0308-037 (RC)LICENSED CONTRACTOR DECLARATION
I h. eby 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
51,4099 D 10.4 � O6 012,(
Date�f� t' ¢• ��' Signature of Contractor,,
V . � t:F�__ .may.... •�rv.s/\J'e.. \
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, 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.
( ) 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 STATE FUND Policy No. 109sago
(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 agreethatif I should become
subject to the workers' compensation provis ons of Section 3700 of the Labor
Code, Irshallq ort with comply wit0those provisions. �'
/Date��^" � � ,i Applicant A t iti T
Warning: Failure to secure Workers' Compensation coverage is'u ,,Awful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3106
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance• of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply th all City, and State laws relating to the building
construction, and hereby authorize �epresentives of this City to enter upon
the above-mentioned property for it ction�pur oses.
Signature (Owner/Agent)Date
y \)
s/ BUILDING PERMIT PERMIT#
DATE `' ►' VALUATION LOT 03M037 TRACT
JOB SITE
ADDRESS
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
AUX0 DF'VT_1_.0M4T.. Tr CO.,'
220 X, P0RT.'rjVr 6. A Fv.
1313 PEBBLE eMMiGS 1'MIE
1 ANHAWA14 BYACH CA, 90266
CrUN]. OR—A CA 91741
(626)963-7643 OB 2878
USE OF PERMIT
11701V OT? CI AL RYWO:M
COMEV1UCLAL TENANT dM.PROVEtV1EWf - "DES.EVI' DISCOUNT CLKANE'1S"
(DROP-OFF & PICK-UP ONLY) TYPEVN&P1I1`fVLtX OCCUPAW'I LOAD
116, a—APPR0'D'VD SHEIA, PLANS FOR PL,ilMBINO, FL✓ECIT RICAL ANO
C411TRACT A1d OUNT 51000.001.:8
EFFE"M) COST OF ClOWMUMIOIN
-
�nOitiC).(D13
:P3 wr 11li!"9 ziT1MIARY -
-
P11pal CR 'K, YEE 1.01.000.4-39.318 146,80
CONSTRUCTION PEZ 101 -000 -MS -000 V2.00
8TRONO MOTION FEE - COMM 100-000-X41.000 :� SLOS
.
AUG 1 9 2003
CITY.OF LA QUINTA
' FINANCE DEPT.
SUB-TOTAX, 0039,"J UC -L'1014 AND aPT.,M CWC?C .
�519.E3S
00 PRS -PAM F 9
DLJ
. rRW�'�� �L".S.�.Li:E,�.6.L 3i�.Fi/1� �QI•3:f A:±e'®Y'
+PA..b Y hDa? .«
RECEIPTDATE
BY-�
DATE 1PNA
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U. i
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 Plbg. Test
Find,I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
`Nater 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:
- -
P.O. BOX 1504 -BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 7-26-2003
From: Oscar Orci, Planning Manager Due date: 8-04-2003
Status: IST 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: Desert Discount Cleaners -Tl -
Address or general location: 79-405 Highway 111 Suite 11
Applicant Contact: Jean Sieberman 760-567-8712
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
E
DEC -24-03 WED 12 43 PM
,� `� ,Tom Tisdalo
.s,.°.,.. ,: Fue chiE F
Pequdly serving the
nineor rak�i
`'Areasof R,Vcmide'
County and the
.cities of.-
Banning
f:Banning
Beaumont .
Calimcs-a
Canyon I.,alcc
t;.
Coachella
4.
Ucscrf Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Vail; -,y
if
Palm Dcscrt
-S erns -
Rancho Mirage
San Jacinto
.y
Temecula
Board of Supervisors
Dob Buster,
District I
Joh:, I'avag',Jane,
Distri(i 2
Jim Venable.
District 3
Ray Wils711,
Disirict d'
l0arion Ashley.
District 5
R I V, CO. FIRE P &E I ISD I O FAX VO, 1 760 863 7072 P. 1
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation wi h the
California Department of Forestr i and Fire Protection
21 es an Jacinto venue • Perris, ca ornla 92 • ( ) •Fax (909 69 _M
n
Dcccmbcr 24, 2003
City of La Quinta
Building Department
Re: Fire and Life Safety Clearance
The Riverside County Fire Department is granting 3. fire and life safety clearance
for the following project located'794051v 111, s.lite#2 and #1.1 La-Quinta.
