BPAT2015-003211. N
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Tiht 4 4v Qumro
'COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPAT2015-0032
43100 PALM ROYALE DR
609051010
MEDITERRA APARTMENTS/SHADE STRUCTURES AND FIRE PITS
$200,000.00
Applicant:
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118
ORANGE, CA 92859
AUG'O 7 2015
COMMUNITY
OF LA OUNTA
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/7/2015
Owner:
WRM LA QUINTA
1000 E 80TH PL STE 700 N
MERRILLVILLE, •N 92253
Contractor:
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118
ORANGE, CA 92359
(714)289-0472
Llc. No.: 370539
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION I
I hereby affirm under penalty of perjury that I am licenseperan
ovisions of Chapter
9 (commencing with Section 7000) of Division 3 of the BuProfessions Code,
and my License is in full force and effect.
License Class: C27, B License No.: 370 3
Date: — ! Contractor:
OWNER -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Divisior(z
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 for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
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 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.).
(_) 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.).
( I I am exempt under Sec. , B.&P.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY L
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
Lender's Address:
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 and policy number are:
Carrier: _ ' Policy Number: _ .
I certify that in the performance of the work for w Nch this permit is issued,
shall not employ any person in any manner se s become jest to the workers'
compensation laws of California, and agree t t,' .I shout b ome subject to the
workers' compensation provisions of Section 1760 of t e ab r Code, I shall forthwith
1;Omply with those provisions. -
� f DDate'j-?,61� A p p I i c a, ..
WARNING: FAILURE TO SECURE WORKERS' Cw1PENaTION COVSB IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOIL IN SECTION 3706 OF THE LABOR CODE
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on thi: application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perforrrmd under or pursuant to any permit
issued as a result of this application , the.owne-,.and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Zity 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 tsuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and
I agree to comply with all city and county of
construction, and hereby authorize represe
mentioned property for inspection purpos7
Signature (Applic
the above iinfor ion is correct.
nd state lac re ng to building
this city to me on the above.
Um
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101-OOOQ 4?600,
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uETAORM".-
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•
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-t Total Paid fprELECTRICAl '�48.:i4- 0.001 j, .t
a
DESCRIPTIONS41
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AMOUNTS
- V-4 W Taip
p
n.rrs.
-PAID
FIREPLACE
101-0000-42406
W
WN
_
u'
s
k
BW
011,11
RA-IM11"'104-4,
lit
ADESCRIPTIOIW
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1 f IOUNT
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00 0W
IQPAI D, M
iAPAIDqDAT
FIREPLACE: PC
10 1-0000 1 + -.42600
211.5 5,
$0.60
L
Rmffit
,Km
2
'3 METHOD im
MRECEIPTI It
01,12-10-71M
5011,
Total Paid f& FIREPIl 2.58 $0.0
'kip MAN, "EM
FIE
g
006 'Jill _4 24
485.'85
.06
IUIDATEI
wma
PATIO COVER, STD, OPEN
HIM ggg"
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gml n" Me= HIM
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- AMOUNT,
-DAT
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g t,�
;E�
7,
PATIO,COVER ST '�O PC-,
D,
01-60'00-4260(
0 478.60
t0PAIMB
BICIl Ka,
an
Oil,
_gws'
A
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $964AS $0.00
e,R ':DESCRIPTION
!KACCOUNT� 4
QTY'
�t AMOUNT,.:
tP.AID
PAID DATE"
,, E.
GAS SYSTEM, 1-4 OUTLETS
101-6000-42401
0
$12.09
$0.00
PAID BY, t_ x
METHOD *�
#�
CHECK # js
CLTD BY8
yt,'
ti''�RECEIPT
�Y6 k ':DESCRIPTION a 4,
ACCOUNT 'QTYAMOUNT
�` PAID xt
PAID DATE
w .`
,
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
y"� PAID BY, `
METHOD y °
RECEIPTi#`'
CHECK #
CLTD BY
y
{
3,
;?;:DESCRIPTIONz
x,QTY;
�AMOUNTF,
PAID. DATE
µ
,' �ACCOIINT,
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
a PAID BYr
METHOD..',�°; ;:.
