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0105 (CONR)PERMIT A LICATION City of La uinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of issuance. OR, if work has been suspended or abandoned for a period of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. Number Date Contractor OWNER -BUILDER DECLARATION: 1 herby affirm that I am exempt from the Contractor's License Law -for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9(commencing with section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500.): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds, or improves thereon, avid who does such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvemnt is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). O I, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). O 1 am exempt under Sec. . B. 8 P.C. (Attached Certificate) Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Policy No. Company O Certified copy is hereby furnished. O Certified copy is filed with the City Building Inspection Department or City Department Date Applicant APPLICANT NAME .,.F, Ml) (;nom ciY tip:. was of iii ADDRESS 47-225 �r:^hirra�t CIT_V/COMM_ UNITY/Sta, ZICA 92253 JOBaS�.. SITE AD�7D��RESEESSISr/SSPIACE CITY/COMMUNITY/STATE/ZIP BOK7 PAG `IY PRC C TWN RNG SE S TR.7AA.•CT LOT ��,.�dt E X.Ctxia P i t 50.60 MOD SB Plttrbing Pavvilit TRACT NAME OWNER NAME (L. F. MI) Ctmvh of St. 1-1W- M rb of R.,-,ZiSi CoNtN'?,,T..��RACTORFIRM NAME CSLW (2 I�C. *LIL ti cm ADDRESSr X335 t JA 54.31 CITY:51 MMM, STCTEl/ZIP 91786 P(Hr�4) 982-0951 f3. `ICNC279688 0 39 ARC/ENG FIRM�NAME ltM?li.Ud. AOiI�Z.51-7.t0r0♦<,. u1y.imJL`ir3�:yL:. . CITY/COMM UN I.TY/STAT E/ZI P �i am L , CA PHij'Li�J`2ll LICNC N USE OF PERMIT BL ZON FSB SSB SSB RSB OFC ZONE ORD • I LOT SZ END SIDE CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) o, less. I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date, Applicant 0; NOTICE TO APPLICANT: It, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8, C.A.C.) O As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. O Division of Industrial Safety Permit No. Date Applicant 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, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling construction, and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. r Signature of Applicant or Agent � Date Print Applicant/Agent Name APPUPRMT p ('j[� C���� Ja+ �_l7 c4 J-4 83 int to build 16,400 4gr.rN:o W, �i• of Ch=h vzx qnpzaid 4-n. ha t�r�t to b d in rb;, Ity ��a,,,y� until f=tra,,�+a ".=t �2`=rdtsr iy�:,av,-,o� b3. ,jo�f,, iscus..d • S� �rG"r ' e �i�t3 are rcga r d for , � lot i . =t=iarfenws yighting, ��u�rzoludiztg ..,,� ��l trash awill licm= nuzb= tt��d E� b� , for t%trkmmls Bz.�,.�Lc�r.��j.g rW' . $ 2 r038 * 00pp ��,.�dt E X.Ctxia P i t 50.60 Rlhanim3. Fo mit 39.00 Plttrbing Pavvilit 77.60 P,rap=L-Y DavoloR.mht PC,,- 21600.00 R24 R i`V1SA,wl.7 IS R= 4M f3. C" Arrow Printing 250/1-83 White: Finance Canary: Assessor Pink: Applicant Tag: Bldg. Dept. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums &Ducts 2A Slab Grade 35 Furnace Compart. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A fireplace T.O. ❑ NON ADDITIONAL INFORMATION / r [] / � � f � J (�K Tb �rIE'E7UT 161V9.3 (D I LQ�f�� AJ �• �1 . 