Please call if you should have arid'Questions. r
Respectful ly
PRANK KAWASAKI
Chief fire Department
„ By
Te�Deucy
Fire Safety Inspector
EMERGENCY SERVICES DIVISION • PLAI INING SECTION • INDIO OFrICE
82-675 Highway 111, 2n° FI., Indio, CA 92201 9 (760) 863-8886 • Fax (760) B63-7072
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of.
Banning
H
Beaumont
4•
Calimesa
40%
Canyon Lake
e•
Coachella
.•
Desert Hot Springs
.;.
Indian Wells
.•
Indio
.•
Lake Elsinore
La Quints
4•
Moreno Valley
Palm Desert
Perris
4•
Rancho Mirage
0
San Jacinto
4•
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley
District 3
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 San Jacinto Avenue . Penis, California 92570 • Fax (909) 940-6910
July 23, 2003
Desert Discount Cleaners
79-405 Hwy 111, Ste. 111
La Quinta, CA 92253
Re: Non -Structural Building T/I Plan Review
LAQ-03-TI-051 / Desert Discount Cleaners
Fire Department personnel have reviewed and approved the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for the
issuance of a building permit.
1) Fire Department approval is based upon the 2001 CBC requirements for Group B occupancies. It is
prohibited to use, process or store any materials in the occupancy that would classify it as a Group
H occupancy per Sec. 307 of the 2001 CBC.
2) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per
recommended standard of the Knox Company or provide key(s) for inclusion in the general building
Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the
lock boxes will require "tamper" monitoring. Special forms are available from this office for the
ordering of the Knox Box, this form must be authorized and signed by this office for the correctly
coded system to be purchased.
3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified
extinguisher company for proper placement of equipment.
4) 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.
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 Fre Department Planner
By �0"L'
Walter Brandes
Fire Safety Specialist
CC''La_Q'uinta_City Building_DepD
1t%PEZ,GEWRALV-0RMSQ"V Plan Checkdoe
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2^d FI., Indio, CA 92201 9 (760) 863-8886 • Fax (780) 863-7072
07/07/2003 14:27 7605640568 PAGE 01
JACO ON ENGINEERING CONS' ucnON, INC.
CONSTRUCTION MANAGEMEx3T DIVISION
Phone (760) 340-0194 Fax (760) W-1574
BY FAX
Date: July 7, 2003 Project: Tae Centre at La Quints
To: Dame Crawford From: Joe I tram= Superintendent
Fax: (760) 777-7011 Pages: (Inc Wing Cover Shed) 2
CC: Dan Jacobson
Danny,
Here is the footing detail you requested. C411 me if you h;e.ve any questions.
(760)2754101
Thank You
Joe
07/07/2003 14:27 7605640568 PAGE 02
r_ir�e,�,�Jl7� lu_�u lbf'r+lii��{�y� atlF
w ASC;CCIATES FADE: 01
ANF & AssocuTgs TOL (626) 4484192Jos Mo - I 0
onsuiting Svvatur*l ERgiD9en Fax:(626)449-8092 M w lc 0ou
H
® 9420 TellUr Ave., Suite 118, El Monte, CA 91731 _ —.. C�n7� __7/o3
--- SK.
r c -(-n f)7 C
b..
-
d
f
J U` (f%
of
6x10 T&q
y
0
{ 27
1J
SES DETA!! 21/S'"2
TS6xE SEE PLAN
U
2'-0 x6' -O -D CONC. BASE
W/4-#7 SRT. &
0 i
7
r ,
�
W4 TIES
2r STUDS 016-O.C.
i u
Go
SEE DETAIL 22/ST2
2x BLK'G
L�8
4x6 W900 POST
i
.lam I
a. r
t7q os wwq ill
*' Tm-
vl? - e
4L
+m 11Tc. r
>✓x; Ih�t"1� ��; � fir.
