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0012-125 (RC)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. License # Lic. Class Exp. Date A t1��33t Date - Signature of Contractor J 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 'T: f Si nature 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. ll,am�:) I have and.will maintain workers' compensation insurance, as required by SoGion 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. AM f0kic'No (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- Applicant Warning Failure to secure Workers' Compensation coverage is unlawful and shall.subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in section 3706 of the Labor Code, interest and, attorney's fees. r' IMPORTANT Application is hereby made to the Director of Building ?pet f� for a permit subject to the conditions and restrictions set fn his application. 1. Each person upon whose behalf this application is made & eon at' A) whose request and for whose benefit work is performed under r purst ant to any permit issued as a result of this applicaton agrees to, & stall, ind mnif & hold harmless the City of La Quinta, its officers, agents an J employees.Cin 2. Any permit issued as a result of this application becomes n ill and void if FI work is not commenced within 180 days from date of issu permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. % Signature„(Owner/.Agent)+fir —�+ •� Date,/ 1`1%} BUILDING PERMIT PERMIT# DATE VALUATION LOT 4'�y TRACT . ,..%/ , a /ra�C `� , usn q )-oo JOB SITE APN ADDRESS 76-�t3;�3.�s:MISMA�..:°A]fj°6�.f^� A • '7' 9••7,22-w OWNER CONTRACTOR/DESIGNER/ENGINEER WAS 98033 LA 9j)0M C,.A 92,253 (760p d 77T,4196S3 (:1':160. 6290 USE OF PERMIT .J9Y201JL9Mii TENANT IA31aR0•b''ENIENT PUZ APPRCgVEID P3. Ns � d,�►A(��O • La Do I's tomos' a:�+”' C��.,s;��'l�`°k x�d:",�:E3n :� �;�.,t3�.� oo •['��} t� p- yp y^ Gyyy�p�; g,���y���yr'�'�++�K .C-i"+u&A" iA3+R dA#DAW�INB,MR �A cowallyX00'! 104 P"L.3 l U� 4 d? �f i oClii�J iZl�a, �S► P1 CHECK ME Moe ����F�gLynD/�a::§��,(�?SI'i'g :�S • ,�y . 8600,00, qui;gi�,l/.i'3di�+,{$yagTni(y yr, 59 SC HF?LYY�4:A.1.�7.'.W y SiMt "Vi�l!'�•PA+.i"ut�� ¢1.4�.JL 91ACTRUC AL M SUNa PL:.f:msitio I ii . ; $295.00 S T3v?.St46 MOTION f jR�. -� COMM 100-0004A14M MIN ORA- iINO M, R 0; .,0010.42:3 -000 $X00 x :tea - COW 701 -000455-000 S7.5O.EO i 1 4 2001 w 0Apyy /,r ffy qd) a k.%l`S f k��P�iW WMES 4600,00OF LA QUINTA ONCE DEPT A) Ti3LFERW.r 11`=S ]AW NOW $200.14 Y RECEIPT DATE//y / BY j DATE FINALED INSPECTOR 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 Sr 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 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 Server Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS:, 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 Final Utility Notice (Perm) FIV :yam. r: �;_ _Y. +.���µ .�+ � NI �..�, �•��_� ��Y fiL�. � �..7i .}ery•+ �"t•1-Zt..w'+..-r�i..'.+s.+ti-r.�-..-'�.�.::.�;,.+s,...�V's„i .a,...-+r:'i.�j..,,-G3Jy„__2 ..» 0 o f�'�itrCv BOX 1504 Building _ 78-495 CALLE TAMPICO Address � �"� AVeN I L),A L-A —F.-)Nf)A LA QUINTA, CALIFORNIA 92253 Owner 'N, Mailing Address >GtG1 City KInKLj INP Contractor Address i State Lic. & Classif. PR 0 M :y 7M L.A W Zip 0�o�3 Zip N . E. . Tel. (14as -.-4 � J Lic. q Arcn., tngr., Designer '1 ;11i.1~'-i+lj`! i 'ASsccc (,c+-trr,5 Address Tel. C & '�C- C GND AUENUC ,16 3,3U, 0.0' City Zip State 4, ni.c �j EGA¢ Lic. If C I ' LICENSED CONTRACTOR'S DECLA 9ATION 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. i I OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any cty 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 statemem 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 axempt 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 hundrec dollars ($500). 1-J 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.forsale. (Sec. 7044, Buisness and Professions Code: The. Contractor's License Law does not apps✓ to an owner of property who builds or improves, thereon and who does such; work himself Dr through his own employees, provided that such improvements are not intended or offered fcr sale. If, however; the building orimprovement is sold within one year of completion, the owaer-builder will have the burden of proving that he did not build or improve for the purpose of sale.) 1'1 I, as owner of the property, am exclusively contracting wi-h licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Coda: 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 Contractcr's License Law.) i7 I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLAMATION 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 (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FRJM WORKERS' COMPENSATION INSUR4NCE (This section need not be completed it the permit is for one Pundred dollars ($100) valuation or less.) I certify that in the performance of lhg work. for which this permit is issued, I shall not employ any person in any manner so as to become subject b the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the La.)Or 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 it 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 herebyauthorize representatives -of this city 10 enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip __- Z. APPLICATION ONLY, BUILDING: TYPE'CONST. N OCC. GRP. A A.P. Number -+d i a:2. - oo j " CJ ,Legal Description = CLAVE r\ e:Htt.T ( A 0 • C).) Project Description "CC NLA I rtLNZ' OUB. ME,.t iT CIE AN EAMANS Sq. Ft. 2�� No. 7, No. Dw. Size Stories Units New ❑ Add O Alter LTJ' Repair O Demolition R'_ Estimated Valuation PERMIT AMOUNT • 1 Plan Chk. Dep. 6rC) ap Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure t t X }R Kr TOTAL _ REMARKS WON �y �' P, 'I A -2r,, ZONE: BY: ✓I Y llM'e -1 Minimum Setback Distances: Front Setback from Center Line 4 Rear Setback from Rear Prop. Line f' Side Street Setback from Center Line; Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validatio WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION City of La Quinta Developers Project Approval Form Prior to the issuance of Building Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form to the Building and Safety Department orly after approval. Contact applicant for resolution of conditions preventing or delaying approval. Project: 78-085 Avenida La Fonda (see attached plans) Applicant Contact: Fortune Properties, LLC 425-827-1977 Application/Circuladon Date: Community Development Department Christine Di Iorio, Planning Manager Public Works. DepartmentOz- teve.Speer, Senior Ligineer Building and Safety Department 12/13/0 Date Date iZ i o0 Date Greg Butler, Building: and Safety Department Manager Date Health Department Date Fire Department Date Schools Fees Paid _ Date 4 City of La 'uinta Developers Project Approval Form 470vxv :11 Prior to the issuance ,of Building Permits for the project listed below, the following Departmental clearances must be obtained. Please return this form to the Building and Safety Department onlyafter ap rn oval. Contact applicant for resolution of conditions preventing or delaying approval. Project: 78-085 Avenida La Fonda (see attached plans) Applicant Contact: Fortune Properties, LLC 425-827-1977 Application % Circulattion ate: 12/13/00 Coip munity Develop�}In epattment Date / Christine Di orio, Pla-ini g Nfanager Date Public Works Department Steve Speer, Senior Engineer Date Building and Safety Department Greg Butler, Building and Safety Department Manager Date Health Department Fire Department Schools Fees Paid Date Date Date 4h 2C'•'75o� Atzrl La fmAD.