Loading...
0309-151 (CSCS)—LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date' "ri F8,555 1 B C$ HIC 09130120 pate -1-ALA thloSignature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under,penalty of perjury that I am exempt from t Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wage as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier 8114T9FUN D Policy No. 160351$-02 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for.which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thstrovision . Date: I -JKJ -gyf. Applicant �, Warning: Failure to secure Workers' Compensatio coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as , rovided for in Section 3706 of the Labor Code, interest and attorney's .fees. IMPORTANT Application is hereby made to the D ector of Building and Safety for a per subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person of whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the Cityof La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject,permiflo cancellation: I certify that I have read this application and state that theydabove information is . correct. I agree to comply with all City, and State'laws relating to the building construction, and hereby authorize representati4es of this City to enter upon the above-mentioned property for.inssppe0ction purposes. ,,Signature (Owner/Agent) ti D. J Date BUILDING PERMIT PERMIT# DATE :i;.;' VALUATION LOT TRACT JOB SITE _ 8 APN ADDRESS ,1&s>�itf3Y�$.�f_) IOWNER 011K ELL-VfN LA QU)Wk LLC 71.084 Tt RP'�3CCi';.AN€� RAMCt-Y01vM AC CA 9:t270 USE OF PERMIT C01Vfl&413XVAAL / DESIGNER / DCD DE?it'., INC dba t)F3Wf CIM,,B1'1'' ". 7g.60fti:ttiC3HWAY 11 l LA QtW.rk CA 92253 COMMERCIAL SHRIJ., 5905 S.p, Typevi-4 SPR,1WKLF0, 2001 CBC, _1101 PORCHIPAT1.0 1,49100 SI? 6 FT. WALL 172.00 Lir SPRINKIIER 4799,00 OF A1C •. COMMERCIAL -%306. 00 3F C014TRAC'T .AMOUNT 2.QVI3168143 E 3;ATA. 1' .-• COST OF el ON v11wC OiY 347„601." PFX& 1: FER GUAVAAKY CONSTRUCTION FEE 101-000-418.OW ft's".50 PLAN CtiWK PU9 spgi.as RE DEPOSIT -SIA-90.00 M8CHANIC;A.L FZZ 101.7000421 -000 $97.00 ELEC T RICAt, FEZ $203,48 PLUMBING FEZ 107 _000.419-000 $169.50 , STRO140 MOTION PLE ..COMM 100.000.2.4' X000 S%a.OU ORA>~iI,NQ FEE, 101-000-4-2.3-000 DEVE 0PI R, i dPAC 1 F $i I.;741.U0 AkT IN PUBLIC PLACE -COMI 270-000.445-0{10 $1,738.11 -fOTAiL-co=.itucflou. AM P'T.M C.7w.z`tx $17,830.34 ::';g�y.�,�- I130 �'fi.&PACD �`3 41,400.00 p g���^ p'jJ'�, • :.a t +SRI•-S.GWJV]I'.sl•�.AYSL.A .TATA �IJ'.L'+.57 NOW' ('DSQEJ3ixM' JAN 14 2004 z CffY OF Lb ;t�Tei-. .r FINANCE bEF�T. RECEIPT DATE B•Y.•^'' DATE INAL INSPEC OR t INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDINO'.;.AP.PROV MECHANICAL AP,PROVALt Set Backs A Underground Ducts Forms & Footings 4Z Ducts Slab Grade i Return Air Steel .) Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A: . Framing Compressor W Insulation Vents ;r Fireplace P.L. Grills Fireplace T.O. "" Fans & Controls Party Wall Insulation - - -' ' Condensate Lines Party Wall Firewall ; Exterior Lath c , Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWAI_LiAPPROVAL steel Set Backs _ Electric Bond Footings r Main Drain Bond Beam , Approval to Cover Equipment Location Underground Electric Underground Plbg, Test ' Final Gas Piping PLUMBING APPROVALS I If Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out 6 Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover ' Sewer Connection ; ! : i Encapsulation ' Gas Piping Gas Test . Appliances n« ,. % Final C6MMENTS• = 4q-fN AXe-r 51,,elAllf,`Yy A 4L)At/s ZAz toff- ��• : ,_. ,� n. .>: CIO toi :; 5 ollo(oq 1'r ' Final .._ •. Utility Notice (Gas)YM * EL-ECTRICAL' APPROVA S Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbddures ,.. Main Service Sub Panels Exterior Receptacles 7 G.F.I. Smoke Detectors r , Temp. Use of Power Final Q Utility Notice (Perm) t o3o ? / s 4 4 " P.O. BOX 1504 APPLICATION ONLY Building �78-495 CALLE TAMPICO Address g "�Q2 fF fir 1. LA OUINTA, CALIFORNIA 92253 MVing A`el U cN ` r Lt/ BUILDING: TYPE"CONST.V-iWOCC. GRP. Address'l1-08+-PSI(✓100klu rK 4,ANe A.P. Number 4+130F City Zip _ Tel. L,�,, , n 329'5485 Legal Description �b�. PG_ I= -W � Am f H ��.�Ri' GifIE�✓ l%El�'�EN7' ress k QU i N? zIp�Z2 5�:3 11500111 State Lic. & Classif. Arch., Engr., Designer. &49L 679.! AIA I Address R 1- cx—ri DO. /® c2.2.1 --/-NJ Lic. N Tel. cit p Zip pp State (MA �iZ'l01 Lic. a C-1" 3 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that -he 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 penally of not more than five hundred dollars ($500). I: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) I'1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) i 7 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company F71 Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: Ir, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above. mentioned property for inspection purposes. Signature of aQplicant Date Mailing Address City, State, Zip q.t / D NNo. Dw. Size �f6 Stories ries I Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ stlmateo valuation PERMIT AMOU Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc._ Infrastructure}) MI",11 fli+! MI� M I �� y 1 U zuui YMLI TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Commercial Building EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.34 X 5,306 S.F. or $1,804.04 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By OC/Wells Fargo - Dave Smoley Check No. 0072503172 Name on the check Telephone Funding Commercial By Dr. Doris Wilson Superintendent Fee collected /exempted ha nM ilvrey Payment Recd 1$0.00 $1,804.04 Over/Under Signature c NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting T4ht 4 4 Q" Building & Safety Department Public Works Release to Issue Building Permit To: John Freeland, Senior Engineer Date to PWD:9-10-2003 From: Greg Butler, Building & Safety Manager Permit #:0309-151 A release from Public Works Department is required prior to building permit issuance for the following project: Description: 5,603 SF SHELL BLDG (THAI SMILE RESTAURANT Address or general .location: 78-902 Highway 111 APN and/or legal description: 643-080-051 Applicant contact and telephone number: Dave Smoley 760-771-3345 • Please do not return this form to Building & Safety Department until released for building permit issuance. For issues delaying or preventing release, please contact applicant directly at the number above. Note: Action required (reply to Building Department or contact Applicant) within five (5) working days from date received by Public Works Department. To: Greg Butler, Building & Safety Manager From: John Freeland, Senior Engineer The Public Works Department has reviewed the above project and finds that: ❑ ... issuance of this Building Permit does not require Public Works /Department approval. Cry' ...issuance of this Building Permit is approved by the Public Works Department. IZIO hn Freeland, Senior Engineer marshallspwgreen.doc — 4/18/03 Date r NorE: P(/41ls To GAO / Sa' a l Saf 2�,seFv p�R.�+t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: 12-20-2003 From:.Oscar Orci, Planning Manager Due date: 1-2-2003 Status: 3rd Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: 5 603.,nShellId -Thai Smile Address or geneal locati : 78-902 Highway 111 Applicant Contact: Dave Smoley @ 771-3345 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. Oscar Orci, Planning Manager Date U j lid ►-� ��- ¢� c 1 iL Area.# .IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Plan Check # N04-063 Date 9/20/04 DBA Thai Smile Address 78-902 Hwy 111, La Quinta Plans Submitted by Brandon wood Phone ( Owner Yim Priddy Address Phone ( The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. This plan does not include sewage or water service approval. Prior to the final inspection provide a grease interceptor sizing form from your local water agency. For more information call County of Riverside Land Use at (760)863-7000. 2. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including waitress and self service stations such as drink dispensers. 3. The mop sink must be of the floor basin style. Behind all sinks in the splash zone the finish must be water, proof to a height of 8' (e.g. FRP/tile) 4. The trash enclosure must meet current standards and be finished so that the interior floor and walls are smooth and easily'cleanable. Seal these interior surfaces with an approved two part epoxy. 5: All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by vermin The delivery door air curtain must deliver air at a velocity of 1600 fps at a height of 3' above the floor. 6. A construction guide has been issued with this plan correction. All issues not otherwise addressed by this plan correction must be resolved according to the guidelines set forth therein. 7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak shift 8. Hot water heater must be 100 gallon capacity and 240,000 BTU minimum for this facility. 9. A certified air balance report will be required before final approval. 10. Sneeze guards will be evaluated on site at time of inspection. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A.compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the plan correction must be performed in accordance with the guidelines set forth therein. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS.CHECKED BY Jerry Dubin Phone (760) 320-1048 1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Company f's � ( Date D I CAUFOANIA �EQpt1tMENeoffOBfStgt RIVERSIDE COUNTY FIRE DEPARTMENT andF1AE AOIECI/pN In cooperation with the IF California Department of Forestry and Fire Protection E�,StoE roa A 82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072 IPO [ T r' Ilk + I8 November 19, 2003 Tom Tisdale Fire Chief Carl Cox, Architect 81-557 Dr. Carreon Blvd., Ste. Al Proudly serving the Indio, CA 92201 unincorporated areas of Riverside Re: Non -Structural Building Plan Review County and the LAQ-03-BP-091 /Thai Smile Cities of: Fire Department personnel have reviewed and approved the plans you submitted for the above Banr ing referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. Beaumont Ca 4. 1) These conditions are for a shell building and will receive a shell final only. No fire and life safety ;, clearance will be issued for a tenant space until the specific tenant improvement plans have been Canyon Lake reviewed and conditioned by the Riverside County Fire Department. Coachella 2) Fire Department approval is based upon the 2001 CBC requirements for Group B/A3 occupancies. 4. It is prohibited to use, process or store any materials in the occupancy that would classify it as a Desert Hot Springs Group H occupancy per Sec. 307 of the 2001 CBC. Indian Wells 3) The Fire Department is required to set a minimum fire flow for the remodel or construction of all Indio commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1500 gpm for 4. a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible Lake Elsinore material is placed on the job site. 4. La Quinta 4) The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 21/2" x 21/2") located not 4. less than 25' or more than 165' from any portion of the building(s) as measured along approved Moreno Valley vehicular travel ways. 4. Palm Desert 5) Prior to the issuance of a building permit, applicant/developer shall furnish one blueline copy of the Perris water system plans to the Fire Department for review. Plans shall conform to the fire hydrant types, 4. location and spacing, and the system shall meet the fire flow requirements. Plans must be signed Rancho Mirage by a registered Civil Engineer and/or the local water company with the following certification: "I r. certify that the design of the water system is in accordance with the requirements prescribed by the San Jacinto Riverside County Fire Department". 