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06-3747 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA. 92253 L Application Number: Property Address: APN: - Application description: Property Zoning: Application valuation:: Applicant: 4014-, 06-00003747, 52735 CLARET COVE 770 -330, -612 - DWELLING - SINGLE-FAMILY LOW DENSITY RESIDENTIAL 462534 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ERIC ENGEL g 16644 HONEYBROOKE: DETACHED SAN DIEGO, CA 92121 Architect or Engineer: ------------------ 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 License is in full force and effect. License Class:' B License No.: 862636 Date: Contractor: OWNER -BUILDER. nECLARATION 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 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 for a permit subjects the applicant to a civil penalty of not more. than five hundred dollars ($ 5001.: (_) 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.). (_ 1 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 u pursuant to the Contractors' State License Law.). ' (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT ( Contractor: I SUMMIT CONSTRUCTION,GR 802 N TWIN OAKS VALLEY SAN MARCOS, CA 92069 (760) 744-1'181 Lic. No.: 862636 VOICE (760) 777 -7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ac. 1 g 2001 `: LA 41.E kueNTn CITY O STE 110 Date: 10/23/06 ,in ------------------------------------------------ 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 HUNTER INS SVC Policy Number 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 �OVOOQf the Labor Cod shall forthwith com w' ose provisions. Date: Applicant: /s 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. 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 arta 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, 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 county ordinances and state laws relating to buildin struction, and here b epresentatives of this county to enter ypon the above-mentioned grope nspection pur Z.07-& Dat Signature (Applicant or Agent)' _ - ri Application Number . . . . . 06-00003747 Permit . . . BUILDING PERMIT Additional desc.. Permit Fee 1910.00 Plan Check Fee 1241.50 Issue Date . . . Valuation 462534 Expiration Date 4/21/07 Qty Unit Charge Per Extension BASE FEE 639.50 363.00 3.5000 THOU BLDG 100,001-500,000 1270.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 237.62 Plan Check Fee 59.41 Issue Date Valuation . . . . 0 Expiration Date 4/21/07 Qty Unit Charge Per Extension- -BASE FEE 15.00 5441.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 190.44 859.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 17..18 1.00 ----------------------------------------------------------------------.------ 15.0000 EA ELEC-TEMPORARY-POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/21/07 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee 176.50 Plan Check Fee 44.13 Issue Date Valuation . . . . 0 Expiration Date 4/21/07 .Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 5.00 .9.0000 EA MECH B/C. <=3HP/100K BTU 45.00 10.00 6.5000 EA MECH VENT FAN 65.00 1.00 -------------------------------------- 6.5000 EA MECH EXHAUST HOOD =------------------------------------- 6.50 LQM-n TT WPERMIT Application Number . . . 06-00003741 Permit PLUMBING Additional desc . Permit Fee . . . . 280.50 Plan Check Fee 73.88 Issue Date . . . . Valuation 0 lExpiration Date 4/21/07 Qty Unit Charge Per Extension BASE FEE' 15.00 27.00 6.0000 EA PLB FIXTURE 162.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 4.00 6.0000 EA PLB ROOF DRAIN 24.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00 2.