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06-3410 (MFD5)1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-0000341,0 Property Address: 47795 DUNE PALMS RD APN: 600-020-030- - - Application description: DWELLING - 5 OR MORE FAMILY Property Zoning: REGIONAL COMMERCIAL Application valuation: 363289 Applicant: Architect or Engineer: ------------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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,Ucense'is in full force and effect. License Class: Btt Ucense N�o.:A39966112200 ntractor% OWNER BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct,, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuantto-theprovisions of the,Comractor's"State License Law (Chapter 9 (commencing with Section 70001 of Division:3 ofthe Business and Professions Code] or that he,orshe 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 fivehundred dollars ($5001::. (_ 1 1, as owner of the property, or my employees with wages,as their sole compensation, will do the, work, and the structureis not intended offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an.ownerof property who builds or improves thereon, and who does the work himself or herself through his or her own.employees, provided that the improvememrare 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 shedid,nor build or improve for the purpose of sale.). (_) I,as owner of the property, am,exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:: The Contractors' State License'Law does not applyto an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt: under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty: of perjury that thereis a construction lending agency for the performanceofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/08' Owner: COACHELLA VALLEY HOUSING COALI. 45701 MONROE ST 1--G INDIO, CA 92201 D° Contractor: BROWN CONSTRUCTION, INC. JAN 2 5 2008 PO BOX 980700 WEST SARAMENTO, CA 9579 CIT1f'OF W 4UINTA (916)373"9300 'FINANCE DEPT. Lic. No.: 396120 WORKER'S COMPENSATION DECLARATION I. hereby affirm under penalty of perjury one of the following declarations: _ I have and will.maintain a.certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this.permit is issued. I have,and will maintain workers' compensation insurance, as required by Section 3700 of the Labor TTT Code,.for the performance of the work for which this permit.is`issued. My workers' compensation insurance, carrierand policy number are: Carrier AMER INC Policy Number 3.424477 _ I. certify that, in the performanceof 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 l should become subject to the workers' compensation provisions of Section 3700 of the- - hall forthwith comply with those provisions. .. ,115ate: r pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE:IS UNLAWFUL, AND SHALL 'SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND 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 Directocof Building_ and Safety for a permit subject to the conditions and restrictionsset 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 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 county ordinances and state laws relating to buildin construction, and hereby authorize representatives of thi co my t enter upon the above-mentigpaaLp arty for _ ecti - -s. cru' 2 ate: S' ature (Applicant or f� Application Number . . . . . 06-00003410 ------ .Structure Information 6,725SF [TYPE:B]/V-NR/RES-1./6-DU ----- Other struct_ info CODE EDITION 2001/2004/2005 # BEDROOMS 15.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG .00 PATIO SQ FTG 349.00 NUMBER OF UNITS 6.00 -------------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . Issue Date . Expiration Date . BUILDING PERMIT 1563.50 Plan Check Fee . . 1.016.28. Valuation . . . . 363289 7/23/08 Qty Unit Charge Per Extension BASE FEE 639.50 264.00 .3.5000 THOU BLDG 100,001-500,000 924.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 1.94.50 Issue Date . . . . Expiration Date . . 7/23/08 Plan Check Fee . . 48.63 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15-00 6.00 4.5000 EA MECH VENT INST/ DUCT ALT 27.00 5.00 9.0000 EA MECH B/C <:=3HP/100K BTU 45.00 1.00 16.5000 EA . MECH B/C >3-15HP/>100K-500KBTU 16.50 8.00 6.5000 EA MECH VENT FAN 52.00 6.0D 6.5000 EA. MECH EXHAUST HOOD 39.00 Permit . . . ELEC-NEW RESIDENTIAL .Additional desc . Permit Fee . . . . 205.32 Plan Check Fee 51.33 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/08 Qty Unit Charge. Per Extension BASE FEE 15.00 62.80.00 .0300 ELEC NEW RES - MULTI FAMILY 188.40 96:00 ------------------------------------------------------------------------ .0200 ELEC GARAGE OR 140N -.RESIDENTIAL 1.92 LQPEP-MIT Application Number . . . . . 06-00003410 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 3.93.00 Plan Check Fee Issue Date . . . . Valuation Expiration Date . . 7/23/08 98.25 0 Qty Unit Charge. Per BASE FEE Extension ----------------------------------------------------- Special Notes and Comments BASE FEE 1.5.00 32.00 6.0000 EA PLB FIXTURE 192.0.0 1.00 15.00"00 EA PLB BUILDING SEWER 15.00 6.00 7.5000 EA PLB WATER HEATER/VENT 45.00 6.00 3.0000 EA PLB WATER INST/ALT/REP 18.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 :7500 .EA PLB GAS PIPE >=5 9.00 6.00 15.0000 EA PLB GAS METER 90.00 Permit . . . Additional desc . Permit Fee . . . . Issue Date . . . Expiration Date . GRADING PERMIT 15.00 7/'2.3/08 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------- Special Notes and Comments 6,725SF [TYPE:B]/V-NR/RES-1/6-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERES [2STORIES/24,600SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS,. .SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES. 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. [BUILDING: 5200 - TYPE: B] December 26, 2007 3:38:40 PM AORTEGA -------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILIT.Y PLAN REVIEW 101.63 ART IN :PUBLIC PLACES -'RES 408.22 DIF COMMUNITY CENTERS -RES 43.8.00 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 10.1.63 DIF FIRE PROTECTION -RES 192.00 DIF LIBRARIES - RES 2088.00 DIF PARK MAINT FAC -.RES 126.00 DIF PARKS/REC - RES 5256.00 STRONG MOTION (SMI) - RES 36.,32 LQPERMIT 4, Application Number . . . . . 