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0312-167 (COMB)LICENSED CONTRACTOR DECLARATION I he:sby 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 ,i rofessionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 33236'7 C:29 33 03/:i 1,d2C �Date�171 Y2 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. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier ZFNITH Policy No. ;7048431202 (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 forthwith comply with those provisions. Date:,/- J .o? Applicant ..!sem'' .A ` - !A•f'-� Warning: Failure to secure Workers Compensation overage 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 propertyfor //for inspection purposes. Signature (Owner/Agent) 5 j� r- ' r�Date - BUILDING PERMIT PERMIT lli7.l 2-,5 67 M 03412-167 DATE OV13/20C VALUATION $2011 E1 00 LOT 64 TRACT 27728 JOB SITE ADDRESS • 9-72O `�'03A IAA IO LAM, 76454450)2, ` OWNER "' CONTRACTOR/DESIGNER/EN (NEER. - - Zvi :fit . W.M).:E. WKE LUJAN MASONRY 6853 iRANC I 1.0 VALF-24CA1A RD PID DOX "' 6 RANO; O 5.WZA.FE CA 92067 PAL? DUERT CA 92261 `, f USE OF PERMIT C:0MP.R4ATION 01zADINO I S12`1111 WAU.Z (19.3' HT x 94 LF CMBP, , YHTx133 LF CkRDN WALL , SOUTH PL,, 6-8'HT%230LF RET @ 14ORTH PL 6'HT%l16 V . ?-'V,T tri, WEST P1, ID -13' HT302 LF,7.9HG1-A191L1e 0 EAST PL) 6 FT. WAILA, MOD IX MflifiNTED COST OF C:ONS"MUC"TI.ON 20ACYN).00 PJAN CHEM FEE 101 a000 459 316 $121.26 CONSTRUCTION YES 101-0OC?-411;-000 $216.00 GRADING FEE 101.000.4"2'3.000 $144.00 STRONG M-OT104NI F E = RESID 101 000-241-1100 Irl JB-TaLAL Ct?fib'S•I'f,2'!J'C�ii OX KND P3:.AW OBEICK $481.76 MOS PRE -PATID it709 $0,00 TOTAY PYHK A ",E S DLII, NOW , MI MS RECEIPT DATE BY( -7 DATE FINALEDINSPECTOR / / 7J 4___-- - INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing 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 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 F Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 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 COMME TS: S,vr:J1, \ 1�, Z^I� e,_,, � �/ "' b �'` —1 ► :L �� - Q f/aWS 3z; 0,p/' .87tr A -- /we y r+' AA - i„;, s�s'� ss,r, q'=* '38 438 j38 ��~r "sf[�if / lJ-.�/�"� BII ZZ` ys-A�,2�� l� �11-14'Utility 3 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.1/31oy Smoke Detectors Temp. Use of Power Final Notice (Perm)yie A X B'° City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # `•-L, I �% Project Address: �-{��0 '453 O=%-ncr's Name: A. P. Number: �Co�CJ--� C7 4-(:--z5 •--oo/c-A- Legal Description: �O 4 �' ZJ� Z Contractor: t' — �_ Address: Cob r�!e Cin•. ST, Zip: 1 I r= ' .-' -c• FTdcphone: 817�JJ . -. -K- -Z; _ <��`f�•: Address:, SILL( Address: —),�U kms+ Citi", ST, Zip: r--'4, �� ( Project Description: jam, � I ,�` r � 1.1 v�`d•-1i IFp�t. < �2, �s � o Telephone: State Lic. # : �ja`� �� City Lic. #: Arch., Engr., Designer: G�bt� !kC .► -" 0(4 Address:' /;;L — l2'�> (�¢�/G. ,��d City. ST. Zip: ��y`^ t./" ZZc"o Telephone., c4 "�•':'�- State Lic. #:- = .