�, P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 September 26, 2001 Mr. Michael Allen, Project Manager California Infrastructure, Inc. 78-080 Calle Estado ,Suite 203 La Quinta, CA. 92253 (760) 777-7000 (TDD) (760) 777-1227 Subject: Assessment District 2000-1, Project 98-19 Area A -Village Commercial Desert Sage, VUP 2001-006, (Meeting of September 18, 2001) Gentlemen: With respect to your question regarding the installation of sidewalk for the Desert Sage, I offer the following; upon further research of .the conditions associated to your encroachment permit and Village Use Permit 2001-006 I can find no requirement for your development to provide sidewalk improvements. As to the reason why. the City provided sidewalks on Calle Estado but not to the same extent on Avenida La Fonda, specifically in front of your property, the reason is two -fold; 1) The design plans for Assessment District 2000-1 were completed in August of 2000, your Village Use Permit was not issued until February of 2001 and your Encroachment Permit was not issued until July 2001. Prior to that time as far as the City was aware your site was an abandoned or vacant building. 2)Sidewalks previously existed on Calle Estado, they were replaced with pavers to coincide with the City's other hardscape improvements. Furthermore, I checked with the Building & Safety Department (Mr. Greg Butler), and they stated there is no requirement for your development to provide handicap access to your facility from the public parking on La Fonda.in order the obtain a Certificate of Occupancy, so long as you have provided handicap access to your building from your on-site parking lot. As I stated in our meeting of September 18, 2001, the City currently has a project listed in the five- year Capital Improvement Plan to enhance Avenida La Fonda in the same manner as Calle Estado. This project is currently scheduled in the 2002/2003 fiscal year. Additionally, the assessments against your clients property are only for sewer improvements, the current street improvements and proposed future improvements are funded through the City's Redevelopment Agency which there is no assessment for. T:\PWDEF"ROJECM8Ncts\9819PhVIUedm\Cel Inf IneSageRst092501.wpd SO Mr. Michael Allen, Proj. Mgr. California Infrastructure, Inc. Page 2 September 26, 2001 Thank you for the opportunity to respond to your concerns and I hope the answers I've provided will satisfy your needs. Please don't hesitate to contact me again should you have any additional questions regarding Capital Improvements within the City. Sincerely, 1 . to. M. Freeland Senior Engineer JMF/jf Cc: Chris A. Vogt, Public Works Director/City Engineer Steve Speer, Senior Engineer James_Lindsey„Assistant Engineer H 'Greg Butler, Building.& -54fety Managei Tom Berg, Berg C.M. T Project'File 98-19 A&B, Prototypical Street T.\PWDEF"ROJEMS\98Ncts\9819PhVNed=\Cel Inf IncSageRst092501.wpd P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 October 5, 2001 Mr. Larry Bojkovsky� Cove Electric Inc. 77-824 Wildcat Drive Palm Desert, CA 92211 Subject: Lighting for Desert SagerRestaurant_(_VUP 2001-006) Dear Mr. Bojkovsky, (760) 777-7000 (TDD) (760) 777-1227 The Community Development Department has approved your request to allow a final inspection from our department of the.Desert-Sage-r_estau.rant with the understanding that the parking lot light standards may not be installed by the time of inspection. This is because they are expected to be delivered the first week of November and the final inspection is expected to be before that time. The lighting will be installed immediately upon delivery. If you have any questions, please contact me at 760-777-7064. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner c: Building and Safety Department Jerry Herman, Community Development Director Christine di lorio, Planning Manager California Infrastructure, Inc. P:\STAN\Itr desert sage cove elec.wpd -Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella ❖ > Desert Hot Springs Indian Wells .;. Indio Lake Elsinore La Quints Moreno Valley Palm Desert 4. Perris 4. Rancho Mirage 4. San Jacinto .;. t Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Tom Mullen, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT s In cooperation with the California Department of Forestry and Fire Protection 210 est San Jacinto Avenue • Pems, Ca ifomia 92570 • 909 940-6900 • Fax (909) 94G-6910 October 17, 2001 City of La Quinta Building Department - Re: Fire and Life Safety Clearance The Riverside County Fire Department is granting a fire and life safety clearance for the group A3 occupancy known as Desert Sage located at 78-085 Avd. La Fonda. Respectfully, FRANK KAWASAKI gire Department Planner By Walter Brandes Fire Safety Specialist H:1PE2WPDATALLAOUINTAIPROJECTS INALStLA0A1-BLDG-01 B.doc EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111.2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 OCT=18-2001" 09:28 ENVIRONMENTAL HEALTH 1 760 863 8303 P.02 - COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ' ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE /O SUBJECT PERMIT NO. ADDRESS REMARKS: INSPECTOR r ' \ C l 1 11`Q��. d. Wag mt�=. z' DC. A tq(380(°% DE"AW 15 (Rev M) DIstrlbutlon: WHITE—Office; CANARY—Owner; PINK--ONIoo TOTAL P.02 COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # r t, �� DATE SUBJECT `S r� J r 4 PERMIT NO. r ADDRESS %� Qc .� t -•t. L` E`ra 1 \i�^, `. 03, INSPECTOR, REMARKS: (Al iv its � o � 7`j�� �/,q (v �.t , c .�. c, 0 (--ri,- c� ,` GAJ . `j i «J >n��-�c �� e�(A J� r,.,r.rr roe �r -��r il.♦1:n,, r Y 1 / C\^ -i ^ � `: f.. � C- :. it { f' .. �'� r< ,,, � r � . L. � . �Z �`, c 1_ r+...r C1 1.•, S� C., n DEH -SAN -118 (Rev 2/96) Distribution: WHITE—Office; CANARY—Owner; PINK—Office DIST. # COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH Plan Check # DBA Plans Submitted by-LLi Owner Is PLAN CORRECTION Address c- ICI. Date -2 ' Phone � Address Phone t `� The plans are now approved subject to the conditions listed below and the attached compliance sheet. r 1 ( < I r J// 1 J Y f ( •r{ `li.+ C /4 L it (V, t �.. • r f"f I {• - r , t ` � � •. r a- e r yt�! �r r : �'•I• CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection whenc construction is approxr- imately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be ..made at least five (5) working days m advance. _ �A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. r f -- PLANS CHECKED BY Phone I acknowledge the corrections noted hereina d as indicated on the plans and agree to incorporate them during construction: Signaturee�-�5�' .