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 18.00 14.00 .7500 EA PLB GAS PIPE >=5 10.50 1.00 15.0000 EA PLB GAS METER 15.00 -=-----=------------------------------------------------------ Special Notes and Comments -------------- 5441 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL OR DRIVEWAY AOOROACH.October 23, 2006 10:5.8:10 AM jjohnson ------------------------------------ Other Fees . . . . . ---------------------------------------- . . ART IN PUBLIC PLACES -RES 656.33 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER.- RES 995.00 ENERGY REVIEW FEE 124.15 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES ' 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 46.25 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged, Paid Credited =------------------------= Due - Permit Fee Total --------------------------- 2619.62 .00 .00 7 -- 2619.62 Plan Check Total 1418.92 500.00 .00 918.92 Other Fee Total 5301.73 .00 .00 5301.73 Grand Total 9340'.27 500.00 .00 8840.27 Summit Structural Engineering August 4, 2003 Sun Vista Development, Inc. P.O. BOX 1144 La Quinta, CA 92253 Attn: Rob Capetz Subject: Structural Observation Lot 48 @ The Tradition Mathis Residence La Quinta, CA Dear Rob, P.O. Box 813 270 North Main Street Donnelly, ID 83615 (866)862-8148 (208) 325-8148 Fax (208) 325-8149 5 7 � Z - 7 -3,! � - 6, t' �5' 5 tA e,— Per your request, we visited the subject job site on July 8, 2003 to perform a structural observation. While we were at the job site, we found several omissions and deviations from the plans. All missing items were installed and verified by the -superintendent on August 4, 2003, and at that time we found the structure to be in general compliance with the structural design concept. If you have any questions, please give me a call. Yours truly, SUMMIT STRUCTURAL FNGINFFRING Benjamin Herbst, P.E. BH gAMy Documents\2002\jobfiles\Sv-184\184_fieldl(cert).doc Residential. Commercial. Industrial, Land Development V, TitV1 4 4 Q" o 6 -3 7 �(? P.O. BOX 1504 APPLICATION ONLY 78-49 Building 5 CALLE TAMPICO Aririracc r kA ('��o� ,. ,n C'.w Cl 7 7 C,�LA QUINTA, CALIFORNIA 92253 .ten r- I — Address CA MUU I Ub Cit � MZ -06S Tel. N `l , WY 1 & Classif. V / 17 t- <L I Lic. # BUILDING: TYPE CONST. OCC. GRP. A.P. Number -7 —7 ,/ r O'Z -+r Legal Description A T �l ���y` -'OK 2—R -S6 1 Project Description P Sq. Ft. Hrcn., tzngr., New Designer Address Cwh,�C[u� br % 2 -b I 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, 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) of Division 3 of the Business and Professions Code, or that he 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044, Business and Profes- sions 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 im- provement 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 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) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION 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. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT 00 No. Stories Stories Add ❑ Alter ❑ , Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Driveway Enc. Infrastructure r` No. Dw. Units 2V,,e- Repair ❑ Demolition ❑ U_ TOTAL REMARKS Y nrT a 20 11 Ulf CITY OF LA QUIN - � LNACE DEPT j ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:_ Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Date 12/18/07 No. 29823 Owner Ramin Younessi Address City Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE. Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units 4�FP ��21EDk-o Q BERMUDA DUNES C" In RANCHO MIRAGE C'f INDIAN WELLS d� PALM DESERT y LA QUINTA 1 Q1 NaO yJ O J 770-330-012 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52735 Claret Cove 5441 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. 