \` ^f � h 4 StY1 �� Sm:� tl I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin (ICC Cert'fication No: 0842216-85 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 ' INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Siadden Engineering Lippert Reinforcing, Inc. General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: Q✓ IBC Time Sampled: Mix Design: Title 24 Time in Mixer (min.): Specified Strength (PSI): Other: Water Added @ Jobsite (gals.): Addmixture: Unresolved Items: Concrete Temperature (F): Truck #: Ticket #: [.None Ambient Air Temperature (F): Field ID Marking: F-1 See Below Location of Sample: t[ ,6o Samples Taken Description of Work Inspected: r 1 1 . t., \ ! .. ._.. _. V _ r_ t C../.; \ . \ \ � fir•+, ,1 r 1� - z'. C u- (! 1 r.. .. r ... r' r• • .� �K\rt w� R e7. 1 --4 flh.r r r rte... ra .1. [? ,♦ I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of On JCM Inspections "EIN 39725 Garand Lane Suite F LTMR.,Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Date:-1—kS-0q Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA AWS IBC ®D 1.1 F1 Title 24 Ej D 1.3 7Other [:] D 1.4 Client: Sub-Contractor: Sladden Engineering White's Steel General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Description of Work Inspected:�t • `K fl^, � t rx; Shop 0 Field `�-^----) Unresolved Items: 1.� A None See Below ^T \ � \ sz� 1 \ 1 ) \ C �-a` l(�''.•n c� rr"'• 1 ' S• \C.-til is m rt . T'?r; Cth C i� � : � � \ n .-� rr �rl C' t� �i'tti i C' tW _ �:r"`� X�c� f ct r��', � a r> �, �+ �.� C .r, .�+. , n � rt ,m +� (� r� Ick '.te p � ot\C,ir`.^,--C 'ltnr, 1(11ca4�._ crn�xYlr1 �an1 a tt►c�. �iG�� C c.na\G, N ntt: n c e. 1t11 i � �u1\Q C� . (ls\ \� ri �t�., ; C o E CY 1 -tori r1 r 0I. v -i c\ ts'"`C- \. \ (" ` Y'�^, \"t"c. 1,_�l_i �� � l'a-� V� � �WS"'�r.L�,rs\ �� � v.r-• �a �E:c� r.-, �� �n �'Tra �c�, t� „nn Cc��nc 044 ..-\.V— Process Welder/ Cert on File Electrode Detail(s) „. Location/Comments Yes No Type Size I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability l have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No:.'0842216-85 Contractor's Representative: 14x1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 'Governing Agency Page of JCM Inspections LTMm% 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date ^ Jq _OR Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub-Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches): Supplier: (� \ Q. n t"� \�– C 3f z C C. Time Sampled: –7: cA cr,.. n,,,.\ Mix Design: �(�� Time in Mixer (min.): Is Specified Strength (PSI):do Water Added @ Jobsite (gals.):5 Addmixture: �.1 � Concrete Temperature (F): Truck #: f (d Ticket #: �2 —��I-- Air Temperature (F): <;�I.L Field ID Marking:,C, ; '-'-A-. �X 3L ❑✓ IBC Title 24 Other: Unresolved Items: RI-NoneAmbient ❑ See Below Location of Sample: No Samples Taken t Description of Work Inspected:rx� �� � N& W t) r �r S �•'� °, , [ V' \' 1 �C n , 11 n r n 1 •.. �.. a, -.. c, r t.1�c� �^s- S ��_ � n. � � - � a �. e. _ .70 . r�� `l\ Cr.e r �r t ..c- �1/:11�L R, c --1, CEJ 4r c' C C�rKK3 ;z:, rh\�� n `�'� \ � \ CS P rt L \w, r,, t� . '� '• %A" \:��' �. p .\ra\\ " �, Q y\ ,l� � r� r W eti'ft �. , • ` a*`�"�'C.. r sw.� � r Lk L, �k •V \nc\• Lc - ��" S �.rs r.01q: ��\�t5• �cy\cs�.