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9807-020 (SFD)c' (V U) W O d 'W o Z ti (DD 0 H D J ( r` LU LU U) Z ch Ln N ON U (3) n a Z LO aCr Cr LL J' Q CD < rnH 19t Z_ ab ::) C3 Q J I� LICENSED CONTRACTOR 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 License is in full force and effect. S. License # Lic. Class Exp. Date 706410 B ,.-^ �f iiy9 r � �n VDate ���( Signature of Contractor `-���� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively' contracting with licensed contractors to construct the project (Sec. 704,4, -Business & Professionals Code). , () I am exempt under Section B&P.d. for this reason Date Signature' of Owner t WORKER'S COMPENSATION DECLARATION I hereby affirm under'penalty of perjury one/of lihe 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. (A 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 Policy No. U,11NITH (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 agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall orth ith comply with those pr visions. Date: 1 Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the/above-mentioned property for -inspection purposes.' \Signature (Owner/Agent) -' %.a- PERMIT# CONTROL# BUILDING PERMIT �,�������► DATE 9/16/9$ VALUATION 5496,141.40 LOT 42 TRACT 2 , , , ) JOB SITE ADDRESS .5x-199 C;�i'[.AIi10N. C:OUR APN '769-884-010 OWNER CONTRACTOR / DESIGNER / ENGINEER �WikTN E '•R'.. MICKY BORG —1 N CoNgrkuc,110N CO. 'SZI2 LARA ALN 18-120 CA.I,.i,):; #206 _01NA MN 55436 LA QUIN'1'A CA 922 5 3 0)777-7611 C BLP ;1751 aiiiiir t.Ssi>C Iii P: USE OF PERMIT SINGLE FAMILY DWELLING 74-091 r AfU*,,A 31. SFO - WO BLOCK if A11,8 OR. KtOL. CO1kf€NLTANCR Aq r.4 A\11 Fr-DF:R,,V &_ S'1'Ai'E LA W,9, INC,LitiiNO n-03 li�I?ANCEI*' .) ,gPEC.1WS AC; T O1~ 1973. (16 UJ S.C. § 1531, FV SEE.) IF APP ICIWLF, IS REQU1W), CUSTOM —CONSTRUCTION 5,920.00 aF F'C [LCE42'.X` IO 952.00 Si' G+A.4ZA�f:/C.�A_Kl�li:'I" i, ti8.Uf1 SF' l�uST11t��1 ,D,CX* ' 0 C0N1,5 R,1.1C''MN 496,1.4:1.410 ye t E -IRM 1 ;F�* y SMIKARV C-`ONS'TRtfC:"1'ION FEE 103 -000 -418 -WO FLAW r�TQK FOE lO1�Ofi0-439-3!$ Sl,f �.3C HIS DEPOSIT 111 i-000-439.318 -$1,000,00 t�1Li;fu�;�'iCAI, t L>3 1.0.1-000-:421-000 $169,00 1 : A 7"1t1CAL'h 101-000-4.20-000 $328,56 PI3III fN+fi31NO FRE, '101-000-419-000 $793.75 ` 4a l iRO NU N11(7110N .i E2 - RES3ii _101-0,11-241-000 319.6+1 s OftADINO ITig 101-000-423=000 $20.00 t INF ASTRUCTl.lR FEE 225-000-443-342 $6,W0) ART IN PUBLIC PLAC FS -:. 3816 701-000-255.000 S EjtVRYT'AL C0NST_W ►C"T1(.)N AND P1 AN C.:IT CK, $H,528,91 , LESS It1 FEES 'x,1,01)4,{}0 'PRE"1'^.A' "��17�'p l'A:S I-P.t I RAII F1TY'� FYUS .i' �UC, �. V ONN S1015243.83 Is RECEIPT DATE BY / DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings _ Underground Ducts Q ...I.�ililL Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. toWrap El Framing � - . _ �. •? F.A.U. 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 3�� 7�6d S—T Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Waste Lines y% Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS/: /f � �7y /l1�5Tt fZ ��•e ,t�?.f.� a?-eew ow/odB � 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 E Final Utility Notice (Perm) a/ Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 9/16/98 No. 17734 Jurisdiction Owner NameBorg No. 52-190 Street Citation Court City La Quinta zip 92253 Tract # Lot # APN # 769-880-010 La Quinta Permit # Log # Study Area Square Footage 5,920 Type of Development Single Family Residence No. of Units 1 Comments 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 or replacement mobilehomes. It has been determined 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 Government Code 53080 