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0206-182 (OFC)1; LICENSED CONTRACTOR DECLARATION r. ;I lIereby 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 Piafessionals'Code, and my License is in full force and effect. 0 ��y;� License #A y+� T�Lic. Class Exp. Datef l� d LO I LU 740276 � -.B t ©9111 01..2( cOZ N `s eDate/��7, ,.'� _ Signature of Contractor ! _. � o OWNER -BUILDER DECLARATION CID w`'Llj ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~;rte License Law for the following reason: Z_ , ( ) 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).. c? O yarn exempt under Section , B&P.C. for this reason N Date" Signature of Owner ON U—tl Q WORKER'S COMPENSATION DECLARATION 0Z � I hereby affirm under penalty of perjury one of the following declarations: O (.) 1 have and willmaintain a certificate of consent to self -insure for workers' X LU compensation, as provided for by Section 3700 of the Labor Code, for the m� Q performance of the work for which this permit is issued. Q, U I have and will maintain workers' compensation insurance, as required by p U Q Section 3700 of the Labor Code, for the performance of the work for which this 11 �- permit is issued. My workers' compensation insurance carrier & policy no. are:. ? Carrier;iTA, ►!"(,y4�S Policy No. Z3 1' 11 ccb C) g (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. rDate: 2 "r ► 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. IMPORTANT Application is hereby made to the•Director of Building and Safety for a "permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made'& each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void. if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and"state that the above information is • correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. . "/Signature (Owner/Agent) Date BUILDING PERMIT :PERMIT# DATE / AVALUATION LOT :QP TRACT i �rW4,795,00 .PIKR JOB SITE ADDRESS 4-1-250 WA��'.(rINQUON KME APN &I; -taxom OWNER CONTRACTOR / DESIGNER / EN (NEER TME G` 014MRLeCT1,,09 a?'.O.4I 18-467 AWY 1 % 1 799 JACI AT,: X' FIIJVJ ,, t, T. P LA. QUWY.A. CA 92253 :1)ALNM ME= CA ?.1,`22111 (760 Jry2.3585 CM.W 4.112 �/1� USE OF PERMIT , COW:RcV, o-167 . ryOihrtRMCR1A1"u1,392 S,.K n.PFpC8 OCC. n®nF-V'N, Z900 .31. . - ' 'SHELL', 1304 sY, Mr.SRED :Xr-rr" RY, . CONT `ACT M-40UN 4'Y4y J "l,!%{f Fig ..`i� 4111'�.0 Ci��Y% OF E;ON.F.Ml3Cr`riclI1�i y:p '/�� � '�j {���S:�.tJs". .l-.:C:iii.l. 11. N EFR 6iY I .. Mf�biF.'1•.' 3. . PERMIT 0�7i?33�!)'�07lC+�;1?Fi� 1C€�n0t��l�-t3fiit) $l,99;�,UQ PLAN CH2r.-K, FEE 1,01-00t-4393 10, $1,` 1.fJ(+ FZZ DEPOSIT 101.000^4:39418 •%,, +ov n R1i+.0 HANICA.1; PRE 101-000421 -OO(Y $1361.50 FLECTIUCAL FFX 101-000.320-000 P1,UMBIWO FEE 101 -Oil;, -419-000 ;JTRONO MOTION F Z - COMM 100 t000 -241-(X)_0 :. Wolf (IRAINNO PEF, 101>000�423-001.1 4.a,t3Li A42T IN 1>013iLIC'P A{: ES ti OM) 270-000-445.400 $?,",97 SUB-'YOTAL CM} D-r 1010M 'na 27, "O E5 NOW DEC DEC 3 l" 2002 , E CITY OF LH Qts+TA FINANCE t?6PT RECEIPT. DATE DATE FY4ALE INSPECT '8$ INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts d Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap 07 A, F.A.U. Framing VCompressor Insulation Vents Fireplace P.L. Grills Fireplace T.O: Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath d3 Drywall - Int. Lath Final Final 3 BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Waste Lines �j� 3 Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Outfz Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Lxwv Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power 3 Final / 100 Utility Notice (Perm) COMMENTS: � ���b� 47-2SV. Building .Address Owner Mailing Address -14-4e Cv o2oi-1`2- P.O. BOX 1504 APPLICATION ONLY j 78-495 CALLE TAMPICO Vds�(jf Vin! S�j, LA QUINTA, CALIFORNIA 92253 i BUILDING: TYPE'CONST. OCC. GRP. ` A.P. Number— �1 Zoo ­,On5/ P- 73.i• _ _ _ .