, RECEIPT #
e#, °,
, CHECK #
e
BY
`.. ,.
,:.
tCCTD .
DESCRIPTION r _
"t�, ACCOUNT} * r`'
QTY�
.'r AMOUNT. °xa4'`
sPAID
DATE
,PAID
WATER SYSTEM INST/ALT/REP PC
101-000042600
0
$12.09
.$0.00 .
PAID'BY -
.METHOD,
> RECEIPT #
; ` CHECK #;
CLTD BY
Total Paid for PLUMBING FEES: $60.44 $0.00
_
.DESCRIPTION 'w
r t aACCOUNTat s
aQTY
PAID DATE
€
wt
SMI - RESIDENTIAL
101-0000-20308
0
$26.00
$0.00
Rv
=RECEIPT #
i "� CHECK #
CLTD BY
4
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $26.00 $0.00
TOTALS:00
J
Description: MEDITERRA APARTMENTS/SHADE STRUCTURES AND FIRE PITS
Type: PATIO COVER Subtype: Status: APPROVED Applied:,6/3/2015 SKH
Parcel No: 609OS1010 Site Address: 43100 PALM ROYALE DRLA QUINTA,CA 92253Approved: 8/5/2015 JJO
Subdivision: PM 27131. - r Block:. Lot: 3 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $200,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 -
Details: ADD SHADE STRUCTURES, FIRE PIT & FIREPLACE TO EXISTING POOL AREA.
63?
Applied to Approved,^
ADDITIONAL-
CHRONOLOGY
CHRONCILOGYTYPE STAFF NAME ACTION. DATE, ryy COMPLETION;DATE.
NOTESg"
4 _,z�
• :<r?$ z"-,. :+. »- ,"w.8-,'9-wiC.G t«:L.' ..:r.9>.. :.... -.•.: . ,--r ?.,.v c. ft. .... A.. ,...:_. .vdm,_'sv?;, ^•.e 2a `a3> ::^'S
_.r
h.-�.:,f. ia'L. :.. ?7.`..,4f-$`:.,:' w;A-.` ^.:...:n ..."K :+.,.✓ '":p..
NOTE
JIM JOHNSON
6/10/2015•
6/12/2015
JOHN SHULTZ SENT ME AN EMAIL STATING THE WRONG
NOTE
STEPHANIE KHATAMI
6/8/2015
6/8/2015
CALCULATIONS WERE SUBMITTED. SAVED NEW CALCS AS AN
ATTACHMENT AND CONTACTED KATHERINE AT YOUNG. '
PLAN CHECK PICKED UP
LUIS URIBE .
6/12/2015
6/12/2015
PICKED UP BY BRITTANY.
PLAN CHECK PICKED UP
-PHILIP JUAREZ
7/28/2015
7/28/2015
KAYLA FREY 760-360-8100 CAME AND PICKED UP
GORRECTIOS FOR PROJECT. s
PLAN CHECK SENT TO
KAY HENSEL
7/20/2015
7/20/2015
STRUC SENT TO YOUNG - DUE BACK 7/27/2015
OUTSIDE PC
RESUBMITTAL
PHILIP JUAREZ
8/3/2015
8/3/2015 ,
l
TELEPHONE CALL
'JIM JOHNSON
6/12/2015
• 6/12/2015
CALLED JOHN SCHUTZ TO INFORM HIM PLANS ARE READY
FOR CORRECTIONS
Printed: Friday, August 07, 2015 9:37:08 AM 1 of 4
' .SYSTEMS
r
a
a
u�w
��r��f.Or•7]3E,9�
TELEPHONE CALL JIM JOHNSON 7/28/2015 7/28/2015 CALLED JOHN SCHUTZ TO INFORM HIM PLANS READY FOR
CORRECTIONS.