in the amount of 1.93 X 5,920 or $ 11,425.60 the property listed above --arid that,building. t . permits and/or Certificates of Occupancy for this square footage in this proposed projei may riow l;e.issued, Fees Paid By CC/1st Community Bank/Ed Wright Telephone ' Name on the check ,s By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received Check No Signature $11,425.60 081688 NOTICE: Pursuant of ffisembly Bill 3061 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to rurfffrom the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 9/15/99 No. 19311 CERTIFICATE OF COMPLIANCE APN # 769-880-010 Jurisdiction La Quinta Owner NameDwayne & Micky Borg No. 52-190 Street Citation Court City La Quinta Zip 92253 Tract # Type of Development Comments Lot # Single Family Residence Permit # Log # Study Area Square Footage 238 No. of Units 1 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 or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 238 or $ 459.34 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 Cash - Turpin Construction - Mr. Wright Telephone Name on the check By Dr. Doris Wilson" ! ' Superintendent Fee collected /exempted by Ellen Patino Payment Received $459.34 Check No. CASH Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to :ollect them on the Dislrict('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting '— Building ywnw Tay/ 0 4 " P.O. BOX 1504 78-495 CALLE TAMPICO .�tJ O'r LA QUINTA, CALIFORNIA 92253 Mailing I Address Contractor Address e'Irlel •%b t t State Lic. p % ®.S.Ide treat Setback from Center Line ' Gity Sr Classif. Sq. Ft. No. Size Stories Lic. q I Arch., Engr., Designer C� rcj f AJ t 74r.'s.0c ) A -Te, Address 7A' - Gni I 1.5' Tel. 51! City ^ Zip -� c_ State y u IM qi� Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SMNAT RE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason; (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after. Improve, demolish, or repair any structure, prior to *Its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o1 Division 3 of the Business and Professions Code, or thathe 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 ofinot more than five hundred dollars ($500). C-1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License .Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License taw does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. ' B. & P.C. for thiereason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Se'c. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM ' WORKERS' COMPENSATION INSURANCE ;,,�- -� This section need not be completed it the Y ( p permitris 'lot�r,o,ne hundred dollars ($ 100) valuation or less.) '4, 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become Subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ft -7 - 0'2-0 APPLICATION ONLY BUILDING: TYPE'CCONSTQ p. OCC. GRP. A.P. Number (� 1 A� 0 10 Legal Description LOA'1r Azf'"fc,-r O Project Description / V e �/� � • Fr F ' a. ZONE: BY: 1 Minimum Setback Distances: 1 Front Setback from Center Line Re r Setback from Rear Pro Line ,o CONSTRUCTION LENDING AGENCY I hereby that there is a construction lending agency for the of the�I, p % ®.S.Ide treat Setback from Center Line ' affirm performance work for which this permit is issued. (Sec. 3097, Civil Code.) J Si a Setback from Property Line Sq. Ft. No. Size Stories NoDw. Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ This is a building permit when properly filled out, signed and validated, and is subject to if is for 180 days. ►` I expiration work thereunder suspended I certify that I have read this application and state that the above information is correct. v -_ Issued by: \0- Date s' Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- for inspection mentioned property purposes. Validated by: Estimated Valuation 17 PERMIT AMOUNT o Plan Chk. Dep. 1, 000 Plan Chk. Bal. Const. Mech. APPLICANT PINK = BUILDING DIVISION Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1 TOTAL / REMARKS �1 t a. ZONE: BY: 1 Minimum Setback Distances: 1 Front Setback from Center Line Re r Setback from Rear Pro Line ,o CONSTRUCTION LENDING AGENCY I hereby that there is a construction lending agency for the of the�I, p % ®.S.Ide treat Setback from Center Line ' affirm performance work for which this permit is issued. (Sec. 3097, Civil Code.) J Si a Setback from Property Line Lender's Name— ame Lender's Address Lender's / v FINAL: -DATE ��-+� INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to if is for 180 days. ►` I expiration work thereunder suspended I certify that I have read this application and state that the above information is correct. v -_ Issued by: \0- Date s' Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- for inspection mentioned property purposes. Validated by: Signature of adplicant Date 17 Mailing Address # Validation`t` 4 t City, State, Zip WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Certificate of Occupancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SFD Occupancy Group: R3 52-190 CITATION COURT Type of Construction: VN Owner of Building: DWAYNE & MICKY BORG �' Building Official Bldg. Permit No.: 9807-020 Land Use Zone: RL Address: 5212 LARADA LN. City: EDINA, MN 55436 By: STEVE TRAXEL Date: 03-17-00 POST IN A CONSPICUOUS PLACE o C=) K. B. LEUNG AND ASSOCIATES, INC. _ STRUCTURAL ENGINEERS 9320 BASELINE, SUITE D ALTA LOMA, CA 91701 (909) 944-0029 FAX 944-7983 September 3, 1998 City of La Quinta La Quinta, CA Re: Borg Residence La Quinta, CA To Whom it May Concern: This letter is to inform the City that, as engineer of record, I have reviewed the roof truss designs and find that they conform to the framing plan. Please let me know if I can be of further assistance. Sincerely, QppFFSSIol,, CIO CPN L Car Ban Leung, President w No. V 8 K.B. LEUNG AND ASSOCIATES, INC. exp -3p O( KBL/Isc'fir SrAUCTU�P� q�FOF CAUF�� C/71/0.1 JON TANDY 'JUL 1W-rA37630 Medjool Ave. L 2 6 READ Palm Desert, CA 92211 REGISTERED INSPECTOR'S WEEKLY REPORT Office /-,Fax Pager (760) 772-7192 (760) 772-7193 (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION I ry O C` „��,�` `„� �1 `` L�T� REPORT SEQUENCE N0. TYPE OF Vr PERMIT NO. 0171OL1 l DAY OF WEEK MATERIAL DESCRIPTION - ARCHITECT INSPECTOR HRS. CHARGED • ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR U '� SUB CONTRACTOR c Al 79P4A— w o,, v us� h, ( w. ' wA COPY SENT TO CLIENT ❑ CON MED ON NEXT PAGE ❑ PAGE 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. SIGNA URE OF REGIS ED INSPECTOR, 2 DATE OF REPORT REGISTER NUMBER IF JON TANDY A� �37630 Medjool Ave. Palin Desert, CA 92211 �V��0R1. '%Op Office (760) 772-7192 SPECIAL• Fax (760) 772-7193 �- y ger (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT XREINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATIONl � CAC L -K �.7L�iW l r� W REPORT SEQUENCE N0. TYPE OF STRUCTURE �0 PERMIT N ® o 98 DATE J ® DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT iTO �tSS� INSPIC HRS. CHARGED ENGINEER V..% Leu-Ig ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR SUB CONTRACTOR Q I Dsem l c. �- , I1 a Aporyl O -C `Q71-2 E)fteS MjSSi&)('A&Af D E Q Q?