06-00003410 ------------------------ - ----- 7 ----------------------------------------------- --------------------------------------------- Other Fees . . . Other . . . . . . DIF STREET MAINT FAC -.RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited Due Permit Fee Total 2371.32 .00 .00 2371.32 Plan Check Total 12.14.4.9 .00 .00 1214.49. Other Fee Total 17117.80 .00 .00 17.117.80 Grand Total 20703.61 .00 .00 20703.61 LQPERMIT f z r - CITY OF LA QUINTA W :; / ILDING & SAFETY DEPARTMENT (760) 777-7012 INSPECTION REQUEST LINE (760) 777-7153 la® CV06USING COALITION WN CONSTRUCTION Permit Number 06-3410 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 47-795 DUNE PALMS ROAD 6,725SF ITYPE: BI/V-NR/RES-1/6-UNITS - 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. [BUILDING: 5200 - TYPE: BI FOOTINGS / STEE CONCRETF SI AR uU NU I POUR CONCRETE UNTIL ABOVE SIGNED .1 / rnC-muc - OKAY TO WRAP t-HAMINU (COMBINATIO ROUGH FI FC:TRI(` GUVER NO WORK UNTIL ABOVE SIGNED Lx I LHIUH LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNFrTinm MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWE - P -�- ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. ZGj FINAL / JOB COMPLETED i./- �� _ eg ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING '�41D f6*Op— AAILIOi� Ote 'M 1140t-X-Ilt�: wr,>s cgL� t%'-' CL-(.3 ;a.-T agD 9 S7- Riverside County Fire Department Fire Protection Planning Section Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955-4777 Fax (951) 955-4886 Murreta Office: 39493 Los Alamos Rd., Ste A, Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164 Palm Desert Office: 77-933 Las Montanas Rd., 8 201 Palm Desert, CA 9221 1-41 31 Ph. (760) 863-8886 (760) 863-7072 Fire Department Clearance/Release Date: 112, To:L� UI0 I 4 Fax: Tract/Parcel Map #: LAQ' D j - r5 P - 09 Permit/Lot #: 0-1- t w b # 52 Job Site Address: � 1 -1 - 15 (1� fie �d I I'Yl5 L, �. Final For Recordation Release For Building Permit(s) -T Shell Final Only (No Tenant) C Final For Occupancy Building Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. i Aut rizing Signature For Release Print Name Form C — Revised 8/27/2009 CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING Factory Additional copies of this form are Loss Prevention Publications - Trainin, Resource Center Mutual r-11 SYStem able to insured from: Factory Mutual Engineering and Research, 1151 Boston -Providence Tumpike, P.O. Box 9102. Norwood MA 02062 jCEDURE: Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities. owners and contractor. It is understood the owner's representatives signature in no way prejudices any claim against the contractor for faulty material, poor workmanship, or failure to comply with approving anthoritv'c rPnnirPmPntc nr UL PROPERTY NAME: La Quinta Dune Palms Neighborhood JOB# 07205 DATE: July 21, 2008 PROPERTY ADDRESS: 47795 Dune Palms Road, La Quinta, Ca ACCEPTED BY APPROVING AUTHORITY'(S) NAMES: Riverside County Fire Dept. Indio/Palm Desert Office ADDRESS: 77-933 Las Montanas Rd. #210 PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS I'ES X NO EQUIPMENT USED IS APPROVED (IF NO. STATE DEVIATIONS BELOW) NO I'ES X INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL AND VALVES THE CARE AND MAINTENANCE OF THIS NEAV EQUIPMENT? YES X NO IF NO, EXPLAIN: HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN LEFT ON IDS X NO PREMISES? IF NO, EXPLAIN: LOCATION OF SYSTEM SUPPLIES BUILDINGS Building B 5200 MAKE TYCO MODEL YEAR OF MANUFACTURE ORIFICE SIZE QUANTITY TEMPERATURE RATING Concealed LF-II 2008 t/2 48 1600 SPRINKLERS Pendent TY-FRB 2008 1/2" 5 7000 PIPE & FITTINGS PIPE CONFORMS TO NFPA #13 STANDARD YES X NO FITTINGS CONFORM TO NFPA #13 STANDARD YES X NO ALARM ALARM DEVICE MAXIMUM TIDE TO OPERATE THROUGH TEST PIPE VALVE OR FLOW INDICATOR TYPE WATERFLOW SWITCH MAKE POTTER MODEL VSR-F MIN. 0 SEC. 60 DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE OPERATING TEST TIME TO TRIP THRU TEST PIPE WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME FVATER REACHED OUT. ALARM OPER- ATED PROPERLY MINI. SEC. PSI PSI PSI MIN'. SEC. MIN. SEC. WITHOUT Q.O.D. WITH Q.O.D. IF NO, EXPLAIN: OPERATION PNEUMATIC ELECTRIC I HYDRAULIC PIPING SUPERVISED YES NO DETECTING MEDIA YES NO SUPERVISED? DELUGE AND DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL? ITS NO _ PREACTION IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? ITS NO VALVES IF NO, EXPLAIN: DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM? OPERATE VALVE RELEASE. OPERATE RELEASE YES NO YES NO MIN. SEC. HYDROSTATIC: HYDROSTATIC TESTS SHALL BE MADE AT NOT LESS THAN 200 PSI (13.6 BARS) ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI (10.3 BARS) FOR TWO HOURS. DIFFERENTIAL DRY - TEST DESCRIPTION PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO PREVENT DAMAGE. ALL ABOVE -GROUND PIPING LEAKAGE SHALL BE STOPPED. PNEUMATIC: ESTABLISH 40 PSI (2.7 BARS) AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI (0.1 BARS) IN PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI (0.1 BARS) IN 24 HRS. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS. IF NO, STATE REASON: DRY PIPING PNEUMATICALLY TESTED? YES NO EQUIPMENT OPERATES PROPERLY? YES =NO DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TESTS PIPE. TEST 200 PSI TEST PIPE OPEN WIDE 200 PSI UNDERGROUND MAINS AND LEAD-IN CONNECTIONS TO SYSTEM RISERS SHALL BE FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE FORM # 85B? YES NO OTHER Ei;TLAIN FLUSHED BY INSTALLER OF UNDERGROUND YES NO SPRINKLER PIPING? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING? X YES NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING YES X NO PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS DI0.9, LEVEL AR-3? WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED YES X NO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS DI0.9, LEVEL AR-3? