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04-4501 (SFD)Tur 4 4 Q"Ircy BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-701.2 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . 04-00004501 Date 5/27/04 Property Address 55830 CHERRY HILLS APN: 775-170-021-21 -2.5397 - Application description 'DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . ., LOW DENSITY RESIDENTIAL Application valuation . . . . 396557 Owner Contractor TERRY GALON LEGACY HOME'S 198 BEACH PARK BLVD P.O. BOX 696 FOSTER CITY CA 944.04 LA QUINTA CA 9.2253 -(760) 777-8-317 WCC: KNOX INS WC': 01330.203 06/14/04 CSLB: 778,280 05/31/04 CCC: B -------------------------- Structure Information -------------------------- Construction Type . . . .'. TYPE V -,NON RATED .Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood.Zone. . . . . . . . NON -AO FLOOD ZONE Other struct'info . . . . . CODE EDITION_ 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NG GARAGE S.Q FTG 969.00 PATIO SQ FTG 886.00 NUMBER OF UNITS_ ' 1.00 FIRST FLOOR SQ FTG 4527.00 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1679.00 Plan Check -Fee .91.35 Lssue Date . . . Valuation .. 3965.57 Expiration Date 11/27/04 - Qty Unit Charge Per E�'on BASE FEE �r 6 0 297.00 3.5.000 THOU BLDG 100,001-500,000 f� k�35 `'_, ----------------------------------------------- Permit -------------------- - MECHANICAL by/-- --- , t 4,Cv Additional desc ^' Permit Fee 1.08.00 Plan Check '"7.00 Issue Date Valuation ���� 0 Expiration Date 11,/27/04 0���4 P.O. BOX 1504• 49kaj VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: f.S O I Date: "S X1.7 .Applicant: Architect or Engineer. CO�yT/Vq-c.Tel� 44 o& Applicants Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that'I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business arid. Professionals Code, and my Lice ism full force and effect. License Class License No. 2-9Z D1a -a f / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the ConbactorV State License Law for -the following reason (Sec: 7,031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance. also requires the applicant for the permit to file a signed statement thathe or Is licensed pursuant to the provisions of the Contractors' State License Law (Chapler 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code) or that he or she Wexempt therefrom and the basis for to alleged exemption. Arty violation of Section 7031.5 by any applicant for a permit subjects the applicant to,a clvil penalty of not more than five hundred dollars ($500).): U 1, as owner of the property, or my employees with wages as their We 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). L) 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 conkeds,tor the projects with a contractors) licensed pursuant to the Contractors' State License law:). U I am exempt under Sec, , BA P.C.-for this.reason Date Owner WORKERS' COMPENSA71ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure.for.workeW compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance,'as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance,camer and _ 1 certify that, in the pw9m ante of the work for which this permit Is Issued. l shall not employ any person in any manner so as to become subject to the wwkeW compensation laws of California. and agree that, if I should beopme subject to the workers' compensation provisions of Section 3700 of the Labor Code. I`shall 'i�forthwM comply with arose prov.19 D v' Applicant 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 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of •ury that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec: 3097. Civ. C:). LendeesName — /1 Lender's Address 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 •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 strap, def , ndemmity Ord hold harmless the officers, agents and employees for an actor omission related to the work bei City of La Gultta, is Y ng performhed er: or fodaMng issuance of this permit 2 Any permit issued as a result of this application becomes null and void it.work Is not cod wit in'180 days from,date of issuance of such permIL or cessation of work for 180 days .wll1 subjec#;perMit•to cancellation. 