4. Temecula 6) Install a complete fire sprinkler system per NFPA 13. The post indicator valve and fire department connection shall be located to the front within 25' to 50' of a hydrant, and a minimum of 25' from the building. System plans must be submitted to the Fire Department for review, along with a Bowra of supervisors plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for Bob Buster, 6 all inspections. District 1 7) Install a monitoring system designed in accordance with NFPA 72, which must include a water flow John Tava istr,'�c2 D 'sti monitor, control valve tamper and continuous monitoring service. System plans must be submitted to the Fire Department for review, along with a plan checkfinspection fee. Jim Venable, District 3 8) Install Knox Key Lock box, Model 3200, mounted per recommended standard of.the Knox Roy Wilson, Company. If the building/facility is protected with a fire alarm system or burglar alarm system, the 4 lock boxes will require "tamper" monitoring. Special forms are available from this office for the ordering of the Key Switch, this form must be authorized and signed by this office for the correctly Marion Ashley coded system to be purchased. District 5' EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 9) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware and as noted on Sht. A-4 of the building plans. 10) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. 11) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. 12) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door. 13) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from the room. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. H,.WFZWP DataUA OubtaXPROJECTS TPAAO-0}BP491.doe Tom Tisdale Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of Banning Beaumont Calimesa ❖. Canyon Lake Coachella Desert Hot Springs Indian Wells 4 - Indio Lake Elsinore 4. La Quinta 4. Moreno Valley Palm Desert Peff is ❖ Rancho Mirage San Jacinto Temecula + Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue - Perris, California 92570 - (909) 940-6900 - Fax (909) 940-6910 January14, 2004 To: City of La Quinta Building Department Re: Permit issuance LAQ-03-BP-091 Thai.Smile / 78-902 hwy 111, La Quinta The Riverside County Fire Department hereby releases the above referenced project for issuance of a building permit at the discretion of the Building Department. DE/jl Respectfully, FRANK KAWASAKI Chief Fire Department Planner By Dale Evenson Fire Safety Specialist EMERGENCY SERVICES DMSION - PLANNING SECTION - INDIO OFFICE 82-675 Highway 111, 2"° FI., Indio, CA 92201 - (760) 863-8886 - Fax (760) 863-7072 i I 05,_z 5-1" - 30" Employee \ Restroom S-6" 3,_11„ L— DO, 6„ 1,-2„ l L 2,_6„ a� Roof Access C*12-F L� C BUILDING & SAFETY DEPT. - I t'1 APPROVED «j i..ct e' � FOR CONSTRUCTION d to as p s J a�' DATE O 2 BY v o E c • / N m L BRANDON DESIGN AND DEVELOPMENT WE° °011010` REAL ESTATE DEVELOPMENT SWE: I/! • 1'- R As hult R'strOm PROJECT DESIGN and MANAGEMENT 77114 IROQUOIS DRIVE INDIAN YELLS, CAIIFORNiA 92210 TEL. 760.360.0105 FAX. 760.360.0135 n—z. ' - ALL RIGHTS RESERVED 2004 D B. BRANDON MOOD --- CONCORDE CONSULTING GROUP, ING/ , ENGINEEERING & CONSTRUCTION MANAGEMENT 3505 CAMINO DEL ILIO SOUTH, # 350 SAN DIEGO, CA 92108 PH: (619) 516-3377 ]FAX: (619) $16-3388 MEMORANDUM/FAX COVER SHEET Mi FROM: �F�YC S MOL�.Fy YMPA COMPANY: Q tom{ d DATE: fD �T��j 10/11/04 PAX NUMBER: TOTAL NO. OF PAVIO INCLUDING COVER; i PHOT to NUMBER: S[+.NDER'S REFRRENCE NUMBER YOUR REFERENCE NUMBRR, X URGENT X FOR REVIEw X PLEASF3 COMMENT X PLEAS$ UpLY ❑ PLRASI? RECYCLE. notes/Co=nents S f�AR v'ALVlz t5 �Y 4-16 P�` IS LASS 'TNAg4 PL. F. � oD e ca J) V s '3x S1 -I-Fs o .Jc,,j e y e -1.1 5 H e A f, Ga (l P v-TQZ e X C'e f) S 35o P(, (= - r I e k4e r 7 x 51 U- Ats Iv) LT. Fr:T AC HbUSTON .LUMBER COMPANY Or 0 'Lumberman Since 1884' 84391 Cabazon Road, Indio, CA (760) 347-8320 Fax: (760)347-8515 www, achoustontumber. com CUSTOMER: TANDEM WEST JOB NAME ' THAI SMILE OPT/ONS: A07R PLAN#: Plan #:ELEV: Elevation: JOB#: Job#: SCALE: Scale: DRAWNBY: DD DA Tr: 4/29/04 NOTES. 1-0-3 w`�u: UEO V— P. .11 ..�,. ores wa oowx Oona . vu rn— muworoa �. ven�ernou uu�ouv�miorm �o�o 4. CO NOT CTn"IL CP AL— TNUA— le t,�.� ...-. i� ...-._.:.,........a_.r.,.,.-.,�.......-....�.-...-�-...,.«-... ,r .� _�... .....-., .9..., ..,. ,,... y�, ..wig .. .:.... .. ..,,rtw PHYSICAL ADDRESS._ MIX NUMBER PERMIT NUMBER I J AIR TEMP I SAMPLE TEMP sc_qe--- TANDY'S �- O �� INSPECTION INC. PO BOX 13766 �� PALM DESERT, CA 92255 9.9717 SPECIAL INSPECTION DAILY REPORT OFFICE/FAX E R 7 .776. 339 PAGER 760.776.3339 SPECTION PERFORMED TYPE OF IN -11 ACN�so r J , ),\- t -j - Pte. 'N�, SAMPLE INFORMATION' DATE PHYSICAL ADDRESS._ MIX NUMBER PERMIT NUMBER I J AIR TEMP I SAMPLE TEMP SLUMP TIME IN MIXER JOB tjEf \ C fJ 2 2 cu TYPE OF STRUCTURE ARCHITECT,t �--� ` �'o ENGINEE. X . IJJ GENERAL_CTONTRAiCTOR^ On S ZJ�� ti �Un JG U CS0'NTRACTOR �O Y DESCRIPTION OF WORK INSPECTED W r L4 S 7y r 1 +••. y S 14 1 A l\ Peg- axr e\ , l M Q B ` r V4Q li� 10-0 C ca. k C*m Q vJ o.. -k AJ a n .S� k C-) "N a -<� LAS 2-57.ZSZ-- <1 7" A h /�O y ` S A -1 6roj ego - I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. CC: (INSPECTORS SIGNATURE"✓ rCSW &Z)-7-7147- `&q INSPECTORS CERTIFICATION AGENCY AND NUMBER SAMPLE INFORMATION' SUPPLIER TICKET NUMBER MIX NUMBER TIME SAMPLED AIR TEMP I SAMPLE TEMP SLUMP TIME IN MIXER 1- 1 2 2 cu Uq(1P /,L)/A 1 19 1 ATA IJJ LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. CC: (INSPECTORS SIGNATURE"✓ rCSW &Z)-7-7147- `&q INSPECTORS CERTIFICATION AGENCY AND NUMBER 'A 03-1035 THAI SM -E LOAD CASE(S) Standard Except: Concentrated Loads (lb) Vert: 6=-45(F) 7=-110(F) 8=-110(F) 3=-45(F) 26=-45(F) 10) User defined: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20(F), 1-10=-68(F) Concentrated Loads (lb) Vert: 6= 45(F) 9= -110(F)10= -110(F) 3=-45(F) 26=45(F) 11) User defined: Lumber Increase= 1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 11-19=-20(F), 1-10=-68(F) Concentrated Loads (Ib) Vert: 6=45(F) 10=-50(F) 3=45(F) 26=45(F) 27=-50(F) 12) 1st Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 3=-25(F) 20=-250 26=-25(F) 13) 2nd Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11.19=-20, 1.10=-28 Concentrated Loads (lb) Vert: 6= 25(F) 3=-25(F) 21=-250 