04-4202 (OFC)P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . . :{- 04-00004202 Date 8/12/04
Property Address . . . . . 79450 -HIGHWAY 111
APN: 649-020-999-3 _-31_172 -
Tenant nbr, name . . . . . . -SHELL'.BLDG #3j Q
Application description . . . NEW COMML =-OFFICE/BAId
Property Zoning . . . . . . . REGIONAL COMMERCIJ'
Application valuation 419608 U PUG j '�oo
OwnerContractor av�Hsa '
p 1.A S
---------------"---------' -----i"Q---c��P
KLEINE NEIL WAYNE KLEINE BUILD NG EV V INC
41910 BOARDWALK A-10 41910 BOARD WA K, SUITE A-10
PALM DESERT PALM DESERT CA 92211
PALM DESERT CA 92211 (760) 776-4840
WCC: STATE FUND
WC: 176911303 12/01/04
CSLB: 390365 03/31/05
CCC: B -C27
------ Structure Information "SHELL"'B OR M BLDG 3 -----
Construction Type TYPE V - NON RATED
Flood Zone . . .NON -AO FLOOD ZONE
Other-struct info CODE EDITION 2001
FIRE.=SPRINKLERS _`..�.. _ _ _YYES_
MIXED-USE OCCUPANCY SHELL
PATIO.SQ FTG 1020.00
FIRSTdFLOOR SQ FTG 8231.00
Permit . . . -BUILDING PERMIT
Additional desc _
Permit.Fee .'� 1759:50 - -plan Check Fee 1143.68
Issue -Date . . . . Valuation 419608
Qty Unit Charge. Per Extension
BASE -FEE '639.50
320.00 3.5000..THOU BLDG 100,001-500,000 1120.00
7 -------------------------------------------------------------------
Permit . . . . . . ELEC-NEW COMMERCIAL
Additional desc . CONDUIT TO SUITES(4).
Permit Fee . . . . 15.00 Plan Check Fee 3.75
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
L
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: /9 C/-- % 10
Applicant:
Applicant's Mailing Address:
Date: tf �3• a 4
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
OUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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 Licepsegs in fu1 for and effect.
License Class : C I' License No.
Date ) V� Contractor-Lk•Cillil-�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I -rave 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. �y workers' compensation insurance carrier andpolic n mb,Qr arr
Carrier .fit V --t kV.f� Policy Number I ( �l LA"O
_ 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 those provisions. l r\ t
Date Applicant loll}—�(Ju\CXi1.+` ��c�CCI�VKa�C
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, of
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this 96upty to enter upon the above-mentioned property for inspection purposes.
Date �b zJ1p��
Signature (Applicant or Age
is -'it. + �.. [• r
c
Page
2
Application Number .
. . . . 04-00004202 Date.
8/12/04
----------------------------------------------------------------------------
Permit . . . . . .
GRADING PERMIT
Additional desc
Permit Fee
15.00 Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------'-------------------------------
Permit
MECHANICAL
Additional desc
6
Permit Fee . . . .
609.00 Plan Check Fee
152.25
Issue Date . . . .
Valuation . . . .
0
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
6.00 9.0000
EA MECH FURNACE <=100K
54.00
60.00 9.0000
EA MECH B/C <=3HP/100K BTU
540.00
----------------------------------------------------------------------------
Permit . . . . . .
PLUMBING
Additional desc . .
Permit Fee
121.50 Plan Check Fee
30.38
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension'
BASE FEE
15.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
5.00 6.0000
EA PLB ROOF DRAIN
30.00
5.00 7.5000
EA PLB WATER HEATER/VENT
37.50
5.00 3.0000
EA PLB WATER.INST/ALT/REP
15.00
1.00 9.0000
l
----------------------------------------------------------------------------
EA PLB 'LAWN SPRINKLER SYSTEM
9.00
Special Notes and Comments
COMMERCIAL SHELL BUILDING #3 - 8,231
SQ.FT. TYPE V -N [B or
M OCCUPANCY
r PROPOSED] 2001 CODES.
------------------------------------------------------------------=---------
Other Fees . . . .