� Company N f 9 f\ <112, \, K IZII� C Date D DOH-SAN-178(Rev1/92) W -OFFICE — Y -APPLICANT — P -BLDG. DEPT. COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY AssessoR's PARCEL NUMBER I DEPARTMENT OF ENVIRONMENTAL HEALTH '\ (.1 — Z_ APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies:of,a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. r LMS # a Agent, Contractor, Contact Person Address City State Zip Telephone,z_.)l1 k Owner Address City State Zip Telephone Q f� 1 {kr r 1. �.,,i 1.. '• t .V � OJob Property Address City r Zip 0 La To ak U Lot Size Water Agency/Well Use of Permit, P/P, SUP, PUP, etc. Legal Description DBA LU Dwelling, MH Site Prep., etc.,,'\ Signature ofpplieant F to J FOR OFFICE USE ONLY CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the.fee.,paid. Resubmittals later than 90 days. after date noted below may•�equ'i e_repayment'of fees. (J Other Staff Specialist Lot Inspection Required to Holding Tank A reem• e�ntsTComple e Z 0 ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid F_' �.,,. LU II WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials U) (Attach for DOH -SAN -007, Santa Ana Region Only) {; Remarks: I❑Lsoils Percolation Report Required Cl Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date I _ No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease%Sand-( ❑ Holding Tank ❑ Replacement Bedrooms, Fixture Units Grease Intcp/L"I RM - p _ ❑ New ❑ Addition Q Existing "``{ Connect to Sewer Gal. `Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bdd sq. ft. Bottom Area Ft. ft. rock/ sq. ft. running ft. Install Lines) ft. long ft. wide of Botton'i Area Inlet Tested Depth ❑ N/A with min. inches rock below drainlines U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (61) Seepage Pit Maximum Other: O Applicable pp . Total Depth Allowable W N/A Overburden Factor [15' ❑ 6' TD Depth Well Review Approved; Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: REMARKS: r-r�Q i n r„�,c�c:+ , ,, , , <. s� s..tfi ,' ,, ,Ai I- t ; n>4> r P"Q r n,, cl *� i ' r.., . k'r+. � � f �, � '�� f •' f'� .- .o. �� r` r. r t ,� r. . _., t f't � r p ��� C . ( ' I' r �C 1,, • t � .E� • `� , This application it APPROVED/DENIED for the category checked in SECTION B above, regarding the design of a disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION rte. C above. A building permit is necessary for the installation of the above- Revenue Code �. l Fee $ designed system. No construction is permitted in the required reserved 100% expansion area. ' Check #” (1) Septic Tank must be 100' minimum from any wells. 0 (2) Leach lines be 100' from including . r i7 Z must minimum any wells, expansion Date l� Initial V O area. � C yL ^� � "fir �. � �• (~j (3) Sewer lines must be 50' minimum from any wells. LU !?C/' �10 U) (4) Seepage pits must be 150' minimum from any�wells,-including expansion RIVERSIDE: 909-955-3980' area. INDIO: 760-863-7000 Signature \� { SOUTHWEST: 909-600-6180 --�_q—C-), Date utn-bAN-Ize tKev iumu) ulstrlDunon: WHI I t—Ottice rue; YtLLOW—Applicant; PINK—Bldg. Dept.; GOLDENROD—Plans/Records U O U Ln c oaL z Ln a w LO . w EL N m N N L cr h 1 AG,4?7:fj' June 28, 2001 Art Gautreau, Inc. General Contracting "Quality Without Compromise" Greg Butler, Building & Safety Department City of La Quinta P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253-1504 Dear Mr. Butler: This letter is to inform you that Art Gautreau, Inc. is assuming the role of general contractor for the remainder of the Desert Sage Restaurant project, located at 78085 Avenida La Fonda 'in La Quinta. The original building permit, #0012425, was pulled by California Infrastructure, ' Inc. Please make note of this change in your files, and be advised that our superintendent for the Desert Sage job, Brian Clarke, will be communicating with your department for the remainder of the project. If you have any questions, concerns, or need additional information, feel free to contact our office directly. Thank you. ' Sincerely, Andrew Gautreau Business Manager Art Gautreau, Inc. 1 " `t. i C.L i i, 4 +;� ��el 7;-.�.1{% t�'' ,. ``!.. �s. •�o :�: � r' s ! '. .. ' ',. r. 8210 Katella Avenue, Suite I Stanton, CA 90680 Lic. #370609 Phone: (714) 9348066 FAX: (714) 9348067 Ave 1A favYDA P.O. Box 1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227 October. 5, 2001 Mr. John Small (Rainier Industries, Ltd) U.S. Awnings 1773 W. Lincoln, #C Anaheim, Calif: 92801 SUBJECT: Sign Application 2001-578 for Desert Sage Restaurant 4 Dear Mr. Small, The Community Development Department has approved your request for a permanent business identification sign on the entry awning at the Desert Sage Restaurant located at 78-085 Avenida La Fonda. The approval is subject to following condition: 1. This sign permit is for one permanent 10" by 43" non -illuminated business identification sign reading "Desert Sage" mounted on the entry awning. Sign design is per the approved plan attached and on file in the Community Development Department. Should you have any questions, please call me at (760) 777-7064 Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner enclosure c: "-, Greg Butler, Building'and Safety Department p:\stan\Itr app sa 2001-57.8.wpd �� Ty P r A.W N I NCa Bronze Paint 144d S/ AWh1A oV �ir� 43t1 Lettering on oval metal backplate. 2 Backplate painted to match awning. Approved by Ali 8e= 17 Planning Commission O City Council ---- �@t Community Dev. Dept. --- Initials -- -- Case No. 6A 'LOO 1-S-71 _I Exhibit With Condi ons 01 .. (I P.O. Box 1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 July 5, 2001 Mr. Dean Palumbo for Desert Sage. The Keith Companies 41-865 Boardwalk, Suite 101 Palm Desert, Calif. 92211 SUBJECT: Parcel Merger 2001-384 on Avenida La Fonda Dear Mr. Palumbo, The request for Parcel Merger 2001-384 to merge four adjacent lots on Avenida La Fonda for the Desert Sage restaurant has been approved. Please have the enclosed Grant Deed and approved exhibits "A" and "B" for this parcel merger recorded with the Riverside County Recorder's Office and give us a copy of the recorded documents for our files. Until the recorded copies are received, our parcel merger file is not final. Attached is a letter addressed to the County Recorder for you to present to them indicating our approval. of this Parcel Merger. Should you have any questions, please call me at (760) 777-7064. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner sbs enclosures c: Steve Fortun, Desert Sage G.r_egButler�B,uildng' andSaf_etysDepartme.nt James Lindsey, Engineering Department p:\STAN\Itr app pm 2001-384 rJ .vl• / NFi 7 S��:tiH P.O. Box 1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 July 5, 2001 County Recorder County of Riverside Post Office Box 751 Riverside, Calif. 92502 SUBJECT: Recording of Parcel Merger 2001-384 for Mr. Steve Fortun Dear Sir: The City of La Quinta has approved the above noted Parcel Merger on Avenida La Fonda in La Quinta..Please record the grant deed as presented by Mr. Fortun, or his representative. Should you have any questions, please call me at (760) 777-7064. Very truly yours, JERRY HERMAN COMMUNITY DEVELOPMENT DIRECTOR STAN B. SAWA Principal Planner sbs enclosures c: Mr. Steve Fortun, Desert Sage p:STAN\\Itr co rec pm 2001 386,wpd tY Recording requested by Fortun Properties LLC 5800 125' Lane N.E. Kirkland, WA 98033. and when recorded, please return this deed and tax statements to: Fortun Properties LLC 5800 125" Lane N.E. Kirkland, WA 98033 For recorder's use only GRANT DEED [X] This transfer is exempt from the documentary transfer tax (parcel merger). [ ] The documentary transfer tax is $ and is computed on: [ ] the full value of the interest in the property conveyed [ ] the full value less the value of liens of encumbrances remaining at the time of sale The property is located in an [ ] unincorporated area. [X] in the city of La Quinta TRA: 020-016 APN: 770-122-003-8; 770-112-003-9 For a valuable consideration, receipt of which is hereby acknowledged, FORTUN PROPERTIES LLC, a Washington limited liability company, hereby grants to FORTUN PROPERTIES LLC, a Washington limited liability company, the following real property in the City of La Quinta, County of Riverside, State of California: Lots 5, 6, 7 and 8 of DESERT CLUB TRACT UNIT 4, in the City of La Quinta, County of Riverside, State of California, as shown by map on file in Book 21, Page 60 of Maps, in the office of the County Recorder of said county. Date: (1, IQ / This Grant Deed reflects Parcel Merger 2001-384 as approved by the City of La Quinta. By:'�5i! 4r,7,�' Date: 7-5-01 338607.1/799R01 !