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07-2356 (CONR)P.O. BOX 1564 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t!t 4 4 e BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00002356 Property Address: 47795 DUNE PALMS RD APN 600-020-030- - Application description: NEW COMML - OTHER NON-RESIDENTIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 53173 Applicant: Architect or Engineer: Owner: COACHELLA VALLEY 45701 MONROE ST INDIO, CA 92201 Contractor: BROWN CONSTRUCTION, PO BOX 980700 WEST SARAMENTO,, CA (916)373-9,300 Lid. No.: 396120 INC. 95798 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 125/08 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury,one,of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and myLlcense is in full force and.effect. _ I have and will maintain a certificate of consent to self-insure.for workers' compensation, as€provided License Class: B License No.: 3 r96 120 for by Section 3700 of the Labor Code, for the performance of the work for -which this permit is ate: 1 C rector: i7�'o"'�� issued. I have�and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of,the work for which this permit is issued. My workers' compensation OWNEWBUILDER DECLARATION insurance carrier and policy number are:, I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier _AMER INC Policy Number 3424477 following. reason (Sec. 7031.5, Business:and Professions Code: Any city or county.thatrequires a permit to _ I certify that, in the performance of the work,for which this permit,is,issued, 1 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its .issuance, :also requires the applicant for the person -in any manner so as to become Subject to the workers' compensation laws of California, ' permit to file a.signed statement,that he;orshe is licensed pursuant;to the,pr visions of the Contractor's State and agree that,. if I s_ hould.become;subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the.Business and Professions Code) or 3700 of th a!*'17h forthwi lywith those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects: the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: (_ I 1, 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. 70", Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION'COVERAGE.IS UNLAWFUL, AND SHALL Contractors' State. License Law does not apply to an owner of property who builds:orimproves thereon, SUBJECT AN EMPLOYER TO CRIMINAL, PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does.the work himself or herself through his or her own employees, providedthat the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS. PROVIDED FOR IN improvements. are not intended or offered for sale. If, however, the building or improvement.is sold within SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she didnotbuild or improve for the purpose of sale.). (_ 1 1, 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 apply town 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,). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is:a construction lending agency for the performanceof the work for which this permit is issued (Sec. 3097, Civ..CJ. Lender's Name: Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made.to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this,applicatiomis 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 Quints, 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 thisapplication 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 tocancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all cityand county ordinances and state laws relating to but struction, and hereby authoriie.representatives of this co my enter upon the above -mention _ ._ for ins te: S' lure (Applicant or Agentl: LQPERMrr Application Number . . . . 