- �, Construction Type: V Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: �CpO —'` 0 stimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES aPlan Sets C'*101 f ut1E Plan Check submitted L Item Amount Structural CalcS. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review. ready for correctionsissue / /� p Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3' Review, ready for correctionsCssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue I /3 School Fees 1.1 ,-� //..�-1� 1- , ., 11 Al- / T CarAnl 77 /' Total Permit Fees /,- y..w..r/ i ai• F14wJ1C aL v i•- — •• - . v.- -- U1 v..7 lew'GU ` J 1 yu,}t� Vie/✓ - ��E ��z% SPEC 14 NSPECTION DAILY REPORT TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED''�7::� SAMPLE INFORMATION DATE p� TICKET NUMBER MIX NUMBER SAMPLED AIR TEMP STEMPE PHYSICAL ADDRESSar,, PERMIT NUMBER n - JOB NAMETi OAF STRUCTURE E I� ARCHITECT ENGINEER 6kc-r-A-S,-',Z-Q P c GENERALCONTRiACTOR SUBCONTRACTOR s , DESCRIPTION OF WORK INSPECTED 1 T lUilla 1/ 3.3 w s✓ -ro-acemez\- I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED. AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATKNIS & APPLICABLE BUILDING LAWS. I CTORS SIGNATURE INSPE97ORS CERTIFICATION AGENCY AND NUMBER i SAMPLE INFORMATION SUPPLIER TICKET NUMBER MIX NUMBER SAMPLED AIR TEMP STEMPE SLUMP TIME IN MIXER LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED. AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATKNIS & APPLICABLE BUILDING LAWS. I CTORS SIGNATURE INSPE97ORS CERTIFICATION AGENCY AND NUMBER i TANDY'S " INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 SPECIAL INSPECTION DAILY REPORT OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED SAMPLE INFORMATION SUPPLIER INAA-sosJ2Li - rzz AIR TEMP SAMPLE SAMPLED TEMP M-'-8-A PHYSICAL ADDRESS PERMIT NUMBER c 43 \'q�. - -1 •OB NAME OF STRUCTURE LOCATION ARCHITECT ENGINEER WELDING INFORMATION GENERAL CONTRACTOR SUB CONTRACTOR I. DESCRIPTION OF WORK INSPECTED e51•�. I HEREBY CERTIFY THAT 1 HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS 8 APPLICABLE BUILDING LAWS. CC: C SIGNATURE Tc.ya.a.l cc• 104oy3Al— � INS TORS CERTIFICATION AGENCY AND NUMBER SAMPLE INFORMATION SUPPLIER TICKET NUMBER MIX NUMBER AIR TEMP SAMPLE SAMPLED TEMP SLUMP TIME IN MIXER LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER zz I HEREBY CERTIFY THAT 1 HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS 8 APPLICABLE BUILDING LAWS. CC: C SIGNATURE Tc.ya.a.l cc• 104oy3Al— � INS TORS CERTIFICATION AGENCY AND NUMBER TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255 SPECIAL INSPECTION DAILY REPORT OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED 1Z" SAMPLE INFORMATION DATE PHYSICAL ADDRESS AIR TEMP SAMPLE SLUMP TIME IN MIXER TEMP PERMIT NUMBER LOCATION Q 31'1— JOB NAME nn -- TYPE OF STRUCTURE ARCHITECT ENGINEER e, a01 WELDERS NAME GENERAL CONTRACTOR SUBCONTRACTOR DESCRIPTION OF WORK INSPECTED I