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A YES X NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED. THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? HYDRAULIC DATA NAMEPLATE NAMEPLATE PROVIDED? YES IF NO, EXPLAIN: X NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF INSTALLING CONTRACTOR: CEN-CAL FIRE SYSTEMS, INC. TESTS WITNESSED BY FOR PROPERTY OWNER (Signed) TITLE DATE SIGNATURES INST 4G ONTRA ned) TITLE DATE n F®1NX C- v\ V ADDITIONAL EXPLA A ' N T S: December 24, 2007 Ms. Amy Yu, Engineering Assistant II City of La Quinta 78-495 Calle Tampico La Quinta, CA 92252 RE: Pad Certification - Parcel 4 of Parcel Map No. 33588, SDP 206-857 JN 1786 - CVHC Dune Palms Neighborhood Dear Amy: This letter is to verify that the locations and elevations of the building pads for the lots listed below for Parcel 4 of Parcel Map No. 33588 were field checked by MSA Consulting, Inc., and found to be in substantial conformance with the approved Precise Grading Plan. The results are as follows: Building # Plan Field Difference 2200 A 60.9 60.9 +0.0 2100 A 60.3 60.3 +0.0 2300 A 59.4 59.4 +0.0 2400 C 59.2 59.2 +0.0 310 CC 59.7 59.7 +0.0 3300 K 59.1 59.1 +0.0 3200 C 58.3 58.3 +0.0 4100 A 57.1 57.1 +0.0 4200 A 55.8 55.8 +0.0 5100 B 53.7 53.7 +0.0 5200 B 52.7 52.7 +0.0 610 BB 52.8 52.8 +0_0 6200 B 52.0 52.0 +p.p 7100 B 53.4 53.4 +0.0 4_200 BuP Hire DRIVL � IUNc Hcr Niir;nc e n CALir-c,rN A � 9) -70 760 _L)�I �r,n_;�;_-7 u;1�;IQ4(''r)zvc I f I,iur;lvr rnNr Ms. Amy Yu, Engineering Assistant 11 Page Two December 24, 2007 --building # Plan Field Difference 7200 B 52.2 52.1 -0.1 8100 C 53.8 53.8 +0.0 8200 C 54.0 54.0 +0.0 8300 C 54.9 54.9 +0.0 8400 C 55.5 55.5 +0.0 0100 D 54.8 54.8 +0.0 1100 B 55.3 55.3 +0.0 1200 C 55.8 55.8 +0.0 If you have any questions, please contact our office. Very truly yours, ,;harles R. Harris, PLS 4989 Director of Survey and Mapping CRH:tt EC: Mike Troth /' S NPL LaNp sG\ C)CHARLES R. z HARRIS o a 33 Exp: 12l31 /07 �¢ No. 4989 F C A\- ;4')00 BOMB H0�1'L DRIVE R.AW'110 MIRACF E'5 (:AI ITORNiA r_ 9-)?70 FAY U! lvww f\ACA('�>ie�nTrnirlur r ilna May 16, 2008 Ms. Angelica Zarco City of La Quinta 78-495 Calle Tampico La Quinta, GA 92252 RE: Form Certification - CVHC Dune Palms Neighborhood Parcel 4 of Parcel Map No.33588, Buildings 5100 and 5200 JN 1786 Dear Angelica: This letter is to verify that the locations and elevations of the building forms for Buildings 5100 and 5200 of Parcel 4 of Parcel Map No. 33588 were field checked by MSA Consulting, Inc., and found to be in substantial conformance with the approved Precise Grading Plan. The results are as follows: Lot # Plan Field Difference Building 5100 54.40 54.40 +0400 Building 5200 53.40 53.40 +0.00 If you have any questions, please contact our office. Very truly yours, a� � 4aA-'- Charles R. Hams, PLS 4989 Director of Survey and Mapping CRH:tt EC: Mike Troth 1,AN D S�R� CHARLESR. CJ HARRIS O No.4989 N,A Exp. 12/31 /09 \\ F C A1- 34200 BOB C opr. Diuvr n RANCHO MTRAGF.. M CALIFORNIA M 92270 7((0_170-9R11 m 760-1?1_?RQ'1 FAY E3 wwwRJgACnNsiITTTNrfNc- rOM 61 ' 1. -AGRUNER ENGINEERING STRUCTURAL ENGINEERING City of La Quinta Building Department c/o Interactive Design Corp. 199 S. Civic Center Drive Palm Springs, CA 92262 RE: Dune Palms Neighborhood 47-795 Dune Palms Road La Quinta, CA 92253 Building Number: 5200 September 25, 2008 Building Official: As the Engineer responsible for the Structural Design, I have performed visual structural observations of the structural system in compliance with 2001 CBC, Section 1709. To the best of my knowledge, the construction is in substantial conformance with the Approved Structural Drawings and is approved to wrap. Thank you for your review of this written Statement. 41105 Vintage Circle . Temecula, CA 92591 Sincerely, 4vzloyxlll'��A� George H. Grayner, S. E. Grayner Engineering y,106 8 q"� Exp.9.30-09 9 CNRP� Telephone (951) 676-2529 . FAX (951) 699-3591 Imperial Irrigation District K - 742 Power Department — Underground/Service Inspection c � � CLIENT: ��� C (/V _ Q V o,- DATE: CONTRACTOR: r TIME: PROJECT NO.: / NETWORK NO.: INSPECTOR: { CSP NO.: CONTRACTOR: r r V� P JOB LOCATION: _ j 7 % � PASS FAIL TRENCH: ❑ ❑ PRIMARY ❑ ❑ SECONDARY ❑ SERVICE CONDUIT: ❑ ❑ PRIMARY ❑ ❑ SECONDARY SERVICE MANDREL: ❑ ❑ PRIMARY ❑ ❑ SECONDARY ❑ ❑ SERVICE PASS VAULT: ❑ GROUNDS: ❑ 0 0 FAIL ❑ STANDARD ❑ SECTOR ❑ SWITCH ❑ PAD ❑ SECTOR ❑ VAULT PAD: ❑ ❑ PULLBOX: ❑ ❑ OTHER: 0 0 PHOTO/s AVAILABLE: ❑ YES ❑ NO NOTES: I I Imperial Irrigation District — Power Construction Management _ IID-766 (7-01) Phone (760) 339-9532 Fax (760) 339-9533 'ERN TING, IN. TESTING, NC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00606 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 * Phone (760) 775-5983 Fax (760) 775-8362 SCSBT FILE NO: 0822004P P.O. NO.: 1 T= W F PL T7 I NC I FIX PAGE 1 OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING O. C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING n PROJECT TITLE: PHASE #: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PR E ADD ESS PERMIT NO.: .. 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB CONTRACTOR: BROWN DRI WATERPROOFING LOCATION OF WORK INSPECTED: BUILDING 5200 B SECOND FLOOR STAIR LANDING MATERIAL CLASSIFICATION: 26 GAUGE L METAL, RIB LATH, V CROWN X 5/8" LEG GALVANIZED STAPLES PLI- DEK, GU80-1 GRAY BASE, GU80-1 ACRYLIC EMULSION ICBO ES ER-3732/ GS88-1 ACRYLIC TOP COAT DATE: 3/25/2009 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE HORIZONTAL WATERPROOFING (TOP COAT) ON THE SECOND FLOOR STAIR LANDING. �r * DRI INSTALLED THE PLI-DEK GU80-1 GRAY BASE SLOPED TO DRAIN. FOLLOWED BY GU80-1 ACRYLIC EMULSION ICBO ES ER -3732. THE FINAL TOP COAT OF GS88-1 ACRYLIC EMULSION WAS PAINTED INTO THE ANGLES AND WAS ROLLED ONTO THE DECK AND INTO THE DRAINS FOR WATERPROOFING. TOOK DIGITAL PHOTOS OF TYPICAL WATERPROOFING INSTALLATION. CBC 1 hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the goveming building laws. MILES WOODARD Inspector Initials: M.W. OSHPD 1 hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in� ICC #5077516-10 ---,ordance with the requirements of the OSHPD approved documents. The work inspected lies with the OSHPD approved documents. N/A No:= Inspector Initials: INSPECTORS SIGNATURE REGISTRATION NO, SA I hereby