�c � rl:. \G�k�.', 1ti1T* \n S \Cry t nw Dc%�tN1 �(l cn rs f,. t. �X� ,� b i r V'� O l�J i ,�.,• A: i�1�C. '!2 I hereby certify that I have inspected all of the above 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 re? rt issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-82 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of _ 12, JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 RA ah INSPECTIONS EPDXY INSPECTION REPORT Date: I + ep Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers li Anchor Bolts Rebar Epoxy Type: <Z'% .. �c"c . < �. �� ,. Epoxy Shelf Life: -`8n ,� " \� n t Hole Cleaning Methods :_� �� ��� �` Q �. �\ \ ` �r ,.. ^. C r C f.,� i ^�r Ci' !.• n S n r mss- IBC E] Title 24 Other: Unresolved Items: t None ;® See Below Description of Work Inspected: `� 1N\ ! �. �r .: r \•.1�, _ ._ _ .. ro d.� V 0 /! .�1 �,.�. �^1�+�,, .,,,Y �� t�,'1...N •♦ v' 'A\• rW �`�{/i 11—�lf�r. `. F,/�\!. !` .t� lA�l1��`�,Rfl1n� If'�Ra 1. 1r- iT K" r .,.r.i-'. �� n r k— ...� �.r•` �F . ��\� : .-" ^�. s...,.,� c -\M.,, r rR �'±S \.- If/ `t •'IM Work complies with written approval from Structural Engineer and ICC Evaluation Report # --� I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack C. Mullin ICC(�Certi�f\ication No: 084221649 Conttrractor's R�epresentativey: . & /7,d� 7) Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of L 1 * JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: – I I- o?_1 Project Name: Project No: 522-08079 The Madison Club - Members Clubhouse Permit # 07-1055 Project Address: City: 53-035 Merriweather Way La Quinta, CA Client: Sub -Contractor: Sladden Engineering Macon Masonry General Contractor: Architect: Structural Engineer: Lusardi Const. Bar KPFF Consulting Engineers Slump (inches):�—^ Supplier:q� IBC Time Sampled: Mix Design: (,'. O" y:-C'� c �� ❑Title 24 Time in Mixer (min.)--%_ S r trG� Specified Strength (PSI): Other: Water Added @ Jobsite (gals.)S�C4 Addmixture: w��� , Unresolved Items: Concrete Temperature (F): Truck #: —' Ticket #: —'"' ✓[None Ambient Air Temperature (F): Field ID Marking: – ❑ See Below Location of Sample: Q`No Samples Taken Description of Work Inspected: �p ry \,' �� ac O CtiJ \ �n>"s E• G ,«t �„ _ �r1� � J � R � � ��a� �. l� aC4R�\lo - 41� Q\\�'..� V'�l �i.�i �.�%% �`t�' \(j\`��C. %� �\�SL RYt\�f, ..,/��c s' ft4 Wt�rc�r..� 1� �2C.cF '\ ��I n\�{r1�`\C\` Q• r_ (� �„'� w (� \h .• t lam, ' ` `1 �`�- tl x l ��\�.� `� f� \ \�Ct' (� •'1 •- V�' !.!`' p�`C p4 ` .w \`N t1 \ 1�/'` .\ Cs t\.1 W t ,• " �-' �tr \_7- LJ'� `� ""'�•� \%" 5 �.� he C . n�.\o c � .�^1 • l �.i� ?� Q�(. \�j S"�r�Q cQ�.� ,ccyo_�r.:(� cz1_�P�\c s�� �'t� S i .�..3 �-��3.�`b ' �/\�3• min " Q•'F-� �\�-�t QS- ee [ �� r` l/ �prrCS �rCC fri K� c:`t n 1 . � \ t r� K)�•, C .ti, r: i I hereby certify that I have inspected all of the above 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 project completion. Inspector: Jack G. Millin ICC CertificatiQn No: 0842216-82 Contractor's Representative: ,V\N — &�__ / " -, _ � I ", r1n 1; �L'l A Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of mu, Message Page 1 of 1 Dave Olsen From: Eric McDonnell [eric.mcdonnell@kpff-sf.com] Sent: Wednesday, July 30, 2008 10:20 AM L To: Dave Olsen Subject: RE: Foundations at Stairwell "A2 •031.5 Dave, I!A'4�/Sov This is correct. In addition, the removal'of the CMU