/020296.00002 FORTUN PROPERTIES LLC, a Washington limited liability company By: KGF Holdings LLC, a Washington limited liability company, its Manager By. 1 Kevin G. Fortun Its: Manager �l STATE OF WASHINGTON ) ss: COUNTY OF KING ) I certify that I know or have. satisfactory evidence that Kevin G. Fortun is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute this instrument and acknowledged it as the Manager of KGF Holdings LLC, a Washington limited liability company, the Manager of Fortun Properties LLC, a Washington limited liability company, to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument. DATED: t;�.�1�p/ , 2001. e t4 0T.4 (Use this space for notarial stamp/seal) 338607.1 /799R01 !/020296.00002 . . Injo Print Name: NOTARY PUBLIC in and for the State of Washington, residing at �Qp�/rrn_n�/, k N My Appointment expires: \-bi10 /t) 2 PARCEL "A" PARCEL MERGER 2001-384 EXHIBIT "A" LEGAL DESCRIPTION - LOTS 5 THROUGH 8, INCLUSIVE, OF DESERT CLUB TRACT UNIT NO. 4, IN THE CITY OF LA QUINTA, FILED IN BOOK 21 OF MAPS, PAGE 60, RECORDS OF RIVERSIDE COUNTY, STATE OF CALIFORNIA. SAID PARCEL CONTAINS 10,000 SQUARE FEET, 0.23 ACRES, MORE OR LESS, AND AS SHOWN ON ATTACHED EXHIBIT `B". SUBJECT TO ALL RIGHTS, RIGHTS-OF-WAY, CONVENANTS AND EASEMENTS OF RECORD, IF ANY. 6. t S�0 LAND No. 6697 Prepared /nder the supervis) Exp. 06/30/04 Date: > ��\P can umbo, P.L.S. #6697 F F CA\�FO Expires 06/30/04 THE KEITH COMPANIES, INC. 41-865 Boardwalk, Suite 101 Palm Desert, CA 92211 (760)346-9844 PARCEL MERGER No. 2ao 1'313 4 LOT LINE ADJUSTMENT No. mmummmm APPROVED BY CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT BYE S,nA Afk DATE 5 0 Exhibit A 0:\40749\4074900\survey\PARCELMAPWAIVER\Legal_PMWI.doc Last Modified: 05/10/01 7:22 AM ACAD.DWG Page 1 of 1 c Lt EXHIBIT "B" PARCEL MERGER N0. 2001-384 PAGE 1 OF 1 M THIS PLAT WAS PREPARED FROM RECORD DATA ONLY AND DOES NOT REPRESENT A SURVEY OF THE PROPERTY SHOWN HEREON. THIS MAP HAS BEEN APPROVED UPON THE EXPRESSED CONDITION THAT BUILDING PERMITS SHALL NOT BE ISSUED FOR ANY DEVELOPMENT WITHIN THIS ADJUSTMENT PLAT UNTIL NECESSARY DEDICATIONS IF ANY HAVE OCCURRED. N I I I LOT 10 i LOT 9 I c c I t4 c I I A VENIDA LA FONDA — — PARCELS 'rA v 100 ooVc7l,-1 a23 LOT 8 00' 1 25.00' 1 EXIS77NG BU/LD/NG I 0 o I I 3 LOT 5 3 LOT 4 LOT 3 I 0 o7 I I -j A "cli 7j I I J 25.00' 1 25.00' 1 25.00' N . ALLEY 41 d c 1- _ J J -6 �ac,E3. p U LF ,bNo 97 ' xp 06/30/04 60 EXISTING PARCEL UNE TO REMAIN EXISTING PARCEL UNE TO BE ADJUSTED 1ST ADJUSTMENT PLAT — City of La Quinta PREPARED BY: APPLICANT: APPROVED BY: 4515 fA DESERT SAGE II, LLC 4M PriNu J21 la in fVr 5800 125TH LANE, N.E. S DEAN PALUMBO DATE KIRKLAND, WA 98033 ReE NO. 44250 EXP. 00 -3e --e+ 425.827.1977 -7- G --ml L.S. 6697 EXP. 6-30-04 DATE: ,Y: :�Nt3INEERS NORTHW�'51";- - - -M . �� zQ��a2es�cys; Art Nmg � 4-� TITLe w r; . PAX To, Barb 31l"ft Al.... s .� r22-4� IRA- IAC -rKQ,x) ..OffL-dlJ-U1 Ie:GVrnnp_ rwue: cio wjuu3 VAM, Tr'4&ickab AQ.c.v . Lim �J-mss A-; A, r Oh"3 " ° „jet �, wm* Ccwrjeevo%x -ro %semi . 4MO KSAt&CZE qi�LS oY. r -a °59at4S Suouiri. ptZov,DC 0"t—'Xf,4— STOty ti MCCAL i4.3+0 ea,arc °Ipc+ S�tvj ,ate . a ,s4r.4 acroda `� 3Oi4%JLvInlC- Sti Gena sto-5 07/19/81 TUI! 08;32 JTX/RX N4 76841 4 .5 3Y: �NGIi���A6 NC�RTHW��Ti 2Ues�;t�etellie3; .►u�. - cu - v a � c ,: curm� r.a�c �, firm 47Y 2r.A:' 12SW44 -- ► x 'gym a VA- ' ce il�d"A�L k-0 07/1.9/01 1791 16:43 fIX/RX No 77051 ENGINEERS - NORTHWEST INC. P.S. '6869 WOODLAWN AVE. N.E. - SUITE 205 - SEATTLE, WA 98115 - (206)525-7560 - FAX # (206)522-6698 JOB NO. JOB NAME D�uF l ��dGE' DATE SUBJECT _ 91EV %5F- QUA) G -L's TO ?ft0 J %0j, c 1.EAV.-PfO G l SHEET �- OF �p c 174.0D (r�,K '�a Q� SSC O R ..%� G' G BY 5g X (D (rU13) cu -T F2oYA S�x\1� , , u5E G0710VA )k -IQ TE0610fJ , (-wc) ofo laomvom'V-��-. 11 SI�:pSo� Ha•S IKI ME c uA wcx l poo 40 2 o� En�S-P s-tv o w-4L �l l 4X�o P E'R RFY l 4-0 sm\. Soo Acs. - Sa.5���, 4 1 f a'� 4 5t a S RS Suow . a xko 'Roo(- J C)\.6 -x5 0 5�in�PS o�J N (0 axto LOO 2 Jo►8 iS C E �\DIE) { ENGINEERS - NORTHWEST INC. P.S. '6869 WOODLAWN AVE. N.E. - SUITE 205 - SEATTLE, WA 98115 - (206)525-7560 FAX # (206)522-6698 JOB NO. JOB NAME *' � � �� GA DATE ra" t -L-0 0 SUBJECT Ij I V�b - VJtVJ C-�s o pRr IV C-�A��pi�%C+i�i+ SHEET Z' OF - Z. (hep-% � T'd c��� STORAG-G BY h1�SQtJ ego YLooF �0°+6`�S C�� Y, (o 606 , Cv-1 T0-1 WvnS o r,) 9-o-oom e— SIwpso,J H 2, (XrD Cols . j0 WALL �+w�PSo� RBV Cp fo u cu g, sT � ►�� GRA Dv_, O +'„1 C. l , '01 07:08PM MESHER SHING&RSSOC. • P.3/3 ZAP fte �� -_ ` N tz •M 4J IQ IL w c 0 L ol au M IL N N 0 Q M Department utijbi g and *afetq Erdifirate of Approved F'AMUCM it LIt WWM 1532 THIS CERTIFIES THAT MIT= XW. LOCATED A T 12021 LRM CANvW W iN FII21MM. CALTF[IMA 91342 IS APPROVED BY THE DEPARTMENT OF BUILDING AND SAFETY UNDER THE PROVISIONS OF SECTION 96.203 OF THE LOS ANGELES' MUNICIPAL CODE AS A TYMI CMM OF Lwm miGRr sT, ARD. REQ (rm/RB) . DATE: FE$RUAW 28, 19% ANNUAL RENEWAL. MRCH 1, THIS CERTIFICATE IS THE PROPERTY OF THE CITY OF LOS ANGELES 3 AND MAY HE REVOKED FOR ANY OF TETE CAUSES S$T FORTH IN ARTICLE 8. CHAPTER 9 OF LAMC. "7 F GENERAL 111JAC;ER M Jul. 19 01 05:22p Red's Iron Specialties 818 634-7657 P. I 057d CITY OF LOS ANGELES D"PARTWNr OF BUILDING AND SAFETy les that reaPpro CERTIFICATE OF REAPPROVAL This cerW val for one Year is Issued by the Gone., Provisions of the Los Angeles Year (�,Ode as a Manager under the or Testing Agency 14 -1 —6 02 2 7..ig V F41b4rJ6af*t.tj f7 Y dy Cj •.REDRON I'V!. 1202'IS SPECIALTZ ENS, INC. ho �'?.39 �y CA5141EN' CdnYon Road San Fernando, CA 9.1 342 Tatu.1 Date Cb eck. $600oo ___Annual j Renewa)Fee $ 600.00 ThIs Approval 03-01-02 esource— ariagemaExpires � (oles) nt Bureau JCM Inspections 39725 Garand Lane Suite F • Palm Desert, CA 92211 I k ; N s P E c T ro ri s ._ Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S REINFORCED CONCRETE INSPECTION REPORT Date:,^,ol Project Name: Project No: S30 Project Address: jCity: Cc, Title 24 AWS (U9D Other: File # D 1.1 App# D 1.4 Client: Sub -Contractor: �b c- \ %x. n C n J ZS C --C GC . Other General Contractor: Architect: Structural Engineer: c l /� \ _\vJz': !"kON —LIN C.- Slump (inches): Supplier: Weather: Time Sampled: Mix Design: 1 Time in Mixer (min.): Specified Strength (PSI): Unresolved Items: Water Added @ Jobsite (gals.): 5 Addmixture: Concrete Temperature (F):None Truck #: Ticket #: ❑x Ambient Air Temperature (F): Field ID Marking: E]See Below Location of Sample: ❑x No Samples Taken Description of Work Inspected: ` • - ,�"' cl:.i , .. o.� ca o ,j C � \ o`t +'��tl1 1 . , Ui S, g 1-� m .� 19 f aiiC..+ �'' !1'•�+� °�. c'f ✓1 n � �! e. �*�. � �. C., CIL �� r \1 Q'e•..` o r e_cA. 1p.i. : � •'��rJ S 1 O n�ii\.ct i n e-� �� �"�S 3 �r K.'t� �).s• P�cL L'r �, 7� t-{, � \ i n "1 �- -1" ` Q QQ �. l,A� �. _. J'"• %� • T , �,lf , - K'\ �T� f+ C,; C v� CcAr .Q. d`12\:)U- �rnc' e.r+x o S( --C l s �a ►�yc:\' . GQ6� r�.� c� `jw C��i� �, Q'A3 r `SCci..C`a. l cg _ Char\ Ait10 `S �6i- AIL \ `AQ } (� �["� \�.f� n.X. C •(� . T .n r t G.4 -A n.._ �C�� / c\-� eh ., r n, �! CL• .C� a ry, l� :"� -VIJ \ .`. 