9904-150 (CONR)LICENSED CONTRACTOR DECLARATION
I h-eby'affirm under penalty of perjury that I am licensed under provisions of
0n=0hapto*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
Signature of Contractor
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the "structure is not intended or offered for
Sale (Sec. 7044, Business & Professionals Code).
( ) 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.
Se( ) I have and will maintain workers' compensation insurance, as required by
ction 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 j Policy No.
(This"section need not be completed if the permit valuation is for $100.001or 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
subjectto the workers' compensation provisions of Section 3700 of the Labor
Cod4'l shall forthwith comply with those provisions.
Date:7�-" e, rkApplicantT — ---��
Warning: Failure to securers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $160,000, in
addition to'the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to, the conditions and restrictions set forth on his
application:
1. Each person, upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicator agrees to, & shall, indemnity
` & hold harmless the City of La Quinta, its officers, agents and employees.
4. 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, an`d State laws relating to the building
construction, and hereby authorize representatives of this.City to enter upon
theeaabove-mentioned property for inspection purposes.
;VSignature (Owner/Agept). +^_" --^--► Date
BUILDING PERMIT PERMIT#
-990445+
DATE VALUATION . LOT TRACT
JOB SITE
ADDRESS 78-495 112 MGUWA• Y III
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
W.,k sli.,N ?ro ,y 1,11 lar) (mmr—m IOLI)
HEYVI°00O' COMPANY
4,5200 CLUB DR S.1L A
1948'N "E" STREFr
INMA.N WELLS CA, 92210
SAN BERNA1tl INO C'A. 92405
r�5�04►)� Fr 52,1,1
USE OF PERMIT
�il�:��LI,.AN tsOtiS
t.'U'Y 0 .LA.QUIN'I.A.(W/C't,NIY-•40OLl'9>3N HAGL6 NWC- 3071543
r1 �lSr9�
PLAN C,;HECK Fl 101, -000 -43!? -318
CON""RI[XI1' ON FEF i()i,000-41184100 17,C
G ECiRTAll"M 201_0w_424_(?a 0 336.SO
SlnoNo MOTION F4;:1 - Coh&i 100-M-241-000 5. �
LESS PRE-•PAID FES
c
$0.00
TOT AL PBRM IT MES 01i E NOW
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
Y1' BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
'ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
SUPERIOR READY MIX CONCRETE, L.P.
1508 W. MISSION ROAD • ESCONDIDO, CA 92029_
PHONE: (760) 775-8272 • (760) 745-0556
• r
Weighed at
38-155'Monroe Street
IAdio, CA 92201
l
DELIVERY TICKET
135378
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by aweigh master, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business and= Professions Code,
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
DATE
_CUSTOMER NO. �,^ �___
ORDER NO. _
CUSTOMER P.O. OR JOB NO.
PLANT•NO.Y
DELI VERY-TICKET,NO.
5/14/99
999999
205
71
7134160
,CUSTOMER NAME— _—___��,,,.,_ __��_—._.
SPECIAL INSTRUCTIONS —z-onj�_�•,_•ML4.+,,,j=j4�_��
:.HEYWOOD*CO. +
349—J3 SO. SIDE OF HWY 111
JOBADDRESS__
HWY.111 & DUNE PALMS RD. LA OUINTA
DESIGN
_
_3'a'_ROCK (LBS.)__
_ '/." ROCK (L .)j
._LBS. SAND-___
`.LBS. CEMENT��
_SACK
"WATER..
ADD MIX (LBS.)r�_
_
DF15
--
_
ORRRE�ADY,MIXC RETE, L.P. HMAS
SUPERIr7.-77'
�,,,r��V IEPUTV
_TRUCK
DRIVER
/ �� \ �+ -
•*w.. 123
KARL. gUCHANAN
_
CUBIC'YPRDS TOTAL C/Y
DESCRIPTION
PRODUCT CODE
UNIT PRICE
TAX Q
AMOUNT
9. Oct,1 7 • KJ / r
.:lVJld i-`"J'A tttJl t.i4ia I L'+ . " e4:P t.:t: ,
j +'
'7. �. `SkI
41. �+1CI
r.