face shell at the inframing grade beam, will help reduce any differential settlements. ERIC MCDONNELL CoimsuI.fINll ENGINEI3RS . I 1 60 BA'ITEIkY S.nu.or, Surge 300 - SAN FRANCISCO, CA 941.11 T 415.989.1004 F 415.989.1552 eric.mcdonnell@kpff-sf.com www.kpff.com From: Dave Olsen [mailto:dolsen@lusardi.com] Sent: Wednesday; July 30, 2008 10:08 AM To: Eric McDonnell Subject: Foundations at Stairwell "A2" Eric, Thank you for giving us verbal clarification in regard to the details at Stairwell "A2". Our city inspector has asked for a written confirmation of these clarifications. He will accept your reply to this e-mail as.confirmation. Clarification Notes: Men's Foundation 52.11 The footings for Stairwell "A2 appear to have been called out as detail 2/,S3.03. Although this is a masonry foundation detail, .it will be sufficient for the framing in this area. At the location that this footing ties into the basement wall if will be acceptable to epoxy matching horizontal rebar into the CMU wall - the CMU face shells need • to be removed for proper adhesion. We had JCM Special Inspections' confirm that these clarifications were followed and he noted such on his daily report. Thanks, Dave Olsen, Project Supt.' LUSARDI CONSTRUCTION CO. (760) 398-1283 Site Phone (760) 802-5194 Cell Phone Mailto: DOlsen@LusardLcom I Web: www.Lusardi.com ' r . 7/30/2008 R -S 7., Ma ocess inenf- iiigeni ENG E -NEE a UNMIN W EZ GbRR�OT kA r A -F�L7,0 R PwNQR UR P rtIMhCURREN L-"ru :,N-S.IC K- 'CAUR 7 AW IM i'Mw 7c, 'r.t jRev 'M -�v V�7 �'d 'System .o u Ground T6� Report PAGE . -0 F 0 BARARCHITECTS M E M O R A N D U M To: Burt Hanada Plan Examiner C DATE: •05.22.08 .-- - --- - — - City of La Quinta Building Department TEL: 760.777.7023 _..._.. — ---...._.. - - - ... ._.._......._..._...-.--- FROM: Mark Kelly PROJECT: Madison Clubhouse ...... _........_.......................--...............__.-..._—..._..............._....._.... ...........—._._.._..._..._._...................---._......-............_..........._......._..�__.._.,_. CC: Greg Butler, J. Prevost; R. Lane, J Goodwin, S Chou PROJECT r: 05001 _..-_._......_....._.._.....-- ...._.._.._-.�_._....__....---.._....._.............. ...... .......... —._.._._..---- ..— --._._..._ _... . RE: Men's Building basement revision FaEB-N .3.13. ` Burt, Following up on our telephone call this morning, we have a question on a proposed change that has arisen during construction that we.would like to review with you for approval priorto our instructing the contractor to proceed. Attached are several sketches (ASK080522A-H, ACM.P002 and ACM.P015) that illustrate'. ' the proposed alternative shaft and duct.la.yout described'below for your reference. These will impact the configuration and details of the 3 hour separation required between the B/A3,and S3 occupancies. Also attached is a manufacturer's cut sheet from the Contractor for the Greenheck 3 hour rated fire/smoke damper proposed for use. ACCO, the mechanical sub -contractor for the. project, is4proposing,an alternative solution for the duct run at gridline Al2 in the Men's Bldg. Basement (S3 Occupancy) due to congestion with other services runs that prevent access to the duct fire/smoke dampers. The ducts in question are the primary supply and return ducts serving the Men's Bldg. First Floor area (primarily B Occupancy with some A-3 areas) (See ASK080522A + B for,architectural layout and ASK080522G + H for mechanical layout). ACCO is proposing to relocate -the 3 hr. rated door B006a approx. 