TELEPHONE CALL JIM JOHNSON , 8/5/2015 8/5/2015 CALLED .JOHN SCHUTZ TO INFORM HIM PLANS ARE READY TO
ISSUE.
NAME TYPE
NAMES-_
•, - w
AD:DRESS3 CITY
, STATE°
IP'� ` `°PH NE
Z x" O
FAX
_.
_
APPLICANT
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118 ORANGE
CA
92859
CONTRACTOR
ROBERT M WORDEN DBA R M W C 0
P O BOX 12118 ORANGE
CA
92859
OWNER
WRM LA QUINTA
3000E 80TH PL STE 700 MERRILLVILLE
IN
92253
N
TIN
ANCIAL •
•
�?
2.R.4
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.'ixf ':M,' r
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'F •e -. a
a..,i
�, :=;DESCRIPTION<
§t
ACCOUN? +;
�`
c .N
Q, . AMOUNT a
r, r:. ••...
PAID:
;.PAID OATE
: RECEI,PT'#
CHECK #, z
iiMETHOD
;, e4,v�` '+'xs
3 . PAID BY ,
. ::: s,.::°.,
:.i:,[E"�" ,'.: ., „;�::- ":r
° M.• i.:::. -. ° ..:':.
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a Y
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ur.x�
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BY.'
HOURLY PLAN CHECK -
101-0000-42600
4.5
$315.00
$0.00
YES
'
HOURLY PLAN CHECK -
101-0000-42600
1
$70.00
$0.00 .
YES
-
Total Paid for BLDG CITY STAFF - PER HOUR: $385.00 • $0.00
BSAS SB1473 FEE
101-0000-20306
0
$8.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$8•00 $0.00
BSA:
DEVICES, FIRST 20 101-0000-42403 0 $24.17 . $0.00
DEVICES, FIRST 20 PC
101-0000.42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00,
FIREPLACE
101-0000-42400 •
0
$145.03
$0.00
FIREPLACE PC
101-0000-42600
0
$217.55
$0.00
Total Paid. for FIREPLACE: $362.58 $0.00'
Printed: Friday, August 07, 2015.9:37:08 AM 2 of 4 sysrctns
:. DESCRIPTION'
-- ---- -
ACCOUNT
---
QTY
AMOUNT
PAID
PAtD DATE
RECEIPT #`:
CHECK #
METHOD
PAID BY
CLTD
PATIO COVER, STD,
101-0000-42404
0
$485.85
$0.00
OPEN
PATIO COVER, STD,
101-0000-42660
0
$478.60
$0.00
OPEN PC
Total Paid forPATIO COVER / COVERED PORCH / LATTICE $964.45 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid forPLUMBING FEES: $60.44 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$26.00
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $26.00 $0.00
TOTALS!���
INSP;E'CTIONTTYPE ` -INSPECTOR SCHEDULED COMPLETED RESULT" ;; REMARKS NOTES
FINAL" BLD
PARENT PROJECTS
Printed: Friday, August 07, 2015 9:37:08 AM 3 of 4
SYSTEMS
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ry y..i `.�hf'
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;'. s�,,> f4: y:..T. W. rc� 4� C .i 2'w .a+ X *°�i.& ^'"�'I` Sir/,._ys._ Y. * k � �g��+✓ g+Y. �ktw �h� W;.
•.tT
Pl'I'1'11tn
e
DE'ta 1�5 p PER MIT NUMBER
.
°y
city of
• ' •' .'�, e. "`* a w"tt.a.
k
La Quinta J BPXNA 015-0032'
b r
�a"'`�s ": �.�'t"-..K as„�.+� 1-'.v x: "`° "�c:� _ `"���� ." .� ., ,,.-
NON-STRUCTURAL-.