YARDS TOGO
I
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
b 78 • 3b
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
STAND-BY TIME THIS TICKET
PREVtOUSLTAND�H1� ��-
1 1 `J� • r0
shall be refused by the purchaser and returned to the seller With a written statement of the reason for the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
responsibility for area or container for clean out of concrete truck chute. Any discharge'to watercourses, street gutters or
:storm trains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
PLANT
71
OUT
13:46
imperfections and popouts may occur for which supplier is not responsible.
UNU I INCIDE T OF NOTE ON TH DELIVERY
I MAXIMUM 4" 50
REC D IN GO ONDITION BY:
SLUMP
I N
X
• WATER ADDED AT U TOMER'S
CUSTOMEITSIGNATURE
ON .JOB
UNLOADIN
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
REQUEST GALLONS
contact withskin and wash exposed skin areas promptly with water. If any cement powder or mixture
. ESTIMATED SLUMP AT UNLOADING
DEPART
START
gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keeo children away from cement powder and all freshly mixed cement products.
ANY WATER ADDED TO MIX ON THE JOS WILL BE AT THE PURCHASER'S RISK
r INCHES
ARRIVAL+
FINISH
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
. WAITING AND/OR UNLOADING
READY
-
AFTER LEAVING PLANT.
Stand-by and/or dumping time in excess of 4 minutes per yard will be charged.
TIME HOUR
TO UNLOAD
CUSTOMER
SUPERIOR READY MIX CONCRETE, L.P.
1508 W. MISSION ROAD • ESCONDIDO, CA 92029
PHONE: (760) 775-8272 • (760) 745-0556
*.Weighed at
38-i,55 Monroe Street
Indio, CA 92201
DELIVERY TICKET
135370
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by aweigh master, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business and- Professions Code,
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
DATE _
CUSTOMER_NO.�,
ORDER NO.__
.CUSTOMER P.O. OR JOB NO.
PLANT,NO..,V. _DELIVERY
1
TICKET. NO.,
,CUSTOMER NAME -4
--- - -Ty
,SPECIAL INSTRUCTIONS
- 3
JOB ADDRESS--,,/_ ^
DESIGN_� _ _.
_
"%'_ROCK BS.) �
i5" RBOC (LBS.)_
_ _ LBS. SAND
i LBS. CEMENT
_SACK_
WATER_
ADD MIX (LBS.)--..—
SUPERIOR READY NyX=CONCRETE, LP.,__WEIGH __ E__._
DEPUTY
K�I
DRIVER,
_ GQ ..
_ zzn
CUBIC YARDS
TOTAL C/Y
DESCRIPTION
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT
0(1l
-,7yjqC
YARDS TO—GO
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or
stormdrains Is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
TOTAL THIS ORDER
STAND-BY TIME THIS TICKET
PREVIOUS STAND-BY
• I r
'!/
imperfections and popouts may occur for which supplier is riot responsible.
�
PLANT OUT
UNUSUAL INCIDENT OF NOI-E ON THIS DELIVERY
g CE�ED IN GOOD NDITION BY:
I MAXIMUM
SLUMP yl
IN
�"
X
• WATER ADDED AT CUSTOMER'S
,,,p USTOMER SIGNATURE r
CAUT.JONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
contact with skin,and wash exposed skin areas promptly with water. If any cement powder or mixture
gets into the ey s, rinse immediately and repeatedly with water and get prompt medical attention.
Keep childreniiwav from cement powder and all freshly mixed cement products.
ANY'WATIR ADDED TO MIK ON THE JOB WILL SR AT THE PURCHASER'S RISK
NOT RISPONSIELE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
AFTER LEAVING PLANT,
Stand-byagd/or dumping time in excess of 4 minutes per yard will be cnargea.
REQUESTGALLONS
•ESTIMATEDSLUNLOADING
INCHES
• WAITING AND/OR UNLOADING
TIME HOUR
ON JOB QQ
DEPART
ARRIVAL
READY
I TO UNLOAD
UNLOADING'Z%
/...✓
START
FINISH
CUSTOMER
SUPERIOR READY MIX CONCRETE, L.P.
1508 W. MISSION ROAD • E'SCONDIDO, CA 92029
PHONE: (760) 775-8272 • (760) 745-0556
• Y
Weighed at
38-155 Monroe Street
Indio, EA 92201
DELIVERY TICKET
135391
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by a weighmaster, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business an& Professions Code,
administered by the Division of Measurement Standards of the
.California Department of Food and Agriculture.