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 $2.63 X 5,441 S.F. or $14,309.83 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/Ca Community Bank - Mike Howe Check No. 04034 Name on the check Telephone Funding Residential BY Dr. Sharon P. McGehee Superintendent .;; Fee collected /exem d b Payment Recd P Y ar c i grey y $14,309.83 'rover/Untle Signature NOTICE: Pursuant to Govemment Code Section 6602tdaMteo erve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the building or installation permit for this project is issued, or from the date on which those amounts are paid to the 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 - Applicant(Receipt Copy - Accounting #� WEDDLE SURVEYING MAPPING, INC. Boundary • Construction • Topographic • Aerial Surveys • ALTA Surveys • GPS • Consulting April 8, 2008 Mr. Timothy R. Jonasson Public Works Director / City Engineer City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-1504 Re: Pad/Form Grade Verification City of La Quinta SUMMIT CONSTRUCTION Lot.48 Tract No. 28867 52-735 Claret Cove TRADITIONS APN 770-330-012 Dear Mr. Jonasson: t�S We have performed a field survey to determine the vertical location of the Building Pad and Building Form for the above referenced project. The elevations observed are as follows: PAD (DESIGN) 74.00 FORM (DESIGN) 74.50 PAD (AS -BUILT) 74.0 FORM (AS -BUILT) 74.52 These field observations are in substantial conformance with the Precise Grading Plan prepared by 'Aars Cad Engineering svc, dated 09/30/05, approved by the City of La Quinta Building & Safety Department and the building horizontal location substantially conforms to the required setbacks and site layout as shown on the approved site plan. Sincerely, WEDDLE SURVEYING MAPPING, INC. David L. Weddle, President L.S. 5570, exp 09/30/09 P.O. Box 10418 • Palm Desert, CA 92255-0418 77-725 Enfield Lane, Ste. 140 • Palm Desert, CA 92211 • 760.360.5570 E -Mail: WedSury@aol.com • Fax 760.360.55 73 J't .4 '.3�'�^'+1� '• �•yi f11�ar-� ye•�' A��r r, �•.Ar�•'a...: � .,� "1. A�..V��•fs�` i-'.' -'t• �N. r•..�. -� Si"r Vl..,- �� ►' ••t1 �,� T I d l "t 3_1 11 M rA xI n� D -F DSA File No.: Phone No.: 41'x- nes COMPACTION TESTING DSA App. No.: Fax. No.: (Nuclear Method ASTM D-2922 & D-2950) Branch Office: P. d Test No. "t 3_1 11 Density Count 1 S tom- t LA Co- 13-+ 1 0, Es I Moisture Count Moisture Correction -- Mode & Depth. Wet Density, PCF } 7.'Z • 1 Z •S- \ Zb 3 -a-Z b • O Dry Density, PCF } t �� t \'3 t Za . t \t. • to % Moisture -. - _ p .q , o C> Standard Dens. (MAX.) Optimum Moisture d ' % Compaction, �j�f •�- jG,,. Specified Density qO ) 1 Test No.: Station: Elevation: d F r Mat'I: Location: �\ ���� t= -G` �� �Nab Test No.: Z Station: Elevation: ' a' Mat'l: Location: r t I t I ` c, n -.; Gk & Test No.: Station: Location. Elevation: F ' sic Mat'I: :*- Test No.: Station: Elevation:\ Mat'I: Location: 1 t r luPst s-;, A Test No.:. Location: Test No. Location Test No.:. Location: Station: Station: Station: Elevation: Elevation: Elevation: Mat'I: Mat'I: Mat'I: PROJECT NAME: "_;e ��t�\Rls� f OU4 j PROJECT NO.: (---D0op 1�- CLIENT: 006-A1 �� �� DATE:- TECHNICIAN: 11e\i Gauge Serial No.: Density Std.: Moisture Std..- Form td.:Form No. 160 • Pioneer Painting (760) 353-5401 DSA File No.: Phone No.: 1-r`-c)t.c.�a' COMPACTION TESTING DSA App. No.: Fax. No.: (Nuclear Method ASTM D-2922 & D-2950) Branch Office: Test No. ., 1 F, Test No 9 V/ Density Count ���✓ //U !�..9 Test No.: 9 Station: - Elevation: `>� MatT Moisture Count ,/b /i0 ��/� /P /p�7 �� �' Moisture Correction 'C�' Station: Elevation: max. 5-e , r7 e. MatT - Mode & Depth ' ' G "' ro '' p ' i G " Wet Density, PCF /�� , , �� �, - c� s�. - i' Dry Density, PCF iii //, % /> //o 7. 7 % Moisture j', / /�• /D Qi ,� //, = /,;2• Standard Dens. (MAX.) Optimum Moisture-- % Compaction 95 % Specified Density 961-L 5% 190-/. -e� Test No.: Location: Station: Elevation MatT . Test No.: / 5' Station: Location: /�: r�• ', ��� .7" --7 f�/ Elevation: C 9° MatT Test No.: .Station: . Elevation: Location: ,n r . r 'c i��,,Y. !'