07-00002356 Structure Information 1,397SF [TYPE K]/V-NR/F-1 OCC/6 -OL Other struct info . . . . . CODE EDITION 2001/2004/2005 FIRE SPRINKLERS NO MIXED -USE OCCUPANCY F-1 OCCUPANT LOAD 6.00 PATIO SQ FTG 623.00 ----------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 774.00 Permit . . . BUILDING.PERMIT Additional desc . Permit Fee . . . . 432.50. Plan Check Fee 281.13 Issue Date . . . . Valuation . . . . 5,3173 Expiration Date .. 7/23/08 Qty Unit Charge Per Extension BASE FEE 414.50 4.00 4.5000 THOU BLDG 50,001-100,000 18.00 Permit . . . MECHANICAL Additional desc . Permit Fee 50.50 Plan Check Fee .. 1-2.63 Issue Date . . Valuation . . . . 0 Expiration Date 7/23./08 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE.<=100K 9.00 1.00 4..5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9:00 2.00 6:5000 EA MECH VENT FAN 13.00 Permit . . . ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . . 3'0.48 Plan Check Fee 7.62 Issue Date . . . . Valuation 0 Expiration Date 7/23-/08 Qty Unit Charge Per Extension BASE FEE 15.00 774.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.48 Permit PLUMBING Additional desc . LQPERMIT Application Number . . . . . 07-00002356 Permit . . . . PLUMBING Permit Fee . . . . 249.75 Plan Check Fee 62.44 Issue Date Valuation 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 27.00 6.0000 EA PLB FIXTURE 162.00 1.00 iS.0.0.00 EA PLB BU-ILDING SEWER 15.00 1.00 1.5000 EA PLB WATER•HEATER/VENT 7.50 1.00 12.0'000 EA PLB INTERCEPTOR 12.00 1.00 3.0000 EA PLB'WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 15.00 .7500 EA PLB GAS PIPE >=5 11.25 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . Additional d_esc . . Permit. Fee . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15-00 7/23/08 Plan Check Fee .. .0.0 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------------------- Special.Notes and Comments. 1,397SF [TYPE:K]/V-NR/.F-1 OCCUPANCY/6-01, [NO ALLOWABLE AREA INCREASES 2STORIES, 8•,000SF.MAX] -THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE LIGHTING, CARPORTS, OR TRASH ENCLOSURES. 2001 CBC., CPC, CMC,, 2004_CEC, 2005 ENERGY CODE. [BUILDING: 3300 - TYPE: K]. December 27, 2007 8:32:58 AM.AORTEGA Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 28.11 ART IN PUBLIC PLACES-COM 245-86 DIF CIVIC CENTER - COMM_ 73.53 ENERGY REVIEW FEE 28.11 DIF FIRE PROTECTION-COMM 24.76 STRONG MOTION (SMI) - COM 11.-16 DIF STREET MAINT FAG-COMM 17.80 DIF TRANSPORTATION - COMM 1334-37 Fee summary Charged Paid Credited Due Permit. Fee .Total 778.23 .00 .00 778.23 LQPEmrr Application Number Plan Check Total Other Fee Total Grand Total . . . . 07-00002356 363.82 .00 .00 363.82 1763.70 .00 .00 1763.70 2905.75 .00 .00 2905.75 LQPERMIT f, r BUILDING & SAFETY DEPARTMENT \s ! �_ (760) 777-7012 !? zf INSPECTION REQUEST LINE oL j (760) 777-7153 `0V H(OUSING COALITION Contractor -g OWN CONSTRUCTION Permit Number 07-2356 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 47-795 DUNE PALMS ROAD 1,397SF ITYPE:K]N-NR/F-1 OCCUPANCY/6-01, - 2001 CBC, CPC, CNIC, 2004 CEC, 2005 ENERGY CODE. IBUILDING: 3300 - TYPE: KI TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UAITII4ABO E SI ROOF NAIL / PRE -ROOF OKAY TO WRAP - FRAMING (COMBINATION) _ p �-�► ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION �D SEPTI INTERCEPTOR 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 ELECTRICAL PLUMBING MECHANICAL ^n�, PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. 17, 0_7 FINAL / JOB COMPLETED .® ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING c 13! L14 Pc�.res -ram 00-1 '1 •'s - o g JZ, Lt•�T� 9-E0• o r- S 7 Riverside County Fire Department I Fire Protection Planning Section �-se- Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955-4777 Fax (951) 955-4886 m Mueta 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., z 201 Palm Desert, CA 9221 1 41 31 Ph. (760) 863-8886 (760) 863-7072 Fire Department Clearance/Release Date: ' J To: Ld qu- 6y G{ � y Fax: Tract/Parcel Map #: W 0- 01- Bp— D� 3 Permit/Lot #: '��� (� �t 33 Job Site Address: D tjne Pj I rv,5 L.a Final For Recordation Release For Building Permit(s) Shell Final Only (No Tenant) 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 Riv side County Fire Prote Planning office for further assistance. 7 1 Authog Signafu"re For Release Print Name Form C — Revised 8/27/2009 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: Buildin # 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 3100 C 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 6100 B 52.8 52.8 +0.0 6200 B 52.0 52.0 +0.0 7100 B 53.4 53.4 +0.0 34200 BOLi Hop[ DpivL- m RANCHQ MIRAUE n CALIIoRNIA ED 921Z7O 7A(1_;I I a 7A(L"');_7k9; VA - XX;\VVU \ilCAC'r,rIelII TINit,I\ir rn\a 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, ,4- Charles R. Harris, PLS 4989 Director of Survey and Mapping CRH:tt EC: Mike Troth /\,�Ap,t LAND SG� CHARLES R. HARRIS o Exp: 12/31 /07 Nj. No. 4989 \9T�OF CA 0-C' '4)00 BOB Hc)RL DRIVE a RANCHO HO N4IRACF El CAI IFORNIA U 92-)70 7A()_1-)(')-QRI I � 7A0-17;_7R(): FAV ;;3 Nvur\,u M5',A('n1,1-,1i1TIN(JN( COM June 11, 2008 Ms. Angelica Zarco City of La Quinta 78-495 Calle Tampico La Quinta, CA 92252 RE: Pad Re -Certification — CVHC Dune Palms Neighborhood Parcel 4 of Parcel Map No.33588, Buildings "D" and 3300 JN 1786 Dear Angelica: This letter is to verify that the locations and elevations of the building pads for Buildings "D" and 3300 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. Following are the results: Lot # Plan Field Difference Building "D" 54.8 54.8 +0.0 Building 3300 59.1 59.1 +0.0 If you have any questions, please contact our office. Very truly yours, Charles R. Harris, PLS 4989 Director of Survey and Mapping CRH:tt EC: Mike Troth Q BAND So9\ CHAR ES R. U HARRIS O 'j No.4989 * 'ir t(, Exp.12/31/09 \Q OF 0 34200 BOB HOPE. DRFVF M RANCHO ]MIRAGE 22 CALIFORNIA 9 92270 760-320-981 I - 760-3? i-7R93 FAX 010 1b'V✓W.MSACONSULTINGINC'.C'OM ~4GRUNER 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: 3300 October 9, 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. Sincerely, A19K 01//4� George H. Grayner, S. E. Grayner Engineering 41105 Vintage Circle . Temecula, CA 92591 . Telephone (951) 676-2529 . FAX (951) 699-3591 Imperial Irrigation District K - 7392 Power Department — Underground/Service Inspection CLIENT: �Yyv),� CONTRACTOR: PROJECT NO.: NETWORK NO. CSP NO.: JOB LOCATION: PASS FAIL TRENCH: ❑ ❑ PRIMARY ❑ SECONDARY ❑ SERVICE CONDUIT: ❑ ❑ PRIMARY ❑ ❑ SECONDARY ❑ SERVICE MANDREL: ❑ ❑ PRIMARY ❑ ❑ SECONDARY ❑ ❑ SERVICE PHOTO/s AVAILABLE: DATE: TIME: yy�� INSPECTOR: f%V� CONTRACTOR: —T ❑ YES ❑ NO PASS FAIL VAULT: ❑ 0 GROUNDS: ❑ 0 0 PAD: ❑ PULLBOX: ❑ OTHER: ❑ STANDARD ❑ SECTOR ❑ SWITCH ❑ PAD ❑ SECTOR ❑ VAULT 0 0 0 NOTES: on Imperial Irrigation District — Power Construction Management IID-766 (7-01) Phone (760) 339-9532 Fax (760) 339-9533 10-09-2001 02,29pm prom-CVWD PD SATELLITE +1602919638 T-432 P F-341 COACHELLA VALLEY WATER. DISTRICT ASSESSOR'S P.4RCEI. NUMBER 85-995 Avenue 52-�.0— Coacheft, CaUforuia 92236 - (760) 398-2651 APPLICATION FOR WAS'E'WATER LN TEACEPTORISEPAIRATQR APPROV•AIL APPLICANT: Submit tErform with a copy of a SCALED plot plan (I"= 20' to 1" = GO' SCALE) drawn to Distrint SpmiScetions. A nonrcfi adabie filing fee is rcquirr d wbm the applcatiou is submitted. Check must be made payable to the Coachella Valley Water Distri Approval of this application shall remain valid 6;r a period not to exceed ow (I) year from slate of paymetrt. Plan CheckNo, Address