DATE _
CUSTOMER NO. __ ,,,•.__�____
CUSTOMER P.O. OR JOB NO. �
PLANT.NO.
DELIVERYTICKET.NO._____
5/14/99
999999
I.ORDERNO.___-
205
:'.:
71
7134173
.CUSTOMER NAME._ . . _ _ .... r..��_ _ _ __ _ ..._._
..SPECIAL'INSTRUCTIONS.On£�,�'---849_:3'
HEYWOOD. CO. _
349--J3 SO. SIDE OF HWY 111
JOB ADDRESS......__ - • - - -- _.-- -- - ...,-
,,HWY. 1 VI & DUNE PALh'IS RD. I_A CSU INTA -
J
DESIGN„�LBS..SAND,_
r
,,.ILBS.CEMENT—
,.SACK„_
_WATER
..—ADD MIX (LBS.)_—
DF 15
'rt
SUPERIO R ADY,MIjLr,RETE, LP.._ _ WEIGHMAST
� �-
D PUTY
454
BRIAN, -THOMAS
CUBIC YARDS TOTAL C/Y DESCRIPTION r'” j + - •
PRODUCT CODE
UNIT PRICE TAX r'
AMOUNT
`7W .JIGf "i' .JIG t;:JILI ( NWr`JJ. "`WIVLr �. f Ltiti.u., +;.
i.}�'a`J
`Jf7. "J0 41. bO
J /8. 3b
r' c
YARQ
•TQ6o-
V
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
meters, septic systems, or any other property.` Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
STAND-BY TIMETHISTICKET
iRE3STANDf-y rEiL.
shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
responsibility for area or container for clean out of concrete truck chute. Any discharge,to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier, is not responsible.
OUT _
16 : 1
PLANT •
71
UNUSUAL I IDENT OF NOTE"ON THIS DELIVERY
I MAXIMUM , 4. 0
RECEIVED I GO CONDITION
SLUMP
'
IN
X/
•WATER ADDED USTOMER'S
CUSTOMER SIGNATURE
ON JOB
UNLOADI(�Cj
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
REQUEST GALLONS
contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
gets int the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
.• ESTIMATED SLUMP AT UNLOADING
,,
DEPART L
START—
Keep hildren away from cement powder and all freshly mixed cement products.
I)
ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK
INCHES
ARRIVAL 1G
FINISH 17111
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
• WAITING AND/OR UNLOADING
,
AFTER LEAVING PLANT.
READY
Stand-by and/or dumping time in excess of 4 minutes per yard win oe cnargeo.
I .
TIME HOUR
TO UNLOAD
-•. ' * , CUSTOMER
SUPERIOR READY MIX CONCRETE, L.P.
1508 W. MISSION ROAD • E'SCONDIDO, CA 92029
PHONE: (760) 775-8272 • (760) 745-0556
Weighed at
38-155 Monroe Street
Indio, CA 92201
DELIVERY TICKET
135384
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by a weighmaster, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business and= Professions Code,
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
,DATE _ _
CUSTOMER NO.. �.
ORDER NO. _ .^,
CUSTOMER P.O. OR JOB NO. _�_�
PLANT,NO.
DELIVERY TICKET.NO.
5/14/99
999999
205
71
71`34166
,CUSTOMER NAME, _ . _ _ _ _ ..._._ _ _ . ,.._ _ .-._ _ .. _f.. - ��_ ...,.._ _ _
SPECIAL INS RUCTIONS ,L,pp �_,X,_
HEYWOCID CO. ,",
3A.-, T �r_ '. F HWY 111
/7g.
�J
JOB ADDRESS,
H4Y. 111 iR DUNE PALMS RD. LA QUINi-A
t S)ki�`0''r—
DESIGN
(LBS.) _
Y. ROCK (LBS.)
_ —.LBS. SAND _
--LBS. CE T—�
._SACK
—WATER,.
ADD MIX (LBS.)_ _.
_
DF -15,
. ^_
7OCK
M
SUPERIOR, EAPY,MIXC0 ETE,LP. WEIGHMASTER
TRUCK
DRIVERT___.