F'o v
DETAIL AT OPENINI;
... 1
N"'.,s'".^'yWFaM1iwMKfs:�nWai,�.. �...v,�.,r�7+`fw+W+�e^.!�i;�`w"."'�»`r°",�. ._+�.V^^a.>-".•..-. p..i+:ayti �' '.�..r.. obi".iEa+�N..wX!'+il:�;.rac�ii%^.. .'awn..,tiLi,r+�°.nr.;a*""T»'"::+_.w+�.^eav:ty.�
Earth temS 79-811 B Country Club Drive
y � Bermuda Dunes, CA 92201
qM Southwest (760) 345-1588 • (800) 924-7015
DAILY REPORT OF INSPECTION OF CONCRETE
SB/R.S CO. GOV. '..UBC." TITLE 21/24 OTHER
Building Permit No.: DSA Application No.: Date of Inspection: S-
Project Name: ?Nr C i= Ai 71ZLF aT 4 4A Q LII Al 1�4 Job No.:
Project Address:
Architect: Pt- w k47-: ,, 1-i- z e U -A/ - Structural Engineer: A N F , J c C7,-
General
,,General Contractor:.%4e' P 1=,vdgvC-, F.i?iitG'l' Sub Contractor:f�L"j-' LL
TYPE OF INSPECTION: Reinforcing Placement Other
Description of Work Inspected: l `� a (' 179
r r it1 t ;e
2 51-
IL
Unresolved Items:
Descriptive Location of Samples: A./a , • 7.• - c -' %�
Slump: L Cone Temp: Time in Mixer: Supplier: 11 1-4a F 1. Admixture:
Water Added: �' Air Temp: ,� > Specified Strength:3,0(2 Mix Design: 19.,? 02 7 Truck #:
Air Content, %:
Unit Wt.:
Sample Time: # of Samples: 3
Field I.D. Marking: 111.
I hereby certify that I have inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications & applicable building laws. Final report issued at project completion.
Inspector's Name/No. 7s��� ? 91- i> V- 01� Inspector's Signature --�
�.
All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum.
In addition, any inspection extending past 12 pm will be an 8 hour minimum.
Contractor's Representative r
BD -M-402 (10/98) Copy 1 ESC Lab Copy 2 Project Superintendent J Copy 3 Governing Agency
ow
a ---� ya,��i�,(^�p•'.* ^T""_va.^y�,y- �r�r■r . rr:•��' 'a�
\i
Earth Systems
Southwest
79.811 B Country Club Drive
Bermuda Dunes, CA 92201 • (760) 345-1588
Client Name
Client Address
1
Client Phone
FIELD DAILY
DATE
JOB NO.
%
FIELD TESTING
REFERENCE CURVE
PROJECT
LOCATION
L � t.��f
CONTRACTOR
OWNER
LOT
WEATHER TEMP
Oat AM
DRY
Oat PM
PRESENT AT SITE
OPTIMUM
NUMBER
NUMBER
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 review by the project manager.
i/
CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE
aD-rs-ool (Iziol) 1tIc 15329
%
FIELD TESTING
REFERENCE CURVE
TEST
LOT
ELEVATION
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
NUMBER
NUMBER
CONTENT
DENSITY
DRY
.DRY
MOISTURE
} / I
c. <
%
WCu. fl.
DENSITY
DENSITY
CONTENT
se.,�, 1 r.c jLCr•�
•�"v
%
Ibstcu. i.
%
' .-k
#
f.G
l
a1v
�
Lo
qqq 1 �r
Ma
t
r
T-7—.
REMARKS:
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 review by the project manager.
i/
CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE
aD-rs-ool (Iziol) 1tIc 15329
Earth Systems;:..,
1� Southwest
79-811 B Country Club Drive
Bermuda Dunes, CA 92201 • (760) 345.1588
Client Name
Client Address
Client Phone
FIELD DAILY
DATEi
JOB NO.
1'
PROJECT
REFERENCE CURVE
MOISTURE
DRY
MAXIMUM
MAXIMUM
LOCATION
TEST
-LOTr
ELEVATION
NUMBER
CONTRACTOR
OWNER
--T ``i t i
WEATHER TEMP
Oat AM
DRY
Oat PM
PRESENT AT SITE
t -, rr
"\ - ! t
I '
r ;
%
lbs/cu. ft.