city State Zile Tdephooe Contact Verso -•t � • iqmSO S W, .D�1v 5-rt ID Address City State zip Telephone 2zo1, o mS 3 Job Prope* Adds c* 2 Z LA vsA or� IDEA ieoDmaription c�rRRt£R vv<' St;crlAN 2°[ rhowt'�P S Safi+, p�eSS '1 E•hsT r sPN t3£RN . t31►st: � M DHr�• PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISRMENTS NOTE. TLANS WILL NOT UE ACCEPT'RA uNLFSS THIS APPLICATION 15 COMPLETE AND THE PLAN CHECK FEE IS PAID- GEJIERAI. CONSTRUCTION: Type of Construction- Now Food Facih`ty Pk=odel o£Fristiag Food Establiihmmt Ilmrs of Operation _. _ Seating Capacity: Inretnal Extemat F.xtemsl Seatiug with Misters or Rm on Du with Food Service BuNonfeod Service Wat sbftmt e3 MutWwnca(mtAWe) Single Service(disposable) OWNERA FFRtE5ENTATWE DECLARATION: I certify that I have reed the eta application and stato that all initxmstion is Gorreet I undastaud net the amount of fee is based on ray doclatxtioa of irlformixtiot on this fort sod that inconve information is grounds far denial of the submitted plo" I also underhand that pLma wm be paid dRscatded if not picW up wid du sixty (60) dsys of approval or denial and that no inspection of my embliahmtstt will be conducted, or approval granted to opemtr,'mW all PmPa � vet and plans have been approved and retu m L Sismttue ,��� ;;>-; ;''�"."{:;,''. I~'(7IZI? GT:USE:+DNL'x:; a':.���cr��•�n,t � �. �,:•- _>:,..�."`. Na of Systctua Type of System(a) No, lawelling Units © Sand/Otl ❑ c'ntease uacrncptor Waived FucttucUnitc [� Grmsolaweeptor Trap �RePlacameat (� AdditionNew C3 Sot 0 Connect to Sewer ��y REMARKS: toe a) d L G'Ae G. 7appastoo is: �(? Fees Approved ©Denied Q Conditional Approval- 3� 442 // ►` Cheep No, 3, •Sec Retnarke Date iD /02 Infuad sigta _ cvwv-921 � . m @ . « � m ` y » ` �\ wzz•, \ \ / G ) ) � ] ( e 2 w .\ / , /%o z < c 2 / o m \ _ \ 2 = §§} w nQ , {/a . m> ao a mzz !||j}(� § \ § o)rn .� § �| mzo \ U) ATE/ Coachella Valley Water District ��STRIC� post Office Box 1058, Coachella Ca. 92236 (760) 398-2651 or (800) 262-2651 toll -free within the Coachella Valley SOURCE CONTROL PROGRAM INTERCEPTOR/SEPARATOR INSPECTION Name of discharger ,a AN(e I1C-W10 v bW Address of discharger c --7— -7 ,` lov Y.Q +1yr3 sW _ VIOLATION OF REGULATIONS GOVERNING SANITATION SERVICE PART 9 (ACCEPTABLE RANGE) (INSPECTION RESULTS) ❑ LOWER EXPLOSIVE LIMIT 10 percent or less ❑ HYDROGEN SULFIDE 10 ppm or less ❑ PH RANGE 5.0 to 9.5 ❑ GREASE AND OIL 150 mg/1 ❑ SUSPENDED SOLIDS 500 mg/1 ❑ BIOCHEMICAL OXYGEN DEMAND 400 mg/1 ❑ Grease interceptor/separator capacity has been exceeded. Interceptor/separator must be completely pumped to obtain compliance. Pumping receipt is to be provided at the time of the recheck inspection on ❑ Excessive odor in violation of the Rules and Regulations Governing Sanitation Service Part 9, section 9, Subsection 9-1 (9) which states; "Any noxious or malodorous gas or substance in a quantity capable of creating a public nuisance." ❑ Oil and sand separator capacity has been exceeded. Oil and sand separator must be completely pumped to obtain compliance. Pumping receipt is to be provided at the time of the recheck inspection on ❑ Excessive oil and/or grease in sample box. ❑ Interceptor/separator inaccessible for inspection, in violation of the Rules and Regulations Governing Sanitation Services Part 9, Section 9-5, which states in part, "All interceptors/separators shall be of a type and capacity approved by the General Manager, and shall be located as to be readily and easily accessible for cleaning and inspection. P� MECHANICAL MALFUNCTION DUE TO: ❑ 1. Missing sanitary tee in the sample box. ❑ 2. Baffle tubes missing. ❑ 3. Baffle tubes plugged. ❑ 4. Discharge line restricted. . ❑ 5. Baffles are submerged due to a restriction in the discharge line, interceptor