3 11f SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line ELECTRIC APPROVALS REAR OF PROPERTY LINE PSL P/1 STREET NAME 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final � F f Receipt No. - -� 3 4 Issued By ` * ,District: Riverside ❑ :Iridio ❑" Hemet ❑ Date DISTRIBUTION: WHITE -`Office File ' YELLOW -,Applicant PINK - Building'Dept. GOLDENROD; Attached to Plans + 4r , DOH SAN 122(New 10/81) " • . • , _ - ✓c; Pik 'RIVERSIDE COUNTY DEPARTMENT OF HEALTH "APPLICATION FOR PERMIT TO INSTALL A RESIDENTIAL. SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to the specifications required on the attaclied check list. A non refundable•filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. " Name '�M+ J -VnGtG DiCitac-i-= Mailing Address - .42&cn i' �o x � � i'ut1�i 1155 ^ City - '' _- State Zip Code } Phone. ^� / 'Pr�ro�p}erty Address� 'City or Community , *LDescription of Propertyb � f' F 9 4��i f �It*3 1 % •: ^ e \ rn fegal LOT tl l�t 'Assessors Parcel No. ,. Water Serving Property From C .FC� : t P`?! 1 ��� JQ i''�31�� 7 � i--� �+i_,�:J�c+� V �:� � I il���r 1•�"J"�'^' i..J}""..2a � G...1 • ' + . Signature of Applicant Date �• r • 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line ' Initial Date Soils feasibility report required' Yes ❑°�No Elr /� GZ,G, Detailed boring report required Yes El No ❑ ► :, ' ,Detailed, contour plot required Yes ❑ No ❑l' " - h , i .A�a�9 �G(,i Z'L' `�+'iC \,. . F+�S�' �Js.� ,Soils or boring report by' , � �<< `� ` Date ' Approved by �''` "G , • ' ' Date/39l2� Soils Map Page "" " � Soil Type Frac. File :• /`1 7-2-- y Other �Numt erof=Be�&ooms- tt"[tullaRC./fCP*lfe• j I/CJ7�'bl. Septic Tank Size (gallons) �,j�r Rate Requi ed (sq. ft'/100 gal or gal. sq. ft./day) / �A%C�f..i i3 leJo�✓ Leach line sq. ft. of bottom area tren'Ch Leach bed (sq. fi. -of Bottom area bed) Seepage Pit Diameter Seepage Pit Vertical Feet j Number of Seepage, Pits Maximum Depth ,,�o�f�Pit Location of System • �' Additional Requirements(J�% `�r:G�e�`vz da�►�.•��r ���� Z. �.. i•.,._a-c.r.�..• Gs-� .� ...Q2. l/GtJD G��t-,'s�•ri/ f/ia >;....., ��� u 0 -T- . 7-H i; '77M • > j G.e Apermit i p oyWbdenie'd for the installation of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section@ above: Signature of Health Official,Daie ' + _ � F f Receipt No. - -� 3 4 Issued By ` * ,District: Riverside ❑ :Iridio ❑" Hemet ❑ Date DISTRIBUTION: WHITE -`Office File ' YELLOW -,Applicant PINK - Building'Dept. GOLDENROD; Attached to Plans + 4r , DOH SAN 122(New 10/81) " • . • , _ - ✓c; Pik .:y*s.. • ti .T F •. • ,- , r �' �TErOFiIM y.\\t �., eFp`.. a, i• ,;T _ts•w�r��. '. ,.i. Y'I +t' site, e { t ..•ri::: • r , -+ r ' �'ti .t•r•. ? ±�.,' ,Z`•F _�. 7S4Y ^h t. :.r`It.2 .T,'.t- �, -,, r, - .1 - t, y, .- • , . . a r a "'xLr' �.c� .t�w.�;{ . ".gyp +�, ,y.3;E .:_ y e,j f ;, • .1 -+,-: e�°.. ' 1. •� y � ` ✓ J 1, *:t' _ A. �. CER'T/1 F�:ICgTE 0F:IEN LIC �;.pN"MRNA • ' .mss • • . :.,. ' ;'„ 1 = IH*E UNDERS/GNED� lI i' A NUFA C T URER. HEHEB Y. � CER TIF that theproducts-identified below and on attached' sheets Nos. 3 are marked withcthe •Coffective Mark of,the AMERICAN. INSTITUTE, OF TIMBER CONSTRUCTION -(AITC)' and • vver.e "manufactured in- conformance,. with. applicable,tprovisions of.. . U '.S:= Product Standard t! PS,56-73;'for Structural Glued Laminated'Timber, and'that;suchwmanufacture has been•avour plant iri ' Riddle9 Oregon , which-plant:has a,quality control system approved by.'. *.the Inspection,:Bureau of ttie AMER:ICAN:JNSTITUTE OF' TIMBER CONSTRUCTION and in'spected ; `. 'a• periodically:by_such,,Bureau.•The.u6dersigned-manufacturer•further certifies -that the work has been. - done in accordance with the applicable job'sp'ecifications. :..;. j a , .r, qk,4, t Lu•L • • a • _ � �. . JOB,NAME: Chrch;-of St. Francis _ �x t_' sh ' Lr• ;,++�. 't�1 .;r.. L"A GZ iV W -r q _ JOB LOCATION: CA n ' CUSTOMER'S ORDERNO.� z ^156!•7 -S $'� DATE "HISIH3� "MFGR'SORDERNO.' 7002 '• " , Riddle Laminators '�.. i.