1 certify that 1 have read this apptication and state t►atlt: a formation is correct. 1 egree comply with all city and county ordinances and state laws relating to budding oonstrmrction, and hereby authorize representatives of this upon the for Inspection purposes. Date v Signature (App1• Application Number . . . . . 04-000,04501 Page 2 Date 5/27/04 Qty Unit Charge Per Extension BASE FEE 15.00. 3.00 9.00'00 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/10'0K BTU 27.00 5.00 6.5000 EA .MECH VENT FAN 32.50 1.00 6.500,0 EA MECH EXHAUST'HOOD 6.50 ---------------------------------------------------------------------------- Permit . . ... . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 207.83 Plan Check Fee 51.96 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/04 Qty Unit Charge Per Extension. BASE FEE 1.5.00 4527.00 .0`350 ELEC NEW RES - 1 OR 2 FAMILY 1.58.45 969.00 .02.00 ELEC GARAGE OR NON-RESIDENTIAL '19.38 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 253.50 Plan Check Fee 63.38 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/27/'04 Qty Unit Charge Per Extension BASE FEE 15.0:0 22.00 6.0000 EA PLB FIXTURE 1.32.0.0 1.00 15.0000 EA PLB BUILDING SEWER 15.00 8.00 6..0000 EA PLB ROOF DRAIN 48.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.'0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 .7500 EA PLB GAS PIPE >=5 9.00 1.00 15.0000 EA PLB GAS METER. 15.00 Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/04, Fee summary ------------ Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2263.33 Page 3 Application Number . . . . . 04-00004.501 Date 5/27/04 Qty Unit Charge Per .00 Extension BASE FEE 15.00 Special Notes and Comments 4527 S.F'. SFD PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL/SPA OR DRIVEWAY APPROACH --------------------------------------------------------- Other Fees . . . . . . . ------------------- . . ART IN PUBLIC PLACES -RES 491.39 DIF COMMUNITY CENTERS -RES 97.0.0 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE. 109.14 DIF FIRE PROTECTION -'RES 97.00' GRADING PLAN CHECK FEE .00 DIF'LIBRARIES - RES 225.00 D:IF PARK MAINT FAC - RES 5.00 DIF PARKS/REC.- RES 5.02.00 STRONG MOTION (SMI) - RES 39.65 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ------------ Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2263.33 .00 233.69 .00 3045.18 .00 5542.20 .00 Credited Due .00 22.63 .33 .00 233.69 .00 3045.18 .00 5.542..20 WL 4 44" P.O. BOX 1504 �p�f 78-495 CALLE?AMPICO 4040'c s �/ 4 9't.S LA QUINTA, CAUFORNIA 92253 A.P. Number ^ � %b r -�/ Legal Description ZS� 7 Project Description _546 ' F1. -4-f LICENSED CONTRACTOR'S: DECLARATION I hereby affirm that l am licensed under Orovislons of. Chapter 9 (cornmenoing with Section 7�000g1oI Ivis on 3 of the Business and Professlone Code and my license is in full force and .SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1, am exempt from the Contractors I License Law for the following reason: (Sec: 7031.5,13ushess and Prolesehns Cods: Any CRY or cony wfUdr requk", a permit to construct, alfer,'krprove. demobs. or repo any'abucW% p� to.f hauance also .tl�prov res.io s. of the Aonfr�ac�, �se �. f er statement (earansnetr Md p Sectis ion 770 pumuaN off Dftlslon 3 of the Bushesa-and Professions Coda, or Md. he le exempt merelmm, and the bads for the areged exerrptton. Any vbletion of Section 7081.5 Dy arty app&xvd for a Pam* suti/ectsfM: epptleant ro•a elvp.penally o/ no more Man 0vs:hundred do0ers(t500). f` 1, as owner of the Property, or my employees with wages as their ado compensation, will do the work, and the structure is not intended or offered:forsale. (See. 7014, Bulsnees aid ProhasFcns Coos: The Contractor's License Caw does nor apply to an owner of pmperfy Ww buff or knpro_ms thereon, and who does such work hhaepor pumps his own errployses, provided that such