needs to be pumped to obtain compliance. ❑ 6. Interceptor/separator inaccessible for inspection, in violation of the Rules and Regulations Governing Sanitation Services Part 9, section 5, which states in part, "All Interceptors/Separators shall be of a type and capacity approved by the General Manager, and shall be located as to be readily and easily accessible for cleaning and inspection." These violations must be corrected within 7 days of receipt of this noncompliance order. ❑ In compliance REMARKS I 7� 6 1k4-0 '5 1 RECEIPT OF NOTICE ACKNOWLEDGED BY DISCHARGER e F V Printed Name and Title &1/ AV - Inspector Signature Date ,SATE;? Coachella Valley Water District ��STRIC� Post Office Box 1058, Coachella Ca. 92236 �,1.760) 398-2651 or (800) 262-2651 toll -free within the Coachella Valley SOURCE CONTROL PROGRAM INTERCEPTOR/SEPARATOR INSPECTION Name of discharger Address of discharger 4X 6 ` -7q,;� y rX 1Y3 VIOLATION OF REGULATIONS GOVERNING SANITATION SERVICE PART 9 (ACCEPTABLE RANGE) (INSPECTION RESUL ❑ LOWER EXPLOSIVE LIMIT 10 percent or less ❑ HYDROGEN SULFIDE 10 ppm or less ❑ PH RANGE 5.0 to 9.5 ❑ GREASE AND OIL 150 mg/1 I I ❑ SUSPENDED SOLIDS 500 mg/1 ❑ BIOCHEMICAL OXYGEN DEMAND 400 mg/1 ❑ Grease interceptor/separator capacity has been exceeded. Interceptor/separator must be completely pumped to obtain compliance. Pumping receipt is to be provided at the time of the recheck inspection on ❑ Excessive odor in violation of the Rules and Regulations Governing Sanitation Service Part 9, section 9, Subsection 9-1 (9) which states; "Any noxious or malodorous gas or substance in a quantity capable of creating a public nuisance." ❑ Oil and sand separator capacity has been exceeded. Oil and sand separator must be completely pumped to obtain compliance. Pumping receipt is to be provided at the time of the recheck inspection on ❑ Excessive oil and/or grease in sample box. ❑ Interceptor/separator inaccessible for inspection, in violation of the Rules and Regulations Governing Sanitation Services Part 9, Section 9-5, which states in part, "All interceptors/separators shall be of a type and capacity approved by the General Manager, and shall be located as to be readily and easily accessible for cleaning and inspection. MECHANICAL MALFUNCTION DUE TO: ❑ 1. Missing sanitary tee in the sample box. ❑ 2. Baffle tubes missing. ❑ 3. Baffle tubes plugged. ❑ 4. Discharge line restricted. ❑ 5. Baffles are submerged due to a restriction in the discharge line, interceptor needs to be pumped to obtain compliance. ❑ 6. Interceptor/separator inaccessible for inspection, in violation of the Rules and �-. Regulations Governing Sanitation Services Part 9, section 5, which states in part, "All Interceptors/Separators shall be of a type and capacity approved by the General Manager, and shall be located as to be readily and easily accessible for cleaning and inspection." These violations must be corrected within 7 days of receipt of this noncompliance order. r_ ❑ In compliance I ,� REMARKS ?�1-- �/ RECEIPT OF NOTICE ACKNOWLEDGED BY DISCHARGER Printed Name and Title Signature _��w 4�/__ �—) 1 —&9 Inspector Date SOUTHERN CALIFORNIA SOIL & TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC 6280 RIVERDALE STREET, SAN DIEGO CA 92120 s 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: P.O. NO.: C 1 X 1 PL NC M MW: 00391 0822004P PArr 1 nc 1 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 TRLE: PHASE* DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 3300 N/A N/A PROJECT ADDRESS PERMfiNo: :LA 47-795 DUNE PALMS ROAD 07-2356 QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUS CONTRACTOR: BROWN DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 3300 K ROOF TILE PROGRESS MATERULL cLasslT10 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: 