D>EP Y
454
BRIAN THOMAS
CUBIC YARDS TOTAL C/Y
DESCRIPTION '^`
PRODUCT COPE
UNIT PRICE
TAX
AMOUNT
`2. 30 r_:CJ.:]VJ i
. 1tLiICJ f °J 1 L.iJIVL.tCt l r
-`-576-`-576. JI%J'
2F I. O
b-1 3. .6ztl
' 6 YARDS TO�iO
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
meters, septic systems, or any other property. Materials hereby sold become property, of purchaser at point of origin ,The
STAND-BY TIME THIS TICKET
Ig
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
iff/
'!P E6�UATANDW I HL
�- zi. ILI`'�
shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof .�,No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide (or and assume
responsibility for area or container for clean out of concrete truck chute. Any discharge ' to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to`meet ASTM standards. Some
1-1
imperfections and popouts may occur for which supplier is not responsible.
PLANT 71; OUT14.44
UNUSUAL I CIDENT OF NOTE ON THIS DE�IVERY
OOD TION BY:
RECEIVED I CO DI
I MAXIMUM 4.50
SLUMP
"
-
IN
X
• WATER ADDED AT CUSTOMER'S0Z
._
CUSTOMER,SIGNATURE 1°
e
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
REQUEST GALLONS
ON JOB
UNLOADING
contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
. ESTIMATEDSLUMP AT UNLOADING
..
DEPART
START
gets
KeeD avAy from cement powder and all freshly mixed cement products.
children
'"
INCHES
/
A,"*'WATER ADDED TO MIX ON THE JOE WILL EE ATTl�EPURCHAEER'E RISK
IF ANY INGREDIENTS ARE ADDED
°
WAITING
ARRIVAL
FINISH
NOT IIEEPONEIOLE FOR ULTIMATE QUALITY OF CONCRETE
AFTER LEAVING PLANT. I
• AND/OR UNLOADING
READY
Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargeo.
TIME HOUR
TO UNLOAD
CUSTOMER
SUPERIOR READY MIX CONCRETE, L.P.
1508 W. MISSION ROAD • ESCONDIDO, CA 92029
PHONE: (760) 775-8272 9 (760) 745-0556
Weighed at
38-155 Monroe Street
Indio, CA 92201
it
rZy
DELIVERY TICKET
135392
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by a weighmaster, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business and= Professions Code.
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
DATE
I CUSTOMER NO.
ORDER NO. _
CUSTOMER P.O. OR JOB NO. _
PLANT,NO.__
DELIVERY TICKET,NO._—_—
5/14/99
999999
205
71
7134174
CUSTOMER NAME_
SPECIAL INSTRUCTIONS /_an e • 54,yJ=J„i-
HEYWOOD CO.
349-J3 SO. SIDE OF HWY 111
JOB ADDRESS,
HWY.111 & DUNE PALMS RD. LA OUINTA
DESIGN _
'Y." RO (LBS.)_ _. ;,ROCK (LBS.)—
.—LBS. SAND
_LBS. CEMENT,_
—SACK„
WATER_
ADD MIX (LBS.)
DF15
SUPERIOR READY, MIX CRETE, LP. WEIG TEJ
TRUCK
DRIVER
FRANK AME7.OUITA
.DEPU
455
• CUBIC YARDS TOTAL C/Y
DESCRIPTION tN+" -;
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT
7. �7ttJ —U7 7 IUILI i::50vi
wtjl ,.,LU1�1 H' I f� Jf
�H", l `?S.
`Jb. l�
4+1 • bVJ
`J 78...:ih1
P
/19M
N S7 A
o t3y
_Q. _
YAR.TtfJ)LIO
t[beyond
In the event of delivery curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
meters, septic systems, or any other property. Materials hereby sold become property of, purchaser at point of origin. The
STAND-BY TIME THIS TICKET
I
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
OUATANDW 1 F 1L
.3, '+ m. Iwo
shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
11011 IF11D 3 f 41 $rG '
responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier is not responsible.
PLANT 71 OUT 16:L6 6:L6
UNUSUAL= NCIDENT OF NOTE ON THIS DELIVERY
I MAXIMUM 4. J0
RECEIV�W I GO CONDITION BY:
SLUMP Iti
�p
I N� r • f t1
X t/
• WATER ADDED ATCUSTOMER'S'
CUSTOMER SIGNATURE
,%%
ON JOB
UNLOADING
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
REQUEST GALLONS
contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
• ESTIMATED SLUMPAT UNLOADING
-DEPART
START ;tea
gettsjnto the eyes, rinse immediately and repeatedly with water and get prompt medical attention. .