hrprovensnta aro+not Intended or offered for ale. f, however, the busdkp a bnprovemenr is sold within one yap of coinplerlon, the owner binder wm how dw burden of provkip that he did not buHd or, hrprove for the purpose of sale.) fl 1, as owner of.the proper ttyy son exclusively contracting with licensed contractors to con - struet the Project. (See. 10i1, Business and Proletslons Code: The Comrectors License Law Owes not,app/y to an owner.of property who Dusds or brorovep Hereon, and who oonheets for such projects with a.contractorlsl licensed pursuant to the Cardracta s Lkense Law.) 17!I:am exempt under Sec. B, 6 P.C. for this reason Dais Owner WORKERS' COMPENUTIOltDECLARATION I hereby affirm that 1 have a certificate of consent to self -Insure, or a certificate of Workees Compensation Insurance, or a certifled,copy thereof..(Sec. 3800, Labor Cods.) Policy NO Company (7 Copy Is filed with tho'city. ❑ Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTI .N,f,RAN WORKERS' COMPENSATION'1NSUROM (TNS eecI/on.need not be completed If On perms is for'one hundred doAws (1100) vabm0on or leas.) I certify1hat in'the performance of the work for which this Permit Is Issued, I shall not employ anypereon In any, manner so.as to become. subject to the Workers' Compensation taws otCalifor e . Data ,Owner . NOTICE. TO APPLICANT: 5, aha, mafdrp 8qs CeRBkate of Exampebn you ahould assess .subject to the -Workers' Cornpansallon proviabns of Ms Labor Cods„ you must bOoft comply wfrh such provisions or Mb pemis;ahail be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction lending agency for the performance of, the work for which this permit is issued. (Sec: 3097, CN9 Cods.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and Is subject to expiration it work thereunder Is suspended for 180 days. I certify that I have read this application and statethat the above Information Is correct. 1agree to comply with all city and county . ordinances and state laws .relating to building c=ction, and .hereby authorize representell"s -of this city to enter the. above mentioned property for inspection purposes: Signature of adplicant Date' Melling Address City, State, Zip S e t.��z.� S odes / Units W Add O Alter Repair ❑ Demolition O PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal: Const. Mach. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback' from Rear Prop: Line SideStreet Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Peffnit Validated by: Validation: WNITE a FINANCE YELLOW a APPLICANT PINK a BUILDING DIVISION Coachella Valley Unified'School District 83-733 Avenue 55, Thermal, CA_ 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: This Box For District Use:Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL,ONBAMOUNT': LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/AID.AMOUNT: nATR- RF.f'FrPT• Im wrK a. INITIALS, CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: May 27, 2004 Owner's Name: Legacy Homes Phone No. ( Project Address 55-830 Cherry Hills Project Description: 1 SFD APN: 775-170-021 Tract #: 25397 Lot #'s: 21 Type of Development: Residential IN Commercial Industrial Total Square Feet of Building Area: 4527 Sq: Ft. 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 *e owner/developer: r Dated: 0527/04 Signature: 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 of Sq.Ft. 4527 Amount per Sq.Ft. $ 2.68 AmountCollected. $ 12,312.96 Building Permit Application Completed:. Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued.by: Leticia C: Torres, Facilities Clerk Sign4ec Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997,requires that s: 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 0"y-perlod 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 orperformance of any other requirements as deseribed In section 66020 of the Government code. Additionally, the amount ofthe fees imposed is as herein set forth, whether payable at this time or in whole or in part prlor to issuance of a Certificate of Oecupancy. 