HEREBY CERTIFY THAT 1 HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. CC: - -:� IWAMTORS SIONATURE INSPECTORS CERTIFICATION AGENCY AND NUMBER SAMPLE INFORMATION SUPPUER TICKET NUMBER MIX NUMBER TIME SAMPLED AIR TEMP SAMPLE SLUMP TIME IN MIXER TEMP LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT 1 HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. CC: - -:� IWAMTORS SIONATURE INSPECTORS CERTIFICATION AGENCY AND NUMBER a SPECIAL INSPECTION DAILY REPORT TAN DiY'S INSPECTION INC. " -. " PO BOX 13766 Ir PALM DESERT, CA 92255.3766 OFFICE/FAX-909.769.9717 • . PAGER - 760.776.3339 DESCRIPTION OF WORK INSPECTED 5/18 - ARRIVED AT SITE 2ND LIFT OF WALL ALREADY CONSTRUCTED TO 912". APPROX. 5/18 - OBSERVED PLACEMENT OF HORIZONTAL REBAR IN 3RD LIFT OF SOUTH PROPERTY LINE CMU RETAINING WALL. HORIZONTAL REBAR PLACEMENT APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. VERTICAL REBAR DROPPED INTO WALL AFTER COMPLETION. REF. DET. 26/A1 .2 ._.._.._.._.._.._........................................ ._.._.._..� NOTE #1 . ONLY POST HORIZONTAL REBAR PLACEMENT INSPECTION REQUESTED. NO SAMPLING AT THIS TIME. 0 .NOTE #2:' NO VERTICAL REBAR POSITIONERS INSTALLED. VERTICAL REBAR LOOSE IN WALL AT THIS ITIME MASONRY CONTRACTOR STATES WILL POSITION REBAR WHILE GROUTIN ................................................... ----- ........ I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK INSPECTORS SIG TU TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS.cc: Job Site INSPECTORS CERTIFICATION AGENCY AND NUMBER t i y. 4 u- I t TYPE OF INSPECTION PERFORMED 7DATE REBAR 18 -May -04 PHYSICAL ADDRESS PERMIT NUMBER i 79720 Tom FAZIO LN. So. - LA QUINTA 0312-067 JOB NAME TYPE OF STRUCTURE WADE RESIDENCE @ THE QUARRY SFD ARCHITECT ENGINEER 'McFADDEN & MCINTOSH MCFADDEN & MCINTOSH GENERAL CONTRACTOR SUB CONTRACTOR KEN SMALLY MIKE LUJAN MASONRY DESCRIPTION OF WORK INSPECTED 5/18 - ARRIVED AT SITE 2ND LIFT OF WALL ALREADY CONSTRUCTED TO 912". APPROX. 5/18 - OBSERVED PLACEMENT OF HORIZONTAL REBAR IN 3RD LIFT OF SOUTH PROPERTY LINE CMU RETAINING WALL. HORIZONTAL REBAR PLACEMENT APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. VERTICAL REBAR DROPPED INTO WALL AFTER COMPLETION. REF. DET. 26/A1 .2 ._.._.._.._.._.._........................................ ._.._.._..� NOTE #1 . ONLY POST HORIZONTAL REBAR PLACEMENT INSPECTION REQUESTED. NO SAMPLING AT THIS TIME. 0 .NOTE #2:' NO VERTICAL REBAR POSITIONERS INSTALLED. VERTICAL REBAR LOOSE IN WALL AT THIS ITIME MASONRY CONTRACTOR STATES WILL POSITION REBAR WHILE GROUTIN ................................................... ----- ........ I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK INSPECTORS SIG TU TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS.cc: Job Site INSPECTORS CERTIFICATION AGENCY AND NUMBER t i y. 4 u- I t n TANDY'S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255-3766 OFFICE /FAX 909 769 97 1 7 SPECIAL INSPECTION DAILY REPORT PAGER 760.776:3339 TYPE OF INSPECTION PERFORMED DATE REBAR I 12 -May -04 PHYSICAL ADDRESS PERMIT NUMBER A -797-2b TOM FAZIO LN. SO. - LA QUINTA 0312-067. JOB''NAME TYPE OF STRUCTURE WADE RESIDENCE @ THE QUARRY SFD ARCHITECT ENGINEER MCFADDEN & MCINTOSH MCFADDEN &'MCINTOSH GENERAL CONTRACTOR SUB CONTRACTOR KEN SMALLY MIKE LUJAN MASONRY OF WORK 15/12 - ARRIVED AT SITE 2ND LIFT OF WALL ALREADY CONSTRUCTED TO 9'2". APPROX. 5/12 - OBSERVED PLACEMENT OF HORIZONTAL REBAR IN 2ND LIFT OF SOUTH PROPERTY LINE CMU RETAINING WALL. HORIZONTAL REBAR PLACEMENT APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. VERTICAL REBAR DROPPED INTO WALL AFTER COMPLETION. REF. DET. 26/A1 .2 ��..�..�..�..7--�-- '-- ■■..................................... ■NOTE # 1 : ONLY POST HORIZONTAL"REBAR PLACEMENT INSPECTION REQUESTED. NO (SAMPLING AT THIS TIME. . e iNOTE #2: NO VERTICAL REBAR POSITIONERS INSTALLED. VERTICAL REBAR LOOSE IN WALL AT THIS ' .TIME. MASONRY CONTRACTOR STATES WILL POSITION REBAR WHILE GROUTING. .... . ........................................................... I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO INSPECTORS SIGNATUR COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. cc: Job site INSPECTORS CERTIFICATION AGENCY AND NUMBER r SPECIAL INSPECTION DAILY REPORT TANDY"S INSPECTION INC. PO BOX 13766 PALM DESERT, CA 92255-3766 OFFICE/FAX - 909.769.9717 PAGER - 760.776.3339 TYPE:OF INSPECTION PERFORMED DATE REBAR I 6 -May -04 PHYSICALADDRESS PERMIT NUMBER j 79720 TOM FAzio LN. So. - LA QUINTA 0312-067 JOB NAME TYPE OF STRUCTURE WADE RESIDENCE @ THE QUARRY SFD ARCHITECT ENGINEER MCFADDEN & MCINTOSH MCFADDEN & MCINTOSH GENERAL CONTRACTOR SUBCONTRACTOR KEN SMALLY MIKE LUJAN MASONRY I DESCRIPTION OF WORK INSPECTED I 55/6 - ARRIVED AT SITE WALL ALREADY CONSTRUCTED TO 512". 5/6 - OBSERVED PLACEMENT OF REBAR IN 1 ST LIF? OF SOUTH PROPERTY LINE CMU RETAINING WALL. ALL REBAR PLACEMENT APPEARS AS PER APPROVED PLANS UNLESS NOTED BELOW. NO DROP REBAR INSTALLED @ THIS TIME. REF. DET. 26/A 1 .2 ■NOTE # 1: VERTICAL REBAR FROM STEM WALL PLACED WITH 3" TO 3 1/211 CLR. Ca EACH ■ .FACE. PLANS REQUIRE 2" CLR. CMU FACE SHELL THICKNESS VARIES FROM,1 3/4" TO 2 ■ 1 /4". :NOTE #2: ONLY POST REBAR PLACEMENT INSPECTION REQUESTED. NO SAMPLING AT THIS TIME.--.- .............................................................. I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED, WORK, 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. I u3 INSPECTORS SIGNATUR t l (.3 t (tq ' fsT CC: Job site INSPECTORS CERTIFICATION AGENCY AND NUMBER -- JON TAN DY g . 