26=-25(F) 14) 3rd Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 3=-25(F) 22=-250 26=-25(F) 15) 4th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 3=-25(F) 23=-250 26=-25(F) 16) 5th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F)3= 25(F)24=-250 26=-25(F) 17) 6th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 11-19=-20,1-10---28 Concentrated Loads (lb) Vert: 5= -25(F)3= -25(F)25=-250 26=-25(F) 18) 7th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6= 25(F) 3=-25(F) 26=-275(F=-25) 19) 8th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 3=-25(F) 26=-25(F) 28=-250 20) 9th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 11-19=-20,1-10=-28 Concentrated Loads (lb) Vert:6=-25(F)3=-25(F)1=-250 26=-25(F) 21) 10th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6= 25(F) 2=-250 3=-25(F) 26=-25(F) 22) 11th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6= 25(F) 3---275(F=-25) 26=-25(F) 23) 12th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (Ib) Vert: 4=-250 6=-25(F) 3= 25(F)26= -25(F) 24) 13th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-275(F=-25) 3---25(F)26=-25(F) 25) 14th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11.19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 7=-250 3=-25(F) 26=-25(F) 26) 15th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 11-19=-20, 1-10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 8=-250 3=-25(F) 26=-25(F) 27) 16th Sprinkler Load: Lumber Increase=1.25,-Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20,1.10=-28 Concentrated Loads (lb) Vert: 6=-25(F) 9=-250 3=-25(F) 26=-25(F) 28) 17th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (pig Vert: 11-19=-20,1-10=-28 Concentrated Loads (Ib) Vert: 6=-25(F) 10=-250 3= -25(F)26= -25(F) 30 I 1 I V215 I I I Job Reference (optional) 60 5.200 s Sep 30 2003 MiTek Industries, Inc. Fri May 1410: t 3x6 = 8x10 = 9 27 28 10 12 11 4x6 = Do CL r N Apply 15/32" OSB or Structural 1 Plywood gussets to both faces of truss as shown. Join with clinched 3" x 0.131" (10d gun) through nails on one -side and clinched on opposite side. Nails must be through gussets on both sides. Space nails at 4" on center staggered in top chord, and web. General Repair Notes 1. This repair is for damage noted at location shown. All other plates and lumber are intact and undisturbed. 2. Shore truss to original geometry prior to repair. 3. Mechanical, if in the way, is to be relocated to accommodate repair. This repair was designed using a description of existing conditions as provided by others. The truss designer performs no field inspection of trusses. �O PFtOFEss,O\ �Q \ \NMT C9 n ZG1 C 34229 Z EXP 6/30/07 A 9 CIVIL �CF CAUFG��\P May la _ Job Truss Truss Type Dty SMILE RESTAURANT 03-1035 A07REP FLAT �PtyTI V195 Reference (optional) A.C. Houston Lumber Company, North Las Vegas, NV 89031 5.200 s Sep 30 2003 MiTek Industries, Inc. Wed Apr 28 14:22:19 2004 Page 1 3-11-7 7-10-13 12-0-0 16-0-0 17-0-021-0-0 26-0-0 30-0-0 31-5-12, 3-11-7 3-11-6 4-1-3 4-0-0 1-0-0 4-0-0 5-0-0 4-0-0 1-5-12 Sob-150.9 Repair / Modification to allow bearing beam width to increase from 5.5" to 10.25" c4mmt • 1,4 in 1. Carefully cut back web 1-18 and connector plate to allow wider bearing. or not over-cut. � 2. Apply 15/32" OSB or SStructurall1 Plywood gussets to bath faces of truss as shown. 1_� Do not over-cut gussets at this location Join with clinched 3" x 0.131" (10d gun) through nails �� on one-side and clinched on opposite side. Nails must be 4-0-0 through gussets on both sides. Space nails at 4" on Gussets center staggered in top chord, bottom chord, and webs. b4 II b8 = a4 II b8 = b4 = 4 e = b4 II bt0 = b4 II 8n0 = 1 &Is — 22 2 h l 24 4 25 5 28 6 27 7 8 28 9 29 b 10 01 11 R d -.v mow\ 21 20 10.25" wide beam 4x10 = 19 18 17 18 1s 14 13 12 2x4 II 5.8 = 2.4 II b4 = ono = b4 II', 4.19 = 10.5" Gusset to fit tightly against bearing i- General Repair Notes 1. This repair is for damage noted at location shown. All other plates and lumber are intact and undisturbed. 2. Shore truss to original geometry prior to repair. 3. Mechanical, if in the way, is to be relocated to accommodate repair. This repair was designed using a description of existing conditions as provided by others. , The truss designer performs no field inspection of trusses. 31-5-12 0-6-0 3-11-7 7-10-13 12-0-0 16-0-0 17-0-0 21-0-0 26-0-0 30-0-0 31-2-12 , 0-6-0 3-5-7 3-11-6 4-1-3 4-0-0 1-0-0 4-0-0 5-0-0 4-0-0 1-2-12 0-3-0 Plate Offsets (X,Y): [1:0-0-0,0-4-0]_[11:0-0-0 0-4-0]_[18:0-4-0,0-3-4] LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) Well L/d PLATES GRIP - TCLL 20.0 Plates Increase 1.25 TC 0.19 Vert(LL) -0.21 W >999 360 M1120 197/144 TCDL 14.0 Lumber Increase 1.25 BC 0.77 Vert(TL) -0.52 17 >703 240 BCLL 0.0 Rep Stress Incr YES WB 0.88 Horz(TL) -0.09 11 n/a n/a BCDL 10.0 Code UBC97/ANSI95 (Matrix) Weight: 157 lb LUMBER BRACING TOP CHORD 2 X 6 SPF 1650F 1.5E 'Except' TOP CHORD Sheathed or 4-1-8 oc purlins. T2 2 X 6 DF 180OF 1.5E BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. BOT CHORD 2 X 4 SPF 1650F 1.5E t WEBS 2 X 4 SPF No.2 REACTIONS (Ib/size) 11=1418/0-2-8, 1=1416/0-5-8 Max Grav 11=1615(load case 10), 1=1539(load case 8) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-22=-1895/0, 2-22=-1895/0, 2-23=-1895/0, 3.23=-1895/0, 3-24=-4480/0, 4-24=-4480/0, 4-25=-4480/0, 5-25=4480/0, 5-26=4686/0, 6-26=-4686/0, 6-27=-4253/0, 7-27=4253/0, 7-8=4253/0, 8-28=-4253/0, 9-28=-4253/0, 9-29=-712/0, 29-30=-712/0.10-30=-7i2/0,10-31=-712/0.11-31=-712/0 BOT CHORD 20-21=0/0, 19.20=0/3411, 18-19=0/3411, 17-18=0/4722,16-17=0/4722,15-16=014684,14-15=0/2634, i3-14=0/2634,12-13=0/0 WEBS 4-18=422/37, 5-17=0174, 6-16=-122289, 8-15=-468/44, 5.18=-425/43, 6-15=-65010,5-16=-245/174, 10-13=-32324, 9-14=0/188, 9A3=-2329/0, 9-15=0/1829, 11-13=0/1769, 2-20=-357/37, 3-19=0/78,1-20=02380,3-20=-182120,3-18=0/1269 NOTES 1) Wind design is based on ASCE 7-95 per UBC97/ANSI95 for the loads generated by 70mph winds at 25ft above ground level using 8.4psf top chord dead load and 4.8psf bottom chord dead load for an occupancy category ll, exposure condition C, and condition I enclosed building. The main wind force resisting system external pressure coefficients are for interior zone and components and cladding external pressure coefficients are for the intenor(1) zone.If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 2) Provide adequate drainage to prevent water ponding. 