12/10/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF TILE INSTALLATION (IN PROGRESS) FOR BUILDING 3300 K. *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. NO OVEREXPOSED TILE WERE OBSERVED. TOOK DIGITAL PHOTOS OF TYPICAL ROOFING INSTALLATION. **WORK OBSERVED APEARS TO BE ACCEPTABLE PER PLANS AND THE TRI ROOFING MANUAL. CBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, the work inspected is to the best of my knowledge in compliance with the approved plans, INSPECTORS NAME: (Printed) P.E. REVIEW: 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 accordance with the requirements of the OSHPD approved documents. The work inspected ICC #5077516-10 Complies with the OSHPD approved documents. Yes:= No:= Inspector Initials: N/A INSPECTORS SU IANRE REGISTRATION NO, DSA I hereby certify that I have inspected the above reported work in accordance with the 12/1 U/2U08 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. Yes: No:= Inspector Initials: N/A vk above riz *signature authorizes the oe work SCS6T 205 REV?/06 SOIL & 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 Q INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 1. PL I I I NC I I FIX I SCS&T FILE NO.: P.O. NO. 6 FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY [I WELDING El FIREPROOFING Q. C. CONCRETE El ROOFING WATERPROOFING ❑ P.T. CONCRETE / STRESS El EPDXY ANCHORS ❑ H.S. BOLTING ❑ PROJECT TITLE: PHASE DSA FILE NO,: DSA APP. NO.: PROJECT ADDRESS PERMIT NO.: PLAN FILE NO.: IV ARCHITECT: ENGINEER: GENERAL CONTRACTOR: SUB CONTRACTOR: LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: V 'b L -4 1,(A f: P.E. REVIEW: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, 11,q work Inspected is to the best of my knowledge in compliance with the approved plans, .1fications and applicable sections of the governing building laws, :)ector Initials INSPECTORS SIGNATURE REGISTRATION NO. DSA 1 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 -y" accordance with the requirements of the DSA approved documents. The work inspected *SUPZRINTENDENTS SIGNATURE DATE complies with the DSA approved documents. *Signature authorizes the above work Yes: No: _ Inspector Initials: - SCS&T 205 REV 2t06 SOUTHERN CALIFORNIA SOIL & TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: oo27s 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 SCSBIT FILE NO: 0822004P P.O. NO.: I -C I I PL NC FI�7 PAGE I nr FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING O. C. CONCRETE © ROOFING/ WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING n PROJECT TITTE: PHASE#: DU JOSHPD FILE NO.: DIM APP. NO.; DUNE PALMS BLDG 3300 N/A N/A PROJECT ADDRESS PERMIT NO.: HM FILE NO.: 47-795 DUNE PALMS ROAD 07-2356 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN CALIFORNIA PLASTERING LOCATION OF WORK INSPECTED: BUILDING K 3300 LAUNDRY ROOM MATERK CLAMIFICATIOR PELLA FIBERGLASS WINDOWS, 12" MOISTOP, PELLA BUTYL TAPE GMC 60 MIN BUILDING PAPER X 2 LAYERS, MFM SUBSEAL, RAINBUSTER 900 POLYURETHANE SEALANT DATE: 10/03/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE LATH INSTALLATION (IN PROGRESS). * TWO LAYERS OF GMC 60 MIN BUILDING PAPER HAS 3"-4" HEADLAPS AND 6" SIDELAPS . POT SHELVES HAVE SOLID BACKING WITH MFM SUBSEAL EXTENDED UP THE SILL AND SIDE WALLS APROX. 6"-8" AND ONTO THE VERTICAL WALL BELOW THE POT SHELVES A MIN OF 4". 