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 do review by the project
E manager.
IENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE
BD -FS -001 (12/01) �� 15320
1'
FIELD TESTING
REFERENCE CURVE
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
TEST
-LOTr
ELEVATION
NUMBER
NUMBER
L,CONTENT
DENSITY
DRY
DRY
MOISTURE
t -, rr
"\ - ! t
I '
r ;
%
lbs/cu. ft.
DENSITY
DENSITY
CONTENT
t �,, < j •. .Is .-^
i .
%
lbs/cu. ft.
%
G
19
REMARKS: t"r r ,.� . L.,rs j c c� c 4`,i:� • . �.,a- t I� r .� a .. (_
s _
1 lJ V-"T'�' - nf- L6 i f3i.H 1 7 t 7
t
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 do review by the project
E manager.
IENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE
BD -FS -001 (12/01) �� 15320
19Z SH) W80103H)VIIV NO 03nNIlNO) S31)N31)1130 O
i
D-IIA:J03N31SI9n.40MdflL UNDISjam
AM38 ONV 39031MONI AW 10 4A8 3H101 MILL 31Y S1N3W31V1S 9NIMOPO4 3H11VH13=301
. ' . JIJJJ • . . HJNOW . AtlO • F
i
l' v
9 I
13139NV SO1 All) 3H140 SIN3W311nD313H1 HIM 3)NVO10l)V NI MOIVA13SBO MOMS 0301A IO d 3AVH I
' S3T39NV SOl l0 AlD
j
'WHS ONV 9NIQllnl 101N3W19Vd30 31U 01 AND SIH1101VN19110 3H110 NOISSIW80S 3H1 104 3181SNOdS3I WV 1
S
!S3DK3DH30 CRUSH TTY 10 NOIl)3110) ILL MUM In))0
}�
10NIM LUMS ONV 9N101108101N3WIVVd30 3H1 18 SWIM TVIIII)n1S 3H110 3)NVIA3))dTVNII 1VH10NVm30Nn 1
1
' '3A08V 031V)IONI 3SIM13HIO SS31Nn OID3110) N338 3AVH 031N30)00 I H)IHM S3DN3DIl30 T1V
f
'SNOIV)IDus ONV SNVId 03AOIddV 3H1 HIM 3)NVWIOINO) WIND NI SI 31wnU 3H1
-❑
11 A1113A 0139VIS NOIlln1SN0) MI41N91S H)V31V SISIA 3115 0311009V 31L103WIOJV3d SVH 19M 3181SNOdS3I
AW 130Nn SI 0NV 3A08V 031VN91S30 3AVH I OHM D3BH3IV Mon 10133NI9N3 031131SI93113H10NV 10.1
Z
HUAMBO T(Inl)n1S 3H1104 39VM 3181SNOJS31 SVH OHIA D3IH)IV 03SN3)n 10193NIDN3 Q3131MM 3H1 WV 1
'1
AM38 ONV 39031MONI AW 10 4A8 3H101 MILL 31Y S1N3W31V1S 9NIMOPO4 3H11VH13=301
r
.a - 1 - -- — . 1 - I �a ( _ ,
7n M�
O'
'-J :RIN11)1410 03A13S90
-❑
-❑
-❑
- -_
-
3111011O -NON MIDNOT❑
—
-. � — c
�
� �
Illi �
•
-❑
r
.a - 1 - -- — . 1 - I �a ( _ ,
7n M�
O'
'-J :RIN11)1410 03A13S90
L b4 . I mo i S LZ ='e 1 //
ON 11WW3d 9NI0t1I19 ON NOLLVHIS193H VO ,3 l � � 7 83NMO
'ON3NOHd S80'�t11LL 83A83S80lVNILL)(11115 SS3800V133108d
a ► 0 -ON 39Vd G C,-�'
—Q� 1 30 AVO )-� H9f108H11H OM NOl1MUISN03 TIV S3onl:)NI 1WOd38 SIHl
'ON 180d311 �Z -� 44
WHOI MOBS NOIIVA113SBO innimis
I(L16 V:) 'J)UOW 19 '81 I a1inS "aAV Jetsla.l OZV6
sjaaui8u Eanlanjl 2uil nsuo