9 feet to the south into the rated circulation and continue the 3 hour rated floor assembly (7 1/4: thick concrete fill on metal deck) across.the bottom of the shaft with openings only large enough for the ducts wiW rated fill material between the slab and the duct and to place a 3 hour, ' rated fire/smoke damper at the floor level to maintain the in of the Occupancy separation (See ACM.P015). ACCO is also proposing to stop the return air duct at the floor and use the 1 -story high space at the First Floor as a return plenum. With the 3 hour separation maintained at the -floor, it is our'understanding that the space. in which the ducts run at the First Floor would no longer, be considered a shaft and the surrounding walls would thus'no longer -be required to be 1 Hr. rated construction. With the solution proposed above, a fire/smoke damper access and return air louvers are required at the first floor into the duct area. BAR proposes to place the required return air louvers within a 3'-0" x 8'4' door (matching the panel door opposite with louvers in lieu of recessed panels) located on the wall of the shaft facing the Treatment Vestibule (A111) (See ASK080522F). JUN U 4 2008 ICE 543 Howard Street, San Francisco, CA 94105, T. 415 293 5700, F. 415 293 5701, www.bararch.com 53'd mow? ��y fav2 ��i e Since this revision involves a component of the Occupancy Separation in a mixed-use building , we would ask that the City of La Quinta review the proposal.and let us know if it would be acceptable and if you need the proposal submitted more formally prior to responding to the contractor. If you have any questions, please let me know. Thanks, Mark 1 Attachments: BAR Sketches ASK080522 A— H ACCO sketches ACM P002 + P015 Greenheck 3 -Hr. rated fire/smoke damper cut -sheet Email from ACCO (dated May 21, 2008) path: ZA05001 Madison Club\3 REGULATORY3.10 City+ County3.13 Building Department\080522 B Hanada Memo.doc N ACTION REQUIRED: Actl ATTACHMENT: --...__.......__............ DUE LATE: MM.DD.YY 4 SIM IPM 117TV xly st lit.IL Vc, ®r I e�: a VU*p 2. AR Sly . 'P►Mw1G oil, - Rbo- .M Xtre, NIP., -"iss-tiWar LAINi Vag _Ar iA MENS. GOLF BLDG -LOWER F.,LOOR °®"° s '.668200 Ongi 1eere '-.HR;SHAFT'SECTION.'DETAIL-,ALTERNATE s°AIE. NONE t systems MADISaNCLUB BY . . M ---,"G DATE Q5-20-08 9040 KENAMAR #406 SAN'DIEGO; CAUFORNIA 92121 (858)6953977 FAX(858).566-1948:: �SHEETNO: ACM.P015' _ MENS GOLF: -BLDG -LOWER FLOOR JOB No: ss82oo SCALE - engineered MEP ELEVATION, AT DOOR @: COAE i /4° = i - O° systems .. COLAE CLUB. _ BY: _ DATE. . MG 04-25-08 9040 KENAMAR #406 SAN DIEGO, CALIFORNIA 92121 SHEET NO ' (858) . 695-3977 FAX (858) 566-1948 ACM.PO02 FlJ ®•GREENHECK Building Value in Air. /� w H A Sleeve Length 3.75 �o- 5.38 Notes: All dimensions shown are in units of inches. 