. . . . ART IN PUBLIC PLACES -COM
1933.99
DIF CIVIC CENTER - COMM
444.47
ENERGY REVIEW FEE
114.37
DIF FIRE PROTECTION -.COMM
477.39
STRONG MOTION (SMI),- COM
88:11
,
n
Page 3
Application Number
. . . . .
04-00004202
Date 8/12/04
------------------------------------------------------
Other Fees . . .
. . . . . .
DIF STREET
---------------------
MAINT FAC -COMM 230.46
DIF TRANSPORTATION - COMM
17416.79
Fee summary
-----------------
Charged
Paid
Credited
Due
Permit Fee Total
----------
2520.0 0
----------
.00
----------
.00
----------
2520.00
Plan Check Total
1330.06
1000.00
.00
330.06
Other Fee Total
20705.58
.00
.00
20705.58
-Grand Total
24555.64
1000.00
.00
'23555.64
n
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 8/13/04 La Quinta, CA 92253
No. 26317 (760)771-8515
FZ�sjc�o
Q BERMUDA DUNES
Cn RANCHO MIRAGE
N INDIAN WELLS d
PALM DESERT .y
LA QUINTA
QINDIO
O
' Owner
Ann -Michelle, LLC
APN # 649-020-050-8
Address
79450 Hwy 111
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit #
Tract #/
Study Area
Type
Commercial
No. of Units 1
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1
79450 Hwy 111
8231 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5 .
Unit 10
Comments Shell building #3
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:
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 $0.36 X 8,231 S.F. or $2,963.16 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 cc/Pacific Western Bank -Nancy Crisalli Check No. 242735
Name on the check Telephone 760-776-4840
Funding Commercial
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green Payment Recd $050
$2,963.16 Over/under
Signature 4�11 ,
NOTICE: Pursuant toJI
m en t Code Section 66020(d)(I), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identove 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 phe 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 - ApplicanVReceipt Copy - Accounting
�-M V
tlft�Gv,i
JUN "0120044
',,I
Building & Safety Department PUBLIC WOR,',KS
Public Works Release to Issue
Building Permit
• if
To: John Freeland, Senior Engineer Date to PWD: 5-17-2004 If
From: Greg Butler, Building & Safety Manager Permit #: 04-4202
A release from Public Works Department is required prior to building permit
issuance for the following project:
Description: La uinta Valle Plaza Building 3
N {
Address or general location: 79-450 Highway 111 Bldg. 3
n 31172
h
APN and/or legal description: 649-020-050-8 eAn,ct
Applicant contact and telephone number: Robert Pitchford 760-346-8776
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.
issuance of this Building Permit is approved by the Public Works
Deparflnent,, A
reeland, Senior Engineer Date
PublicWorksReleaseGreen — 4/18/03
r
' u1�cv
a
P.O.'BOX 1504 BUILDING & SAFETY DEPARTMENT
•r
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 5-17-2004
From: Oscar Orci, Planning Manager Due date: *M-2004
Status: Is` 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: La Quinta Valley Plaza Building 3
Address or general location: 79-450 Highway 111 Bldg. 3
Applicant Contact: Robert Pitchford 760-346-8776
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
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
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
- District 2
Jim Venable,
District 3
Roy Wilson,
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
March 22, 2005
To: La Quinta Building Department
Re: Final fire Clearance
The Riverside County Fire Department is granting a fire life safety clearance for La
Quinta Valley Plaza 79-450 Bldg # 3 (Shell Only) LAQ-04BPO84
If you have any questions contact me at 760-345-6954
Respectfully,
Neal Stephenson
Fire Systems Inspector
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4.
Beaumont
Calimesa
Canyon Lake
Coachella
.y
Desert Hot Springs
Indian Wells
Indio
❖
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
❖
Rancho Mirage
San Jacinto
.;.
Temecula
Board of Supervisors
Bob Buster,
District 1
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
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
July 13, 2004
To: City of La Quinta
Building Department
Re: Release for Building Permits
LAQ�, BP, 084 /,L ,Q. Valley Plaza -CB .dg 3
�7 X5.0- '11
N1'"'
The Riverside County Fire Department hereby releases the above referenced project for issuance of a
building permit at the discretion of the Building Department.