KeeD children away from cement powder and all freshly mixed cement products.
ANY WATER ADDED TO MIX ON THE JOS WILL lI AT THE PURCHAIIIIY RICK
INCHES
ARRIVAL —'15-5
FINISH � 7
NOT REEPONIIBLI FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENT! ARE ADDED
• WAITING AND/OR UNLOADING
AFTER LEAVING PLANT. , f
READY
Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargea.
TIME HOUR
TO UNLOAD
•� CUSTOMER
'170� � SUPE
1508 W. MISSION ROAD • ESCONDIDO, CA 92029
PHONE: (760) 775-8272 • (760) 745 -0556
READY MIX CONCRETE, L.P.
Weighed at
38-155 Monroe Street
Indio, CA 92201
DELIVERY TICKET
135388
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted bya weighmaster, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business an& Professions Code,
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
,DATE
i- -
CUSTOMER NO. y
ORDER NO.
CUSTOMER P.O. OR JOB NO.
PLANT,NO.—
DELIVERY TICKET,NO. _
5/14/99
999999
2205
171
7134170
CUSTOMER NAME _ _
,SPECIAL INSTRUCTIONS _--Lon
HEYWOOD CO.
349-33 SO, SIDE OF HWY 111
,JOB ADDRESS _
HWY.111 & DONE PALMS RD. LA QUINTA
DESIGN,
SUPERIOR READY WYOCONCRETE, _ WffGAM E
TRUCK
_DRIVER
ED BALDERAS
DEPUTY
456
CUBIC YARDS - TOTAL C/Y
DESCRIPTION tSL,;-• -
PRODUCT CODE
UNIT PRICE
TAX i'
AMOUNT
7. �JK7 ir1. (d0' i.:
J1CJiLl h':i l' UIVt ,ttt 11= ; • f f
FPIN/.
5b • X10
41.60--
J /6. 3 `J
41
•' ' YARpS T�Qt�O�
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
:J � F3. �.b
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
TIME THIS TICKET
�STAND-BY
PRE46 '6TANDW I'HL
413. A+VI
shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or
stormdrains is *a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier is not responsible.
PLANT ' OUT
71 15': 35
UNUSUAL414CIDENT OF NOTE.ON THIS D LIVERY
I MAXIMUM 4. 50
RECEIV IN GOOg ONDITION B
SLUMP
I N
/
X
• WATER ADDED AT 'OMER'S
I
C STOME IG TUBE
ON JOB ;
'UNLOADI G
_
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
REQUEST GALLONS
contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
• ESTIMAT LUMPATUNLOADING
DEPARTS
START i
gett'nto the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keep children awavfrom cement powder and all freshly mixed cement products. -
J
R ADDCD TO MIX ON THE JOS WILL 8C AT THE PURCHASER'S RIBK.
ANY. WATER
INCHES
ARRIVAL
FINISH
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
.WAITING AND/OR UNLOADING
'
r
AFTER LEAVING PLANT.
READY
Stand-by and/or dumping time in excess of 4 minutes per yard will oe cnargeo.
TIME HOUR
TO UNLOAD
'CUSTOMER
t
f
x I
1
L' L. �7y1'
-14 I
T-
l_3t„':tx
.I I
i�I
OF T i c P,) LL �
i -a ,I
LL
I
L 4 x 34 d-
v�T-
f�+
t '
' ' I
I
1� A p�,
-!�i"-��
POST S1ZC
STRUT 'X
FC D1
TIN`
v1,2 .'L .
10,0
L
� k
L
wt
_
L
__
,( ,7
i r Te, a IL i7 i r - --�- - !
I 1 7 {'t
! I
] _ —Ty`F Pr
- ILi f•t I 4Fi 4w G�
T _ff
ra
L
ik A {
� �— yR�•L �- rk
DE 3, 'y , I
• L xx lNt
r t y F. f{f, ik tZ a ! ,
t o 3,
4�3 t.1 AZ L' i A I C jr � a �{
ii I f
��ICiL�a._ iTZ�4 1 '�
��.