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Table No. 16-B, UBC-97. 4) Provide mechanical connection (by others) of truss to bearing plate at joint(s) 11. 5) Load rase(s) 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 has/have been modified. Building designer must review loads to verify that they are correct for the intended use of this truss. 6) This truss has been designed for a moving concentrated load of 250.01b live located at all mid panels and at all panel points along the Top Chord, nonconcurrent with any other live loads. 7) Gap between inside of top chord bearing and first diagonal or vertical web shall not exceed 0.500in. 8) Special hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 45.01b down and 3.61b up at 7-10-8, 155.01b down and 3.61b up at 159-0, 45.01b down and 3.61b up at 23.7-8, 110.01b down at 12-0-0, 110.01b down at 21-0-0, 110.01b down at 17-0-0, 110.01b down at 30-0-0. Qg0FESS/0 110.01b down at 26-0-0, and 50.01b down at 30-0-0, and 50.01b down at 27-&0 on top chord. The design/selection of such special connection device(s) is the Q �/ T. 9� responsibility of others. \p,M eo 9) In the LOAD CASE(S) section, loads applied to the face of the truss are noted as front (F) or back (B). \ —7 t�2C / LOAD CASE(S) Standard Except: 1) Regular: Lumber Increase=1.25, Plate Increase=1.25 0 C 34229 m Uniform Loads (plf) Vert 12-21=-20, 1-11=88 EXP. 6/30/07 M Concentrated Loads (lb) Vert: 5=-45(F) 3=45(F) 28=-45(F) 8) User defined: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads �� CIVIL (plf) ��\P Vert: 12-21=-20(F), 1-11=-68(F) Concentrated Loads OF CALIF� (lb) Vert: 4=-110(F) 5=-155(F) 3=-45(F) 28=-45(F) 204 9) Userdefined: Lumber Increase=1.25, Plate Increase=1.25 App• 28 1 Uniform Loads (plf) - Vert: 12.21=-20(F), 1-11=-68(F) Continued on page 2 Job 03-1035 Truss A07REP Truss Type FLAT - , Oty 30 Ply 1 THAI SMILE RESTAURANT V195 Job Reference (optional) A.C. Houston Lumber Company, North Las Vegas, NV 89031 5.200 s Sep 30 2003 MiTek Industries, Inc. Wed Apr 28 14:22:20 2004 Page 2 LOAD CASE(S) Standard Except: Concentrated Loads (lb) Vert: 5=-45(F) 6=-110(F) 8=-110(F) 3=-45(F) 28=-45(F) 29) 18th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 10) User defined: Lumber Increase=1.25, Platelncrease=1.25 Uniform Loads (plf) Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 Vert: 12-21=-20(F), 1-11=-68(F) Concentrated Loads (lb) Concentrated Loads (lb) Vert: 5=-25(F) 10=-2503=-25(F) 28=-25(F) Vert: 5=-45(F) 10=-110(F) 9=-110(F) 3=-45(F) 28=45(F) 30) 19th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 11) User defined: Lumber Increase=1.25, Plate Increase=1.25 Uniform loads (plf) Uniform Loads (plf) Vert 12-21=-20, 1-11=-28 Vert: 12.21=-20(F), 1-11=-68(F) Concentrated Loads (lb) Concentrated Loads (lb) -. Vert: 5=-25(F) 11=-250 3=-25(F) 28=-25(F) Vert: 5=45(F) 3=-45(F) 28=45(F) 29=-50(F) 31=-50(F) 12) 1st Sprinkler Load: Lumberincrease=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 Concentrated Loads (lb) ' Vert: 5=-25(F) 3=-25(F) 22=-250 28=-25(F) 13) 2nd Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 ' Concentrated Loads (lb) Vert: 5=-25(F) 3=-25(F) 23=-250 28=-25(F) 14) 3rd Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (ptf) Vert: 12.21=-20, 1-11=-28 - Concentrated Loads (lb) Vert: 5=-25(F) 3=-25(F) 24=-250 28=-25(F) 15) 4th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 ' Concentrated Loads (lb) - Vert: 5=-25(F) 3=-25(F) 25=-250 28=-25(F) 16) 5th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28' Concentrated Loads (lb) Vert: 5=-25(F) 3=-25(F) 26=-250 28=-25(F) 17) 6th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 Concentrated Loads (Ib) Vert: 5=-25(F) 3=-25(F) 27=-250 28=-25(F) 18) 7th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 Concentrated Loads (lb) Vert: 5=-25(F) 3=-25(F) 28=-275(F=-25) 19) 8th Sprinkler Load: Lumber Increase= 1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 ' Concentrated Loads (lb) - " Vert: 5=-25(F) 3=-25(F) 28=-25(F) 30=-250 20) 9th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 , Concentrated Loads (Ib) , Vert: 5=-25(F) 3=-25(F) 28=-25(F) 31=-250 21) 10th Sprinkler Load: Lumber Increase=1,.25, Plate Increase=1.25 Uniform Loads (plf) Vert: 12-21=-20, 1-11=-28 Concentrated Loads (lb) Vert: 5=-25(F) 3=-25(F) 1=-250 28=-25(F) 22) 11th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Udrform Loads (plf) - Vert: 12-21=-20, 1-11=-28 - Concentrated Loads (lb) - Vert: 5=-25(F) 2=-250 3=-25(F) 28=-25(F) 23) 12th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 " Uniform Loads (plf) Vert 12-21=-20, 1-11=-28 Concentrated Loads (lb) Vert: 5=-25(F) 3=-275(F=-25) 28=-25(F) 24) 13th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) ' Vert: 12-21=-20, 1-11=-28 Concentrated Loads (Ib) - Vert: 4=-250 5=-25(F) 3=-25(F) 28=-25(F) 25) 14th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 - Uniform Loads (plf) Vert: 12.21=40, 1-11=-28 Concentrated Loads (lb) QFES S10 Vert: QR . 