Respectfully,
FRANK KAWASAKI
.. Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
HAPEMP Data\La Qolnta%PROJECTS%BWdInB MLAQ-04-BP-084. BP Release.doc
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
e•
Beaumont
e•
Calimesa
4.
Canyon Lake
4.
Coachella
4.
Desert Hot Springs
.;
Indian Wells
Indio
.,
Lake Elsinore
:•
La Quinta
Moreno Valley
Palm Desert
4.
Perris
44.
Rancho Mirage
4.
San Jacinto
:•
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley
District S
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072
June 14, 2004
Ficcadenti & Waggoner
16969 Von Karmen, Ste 240
Irvine, CA 92714
Re: Non -Structural Building Plan Review
LAQ-04-BP-084 / L.Q. Valley Plaza — Bldg. 3
79-450 Hwy 111
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) 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 occupancy classification has been
established and tenant improvement plans have been reviewed and conditioned by the Riverside
County Fire Department.
2) Fire Department approval is based upon the 2001 CBC requirements for Group B/M 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.
3) The Fire Department is required to set a minimum fire flow for the remodel or construction of all
commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1500 gpm for
a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible
material is placed on the job site.
4) The required fire flow shall be available from a Super hydrant(s) (6"x 4" x 21/2" x 21/2") located not
less than 25' or more than 165' from any portion of the building(s) as measured along approved
vehicular travel ways.
5) Prior to the issuance of a building permit, applicant/developer shall furnish one blueline copy of the
water system plans to the Fire Department for review. ' Plans shall conform to the fire hydrant types,
location and spacing, and the system shall meet the fire flow requirements. Plans must be signed
by a registered Civil Engineer and/or the local water company with the following certification: "I
certify that the design of the water system is in accordance with the requirements prescribed by the
Riverside County Fire Department".
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
planlinspection fee. The approved plans, with Fire Department Job card must be at the job site for
all inspections.
7) Install a monitoring system designed in accordance with NFPA 72, which must include a water flow
monitor, control valve tamper and continuous monitoring service. System plans must be submitted
to the Fire Department for review, along with a plan check/inspection fee.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863.7072
8) Install Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox Company. 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 Key Switch, this form
must be authorized and signed by this office for the correctly coded system to be purchased.
9) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
10) Install portable fire extinguishers per Tale 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. Building address numbers shall be a minimum of 12" for building(s) up to 25' in
height, and 24" in height for building(s) exceeding 25' in height. 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.
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 8t
Engineering staff at (760) 863-8886.
CC—c;.City-of-L-a-Q ui nta---Building-Dept.
HIPEMP Datata QWRaTROJEQT51 kAft PMAG44-6P4184Ax
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
By '" �GL
Walter Brandes
Fire Safety Specialist
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-May 20 05 08:29a Nancy C -C 760-776-4842 P.10
metallic building. company
September 2, 2004
Kleine Building and Development
41910 Boardwalk, Suite A-10
Palm Desert, CA 92211
Subject: Steel Buildings for La Quinta Valley Plaza No. 5
Metallic Job No 210126
Gentlemen:
This is to confirm that the subject steel structure as designed and fabricated by Metallic,
was erected in compliance with the approved Metallic structural drawings and
specifications.
No assessment was made of the non structural elements or workmanship of the building
installation nor of any framing which was not designed nor provided by Metallic.
Any and all Metallic product warranties, expressed or implied, remain in force. .
Very truly yours,
Robert Hoekstra, P.E.