certify that I have inspected the above reported work in accordance with the 3/25/2009 requirements of DSA approved documents. Sampling and testing were conducted In 'SUPERINTENDENTS SIGNATURE DATE accordance with the requirements of the DSA approved documents. The work Inspected com it with the DSA approved documents. Inspector Initials: N/A *signature authorizes the above work sCS&T205REV 2MS Yes:No:O SO' RN CALrORNIA ,ETESTWG, INC. �4 SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 2804321 Fax (619) 2804717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 ` Phone (760) 775-5983 Fax (760) 775-8362 SCSBT FILE MW: 00430 0922004P P.O. NO.: NC FFIX F PAGE 1 OF I FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑WELDING ❑FIREPROOFING O. C. CONCRETE ® ROOFING I WATERPROOFING ❑ P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ❑ PROJECT TITLE: PHASE M DSAIOSHPO FILE NO.: MA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS 47-795 DUNE PALMS ROAD PERMIT NO.: •• 06-3410::A LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: BROWNDRI SUBCONTRACTOR: ROOFING LOCATION OF WORK INSPECTED: BUILDING 5200 B ROOF TILE PROGRESS MATERIAL CLASSIFICATION: FONTANA VULCASEAL #30 ASTM D-226 TYPE II ICBO ES ER-5434, MCA CLAY ROOF TILE, PACIFIC MASTIC, 5/16" 8D ROOFING NAILS, WIND CLIPS DATE: 1/05/2009 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF TILE INSTALLATION (IN PROGRESS) FOR BUILDING 5200. *GENERAL ROOF TILE INSTALLATION (IN PROGRESS) LOOKS GOOD. TILE ARE SECURED WITH ONE 5/16" HEAD ROOFING NAIL PER TILE OVER TWO LAYERS OF #30 FONTANA VULCASEAL. WIND CLIPS WERE PLACED ON THE NOSE OF THE FIRST COARSE OF TILE. PRIMARY AND SECONDARY FLASHINGS ARE SEALED WITH MASTIC AND ARE BIBBED WITH FELT. HIP AND RIDGE NAILERS HAVE FELT UNDER AND OVER ONTO THE ROOF DECK 3" MIN. TRIM TILE AT THE HIPS AND RIDGE HAVE MASTIC OVER THE NAIL HEAD AT THE LAP. NO OVEREXPOSED TILE WERE OBSERVED. TOOK DIGITAL PHOTOS OF TYPICAL ROOFING INSTALLATION. **WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER PLANS AND THE TRI ROOFING MANUAL. CSC I hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD 1 hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in �- ICC #5077516-10 accordance with the requirements of the OSHPD approved documents. The work inspected -(plies with the OSHPD approved documents. = No:= Inspector Initials: N/A 4ASPECTORS SIGNATURE REGISTRATION NO, .sA 1 hereby certify that I have inspected the above reported work in accordance with the 1/05/2009 requirements of DSA approved documents. Sampling and testing were conducted In 'SUPERINTENDENTS SIGNATURE DATE accordance with the requirements of the DSA approved documents. The work inspected corn lies with the DSA approved documents. [� Inspector Initials: N/A 'signature authorizes fbe above work yes: No: SCS&T 205 REV 2/M F" SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00446 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 280-4321 Fax (619) 290-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 ' Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: 0822004P P.O. NO.: r C Tyl r PL NC FIX PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING O. C. CONCRETE © ROOFING I WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING n PROJECT TITLE: PHASE A: MA 1OSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDR SS PERMITNO.: FLAISI HIt NU,: 47-795 DUNE PALMS ROAD 06-3410::A T.A QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB C OR: BROWN DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 5200 B MATERIAL CLASSIFICATION: FONTANA VULCASEAL #30 ASTM D-226 TYPE II, ICBO ES ER-5434, MCA CLAY ROOF TILE, PACIFIC MASTIC, 5/16" 8D ROOFING NAILS, DATE: 1/9/2009 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE FINISHED TILE ROOF ASSEMBLY FOR BUILDING 5200 B. 1,( 7 GENERAL ROOF TILE INSTALLATION LOOKS GOOD. TILE ARE SECURED WITH ONE 5/16" HEAD ROOFING NAIL PER TILE WITH WIND CLIPS ON THE NOSE OF THE FIRST COARSE OF TILE. PRIMARY AND SECONDARY FLASHINGS ARE SEALED WITH MASTIC AND ARE BIBBED WITH FELT. HIP AND RIDGE NAILERS HAVE FELT UNDER AND OVER. TRIM TILE HAVE MASTIC IN PLACE OVER THE NAIL HEADS ENCAPSULATING THE FASTENER. CUT TILES IN THE VALLEYS ARE SECURED TO A FDCED TILE WITH RAINBUSTER 850 TILE ADHESIVE. PUNCH LIST ITEMS ARE LISTED BELOW. **PUNCH LIST** *ROOF TO WALL METAL ON EAST WALL NEEDS TO BE PAINTED. *Z-BAR AT SOUTH EAST CORNER NEEDS TO BE PAINTED AND NEEDS MUD AT RAKE TO WALL INTERSECTION. *LOW ROOF -ADD MUD UNDER VALLEY METAL AT WEST FACING SLOPE TO CLOSE OUT THE OPENING. CBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD 1 hereby certify that I have inspected the above reported work in accordance with the renuirements of OSHPD approved documents. Sampling and testing were conducted in fiance with the requirements of the OSHPD approved documents. The work inspected ICC #5077516-10 " as witwith the OS^^HPD approved documents. N/A u No:`� Inspector Initials: INSPECTORS SIGNATURE REGISTRATION NO, 1 DSA 1 hereby certify that I have Inspected the above reported work In accordance with the 1/9/2009 requirements of DSA approved documents. Sampling and testing were conducted in 'SUPERINTENDENTS accordance with the requirements of the DSA approved documents. The work Inspected SIGNATURE CIE cam lies with the DSA approved documents. N/A = 'signafure authorizes it* above work Yes:=No: Inspector Initials., SC58T 205 REV 7/08 RN CALIFORNIA "ESTING, ING. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MVW: 00421 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 2804321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 ' Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: P.O. NO.: 1 C 1 P�� N(i` FIX PAGE I OF. FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0. C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING F1 PROJECTT(RE PHASEk: DSA/OSNPDFILENO.: WAAPP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS 47-795 DUNE PALMS ROAD PERMR NO.: .. 