5 W & H furnished approximately 0.25 in undersized and only refer to damper dimensions (sleeve thickness is not included). Electrical accessory wiring terminates at the accessory. Field wiring is required to individual components. r CONSTRUCTION FEATURES Mounting: Horizontal 'Actuator Type: 120 VAC Printed Date: 5/21/2008 Job: XXXXXXXXXXX TEMP Product Type: Damper Mark: 3HR Horiz FSD FSD-231 Combination Fire Smoke Damper Application & Design Model FSD-231 is a combination fire smoke damper with 3 -Vee style blades. The FSD-231 has been qualified to 2,000 ft/min and 4 in wg for operation and dynamic closure in emergency fire smoke situations. Model FSD-231 may be . installed vertically (with blades running horizontal) or horizontally and is rated for airflow and leakage in either direction. • Galvanized 3 -Vee Style Blades. • UL 555S Leakage Class. 1. . • UL 555 3 Hour Fire Resistance Rating. SIZE LIMITATIONS • Minimum Size: .8 in W x 6 in H •Maximum Single Section Size: 36 in W x 48 in H • Maximum Multiple Section Size:, 72 in W x 48 in H Codes Approved This model meets the requirements for fire:dampers, smoke dampers and combination fire smoke dampers established by: National Fire Protection Association: NFPA Standards 90A, 92A,92B & 101 Underwriters Laboratories: UL Classified to U.S. and Canadian safety standards , 1 Standard 555 (Listing #1313317) Standard 555S (Listing #R13317) Qf11CQ IBC, BOCA, ICBO, SBCCI (Building Codes) lamccl CSFM California State Fire Marshall: cEffrinEDRffrinGt Fire Damper Listing (#3225-0981:103) Leakage (Smoke) Damper Listing (#3230-0981:104) New York City (MEA listing #260-91-M) RIR Closure Device: RRL Actuator Mount: External Closure Temp. (F): 165 • Actuator Location: Right Side Frame Thickness (ga): 16 Fail Position: Closed Sleeve Length (in): 16 Temperature (F): 250 Sleeve Thickness (ga): 20 Velocity (tt/min): 2,000 Axle Bearings: Bronze Cycle: 60 Cycle Sizing: Nominal 2 MOVEMEni nno conraoi nrromnnon InTEnnnTlcnnL Inc.. r CAPS 3.8.1.32 C:\Documents and Settings\Owner.Kevin\My Documents\CAPSWobs\XXXXXXXXXXX TEMP.gcj Page 1 of 4 I ID # Tag oty W (in) H (in) Drive Arr. Actuator Act. Qty. Sleeve Length (in) Slv Thkne... A=Dim. (in) 2-1 1 24.000 24.000 11-1FER-1 FSLF-120 1 16 20 7.188 r CAPS 3.8.1.32 C:\Documents and Settings\Owner.Kevin\My Documents\CAPSWobs\XXXXXXXXXXX TEMP.gcj Page 1 of 4 I LH.GREENHECK Date: 5/21/2008 Job: XrXXXXXXXXXX TEMP Building Value in Air. Product Type: Damper Mark: 3HR Horiz FSD 1 RRL Option, Resettable Link Option 0 Application & Design The RRL option replaces the fusible link on a combination fire smoke damper with an electric sensor (thermostat). The sensor'has a fixed temperature setting .(165 F, 212 F, 250 F or 350 F) and performs the same function as the fusible link that it replaces. The sensor interrupts,power to the actuator and the r actuator's spring return mechanism causes the damper to close. ' The sensor is of the manual reset type and can be reset after temperature has ' o cooled below the sensor set point. Before resetting any sensor, a careful ' inspection should be done of the entire damper -and sensor as exposure to actual fire conditions may render these devices unusable. ' ® This option requires factory installationlof the damper actuator and sensor to ° meet UL requirements. If the damper is equipped with a pneumatic actuator, an EP switch is required with the appropriate electric power circuit, to allow, the electric thermostat to control the pneumatic actuator. r r ` f • i r �i 4 CAPS 3.8.1.32 C:\Documents and Settings\Owner.KevinWy