08-1548 (RC)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/13/08
Application Number: ~ 08-00001548 Owner:
Property Address: --- --46660- WASHINGTON ST STE 4 WASHINGTON 111 LTD
APN: 643-020-999-3 -30903 - C/O JACK TARR
Application description: REMODEL - COMMERCIAL 30240 RANCHO VIEJO RD. STE. B
Property Zoning: REGIONAL COMMERCIAL SAN JUAN CAPRI/STRANO, /CA 92675
Application valuation: 35000 Z0V11WT. l%GZ� Z_0 J4- .G -A
Contractor:
Applicant: Architect or Engineer: WASSERMAN CONSTRUCTION INC, RA
�Q r ��• P.O. BOX 5909 OCT 14 2008
LA QUINTA, CA 92247
(760)771-8191 CITY OF LA QUINTA
Lic. No.: 681660 FINANCE DEPT.
LICEN1ED C RACTOR'S DECLARATION
I hereby affirm under penal perjury that I am IicenSeO syons of Chapter 9 (commencing with
Section 7000) of Divisi of the Busines s ' aIs ode, and my License is in full force and effect.
LtiFen`e Cl s: B cense No.: 681660
�Date: � Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty f perjury, that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
.construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 10
as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively cont wy sed contractors to construct the project (Sec.
7044, Business and Professions Code a Contractors' State icense Law does not apply to an owner of
property who builds or improves t eon, and who contracts fo the projects with a contractor(s) licensed
pursuant to the Contractors' S e License
�(_ 1 1 am exempt under Sec. , B.&P.C. e
V Dat ner.
&ONSIMUCTION LENDING AGENCY
I hereby affirm under penalty of perjury at there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
shave and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. _-
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND icy Number 0 89-2008
I certify that, in the perfor a of the work for which this permit is issued, I shall not employ any
person in any man so as to become ubject to the ars' compensation laws of California,
and' ree that, i should bec s lett to the A ers' compensation provisions of Section
��O�"Y'Applicant: he La Code, hwith c with those provisions.
Da
WARNING: FAILURE TO SECUR PIKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application..
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if w of commenced
within 180 days from date of issuance of such permiI,'or ce o work for 18 swill subject
permit to cancellation,
1 certify that I have read this application and state that the e' to correct. I a o comply with all
city and count�ignature
and state laws relating to ing c nd hereb orize representatives
//pf this co yn the above-mentiWd party f o purpo
/ A (Applicant or Agent):
I
Application Number 08-00001548
------ Structure Information
ULTRA SALON TI SUITE 4
-----
Other struct info
. . . . . CODE EDITION
2007
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
B
`
OCCUPANT LOAD
30.00
-----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1495.00
Permit
. . BUILDING PERMIT
Additional desc
ULTRA LOUNGE SALON -TI - STE 4
Permit Fee
317.00 Plan Check Fee
206.05
Issue Date
Valuation
35000
Expiration Date
4/11/09
Qty Unit
Charge .Per
Extension
BASE FEE
2.52.00
10.00
-------------------------------------------------
6.5000 THOU BLDG 25,001-50,000
--------------------------
65.00
Permit
ELECT = ADD/ALT/REM
Additional desc
Permit Fee
38.10 Plan Check Fee
9.53
Issue Date
Valuation
0
Expiration Date
4/11/09
Qty Unit'Charge
Per
Extension
BASE FEE
15.00
20.00
.75.00`PER. ELEC DEVICE/FIXTURE 1ST 20
- 15.00 _
18.00
-----------------------------------------------------------------------------
.4500 EA ELEC DEVICE/FIXTURE >20
8.10
Permit .
. . MECHANICAL
Additional desc
;.
Permit Fee
28.50 Plan Check Fee
7.13
Issue Date
Valuation
0
Expiration Date
.4/11/09 .
Qty Unit
Charge' Per
Extension
BASE FEE
15.00
3.00.
----------------------------------------------------------------------------
4.5000 EA MECH VENT INST/ DUCT ALT
13.50
Permit
PLUMBING
Additional desc
.