*A wi!!L tJbgal Description_ Project Description Address 7M9 T Ac1(kC t Z,18 Tel. (►� NloJ- `7 �?�f I 7601 7772- 3,) Std ,�4 State Lic.G City & Classif. 7 / Q Z7f Lic. a Sq. Ft. Arch., fwe0 Size Designer C O� New 0 3 CitZip State Lic. a G LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prolessions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,61usiness 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 live hundred dollars ($500). l'! 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement 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.) , 1 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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 contractors) licensed pursuant to the Contractor's License Law.) 11 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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 fl Copy is filed with the city. 11 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) I certify that in the performance of thg work for which'lhis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date_ Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to Ine Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby 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 tilled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify,that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws retailing to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. - Signature of applicant Date Mailing Address. City, State, Zip_ No. No. Dw. Stories 07W. Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ va • € r36 0� Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 4 # �3' r .- 1 P.O. BOX 1504 a 78-495 CALLE TAMPICO APPLICATION ONLY Building xX— XXX !JA541V& �, V LA OUINTA, CALIFORNIA 92253 Address V Mailing Address City f Zip f fTe (a l t ✓ ("1'l�oi 'q Contractor Address p State Lic. ; City & Classif. Lic. # Designers,., �1ti. Ott R Address Tel. City Zip,,,, State v,tAlm D,&14 I LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am `exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I'; 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I 1 1, as owner of the property, am exclusively'contracting with licensed contractors to con- struct 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 contractors) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company F-1 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit.is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner 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. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above. mentioned property for inspection purposes. Signature of aGPlicant Date Mailing Address City, State, Zip ILDING: TYPE'fCONSTA19 OCC. GRP. 22 1. Number i '"° Zoo " eeyca )al Description Sq. iz Ft. rp q Z Size � ( t NeWX Add ❑ mated Valuation No. No. Dw. Stories. Units Alter ❑ Repair ❑ Demolition ❑ PERMIT j AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 1: JUN C UD FIJV ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 12/26/02 La Quinta, CA 92253 No. 23974 (760) 771-8515 J�tei�sc %,CC) Q BERMUDA DUNES r Cn RANCHO MIRAGE e, INDIAN WELLS PALM DESERT y LA QUINTA Q INDIO Owner WG Properties APN # 643-200-006 Address 78467 Hwy 111 Jurisdiction La Quinta City La Quinta Zip 92253 Permit #- Tract # Study Area Type Commercial No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 47250 Washington St 8882 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Medical office Building At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Commercial Building EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0:34 X 8,882 S.F. or $3,019.88 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square•footage in this proposed project may now be issued. Fees Paid By CC/ 1st Bank = Chuck Topalian Check No. 66322 Name on the check Telephone )Funding Commercial By Dr. Doris Wilson Superintendent Fee collected /exempted by Monica Guillen $3,019.88 $0.00 Payment Recd Over/Under Signature ZINIM166L, NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting '� � Z • .L .rC1 0�5.�� 4. ; OF 1 MEM0RAND U -W , To: Greg Butler, Building & Safety Manager To PWD: From: Steven D. Speer, Senior Engineer Building Permit Release " (this is an approval to issue a Building Permit) The Public'Works Department has reviewed the following project: Description: 9 DJ Qy, L Dim LP Address or general location: APN and/or legal description: Y3— 2,00— 00 The Public Works Department finds that: ❑ issuance of this Building Permit does not require Public Works Department approval. ❑ ... issuance of this Building. Permit is approved by the Public Works Department.. �.1'6 o� .Steven. D. o En Speer, e gineer Date OV 4`4 I �`�OF.p a , r / it To: Greg Butler, Building & Safety Manager To CDD: II/s/0 f From. W � ,Planning Due date: ��ia�o,Z Status:_ 3�Ew Building Plans Approval this.is an a t ( pproval•to :issue a Building Permit) • The Community Development Department has reviewed the Building'Plans for the following, project: Description: 7 ' 2-, o4arcc EGD Address or general location: 7- Z�� �'�/L✓Lo� ST- , • APN and/or legaldescription: y3­.2'00 _The Community Development Department finds that: these Building Plans do not require Community"D,evelopment Department approval. ..these Building Plans are approved by the Community Development Department. , Planning Date f r YOUNG ENGINEERING SERVICES Engineering Architecture -Surveying- Building & Safety Services ' Letter of Transmittal To: City of La Quinta Date: 11/4/02 ' Project: 47-250 Washington St. Attn: Ed Randall PC#: _ 206-182(2 nd check) Tel No.: (760) 777-7012 Tract No.: 4• We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: ` 1 Set of struct. redlines .' 1 Set of corrected plans. 1 Soils ' 1 Redline struct. calc 1 Corrected calc 2 Truss calcs Comments: Plans are acceptable. This Material Sent for: .; Your Files Per Your Request Your Review x Approval Checking At the request of: Other , By: Eric A. Frenzel Phone # 760-360-5770 77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770 Bronz Young OCT -29-03 WED 3:50 PM RIV. CO.' FIRE P&E NDI0 'FAX H. 1 760 863 7,072 P. 1 XF tai mr RIVERSIDE COUNTY FIFYF D�;PARTME In e"ooperation with the n California Department of F'Orestry and Fire Protection �--- 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (7 60) 863-8886 '• Fax (760) 863-7072 s \t October 29, 2003 , Tom Tisdale Fire dhlef City of La Quints F Building Department Proudly