Z608 -81111(9Z9) =%e3 1 S 1
Z818 -81111(9Z9) :1a.L S3,LdlDossv V 3tqv
� fir
-❑
-❑
-❑
-❑
3111011O -NON MIDNOT❑
-❑
-❑
-❑
31110<1O- RMN00-0
-❑
SHOH3W NOI1VONf103
T1103dS -SWIG 3015 IWO
000A -❑
O3MHG 13315❑
OOOM-❑
SWV39 30VN9'Mid 'SHOSSIV7❑
7p30 MUM
ANVNIONO-1N3WOW MUM
A1INOSVW-0
SMS 313x NO3 O3SS3a1SMWO
4
31MM00-❑
TIDUS-MWOW 133150
MIUM00-0
S11VM W31S V 8V1S'S9NI100J -❑
19 1V4 V
tl001t0
VWMi-O
TTVM-❑
NOIIVOmnor❑
31VO
'9018 d0 SNOI1HOd ONV N011V001
SN01103NN00 HUM GNV S1N3W313 TVUI110f1a1S MAMBO
L b4 . I mo i S LZ ='e 1 //
ON 11WW3d 9NI0t1I19 ON NOLLVHIS193H VO ,3 l � � 7 83NMO
'ON3NOHd S80'�t11LL 83A83S80lVNILL)(11115 SS3800V133108d
a ► 0 -ON 39Vd G C,-�'
—Q� 1 30 AVO )-� H9f108H11H OM NOl1MUISN03 TIV S3onl:)NI 1WOd38 SIHl
'ON 180d311 �Z -� 44
WHOI MOBS NOIIVA113SBO innimis
I(L16 V:) 'J)UOW 19 '81 I a1inS "aAV Jetsla.l OZV6
sjaaui8u Eanlanjl 2uil nsuo
Z608 -81111(9Z9) =%e3 1 S 1
Z818 -81111(9Z9) :1a.L S3,LdlDossv V 3tqv
� fir
`•7,. M IV r v' -: a-rawrr ain-r frr 5 ;.. t ..:.r .T � w •a .� � >z . ,:n. 4 .w. z. ,, .,...,,.-:,.
JON TANFDY
78-194.Elenbrook Ct.
Palm Desert, CA 92211
Office (760) 772-7192
INSPECTION SERVICFax (760) 772-7193
REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY Of
O POST TENSIONED CONCRETE ❑ ASPHALT OTHER
❑ REINFORCED. MASONRY O FIRE PROOFING V /
JOB LOCATION1 , L J Y` 0� l v,
REPORT SEQUENCE N0.
TVy PE OF STRUCTUREi ) fid
PERM�N3 ^ rp
!
DATE � ( J
DAV OF WEEK
MATERIAL DESCIi1PTIONARCH1I
Yj"� —1
(<OC�1
INSPECTOR
HRS.CHARGED
ENGINES !
lV ��
l
ASSISTANTS
MRS. CHARGED
INSPECTION GENERAL („ SUB `
DATE CONTRACTOR—,j itC SS 6v� CONTRACTOR
-
o
COPY SENT TO CLIENT OCON�TNUEO
ON NEXT P G'E O
SAGE 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.
j .
}
t
SOF
REGISTERED INSPECTOR
DATE IOF REPORT REGISTER NUMBER
t
�0j10
Certificate of Occup-anc0 Y
G OF 9
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
`4
i provisions of the Building Code . and the various ordinances of the City regulating building
construction and/or use.
F
h�
° BUILDING
ADDRESS: 7.9-405 Highway 111 Suite 11
`
s
i
7
Use classification: Commercial (Desert
Discount Cleaners) Building Permit No.: 0308-037
Occupancy Group: M
Type of Construction: VN Sprinkled Land Use Zone: CR
?_
Owner of Building: Stamko Development Co. Address: 2205 N. Pointsettia Ave.
City, ST, ZIP: Manhattan Beach, CA 90266
r
By: Daniel P. Crawford Jr.
'
I
Date: 1/14/04
Building Official
POST IN A CONSPICUOUS PLACE