�� 4,1� Test No.. Station: Location: ;;) • MatT Elevation: v //,3 MatT-q PROJECT NAME:, --:--',L �' 7 6,4- f`"',/��.PROJECT NO.: CLIENT: t•.�.^ �` �G� DATE: Y- TECHNICIAN: r t r- L/ r , Gauge Serial No.: e Density Std.: U Moisture Std.: Form No. 160 • Pioneer Printing (760) 353-5401 0 Test No Station: Elevation: MatT4V/ Location: Test No.: / 7 Station: - Elevation: `>� MatT Location: ��`r ' r `�'�c. Test �� �' No.: Location: 'C�' Station: Elevation: max. 5-e , r7 e. MatT Test No.: / 5' Station: Location: /�: r�• ', ��� .7" --7 f�/ Elevation: C 9° MatT Test No.: .Station: . Elevation: Location: ,n r . r 'c i��,,Y. !'�� 4,1� Test No.. Station: Location: ;;) • MatT Elevation: v //,3 MatT-q PROJECT NAME:, --:--',L �' 7 6,4- f`"',/��.PROJECT NO.: CLIENT: t•.�.^ �` �G� DATE: Y- TECHNICIAN: r t r- L/ r , Gauge Serial No.: e Density Std.: U Moisture Std.: Form No. 160 • Pioneer Printing (760) 353-5401 :9 Phone No.:'� Fax. No.: DSA File No.: COMPACTION TESTING DSA App. No.: (Nuclear Method ASTM D-2922 & D-2950) Branch Office: Test No. K, — Elevation: Via' Mat'Ii Location: -- Density Count , -;., 9 Elevation: Mat'I: Location: Moisture Count 1,526 Test No.: Moisture Correction - Elevation: Mat'I: Location: Mode & Depth Test No.: Station: Wet Density, PCF Elevation: Mat'I: Location: Dry Density, PCF Test No.: Station: % Moisture Mat'I: Location: Standard Dens. (MAX.) Test No.: Station: Elevation: Optimum Moisture d , % Compaction Test No.: Station: Elevation: Mat'I: Specified Density ,1 PROJECT NAME: fe9 ' '� CLIENT: K-�'""' a� ��k�� ( 'r f ��y DATE: - �' r r '� `'f' J G'G' Test No.: Station: — Elevation: Via' Mat'Ii Location: -- Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: MatT Location: Test No.: Station: Elevation: Mat'I: Location: PROJECT NAME: fe9 ' '� CLIENT: K-�'""' a� ��k�� ( 'r f ��y DATE: - �' r r '� `'f' J G'G' PROJECT NO.: TECHNICIAN: Gauge Serial No.: / �`"��r• Density Std.: 4LI' L iMoisture Std.: �•4 =� Form No. 160 • Pioneer Printing (760) 353-5401 '.y..rra•t��;.nw•n. ri. A-�.��ri.,T+}�S'�`�.ao,+'a.a,'"'y"tYry'r+�rd:'%��L�4ka`51,�Ah.'�'1-�,� .,,�� _. i DSA File No.: Phone No.:��''�h COMPACTION TESTING DSA App. No.: Fax. No.: (Nuclear Method ASTM D-2922 & D-2950) Branch Office: r • f,J.t4F:i Test No. is /5 i4/ / : CSC ' J Density Count W7 /?�'` IC2 j Test No.: Station: '`" Elevation: Moisture Count / i5' lea b Test No.: Station: Elevation: Mat'I: Moisture Correction Test No.: Station: Elevation: Mode & Depth Location: Test No.: Station: Wet Density, PCF /�a�, a /t �/� `" le776 Dry Density, PCF Elevation: Mat'I: Location: % Moisture PROJECT NAME: r,0275- `7 G.) CLIENT-� .r°"� / �l'�� DATE: 32 -en > TECHNICIAN: Gauge Serial No.: %- �'/� Standard Dens. (MAX.) Moisture Std.: Optimum Moisture % Compaction j�®% �c�� 919�Z, Specified Density 9,9-/ Test No.: Station: Elevation, 73 Mat'I: � Location:d� �r�t �= --`�%•r• ,,, L� C, %� / : CSC ' J Test No.: Station: Location: /1/'�,r >, !'.. ftl�y7 Elevation: L;1 �c.r, - �•� f • �� Mat'I:� % Test No.: Station: '`" Elevation: MatT / Location- 1-1-5 GG„� �� f�///tom.✓- r'��rf!��,./.��• Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: MatT. Location: Test No.: Station: Elevation: Mat'I: Location: Test No.: Station: Elevation: Mat'I: Location: PROJECT NAME: r,0275- C' �Y a �c� /uz, !