wwr ig the unincorporated areas of Riverttide Re, Fire and Life Safety Clearance'- .County learance'.County and the. 47-250 UNashington St, Cities of; " IIanning ' The Riverside County Fire Department is granting a final fire and life safety clearance for the group structure located at 47-250 Washington St. Beatunont lee Calimesa Respectfully, Canyon Uke va FRANK KAWASAKI Coachella Chief Fire Department Planner Desert Bt tSEtringr e• By Indian wells Terry DeS cy . •' Fire Systems Inspector Indio take Elsinore La Quints . titi , Moreno Valley w - Palln Dcsctt > QCiri9 Rancho Mirage releaselq wpd San Jacinto Temecula Board of ;Surorvisor. Bob Buster, District i John Tevagliono, Distfi�t 2 Jittt Venable. virb'ict 3 Roy Wilton, Uistrid 4 Marian A.%WeY District 5 L �•.' FROM Pacific Eng i neer i ng FAX NO. ' 760 779.5994 Mar. 25 2003 08::26RM P1 - co' CV rc PAC IFIC•ENGINEE RING & 'ASSOCIATES ' CIVIL ENGINEERING.- PLANNING • SURVEYING 1 .. _ ,. fit• `. ... ,.. a y_ . Mr. Raoul Martinez ' March'20, 2003 , City of La Quints Public Works Department Post Office Box 1504 . 78-495 Calle Tarnpico La Quirita, CA 92253 Re: 47-250 W_ashington_Street Parcel 6 of PM 27892 SDP 2002-731 Dear MT. Martinez: This is to advise you we have verified the building, pad, elevation of the above referenced lot and find it to be within 0.1' tolerance as follows: ✓ Existing Pad Elevation = 62.0 Plan Pad Elevation = 62.0 " Sincerely yours, � ,, • � •' 32182 OM 31, a� Lydia R. Shinohara, P. E. OF CA01: Principal � - 41-230 Carlotta Drive. Palm Desert, CA 92211 (760) 346-4264, FaX (760) 779-5994, E-mail • paceng®oe.er.com: r �312OU3 14: bb 714444 122 KEN OKAMDTO A550C 4 . PAGE 62 , CEN OKAMO O & AS S®CgA a ES, INC. , STRUCTURAL ENGINEERS DATE: JUNE 3 2003 , TO: CITY OF L_ A OU.INT.a y BUILDING DEPARTMENT .RE:WG PROPERT S - -•47250 WASIILvGTON ST. LAUINTA CA. GE.N7LE.MEN: , . AS REQUIRED BY THE BUT.LDING DEPARTMENT, OUR OFFICE .i.%,RADE 1 STRUCTURA'T {` O.BSPRVATIOINT AT T.IIE .ABOVE-MENTIONED PROJE CT. TH.E PUMPOS:E OP Tri i.j VISJT v'A5 TO OBSERVE THE ITEM(S) OF CONSTRUCTION AS NOTED BELOW.'. THE OBJECTIVE OF T1-flS SITE VISIT IS TO HAVE AN ADDITIONAL RFV.IEW OF THE STRUCTURAL SYSTEMS BY A KNOWLEDGEABLE OBSERVER DU.RiNG THIS SIGNIFICANT CONSTRUCTION STAGE INT ORDER, TO ASSIST THP• 4 CON TRACTOR WITH CONFORMANCE W.ITH TH.E PLANTS. THESE, OBSERVATIONS ARE LI.MITTED TO T. HE STRUCTURAL ASPECTS OF TH.E BUILDING. ` ITEM OF CONSTRUCTION BLDG. NO. DATE - ROOT' AND WALL FRAMIAI 06-03-03 Y BASED ON VISUAL OBSERVATION, THE ABOVE ITEM(S) APPEA.RcD TO BE IN GEN)rRA.i. ` CONFORMANCE WITH THE DESIGN INTENT, OUR OBSERVATIONS OF TtIIS STRUCTURE WERE MADE ON A VISUAL BASIS, AND IT IS NEITHER •` EXPRESSED NOR VMPLIED THAT .A_LL POSSIBLE .DE.FICIENCIL-S HAVE BEEN ADDRESSED. STRUCTURAL OBSERVATION DOES NOT CERTIFY, GUARA\� EE OR ENSURE CO\'FORM/%,NCE WITH THE APPROVED PLA\'S. IT DOES NOT PROVIDE THE QUALITY ASSURANCE OF CONTINUOUS INSPECTION, IT DOES NOT WAVE OR LIA TT ANY OF THE .TZI;$pO.N'.cigILITY OF THE CODE REQUIRED INSPECTIONS I3Y THE BUILDING INSPECTOR OR DEPUTY INSPECTOR. TT IS, OF COURSE, THE CONTRACTORS RESPONSIBILITY FOR CONFORMANCE WITH, STRUCTURAL PLANS , AND THE U.B.C. S.TN CEREL ti No. 2244 c s EXP. 12-31-05 ` ABF CAUF���� 3166-F AIRWAY AVE. COSTA MESA, CA 92626 (714) 44.4-2422 FAX (714) 444_2122 - DATE: 0: , CITY OF LA QUll4`f& BUILDING DEPARTMENT RE:. W !f+ f'zr -rl 17 O IAJA 6u 14,1, o, -J 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 TI'EM(S) 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 L 2v= TO THE STRUCTURAL ASPECTS OF THE BUILDING. ITEM OF CONSTRUCTION BLDG. NO.' DATE. BASED ON VISUAL OBSERVATION, THE ABOVE ITEM(S) APPEARED TO BE IN GENERAL CONFORIVIANCE WITH THE DESIGN INTENT. OUR OBSERVATIONS OF THIS STRUCTURE WERE MADE ON A VISUAL BASIS, AND IT NETITIER , E.NPRESSED NOR RAPLIED THAT ALL POSSIBLE DEFICIENCIES HAVE B€EN.