Engineering Manager l V J
off7ces: 550 INDUSTRY WRY • RTWRTER, CH 95301 • (209) 357-1000 • (800) 211-4948
moiling oddiess. P.O. Box 793 9 RTWRTER, CR 95301 • f(i)C (209) 357-1010
May 2005 08:28a Nancy C -C
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e
760-776-4842 p.8
MaB 20.05 08:28a Nancy C -C 760-776-4842 P.6
0Earth Systems
Southwest
7"118 Country Club Drive
Bermuda Dunes, CA 92201
(760) 345-1588 • (800) 924-7015
DAILY REPORT OF INSPECTION OF STRUCTURAL STEEL
SB/R.S CO. GOV. UBC TITLE 21/24 OTHER
Building Permit No.: -;24 DSA Application No.:
Date of Inspection:
Project Name: LA VA Job No.: M54- a) -2,
Project Address:! 45C7� 1-I �'� i € { � LA i -r � �'� LA Q u , r,t ; /s
Architect: Structural Engineer: i=1G c �n1-- NJ T t v✓� c� G c� r.( z -p
General Contractor: �:t_!a ; t -A C —L> -D uw-• Sub Contractor.
TYPE OF INSPECTION:ie:icVShop Welding $olting Other
Description of Work Inspected:
TF-- S—
t
l "." 7-1
'F--
F'
Unresolved Items::
Welding Operators & Certification Numbers:
Type of Electrodes:
I hereby certify that I have inspected all of the above reported worts, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications & applicable building laws. Final report issued at project completion.
ZL4 C1
Inspectoes Name/No- —T,--, '- �' ILL�r Tz Inspector's Signature _ -
- \I
, I
All inspections based on a minimum of 4 hours; over 4 hours will be an B hour minimum. /) /
In addition, any inspection extending past 12 pm will be an B hour minimum.
Contractor's Representative
BD -M-400 (10/98)
Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency
Matj 20 05 08:28a Nancy C -C
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760-776-4842
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p.4
May 20 05 08:27a� Nancy C -C 760-776-4842 p.3
79-8118 Country Club Drive
Earth Systems (760)f3ennuda Dunes, CA 92201
34$ 1588 • (800) 9247015
..fa.� Southwest
DAILY REPORT OF INSPECTION OF STRUCTURAL STEEL
SB/R.S CO. GOV. UBC TITLE 21/24 OTHER
�. ; DSA Application No.: Date of Inspection: -
Building Permit No.: _
r - Job No.:
Project Name:
Project Address:
Architect: Structural Engineer
General Contractor.
T r c. • Sub Contractor:
TYPE OF INSPECTION: : Field/Shop Welding Bolting Other
Description of Work Inspected:
Unresolved Items:
Welding Operators & Certification Numbers:
Type of Electrodes:
I hereby certify that I have inspected all of ft above reponed work. unless otherwise noted, and to the best of my ability I have found this work to comply with the approv,
plans, specifications & applicable building laws. Final report issued at project completion.
Inspectors Name/No.
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 a hour minimum. Contractors Representative
Coov 1 ESC Lab 'Copy 2 Project Superintendent
r
Copy 3 Governing Agency
04 Mar 08 o5 o9:05a Kleine Bldg a Dev,
7607764842 . P.1
0 dopy
K
�LEINE
BUILDING & DEVELOPMENT
INC.
To: CRAIG GERACI
CLUB ACHILLES
5 PAGES fax: 951-346-3564
FROM: NEIL KLEINE -
Tel: 760-776-4840 fax: 760-776-4842
RE: LA QUINTA VALLEY PLAZA
CLUB ACHILLES
DATE: MARCH 8, 2005
rrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Pages following are the cut sheets for the main panel switch gear, we are supplying
for building #3.
This information needs to be shown on your electrical plans. Location in the
building should probably be field measured by your architect for exact location.
If you require any additional information or have any questions do not hesitate in .
contacting me at my office or my cell, 760-578-3242.
Hardcopy to follow in mail.
Thank you.
TO
Mar +08 05 09: 05a
Kleine Bidg & Dev.