06-3410 PLAN FILt LA QUINTA ARCHITECT: INTERACTIVE DESIGN €NGINEER GRAYNER GENERAL CONTRACTOR: BROWN SUBCONTRACTOR: DRI ROOFING LocATlow OF vooRlf INSPECTED: BUILDING 5200 B ROOF TILE PROGRESS TER CLASSI TIOW. FONTANA VULCASEAL #30 ASTM D-226 TYPE II ICBO ES ER-5434 MCA CLAY ROOF TILE, PACIFIC MASTIC, 5/16" 8D ROOFING NAILS, WIND CLIPS DATE: 12/29/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF TILE INSTALLATION (IN PROGRESS) FOR BUILDING 5200. a *GENERAL ROOF TILE INSTALLATION (IN PROGRESS) LOOKS GOOD. TILE ARE SECURED WITH ONE 5/16" HEAD ROOFING NAIL PER TILE OVER TWO LAYERS OF #30 FONTANA VULCASEAL. WIND CLIPS WERE PLACED ON THE NOSE OF THE FIRST COARSE OF TILE. PRIMARY AND SECONDARY FLASHINGS ARE SEALED WITH MASTIC AND ARE BIBBED WITH FELT. HIP AND RIDGE NAILERS HAVE FELT UNDER AND OVER ONTO THE ROOF DECK 3" MIN. TRIM TILE AT THE HIPS AND RIDGE HAVE MASTIC OVER THE NAIL HEAD AT THE LAP. NO OVEREXPOSED TILE WERE OBSERVED. TOOK DIGITAL PHOTOS OF TYPICAL ROOFING INSTALLATION. **WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER PLANS AND THE TRI ROOFING MANUAL. MID 1 hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (PrInted) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD 1 hereby certify that 1 have inspected the above reported work in accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in ICC #5077516-10 -- Drdance with the requirements of the OSHPD approved documents. The work inspected �e�' dies with the OSHPD approved documents. .= No:= Inspector Initials: N/A ECTORS SrMTURE REGISTRATION NO, DSA I hereby certify that I have inspected the above reported work in accordance with the 12/29/2008 requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected 'SUPEPoNiENDENfS ST(YJATURE GATE lies with the DSA approved docuents. com m N/A No: = Inspector Initials: agnatrae authoress the above work SCSbT 205 REV Yes: 'METETING.CALIFORNIA. TESTING. INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, SAN DIEGO CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 * Phone (760) 775-5983 Fax (760) 775-8362 x I F-PL-F� SCS&T FILE NO: MW: 00322 0822004P P.O. NO.: NC FIX PAGE I OF I FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0. C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING rI PROJECT TITLE: PHASE 0: DSA 1OSHPD FILE NO.: MA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS PERMIT NO.: .. 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN CALIFORNIA PLASTERING LOCATION OF WORK INSPECTED: BUILDING 5200 B MATERIALCLASSIFICATION: GMC 60 MIN BUILDING PAPER X 2 LAYERS, RAINBUSTER 900 POLYURETHANE SEALANT, MFM SUBSEAL 16 GAUGE GALVANIZED STAPLES, 1.5" LEG, 15/16" CROWN, 6"X 18" GALVANIZED LATH BUTTERFLY'S, MFM SUBSL DATE: 11/7/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE LATH INSTALLATION FINISHED ASSEMBLY PRIOR TO SCRATCH KOTE. *LATH OBSERVED WAS STAPLED STUD TO STUD WITH 16 GAUGE GALVANIZED STAPLES, 1.5" LEG 15/16" CROWN AT 6" O.C. VERTICALLY. BUILDING PAPER IS 60 MINUTE GMC X TWO LAYERS WITH 3"-4" HEADLAPS AND 6" SIDELAPS. POT SHELVES HAVE MFM SUBSEAL RAN UP THE SIDEWALLS 6"-8", UP THE SILL AS WELL AS ONTO THE VERTICAL WALL BELOW THE POT SHELF 4"-6" SHINGLE LAPPED OVER THE BUILDING PAPER. 6"X 18" CEMCO BUTTERFLY'S ARE IN PLACE AT THE CORNERS OF THE WINDOWS FOR REINFORCMENT. MILCOR IS USED THROUGHOUT THE BUILDING TO PROPERLY TERMINATE THE STUCCO. RAINBUSTER 900 POLYURETHANE SEALANT WAS USED TO SEAL PENETRATIONS. DOUBLE V EXPANSION WAS USED AT CANTILEVERED AREAS AND SOFFITS AS A DRIP EDGE TO PREVENT WATER INTRUSION. X J EXPANSION METAL WAS USED TO HELP PREVENT STUCCO CRACKING. *MARKED TEARS, CUTS, AS WELL AS MINOR CORRECTIONS WITH ORANGE MARKING PAINT. THESE AREAS WERE REPAIRED PRIOR TO SCRATCH KOTE INSTALLATION. CBC I hereby certify that I have Inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of OSHIPD approved documents. Sampling and testing were conducted in �rdance with the requirements of the OSHPD approved documents. The work Inspected /` ICC #5077516-10 as with the OSHPD approved documents. . I No:" Inspector Initials: NSA INSPECTORS SIGNATURE REGISTRATION NO, VISA 1 hereby certify that I have inspected the above reported work in accordance with the 11/7/2008 of DSA approved documents. Sampling and testing were conducted In e with the requirements of the DSA approved documents. The work inspected SUPERINTENDENTS SIGNATURE DATE Lrequirements with the DSA approved documents. No: = Inspector Initials: N/A S/Q Wre eug woes the above work SCS&T205 REV 2M6 I SOIL & TESTING, INC. 2 SOUTHERN CALIFORNIA SOIL & TESTING; INC. 5 3.3 7 1 LL 0 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 C". 83-740 CITRUS AVENUE, SUITE Q INDIO, CA 92201 9 Phone (760) 775-5983 Fax (760) 775-8362 C '&7 SCS&T FILE NO.: P.O. NO.- C PL NC FIX PAGE— OF FIELD INSPECTION REPORT FOR: El REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Q. C. CONCRETE 0 ROOFING III WATERPROOFING ❑ P.T. CONCRETE / STRESS El EPDXY ANCHORS ❑ H.S. BOLTING ❑ PROJECT TITLE: PHASE #: DSA FILE NO.: t DSA APR NO.: - PROJECT ADDRESS N L PERMIT NO.: 6 3 �4 PLAN FILE NO: ARCHITECT: fvc- ENGINEER: GENERAL CONTRACTOR: SUB CONTRACTOR: ,, ) LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: A. (.A DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: A A "-Q' Q Aj "42-7, Q /IJ X 4 P.E. REVIEW: rU B reby certify that I have inspected the above reported work. Unless noted otherwise, tt"k inspected is to the best of my knowledge in compliance with the approved plans, Ifications and applicable sections of the governing building laws. y. -pector Initials INSPECTORS SIGNATURE-,�, REGISTRATION '/ DSA I hereby certify that I have inspected the above reported work in accordance with the _--- "; I '. I .X, rl requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected SUPERINTENDENTSS-IGNATURE DATE complies with the DSA approved documents. 'I *signature authorizes the above work I Yes: No: Inspector Initials: - - SCS&T205REV 2/06 5 SOIL & TESTING, INC. a I F, SOUTHERN CALIFORNIA SOIL & TESTING INC. 0 .. 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 -Al 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 S, j SCS&T FILE NO.--- 0 P.O. NO.