////-,PROJECT NO.: L Z e- E;0,'0 CLIENT-� .r°"� / �l'�� DATE: 32 -en > TECHNICIAN: Gauge Serial No.: %- �'/� Density Std.: 4%E�" �y Moisture Std.: Form No. 160 • Pioneer Printing (760) 353-5401 Phone No.: '��� <,c. c� COMPACTION TESTING Fax. No.: (Nuclear Method ASTM D-2922 & D-2950) DSA File No.: 141V DSA App. No.: ..Branch Office:., Test No. S Ca 77 9/ Density Count /39/ /�; Moisture Count/ e2l /07 7 Cc /�✓ Moisture Correction - -- Mode & Depth Wet Density, PCF/3/ ✓-7" 1�G • /ria • a Dry Density, PCF /i�'• 111,0 `/.3• iii• 0 % Moisture ,,i. / 7• �, 7 ii • (, '. `7, 4 - Standard Standard Dens. (MAX.) Optimum Moisture 1• /° Compaction ° P it � 9 y� ��% � 37;� 9c? 97 G 7 ni / ' Specified Density I f3u a-- / 9o-/ 9l3>/- 9o-,- r,61 z1-/ Test No.: Location: Test No.: 4, Station: Location: " Test No.: '7 Station: Location: ►^ tJ'1�ec L - Test No.: Station:. Location: °� ����� �'� ✓y' Test No.: 01 Station - Location I/ — Elevation: cin • Mat'I:/. Elevation: MatT W/ lel- -Elevation. cc'7/1 Mat'I: :/ � i� { je•. C �r ..-1. • 1 r Elevation: (-V Mat'I4 I ` � � 1 c� J � ^. �•. � � tic 1-•� .�. 1 Elevation: +moo Mat'I: 1 Test No.: Station: Elevation: �- S Mat'I:/ Location: Test No.: / Station: Elevation:—(O �' Mat'I Z Location: /f r !i c arc, \ `��v / - �y G.� . `S J PROJECT NAME: �• ~' C J �t, E• �- PROJECT NO.: o v ; CLIENT: DATE: :F'- TECHNICIAN: Gauge Serial No.: /7Density Std.: Moisture Std.: Form No. 160 • Pioneer Printing (760) 353-5401 .. -. v... ..-.._.iF.,.;., � .,.�-+�f,-.�..�+•4a,.+o:: _«c�,.+,.. •-.. ^ti -; ..«.-. n. �.. ,y.d_� .�.....t +n..-.. �.� .-+,r., .....z;,;.,.l..r�y)-r�� �;'i..:_^r^'.�,S � JJ. 1 EL CENTRO: 760-370-3000 PALM DESERT: 760-360-0665 DBE/MBE/SBE COMPANY TECHNICIAN DAILY REPORT PAGE OF Project Name: •_ tit c -- t.."�'� `,, Project Number: Client Name: '��t„�,�ti•;, , , , Owner's Rep Onsite: %r OSHPD/Building Permit No.: Plan File No.: DSA File No.: Scheduled Arrival Time: f/, . I DSA App. No.: Time In: �� Time Out:., �� Lunch/Break: Mileage: Total Hours: {� C General Contractor (Name & Company): Specialty Contractor (Name & Company): WEATHER CONDITIONS: EQUIPMENT USED: AREAS WORKED: Location of work observed, tests/samples taken, progress, remarks, job problems/issues / l ti r le /r f'ai � �.• F(/r c.. "i"� ' C�74- 7- lGDID DIDYOU OBSERVE EVERYTHING YOU EXPECTED?: ,©.YES ❑ NO DID YOU OBSERVE ANYTHING UNEXPECTED?: ❑ YES 0.,NO IN PARTICULAR, WHAT SHOULD BE OBSERVED/CHECKED/RETESTED DURING NEXT VISIT - NON -CONFORMANCE: NOTICE: Our firm's technicians are represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of construction. 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 TECHNICIANS SIGNATURE: ' 1 �,.,.:wr"� � <�,..�...----- , DATE/DAY: e,, PERSON NOTIFIED:,,,�• , r SIGNATURE: NOTICE: Our firm's technicians are represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of construction. 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 �.+..�✓'✓�.,�-.•�S,-,.r`h+i�irrv+.R1Y`Y+..'llik`.R+�1 '�i^=x j�^.'.i+` �` �•°s+[<7.,."•+N��.rE�" ar 9.r'f�'.-.i�i,yia„ ,�.r..rwa4�+.tiwtR EL CENTRO: 760-370-3000 PALM DESERT: 760-360-0665 DBE/MBE/SBE COMPANY TECHNICIAN DAILY REPORT PAGE OF, Project Name: ;- �, �� ('"" '% ; , , . r- Project Number: Client Name:(', �, Owner's Rep Onsite: OSHPD/Building Permit No.: Plan File No.: DSA File No.: Scheduled Arrival Time: ,, j,, , „� DSA App. No.: Time In:�✓— Time Out:i't"= Lunch/Break: -, Mileage:-- Total Hours: (� • <�" General Contractor (Name & Company): Specialty Contractor (Name & Company): 4/,..1, WEATHER CONDITIONS: !� / ./ e-_ /, �-- EQUIPMENT USED:�_,.,.,. i / i.^ AREAS WORKED: Location of work observed, tests/samples taken, progress, remarks, job problems/issues r --1^ Ir4 J r� . � � v. /� I^. 1<� � e. f C �•'l r _n .t t �C . � r/n� l� t R''� i '[' �' `. � / �..( ` ( j r• ...� % . . ..( �{ �•/^,a . <!t_ 4. +1� ` c_ �r>i -..._�.r^C , C. i> �,^'" A.ict. Y�'G (' . %a.n:•z...� \cr (i . +C� '%j' leA 1r /a t i 4_.a..�' .'�.a. ,.-; C� .n �.- 11a `� !, '� Q e. Ga. • r ' ✓ F� �;• tl elf •� C({...�+ �•-��/ �� fore {{ ! f "" 1' ..,.. , � . „ f'"� {' � �.. �C - 1 `, : r • r ° (l .'i /' + r-) ! 