Notes
Device Modifications:
Ref AI Descripti
t
nk Cover
[7 8 inches
1 BAB1020 BAB1020 2
3 BAB1020 BAB1020 a
$ BAB1020
7
BAB1020
PROV PROV
s
a
9
Notes
Device Modifications:
Ref AI Descripti
7
BAB1020
PROV PROV
s
a
9
PROV PROV
1
�
PROV PROV
�
3
PROV PROV
1
$
PROV PROV
1
7
PROV PROV
1
Main Lugs Only
225A
: Plastic Sleeve with Card
on
General Information
7607764842
P.2
Service Voltag®: 208Y/120V 3Ph 4W Enclosure: Type 1
Bus Rating &Type: 225A Aluminum Neutral Rating: 225A
Ground Bar. Std. Bolted Aluminum, AI or Cu cable
S.C. Rating: 65k A.I.C. Series Rated
Main Device Type: MLO -Upstream ED -Bottom Cable Entry
Main Terminals: Mechanical - (1 ) ii6-300 krxtlil (Cu/AI)
Neutral Terminals: Mechanical - (1 ) #6-300 kcmil (Cu/Al)
Box Catalog No.: YS2036
Trim: Standard Trim (LT2036S)
Surface Mounted
Box Dimensions: 36" j914.4mm]H X 20" [508.Omm]W x 5.75" [146.Omm]D
Min. Gutter Size: Top = 5.5" [139.7mm] Bottom = 5.5" [139.1mm]
Leat = 6.0" [152.4mm] Right = 6.0" [152.4mm]
Panel 10 Nameplate: (1) Hp
Type: . Plastic, adhesive -backed (2) 208Y11 20V 3Ph 4W
Color. Black with White Letters (3)
NEC Lighting 8 Appliance, UL CTL *"onanterehangeable Main Device""'i
l
Trim Lock: Standard Latch &Lock
Circuit Directory
Branch Devices
Qty
: Plastic Sleeve with Card
Poles Trip
s 1 zo
12 1
Frame Amps KAIC
BAB 100 65
PROV
a !fon on this I PREPARED ev OATS - • • -' —" "'
eume is created by Eaton H174 03/07!05 Eaton Corporation
rporatb kis disclosed
:onfldenee nd Itis only � nPPaovEO sy DATE JOB NAME Valley Plaza 8uliding 3 ORDER
be used for the purpose In 03/07105 i DESIGNATION HP
ieh It Is supplied. •--- •- ---- _ _. _
VERSION TYPE. .. .. _... DRAWING TYPE '--
5.0 PRI -11a Customer Approval
;•ALT NUMBER REVISION I OWG SIZE I G.O. ITEM
T407129401 .0000
D
SHEET
.. tOF1
I
,
A
D
SHEET
.. tOF1
r
Mar 08 05 09:05a Kleine Bldg & Dev. 7607764842
p.3
Structure Specifications
PREPARED BY
Switchboard General information
--• _._.
commercial Metering -Specifications—
NEMA 1
Utility Specifications
FDS Qualifier.
No
EUSERC Page References:
Quantity:.
1
2 Drat-ings
Alignment:
Front Access/ Front and Rear Align
-
Service:
208Y/120V 3 -Phase 4 -Wire Minimum Interrupting Capacity: 65 kA
DescriptionrModifications
Bus Specifications
Incoming Utility Structures (Incoming Utility Section)
i Bus Amps:
800 Bus Bracing Rating: 65kA
Horizontal isolating barrier
Neutral Amps:
800
2 20.00 30.00
i Bus Material:
Aluminum Density Rated Bus - 750A per square inch
Auxiliary Bus
(1) 350 kemil Ground Lug
Arranged for cable exit top
Incoming Information
Rear Barriered Wireway
Incoming Entry:
Bottom Incoming Location: Left
IIncoming _Qty & Size:
Terminals, Mechanical, Bottom, Sea Utility Specifications
Structure Specifications
PREPARED BY
Service Entrance
--• _._.
Enclosure Type:
NEMA 1
Utility Specifications
osro7/os
800 Amps Util. Mtr. Compt. - IMPERIAL IRRIGATION DISTRICT
EUSERC Page References:
UGPS Per Page 345/346
2 Drat-ings
(2) 300-800 kcmil
SELF -CONT. METERING PER PAGE 306
Enclosure properties --- —
— a — — — — — — — — —
Struct fa Width Depth
DescriptionrModifications
1 30.00 30.00
Incoming Utility Structures (Incoming Utility Section)
Cross Bus
DESIGNATION MSB -3
Horizontal isolating barrier
Auxiliary Bus
2 20.00 30.00
Circuit Breaker/Fusible Disconnect (3 circuits Max) Hot Sequence (Commercial ...