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 has 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. 41V:.:imvdac; dcvfc s::a+rti)i�stc ofwnlplisncc fonn iabics'TT) USl::dor. 1716/03 T ,li:VVAK i I 1 � L1:—KIVel`%J e `)kDlN0 REQUESTED BY: a.h Title (;aaragty, 11,ENXECORDED MAIL TO: dain�a 1.. LWTIC I urettu M. Currie 53430 Chorry, HIM 1-4 Quints. C01lb lia 92233 ORDER NO. 515354SIS ESCROW -NO. 301 10059d APN. 773-.170.021$ -79,49 . q-: ca - a-;�S 000.0 2004—f 260700 04/14nM4 03:00p FM; 7.80 Pew t of t bar. T Tax Paid RaegMod in Gffioial R�eontp P"tv br RAv*r*idr Wry L. Ors* • 9omkty c;shkgel i RaagrdMr '�"••-Cavv WHA aenao Mcno aww GR.A a RED - i'l li:. I)NDhXgl(4NED GRANTOR(s) DECLARE(s): lJOCUMIiNTARY TRANSFER TAX is; $1,73$:00 CITY -TAX $0.00 ® Manva>eAt Preservation Fee is: -50.00 AC Q0MPute4oe 11311 vales ofp apasy mvgvd, or C?. compuml on Nil m1m lass value of liens or ettetlrnbranaes rt:ulataitig st dme'of we. O Unitrcorportrted area; a Cky of La Quints, and FOR A VALUABLE COI4S1D9RA7I0N, t+eoeipt of -which is bmby mcknoledged. Terry G ralom and Audrm Galonr hiWmpd and wife pa joint tows hnrnby GRANT($) to .lams F.. Carrrit* I..oretta M. Currie,Co-Trustees of The Currie Family Trust under agreement datted 06/29/93 the following described Neel properly in t#Ie-Chy of La Quints, Canty of Riverside, State of C&Iljb nie: .Lot 21, of Tract No. 29397. as shown by Map�on file in aoolt 218. PAA*) 20 thmOfth A of Maps, Reoortls of Riverside Countyt',aiifomia. DATE: April 9, 2004 STATE OF CAUFOMIA i COUNTY OF On © +�betor M% Parsallally appaetrd personaily known to m (or pnovsd to me on Me baels of smiMaory evidence) to be the peraon(&X Whose na n*)- ahn subperW to lite m1hin instrument end acknovrkdged to me that hafehef<fiey executed the seine a •bMWAhea authorized cWelty(los), and that by pirate ftir aignattue(s) on the brAw alt the person(&) or the entity upon behaltof which the peraon(g) acted, executed dte-itetruMenL WITNESS my hand and offieialpsi. / Signsiture Terry Qalatt - De, Andres Gaion V er- MAIL TAX STAiE 0M AS DIRBCI-9D ABOVE, 1esWP00t): ode;CA DOOMM i Year.OoolO 2004.2139780 pais: 1 of i Mer. 775f 7002f Comment: Mal "t #JM —V014* It• tipe4ad N _PW*ftft - Cagloaa tiaOMoifroOoutYy MyCvttup,l•I41s11, S4W Ms ma rbr official noterla! sed) I O J-V4tPaJ74" 5r1 t t .. 0 PO4.I 1 Lt ' APR 30 '04 16:15 �! WMBZT. MAN DX8CRI .T= The 14nd .referredto herein is my of xry Rsz situated in the State of city ci LA QUA, described as follows: x�nia, 1 PAM 1. 2a T H 25397, AS 011MeY MAP ON Flix �' . o� �S • PJ=RDS of RI VBR81D8 � OK .218 Bad of Legal Description oil, BROW a`ra— oesWp ffon. O verwcft, CA QoaummV.YearM001D yde200.'�.4828p7 per; 2 of 3 r." 775f7002f Commmrlt. �- - Ce'rUricate of Occupancy coF9 Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building F Code, certifying that, at .the time of issuance, this structure was in compliance with the F provisions of the Building Code and the various ordinances of the City regulating building � ' construction and/or use. Y :4 BUILDING ADDRESS: 55-830 CHERRY HILLS Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0.4-4501 i i Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RL � y4 a Owner of Building: JAMES & LORETTA. CURRY Address: 55-830 CHERRY HILLS i City, ST,'ZIP: LA QUINTA, CA 92253 i By: STEVE TRAXEL r t Date: MARCH 29, 2005 Building Official POST IN A CONSPICUOUS PLACE MAR -22-2005 06:07 PM amine+} Time Street Address: 2,Wo d% e1,&d P.02 C Sulidef Nam iJ . _— Plan NumbE+ Sample Group Number Sample Hou -pa. Number rider: _��= /Q citylStatelZip: it~ a Poples to: Builder, HERS Provider ERS RATER C0MPL1jMQE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was riot tested As the HERS rater providin diagnostic testing and field verification,. I certify that the I-ouses identified on this form compwith the diagnostic tested compliance requirements as checked on this form. Distribution system is fully ducted (i,e„ does not use building cavities as plenun,-s or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is. installed, mastic and drawbeirids are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANt:E CREDIT Duct Diagnostic Leakage Testing Results (Maximum 5% Duct, Leakage) Duct Pressurization Test Results (CFM C 25 Pa) Test Leakageflow In CFM If .fan flow is calculated as 40oofm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100<x Test Leakage/Fan Flow) = Check. Box for Paswor Fail (Pass=6 or less) VALVE ITXV) or NI iliesured �ralues - 'I 2:. (r / L'� � M Wnt Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is Installed and Access is providedfor Inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. 