1 WkLP1Yd Jr"J T;:)-P O_r C �
0#rt~�,.�5IC4 CVv_C )
i �
�i� IL+ �} r t 5 ! • v f+ CaL [ x'V'7 w D �"� I
S i 1 I
41
; A GENE&AL NOTE }
Wind I(vJ uncd in design pc 1996 L.A B.(I
I - 1
S1 DE V�EW (OFFSET)
. -_- r -latcraC snit p ss4krc usaxt in dcks}pt = lDtl ltstlPl ; * �� I'Lf`,,,, &3 7 I ti�CDCr
- - - - - - - BacklilI around posts .~Ball be placed rit la%,drs not to c%ccc i 6" Fah 3l.
1
�, - --- layer shall b Ihoroughl}' compacted witha rIech uii:al 1auu sa:r f i 77
! � �
T
fl
' yj ---- Ai sta:l less 114" tlricJc si>~a.ll be hot Pi.
k� � _ram. � v-• I •ij f--r- f ess than f[
i w 1 4' — + ,r I � I ; �+ , �`� f' [ ' ' - All structural siml shall conform to ASTitri A ` • f �_ .-- T_ _ _.
NOW
iivii"` I All sl.cx:l p1pos shall cctstonn to ASTM A-5 y � _cell -� - ---- ,
�] � L. 1 > F
- �• I "' L I All bolts shAl lI<R !
� 4 � �a k� RBI I E-L_ �.y J i � • be lf�" diameter AST:v1 A-31�� tirticss nartoil orJtielu•Ilic � �
- +f a - + rtr L *� Hi immic A-:125 I - -
I " 3 ,� - ' ct k t ,, r ( d � ry �, r ._ s,, Y a E tG, L r i , 4 ) bolts shall confartn to +'#S l 1 A-325 l�l t uo i
Gt=Fc r -
�� r� } - 01 -.+r I f i �+. o. il$. �y{5+:rt I, F%;UTv Lr �- � Inspec#ion Is I>gair+�d per 1.,A,E�,C. 91.Z7t1�kc)l8 r _- -
' 1
_sy =+ ' f All ►vel i r.'i.r o �..
tat 111M A •4 '3 I d ng stti3ll be clone in a shop appmv�tl y ikrc ['ih of Aiagcics. c- _ f ,y TY � F-L E_X B Q, F Q P jl
1 }_ - — 1- ----N7)
Acpartmcnt of Building and Safety (Ganwr., L A. f.'ity yn, 431).
i
t- . t.
3 f rro _ At sltttp ►tIciiitg shall be done by a fabric;ri,t� AtaUi [x t�j h► t a ",nl,[,t,r 4 EKp. 31311ai
_ �- _ U i F Qa r f L+ I ,_ iv 1 i _ G J2. , pi3Osson of Buildingand We y per UBC ScOmi r'1+r t ' In IKu ul *
y�, } _ _ _ _ rabricamr a rov;d, i tc awncr miky tint lm : tsi which is
- - - _ ;4 or la 4 ." i apprum:3d h Build mg Safey. w I,e � t l is r irll I}ire � r .lhop �' 1
- - - - _� ,, k
—G}t ram'_ i 5C,'�� n� i'�.�'' I }� riw = I
+ , n ;tl� - R W - y . • i ; A 1 t 'rt x ems' I� cld>:+ �fiu'ia ie�1Cln urn the *Cdirsp, i3 r.r}. y3nlcc f ik€ iitbrirtc�r or CAS
_ _
- _ I .,' a r i:il itI to: d4iidl submit t>:cir crcderitss� $ !nr rt�tir �rr1� p ilf b4
I i R o k • L i "' , r "�. !'i i L l -� t } , f• w Building & Sarety prior to the start of fabric, an nr inspmmm
.� , �� ' teat rx a be aubnultnei ta, tlx E pr trs rest st each igrufic e mstruction svw_ erlgu+r er a
I� i !T T 1 * ,
r - I w t I {� { ' # +o L i R lr - k { AFf rtelci + eklirt , siriell b clor}c ' cxtXi ciJ ti5ciders ""i,eter ilrc rlhscii:lli a it Iral vb +ms shall subrru tt= mpon to aw hutl lq ttwspcctnr {S!j prior
.4 WhLt .. afan approvad *mial i:5 pmAor. Suds ins sclnr sh. I1 ,lkt�rllYt 11iaRta ,X ;t, M`M rux to cov ng -Or tltc xtaige catracavud, -,,
•� ` ' tt +ir - # _ _ - r crciktttials fur ret'icw by La Quinla's Dhisi o or 1tkit itinig tr'uf Meer �.�
Fes- . I 'i \ � f r r J prior to rep mft to tfrc 5rtc•_
V r C r* [ C h� I k umit a final report oomplc#ion of the ch6lruLson of tax strtic[ui asysteatts rt�ort.