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 LMT ANY OF THE RESPONSIBILITY OF THE CODE REQUIRED INSPECTIONS BY ING INSPECTOR OR DEPUTY INSPECTOR IT IS, OF COURSE, THE CONTRA SAI IL= TO CONFORM WITH STRUCTURAL PLANS AND THE •` , U.B.C. u,' No.5SE6 •Ny.. Ex 0. 12-31-nq 1. MAYER. PE . 3Y6' - F AIRWAY AVE. COSTA MESA, CA 92626 (7 14) 444-2422 FAX (714) 444-2122 SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OfEINFORCED INSPECTION PERFORMED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED -MASONRY ❑ FIRE PROOFING JOB LOCATION I 1:50 LJ 1N �� ^ CA REPORT SEQUENCE NO. TYPEAF,S,TKTURE LjC w ,Y{J ^ � PERMIT N0. 0 DAY OF WEEK MATERIAL DESCRIPTION ARCHI �CGi �► A.&( INCPFGTO,�V -V7 •T MRS. CHARGED M _ ENGINEER O� -` ASSISTANTS HRS. CHARGED INSPECTION GENERAL CONTRACTOR O �� SUB CTOR AV {.. e W 0 1A C 10 ITS.. AteouvLAto L/ 11C.- Y COPY SENT TO CLIENT, O y J CONTINUED.ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. I AT RE F REGISTERED TQR� DATE O EPMT REGISTER NUMBER " JON TANDY 78-194 Elenbrook Ct. Palm Desert, CA 92211 Office (760) '772-7192 ' ' • fax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION . PERFORMED EINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE' ❑ ASPHALT ❑ REINFORCED_ MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER , J08•LOCATIO^ z� ��\ L e � \`t1'`'\' REPORT SEQUENCE N0. TE OF STRUCTURE ' PERMIT NO. TE DAV EEK MATERIA DESCRIPTION u ARCHIRT\ ` INS ECTOR . NRS. CHARGED ENGINEER ASSISTANTS MRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR �^ SUB �_J CONTRACTOR oppm X or InS� it COPY -SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE O AGE OF" CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI URE OF REGISTE D INSPECTOR DATE OF EPORT REGISTER NUMBER SPECIAL INSPECTION. REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 ,Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY O O POST TENSIONED CONCRETE O ASPHALT O OTHER f zyl/ ❑ REINFORCED MASONRY ❑ FIRE PROOFING J08 tgC�Tt,O� �"� WAS l i'ti�!` V t �_ ,� -Y ` REPORT SEQUENCE N0. TY, E OF STRUCTURE '{ _ ( 64A � (,�% �- PR d 1p—e k t k/ S PERM!TfNO. ATEl i j t�> DAY OF WEEK MATERIAL DESCRIPTION AROH'INECT INSPECTOR HRS.CHARGED 'Z / 0� G _moi// ENGyNE w O -In ; U � � ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR S v C ! CONTRACTOR I ' �L v oe_ U S i l.! (.5z, COPY SENT TO CLIENT O CONTINUE'D�ON.. NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MJ KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. of .SIGNATURE REGISTERED In C DATE OF REPORT REGISTER NUMRFR r' ,„ r•6,, r. •<<::« .'n :.. .n • . •`7 .�... ,r... .-r '.a.�. ti �, fT�.t&. �+�!r,F,. �. 