7C �'N { -! �c TM :�) k4i C� 1. W I hereby certify that I have inspected all of the abcve 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. Final report issued at project completion. /e A + Inspector: Jack C. Millin ICBG Cer�ication No: 0842216-80 Contractor's Representativre: i Copy 1 JCM Inspections Cepy 2 Project Superintendent Copy 3 Governing Agency Page of f JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 ]EM INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Project Addrce�sc-s::- t Cit,y:� c� lc.. la/1�:., e �,, Title 24 AWS CBC -1 Other: File# []D 1.1 App# E]D 1.4 ❑ Other Client: Sub -Contractor: O v .n �(O . r► �C.CC-C,. General Q\i (Ca�toCSnCtrva1 citor:Architect: Structural Engineer: ts LA -I S�) n C O AL tr@,a� �dlC�r Slump (inches): 4 "TET- Supplier: S t nt,,.s( Time Sampled: b : Is Mix Design: Esc— 1) c — oLl Time in Mixer (min.): Specified Strength (PSI): 3U Water Added @ Jobsite (gals:): �Addmixture: \ Concrete Temperature (F): Truck #:�Ticket #: lA$10 Ambient Air Temperature (F): 9 Field ID Marking::, C� �� �f �) Weather: U ra AL4 J nresolv ved Items: �JNone� See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: I \ a \Q .e l inC' i a. 1 �. �E�r ��'c� f;N��t n.v; •. �C4•�O P�r.Cin •� ,1 fl�'G�.�1n [+ p �@nyfn ET V'�R.. t `N1 K dA� 1 \ ALJ A D C`. G o L 1 N\, -n 0C C1 BILL C�vr M fcL. Sinn �1- �Cna�S it _a?' a A ) n et.o Tor � ► r •� So � . I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my a ilii -1) have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. MillliinICB Certification No: 0842216-80 1.0' . 1..... . Contractor's Rep e�sentat veT Copy 1 JCpections Cop/ 2 Project Superintendent Copy 3 Governing Agency Page of l INSPECTIONS Galril s Lane S - 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS STRUCTURAL MASONRY INSPECTION REPORT Date: Project Name: ,f Desert Sage Project No: t 01-530 Project Address: 78085 Avenida La Fonda City:Title La duinta, CA * 24 AWS R✓ UBC Other: File # Q D 1.1 App# RD 1.4 1 ❑ Other Client: Fortun Properties, LLC Sub -Contractor:., .; i General Contractor: California Infra -Structure ; Architect: Structural Engineer: 4 0 r Mesher Sf ing & Assoc. ? f NorthwestJnc. Yr ' Slump (inches):Supplier: �: Time Sampled: 0 Mix Design: ,73~ Time in Mixer (min.): + Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture:CK Concrete Temperature (F): C Truck M /:V 4 Ticket #: I W 1-,9 24 , Ambient Air Temperature (F): Field ID Marking:= ��1 e-3•%-�X��,) Cd� Weather: Unreso d Items: None See Below Location of Sample: r^f3 .. �• •. r ws k d,,I&L . ; nAu, .ft` � �4f\t.. MA* ❑ No Samples Taken Description.of Work Inspected: o C wk K ,,3 s_ e ti A At 02 A �CA t iA _t IN �'\C r..\1 F r TeC' 1.i4� <��C M COPISb 1'.t II Q+ 0-0 Ll t I hereby certify that I have inspected all of the above 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. Final report'issued at project completion. Inspector: Jack C. Millin ICBG a if cation\No: 0842216-82 r'spresentative: Contract<-e-�& t Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of F ...:,.w-. �. .. a . ` JCM,ln pections 39725 Garand Lane Suite F y Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554,- -Fax: 760-772-3895 If. ' --" INSPECTIONS WELDING INSPECTION REPORT P oject Name: Project No: Desert Sage 01-530. Date: Project Address: City: 78085 Avenida La Fonda La Quinta, CA Title 24 AWS File # MD 1.1 App# E] D 1.4 Other F' UBC Other: E] Shop [ Field Client: Sub -Contractor: Fortun Properties, LLC White's Steel General Contractor: Architect: Structural Engineer: California Infra -Structure Mesher Shing & Assoc. ¢ Northwest,lnc. Description of Work Inspected: Weather• y #0a %Q -14T, t (/��� (� 1 wlc O t 10 . ,,(Z— i i�� �Y�Q k a Unreso Items: ®None ❑ See Below Q17 S. ""i. !�ba a .r. �t o r \ e v\A c: W % .1 n�l.tl�Jr,.i.,J a ^e c ( (.„ a �_o a , 4 4 5r ,,� �.a � �1�1-S �l 1i 0�/ A t� . �� ., fa� ` ` �� JQ� �O \ .1 �Q G•T1 �xJ . 4a.J.� "� .,") \ . l . i-rs\l.e n� 11 '�.' � t1 ` �'�.. �-yy.,Arffsp at e ^ 1 b ._ S& q c .a. u •.L� , / f Process Welder Cert on File Electrode Detail(s) Weld Type Location/Comments Yes No Type Size e,� e.�.l, .AA ®� 1 a A 95030691 't r e, I hereby certify that I have inspected all of the above 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. Fi ial report issued at project completion. is Inspector: Jack C. Millin C O eitification M 0842216-85 AWS #: 95030691 Contractor's�R presentative V Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Pageof ...e ..,.. t i?{ t'A --.# - — , Copy 1 JCM Inspections CSpy 2 Project Superintendent Copy V Governing Agency Page _A_ of L _4 - JCkInspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-,345.5554 - Fax: 760-772-3895 I N S P E C T I O N S STRUCTURAL MASONRY INSPECTION REPORT Date: 1, li 0 Project Name: Project No: f Desert Sage 01-530 Project Address: City:, Title 24 AWS [✓ UBC Other: 78085 Avenida La Fonda -La Quinta, CA File # ❑ D 1.1 App# ❑ D 1.4. Client: Sub -Contractor: Fortun Properties, LLC ❑ Other General Contractor: Architect: Structural Engineer: California Infra -Structure Mesher Shing & Assoc. Northwest,lnc. Slump (inches): ' - Supplier: Weather: - Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Unreso ved Items: Water Added @ Jobsite (gals.): Addmixture: © None Concrete Temperature (F): 7 Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: ® No Samples Taken Description of Work Inspected: C 1 P , `f:' C Vsx-t �ew &5 ito P .. ,'•' a . 0 �rar \A e5U.1 Sc ti1Qn.e. :,N It"' a rcinnv,+o <�re� r.V rc...J�.n .P�n o..,�r°,O I A\,)i. C1NCr Q >r www nr i %A n s' Q Ar )�Tkniv n Q '.6 �L.r C, G� rGC 1 nA�r',c 1 a w£ hereby certify that I have inspected all of the above 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. F nal report issued at project completion. Inspector: Jack C. Millin ICBO - tion No: 0842216-82 Contractor's Representative: 4 �Certtifin --.# - — , Copy 1 JCM Inspections CSpy 2 Project Superintendent Copy V Governing Agency Page _A_ of L _4 - • EM INSPECTIONS JCM In`spect'ions 39725 Garand.Lane Suite F Palm Desert, CA 92211 ERA Phone: 760-345-5554 - .Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Project Name: Desert Sage Project No: Date: . 01-530 Project Address: 78085 Avenida La Fonda City: La Quinta, CA Title 24 AWS ❑✓ UBC Other: File # D 1.1 App# ❑ D 1.4 Shop ❑Other ❑ Field Client: Fortun Properties, LLC Sub -Contractor: White's Steel General Contractor: California Infra -Structure Architect: } Structural Engineer: Mesher Shing & Assoc. Northwest,lnc. Description of Work Inspected: i \ STG�c Weter: S11.t r c Q - ;Qv�tnot� S%it`�n cw\ �v<'��. SII• �A Com- ��\ tievl S�r.n Vic- �' �, �Qe� Unresolved Items: None Below •Q Sim e �OVe.\ �tf 'c9 v�.l�ti� tyr..,�❑See t?c C\n 10A,0_10A,0_o\ eo, Skic,`.n .¢ Grot.ta <N t9 '.3c4 Q C �' �' IN ��.�L t ,..,. c aie.,e a C,On�. c G. ��lQ S �� �s`i i.4.. 1.. � •' � J. f j Process Welder Cert on File Electrode Detail(s) -Weld Type Location/Comments Yes No Type Size t►+A'`� r' ..Q ,, .. �% Q � `6 ' $ r;?� n5� b�Ve„\t fo; u<'.'� � �1� . �,iJQ�J ��, o 'r" f0 QC i X JACK C. MlltIN \ 95fl-mAot XCVVIZZ I hereby certify that I have inspected all of the aoove 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. Final report issued at project completion. Inspector: Jack C. Millin C' O Ce°rt•fication M 0842216-85 AWS M 95030691,. Contractor's Representative: 11�, Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _J of ! A JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: e_ 01- � Project A...d-d)reess: Q � City: ICJ�Il� ��'�� teS. \gr•t...G �YLir �� �G�. Title 24 AWS Other: File# ❑D 1.1 App# ❑ D 1.4 '�, E] Other Client:. t Sub -Contractor: t/� n ( �t►�-, i e3 OPDr^1 t4.S t..�..C.. �� dL� �l t'R�" t' General Contractor:Architect: �"`� t-SActural Engineer- C'��r�.