6"X18"RIB LATH BUTTERFLIES WERE PLACED AT THE WINDOW CORNERS FOR REINFORCMENT. MILCOR IS USED AS STUCCO STOP IN MULTIPLE AREAS TO PROPERLY TERMINATE THE STUCCO. TEARS, CUTS, NAIL POPS ETC. ARE CAULKED WITH RAINBUSTER 900 POLYURETHANE SEALANT. TOOK DIGITAL PHOTOS OF TYPICAL LATH INSTALLATION. CBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (Pdnted) 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 ��:'-� accordance with the requirements of the OSHPD approved documents. The work inspected G ICC #5077516-10 complies with the OSHPD approved documents. N/A Yes:= No:= Inspector Initials: INSPECTORS SIGNATURE REGISTRATION NO, DSA I hereby certify that I have inspected the above reported work in accordance with the 10�03�2008 requirements of Du SA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work Inspected 'SUPERINTENDENTS SIGNATURE DATE com lies with the DSA approved documents. Yes: No: = Inspector Initials: N/A 'signature authorizes the above work SCS&T 205 REV 7/O6 SOUTHERN CAUFORNIA SOIL 6 TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. �: 00256 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 X 1 I 1 1 NC I Fix T Parr. I nr FIELD INSPECTION REPORT FOR: REINFORCED CONCRETE REINFORCED MASONRY WELDING FIREPROOFING O.C.CONCRETE ® ROOFING/WATERPROOFING Q P.LCONCRETEISTRESS 0 EPDXYANCHORS Q H.S.BOLTINGn PROJECJIMF PHASEV DSA/O%ftFILENO.: MANIP. NO.: DUNE PALMS BLDG K N/A N/A PROJECTADORESS pgWR Np.: PLAN FILE NO.: 47-795 DUNE PALMS ROAD _ 3�( LA QUINTA ���� ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL coNTlmcTOR: SW COMpACpR: BROWN GUY EVANS/ CALIFORNIA PLASTERING LOCATION OF WORK INSPECTED: BUILDING K(LAUNDRY BUILDING MATERIAL IFICATI : PELLA FIBERGLASS WDqDOWS, 12" N FM SUBSEAL_ PELLA BUTYL TAPE, FONTANA VULCASEAL #30 FELT ASTM D-226 TYPE II ICBO ES ER-5434, PACIFIC MASTIC, 7/8" CAP NAILS flATf 9/25/2008 TINE ARRSVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE WINDOW INSTALLATION. ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE ROOF UNDERLAYMENT INSTALLATION. * WINDOWS WERE INSTALLED USING THE NEW APROVED INSTALLATION PROCEDURE, TWO BUTTERFLY'S OF MFM SUBSEAL WERE INSTALLED AT THE UPPER CORNERS OF THE RECESSED WINDOWS NEXT THE INSTALLATION OF PELLA TAPE WAS PLACED INSIDE THE ROUGH OPENING AT THE SILL. MFM SUBSEAL WAS INSTALLED AT THE POT SHELF/ SILL RUN UP THE VERTICAL RISE AND ON THE SIDE WALLS 6"-8". NEXT 12" MFM SUBSEAL WAS INSTALLED AT THE JAMBS IN WEATHERBOARD FASHION. PELLA BUTYL TAPE WAS PLACED OVER THE NAILING FIN TO ENCAPSULATE THE FASTENERS, FOLLOWED BY THE HEAD FLASHING OF 12" MFM SUBSEAL. TOOK DIGITAL PHOTOS OF TYPICAL WINDOW INSTALLATION. *GENERAL FELT INSTALLATION 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 OVER THE RAKED EDGES A MIN. OF I ". ALL INSIDE AND OUTSIDE CORNERS HAVE MASTIC 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 UNDER AND OVER ONTO THE ROOF DECK A MIN. OF 3"- TOOK DIGITAL PHOTOS OF TYPICAL ROOF UNDERLAYMENT INSTALLATION. PUNCH LIST ITEM LISTED BELOW. **PUNCH LIST** *COPPER PIPE PENETRATING THE ROOF HAS A FLASHING WHICH IS NOT APROVED FOR USE WITH CLAY TILE. REPLACE WITH APROVED FLASHING. 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. D%WD J hereby certify that) have inspected the above reported work in accardance with the requirements of OSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the OSHPD approved documents. The work inspected �� ICC #5077516-10 complies with the OSHPD approved documents. N/A Yes:= No:= Inspector Initials: M TUM REGISTRATION NO, DSA 1 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 BUPERINrRDWS SIGNATURE DATE com lies with the DSA approved documents. Yes:No:= Inspector Initials: N/A -signature auffmizesthe above work RC5a7205 REV 7Po8 C, SOUTNERN CALIFORNIA SOIL & 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 SCS&T FILE NO: MW: 00143 0822004P P.O. NO.: I L 1 Y1 PL NC I I FIX PAGE OF 1 FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0 C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS ❑ H.&B(XTlNGrXjDL4YHRAMNL PROJECTTiTLE: PHASEM DSA/OSHPDFILE NO.: DSA APP. NO.: DUNE PALMS SEE BELOW N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN Fit& No.: 47-795 DUNE PALMS ROAD SEE BELOW LA QUINTA ARCHITECT. ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR BROWN SUBCONTRACTOR: TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 2300 AND 3300K UNDRY BUILDING MhTERIAL CLASSIFICATION: 19/32" STR 1 APA RATED O.S.B. IOD FASTENERS DATE: 7/29/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF DIAPHRAM NAILING FINISHED ASSEMBLY FOR BUILDING 2300 A3 SECOND AND THIRD FLOOR ROOFS. ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE ROOF DIAPHRAM NAILING FINISHED ASSEMBLY FOR BUILDING 3300K (LAUNDRY BUILDING). *THE ROOF SHEATHING OBSERVED WAS 19/32" STRUCT. 1 A.P.A. RATED O.S.B., UNBLOCKED. DIAPHRAM NAILING WAS PER PLAN IOD @ 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. PERMIT *BUILDING 2300 07-3240 *BUILDING 3300K 07-2356 **WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER 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 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 documents. The inspected ICC #5077516-10 accordance with the requirements of the OSHPD approved work complies with the OSHPO approved documents. Yes: No:= Inspector Initials: N/A f PECTORS SIGNATURE REGISTRATION NO, DSA 1 hereby certify that I have Inspected the above reported work in accordance with the 7/29/2008 requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected 'SUPERINTENDENTS SIGNATURE DATE complies with the DSA approved documents. Yes:= No: Q Inspector Initials: N/A 'signature authorizes the above work 8Ca6T LPS REV 7Na SOUTHERN CA ORNIA SOIL 8 T STINO, INC. C SOUTHERN CALIFORNIA SOIL & TESTING, INC. MG: 000078 6280 RTVERDALE STREET, SAN DIEGO CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUTtE G, INDIO, CA 92201 ' Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: 0822004P P.O. NO.: C PL NC FIX PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0. C. CONCRETE ❑ ROOFING I WATERPROOFING ❑ P.T. CONCRETE / STRESS ® EPDXY ANCHORS ❑ H.S. BOLTING r] PROJECT TITLE: 7BLDG HASE2: DSA/OSHPDFILENO.: DSAAPP.NO.: DUNE PALMS K N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN HLE NO.: 47795 DUNE PALMS RD. 07-2356 N/A ARCHITECT ENGINEER* INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN SDR LOCATION OF WORK INSPECTED: STRONG WALL 5 AND D LINE MATERIAL CLASSIFICATION: HILTI HY 150 EXP 11/2008 DATE: 08-13-2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: 1000AM 1 100AM ONSITE TO PROVIDE INSPECTION OF DRILLED EPDXY ANCHORS @ BLDG K STRONG WALL 5 & D LINE. HOLES WERE DRILLED WITH A 3/4" AND I" BIT TO A DEPTH OF 12" AND 23". HOLES WERE CLEANED WITH COMPRESSED AIR AND NYLON BRUSH. TWO 5/8" AND 7/8" ALL THREAD WERE PLACED WITH HILTI HY - 150 EXP 11/08 IN A TWISTING FASHION. THIS WORK WAS IN GENERAL CONFORMANCE WITH PLANS AND SPECS. END REPORT. 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. M. GERIMINSKY Inspector Initials: MG OSHPD I hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPO approved documents. Sampling and testing were conducted in accordance with the requirements of the OSHPD approved documents. The work inspected 5274303-49 comprlil�ies—witth the OSHPD approved documents, Yes: !n No:= Inspector Initials: N/A INSPECTORS SIGNATURE REGISTRATION NO, DSA I hereby certify that I have inspected the above reported work in accordance with the 08-13-2008 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 Complies with the DSA approved documents. = Inspector Initials: N/A 'signature authorizes the above work Yes: No: SCS&T zIs REVIM Certificate of Occupancy T-Vf 4 4V4" Building & 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 # 3300) Use classification: APARTMENTS Building Permit No.: 07-2356 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 24, 2009 Building Official POST IN A CONSPICUOUS PLACE