-o\AlFzvvk, A -I' E C COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF k4Y 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. IN ojv-d:I� W, Dzru� SI NATURE OF GIRECTOR -311 e STE.aED 1 cs® t`r13,q6-By DATE OF REPORT REGISTER NUMBER Pi 16 SPFCIAI INSPECTION SFR\ REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION Sol-.190 ol...190 ^ 14P{ `0 w ' + /`••"r 1l /V•`L L A ^ u�.•, /v`Cl 11v REPORT SEQUENCE NO. TYPE OF STRUCTURE Ly�*14&- SF Pio _ „ PERMIT NO. 9 1307 —02-0 DATE 3 119 (T9 DAY OF WEEK MATERIAL DESCRIPTIO^' ARCHITECT t Ass INSP�ECTOR NRS. CHARGED ENGINE R 1... U t Ass. ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL` CONTRACTOR 1�! SUB VAI SEl� ASori9k CONTRACTOR :31t%191 ObSt eOFA alA - .�� o �- uk A 0, PST,, 411 Neto 4-n bemc _ (z-iog- -k-n Too �� t �. �� ��k c� S�E '� �5i Q.12,.�►x....a� T'u.E,, MISSt All S I <<vo%-J As PC -r— >peovtc� e 'o,JS . I � l• COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE '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. Ek1 (F l,R'i.�/ i 1 A 10/�'-� IGNATURE OF REGTSTEFiED INSP,E°CTOR 3�r9/ � / .TCl�n4'r11/-?'u--R'Sl % DATE OF REPORT REGISTER NUMBER i CITY OF f 1%n' "N ITA MAR 1 JON TANDY •-�, RECD 37630 Medjool Ave. BUILDI►NV �Palm Desert, CA 92211 ..Office (760) 772-7192 • Fax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER MASONRY ❑ FIRE PROOFING RREINFORCED JOB LOCATIONS a � / {D Ls✓' i /v¢ �N,, �'+'r �/4 Q��,� � REPORT SEQUENCE N0. TYPE OF STRUCTURE \\ I" L PERMIT NO. DATE DAY OF WEEK MATERIAL DE' C�P�TI/0`N! C ��L/ ' ii ll.• •J ARCHITECT l tki is l- IN PE T 1 . ' MRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTI N GENERAL SUB DATE CONTRACTOR E CONTRACTOR a l- N �Sf E; I cam. SAppftued o IQn Gn s — e-- s l 3 3 q Obso" Iqc rA oA (A.. A�- OL S 3 ���1PFd GLiz;&xr 4Vm. a -�- -�-- PY 1 n Th .& S b Ca A sO 5 J r eLI LE �� f� COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE PAGE 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. OA-'V73-11 \114444,,� aAA SIGNATURE O REG STERED INSyf CTOR 3]y/?? Xc80 TH 132(e -8'/ ATE OF REPORT REGISTER NUMBER C17y 0;z- AR 31 JON TANDY f.y ,,;___�, RfC'D 37630 Medjool Ave. SUILDIJ�G Palm Desert, CA 92211 Office (760) 772-7192 SPECIAL INSPECTION SERVICE! Fax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY 0 POST TENSIONED CONCRETE 0 ASPHALT REINFORCED MASONRY 0 FIRE PROOFING 0 0 OTHER JOB LOC9ION - 110TYPE L � yo1A. 0b L -At Qut1V' REPORT SEQUENCE NO. OF S UCTUREPER g� SEs +-,+ 9 IT NO. 0 7- O2 -d DATE :3 at/ 6 7 DAY OF WEEK MATERIAL DESCRIPTION ebLA.�TC1N� ARCHITECT AA SSo INS CTOR 1 HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL . CONTRACTOR %A i AJ SUB CONTRACTOR J 31 2q - 1 4-- IN, 1 - l -oak - G. r i1��1 u yJ �i pZLWel $' 13 r&44 - 'b c - s r✓ AI COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE O PAGE 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. GF1�� IGNATURE OF EGISTERE SPECTOR 3 -moo l !//- j:; w, 6 ATE OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) ¢3�33V n, irN-i-q TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ APR 2 2 RECD ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING I Ill ti JOB OCAT ONy I g o � � ( �- � (-4 �� � � ^ � � �, �� � 111 ' r /lS[, ��� go REPORT SEQUENCE N6.- Q TYP!:SSTJytRE•n ©� PERMIT NO. D5.jE'/ DAV OF WEEK MATERIAL DE RRIIPPTION ` i�\T pr ARCHITECT INSVECTOR .ASSISTANTS HRS. CHARGED t ENGINEER HRS. CHARGED INSPECTION GENERALp` , 1 SUB / DATE CONTRACTOR V V� �J CONTRACTOR c ( �Ll 6 -Ir- PZA�s s - �� CC - ,eL�4i1111-Yj Biro pce,t.�,+a ►'� �- l� w� cue . K,5-- A KS A T- wes "71 x s C-o\s L.k,- 'w ( rr T S . k ..� . M X ( 9 Ot-f ito �-- C.O I o -00 i - S . —? u 7 co -C. -q. ► oc�la-� . lV C _LA Ck<-s�XS' 0N x 7 TS - CO (-C Co is COPY SENT TO CLIENT CO ED ON NEXT PAGE O PAGE 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. 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