-+ 'SIGNATURE `. a 'COMPANY _ TITLE ' Quality - Control D ESS - Riddle, '� Oregon DATE August 31 03:- wy Imo' i '4 r • ,. AITC. HEREB Y CERTIFIES. that the said'�companyr at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION.tousethe AITC'Collective'Mirk.iri respect of ' products which comply with applicable provisions of said'Standard,.that the adequacy of the quality control system in effect at said plant•is periodically inspected and verified by t 6,1nspection Bureau of the AMERICAN INSTITUTE OF TIMBER CO.NSTRUCTION,.and that, in,the judgment'of the under-. signed, said compan"yiis capable of complying'' ith:applicable.manufacturing and',testing provisions of. said Standard in respect of products manufactured at said -plant.. Conformance 'With the`Standard in ` _ respect of any specific or particular product is the sole responsibility`of-the+manufacturer; AITC's guarantee, hereunder, being that the said company is;qualified to produce,a product meeting the.'said: Standard and,that,its plant is periodically, inspected'and'verified by the AITC Inspection~Bureau. -AITC No., A >;. 6 0 3'+4 Signed for 4 AMERICAN .INSTITUTE OF'. -TIMBER' CONSTRUCTION .., o, • • Russell P. •Wibbens .Jack Minneci t — Por Executive Vice President ' Director, Inspection Bureau ©' 1978 AMERICAN INSTITUTE OF TIMBERCONSTRUCTIONa AITC FORM IBCA. • s - The glulam members of the job covered by this certificate are stamped with one of the following type quality marks. Each qualified plant has an individual qualification designation. The designation "P-143" shown on the typical quality marks below is not assigned to any plant and is used only for the purpose of illustration. A TYPICAL CUSTOM PRODUCT QUALITY' MARK P-143 AITC designation of qualified licensed plant. QUALITY. INSPECTED ® PS 56-73 Indicates that the designated ticehsed plant' has met all requirements for qualification and maintains an acceptable quality control Indicates conformance to U.S. Product system which is periodically inspected by Standard for Structural Glued Lam. AITC. inate d Timber. A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK Identification of structural use, desig- nated by symbols: B—simple span, bending member; C— "' compression member; T—tension mem- yTber CB.rs�rn le, continuous or canti- lever span bending member. { AITC designation of qualified licensed P-143 W plant. A ITP_ I Designates type of adhesive, W for "USE" "SPECIES" WET USE or D for DRY USE, QUALITY INSPECTED, O 000-00 DDF ARCH Name of wood species used. R Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system- which is periodically inspected by AITC. PS 56-73 Designates appearance grade. IND— Industrial. ARCH—Architectural. II PREM—Premium. Indicates conformance to U. S. Pro- duct Standard for Structural Glued Laminated Timber. Designates applicable AITC laminatin specification and combination symbol; for example "117-71 24F" or "117- 71 3". ► For a custom product the specifications covering the desired product are included in the plans and specifications. ► For non -custom aroducts essential detail specifications are included on stamp. IIic ESTABLISHED IN, 1918 AS A PUBLIC AGENCY COACHELLA VALLEY`WATER DISTRICT POST OFFICE BOX 1058 COACHELLA, CALIFORNIA 92236, 'TELEPHONE (714) 398-265.1 ? DIRECTORS OFFICERS RAYMOND R. RUMMONDS, PRESIDENT LOWELL O. WEEKS, GENERAL MANAGER—CHIEF ENGINEER, TELLIS CODEKAS, VICE PRESIDENT BERNARDINE SUTTON, SECRETARY JOHN P. POWELL VICTOR B. HARDY, AUDITOR PAUL W.NICHOLS August 20 REDWINE AND SHERRILL, ATTORNEYS STEVE D. BUXTON g s 1982 File:, 0772. A. Al Cook Millard Archuleta/Robert Ricciardi Assoc, 42-600 Bob Hope'Drive M S 198? i Rancho