JIM JOHNSON
6/4/2015
6/11/2015
6/10/2015
REVISIONS REQUIRED
1 WK
NON-STRUCTURAL -
JIM JOHNSON
7/20/2015
-
7/27/2015
8/5/2015
APPROVED
NO FIRST SUBMITTAL N/S REDLINES WERE.
1 WK
RETURNED (BY FEDEX) WITH THE RESUBMITTAL
ON DUAL TRELLIS FOUNDATION PLAN,HSS
STRUCTURAL - 1 WK
KATHRYN
7/20/2015
7/27/2015
8/5/2015,
APPROVED
6X6X1/4 COLUMNS ARE CALLED OUT, WHILE
SAMUELS
STRUC CALC SPECIFIES HSS 6X6X1/2. REVISE
y
ACCORDINGLY
PLANNING -1WK
WALLY NESBIT
7/20/2015
7/27/2015
7/28/2015
READY FOR APPROVAL
TRELLIS, FIREPIT,
MEDITERRA APTS.
s
FIREPLACE
:'n� ,,... . .... BUND INF'ORMATION�
- CREATED
- `= "
DESCRIPTIORl
I
PATHNAIVIE °-SUBDIR
ETRAKIT ENABLED
Attachment T e -
YP
.
..
-...OWNER _ .�
DOC
7/28/2015
JIM JOHNSON
43-100 PALMROYAL
43-100 PALMROYAL
0
DR.doc
DR.doc
2ND REVIEW -
NEW CITY TRANSMITTAL
DOC
7/27/2015
KATHRYN SAMUELS
STRUCTURAL
BPAT 2015-0032
0
TRANSMITTAL
(2nd).pdf
1ST SUBMITTAL
1ST SUBMITTAL
DOC
6/8/2015
STEPHANIE KHATAMI
STRUCTURAL CALCS 06-
STRUCTURAL CALCS 06-
0
08-15
08-15.pdf
yin #
City of La Quinta
Building &r Safety Division RECEIVED
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking ShAN 012015
Permit #
Z
Project Address: 3f'oO f}Llvl
Owner'sName:-Tb-uN �b
Address: 50 1 Ck J T A NAo.a c C-A T U-6 S -(I--
A. P. Number:
Legal Description:
City, ST, Zip: �'q,�.� A 4o nJ i C-ACA Q!} OI
Contractor: .. /
2 tVt W
t C t�.
�t
Tel -
ehne 8 0 3 1 1 �1
P 3 y l
Address: 13 ZO I STD to
Project Description: A pc� 5 HAq6E- 5�JC--c-/R�-;-&
City, ST, Zip: 9A-O-,A ANA CA 9Z1OS
�t{Z� � tT I" 1 -PtCS- TO
Tel ePh0ne 71 Ze1 - D47
—
t
� q
State Lic.
City Lic. #;
Arch., Engr., Designer: zf�C(C_ 1=R j�DNtq
Address: t 3'3 Z3 W aSi 4( s7h-T01�L ��
City, ST, Zip: LaS �nlE-t4 C t� L� 0(0%.rSv k-rr- -!fv6
Te leP hon 3I 0o
Con structi n Type: Occupancy: ancY
:
State i S S'
S to Lic. # Z
tYPe �cine NewAdd' n Alter Repair Demo
Name of Contact Person:"JO4-J CC4, )T- -
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: ( c,
Estimated Value of Project: ZOOj OD Z)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
200 Review, ready or corrections/' sue
1 Z�
Electrical
Subcontactor List
Called Contact Person
Z$
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correction /issue
Developer Impact Fee
Planning Approval
Called Contact Person
C,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
[Total
Permit Fees
•
- 8` 16oOn1-MM R D r S E. B Pala ese , CA 923��f'
rraait Invaluengru►rn Weh www.yaluengrcom.