~ _ Ctkrrcrcic mll attain n mia murn co rt ssit stnenr;tl► of 2,t1t)il s ill K and materi usiad to structural sy5ternS g roily ci rrforrri vt#h th vett piaris aasc
(OAdai s, �e ctur� rver. Nr a1 approval o f tzpta e of the stnsctural by artrrtenrt
rho 5ratT, � 12 �- �-- �# l) ��u1a1?� x � r oltiI I r
3},. '�# __ L, . _ k� tl� , stZrc Dcp t pmscnbed for3rr d, Ball bow any unresa deficiencies observe T. l
Tow- T_
I I ! L i x + I f 3 *3 i -)/ -} r { G r-4 t ` �: - ". _ �d signature of strum I� observer. copy of 211 slrt ti] be divest to both #fie `owner aru#
.� .. 7c C� - r 1, tl
f J I ,1 r '� 4 tr r i- J L '� a/. R�1 R I ~ Y r• 71.7 W i } �i.
t iM rs rrt-Wifito #'1 r all project which uire sdu abler atiost. Them g 5Jta)<{ include but rtnt
l ' I
+ I d Jr-)
a p eet'°g r, affecteal s and >
` C e Jte Lest v, tJx ct'e(tgn enguieur or a t, structural observe ma v the iraeer o� tit res ible fkcrt stst >{ural
u� >G i - 1 �' d .-'flte wiii be cord8 l
. „ I l fir l`l I r1 L I� F A r- iF ot.l L , I'
TrI�y- I 7 iCa - t r r t
L r bull LUSpeCtnF rr1Sj4 13 +.
L x x �• I i r w , aiiats. All of the ve.pa ies are expec t a#tend, U y p $fiP y
! 1 + ` de a dcsi taiivC aril if rw�ery, who
' cal satisfac#v to the ctnral observer, U Of the meet ss to ide�ltiiy wd Cl8 all essen `stnictu
rY � -
r ram_ elense>rtts caernec�aris that ' ect t�tc laieral and 1 e�1 33ng o c- Ifred obseraati
" "' (� and I rrteetia and wit a.t4tez,d Mille the iiti
L { I7- Ff3
I
a>c
4-r.l•
(4)"Z'! � �5
l l'L X r
o�qt 114t4-I•(15}
I IL r w � q L : 5
l� for�the prat a s tcatral sysfi lots 7_'!re date 06
L i. L 7�t-'Jr int i- rvori # inspector, �ih, y , /+ i
DE
L 1 I L Al,► Pxi'r the structural obsbgei's init' inspecti ng heJshe steal rovide ence of et � r r for . ; ral
� •l rL ( 5 !r L C K k V.7) abserva ` a of the project. hislher own e_ ctionse, a uddusg ` tor vys ensssrc } s}
1 CC�NC_r�E'l Fass 40
tlet ciesscrss a corrected in tl, unlessthe itaspect r dote roes that, + - ; P
'" f violate Code. that cat rce�ablc de imp,, "r
sltal be ��i'
ram,, :•-12
C , f k stmcwral observe crtgineer or a itec of record se otifi eases t tvolve Cnda'irtialatio When e
fictencie5 re lved far any r,t, these itertts may` � asat through * cttf plait check. ,�'
f� II .L s,
_ x lC a- Ti{ C 1rC +t L'� J'S4VD L 1f+r� _ ��
�+ F
l t i � Q_ t4 i t1 ` - 14 � I Wher ' e+ owner retains art en err nr arclriwet for rat o serva�dt��ther alit the enginee r � archi raaord4 e
• est {xr or hitect of ed myrNip the responsi fr}r evelopms ai ,relating lJte iru
-P hale � 6 it . to the n,.:„k.t,. mt fc��an�au o
L
F
--- - L, A,CITY STD. PL01
OWG• No. TITLE
REFERENCE DRAWINGS
w q . I
NO, MADE BY DATE REMARKS
RE V1 51 ON S
SCALE:3' #� �" �'- DATE
275
CHECKED: T V V o h �
JOB NO.
DWG. 14, F E
RSV.
fBRYf NO. ii