- C PL NC _FIX PAGE_ OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING F] Q. C. CONCRETE ROOFING/ WAT RPROOFING ❑ P.T. CONCRETE / STRESS ❑EPDXY ANCHORS ❑ H.S. BOLTING PROJECT TITLE�; PHASE #: DSA FILE NO.: DSA APR NO.: 1, PROJECT ADDRESS 4 A PERMIT NO.: PLAN FILE NO. I i 'W i IV ! . r ARCHITECT: ENGINEER: GENERAL CONTRACTOR: i Nj SUB CONTRACTOR: LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: /I TIME DEPARTED: j 7 L 47 L L ID 01 IL A -Q L. "V! 6 ry P.E. REVIEW: UlBt, reby certify that I have inspected the above reported ' ..work. unless noted otherwise, c _t inspected is to the best of my knowledge in ompliarice with the approved plans, "I'Sirl-ations ........ . and applicable sections of the governing building laws. ,4spector Initials INSPECTORS SIGNATURE - REGISTRATION NO. DSA I hereby certify that I have inspected the above reported work in accordance with the /_1 r:; 4: X requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents, The work Inspected *SUPERINTENDENTS SIGr ATURE DATE complies with the DSA approved documents. -*signature authorizes the above work Yes:- IN SCS&T 2052RL�. "106 �¢ SOIL 4 TESTING, iec. SOUTHERN CALIFORNIA SOIL & TESTING, INC.tl331 O 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 .�I 83-740 CITRUS AVENUE, SUITE G INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 f ,_ SCS&T FILE NO.- 0 0 " P.O. NO.! C s; PL FNCT FIX PAGE r f OF > FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Q. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING r❑ ` y r r PROJECT TITLE: PHASE #: DSA FILE NO.: j DSA APR. NO.: PROJECT ADDRESS _ '1 " <' i �'' ma's PERMIT NO.: 1 L` PLAN FILE NO.: ''1 E r} J L• rr yf JV' 1 �l Y ARCHITECT: ENGINEER: _ GENERAL CONTRACTOR: _- '•, '-� '�. E:-;r ;fir SUB CONTRACTOR: _ (� t l /'i �;.- ? ' --. t - � ,.�-� �` ra i .;A.f � v'C, LOCATION OF WORK INSPECTED: "• _ MATERIAL CLASSIFICATION: DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: 15 m g",Av 1 i Vee•� f _ }} 55 !! // (^ L. C,. . --------------- .� f •% rr r� r. i - • � �,. : is /4,,, J'l i ' i' I / : � !Y E: r c=. 4 I i P.E. REVIEW: rFeby certify that I have inspected the above reported work. Unless noted otherwise, U _ inspected is to the best of my knowledge in compliance with the approved plans, ; cifications and applicable sections of the governing building laws.- 4 sector Initials INSPECTORS SIGNATURE ',.� "'"'"`-` REGISTRATION NO. DSA I hereby certify that I have inspected the above reported work in accordance with the requirements of DSA approved documents. Sampling and testing were conducted In % _ • - '"k ; ; ! ' _? accordance with the requirements of the DSA approved documents. The work inspected `SUPERINTENDENTS SIGNATURE "" DATE complies with the DSA approved documents. 'signature authorizes the above work Yes: No: Inspector initials: Scs&T 205 REV 2106 f - 'ERN CALIFORNIA TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW. 00284 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 280-4321 Fax (619) 2804717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 . Phone (760) 775-5983 Fax (760) 775-8362 PL NC I I FIX SCS&T FILE NO: 0822004P P.O. NO.: PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 71 Q. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE I STRESS ® EPDXY ANCHORS ❑ H.S. BOLTING n PROJECT TITLE: PHASE M DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS 5200 N/A N/A PROJECT ADDRESS PERMIT NO.: .. 47795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR. SUBCONTRACTOR: BROWN SDR LOCATION OF WORK INSPECTED: BUILDING 5200 B MATERIAL CLASSIFICATION: HUB 10011 NON SHRINK HIGH STRENGTH GROUT ASTM C-1107 HUB 100 ALL RESIN CLEAR CURE DATE: 10/07/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE HIGH STRENGTH GROUTING AT THE BASE PLATES ON THE RED IRON FROM GRID LINES J 16-18. *GROUT WAS MIXED WITH APROX. 3.5 TO 4 QUARTS OF WATER TO ACHIEVE LIQUID STATE, 3 MINUTES. GROUT WAS PLACED AT THE BASE PLATES OF THE RED IRON APROX. 2" OUTSIDE OF THE PLATES. AFTER THE PLACEMENT OF THE GROUT HUB 100 ALL RESIN CLEAR CURE WAS APPLIED. HIGH STRENGTH GROUTING PROCEDURE APEARS TO BE IN ACORDANCE WITH THE MANUFACTURERS RECOMENDATIONS. CBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, building laws. MILES WOODARD specifications and applicable sections of the governing Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work in accordance a with the'^ILL J requirements of OSHPD approved documents. Sampling and testing were conducted in ICC #5077516-92 -ordance with the requirements of the OSHPD approved documents. The work Inspected' ./ plies with the OSHPD approved documents. . es:= No:= Inspector Initials: N/A I PECTORSSIG�E REGISTRATION NO, DSA I hereby certify that I have inspected the above reported work In accordance with the 10/07/2008 requirements of DSA approved documents. Sampling and testing were conducted in DATE accordance with the requirements of the DSA approved documents. The work inspected SUPERINTENDENTS SIGNATURE com lies with the DSA approved documents. 0 Initials: N/A signature authorizes the stave work REv2ft Yes: No: Inspector SCs6T205 SOIL & TESTING, INC. z SOUTHERN CALIFORNIA SOIL & TESTINGINC. "-ilf F, 4 1210 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE Q INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 k SCS&T FILE NO.: L" o P.O. NO.- C I - ] I PL I I I NC I I F FIX I I PAGE_ OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE El REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING F-1 Q. C. CONCRETE ROOFING /WATERPROOFING El P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS El H.S. BOLTING El PROJECT TITLE: DSA FILE NO.: I APR I 1J, PROJECT ADDRESS PERMIT NO.; PLAN FILE NO.: ARCHITECT: ENGINEER: V% v. Cit. GENERAL CONTRACTOR: SUB CONTRACTOR: ik_ �Zj j'v LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: tA C­ A DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: AV 0 1L y 1,7 S J V -u J TP.E. REVIEW: Il reby certify that I have inspected the above reported work. Unless noted otherwise, the ispected is to the best of my knowledge in compliance with the approved plans, ... . ...... c ations and applicable sections of the governing building laws. Initials -7- INSPECTORS SIGNATURE REGISTRATION NO. DSA I hereby certify that I have inspected the above reported work