Permit Fee . .
. . 82.50 Plan Check Fee
20_.63
Issue Date . .
. . Valuation . .
. 0
Expiration Date
4/11/09
LQPERD'[IT
LQPER1vfIT
Application Number . . . . . 08-00001548
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00 6.0000 EA PLB FIXTURE.
42.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1:00 3.0000 EA PLB WATER INST/ALT/REP
3.00
--------------------------------------------------------
Special Notes and Comments
1495 S.F SALON TENANT IMPROVEMENT. "ULTRA -
LOUNGE SALON" "B" OCCUPANCY, TYPE V -B
CONSTRUCTION. 30 OCC. LOAD. 2007 CODES
Other Fees . . ACCESSIBILITY PLAN
REVIEW
20.60
ENERGY REVIEW FEE
20.60
Fee summary Charged Paid Credited
Due
Permit Fee Total 466.10 .00
.00•
466.10
Plan Check Total ' 243.34. .00
.00
243.34
_
Other Fee Total 4'1.20 .00
.00
41.20
Grand Total 750.64 .00.
0.0,
750.64
r
f
LQPER1vfIT
n�)
City of La Quints
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Buildi g Permit Application and Tracking Sheet
Perr
o
Project Address: -4 6 D &16tr
Owner's Name:
A. P. Number:
Address: b 4�5—
Legal Description:
Azl —
City, ST, Zip:
Contractor:
IN
Tele hone: b �3
P D— — V-
ON 11
Address: ,p
(�
Project Description:
City, ST, Zip:
Telephone:
n «
State Lic. # :
Arch., Engr., Designer:
City Lic. #: Gee.,'jz
t
an AV
f . RVV
Address:
City, ST, Zip:
Telephone:
p
State Lic. #:
Name of Contact Person:
a
_
�' w : ,
I- 1-4
�-
Construction Type: �, _ Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
Sq. Ft.: I
# Units:
Telephone # of Contact Person: -,-7&b— 5fQ
Estimated Value of Project: ^ �'
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted q
Item
Amount
Structural Calcs.
Reviewed, ready for corrections r -i '?
Plan Check Deposit
Truss Calcs.
Called Contact Person ?J
Plan Check Balance
Energy Calcs.
2
Plans picked up
Construction
Flood plain plan
Plans resubmitted 1
Mechanical
Grading plan
2"d Review, ready for correctio /i ue (
Electrical
Subcontactor List
Called Contact Person `Q `
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
d.d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees75
GENTLEMEN:
AS REQUIRED BY THE BUILDING DEPARTMENT, OUR OFFICE MADE A STRUCTURAL
OBSERVATION AT THE ABOVE-MENTIONED PROJECT. THE PURPOSE OF THIS VISIT WAS TO
OBSERVE THE ITEMS) OF CONSTRUCTION AS NOTED BELOW. THE OBJECTIVE OF THIS SITE VISIT
IS TO HAVE AN ADDITIONAL REVIEW OF THE STRUCTURAL SYSTEMS BY A KNOWLEDGEABLE
OBSERVER DURING THIS SIGNIFICANT CONSTRUCTION STAGE IN ORDER TO ASSIST THE
CONTRACTOR WITH CONFORMANCE WITH THE PLANS. THESE OBSERVATIONS ARE LIMITED TO
THE STRUCTURAL ASPECTS OF THE BUILDING:
ITEM OF CONSTRUCTION BUILDING DATE -
FRAMING rw
BASED ON VISUAL OBSERVATION, THE ABOVE ITEM(S) APPEARED TO BE IN GENERAL
OUR OBSERVATIONS OF THIS STRUCTURE WERE MADE ON A VISUAL BASIS, AND IT IS NEITHER
EXPRESSED NOR IMPLIED THAT ALL POSSIBLE DEFICIENCIES HAVE BEEN ADDRESSED.