�r+c..-► '{�i �s�-,Q:r �.�'t t cara� t'�CS`�r�4. � � � nC°�,vF3�.gt . G< Slump (inches): ; j Supplier: Time Sampled: %f9 : �� Mix Design: S'0 Time in Mixer (min.):h1 a Specified Strength (PSI):3paa Water Added @ Jobsite (gals.): v' Addmixture: pPlrt - _`Sd Concrete Temperature (F): /ry Truck #: �(�yl� Ticket #: Ambient Air Temperature (F): Field ID Marking: S(S W 9 7f. ���4 / rWeathers «<Qc Ju nn '�r , Unresolved Items: ® None ❑ See Below All Location of Sample: m r V;c- cmt,A ei to,a� X) . ' ❑ No Samples Taken Description of Work Inspected:" r',0ntf e. �- o �. t q:1 " C.i� q,1 1.� �►'S �S ; .� uE. an(,, '-;q 14 : � ' r,Gn r L. e� • 1 p ` 1 Coe, C'14 -4r�Cki r1:-� 4 (36 r Gro 5 r - Vtm I hereby certify that I have inspected all of the above 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. Final report issued at project completion. Inspector: Jack C. Millin(° ICBG Certifc ton No: 0842216-80 Contratccttor:s Representative: t Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency V. Page A of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: <7 -0 1 Project Name: Project No: Project Address: City: &D Ni A F,P N Title 24 File # App# AWS eo`U'B*Z� Other: D 1. 1 D 1.4 E] Other Client. Sub -Contractor: C_ t Us, 9-�- General Contractor:Architect: ¢ T Structur I Engineer! V4 OC Slump (inches): Supplier: t Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: Weather: Unresolved Items: None E] See Below Location of Sample: No Samples Taken Description of Work Inspected: E,,\-, r'tC% S� n,�\0-2 4 -7 \"�ZL I nAlk. 04— 1r.4t1—^" 14,z 31 C -S) t cz OX Y. 0- or-, r D'.A 0 n ' 2-01 Die. I a— 0-'4 ftc \,:i31oL Sii�% cjLA qr c, 4!" v, f.9 I hereby certify that I have inspected all of the zbove 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. Final report issued at project completion. Inspector: Jack C. Millin ICBG Cerlificatibn No: 0842216-80 Contractor's Represeritative: Copy I JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of :L 4t I t L JCM'Inspecti6ns 39725 Garand Lane Suite F Palm Desert, CA 922 ' 11 INSPECTIONS Phone: 760-345-5554 Fax: 760-772-3895 INSPECTIONS WELDING INSPECTION REPORT Project Name: Project No: Date: Project Address: City: Title 24 AWS QUBC Other: Q 0." _'VA File # EN 1.1 App# D 1.4 gLShop Client: Sub -Contractor: El other E] Field I -L-c— General Contractor: I Architect: Structural Engineer: VQ S,\m'.^ CA�e' r W e a Jte r.: VAq(2 Description of Work Inspected: eta , _T �%r ^A!kk? ,Unresolved Items: None [:] See Below DO qk 00 V t V). -U-1 it oz ' OU \--\I Q.JON j 7 1 1�y C Cl 'A Cert on File Electrode Process Welder Detail(s) Weld Type -Location/Comments Yes No Tape Size 1.1=\ - 1; J AN% ASS JACK C. MILLIN XYMA MU /X I hereby certify that I have inspected all of the above 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. Final report issued at project completion. Inspector: Jack C. Millin ICB'6\rqe_-tific',ation M 0842216-85 ContralctFp'S'RepTesentative:P AWS #: 95030691 Copy 1 krMl-n-sleictions Copy 2 Project Superintendent Copy 3 Governing Agency Page of -4 111111MIT AJCM -Inspections 39.725 Garand, Lane Suite F Palm Desert; CA 92241 V, INSPECTIONS Phone: 760-345-5554.--�-Fax�T7-60=772-3895 INSPECTIONS WELDING INSPECTION REPORT Project Name: Project No: Date: 01-s2 10 014 Project Address: City(:' � -10SID' AoQn(Aa '30A.01, Title 24 AWS UC Other: File# MD 1.1 App# ❑ D 1.4 ❑ Shop E] Other MField Clients t� Sub-Conttracto : ��Q,4j �in(_ nr\un `i .1 e yes t% --I �ta, General Contractor: Architect: rt Structural Engineer-% _ �Oi-``�alC !-nC Description of Work Inspected: � S� -� .}- --� � o� f q n f t..r� t_ n r t tt f u r e. n c S 4. f o� Weather: SG 0 Unresolved Items: None See Below �''�� •-�-\ t '1'[a �.S . �Q a r`s Sri Y, l , t- �0 w1 'A C r�'r'v •((S -e d tr �0 7l ?C L nX` (t^�` \ r1A-,Z?JC C .rQc\ /� "�" ''�, 'X � � � cst . � a •t c a� a n 1 e c cm o � C©` a ,.... v, aQ rQ � �.l 'f S _ o v ,r,", �.: H. `i X� o vt ,%. ^, t_fA a 0 .� a .. n . o • r a u v. � .n 0t i �..• . ^ Q_. nv,) t n (A a 1 lad V s Cf r 2� 3 ^ r G CGCW� �Q�a 7 RCS��L' WC�I\G+T�G �CJ \ •+fit �QUv. �')��')'�"LA IV) t f Ott t, F0. C- C,00,Qr,. ,Ca C Q'M^� r r9 r n . n n S:, t e.. 6r 1 /1 A ¢•J...i �(, T\I� �t n i Al `C nig. f �.A� f �'���. l'l tai\v� C� T 1 •4:.\ C 4 1. �Cr' AL.� 1 - l Cert e n Electrode Process Welder' Detail(s) Weld Type Locafion/Comments Yes No Type Size smNM NM Cs`c,r«c �o `V C}} C 0.,n "o v. �1.� �V1, ,. , \J Sh0 �CcxkitNe � �QVh `` /�1,1 W QNAnr t cclry c A; )^S 4C0C.Q'VIe "•fes � �� be, C ave -7 "7 • . QGA Hlq/A 11AIA11111 ' ��V93030699 WA I hereby certify that I have inspected all of the move work, unless otherwise noted, and to the best of my ability I have found this work to comply with theJapproved b- • / plans, specifications _applicable building laws. sinal report issued at project completion. Inspector: Jack C. Millin 1 130`Cert'fication M 0842216-85 Vepresentative: AWS #: 95030691 Contractor's / �.�i�.+.-: Copy � Inspections ` Copy 2 Project Superintendent Co3 Governing Agency Page I Oft Ga Insoections 3972rand Lane Suite F Palm Desert,,CA 92211 INSPECTIONS Phone: 760-345-5554 '-, Fax: 760-772-3895 INSPaCTIONS REINFORCED CONCRETE INSPECT-ION REPORT"` Date: 9,22-a3A Project Name: Project No: S:�)n Project Address: City: Title 24 �AWS Fild,# E] D 1.1 App# F D 1.4 E] Other UBC Other: Client: Sub -Contractor: Geggral Contractor: Architect: J7 Structural Engineer: R6= Asc"�, Slump (inches): Supplier: 0 o � Time Sampled: � e-, Mix Design: Time in Mixer (min.):qA Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture -Q1A-A_-7_-2,-X-A Concrete Temperature (F): Truck #: (6� Ticket #: zm Ambient Air Temperature (F) . Field ID Marking: AA Weather: Unresolved Items: ®None E]See Below -Location of Sample: No Samples Taken Description of Work Inspected: jvS 'A. 0, ^-^t ej VV%_(I r^A e..,3 11 r r 6 D C, CW _A ­ QC rz-X) clv_ .2 eu x I hereby certify that I have inspected all of the above 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. Final report issued at project completion. W, t I , nspector: Jack C. Millin ICBG Certilfifilt'lait6n NO: 0842216-80 Contractor's Representative: Copy I J , C . M-Inspeet),ris :opy 2 Project Superintendent Copy 3 - Governing Agency Pagef o'4 - JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE: INSPECTION REPORT Date: bo o4--, Project Name: - Project No: Project Address: t City: Zr1'. fi �. L.q y1s� sr- 1..�1�t/��cc �G . Title 24 AWS UBC Other: File # D 1.1 App# F-] D 1.4 ❑ Other f ' Client: Sub -Contractor: r C.GC, C./ General Contractor: Architect: Structural Engineer: .GAG Q _sv, } Slump (inches):,3, ne,_—Supplier: u 4Y car p ,.,_�a Time Sampled: 4 ; ao 4+n1 , Mix Design: 6L0(0 \ 3 0 Time in Mixer (min.): 9d Specif d Strength (PSI): 0O•.' Water Added @ Jobsite (gals.): f1 n Addmixture: �02--7 - Baa Concrete Temperature (F):qS ' Truck #: C� Ticket #: "'1 toD--1`� Ambient Air Temperature (F): Field ID Marking: t I Weather:SunfiSQ. L v 0� Unresolved Items: �j IL None LJ See Below Location of Sample: -T,3 6 C4 n, r S G 41 t ❑ No Samples Taken Description of Work Inspected: Wc7 C\ U r,.1ns, @ r1 a r S tC, tl Q.,` .,, 0fJe\A) Cdt n 1�CaZSL.- nR o� G4nCCa.