in accordance with the requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected !SUPERINTENDENTS SIGNATURE DATE complies with the DSA approved documents. *signature authorizes the above work Yes:_ No: _ Inspector Initials: SCS&T 205LR=EV "2106 IQE'�I SOUTHERN CALIFORNIA SOIL & TESTING, INC.: oo2s7 6280 RIVERDALE STREET, SAN DIEGO CA 92120 x Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 " Phone (760) 775-5983 Fax (760) 775-8362 1'LNC I FFIX SCS&T FILE NO: 0822004P . P.O. NO.: PAGE nF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING a. C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETEISTRESB ❑ EPDXYANCHORS ❑ H.S.BOLTING n PROJECT TTILE PHASE#: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS PERM NO.: PLAN t-iLk No.: 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERaIcoNlRAcroR: suecoNTRAcroR: BROWN DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 5200 B MATERIAL IFICA FONTANA VULCASEAL #30ASTM D 226 TYPE II, JCBO ES ER-5434, PACIFIC MASTIC AND 7/8" PLASTIC CAP NAILS DATE: 9/25/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF UNDERLAYMENT INSTALLATION (IN PROGRESS) FOR BUILDING 5100 B. *GENERAL ROOF UNDERLAYMENT LOOKS GOOD WITH TWO LAYERS OF #30 FONTANA VULCASEAL INSTALLED WITH 34" HEADLAPS AND 6" SIDELAPS SECURED WITH 7/8" PLASTIC CAP ROOFING NAILS. FELT IS RUN UP THE Z-BAR BACKING AND OVER THE RAKED EDGES A MIN. OF V. ALL INSIDE AND OUTSIDE CORNERS HAVE MASIC IN PLACE. PRIMARY FLASHINGS ARE BIBBED WITH FELT AND ARE SEALED AT THE PIPE TO FLASHING INTERSECTION WITH MASTIC. HIP AND RIDGE NAILERS HAVE FELT RUN UNDER AND OVER ONTO THE ROOF DECK A MIN. OF 3". TOOK DIGITAL PHOTOS OF TYPCIAL ROOF UNDERLAYMENT INSTALLATION. **WORK OBSERVED APEARS TO BE PER PLAN AND TRI ROOFING MANUAL. CEIC t hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in , ordance with the requirements of the OSHPD approved documents. The work inspected ICC #5077516-10 dies with the OSHPO approved documents. No:" Inspector Initials: N/A INSPECTORS SIGNATURE REGISTRATON N0, DSA I hereby certify that 1 have inspected the above reported work in accordance with the 9/25/2008 requirements of DSA approved documents_ Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected *SUPERINTENDENTS SIGNATURE DATE compiles with the DSA approved documents. Yes:= No: 0 Inspector Initials: N/A signature authorizes the above work SCSBT 205 REV 20 -IN CA FORNIA T£.—G. INC. 1M V111 SOUTHERN CALIFORNIA SOIL & TESTING, INC.; 00223 6280 RIVERDALE STREET, SAN DIEGO CA 92120' Phone (619) 290-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 - Phone (760) 775-5983 Fax (760) 775-8362 PL NC FIX SCSBT FILE No: 0822004P P.O. NO.: PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING O C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE/STRESS ❑ EPDXYANCHORS ❑ H.S.$OLTING(K] SHEAR NAIL PROJECTTRLE: PHASE* MAIOSHPDFILE NO.: MAAPP.No.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN FILE NO.; 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB CONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 5200B MATERIAL c I o: 15/32" STR 1 O.S.B. 8D AND IOD FASTENERS ON SHEAR WALLS, CS16 COIL STRAP, A35'S/LTP4'S, SDS SCREWS DATE: 9/11/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE SHEAR NAILING FOR THE SECOND FLOOR OF BUILDING 5200 (IN PROGRESS). *GENERAL SHEAR WALL INSTALLATION AS FOLLOWS, 15/32" STR 1 O.S.B NAILED PER S1.513-5 SCHEDULE. I OD AND 8D FASTENERS WERE FLUSH NAILED WITH MINIMAL OVER PENETRATION WITH 1/2" EDGE NAILING DISTANCE AT PANEL EDGES AND ENDS. CS 16 COIL STRAP WAS IN PLACE TOP AND BOTTOM OF OPENINGS AS PER DETAIL S 1.5B-2. A35 CLIPS WERE IN PLACE AT KING STUDS TOP AND BOTTOM AS PER S 1.513-2 AS WELL. SDS SCREWS WERE IN PLACE PER SCHEDULE.PUNCH LIST ITEMS ARE LISTED BELOW. **PUNCH LIST** *GRID LINE 13 C-C.5 MISSING #6 SHEARWALL PER S1.513-5 SCHEDULE. *KNOCK ALL UNDER DRIVEN NAILS FLUSH. CBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work In accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted In ,rdance with the requirements of the OSHPD approved documents. The work inspected t/�i%l ICC #5077516-10 ties with the OSHPO approved documents. N/A I�INSPECTOtS SIGNATURE REGISTRATION NO, Y es:No:= Inspector Initials: Q DSA I hereby certify that I have Inspected the above reported work In accordance with the 9/11 /2008 requirements of DSA approved documents_ Sampling and testing were conducted In *SUPERINTENDENTS DATE accordance with the requirements of the DSA approved documents. The work inspected SIGNATURE com lies with the DSA approved documents. N/A 0 'signature authorizes the above work yas:� No: Inspector Initials: SCSaT 205 REV 2MS ERN C-IFORNIA TESTING. INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC.: 00202 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 . Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: 0822004P P.O. NO.: C 1 YI FPL NC FM PAGE I nF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING a a CONCRETE ❑ ROOFING/WATERPROOFING ❑ P.T.CONCRETE/STRESS ❑ EPDXYANCHORS SHEAR NAIL ❑ H.S.BCil.T1NG(X7 PROJECT TITLE: PHASE#: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN FILE NO.: 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 5200 B MATERIAL N: EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/2"-1I' ALL THREAD, COUPLERS AND SLACKJACKS, BEARING PLATES DATE: 9/03/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE EARTHBOUND SIESMIC HOLD DOWN SYSTEM FOR THE SECOND FLOOR FINISHED ASSEMBLY. *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS. 1/2"-3/4" ALL THREAD WERE COUPLED WITH BRIDGE TRIMMERS STICH NAILED AND BLOCKING WITH SLACK JACK DEVICE AND BEARING PLATES IN PLACE AS SHOWN ON THE EARTHBOUND PLANS. *EARTHBOUND NOT TO BE ACTIVATED UNTIL ROOF TILE ARE LOADED. CBC 1 hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in - ,rdance with the requirements of the OSHPD approved documents_ The work inspected ICC #5077510-10 lies with the OSHPD approved documents. N/A INSPECTORS SIGNATURE REGISTRATION NO, Y.S:" No� Inspector Initials: DSA I hereby certify that I fiave inspected the above reported work in accordance with the 9/03/2008 requirements of