STRUCTURAL OBSERVATION DOES NOT CERTIFY, -GUARANTEE OR ENSURE CONFORMANCE WITH
THE APPROVED PLANS. IT DOES NOT PROVIDE THE QUALITY ASSURANCE OF CONTINUOUS
INSPECTION.' IT DOES NOT WAIVE OR LIMIYANY OF THE RESPONSIBILITY OF THE CODE
REQUIRED INSPECTIONS BY THE BUILDING INSPECTOR OR DEPUTY INSPECTOR. IT IS, OF
COURSE, THE CONTRACTORS RESPONSIBILITY TO CONFORM WITH STRUCTURAL PLANS AND THE
U.B.C.
�9 FESS/041 y
SINCERELY,
wO m *i
Y
o. 2244
Exp. 12.31-07 '
KENO OTO, s� TRS T")� P ,'
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3186-F AIRWAY A 9TF)FgPf a ESA, CA 92626 '• (714) 444-2422 • FAX (7 14) 444-2122
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TANDY'S INSPECTION SERVICES, INC.
PO BOX 13766 - PALM DESERT, CA 92255-3766
OFFICE/FAX- 951 .769.9717
PAGER -760.776.3339 \
SPECIAL INSPECTION EPDXY REPORT
TYPE OF INSPECTION PERFORMED
EPDXY
PERMIT NUMBER
106 L/ l /
TYPE OF STRUCTURE
DATE
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DESCRIPTION OF MATFRIAI CZ 1 IgFn
TYPE OF
EPDXY
SIMPSON SET22 ICBG ER#5279 ❑ - HILTI HY-150
❑ - OTHER`
❑THREADED ROD` [:11/2" ❑5/8" E:13/4' ❑7/8" Ell" ❑OTHER
TYPE OF
MATERIAL
® REBAR ❑ #3 -❑ #4 ❑ #5 ❑ #6 ❑ #7 ❑ OTHER
LOCATION OF EPDXY WORK INSPFrTFn
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 8 APPLICABLE
BUILDING LAWS.
CC:
INSPECTORS SIGNATURE
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INSPECTORS CERTIFICATION AGENCY AND NUMBER 0
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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 8 APPLICABLE
BUILDING LAWS.
CC:
INSPECTORS SIGNATURE
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INSPECTORS CERTIFICATION AGENCY AND NUMBER 0
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Buena Park,, -CA 90621: :Palm:Desert,.CA 92211 Beauinont, CA 92223..:-'•:,Victorville;'CA 92392 '
(714)523-0952. (760) 772 3893' " (951) 845 7743 760=962-1868
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Job No. 2.
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Site Address-.. LO C.r
Job Phone
Work -Done ;
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Test Summary l.Footirigs .hispected ,
Test Location Elev, Dry., Moist .. % Relative Ref. Max Moist
No. Density: %:` Compaction. pcf %.
Comments
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Field Tech.
Super. or Agent
^:24'hour.notice requested to.,schedule::Field Technician` -Thank :you, for:the,opportunity to be of-service:.:'A
Form SE -0001 (Rev. 9/06)
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TANDY'S INSPECTION SERVICES, INC.
PO BOX 13766 - PALM DESERT, CA 92255-3766
OFFICE/FAX-951 .769.9717
PAGER - 760.776.3339
SPECIAL INSPECTION EPDXY REPORT
TYPE OF INSPECTION PERFORMED
EPDXY
PERMIT NUMBER
(,131
TYPE OF STRUCTURE
DATE
L/ - -
RESIDENTIAL 11 GM40 RCULL)
PHYSICAL ADDRESS (INCLUDE STREET NAA¢ AND CITY)
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JOB NAME (INCLUDE LOT NUMBER I NAME OF COUNTRY CLUB BUSINESS PARK ICO. CENTER.- ECT71
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ARCHITECT !