\G J(� -�' GC9`„lfM t�nt,� toltiv-- s'C c c. s -A- ', 4 . C' a A c C e. � vJ C,O r15 7 1 ra A �lA l' " i O 4- l .a, ll fig 1 �� 030 � vc Alloc s �� c& f Q 0 -kA . ^ nr � nV i n IO G e t 1 hereby certify that I have inspected all of the alcove 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. Final report issued at project completion. Inspector: Jack Millin// ICBO Vc�•tioNo: 0842216-80 Contractor's Representative: Copy 1 • JCM Inspections ',opy 2 Project Superintendent MA, Copy 3 Governing Agency Page I of L ••JCM Inspections ' 39725.Garand Lane Suite F L:— Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 -'Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: ro-c( _c7� Project Name: S �, _ Project No: Q '� l �o.^ ¢. Project Ac�Address: City: D0 o �v cn'�(�G.�V��b..v•��o...File# Title 24 AWS UB E]D1.1 App# ❑ D 1.4 ❑ Other Other: Client: Sub-Contractor: General Contractor: ` Architect: Structural Engineer: Anchor Bolts ® Rebar Epoxy Type � �a.� �r>t c�,� \7 °► Epoxy Shelf Life: ��.y .,Z�,� iw� AA�� I� Hole Cleaning Method(s): Q>(o r, C< V_ o=y \_o- = 0. r, Weather 5 u ^� _ Unresolved Items: ®, .None See Below i Description of Work Inspected: \ W SQj 2. V V=-\9 i 2 alt +D� G \ i a` V 4- Ct'�C c X �= f) .Cr. C_ X c ci.:1 e C a'n n tial CM v��'` 4 \1 -S c,g LL x� s F �l -I �c IZW 0. o v ,I A O c+; ei-i..l -.lc.l .. i rid . � � • � s.- a') CL' ti' \11 _�.eC Work complies with written approval from Structural Engineer and ICBO Evaluation Report # ' Sall I hereby certify that I have inspected all of the above 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. Final report issued at project completion. Ins ector: JackC.,7 Certification No: 0842216-49 Contract ds Re'prese e: Copy9_-dM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page +of 4— .0• 41 1-11"' r .--__11 Copy 1 JCM Inspections Copy 2 Project Superintendent C y 3 Governing Agency Pageof 5 f JCM Inspections 39.725 Garand Lane Suite IF . `Palm Desert, CA 92211 _ LM INSPECTIONS Phone:'760-345-5554-Fax:760-772-3895 INSPECTIONS f WELDING INSPECTION REPORT Project Name:Project f No: Date: Desert Sage 01-530 10 -A. Project Address: City: Title 24 AWS r✓ UBC Other: 78085 Avenida La Fonda La Quinta, CA File # D 1.1 - App# D 1.4"' Shop Client: Sub -Contractor: _Fortun Properties, LLC Structural Steel Inc. OOther Field General Contractor: Architect: Structural Engineer: California Infra -Structure Mesher Shing & Assoc. A \� Northwest,lnc. c Weather: Description of Work Inspected: fr u e" . n r &-r (N r C pp • Unresolved Items: None See Below o TS. C���,.,. o SXR L e C.of` c+ rS we44 i 1e• -\Ja\dl G a re 0 M` rZ. 0 V „ ��}J� Cv A" -14 ns i QY� t C Q G� G\\*r�@ - .QQ� 2. 4 S� llr�G �._L'+ r� {�o�1 Q 00 on•, A c. �]Q. ,'�co._C yyC c G ori Q r G n c_C, - r is \ \ ,41* ro - r ., •: 1 Cert on File Electrode Process Welder Detail(s) Location/Comments Yes No Type Size ®Ct�fv/� t\ •�+Fc �tr .�viSi7�.t k.,r Ab�..f Vic,'. ca'\J Q 9ca be 13 C 4\3CX— L' a Ga w! r .o`I !� �,` .j 1 d �.i -. �Cri . - t \-j r .t *.f� tPr{`e•:�y� �� ���1'v'• l�AfG J\(�/'�.. J�mY,..ti'�7 r'10J1, I hereby certify that I have inspected all of the above 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. Final report issued at project completion. Inspector: Jack C. Millin CB'r0 Certification #: 0842216-85 r Contractor's -Represent e: w r AWS #: 95030691 _1. Z�' .--__11 Copy 1 JCM Inspections Copy 2 Project Superintendent C y 3 Governing Agency Pageof 5 f JC Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 19,�� Project Name: Project No: C�)eseX_ �aNQ__ O 1— Project Address: INS � v p�:�City: --. �_�' ^t1"�VQ�,. �l.c.- 1,0 res'c. � c. ��v�i.�o, �� Title 24 AWS <- B Other: File# E]D 1.1 App# E]D 1.4 Other Clienty ( Sub-Contractor: or v.a� fraQc- �,t+c \ a ��► C. General Contractor: r Architect: r` Structural Engineer: �.t'.��\-+^52(tiC. � �To+ ^ J�C'v.C�v,f"'C.. �RS`'tP_f JY1tr"t �'�5�'st. • �� � �tliG.1� Slump (inches): t-�,j-'O Supplier: (�a� �A:c� SvM� Time Sampled:; 0 J r ` Mix Design:('�� i ttj Time in Mixer (min.): DC) Specified Strength (PSI): Water Added @ Jobsite (gals.): F Addmixture: C-*:- Concrete Temperature (F): Truck #: """ Ticket #: ~'"� Ambient Air Temperature (F): Field ID Marking:.S-vt A y yk 4, ) (I- Weather: Unresolved Items: None See Below Location of Sample: ��u �n^" - «,c _ G NGi. %n"f'rG No Samples Taken Description of Work Inspected: �� � �rt` c<�i �.;� — c—I t, ?0�+ r",_ f rf C2 r � (���AC (��JN:,! A,_6 SO J.0 6.\0i'(�_ Qr1kAN �. l00C /: (9/1re��P 6?tnK?w�/'r F_..a)nr ew LACie._tA. +: (_neN.r CA,- IctC C:fa r'1 .';.n t�..r.`4,"7n.,11 tJ 1.. c�4%+0... ,at+ri7rf!�i..e, Oft �� ��'•' G (^),t Gn.O--� � �� « P. r�.. t'l.� r . Y1n �� t�' cw]J'i (C- 1 ,o _ r,`J', «*hy.) 1 /-"•'���QassC!J` {1r ('cr^ R+�.# a,nr" O! S. �fe' RJ..a �_A�w,.. A i $ S`n .,�1� Pi f ')i Q Q. RR (( I hereby certify that I have inspected all of the above 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. Final report issued at project completion. Inspector: Jack C. Millin ICBG Certif1tcatlon� No: 0842216-80 �...Q� C., e- Contractor's Representative: I'�� Copy 1 JCM'�nspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of / JCM Inspections 39725 Garand Lane Suite F Palm DesertCA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Projectame: Project No: {_�ci" 01, s 3z) Project Address: _._. City: �� �V E'✓+kw �G �Oti1GtL ��t:��:`�e��t^v Title 24 AWS U0ZD Other: File# ❑D 1.1 App# E]D 1.4 0Other Clie tSub-Contractor: �t '&r— , .L..tc.. General Contractor: Architect: Structural Engineer:,` -I*,( S��Or1C� � t�SS�c.o� iJaf��.,1QS Anchor Bolts F_� Rebar Epoxy Type:1 S�honQ��er Epoxy Shelf Life: ��� �", o�n�r�. Hole Cleaning Method(s): C'I'O `') C ta.�� G C oe c? �5 •>- �� �a o �� t iC,� ,-A r r , Weather: Unresolved Items: None El See Below Description of Work Inspected: �X�. l v1c�� (1C �: j,a` �� �,/ f� �t 1� ���%_ �•� ~� --7 C r> i 8 ti o r1c o r t 1 t �v LQ:�, \ S]r r c1 �: o ,•n.4 � c, G �:� .x,10 '. i y C, Work complies with written approval from Structural Engineer and ICBO Evaluation Report # I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability.1 ave,found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. �% % /� s� / / iJ Inspector ck C.�yMillin ICBG Certification No: 0842216-49 Contractor's Representative: j iv Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 0 0(� JCM"Inspections 39725 Garand Lane Suite F 2EM Lm . Palm Desert, CA 92211 �,L_ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: :7-01 Project Name: � Project No: ttN LNp %.ev © 1 _Z30 Project Address:nn City:1 �W a/�1cp �ict. �o+lralcd {�.a� u;w Title 24 AWS UBC Other: , File # D 1.1 App# D 1.4 Client: Sub -Contractor: Other General Contractor: Architect: Structural Engineer: ���G , t ;Assoc. 1��r�t�s%46 � C .. Slump (inches): Supplier: Weather: Time Sampled: C� :�� Q� Mix Design: Time in Mixer (min.): Specified Strength (PSI): 3c� Unresold Items: Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: E] None Ambient. Air Temperature (F): Field ID Marking: �y'�- A C�ax���y� '® See Below Location of Sample: Y,� A k nsa ❑ No Samples Taken Description of Work Inspected: 1 l ��Pr�\1 .Is l+ � ..r r e..JIV10 , w. Q_ 1� O .P• � �N, .� C I er.c 1L� �t1 i � C'. }� i!r ,o � a1 �.0 . (A. /fw n.\ .(�?.:1\�fDf'RS:.A .9.+ /l ..1.1 kJ_1L\!. C.r:Ai J,M.1. tCJw/ b �.:. x"7/1 C'` \I'�! QG. ♦i\\.\OC �\ r r .. a..n ., n h.,.r n.+'1Ck+ �.P Fr+...��In n i. O a.l�.. .:�R 11A`„ "Tn 'io.,. ,1s�.:�A ,;{'R ,.� �.•, r- /'f> rAn`_ , .\ (� r . r ,. ) e�r R-_ .. e �»T.\7 c AA ..�Qc ^stn r . T► Ai► . r �., n.n�, n� t 11•. rt :.. 1 ±04 i.f ki�3� ly 114 ��(^)•y1.1.:_`. ,,`t�-e _.f [L4(^e_da� r c nUn_ e. ^�,.. �b f!l c.�� •,.n r n a�.i ., ,. �c �i. ' ��„� n c; c C_ hf �� t t 11 `_ AA \\. /\rt "� ,., i”. r. a r . r� ,. �[' �... ! -'4• n t . t - P in e•f` w� C" r�\70� �` � L.J1, a� lA r . s . � n r.. � r �U' I hereby certify that I have inspected all of the move 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. sinal report issued at project completion. A Inspector: Jack C. Millin ICBG Certification No:. 