DSA approved documents. Sampling and testing were conducted In accordance with the requirements of the DSA approved documents. The work inspected 'SUPERINTENDENTS SIGNATURE DATE Corn lies with the DSA approved documents. = Inspector Initials: N/A 'signature authorizes the above work Yes: No: SCSaT205REV 2t06 'RN CALIFORNIA TE6TING, INC. SOUTHERN CALIFORNIA SOIL & .TESTING, INC. �; 00194 6280 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 * Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: 0822004P P.O. NO I RI PL NC F FIX PAGE OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 71 Q. C. CONCRETE ®ROOFING /WATERPROOFING ❑ P.T. CONCRETE/STRESS ❑ EPDXYANCHORS DIAPHRAM NL ❑ H.S.BOLTINGn PROJECT TITLE: PHASE #: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 5200 N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN FILE NO.: 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB SUB CONTRACTOR: BROWN FRAMING LOCATION OF WORK INSPECTED. BUILDING 5200 B 19/32" STR 1 APA RATED O.S.B. IOD FASTENERS(ROOF SHEATHING), 15/32" STR 1 O.S.B. 8D AND 1 OD FASTENERS, 15/32" O.S.B. STR 1 (SHEAR WALLS) 1 OD COMMON NAILS DATE: 8/28/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF DIAPHRAGM NAILING FINISHED ASSEMBLY FOR BUILDING 5200 B. *THE ROOF SHEATHING OBSERVED WAS 19/32" STRUCT. 1 A.P.A. RATED O.S.B., UNBLOCKED. DIAPHRAM NAILING WAS PER PLAN 10D @ 6" O.C. ON BOUNDARY AND EDGES AND 12" O.C. AT INTERMEDIATE FRAMING MEMBERS. DRAGS WERE NAILED @ 6" O.C. AS WELL. FASTENERS WERE FLUSH NAILED WITH MINIMAL OVER PENETRATION. NO DEFLECTION WAS GREATER THAN 1/2" WHILE STANDING ON THE UNBLOCKED SEAMS. NO GAPS WERE OBSERVED WHICH WERE GREATER THAN 1/4". NO PIPES OR PENETRATIONS WERE OBSERVED IN THE VALLEYS. *WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER PROJECT PLANS AND TRI ROOFING MANUAL. CBC I hereby certify that 1 have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Printed) P.E. REVIEW: the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD Inspector Initials: M.W. OSHPD I hereby certify that I have inspected the above reported work in accordance with the uirements of OSHPD approved documents. Sampling and testing were conducted in ,rdance with the requirements of the OSHPD approved documents. The work inspected ICC #5077516-10 ieswith the OSHPD approved documents.N/A kIs: -, No:= Inspector initials: INS CTORS SIGNATURE REGISTRATION N0, DSA I hereby certify that I have inspected the above reported work in accordance with the 8/28/2008 requirements of DSA approved documents. Sampling and testing were conducted In 'SUPERINTENDENTS DATE accordance with the requirements of the DSA approved documents. The work inspected SIGNATURE com lies with the DSA approved documents. = Initials: N/A 'signature authorizes the above work Yes: No: Inspector SCS&T 20e REV 2/06 souTHFRN CAt tcoRNu. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00177 6280 RIVERDALE STREET, SAN DIEGO CA 92120 • Phone (619) 2W4321 Fax 619) 280-4717 83-740 CITRUS AVENUE, SUITE G, MIO, CA 92201 * Phone (760) 775-5983 Fax �760) 775-8362 SCSBT FILE NO: 0822004P P.O. NO.: I V 1 1 FPL NC FIX uenc 1 ^c 7116 FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Q. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE/ STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ® SHEAR NAIL PRQIECTTRIE: PHASE#: DSA /OSHPD FILE NO.: DSA AM NO.: DUNE PALMS BLDG 5200 N/A N/A 1 PROJECT ADDRESS PERMR NO.: 47-795 DUNE PALMS ROAD 06-3410 LA QUINTA aRMR>:cr. ENGINEER: INTERACTIVE DESIGN GRAYYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN TONE FRAIVIING LOCATION OF worm INSPECTED: BUILDING 5200 B Na 15/32" SIR 1 O.S.B. 8D AND IOD FASTENERS ON SHEAR WALLS, CS16 COIL STRAP DATE: 8/20/2008 TIME ARRIVED: TIME DEPARTED: FDESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE SHEAR NAILING FOR THE FIRST FLOOR OF BUILDING 5200 B (IN PROGRESS). ENERAL SHEAR WALL INSTALLATION AS FOLLOWS, 15/32" STR 1 O.S.B NAILED PER S1.5A-5 SCHEDULE. 1 OD AND 8D FASTENERS WERE FLUSH NAILED WITH 1 94HAAL OVER PENETRATION WITH 1/2" EDGE NAILING DISTANCE AT PANEL EDGES AND ENDS. CS 16 COIL STRAP WAS IN PLACE TOP AND BOTTOM OF OPENINGS AS PER DETAIL S1.5A-2. A35 CLIPS WERE IN PLACE AT KING STUDS TOP AND BOTTOM AS PER S1.5A-2 AS WELL.PUNCH LIST ITEMS ARE LISTED BELOW. **PUNCH LIST** *LINE F-20 MISSING ST6224 AT DRAG. *LINE B NEED MARK 6 PLATE SPLICE TWO 3/4" BOLTS EACH SIDE OF BREAK. *LINE B FINISH INSTALLING CS16 STRAP TOP AND BOTTOM AS PER DETAIL S1.5A-2. *KNOCK ALL UNDER DRIVEN NAILS FLUSH. CBC 1 hereby certify that I have inspected the above reported work, unless noted otherwise. INSPECTORS NAME 1112deted) I- REVIEW.. the work inspected is to the best of my knowledge in compliance with the approved plans, specifications and applicable sections of the governing building laws. MILES WOODARD T Inspector Initials: M.W. OSHPD 1 hereby certify that I have Inspected the above reported work In accordance with the requirements of OSHPD approved documents. Sampling and testing were conducted in ,cordance with the requirements of the OSHPD approved documents. The work Inspected ICC #5077516-10 i ies with theOSHPD approved documents. es:= No:= Inspector Initials: N/A CTORS SIGNATURE REGISIR MOM NO. DSA I hereby certify that I have Inspected the above reported work in accordance with the 8/20/2008 requirements of DSA approved documents. Sampling and testing were conducted In accordance with the requirements of the DSA approved documents. The work Inspected WERKMDM SIGNATURE DA E onroplies with the DSA approved documents. N/A 'sigrtafure aL t &es the above work YesNo: Inspector Initials: SCSST205 EV 2AIB Certificate of Occupancy 4 ,w GOF9Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the 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: 47-795 DUNE PALMS ROAD (BUILDING # 5200) Use classification: APARTMENTS Building Permit No.: 06-3410 Occupancy Group: R-1 Type of Construction: V-NR Land Use Zone: CR Owner of Building: COACHELLA VALLEY HOUSING COALI Address: 45-701 MONROE ST 1-G City, ST, ZIP: INDIO, CA 92201 By: STEVE TRAXEL Date: November 25 2009 Building Official POST IN A CONSPICUOUS PLACE