0 Yes 0 No RCCA Manual p Design requirements have been met (rater has verified that actual Installation matches value!i in CF -1 Rand design on plap. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes for both 11 and 2 is a Pass Ole- U Pass Fail Pass Fail */Je 0 I3 Pass Fail TRio,STATELANd SURVEYORS & Civil ENgiNEERS 78,120 CA11E EsTAdo, SUITE 102, LA OUIMrA, CALIFORNIA 92253 QL (760) 564-02.71 (800) 363-6306 FAX (760) 564.0279 June 29, 2004 Mr. Jesse Jimenez CITY OF LA QUINTA 78-495 Calle Tampico La Quinta,. California 92260 RE: Pad Certification - James Currie Residence 55-830 Cherry Hills Drive at PGA Vest, APN 775-170-021 Tract 25397, Lot 21 Dear Jesse: This letter is to certify that a field survey was made of the existing pad in the City of La. Quinta, Lot 21 of Tract 25397 was found to be in -conformance with the approved Grading, Plan. The following are the results of our survey: LOT # PLAN GRADE 21 492.75 If you have any questions, please do not hesitate to call. Sincerely, Ken Nussbaum LS. 6298 MEAN ELEVATION 492.75 ICBO/PF04M IDS O I )K ! t / Q�'P I I --—SCOR _ — r' <_----_ LINES I I I j I T -I 5 I I I I ICBO#WC4W85 ICBO/PF04M IDS O '�----24"x24° COLUMN BASE K )K ! t / Q�'P HEIGHT TO MATCH TOP OF $LAS .Ai\\ ■ —35(MA18" DE W/(4) #5 EA 1 LINES I mwo Sw S1 � m L WO ANCHOR BOLTS ® 3r O. La c w 0 0 4 O N N N w O ag ui $-2854 �Z EXP 6130107 z O mwo Sw S1 � m L WO ANCHOR BOLTS ® 3r O. La c w 0 0 4 O N N N TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 QPFc**iAi 1N!�PF[`Tl[AN nAii V i?RPART OFFICE/FAX9O9.769.9717 PAGER 760.776.3339 TYPE OF INSRECIION PERFORMED DATE �ry x` PHY91CAL AD REBS Q PERMIT NUMBER - JOB NAME ` ` 70FSMUMRE CWMCT` ENGINEER GENERALCONTRACTOR L ✓ SUB O (TRACTOR ' llmfg-p o. DESCRIPTION OF WORK INSPECTED SAMPLE INFORMATION SUPPLIER TICKET NUMBER MD( NUMBER I SAMPLED AIR TEMP I TEMP SLUMP I TIME IN MII LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER 0--_m� 7 s ` Ik P. DOW I HEREBY GERM TMAT 1 HAVE WSPECM ALL OF TME ABOVE REPORTED WORK U LL.ESS OTHERWISE NOTED. AND TO THE BEST OF MY AWL" I HAVE FOLM THIS TORE wow TO COMPLY WITH TIE APPROVED PLANS. SPECIFICA ww & APPLICABLE SLMJ3M+ LAVAS. O t �: WSPECTORS CERTIFICATION AGENCYAWNLIMBER SAMPLE INFORMATION SUPPLIER TICKET NUMBER MD( NUMBER I SAMPLED AIR TEMP I TEMP SLUMP I TIME IN MII LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY GERM TMAT 1 HAVE WSPECM ALL OF TME ABOVE REPORTED WORK U LL.ESS OTHERWISE NOTED. AND TO THE BEST OF MY AWL" I HAVE FOLM THIS TORE wow TO COMPLY WITH TIE APPROVED PLANS. SPECIFICA ww & APPLICABLE SLMJ3M+ LAVAS. O t �: WSPECTORS CERTIFICATION AGENCYAWNLIMBER 4311 E.,ea R:oat s ei,c; +c 4 1'!i:D' 3Z3�tfiZ4'rs; ros 43 NEN SW4&10 11 LAD/ 91, A9 N O C o� 2 O 9� N`dNd1-Q�'�i I� I I'gl I I I I LL I i I x Pq WDE I I RdOM I I I I I - -A- -HDR . 4> D - .. . SW C X PL. Bd O.C.'E. �. I IWr &Ir QC. F.N. i iI"I i i i i mr a\ I 11.61 I 20 . N I I D-1 I I E GINEE ED TR SSES 24" 0: . J � I I I I I DINING taio� cElu I I I 1131_,Y I I I S R. PN 4xA6 R - --- ---�--�- I �I ,6 I I I I $.�nciJo MSTA3� MP)I BOTH $IDES OFI I I I ,6 I HALL I WINDO�IV T S B I I 10`VjCEIUN01 I `vv I NEN SW4&10 11 LAD/ 91, A9 N O C o� 2 O 9� N`dNd1-Q�'�i I� I I'gl I I I I LL I i I x Pq WDE I I RdOM I I I I I - -A- -HDR . 4> D - .. . SW C X PL. Bd O.C.'E. �. I IWr &Ir QC. F.N. i iI"I i i i i mr a\ I 11.61 I 20 . N I I D-1 I I E GINEE ED TR SSES 24" 0: . J � I I I I I DINING taio� cElu I I I 1131_,Y I I I S R. PN