Letter of Transmittal
To: City of La Quinta Today's Date:
78-495 Calle Tampico City Due Date:
La Quinta, CA 92253 Project Address
Attn: Kav Plan Check #:
7-27-15
7-27-15
43100 Palm Royal
BPAT 2015-0032
Submittal: ❑ 15t ❑ 4th
® 2nd ❑ 5th
❑ 3rd ❑ Other:
We are forwarding: ® By Messenger
Includes: # Of Descriptions:
Copies:
❑ By Mail (Fed Ex or UPS)
Includes
❑
Structural Plans
®
1 Structural Calculations
❑
Truss Calculations Floor
❑
and Roof
❑
Soils Report
❑
®
1 Structural Comment List/
❑
Responses
®
1 Redlined Structural Plans
❑
❑
Redlined Structural Calcs
❑
❑
Redlined Truss Calcs
❑
❑
Redlined Soils Reports
❑
Comments: —Structural content is appro_v_able,-pending-the,f
6x6x1/4 columns are called out, while structural calculations
# Of
Copies:
1
1
•
❑ Your Pickup
Descriptions:
Revised Structural Plans
Revised Struct. Calcs
Revised Truss
Revised Soils Report
Approved Structural Plans
Approved Structural Calcs
Approved Truss Calcs
Approved Soils Report
Other:
On dual trellis foundation plan, HSS
HSS 6x6x114' Revise accordingly.
Li
If you have any questions, please call.
Time = 1 HR
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
BY: Kathryn Samuels
Palm Desert Office: ® (760) 772-5107
Other: ❑
® Per Your Request
❑ Approval
❑ At the request of:
JUL 2 7 2015
ry OF LA QUINTP
UNITY DEVELOPNi
Permit Number: BPAT2015-0032
Applied:6/3/2015 Approved:
Issued: Finaled:
Status: UNDER REVIEW
Parent Permit:
Parent Project:
Details
Description: MEDITERRAAPARTMENTS/SHADE STRUCTURES AND FIRE'
PITS
Site Address: 43100 PALM ROYALE DR
City, State Zip Code: LA QUINTA, CA 92253
Applicant: ROBERT M WORDEN DBA R M W C O
Owner: WRM LA QUINTA
Contractor: ROBERT M WORDEN DBA R M W C O
LIST OF
RETURNED.
SENT DATE DUE DATE TYPE , ' CONTACT =STATUS REMARKS'
DATE �=
Review Group: BLDG 1ST (1WK)
6/3/2015
6/11/2015
6/17/2015
STRUCTURAL- 1 WK
YOUNG ENGINEERING
REVISIONS
REQUIRED
u
VF Notes , ' y }
�. aC .+ r y �, r r .'
6/4/2015
6/10/2015
6/11/2015
NOWSTRUCTURA7T
JIM 10HNSON
REVISIONS
{
WK
REQUIRED
Notes a ` k t : e # " r •�)
;r
a U
et, e » ,F",4 �,_ a
Review Group: BLDG 2ND (1WK)
7/20/2015
7/27/2015
NON-STRU K URAL - 1
JIM JOHNSON
a'Notes c �. : �.� s "f `�.� .F
t NO FIRST SUBMITTAL N/S REDLINES WERE RETURNED, BY FEDEX) WITH:THE RESUBMITTAL- : i, Y • `, .:
R
rJ•d'tk` •i i'.., .YS . t: .7'ili" ea. -.#.,. . ,XL ... h
READY FOR
7/20/2015
7/27/2015
7/27/2015
STRUCTURAL- 1 WK
KATHRYN SAMUELS
APPROVAL -
CONDITION
Not cox• _� mot,
q - ..-
X
e
y i
er ,�, ': yt' • Yam
YY { i, `
w
7/20/2015
7/28/2015
7/27/2015
PLANNING - 1WK
WALLY NESBIT
READY FOR
TRELLIS_ FIREPrr,
APPROVAL
FIRE'LACE
Notes s c
43 YR.r' st �x
QF
MEDITERRA'APTS ree t �S _
Y ; 3
1.h �i !C 3 -
Printed: Tuesday, 28 July, 2015 16f 1