0842216-80 Contractor's Representative:Vi Copy 1 JCM Inspections ropy 2 Project. Superintendent Copy 3 Governing Agency Page of It JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Tax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: (Q„� Project Name: �. Project No: c� �► ' �'' c� e� 0 Project Address: City: Title 24 AWS ' BC Other: File # ❑ D 1.1 App# ❑ D 1.4 E] Other Client: Sub-Contractor: General Contractor: Architect: Structural Engineer: �\�� ,.. P• 3.ar� �k r :�, v r . u t C� �C S c�✓ J n i S nS,� t�t7 r+S4��. @�. �.11 C.- Slump (inches): Supplier:" i Time Sampled: Mix Design: Time in Mixer (min.): r�e�' Specified Strength (PSI):^^n Water Added @ Jobsite (gals.): Addmixture: 11 ^ s Concrete Temperature (F): (� �+ Truck #: G Ticket #: f,Z� ��� Ambient Air Temperature (F): aC" Field ID Marking: Y' Weather: Unresolved Items: None See Below Location of Sample: E] No Samples Taken Description of Work Inspected: �� n • � ����� « � > ,� , � A.� a lr /1 � i.. Q •. .w n PT Jrf J A'h .*1 I� � aT /1 R+ e, n ,,r, - P\-t e% -. .Pim . .-. f' r! .I A X 1 -'k I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have foul1d this work'to complolwith the approved plans, specifications _applicable building laws. Final port issued at project completion. / Inspector: Jack C. Millin ICBG Ce rfi i ation No: 0842216-80 Contractor's Representative, , ( Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections ' 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Project Name: Project No: �0 ' esbo \y o, c� 01— z30 Project Address: © City- �1O%S, R'�Ot^'tC� Area. U i;, \G�. Title 24 AWS UBC File# ❑D 1.1 App# E]D 1.4 Other: Client: Sub -Contractor: Tfo NU.n [ (� ' T uD C 11 4.-%��� r �C_ E] Other General Contractor: +� Architect: \ Structural Engineer: �0.\ 1�� n i r . � t G � ��1" �r c.. \ �► S4'_..,. riQS \"'1Q �' C,.�flt R � �SS°x► r IV O � h�a3 ,.�• . •�F+aC... Anchor Bolts ❑ Rebar.`Weather: \,. a -�-� .0.9'7 F Epoxy Type: `U %r,k ± Epoxy Shelf Life: (� �("���� ��, ,e UnresoAd Items: © None Hole Cleaning Method(s): \�bw� C-1 � air G%1 a cr.aS;t� Na�,a� kir_ bt ❑ See Below Description of Work Inspected: onxu I V\ t I ,U . L� �� R .�u 66 of 'lop t � • (�: A A t! C !7� Q 1n i � � \ .�Q t` �,. H . n „n .��. � OV, �11 r-' �^ i nT �c� �C d ✓ �= P 12 A s P \-O J� rt-%r'AOV C1 'r S•�..1 CArn.ir o� t.lflll. lArRi4/ IdI�nP 9 Ain b—) 6—) n n �r C%..e.� .. Ifn e � ► sn�'\� P a-+ ,.e t e+ a. .� � f� 1 rr1Q.f h� la 1 '/ r_ _ , J�� tn. a ft. \r% e a \1 Wt: t Jc •• ri tS A c nc L Z ew`3linw� J A Work complies with written approval from Structural Engineer and ICBO Evaluation Report # I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability have found this work to comply with the approved plans, specifications _applicable building laws. final report issued at project completion. Inspector: Jack C. Millin ICB • - .ertification No: 0842216-49 Contractor's Representative:= ` 0 1 A1 Copy 1 JCCICGlmlfnspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of l `f� EM JCM Inspections s 1�,!I 39725 Garand Lane Suite F l Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554,'w- Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Desert Sage $ 01-530 Project Address: City: Title 24 AWS Z✓ UBC Other: 780.85 Avenida La Fonda La Quinta, CA File # ❑ D 1.1 APP# F-1 D 1.4 Client: ' Sub -Contractor: Fortun Properties, LLC DCCCC Other General Contractor: Architect: Structural Engineer: California Infra -Structure Mesher Shing & Assoc. M1 Slump (inches): Supplier: Weather: I !n 4 - Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Unresolved Items: Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: ® None Ambient Air Temperature (F): Field ID Marking: ❑ See Below Location of Sample: _.✓ No Samples Taken Description of Work Inspected: �' {'} .yam L\4- .`` ` � ;7 -� 7` f h `ta r\' i .n n 1 \rt i t..\C..t+. a� 1i�.:w.:! �t ¢+ r.S a�ll:S 1�7 Q'DV to n*% f1 a 7.. F h n A �\ P-_ �L f t.,. r 4 4, �� + G r n a .n 4".✓a :,. \ I 1 , A !t .+. �T�. = 0 (Si 1 AA 1 i,,A. \.,,A6XA91.0 ..A:%� ►M tt\r, \ten �ti.) (.i..4 K LJ 1.4 � il 5 corn erk � \ •7tc,t� r• � �L � �� � �(�'t• .�� 1 \ r er ,� to G. f .al ." :."l ^.�,I Q_t` r�(�''�r � , P � /� e'...1 � T 'Ci• 1 S� r A t � � \ .r. �.1 �`+ �' Y'an Y l: ^.•1.3w.j �1 �� y � 1t• w . �e _ a..ng' lel it l,. ! ^ \t.� \ �' �i `'a1\�'�trn .h 1c�r..l..t_ M •• C• �L, r� 4• cA_ i r• S ^"" G. [a t� �h�(t't{i , ` w 1 l 1�r� r �[ s. S 1 +i`rh.-��„^ +-� r ^-_ �r r+..�� r _ ; 1 '6. C .��A!c Q_,Ye1 r., i i 9,!ICf n n G+.. S c ��`•t (_tea . N C 4a�,!' V_U-A_i ' ...1 .,a t `� (sal ts1 �a �ff,7 ;. ins ., rEnt.ln '� �\r.,� ��``cA,.�^k�tt' nen Q,,% AI, w,i nct? ..anT 0` CA.�4 rr, \,Oc�_d�r t,1�a4" Ct\i'elm. 1knfIV Y��e� 31t.1t�1'S Y1C•r1'Q_ ` 1"'D V)0_ r t,f:�it!._ \�"i CC 0_1 *Anilkhr'� 4+11 tw. RC ., - t I hereby certify that I have inspected all of the above 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. Final report issued at project completion. /t Inspector: Jack C. Millin ICBG Certification No: 0842216-49 Contractor's Representative:/, Copy 1 JCM Inspectiofis Copy 2 Project Superintendent Copy 3 G.erning Agency Page I of �• r JCM Inspections ,z,.. iP 1 39725 Garand Lane Suite F',,. Palm Desert, CA 92211 1c� INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS Copy REINFORCED CONCRETE INSPECTION REPORT Date: 6-1—of Project Name: Project No: ,r Desert Sage t 01-530 Project Address: r'' City: 78085 Avenida La Fonda La Quinta, CA Title 24 AWS [?]UBC Other: File # ❑ D 1.1 App# ❑ D 1.4 ❑ Other Client: Sub -Contractor: Fortun Properties, LLC DCCCC General Contractor: Architect: Structural Engineer: California Infra -Structure Mesher Shing & Assoc. Slump (inches):5-� Supplier: Si S Time Sampled: Mix Design: ., �s"I�QYy� e e Time in Mixer (min.): �^ ,,� Specified Strength (PSI):ID ` Water Added @ Jobsite (gals.): p A 4-1Addmixture: %A< G.' Concrete Temperature (F): Goa Truck #: 3 Ticket #: L4-1 I L4 ,Ambient Air Temperature (F)::� Field ID Marking: Ct„I xR: (4\ Weather: �ciT �, t►wl l Unresolved Items: N None ❑ See Below Location of Sample: , n�, rn.n GI`o•Rr-et'._ Wc�_ Q 1 No samples Taken •J P Description of Work Inspected: n �l e t r, �_�.► twn n w [� f �l' n a.. r `�l/� �{/►: 1 � � dl`.hQ /1 O.: CA '4. 1 0 /(�: iY�f^ iQi� p t 1L.Q OCL S^ � � Q P � `4 CA� U vv� �+._.kl � '!1 �+- l7 r 1;�"3'A v+� e► �C �L� t',5. - e0 S` � OJ ' gp . .I al%. r, r — A- Ol r. S r.�r �1 n�� �,» c +. e At ii! 1t e y � 1 t .. A . , r P_eE t3 v%'1 Q �c% e4 C e,,. (` P i �..e �t2 °", I 1 i` Q 0L �. C A 0 .0 t i r in ei CA � 1 t I hereby certify that I have inspected all of the anove work, unless otherwise noted, and to the best of my ability II have found this work to comply with the approved plans, specifications _applicable building laws. sinal report issued at project completion. / f Inspector: Jack C. Millin ICBO Certificat'o o: 084221649 Contractor's Representative- epresentative Copy 1 JCM Ins ns Copy 2 Project Superintendent Copy 3 Governing Agency Page of/ __ TEMPORARY 30 DAY CERTIFICATE OF OCCUPANCY 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: 78-085 AVENIDA LA FONDA Use Classification: COMMERCIAL REMODEL Bldg. Permit No.: 0012-125 Occupancy Group: A3 Type of Construction: VN Land Use Zone: COMMERCIAL Owner of Building: FORTUNE PROPERTIES Building Official Address: 5800 125T" LANE N.E. City: KIRKLAND WA 98033 By: KIRK KIRKLAND Date: 10-18-01 POST IN A CONSPICUOUS PLACE