78-194 ELENBROOK CT PALM DESERT, CA 92211 OFFICE 760.772.7192 SPECIAL INSPECTION WEEKLY REPORT FAX 760.772.7193 PAGER 760.776.3338 TYPE OF INSPECTION PERFORMED DATE REBAR 31 -Mar -04 PHYSICAL ADDRESS PERMIT NUMBER 79720 TOM FAZIO LN. S. - LA QUINTA 0312-167 JOB NAME TYPE OF STRUCTURE WADE RES. @ THE QUARRY SFD ARCHITECT ENGINEER MCFADDEN & MCINTOSH GENERAL CONTRACTOR SUB CONTRACTOR S 0-h bei le MIKE LUJAN MASONRY DESCRIPTION OF WORK INSPECTED 3/31 - ARRIVED @ SITE FOUND CMU WALL ALREADY CONSTRUCTED. EXACT LOCATIONS OF DOWELS FROM FOOTING TO WALL NOT MEASURABLE. VERTICAL REBAR DROPPED INTO WALL AFTER WALL COMPLETED. NO REBAR POSITIONERS INSTALLED. WALL IS LOCATED @ SOUTHWEST CORNER OF SFD. REBAR PLACEMENT CHECKED AGAINST DET. 16/A 1.2. REBAR APPEARS AS PER DETAIL 16/A 1 .2 3/31 - AT ALL CORNERS, OPENINGS, & WALL ENDS CODE REQUIRES 2#5 VERTICAL REBAR MINIMUM. CORNERS ONLY HAVE 1 #5 VERTICAL REBAR. CORRECTION OR ENGINEER APPROVAL REQUIRED. NOTE: ONLY POST REBAR PLACEMENT INSPECTION PERFORMED. I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, 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. C.0 INSPECTORS 84t,%TURE ICC 1111326- 0� INSPECTORS CERTIFICATION AGENCY AND NUMBER n TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT, CA 92255.3766 OFFICE / FAX - 951.769.9717 PAGER 760.776.3339 - SPECIAL INSPECTION DAILY I WEEKLY REPORT TYPE OF I �PECTIONERFORMED PERMIT NUMBER DATE PROJECTTADDRESS ,fl (,� Q irk PROJECT NAME ONC�UDE COUNTRY CLUBIBUSINESS PARKMORPORATE CENTER ECT. oval!) ®-mac QuAx '. ARCHITECT ENGINEER GENERAL CONTRACTOR SUB CONTRACTOR n) W (.uJ-AJ-J OkOkkV DESCRIPTION OF WORK INSPECTED D ►.� ve��uu C--rv�3 _ i '—r- O F- M uNYzA UJ. �, l9J • � � �i�' Cc�2�.? UJcvjlE- oo Stcvc� l WELDING INFORMAMON WELDERS NAME CERTIFYING AGENCY NAME AND NUMBER PROCESS AND ELECTRODE SAMPLE INFORMATION SETSAMPLE ID SUPPLIER WATER TIME IN TICKET NUMBER MDCNUMBER AIRTEMP TEMP SLUMP ADDED MIXER LOCATION TAKEN: LOCATION TAKEN: I HEREBY CERT!fSf TWAT 1 HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHE7]ff�. ST MYABILITY 1 HAVE FOUND THIS WORK TO COMPLY WITH ECIF TIONS 8 APPLICABLE BUILDING LAWS. ' ,/INSPECTORS SIGNATURE - � /dc' c , sl/ INSPECTORS CERTIFICATION AGENCY AND NUMBER TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT, CA 92255.3766 OFFICE / FAX - 951.769.9717 PAGER 760.776.3339 SPECIAL INSPECTION DAILY I WEEKLY REPORT TYPE OF INSPECTION PERFORMED y y PERMIT NUMBER DATE PROJECT -ADDRESS PROJECT NAME UNLLUDE CouCLUB/BUSINESS PARK=WORATE CENTER ECT. NAME) . ARCHITECT ENGINEER Nkel'00-1POU iWO �iiq GENERAL CONTRACTOR � Ir=7e } SUB CONTRACTOR I N.A.n L6 L."ft6 ►�tSc�Cr DESCRIPTION OF WORK INSPECTED. WELDIIIG INFORNIATION - WELDERS NAME CERTIFYING AGENCY NAME AND NUMBER PROCESS AND ELECTRODE SAMPLE INFORMATION SET ID SUPPLIER TICKETNUMBER MIXNUMBER AIRTEMP TEMP SLUMP ADDED MIXER -1 SAMPLE WATER TIME IN LOCATION TAKEN: LOCATION TAKEN: ... .... _ I HEREBY C THAT 1 INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE N AND TO E BEST OF ABWTY 1 HAVE FOUND THIS WORK TO COINPLY WITH O , SP IFICATIONS 8 APPLICABLE 9UILDINO LAMS. '• INSPECTORS SIGNATURE INSPECTORS CERTIFICATION AGENCY AND NUMBER - - JON TANDY s 78-194 ELENBROOK CT PALM DESERT, CA 9221 1 OFFICE 760.772.7192 SPECIAL INSPECTION WEEKLY REPORT FAX 760.772.7193 PAGER 760.776.3338 TYPE OF