5=-275(F=-25) 3=-25(F) 28=-25(F) 26) 15th Sprinkler QPM T. eon q��Z Load: Lumber Increase=1.25, Plate Increase=1.25 �`� Uniform Loads (plf) - \� 7 Vert: 12-21=-20, 1-11=-28 !7 C Concentrated Loads (Ib) , Vert: 5=-25(F) 6=-250 3=-25(F) 28=-25(F) w C 34229 "1 27) 16th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) EXP. 6/30/07 Vert: 12-21=-20, 1-11=-28 }�- Concentrated Loads (lb) Vert: 5=-25(F) 8=-250 3=-25(F) 28=-25(F) 28) 17th Sprinkler Load: Lumber Increase=1.25, Plate Increase=1.25 '. �j� Civil- IVILUniform UniformLoads (plf) - OF CAL�F� Vert: 12-21=-20, 1-11=-28 Concentrated Loads (lb)2a 2004 " Vert: 5=-25(F) 9=-250 3=-25(F) 28=-25(F) Ap(• I Consolidated Contracting, Inc. 46-753 Adams Street La Quinta, CA 92253 TEL (760) 77113345 FAX (760) 771-4431 CA Contractor'License #824183 LETTER OF TRANSMITTAL TO CITY OF LA QU/NTA DATE: July 19, 2004 Building & Safety Department JOB NAME: SM/LE"RESTAURANT' 78-495 Calle Tampico 78Q8Q2Egatiay1g1 La Quinta, CA 92253 La Quinta ATT: Daniel Crawford JOB NO.: 1010 PLEASE FIND THE FOLLOWING ATTACHED: PRINTS / PLANS SUBMITTALS / SHOP DWGS COPY OF LETTER(S) t' SPECIFICATIONS -CALCS / TEST / REPORTS OTHER QT) DATE nFRCRIPTInN 2 7/16/2004 STAMPED & WET -SIGNED CALCS THESE,ARE TRANSMITTED AS CHECKED.BELOW: a FOR APPROVAL FOR REVIEW AND COMMENT. FOR YOUR USE FOR BIDDING '-AS REQUESTED aFOR YOUR INFORMATION REMARKS: APPROVED AS SUBMITTED aAPPROVED AS NOTED REVISE AND RESUBMIT COPY TO: SIGNED: D e Smoley / Proj Mgr RETURN BY: 3 N � UI Wer pr;,o c� � �-cv zoo 07/07/04 WED 04:44 PAX 760 418 1883 PALE SPRINGS DESIGN GRP Gat r/VA -- IM003 JM -06-2004 TUE 03:20 PH SiNOVUH COMPANIES FAX N0, 7607714431 P. 03 66/2402x'364 85:42 78877?nu I.A SnW& AM&m 1/9la� L� P.O, 20% 1104 duf)sexrwtl • SAr0" xDilmlaus im 76-495 CALLZ TAMPICO (760) 777-7012 LA QUMTA. CM.IVORVIA P2353 FAX 0760) 777-7011 &23m Dam cwim naawpull� ba� COP �a-soot sus . TA90 % G!220 AW I lbucwbg et andm M14. �t ism a 31. liw � ��x�IpOoed�►soc�ivo�al�oaemt8di��sodade�ooial�ooa� Ptedfeaiesnaoon� ii6e F, P.. X.i �tsda�►p�dioim� aasabo�s soe�bb�m. �o�s�>�►aa0He0F+. -��� � Pl+oJlt�a�oa lioe D axr idleoxNli�d m�fiab 6. Casdr et xxxi�.00leaa� va>i A, D,1� 3 g 11. . YeaWas xTa Imo: �.: •. tx�mxm >> o.>t3 o>im►b� pis 1im9od �iiga aixxl� guc lbaWpr x�pkel®>�eataatxr�eoetnad crows: ��+� �� aei14�;�oafa 7,�Ir as wmatwmt wJ9� dgfdl-lv5�6 oc � of � wwlxx►ooxC Rdc4amxeada axoowa ffi d �>do J1nicaeaaaedas coa�nstc�xed.odo� �'�`.Oi011�idt'6t T6 qp)� �.pa� � 1e�b d��Q.O 1110E s�'Nd Ik�xR Plan dt Pmt � od116� �. ad;byp Sh���10od �pwsi>xi�; aE. xodpeip Slt�p N1L d.o,it adlh wigs* 002% is xxxllx'all1•- �i P{ o pct me at 0760) 7"-7W 1* ate► q lie; 0ndla: a oria;,7 is you,. Det WWMXdJr.. pie II • � Y REGISTERED INSPECTOR'S WEEKLY REPORT .- JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED EINFORCED CONCRETEO TRUCT. STEEL ASSEMBLY ❑ O POST TENSIONED CONCRETE ASPHALT ❑ OTHER O REINFORCED MASONRY O FIRE PROOFING JOB LOCATION�� 0� REPORT SEQUENCE NO. TYPEoDF STRUCTURE - L PERMI O� b (D / DATA �` O DAY OF WEEK MATERIAL DESCRIPTIO ARCHITUECT INS�PECT/OR V HRS. CHARGED 0 18 nR u) ENG'ER \ n.t46 C .O'i ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR p I 1 SCJ C�JH l /���-Cb CTOR ALA.) Q 1' PUo b b -va 0- ea. A e- l-eqAi, j LjI, oo-" 7-1 INA C, 4o1�,' -�reZ�'�-L Q, j l�� � • s - a C�Z� � � �o a � l � - $ All�oLT S % uj c cy�.e,�•� Goad -c.� CARISLv--- COPY SENT TO CLIENT O CONTINUED'ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. N)7�� L-( I-- - I A URE OF REGISTERED INS CTOR 7a roc? TECIAOf REP RT REGISTER NUMBER TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 SPECIAL INSPECTION DAILY REPORT OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED SAMPLE INFORMATION SUPPLIER DATE PHYSI DRESS o c). l- tit LIN0 AIR TEMP PERMIT NUMBER C.) JOB EK rr,�, e. n TIME IN MIXER TYPE OF STRUCTURE ARCHITECT -'D3-'o )& ENGINEER GENERAL QONTRACTOR C of &OL C-v-AIFC'gvn*-r,-T( SUB CONTRACT 14-�IpA CC>Ncu LOCATION DESCRIPTION Of WORK INS -PETTED WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER 1J L H v est GcJ O L.t -C' D l l I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED 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. CC: PECTORS SIGNATUR INSPECTORS CERTIFICATION AGENCY AND NUMBER SAMPLE INFORMATION SUPPLIER TICKET NUMBER TIME MIX NUMBER SAMPLED AIR TEMP SAMPLE TEMP SLUMP TIME IN MIXER 0 b 1i -'D3-'o )& %'130 g '. K is— LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED 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. CC: PECTORS SIGNATUR INSPECTORS CERTIFICATION AGENCY AND NUMBER TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 SPECIAL INSPECTION DAILY REPORT OFFICE/FAXPAR760.796.339717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED lv DAT � b PHYS M1 • gpDRE�O� (O� ° 1 ` I* I �' �� &il'^ PERMITNUMBER O ( s JOB NAM11 1 �m M 1 l e - TYPE 0 STRUCTUREE SAMPLETE MP SLUMP ARCHITECT ENGINEER C.Ot.IGoJ�.� GENERAL CONTRACTOR `�� czm� k N 1'I t 'r�6�-s SUB CONTRACTOR1 DESCRIPTION OF WORK INSPECTED IrQ Sr Cy Iw V 1 e- LV acv, 4S'i kj(RV-Sv Lzs 1 HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS 8 APPLICABLE BUILDING LAWS. Kai INSPECTORS SIGNATURE INSPECTORS CERTIl ID NUMBER SAMPLE INFORMATION TICKET NUMBER MIX NUMBER TIMESUPPLIER AMPLE SD AIR TEMP SAMPLETE MP SLUMP TIME IN MIXER — N R3,0 15 . LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER 1 HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS 8 APPLICABLE BUILDING LAWS. Kai INSPECTORS SIGNATURE INSPECTORS CERTIl ID NUMBER IE� r tg&� TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 SPECIAL INSPECTION DAILY REPORT OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED SAMPLE INFORMATION DATE TICKET NUMBER MIX NUMBERIME SAMPLFn AIR TEMP 12-21o117 C"-",3 I\ I' - p TIME IN MIXER A If ml PHYSICAL ADDRESS x PERMIT NUMBER JOB hc"t OF STRUCTURE ILlk-0 MN1 ARCHTTEp ENGINEE �dJ" o CAI- GENERAL CONTRACTOR eons evn\ SUBCONTRACTOR b4 01Idj DESCRIPTIONOF •- SAMPLE INFORMATION SUPPLIER TICKET NUMBER MIX NUMBERIME SAMPLFn AIR TEMP 12-21o117 .S EIIPPE SLUMP TIME IN MIXER A If ml miff LOCATION �. , ` • ' • M W CERTIFYING AGENCY AND CERTIFICATION NUMBER L. •, .�� �� ��'• /� 111, /, ' 7 _ Nw ' MR.01m mVJt , • Jai _ _•� �. .