Documents\CAPSUobs\XXXXXXXXXXX TEMP.gcj Page 2 of 4 I BARARCHITECTS + " June -4-2008 ' Mr. Burt Hanada City of La Quinta Building & Safety Department, P.O. Box 1504 787495 Calle' Tampico LA Quinta, Ca 92247-1504 - RE: The Madison Club — Golf Clubhouse PROJECT#: 05001 Madison Clubhouse -.Plan Check # 07 -1055 - Minor revision at Men's Building,Basement Dear Burt, _. We propose a minor revision to the approved -plans at the Men's Building basement. Attached are 3 sets of wet stamped and signed revised drawings for your review and approval. Also attached is a memo which explains the' reasons he- reasons for the proposed change. Please let us know if you require any additional. information. Thank you, BARARCHITECTS - Mark Kelly Senior Associate cc: Jeff Prevost, Ron Lane, Bob Milch, Dave Olsen, Jeff Goodwin, Shaowen Chou, File encL Attachment A"3 wet signed and sealed sets Sheets A2.10, A2.11, A2.82. A2.85, A3.11, A3.12,,43.13, A4.10, A5.10, M2.10: M2.11 Attachment B: Memo dated May 22, 2008 w/attachments path: 2:105001 Madison Club\3 REGULATORY\3.10 City+ County\3.13 Building Depanment1080602 Men's basemenhrevision.doc . HI JUN 04 2008 543 Howard Street, San Francisco, CA 94105, T. 415.293 5700, F. 415 293 5701, www: COPYRIGHT © 2446 BA lk&Rr,H 1_1'F(.,T< •- � `� a •. O AB A7 A8.� A9 �~ A10 A11 Al2 y _. . y i ^! 1Sd 114' 27$ 114 2r-r 11'1' W4r UNEOFFiDORABOVE OlEfT31T0A2011 ELEVATOR PIT ABOVE FM TO ALM i 4 5 IV - ? - 1 2 3 a 4 •'r ,' qty _ Ip�lQ } / 12 A9.19 '- A3.13 } A3.13 A3.13446 RD < • t a .. - . \ \� A3.12 4 ; �Y / \ \ tDwel p . •'' I \ El"./. \ Y SERVICE , � �' . - .. � 4 ,• r � � � n eDm \ _,/yam- - .. A 1. Y l' � 1/1', J � I � Y.� .. / �.\ Tom eb / � � ��' /': - / f '•'V `, 3d _ MATCH _ _ — , 110 1.. - - ---0UUN LINKIRE ENM 'ATSIORAMIV. • d RACKS s ROLLING l tr rn 1Dd tra — \ \ aI I N I I I24F .m 1'i 1?AOCIII ,F7tTBR�9H0Ut g 111 - • ,.• ems' ";� /'-0' 621121 _8hB M12 B STAFF - BFVAIIXI, ° SEPARATIONINRESI 4 7d tz-r IO \^ P09.1 ELAF PIT ABOVE I r OMPA CIES omm am=`ri t6 —,. r -- t503 N d A� p < r co \ \ - CLUB w.� u� "Ba for, dr t _ l Aoro I I r kx elacc wt ra r . A� _ 1 ` B to .. +s `4 i FJZF ! 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'I � Id CAIRPAR10N6 15D1 § C - \\ CTYR -) & TYP.0 FUM F - 8 D SLAB) CONC ti c v • - �, CEWN6 MOUNTED ..,:_ 13 TYR SS 0Td 2 Sd1 • \ \ V: 21 - � ti N ROTANi6 TYP � y 13-0 t _ i 6d in, / C fD • ¢ AG � — , �� S ano ICE E i7-0 .1, � - r-0t/r r � --► r � C � � � /\ o _ J _ . t f ® BOM ABOVE 1.0.1:.. ® An8 isoQ.mRN81 4 $ • ti F.O.CMN rQo. !• . �- SIABSI TDufWN - -_m.F C 1. Algal ® O U F0.L*N RAMP' WOFR UIE�ROd1AWIJ o CARfWASHSIAB (ABOVE ISEEAtttl / �� NO IStDP®TI�OtNOJ ®� N.T.S. 8'-0' . ®; NTS. NTS. E0. 1rd Q • I I • ' TVP.4 SIDES� • �Vi " - - Ir • U. MADISON CLUBHOUSE �° PARTIAL MEN'S LOWER FLOOR PLAN 1/A2.10 LA QUINTA, CALIFORNIA ALTERNATE SHAFT PROPOSAL B ARA -R C H I T E C T S DATE: 05.22.2008 DRAWN BY: SC R.F.I. NO. 134y 543 Howard Street, San Frencisco.CA 94105,1415 2935700, F. 415 2935701 I. 