'T` to -Q- C �C/ )` 1 /1 Jr-, 4 f 'CA r l e"" [I C ri r N"A.'4r" ~,cot-, ail r",vcr,le. ,' iti.ecr,-lr, DID YOU OBSERVE EVERYTHING YOU EXPECTED?: 15YES ❑ NO DID YOU OBSERVE ANYTHING UNEXPECTED?: ❑ YES eff NO IN PARTICULAR, WHAT SHOULD BE OBSERVED/CHECKED/RETESTED DURING NEXT VISIT - NON -CONFORMANCE: NOTICE: Our firm's technicians are "represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of construction. r 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 TECHNICIAN'S SIGNATURE: --, r �✓� ., DATE/DAY: z_/, /. O G PERSON NOTIFIED::_, �,� ., SIGNATURE: NOTICE: Our firm's technicians are "represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of construction. r 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 f 4 EL CENTRO: 760-370-3000 PALM DESERT: 760-360-0665 DBE/MBE/SBE COMPANY TECHNICIAN DAILY REPORT PAGE OF Project Name: c v Nti r, %A Project Number: L Client Name: n F, 1 F Owner's Rep Onsite: OSHPD/Building Permit No.: --- Plan File No.: ---- DSA File No.: ---- Scheduled Arrival Time: --- DSA App. No.: ---- Time In: JZ • U CU I Time Out: Lunch/Break: . A Mileage: - -- Total Hours: Z S` General Contractor (Name & Company): Specialty Contractor (Name & Company): WEATHER CONDITIONS: WU 1� yv1 Sv N iv EQUIPMENT USED: IF AREAS WORKED: Location of work observed, tests/samples taken, progress, remarks, job problems/issues 6 6t,u--_kc V 6 P?i c, , \5 N\ri-Ci 2 D� K) s, a ks, -I t)e IF A -' 4 W1 52 C1,79 o N R c< c t o 1pE cel ; MiC7 O�ctC.1 o ic\yy­- IQ ruc= \rx kV-\ \ Q (,C� K_.) -V(-r)kIc Vic' c�kc Ao 1(17, Zai 1 lov 4F 2 DID YOU OBSERVE EVERYTHING YOU EXPECTED?: 1p YES, ❑ NO DID YOU OBSERVE ANYTHING UNEXPECTED?: ❑ YES` .14 NO IN PARTICULAR, WHAT SHOULD BE OBSERVED/CHECKED/RETESTED DURING NEXT VISIT- N� NON-CONFORMANCE: NOTICE: Our firm's technicians are represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of ggnstruction. 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 A TECHNICIAN'5 SIGNATURE: (f DATE/DAY: C PERSON NOTIFIED: SIGNATURE: NOTICE: Our firm's technicians are represented onsite solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those opinions to our client. The presence and activities of our field representative do not relieve any contractor from its obligations to meet contractual requirements. The contractor retains sole responsibility for site safety and the methods, operations and sequences of ggnstruction. 780 N. 4th Street, EI Centro, CA 92243 • 77-948 Wildcat Drive, Palm Desert, CA 92211 i i r - W 0 �2r Bin.# Permit -ad�� City of La Quinta Building U Safety Division P.O. Box 1504, 78-405 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: (-Aac- iE_>moo A. P. Number: 7 20 — 15:_2, —,0/ 0 -* 0 67 Address: S7 -2 _05 0 TNO Legal Description: Z 0T5 _/D + I.z- Sa 9. 449 49 U. 94=A Contractor: 1;eq6 M Z; L C - r"U City, ST, Zip: CoAclf - A Telephone �'7,�'o) 37�_ 55 Address: Project,Description: City, ST, Zip: TO 0, Telephoneg'_6���� State Lie. # City Lie. IV 7— Arch., Engr., Designer: 5 COAL f GK -W Irlk &� �_OQ C_ -E^J (__3 7-- .Address:70—/20 2/06 City, ST, Zip:, A aolljr-l-q IG -*,-A.4V <0 AIJ ,F 17 .f<r'C UA IT t' 4APr Telephone: Construction Type: Occupancy. State Lie. #:.S; 2303 7 01c .- Project type (circle one): New �dDer _cVn Repair Demo 7it Name of Contact Person:IV16 /_0 Sq. Ft.: # Stories: # Units: Telephone# of Contact Person: 0)'S56 76-2 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING., PERMIT FEES Sets J Plan Check submitted 1/401 Item nt IPlan Structural Cates, Reviewed, ready for corrections _1/vp Plan Check Deposit . U Truss Caics. Called Contact Person �/ 1-4 Jvkp Plan' Check BalanceV Energy Calcs. I I Plans picked 'upW ar Construction Flood plain plan Plans resubmitted Mechanical A Grading plan 2nd Review, ready for correction /issue Electrical A1.1 Subcontactor List Called Contact Person IN Plumbing• A#. Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3"d Review, ready for corrections/issue Developer Impact F4& t Planning Approval Called Contact P A.I.P.P; 40 W Pub. Wks. Appr Date of per issue IN N School Fees A *44 Total Permit 'Fees 22Z i 80 K 0114; C -DD allll�d� tdLc VY 9;re PL 1 43.29 TCI43,07 TC INTERLOCKING PAVERS 43 35TC 43.2 FS 42.57 INV TO MATCH EXISTING FS D TC 43.02 6- P.C.C. BAND-, SAW CUT HE ALLEY CALLE ESTADO (j/ PAVER SIDE ALK DETAIL 6" COMPACTED CAB . 0 MODIFY EXISTING TREE WELLS CONT j. 1 1 4 F SECTION "A -A" MODIFY EXISTING TREE WELL� C.I. _!�U E EXISTING TING 2y CONTRACTOR TO REUSE EXIS; TO R MAIN . N r - - - 4 6 FF GRATING EXISTING STREET LIGHT 43.56 DETAIL 3�_ nj? NTS I CURB & GU TER SEE DrArt5ATINS - ' 0 SHEET 2 rs w cqmk �.S194 I o ISI T (0.56X) > (0.57%) (DRIVEWAY)of 44.6 11 44.82TC 44,1 44.82FS 45.09T 2 FF=4-4 10 FF=44.10 FF=4,3.6U . . ..... 'I 'xil t PA P E 4 �'.J6',O, PE=43.60 OaPl�=43.10 S.WTC L ..391 112 1 0� s I_ !A!M� "i 4' 1 1 < ROOF DRAIN (TYP I I l; g G843.58F 25' PA TW 49.00 R t o _j U 2 4 4, ROOF ORA -77 - I . 2X x J� 20' Cf) z IN (TYP r 2X z 43.3b S 2% CVWD TO REMOVE IJE 44.119TC 44.UbFS . AT DEVELOPERS EXPEI 2 ILLpp -4 ab I YY YY Y 4 INC -- ----- ----------- 0.43 FG 45.0 TW 44-86TC (I .38X) 44wO7FS X! __'(41 MTC) (44.36TP) 44.36F5 THE GAS CO. TO ADJUST EXISTING 10 1 '61 5, L VALVE COVER AT .57, DEVELOPERS Im. .1 . 1. DETAIL "A" . . . . . . . EXPENSE 1.44. 42 76FL CONSTRUCTION NO 1"=5' 7 � I DO' a OF LO STD. #210. 4.44k 24 (D CONSTRUCT 6' CURB PER CRY 44 5.11' GUTTER 42w86FS (D CONSTRUCT r MICK P.C.C. VARYING WIDTH WALKWAY. I'MIN Q REMOVE & REPLACE PAVER/SIDEWALK PEW-99AL ON THIS SHEET C.V.W.D. STD. CONSTRUCT ADJUST EXISTING SEWER C.O. PER AUTO PAIN G AREA SECTION "13-13" N 3.0" AC. OVER 4S COMPACTED CAB, NTS 6 DRIVE THROUGH LANES CONSTRUCT 3.57 A.C. OVER S COMPACTED CAB. - WHITE STRIPE. PER DETAIL ON SHEET 1. •PAINT 4 4 SAWCVT AND REMOVE EXISTING CURB & GUM. yp 6FS AND AC PAVEMENT. COWTUCT 4. RIBBON CUTTER PER DETAIL ON SHEET 1. 2 �11'6'F L GUTTER CONSTRUCT SPANDRELL PER CITY OF LA OUMA STD. 1 230 & 231. I 2 �. � :",a+.r �,''•��' +•b✓•i 4 �'):•",� ,��96E .' 9 9O CONSTRUCT HANDICAPPED RAMP PER CLO SID OWC 250 MODIFIED PER DETAIL THIS SHEET S -0.50' CONSTRUCT DRYWELL. PER DETAIL ON SHEET 3. SEE DETAIL 11 PAINT 3' 3' DISABUEO ACCESS SYMBOL AND 4- BLUE 2 4 "A" HERE ON• WSNILLD PARKING STRIPE, SEE DETAIL ON SHEET I r, 4HAQ 43.40FS \�-INSTAUL BLUE RP M o CONSTRUCT HANDI CAP RAMP PER CITY OF LO STD DWG 250 VWD FORCES TO PER SECTION 01.211 'd INSTALL 4' DETECTOR UNIFORM FIRE CODE CHECK ASSY. AT INSTALL OIS0810 PARKING STALL SIGN (R99) AND POST DEVELOPERS EXPENSE PER CALTPANS STANDARDS. SEE DETAIL IN SHEET 1, R/111f 11�1 - 2 1 14 CONSTRUCT 8r A.C. PAVEMENT OVER IT COMPACTED M. / 49.0 j2 16387 (0.50%5.5)'"'.��41. ��ITC43 &0' 16 43.40TC) I 15 CONSTRUCT e P.C.C. M Or CAB.. 44.0 TP N i olo 9i, g (ASPH) 6 14 43 OTP42.90FL 16 CONSTRUCT V WIDE GROVE IN P.C.C. PER DETAIL SHEET 3 - - - - - - 6' C.F.- INSTALL 4' PVC-SOR-35 & CONNECT TO ROOF DRAIN AT 2X MIN. - - (CONCRETE GUTTER) '0 IB CONSTRUCT PRIVATE wm THROUGH CURB PER CITY OF LA OUNTA SID. 1321. 19 INSTALL It X It X t TACTILE STONE PER DETAIL SHEET 3 ALLEYINSTALL CONCRETE BOLLARD PER ARCHS SPECS. -1 -- - - - - - - - - - - - - - - - - - - - - - - CONSTRUCT 6* PC COLORED CONCRETE PAVEMENT OVER S' COMPACTED CAB, CITY of LA GUINTA @ INSTALL 6' PVC SCH 40 DRAIN LINE Plan Set No. GRAPHIC SCALE @ INSTALL 4' CLEAN OUT WITH GRATE MAU 6' CLEM OUT WITH C.I. TRAFFIC UD @ CONSTRUCT 6' BLOCK WALL FINISH FIR ARNS SPECS By SEPERATt PEW IN I L..h - 10 IL VILLAGE USE PERMIT 2005-027 Underground Service Alert BASIS OF BEARINGS: PREPARED UNDER THE SUPERVISION OF: FOR: THE BEARING HEREON ARE BASED UPON THE WEST LINE OF THE SW 1/4 OF SECTION 7, T.6S., R.7E., SEIM, AS 9 ESS CALLE ESTADO LLC DESIGN: DRAFT: SHOWN ON A RECORD OF SURVEY, RS 67/76. RECORDS 0-8-0116 ESSI