� �� NTA Mr ■\ I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS . WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. • c w r lawNSPECTO�RSS SIGNATU INSPECTORS CERTIFICATION AGENCY AND NUMBER y,. SAMPLE INFORMATION SUPPLIER TICKET NUMBER MIX NUMBERIME SAMPLFn AIR TEMP 12-21o117 .S EIIPPE SLUMP TIME IN MIXER A lI 0T LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS . WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. • c w r lawNSPECTO�RSS SIGNATU INSPECTORS CERTIFICATION AGENCY AND NUMBER y,. e REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Ele'nbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192-;° Fax (760) 772-7193 Pager (760) 776-3338 TYPE OFEINFORCED INSPECTION PERFORMED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION 93 h��`4 �f (-��s�� t �� REGISTER NUMBER REPORT SEQUENCE NO. TVPE-0 STRUCTURE ,,.,� ` ,,A 1 I km , n aY` l PERMIT C�� � ^ I I 5 DA cl O DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT IN�pjC HRS. CHARGED ENGINrO ASSISTANTS HRS. CHARGED INSPECTION GENERAL T DATE 'CONTRACTOR i 6. Lb SUB �WJ.PONTRACTOR S�5��2 j c�ie si- d -9 eA u f E, 3 � r' COPY SENT TO CLIENT O CONT D ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. E ` OF REGISTERE INSPE TO�R(,:)L+7 ' (� Evcjt DAT OF REPORT REGISTER NUMBER ESPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE/10,SPHALT ❑ REINFORCED MASONRY FIRE PROOFING ❑ O OTHER JOB LOCATION r 0 ilI REPORT SEOUENCE NO. 0 STRUT �kf-S(UR PERMI�O OA^ . DAV OF WEEKTYPE MATERIAL DESCRIPTION�� _ l i� ARCHITECT INSPE `TQ$ HAS. CHARGED ENGINEE-oC ASSISTANTS� HRS. CHARGED INSPECTION DATE GENERAL�� J �ox �+ �Yr SUB CONTRACTOR V 1 CONTRACTOR Ve-� Imo 3 0-7 A 'iNe+ Wato-ce'r COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIG T RE OF REGISTERED I PECTOR TE F REPOR REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED EINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY O FIRE PROOFING ❑ ❑ OTHER JOB LOCATION A �c - �, y L \ -� REPORT SEQUENCE NO. TYPE (� R R �rpw i 1 v•, ' •--- PERMIT NO. -D DAT L) DAY OF WEEK MATERIAL DESCRIPTION ARCHITEVCCTT IN TOR NRS. CHARGED ENGINEEJ 0 ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR - S- CONTRACTOR s N "-- � 'g> e ewe �(p(t cls �lee� LA e- Cab S t7k vo-e- - COPY SENT TO CLIENT O CONTINU NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. I NAT RE OF REGISTERED I CTO DAE 1OF'F?EPOR1I REGISTER NUMBER 1 r REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elonbrook Ct Palm Deaort, CA 92211 Office (160) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF X REINFORCED CONCRETE ❑ STRUCT STEEL ASSEMBLY INskcn0N O POST TENSIONED CONCRETE O ASPHALT PERFORMED C REINFORCED_ MASONRY O FIRE PROOFING JOB IOCJITSON ^'7_ _,R�E,tPOFIT O O OTHER SEQUENCE NO. TYPE OF STRUCTURE1 CPIY�'bI `"�11 cL� S w1 y PE4MIT NO O 1+12 - o a 3 0 - 1 OwTE �-� -1 �- o f wv OF WEEK 1 a MATERIAL DESCRIPTION ep AR HITECT X f'r�-59-7 �rTClrre.'n ^ r.c r3 I V& S�ECTO,R e NRS. CHARGED C • ENGINEERQg hCG �S KI; II ESE nnH p 2 - A 7G �/ -1 S. ASSIST AN S MRS. CHARGED_ INSPECTION DATE GENERAL Gg v -1, e p/M Ye L I K f/ sue CONTRACTOR_ CONTRACTOR / r L C L u -` 10 'T - — 'HCl a C c� L) if 1Cr �! 1 r s , v5 n 1 IPA S.,6 NO, L 10 O S .3`4 . © I\ e I LJ p i iUi7 to i s COPY SENT 10 CLIENT LI CC•NTINUED ON NEXT ►AGE 0 PAGE OF CERTIFICATION OF COMPLSANCE I HEREBY CERTIFY THAT 1 HAVE :NSPECTEO TC THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REP.ORTEO WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVEC PLANS. SPECIcICATIONS. ANC APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS 1 S GNA. URE F' G TEP.EO INSPECTOR /10 31 DATE OF REPORT REGISTER NUMBEF JON TANDY 78-194 ELENBROOK CT PALM DESERT, CA 9221 1 OFFICE 760.772.7192 SPECIAL INSPECTION WEEKLY REPORT, FAX 760.772.7193 PAGER 760.776.3338 TYPE OF INSPECTION PERFORMED DATE CONCRETE 16 -Apr -04 PHYSICAL ADDRESS PERMIT NUMBER X78-945 HIGHWAY 11: 1„"LA QUINTA----.,. , 0312-185 JOB NAME - _" "- - "'- TYPE OF STRUCTURE STEINMART @ WASHINGTON PARK COMMERCIAL— " ARCHITECT ENGINEER KKE ARCHITECTS KEN OKAMOTO & ASSOC. INC. GENERAL CONTRACTOR SUBCONTRACTOR MOOREFIELD G.B.C. DESCRIPTION OF WORK INSPECTED 4/16 - OBSERVED PLACEMENT OF REBAR IN NORTH, EAST, & WEST PERIMETER CMU WALL FOOTINGS(GRID LINES A, F, & 1) & 24 E.A. COLUMN PAD FOOTINGS(ALL @ PERIMETER FOOTINGS OR INTERIOR OF BUILDING). ALL REBAR APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. REF. DET'S. 1 ,3,4,5,6,7, & 12 ON S5. REBAR MARKINGS- NU/1 6/s/4 &T/ 1 3/S/ • NOTES _..----------------—--—-- — -- — -- - --- # 1 - COLUMN.PAD FOOTING @ INTERSECTION OF GRIDS,5 & A HAS 4#5'S E.W.-PLANS REQUIRE 5#5'S.E.W; •REF. COLUMN PAD FOOTING SCHEDULE PAGE S 1 #2 - AT ALL STEP FOOTING LOCATIONS PLANS REQUIRE SEPARATION OF MATCHING TOP & BOTTOM ' REBAR EQUALTQ.FOOTING THICKNESS. REF. DET.3/S 1 ' �..�..----------- ------ —� IHEREBY CERTIFY THATi HAVE -.INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS INSPECTORS SIGNATURE WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. ICC 1111326 2P� - INSPECTORS CERTIFICATION AGENCY AND NUMBER C. C.: tr JON TANDY 78-194 ELENBROOK CT PALM DESERT, CA 9221 1 OFFICE 760.772.7192 SPECIAL INSPECTION WEEKLY REPORT FAX 760.772.7193 PAGER 760.776.3338 TYPE OF INSPECTION PERFORMEDDATE SUPPLIER TICKET NUMBER CONCRETE TIME SAMPLED 19 -Apr -04 PHYSICAL ADDRESS PERMIT NUMBER 78 945 HIG_ HWAY�1-1-0'.- LA-QUIN, ,- 0312-185 JOB NAME TYPE OF STRUCTURE STEINMART @ WASHINGTON PARK COMMERCIAL ARCHITECT ENGINEER KKE ARCHITECTS , KEN OKAMOTO & ASSOC. INC. GENERAL CONTRACTOR SUBCONTRACTOR MOOREFIELD G.B.C. DESCRIPTION OF WORK INSPECTED 4/19 - OBSERVED PLACEMENT OF REBAR IN SOUTH PERIMETER CMU WALL FOOTINGS(GRID LINE 6), 3 E.A. COLUMN PAD FOOTINGS(GRID LINE 5), & ALL INTERIOR FOOTINGS. ALL REBAR APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. REF. DET'S. 3,9,4 & 14 ON S5. REBAR MARKINGS - NU/ 1 6/S/4 & T/ 1 3/S/ • 4/19 - OBSERVED PLACEMENT OF ± 142 YARDS ASSOCIATED READY MIX # 15036 INTO ALL FOOTINGS LISTED ON REPORT DATED 4/16/04 AND LISTED ABOVE. ALL CONCRETE CONSOLIDATED BY MECHANICAL VIBRATION DURING PLACEMENT. SEE NOTES BELOW FOR FOOTING AREAS NOT YET COMPLETE. CONSTRUCTED ONE SET OF 4 E.A. CONCRETE TEST CYLINDERS FROM 1 1 TH LOAD NOTES ;1 - SOUTHEAST PERIMETER CMU WALL FOOTING BETWEEN GRID LINES 4.2 & D.5, -COLUMN PAD FOOTING & POP OUT FOOTINGS NORTH OF GRID 1 BETWEEN GRIDS C.2 & F, AND FOOTING NORTH OF GRID 0.8 BETWEEN GRIDS B & C. #2 - OBSERVED CORRECTION OF NOTES # 1 & #2 ON REPORT DATED 4/16/04 SAMPLE INFORMATION SUPPLIER TICKET NUMBER MIX NUMBER TIME SAMPLED AIR TEMP STEMPE SLUMP TIME IN MIXER ASSOCIATED 3115220 15036 2:05 88 78 41/4 109 MIN. LOCATION ALONG GRID 1 BETWEEN GRIDS B & C I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. C. C.: Moorefield: Tandy (R, E� 2 LAcls' INSPECTORS SIG T RE ICC 1111326 - INSPECTORS CERTIFICATION AGENCY AND NUMBER _:SlacJd0n. Engineering l : ... 