7r. r .S REGISTERED INSPECTOR'S WEEKLY REPORT "JON.TANDY 37630 - Medjool Ave. '.Palm Desert, CA. 92211 Office (760) 772-7192 Fax f (760) 772-7193 `Pager: ­ (760) 776=3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE 11ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION ^,�. �Ia 9) ro�1sM �-A REPORT SEQUENCE NO. Y TYRE OFSTRUCTURE 64" _,a 141 PERMIT N0. GATE DAY OF WEEK MATERIAL DESCRIPTION 1 ARCRITECT INSPECTOR_ HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR SUB CONTRACTOR SI (� 06 S C- , Le6 (� cg_-�A� O -A ZAA( 171 -Lt -c, u) j F�! J _oma) W -07t S V. Ct _S ( V lP kpmgy 4S mac_ A 6' /gnA.fP A �w COPY SENT TO CLIENT ❑ CONTIN\ ED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED"TO;THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. 1 I lS� tit ckvl/ sidhA ^R� F REGISTERED INSP'ECpTOR � •�`�r��+ �.,0.DATE/OF REPORT REGISTER NUMRFR /1 Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 523-0952 Fax (714) 523-1369 IT 39-725 Garand Ln., Suite G, Palm,Desert, CA 92211- "7,60) 772-3893 Fax (760) 772-3895 Date 4 ft'y 67 Job No: .FIELD._ITEM Test Summary 4,Foptlngi -inspected 4 , -t_' - " I le, . Test Project Name I w 1, , 1,516V Dry y - Moist Site Address Ref. Max, q No. �,Ele . , Densityx. % Compattion pcf Job Phone A low "T 3'Work Done' Field Tech. XSuper. or Agent 24 hour notice reqUested to schedule Field Technidiaii.-: Thank you for the opportunity to be of service. QI Test Summary 4,Foptlngi -inspected 4 , -t_' - " I le, . Test I t, \ %I V'. � e - `11' - t,.O, --Location. I w 1, , 1,516V Dry y - Moist % Relative Ref. Max, 'Moist No. �,Ele . , Densityx. % Compattion pcf low "T Field Tech. XSuper. or Agent 24 hour notice reqUested to schedule Field Technidiaii.-: Thank you for the opportunity to be of service. QI 4 i 4A6 17 -A .... . ...... Comments Y/ low "T Field Tech. XSuper. or Agent 24 hour notice reqUested to schedule Field Technidiaii.-: Thank you for the opportunity to be of service. QI Tom Tisdale Fire Chief Proudly serving the unincorporated areas dRivexsidc County attd the Cities of. I,ttuuiing Bejumont Calamesa Canyon Lala . h , Coa hell r ' I)esert Hot springs Indian Welk 111dio Lakc Elsinore La Luirfta Moreno Valley palm Ue:x:rt Perris Rancho Mirage San Jacinto Tcrrjecula Board of Supervisors Bob Buster. Distrio .1 John Thvaglionc, District 2 Jim venable, District 3 Roy wilwn. Di,zuiel -i Torii Mlfjlen. . District 5 RIVERSIDE COUNTY FIRE DEPARTMENT'.' 7j -r crmpe-4rrion'with the C.'crvnite )ePzrrrment.ofForesh v- ,,rnd Fire Pi-ouxHon -k_ 210 es mar �,mro Avenue . erns, Uairtornia Nove=mber 14, 2.00' To: Pacific Engineering & Associates 41-230 Carlotta Drive. , Palm Desert, CA 92211 1 Re: Water system plan review WG Properties / SDP 2002-73I The above referenced water plans have been reviewed and are acceptable by the Riverside County Fire Department. After the registered Civil Engineer has signed and stamped the original. Mylar, please submit them to this office for Fire Department signature. After all signatures are obtained on the original, one print of the title sheet is required for our- files. The required water system including fire hydrants shall be installed and accepted by the appropriate water agency prior.to any combustible building material being r placed on the construction site and/or individual lots. Any question regarding these Conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886 Sincerely, Frank Kawasaki Battalion Chief /,Co.. Fire Marshal r By. , Dale Evenson - Fire Safety Specialist EMERGENCY SERXICES DIVISION • PLANNING SECTION • INDIO OFFICE 92-675 Highw2y III, 2n° FI., Indlo, C.A. 92201 • (760) 863-8886 • Fax,(760) 863.7072 Td WOOS : T T i=00E. 9Z' • ON tIGGS 6LZ. 09L LtN XlJJ t }'t Oleg WOJd A .x t. #- r City of La Quinta- Building K Safety .Division- - P.O. Box 1504, 78-495 