SHAHANDEH PRECISE GRADING PLAN ESSI CEASARE Call: TOLL FREE OF RIVERSIDE COUNTY, STATE OF CALIFORNIA, BEING ESFANDIAR SHAHANDEH It: C,4... NOO`O6*OTE. RCE NO. 47834 EXP. DATE 12/31/2007 CIVIL ENGINEER CHECK: DATE: BENCHMARK - LOT 10, 11, & 12. BLOCK 9. U.B. 19/75 DESERT CLUB TRACT UNIT 11 LS�.l NOV. 05 1-800 RIV. COUNTY BENCHMARK 10.3-3-76. TOP OF CONCRETE - E NT FILLED I' I.P. ±350' N'LY OF OLD AVE. 52 AND 30' E'LY - 0 PALM DESERT PLAZA ESTADO 227-2600 OF CL OF WAS INGTON AVE.. 6' S -LY OF POWER POLE 0 ��Io 04S.B.M. DWG No. PG103001 0 C R P.E. DAT 45-05 P- 01� Uft 1. ro 0-k M LOCATED IN A PORTION OF THE S.t 1/4 OF S.W. 1/4 OF SECTION 6, t 8 S. It 7 &, B098927 ELEV.-40.11. MQ_ DAM _LML RFVI';[nN-' S OIR OR CITY ENGINEER R_ M (m 3w'III LA QUINTA SHEET 2 OF 3 TWO WORKING DAYS BEFORE YOU DIG I NO. 45W DATE 12/31/2006 1 CITY OF I RIVERSIDE COUNTY FIRE DEPARTMENT SUBJECT TO COMPLIANCE WITH RAP CA E CODES BY TITLE a DATE T= r(�-0 CASE# L A a 0 f3 o iESSOR'S PARCEL# 770.152.010 & 009 ;AL DESCRIPTON 1, 11 & 12 BLK 9 MB 019/0756 DESERT CLUB TR RIVERSIDE, CA VICINITY MAP N*s AVENIDA LA FONDA CONSULTANTS Architecture I Applicant: South West Concepts Contact/Designer : Stephen R. Nieto Lic. No. 523837 G.C. 78-120 Calle Estado, Ste. 206 La Quinta, CA 92253 (760)564-4707 Project Architect: Michael J. Hurst Lic# C10067 Structural Engineer: Summit Structural Engineering Contact Person: Benjamin Herbst Lic. No. C054193 exp, 12/31/05 106 E. Park Street, Ste. #206 McCall, ID 83638 (208) 634-8148 (866) 862-8148 Toll Free Owner: Calle Estado, LLC Contact: Dave Brudvik 52-050 Industrial Way Coachella, CA 92236 (760)391-5574 Electrical Consultants: Hegge Electrical Contractors, Inc. Contact Person: Jim Hegge Lic, No. 748171 83-852 Avenue 45 Indio, CA 92201 (760)775-4855 (760) 775-4854 fax Plumbing Consultants: South West Plumbing Contact Person: Jeff May H LU UJ Z N DG LU 0 (M) I F0 -PO 6l;s DE COUNTY PARTMENT ?0VED- :OMPLIANCE WITH E CODES TITLE CASE# ARCEL# IPTON DESERT CLUB TR CONSULTANTS Architecture I Applicant: Owner: South West Concepts Calle Estado, LLC Contact/Designer Stephen R. Nieto Contact: Dave Brudvik Lic. No. 523837 G.C. 52-050 Industrial Way 78-120 Calle Estado, Ste. 206 Coachella, CA 92236 Uommercial For Calle Estado, 78-115 Calle Estado La Quinta, Califoi (760) 391-5574 Date/ Descripi Number Plan Check Correctio 2 Plan Check Correctlo APlan Check Correctio 4 Change of Assembiie 5 Fire Dept. Correction: (o Change of Assembile 9 Added Securlty Gate Aa Misc. Revisions to BI Drawn BI Approved Project Man 1111101111 LL LL 3 U C C. 4 Ji.n # v% City of La Quinta Building'81 Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking.'Sheet Per-�;1O. Project Address: 7gj—�� y e, e Owner's Name: e A. P. Number:""� Address: '-72,-650 Legal Description: WAY Contractor: p �Vl) �! City, ST, Zip: ,,, (A 922 Telephone: 0 ( 1 Address: -42--Lu Oftn 4 Cj Project Description: '1 City, ST, ,Zip: fpALM � 1 � W1 1&6Yui Telephone: 7/ —w"C'., State Lic. # : City Lic. #: Arch., Engr., Designer: Address: 'LOQ b City, ST, Zip: q 2-1�'.`3 Telephone: Construction Type: Occupancy: Nl State Lic. #: C 160 6-7 Name of Contact Person: �.� Project type (circle one): New Add'n CsEiepair Demo Sq. Ft.: #S tories: # Units: Telephone # of Contact Person: lao S '76^1 Estimated Value of Project: ` APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted iqj Item Amount Structural Calcs. Reviewed, ready for corrections Ian Check Deposit Truss Cates. l Called Contact Person Plan Check Balance Energy Calcs. Plans picked up' Construction Flood plain plan Plans resubmitted 1 Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S:M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review,.ready for correctiooVis ue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees `v "[%A*: poof TO Totluja