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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 0 to t-LSS(6W iMM 0 SOW t W009) • 000 L-L%(60a) Mc0956 W IBIWM AUm AM -53M , �cag�,asy� �urxa •aa pox �s�o�c�cjr -suo3 m m8naai `pagdan zo passauixa `sagae�xem 3 oiliJN jiE pffi -*M=pq Aq P uojvd -mu paUsap lou mer+ p?qAl SW=8.3 IOM;o J= uo"L =pjmq azp3o dW=VMWOtA m siM110I2 WJWU s' "PJO spam seas i mssass pus sgmmmM p=nas oWpW pa&wdde a p qji " 001=11d, m paloara ` IT$�yj Aq PAlw?q3 Pm pel&P.S2P SO wrgou s ijV lo* fqm 0'% l'q' "R' of sL 66L60Z *ON qof oglMyq vo`.£ •ox szstd faueA vz=b n mi gwplm$ TSS T TZZ6 vo `lms--la OT -d -41US `$IUAPn°H0 TV jwuidojaaaQ Pae 24CIUMPImS TSI L �dwoa 6�r;��n4 aa��os�auu L'd atBb-9LL-09L 0-0 Rauew' ee2:Ro So 00 ReW. -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 Ll04 t "; n O d 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 $olting Other Description of Work Inspected: TF-- S— t l "." 7-1 'F-- F' Unresolved Items:: Welding Operators & Certification Numbers: Type of Electrodes: I hereby certify that I have inspected all of the above reported worts, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. ZL4 C1 Inspectoes Name/No- —T,--, '- �' ILL�r Tz Inspector's Signature _ - - \I , I All inspections based on a minimum of 4 hours; over 4 hours will be an B hour minimum. /) / In addition, any inspection extending past 12 pm will be an B hour minimum. Contractor's Representative BD -M-400 (10/98) Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency Matj 20 05 08:28a Nancy C -C t� ~ .. 760-776-4842 .0 s l i 1 M � �e p.4 May 20 05 08:27a� Nancy C -C 760-776-4842 p.3 79-8118 Country Club Drive Earth Systems (760)f3ennuda Dunes, CA 92201 34$ 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