Mirage, California .92270 gA�RR • Dear Mr. Cook: Re: Roman Catholic Diocese, St. Francis of Assissi; La Qunta Thank you for your let ter,of request dated August 13, 1982. Sanitation - service to the church property located approximately 29600 feet south of the intersection of State Highway 111 -on Washington Street -is not economically - feasible at this time. Therefore, we are ,recommending that a private system be granted by the Riverside'County Department of Public Health.' The private. system shall be designed to allow the connection to a wastewater collectior_ line at a later date. If you have any questions or require -additional information, please call Bruce' - Clark at (714) 398-2651. Yours ery tr 2y9 i Lowe 0. Wee General Manager=Chief Engineer BKC: dg .' j' cc- Riverside County Department'of Public Health 46-209 Oasis Street Indio, California 92201 TRUE CONSERVATION USE WATER WISELY { SPECIA 'INSPECTION "SERVICE -A REGISTERED INSPECTOR'S WEEKLY REPORT. ENDING ON .`iepi;. -10 ,g COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF ❑ REINFORCED CONCRETE 2 STRUCT. STEEL ASSEMBLY !7 GLUE -LAM. FABRICATION LI PRE -STRESSED CONCRETE = REINFORCED GYPSUM u OTHER n REINFORCED MASONRY _ PILE DRIVING JOB ADDRESS 47-225 Washington St., La Quinta BUILDING PERMIT NUMBER 0105 PLAN FILE NUMBER OWNER OR PROJECT NAME Church of St. Franc' _ Bell -To -war ARCHITECT Millard Archuleta Assoc. CONSTR. MATLTYPE,GRADE,ETC. DESIGN STRENGTH SOURCE OF MFGR. ENGINEER Gerald Lehmer Assoc. DESCRIBE MAT'L (MIX DESIGN RE -BAR GRADE & MFGR WELD -ROD, ETC.) E7018 GENERAL CONTRACTOR W.D. Gott Const. Co. CONTR. DOING REPORTED WORK Inland Empire Erectors Joe.K. Silveroil #H2983_ LAB RECEIVING & TESTING CONSTR. MAT'L SAMPLES INSP'N DATE LOCATIONS OF WORK INSPECTED, TEST SAMPLESTAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATIN ABOUT—AMOUNTS OF MATERIAL PLACED OR WORK REFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELDS MADE H.T. BOLTS TORQUED) CHECKED; ETC. -24-8 Visual inspection of field welding of IIxPI straps 3-25-85 Det 15/S8, 311x4"x " veneer support angles per Det 10 S8 and 14/S8, 3-26-85 window frames to 4"x8" tubes are welded on both sides 0-8 and onede of each -flange, Weldi . ng of metal -dpr--k at fourth In-nding-1 " " T-9- tn nniii'mng per Det 8/sR*_nt east eley. SE col. N)-6-83 SW enl- forth landing 4"x 8"'T.S. to columns at all other locations were welded top and -7..83 bottom and on the outside vertical*.tube wall only. The two 411x 8" T.S. -8-83 to the SE column at the top level were also welded per the engineering revision of 8-30-83 for the clarification of field welding at inside face of horizontal tubes to columns. *Due to the size and sha a of the horizontal T.S. and the columns the vertical welds .are of the flare -bevel type and not 41' fillet welds as attentionj.ntjjc-,qtpd in net This was brought to the verbally approved -by the structural engineer,Mr. Gerald Lehmer, in telephone conversations on 8-25-83 and 8-30-83. Vertical welds at the inside face of horizontal tubes to columns has been completed only at the two locations on the SE column at the top level. Field modifications that were made and that are in need of approved engineering revisions; Det 13/S8 base plate of 3" pipe column was welded on -one side to W27x102 at line 3 because two bolts are missing, CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SEC- TIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR 9-8-83 434 DATE OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT NO. l 'FOR Sept, 10 8 ENDINGON 19 3 COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF ❑ REINFORCED CONCRETE ❑XSTRUCT. STEEL ASSEMBLY ❑ GLUE-LAM. FABRICATION ❑ PRE-STRESSED CONCRETE ❑ REINFORCED GYPSUM ❑ OTHER 0 REINFORCED MASONRY 0 PILE DRIVING JOB ADDRESS 47-225 Washington St,.,' La uinta BUILDING PERMIT NUMBER 0105: PLAN FILE NUMBER OWNER OR PROJECT NAME Church of t,. r n.c'- - e 1 e: ARCHITECT Millard Archuleta Assoc. CONSTR. MAT'LTYPE,GRADE, ETC. DESIGN STRENGTH SOURCE OF MFGR. ENGINEER Gerald Lehm.er Assoc. DESCRIBE MAT'L (MIX DESIGN RE-BAR GRADE & MFGR WELD-ROD, ET.C.) E7018. GENERAL CONTRACTOR W.D. Gott Const. Co. CONTR. DOING REPORTED WORK Inland Empire Erectors Joe K. Si-lveroil #H298:3 LAB RECEIVING & TESTING CONSTR. MAT'L SAMPLES INSP'N DATE LOCATIONS OFWORK INSPECTED, TEST SAMPLESTAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATIN ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK REFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELDS MADE H.T. BOLTS TORQUED) CHECKED; ETC. base plate of 4" column. was welded om on,e side to pitched W18x 0 because two bolts are missing. 3" pipe knee brace at line 3 was welded on all four sides to w14x30 column because all bolts ane missing. Added new stiffener plate to the.sou:th side of W27x102 at line 3G under relocated.column. Final acceptance of all of the conditions li sted aboyp dplip-nd-,_- building del2t- approved Prigint-g-riing, , CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SEC- TIONS OF THE GOVERNING BUILDING LAWS. (��k SIGNATURE OF REGISTERED INSPECTOR 9-8-8.3 DATE OF REPORT 434 REGISTER NUMBER NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class III DATE: june 20. _1983 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 47-225 Washington Street, La Quinta, CA 92253 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Iirprovements — Per Plan Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Per Plan DIMENSION OF INSTALLATION OR REMOVAL Per P1an SIZE OF EXCAVATION, IF NEEDED 7 nri APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advgnce of the time when work will be started 1 Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the �esiJlt of this work. Signature of Applicant or Agent �u,�•_ ��. _mil. March of St. Francis of ASSiZi, 42-600 Bob F(ape Drive, Saite 115, Rancho i?,Li-3-1e, �. 9, Name of Applicant (please print) Business Address Telephone No. W1. D . Gott Construction. 1656 E , 9th Street , Upland, al�, 91'7 8 t) (71. A 1 Name of Contractor and Job Foreman Business Address Telephone No. 279688 City of La Quinta :C,icanse ';0" Contractor's License No. City Business License No. SLctte Comp,-_-Zsatlon Ins.zrnc o rtiund _90 779-82 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTA4: Receipt No - Received by Date PERMIT VALIDATION PERMIT NO. oo 9, DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by TELEPHONE: (619) 564-2246 City of Za Quinta Building Dept. P.O. Box 1504 La Quinta, Ca. 92253 - r y • kipt.t. 40.n. �h p'1 itr' 't ,�• t 3 '��� a E t w + � r %'. •� L 'w ;'4th � 55� j ! ,��Y}S .�R�.! qr '+��`, a�. ; _.SEP 13 '1983 City of La Quinta REGISTERED INSPECTOR'S WEEKLY REPORT No FOR WEEK <;ept. 10 8' ENDINGON 19 COVERING WORK PERFORMEDREINFORCED CONCRETE {X STRUCT. STEEL ASSEMBLY ; GLUE -LAM. FABRICATION WHICH REQUIRED APPROVAL BY PRESTRESSED CONCRETE 1_1 REINFORCED GYPSUM 1 1 OTHER THE SPECIAL INSPECTOR OF i• REINFORCED MASONRY Fl PILE DRIVING JOB ADDRESS BUILDING PERMIT NUMBER PLAN FICE.NUMBER El :z'_l;.CII:a. 0105 ' ti OWNER OR PROJECT NAME ARCHITECT . ;.,N Church -o f 1i l � ;;. r ill...tr.d Archuleta Asdo'c. CONSTR. MAT'LTYPE. GRA DE.ETC. DESIGN SrRENGTHISOURCE OF MFGR. ENGINEER Gerald lehmer Assoc, DESCRIBE MAT'L (MIX DESIGN RE -BAR GRADE & MFGR WELD -ROD, ETC.) GENERAL CONTRACTOR rIfn W.D. Gott Const. Co. I -l.o CONTR. DOING REPORTED WORK ui;�. T:. ;;i.': Vc T•a1 Inland Empire Erectors-. _ rLAB RECEIVING & TESTING CONSTR. MAT'L SAMPLES INSP'N LOCATIONSOFWORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATIN ABOUT -AMOUNTS OF MATERIAL PLACED OR WORK REFORMED, NUMBER, TYPE & IDENT. NO'S DATE OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELDS MADE H.T. BOLTS TORQUED) CHECKED; ETC. -2r;-8 ' +r1 sii, a in�Klr�cti.'c:n of .field weld.in of "x-'" stra s to columns -25-� ; "� t - ,' ,'. "X -4i, veneer support angles per Det 10/S8 and 14/S8 -'6-8 4"',,.811 .tubes a.re v,elded on both sides of C x 9.4 webs - )(l-8 iT'C X n d of r nl, l n4F- , Welding- lT f metal -P T r 'i •� r? 1 i; -6-83 �.Ilx 611 T.S. to colu ins at all other locations were welded top and a-7-8 _­nd ori •-.he outside vertical-' tube ocall only. The two 4"x 8" T.S -8-83 to the ;E. coiur::in at the 'boy, 1ev�1. 'were als6 Melded per the engineering revisicr: oY' 8-`u-w� for the clarification of field welding at inside f ce of hori:.:)r.tal t.utl.s to columns. ".!a..,e of file horizontal T. S. and the columns -t} e =rti^a.l irelc?s :r.e ol.' the 'lire -bevel t; ;e and not -'►' fillet welds as verba Fly approv:-c:, by t1he structural ene ineer,P+]_r. Gerald Lehmer, in on 8,25-8' and 8--7,0-83, '7(:.ri:i t.:a] ,r ?.u^ at t,,- i.n ir]e face of 1norizontal. tubes to columns has been cownle.tr:d only .j.t the two Locations on the SE column at the top Fic_c]. rnodifi.cations that ..ere made and that are in need. of approved E'. 17rllleering r'evil:iens: Det 13/S8 base plate of 3" pipe column was welded on one side to W27x102 at line 3 because two bolts are -missing, CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY „-- WITH THE APPROVED. -PLANS, SPECIFICATIONS, AND APPLICABLE SEC- T TIONS'OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR -a-83 434 nATC nC DCDn OT DC(_ICTCD All IMDCD :t 61 ,� p t SPECI�A�LINSPEC'%I#ONSnERIC REGISTERED INSPECTOR'S WEEKLY REPORT NO. 1 FOR ENDING K Sept, 10 19 83 COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF I! REINFORCED CONCRETE I-VSTRUCT. STEEL ASSEMBLY CI GLUE -LAM. FABRICATION I i PRE -STRESSED CONCRETE Cl REINFORCED GYPSUM o OTHER 1 REINFORCED MASONRY ❑ PILE DRIVING JOB ADDRESS 47 -2r,: 4�ashin to.i �; . , l:.:a C).ui.ritc. BUILDING PERMIT NUMBER 0105 PLAN FILE NUMBER OWNER OR PROJECT NAME ' -I T ry,n� i ';ea Chur (I'l; 1. 1 r ' ARCHITECT llilla.r�i Archuleta Assoc. CONSTR. MAT'LTYP_,GRADE. ETC. DESIGN STRENGTH SOURCE OF MFGR. ENGINEER Gerald Lehmer Assoc. DESCRIBE MAT'L (MIX DESIGN RE -BAR GRADE & MFGR WELD -ROD, ETC) 27018 GENERAL CONTRACTOR W.D. Gott Const. Co. CONTR. DOING REPORTED WORK Inland Empire Erectors X. Sil.veroil. -y'LT298{ CONSTR.. MAT,L SAMPLES.. _Joe _ .-.LAB_RECEIVING.&JESTING INSP'N DATE LOCATIONS OF WORK INSPECTED, TEST SAMPLESTAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATIN ABOUT—AMOUNTS OF MATERIAL PLACED OR WORK REFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELDS MADE H.T. BOLTS TORQUED) CHECKED; ETC. base plat( of " columr was welded on one side to pitched W18x -0 becaus :- -Luwo bolts are mis:_ in{ , 3" pipe knee brace at line 3 was welded. ozi,�;.11 four sides to vilAx30 co:lunln because all bolts are mis s i i, t,ddec n f sti_fferrer r.1.::te to the South side of W2 x102 at line 3G- under relocated column, 'Pinal -,errtp>7ce of >ll of the oondition-- listed above dey)erid-, r CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SEC- TIONS OF THE GOVERNING BUILDING LAWS. L SIGNATURE OF REGISTERED INSPECTOR 9-8-83 434 14 DATE OF REPORT REGISTER NUMBER ,