INSPECTION PERFORMED DATE REBAR I I 27 -Feb -04 PHYSICAL ADDRESS PERMIT NUMBER 79720 TOM.FAZIO-LN..S: - LA QUINTA 0312-167 JOB NAME TYPE OF STRUCTURE WADE RES. @ THE QUARRY SFD ARCHITECT JENGINEER GENERAL CONTRACTOR ISUBCONTRACTOR KEN 8MEW �5C1 m jgi.0 MIKE LUJAN MASONRY DESCRIPTION OF WORK INSPECTED 2/23 - ARRIVED @ SITE FOUND CMU WALLS ALREADY CONSTRUCTED. EXACT LOCATIONS OF DOWELS FROM FOOTING TO WALL NOT MEASURABLE. VERTICAL REBAR DROPPED INTO WALL AFTER WALL COMPLETED. NO REBAR POSITIONERS INSTALLED. 2/23 - OBSERVED PLACEMENT OF VISIBLE REBAR IN 2ND LIFT OF NORTH PERIMETER CMU WALL & 1 ST LIFT OF RADIUS RETAINING WALL @ WEST PERIMETER. ALL VISIBLE REBAR APPEARS AS PER APPROVED PLANS AT THIS TIME. 2/27 - OBSERVED PLACEMENT OF REBAR IN TOP SECTION OF RADIUS RETAINING WALL @ WEST PERIMETER. ALL REBAR APPEARS AS PER APPROVED PLANS @ THIS TIME. NO REBAR POSITIONERS NOTE: ONLY POST REBAR PLACEMENT INSPECTION PERFORMED. 1 HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS S APPLICABLE BUILDING LAWS. C.C.. INSPECTORS SIGNATU ICC 1111326- 5 INSPECTORS CERTIFICATION AGENCY AND NUMBER a w REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 44c,, 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT EINFORCED MASONRY ❑ FIRE PROOFING ❑ O OTHER JOB LOCA I N� - - - ..- ,-w_ REPORT SEQUENCE NO. -TYPE OF STRUCTURE - PERMIT N0. % GATE �[ DAY-Qf WEEK MATEAL61. DESCRI TION e - AR TECT INE T HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE ;CONTRACTOR(�SA. SUB CONTRACTOR_ q„C�,-. -1�� / �CsESmc o a r � t ' F S (QJA I,Z . COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV 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. L � SIGN URE OF REGISTERE INSPECTOR Z hi I dw scio7?(7-8�( ATE OF REPORT REGISTER NUMBER • M 9 -C -I d! E D TANDY'S FEB 0 8 2005 INSPECTION INC. I . PO BOX 13766 n: PALM DESERT, CA 92255 SPECIAL INSPECTION DAQ&�&&4FSDEPT. OFFICE/FAX 909.769.9717 PAGER 760.776.3339 TYPE OF INSPECTION PERFORMED SAMPLE INFORMATION SUPPUER TICKET NUMBER MIX NUMBER TIME SAMPLED AIR TEMP STEPPE SLUMP TIME IN MIXER DATE HJ LOCATION PHYSICAL ADDRESS -m L_A PROCESS PERMIT NUMBER 0-312— l(o`7 z — 4AWf _ 'bB NAME OF STRUCTURE ARCHITECT ENGINEER C GENERAL CONTRACTOR SUB CONTRACTOR YV'% O h v'YztV "3u I v�-•S Mi �. W zmt� PYI -AS 6 �i21 DESCRIPTIONOF •• •� _' , �� O +I I I'll ■FO..aaa�� cz 1 sib «>•i�� i��. i s �� r a�au��s� r,�- ��o�.1.r�a�a�LL�J'S1�\4o a =rim 51•ia►, ti I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, 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. CC: PECTORS SIGNATURE INSPECTORS CRTIFICATION AGENCY AND NUMBER SAMPLE INFORMATION SUPPUER TICKET NUMBER MIX NUMBER TIME SAMPLED AIR TEMP STEPPE SLUMP TIME IN MIXER LOCATION WELDING INFORMATION PROCESS WELDERS NAME CERTIFYING AGENCY AND CERTIFICATION NUMBER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, 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. CC: PECTORS SIGNATURE INSPECTORS CRTIFICATION AGENCY AND NUMBER