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GENERAL CONTRACTOR/�� ? r�
SUBCONTRA�Tu `� LDC G16_L 0/DInCILIr
DESCRIPTION OF MATERIALS USED
TYPE OF
EPDXY
N SIMPSON SET22 ICBO ER#5279 ❑ - HILTI HY-150
❑ -OTHER
I THREADED ROD ❑ 1/2" NO 5/8" ❑ 3/4" ❑ 7/8" ❑ r ❑ OTHER
TYPE OF
MATERIAL
❑ REBAR ❑ #3 ❑ #4 ❑ #5 ❑ #6 ❑ #7 ❑ OTHER
LOCATION OF EPDXY WORK INSPECTED
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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 8 APPLICABLE
BUILDING LAWS.
CC
INSPECTORS SIGNATURE..
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INSPECTORS CERTIFICATION AGENCY AND NUMBER
TANDY'S INSPECTION SERVICES, INC.
PO BOX 13766 - PALM DESERT, CA 92255-3766
a OFFICE / FAX- 951 .769.9717
PAGER 760.776.3339
SPECIAL INSPECTION DAILY / WEEKLY REPORT
TYPE OF INSPECTION PERFORMED
H ( A)
PERM/IT NUMBER
n7 ; �- <131
TYPE OF STRUCTURE•,
DATE
/ 9" (� % - - �� O -7
RESIDENTIAL ICOMMERCIAL
PHYSICAL ADDRESS (INCLUDE STREET NAME AND CITY)
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GENERAL CONTRACTOR
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DESCRIPTION OF WORK INSPECTED
CORRECTIONS AND/OR NOTES
WELDING INFORMATION
WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE
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SAMPLE INFORMATION
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I HEREBY CERTIFY THAT I 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.
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INSPECTORS CERTIFICATION AGENCY AND NUMBER
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WELDING INFORMATION
WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE
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SAMPLE INFORMATION
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I HEREBY CERTIFY THAT I 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.
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INSPECTORS CERTIFICATION AGENCY AND NUMBER
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TANDY'S INSPECTION SERVICES, INC.
PO BOX 13766 - PALM DESERT, CA 92255-3766
a ) OFFICE / FAX -951 .769.9717
PAGER 760.776.3339
SPECIAL INSPECTION DAILY / WEEKLY REPORT
TYPE OF INSPECTION PERFORMED
r t, p I m (T
PERMIT NUMBER
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PROCESS AND ELECTRODE
TYPE OF STRUCTURE
RESIDENTIAL °COMMERCIA
DATE
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PHYSICALADDRESS (INCLUDE STREET NAME AND CITY)
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JOB NAME (INCLUDE NAME OF COUNTRY CLUB/ BUSINESS PARK/ CORPORATE CENTER/ LOT NUMBER... ECT.(
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DESCRIPTION OF WORK INSPECTED
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WELDING INFORMATION
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PROCESS AND ELECTRODE
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SAMPLE INFORMATION .
IHEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, /��/ /�� �y,� n i /
UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK v !_� INSPECTORS SIGNATURE `
TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS 8 APPLICABLE BUILDING LAWS.