0 4 4 9.8: 6782 Stanton Ave., Suite A, Buena -Park, CA 90621 (714).523-0952 r.Fax (714) 523-1"369 39-725 Garand Ln:, Suite: G;. Palm Desert, CA 92211 (760),772-3893 : •:Faz (760):772-3895' Date ! W , Job No. 52 — :FIELD MEMO. Project Name. Client:._ Site .Address . •%G S�,f-4„` lr Job Phone Work Done / NSPeC_ =r; Test Summarlc/Footings* Ins V i t ..'Test No. .-----� Location Elev. Dry Density! Moist % %Relative Compaction Ref. Max pcf Moist % . Comments Field Tech. % Super. or gent 24 hour notice. requested to- schedule Field Technician: Thank you for:the opportunitytto be of service.. E® & arth Syst®m'" SouthwestrINSIF 79-811 B Country Club Drive Bermuda Dunes, California 92201 • (760) 345-1588 DAILY �F�LD REPORT ' TIME: WEATHER: TEMP: JOB NAME:+-- N `;vim JOB NO: `2-Z.'S- Zr DATE: 1- p LOCATION: LA �, ,.� -I CLIENT: OWNER: MOISTURE CONTENT % CONTRACTOR: PRESENT AT SITE: FgAT2 Iz TEST NO. LOCATION DESCRIPTION LOT or STATION NUMBER APPROXIMATE ELEVATION FIELD TESTING REFERENCE CURVE REQUIRED MINIMUM DENSITY �0 MOISTURE CONTENT % DRY DENSITY Ibslcu. IL RELATIVE COMPACTION % . MAXIMUM DRY DENSITY Ibslcu. ft. .OPTIMUM MOISTURE CONTENT % 5 O , � 5 -7 iC' 3 �z 11014 4 I Z - REMARKS: DRAWING e I e � i1 m `K �R 11 LIMITATIONS: This report is to provide information regarding the status of the field conditions and our opinion as to the need:for corrective action, additional testing and or observations. No guarantee or warranty of the contractors work is made or implied. This report is subject to re 'ew by the project managee ENT REPRESENTATIVE SIGNATURE TECHNICIAN'S SIGNATURE .:Rn_FR-nnI rn9m1a 7624 ip7p F REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE Of INSPECTION PERFORMED Y `EINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY 13 POST TENSIONED CONCRETE ❑ ASPHALT O REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION (� O� 10 �.,� ., / j , ` i LA � `v, e,rA fl�'�J Y� �� REPORT SEQUENCE N0, STRUCTURETVPE!! - C ( PERMIT N0. �i� �*^� ,,,� - •`i DAT 0 1 - DAY OF WEEK MATERIAL DES/SiCCRIIIPTION MATERIAL ARCHITECT{1 INSP CTOR - HRS. CHARGED • ENGINE " ,,,,. , Cao ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR _S'e JZT C K� , DvICONTRACTOR it LP to S ii"ti 'T -Lls_ C-0 tj C k -a l . 1. 4 C3 U G�. Ifi v � � L 1 T 1 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF% CERTIFICATION OF COMPLIANCE 4k I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. . AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i� Gw / /SIGNA� oOREGISTEREO INSPECTOR ���•�� DATPOF REPORT REGISTER NUMBER I r I REGISTER INSPECTOR'S WEEKLY REPORT �►iM�si�i i g. , r JOIV T`AN DY 78-194 Elenbrook Ct. ~- Palm Desert, CA 92211 Office (760) 772-7192 Fax .(760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE \0/STRUCT. STEEL ASSEMBLY O O POST TENSIONED CONCRETE /0 ASPHALT O OTHER 0 REINFORCED MASONRY O FIRE PROOFING JOB LOCATION �� + / / 1A 62 U ` n {` REPORT SEQUENCE NO, TYPE OF STRUCTURE PERMIT NO o3-1 DATE DAY OF WEEK MATERIAL DESCRIPTION SuU A-(, t.S ARCHITECT INSPECTOR � T" HRS. CHARGED ff ENGINEEj1^ _ �C ASSISTANTS HRS. CHARGED INSPECTION GENERAL V/ SUB DATE CONTRACTOR „� e C I 1 �� CONTRACTOR l A44 / (o&SE�VU*- J -cj LIZ- 'PA .7 5 U) Oclv% L -r- I 1 f JOY t C `,�e P_ ` J bas �//vv�4 LP- -L) -r�SiO COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. I SIGNATURE OF REGISTERED INSPECTOR ..� r DA TEI QF REPORT REGISTER NUMBER 1 1 APR-08-2004(THU) 14:16 LAW STEEL INC. (FAX)909 922 2391 P.001/002 Cont. Lic. #714952 — Fab/L.A. Lic.#15 90 922-2248 — Fax: (909) 922-2391 820 S Hathaway, Bldg. B - PO Box 515 Bening CA 92220,��� DATE: SU FAX CODER LETTER ATTENTION: NAME: COMPANY: PHONE: FAX: `1�0 ---7 -7 1 - 443 f FROMJC �Pf2L COMMENTS: 11 MMWtliiWWdFAIIIIIIM TOTAL NUMBER OF PAGES INCLUDING COVER LETTER. IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CALL BACK ASAP. { IST° _ 2249' tM ® S►FM Alft CERflFICATE OF REAPPROVAL This certifies that reapproval for one year is Issued by the General Manger under the pmvis ws of the Los Angeles Municipal Code as a PIAM%820 S. Hnti:amy St.. 18. t9mmdn9. Qts 92220 Testing Agency0 Type t Fabricator FABRIGN 1590 VN 09 05 074713 04/07/03 11:03IMi F-Lm Sfml.' IAC. CONOM UN ear P.O. Bmc 956 Bao ' CA 92220 pa _3/21/03 Annual L J Fee $ 600.00 TW AppwM Ekes 5/1/04 A R4 WW) r a w y rn r z A N SPEC :IAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT - _ JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760).772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED �'O�`�REEINFORCEO CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ A POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION /) M C *` C,7'�^� 1 "- v ( �� A � ` ' `h � A CX, U V REPORT SEQUENCE N0. TYPE OF,, STRUCTURE E C, Z RV) I IN - Sm ► . PERMIT NO. 0 3 � -3 -- I DATE' !`� `/Tl-` V DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT IN''SPPECC`T'�O''R^ .t 'T. t HRS. CHARGED ENGINEE , `' ASSISTANTS HRS. CHARGED INSPECTION GENERALSUB DATE CONTRACTOR �� . GtT,� CONTMCTOR r 4,s rte e, La e. 6 S 6k 91 f (44,'K1 P,--cJ 7�70 vo-Q, By -RIC COPY SENT TO CLIENT ❑ CONTINU ED^O ` EXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE i HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED r PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. NATURE OF REGISTERED '-g 0TOR DATE 1OFFF'REPORf REGISTER NUMBER � r I Certificate of Occupancy Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this 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: 78-902 Highway 111 Use classification: Commercial Restaurant "Thai Smiles" TI Building Permit No.: 04-3640 Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: One Eleven La Quinta Address: 42620 Caroline Ct Ste 102 City, ST, ZIP: Palm Desert, CA 92211 By: Daniel P. Crawford -Jr. Jam Date: 4/20/05 Building Official POST IN A CONSPICUOUS PLACE