Auxiliary Bus
Arranged for cable exit top
TYPE
Rear Barriered Wireway
3 36.00 30.00
Utility Structures (Utitlty Structure)
Horizontal isolating barrier
Switchboards
Auxiliary Bus
Total of 3 Structures, Total Width of
86 Inches
The information on this
PREPARED BY
• DAA
--• _._.
document Is created by Eaton
H374
osro7/os
Eaton Corporation
Corporation. It is disclosed
—. .—,
, ._..
Sumter, SC
In confidence and It Is only
APPROVED BY
DATE
(I •roe "i Valley Plaza Building 3 ORDER
to be used for the purpose in
DESIGNATION MSB -3
which It Is supplied.
— .
—. —. .— .. --
. ---
VERSION
TYPE
DRAWING TYPE '
Switchboards
Customer A ppr.
NEC -ALT NUMBER
REVISION
DWG SIZE
G.O.
rrEM
SHEET
}137407728401-0000
Mar b8 b5 09:05a
Front View
Kleine Bldg & Dev.
� P pil� Lsl p s
* 2 3
Power Flow
Floor Plan
Pllan "l
7607764842
P.4
Width -inches 30.00
'
20.00
36.00
1
I
— -- — — — — — — —'
Width -MM I 761
507
914
j
Depth -Inches
30.00
I
30.00
30.00
I
-
Depth -MM
—
761
761
761
Height -Inches 90.00
I
90.00
—90.00
Height -MM 2285
2285
2285
Weight•Lbs(Est.).{. - 1000
1000
1000
— -" — --
— —
Weight-Kg(Est.) 453
J
453
453
The information on this
I PREPARED 8V
GATE
+document Is created by Eaton
Corporation.
H374
owowos
Eaton Corporation
It Is disclosed
Sumter, SC
Iin confidence and It Is only
APPROVED BY
DATE
JOe NAME Valley Plea Buliding 3 ORDER
to be used for the purpose in
it Is supplied.
-
_.
_ . —
DESIGNATION MSO -3
VERSION
TYPE _?
ORAWiNG TYPE
— _
NEG -ALT NUMBER
-. ..-. ..
&I
Switchboards
I Customer Aper.
REVISION
DWG SIZE
G.O..
ITEM . .
H3r40712WI-O po
i sr
I
A
--
�.
Mar 08 05 09:05a
Kleine Bldg -& Dev. 7607764842
Switchboard Units Information
St_ra Unit Description/Modifications Narneplate
1 PRI-C32—Utility-800A Pull Section - IMPERIAL IRRIGATION DISTRICT
2 1 100A 3P [ED 225A Frame], Thermal Mag, 100 Amps Trip
_. Meter Socket with Test Byte_
_ ._.....
3 PRLC32_Utility-800A Utility Metering - IMPERIAL IRRIGATION DISTRICT
1 Main Brkr.-800A 3P [MDL 800A Frame], Trip 800 A. Thermal Mag
2 Feeder Brkr.-3P [ED 225A Frame] Provision
3 Feeder Brkr: 200A 3P [ED 225A Frame], Trip 200 A. Thermal Mag
Terminals, Mechanical, #4-410
4 Feeder Brkr.-3P [ED 225A Frame] Provision
5 Feeder Brkr: 3P [ED 225A Frame] Provision
i .
P.5
The Information on this
PREPARED BY -...
DATE
-
document is created by Eaton
H374
03/07/05
Eaton Corporation
Corporation. It Is disclosed
—
_
Sumler, SC
in confidence and H is only
APPROVED BY
DATE
... _ __....._._ .. _—._. ...._
roe NAME Valley Plaza Suliding 3 ORDER
to be used for the purpose In
which It is supplied.
—•_ -
_
DESIGNATION MSB -3
_
•
VERSION
TypE - --.. .._ DRAWING T'IPE .._...
5.1
Switchboards Customer A PPr.
NEG -ALT NUMBER
REVISION
OWG SIZE
G.O.
H37407129401 -00 00
(ITEM I SHEET
i
— _..
1�—
... A__
_30F3