Calle Tampico ' La Quinta,•CA 92253 - (760) 777-7012 Building* Permit 'Application and Tracking Sheet Permit# , Project Address: A-):- /� Owner's Name: �J ,, & A. P. Number: Address: Legal Description: - Contractor:. r c1 Contractor: - � �u'%R_��f/off Z Zip: '. . FTelephone: Address: Project Description: AA/17 A,) K' �S' OJ City. ST. Zip: %0(:�_ O GCS_ //1' C4 f Telephone: 76(_2?7��5�� ,�Co I Z � / � # : %� i,6 State LicZ1 Cin Lic.. Arch.. Engr.. Designer: - Address: ' Cin•. ST. Zip: X Telephone:, Construction Type: = Occupancy: '• . State Lic. #: Project type (circle one): 'New Add'n Alter Repair Demo Name of Contact Person: # Stories:• t -# Units: Telephone .# of Contact Person:�j 6, 7'- stimated Value of Project: . APPLICANT-. DO NOT WRITE.BELOW THIS LINE. N Submittal Req'd Rec'd' TRACKING PERNIIT.FEES Plan Sets Plan Check submitted Item s Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit ?i Truss Calcs. ,r °�� % j,,,� Called Contact Person ' Plan_Check.Bal4nce O_ 60A Energy Calcs. Plans picked up Construction r Flood plain plan Plans resubmitted Mechanical Grading plan ;' 2nd Review. ready for corrections/issue Electrical Subcontactor List Called Contact Person ' Plumbing ,Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading ' INN HOUSE,:- t*a Jn° Review, ready for correctio shssue i Developer Impact Fee Planning Approval Called Contact Person Ij �M! TLZ A.LP.P. Pub. Wks. Appr - Date of permit is School Fees -� Qf'- ': --are ..' �--- -•-�'�"^'�"� _ i Afklp 4. - in _ ,� ��N .,,,, -"`'_q Total Permit Fees •' ' 3 2 7Z W5 s. XeY. 4 J i ye-l-ve r�eleocl /�� f YOUNG ENGINEERING SERVICES : } • Engineering ! Architecture -Surveying- Building & Safety Services - • . ' Letter of Transmittal' To: City of La Quinta ;Date: 4/4/03 Project: 47-250 Washington Attn: Ed Randall PC#: 0206-182(1 st Check) Tel No.: (760) 777-7012 Tract No.: ' We are forwarding: X By Messenger By Mail 'Your Pickup No. of Copies Description: F. 1. Set of office approved plans 1 Set of office approved struct calcs 1 , Set of revised truss calcs 1 Office approved truss calcs 1 Joist'installations info. folder Comments: Plans are acceptable F Thanks This Material Sent for: Your Files Per'Your Request 2 ' Your Review. z ' Approval Checking At the request .o£ r. Other By: Eric Frenzel Phone # 760-360-5770 , 77-804 Wildcat Drive, Suite C Palm Desert, CA 92211 (760) 360-5770 } Bron Young }, , c : Cerfi�fica to f o Occqp anc 4 0 _ y 7 INCORPORATM OF T9� t r �Buildin & :Saf . ety �Departnient , gJ This Certificate 'is issued pursuant to the requirements _of Section 109 of .the` California, Building. y - Code certifying that, .. at the" tim�. of '-issuance,. this ':structure was ' in. rcompHand ' � with, the 4 .'r• . - r i provisions , of- the Btiilding 'Code -and the, various iordina' h&es of the City regulating buildin g' '" ;,construction. and/or use: f * s: N ti 'BUILDING ADDRESS-. 47 250 Washington:StreetSuite+"A" ''k. Use' classification;- Doctor's Office 5`892s.f." t . s t _`'Building Permit No,: 0206-182 . ;Occup`ancy-Group: B - , r T pe 'f Const�uctlon'VN S ri t I P' ,y p nkled Land Use Zone:'CR. r Y 30 Day Temporary Certificate of�Occupancy`Expires'1.1/7%03 _ z. y . . dwnerrof Building: WG.Properties� Address. 78-467I`H'i'ghway 111 _ City,•ST, ZIP: L. Quinta, CA 92253' ` x , v By: Daniel P.Ciawfo'rcl Jr. - r Ex i`es 11/7/03 Tem ora % d6Y., 4 rytof0tDate :Building Official t.• _ , POST IN A CONSPICUOUS PLACE