.51 (-/G ) 95 ,�5
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 EPDXY REPORT
TYPE OF INSPECTION PERFORMED
EPDXY
PERMIT NUMBER
G 6 - L/ %
TYPE OF STRUC,T.URE-
DATE
) 3 -
-PHYSICALADDRESS(INCLUDESTREETNAMEANDCITY)
"COMMERCIAL
E. N U A T S F e C u /' T/ D N 01 /vi. P,_41VCE 14'-f
RESIDENTIAL
/ i o 1 r S tjC-/Z / °� Sku 5tf 6 /oWAI
PHYSICAL ADDRESS (INCLUDE STREET NAME AND CITY)
L/6 66 U 57-
JOB NAME (INCtUDELOT NUMBERINAMEOFCOUNTRYCLUBIBUSINESSPARKICORPORATECENTER...ECT7)
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72 )-53
ARCHITECT
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ENGINEER
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GENERAL CONTRACTOR
SUBCONTRACTOR
DESCRIPTION OF MATERIALS USED
TYPE OF
EPDXY,
WISIMPSON SET22 ICBO ER#5279 ❑ - HILTI HY-150
❑ -OTHER
TYPE OF
MATERIAL
71l THREADED ROD ❑ 1/2" ❑ 5/8" ffil 3/4" ❑ 7/8" ❑ 1" ❑ OTHER
❑ REBAR E1#3 ❑ #4 ❑ #5 ❑ #6 ❑ #7. [:]OTHER
LOCATION OF EPDXY WORK INSPECTED
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:
INSPECTORS SIGNATURE
52-Yy -717 "/1:2'
INSPECTORS CERTIFICATION AGENCY AND NUMBER
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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:
INSPECTORS SIGNATURE
52-Yy -717 "/1:2'
INSPECTORS CERTIFICATION AGENCY AND NUMBER
• - _�.r+� 3. ..vY__��..�.:rl. .'••,� _-r.�':.::1 G. .M•_.::..zna...r..s.}L'LoeO:..:. si3T^`r:..�a....'tmrs�iKrM': r::�+.v �^i_f ttt•.ro.e�..'.r_�_ vn.¢0
064689
•Sladden:.Engineering -
_7 6782 Stanton Ave:, Suite A• 7.7-725 Enfield Lane, Suite`.100 450 -Egan Ave -'15438 Cholane Road'
Buena'.Park, CA 90621:•. Palm Desert, CA.9221.1=. Beaumont, CA 92223: Victorville, CA 92392
(714)'523-0952 '(760)'772-3893:i` (951) $45-7743 760-962-1868 1
Fax (714) 523-1369 Fax (760).772"389Fax .(951) 845 8863 " Fax '760-962-1878-
Date
Job No.
Pt Name
rojectN�:.� "iA,�� : ��'�% .
i Client
Site Address;
Job Phone
Work Done
Test. Summary /Footings inspected 4 :.
Test Location Elev. Dry. Moist- %:Relative Ref. Max- Moist. '
No. Density % Compaction pcf
Comments _ _._ __._ . - ; . — _ _ - -•__ __ .__ ._
e 19
x..24 hour notice requestedalo schedule.Field Technician., Thank you,for the.opportunity.to:be of service.
Form SE -0001 (Rev. 9/06)
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064460 , y
. SIadden: Engineering - r,
6782 StantonAve., Suite A. 77-725 Enfielcl1ane- Suite 1'00i-, 450 Egan Ave : - 15438.Cholane.Road
Buena .Park; CA•90621 PalmDesert, CA 92211 ;Beaumont; CA 92223 Victorville; CA. 92392
(714) 523.0952. (760) 7723893
°. (951.)845-7743 --• � .760-962-1868 • '
Fax. (714) •.523-1369. Fax (760);772-3895,'- Fax .(951) 845 8863_ Fax 760 962-1878
Date Z 07
Job No. e) -Z2 2 ( U
F'IELD MEMO.
Project .Name Iz1G (h fij4 4,,,. ! !/ lL '...Client;,
Site Address C, 1,4
fv..�ye
V l
Job Phone
.......... .
Work Done
Test -Summary / Footings Inspected-
Test,, Dry . Moist -%.Relative: %Ref. Max Moist*
No. Location Elev. Density %: ` Compaction pcf'
VVI I III ICI IIA
9
Field Tech: ,. _ -Super.-or Agent
I:]
24 hour notice requested ' --to Field Technician:::Thank'you for the: opportunity to be-of.seruice:
Form 5E-0001 (Rev. 9106) t °!T
Certificate of Occu;pancy---*.'.,
1.A
WOMILAM
OF Building & Safety Department*
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 California Building Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 46-660 WASHINGTON ST STE #4
Use classification: COMMERICAL (ULTRA LOUNGE SALON & SPA Building Permit No.: 8-1548
Occupancy Group: B Type of Construction: V-13 Land Use Zone: CR
Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 30
Owner of Building: WASHINGTON 111 LTD
Address: 30-240 RANCHO VIEJO RD #113
City, ST, ZIP: SAN JUAN CAPISTRANO, CA 92675
By: STEVE TRAXEL
Building Official Date: NOVEMBER 4, 2008
ti
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