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BUILDING ADDRESS: 53-035 MERIWETHER WAY Use classification: COMM: CLUBHOUSE Occupancy Group: B / A-3 / R-1 / S-3 Owner of Building: EAST OF MADISON Building Official Type of Construction: V-1 HR Building Permit No.: 07-1055 Land Use Zone: GC Address: P O BOX 1482 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: MARCH 8, 2010 Certificate of Occupancy Twf 4 4 Qg&rcv Building & Safety Department This Certificate, for the Member's Suite listed below, is issued pursuant to the requirements of Section 109 of the 2001 California Building Code, certifying that, at the time of issuance, this portion of the structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-035 MERIWETHER WAY STE #201 Use classification: RESIDENTIAL Building Permit No.: 07-1055 Occupancy Group: R_1 Type of Construction: V-1 HR Land Use Zone: GC Owner of Building: EAST OF MADISON Address: P O BOX 1482 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: MARCH 3, 2010 Building Official o��-a- Quo Certificate of Occupancy C OF TLBuilding & Safety Department This Certificate, for the Member's Suite listed below, is issued pursuant to the requirements of Section 109 of the 2001 California Building Code, certifying that, at the time of issuance, this portion of the structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-035 MERIWETHER WAY STE #202 Use classification: RESIDENTIAL Occupancy Group: R_1 Owner of Building: EAST OF MADISON Building Official Building Permit No.: 07-1055 Type of Construction: V-1HR Address: P O BOX 1482 Land Use Zone: GC City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: MARCH 3. 2010 Certificate of Occupancy T-Vf 4 4 Oak& Building & Safety Department This Certificate, for the Member's Suite listed below, is issued pursuant to the requirements of Section 109 of the 2001 California Building Code, certifying that, at the time of issuance, this portion of the structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-035 MERIWETHER WAY STE #203 Use classification: RESIDENTIAL Occupancy Group: RR=1 Owner of Building: EAST OF MADISON Building Official Building Permit No.: 07-1055 Type of Construction: V-1 HR Address: P O BOX 1482 Land Use Zone: GC City, ST, ZIP: LA QUINTA. CA 92253 By: STEVE TRAXEL Date: MARCH 3. 2010 0 Certificate of Occupancy WVMRD Ti&t4 (YL C OF I19�S Building & Safety Department This Certificate, for the Member's Suite listed below, is issued pursuant to the requirements of Section 109 of the 2001 California Building Code, certifying that, at the time of issuance, this portion of the structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-035 MERIWETHER WAY STE #204 Use classification: RESIDENTIAL Building Permit No.: 07-1055 Occupancy Group: R=1 Type of Construction: V-1 HR Land Use Zone: GC Owner of Building: EAST OF MADISON Address: P O BOX 1482 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: MARCH 3. 2010 Building Official ' Certificate of Occupancy T'Vf 4 4 a" Building & Safety Department This Certificate, for the Member's Suite listed below, is issued pursuant to the requirements of Section 109 of the 2001 California Building Code, certifying that, at the time of issuance, this portion of the structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-035 MERIWETHER WAY STE #301 Use classification: RESIDENTIAL Building Permit No.: 07-1055 Occupancy Group: R_1 Type of Construction: V-1HR Land Use Zone: GC Owner of Building: EAST OF MADISON Address: P O BOX 1482 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: MARCH 3, 2010 Building Official