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07-3238 (MFD5)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-000.0,3238 Property Address: 4779.5 DUNE PALMS RD APN: 600-020-030- - - Application description:. DWELLING - 5 OR MORE FAMILY ,Property Zoning: REGIONAL COMMERCIAL Application valuation: .546754 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: COACHELLA VALLEY 45701 MONROE ST INDIO, CA -92201 VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760)'777-7153. HOUSING COALI 1-G Contractor: BROWN CONSTRUCTION, PO BO_X.980700 WEST SARAMENTO, CA (916)373-9300. Lic.:No..: 396120 INC. 95798 Date: 1/25/08 D ° JAN 2 5 2008 CITY OF LA QUINTA FINANCE DEPT. --------------------- --------- -------------------------------------------------------------- --- — - LICENSED CONTRACTOR'S DECLARATION LICENSED WORKER'S COMPENSATION DECLARATION I hereby affirm.underpenalty of perjury that I am.licensed under provisions of Chapter 9 (commencing'With I hereby affirm under penalty of Perjury oneof the following declarations: Section 70.00) of Division 3 of the,Business and Professionals Code; and my License isin full force and affect. _ I. have.and'will maintain a certificate of consent to self-insure!for workers' compensation, as provided License C ss: $. .License No:: 396120 AO for by Section 3700 of theLabor Code,for the performance of the work for which this permit is issued j have and will maintain workers' compensatioWinsurance, as requirecCby Section 3700: of the Labor Code for the performance ofthe work for -which this permit is,issued. My workers' compensation OWNER -BUILDER, DECLARATION insurance carrievand policy number,are: I hereby affirm under penalty, of,perjury that I am exempt from the Contractor's StateLicense Law for the Carrier AMER INC Policy Number 34244,77 fol.owing,reason (Sec. 7031.5, Business:and Professions Code: Any city or county that:requires•a permitto_ I certify that, in the performance ofthe+work:forwhich this:permit.is(issued, I 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 files -signed statement that he. or she�,js licensed pursuant;to theprovjsians of the'Contractor's State - and agree that; if'I should become subject to the workers' compensation proyjsionsof Section_' License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code) or that he'or she is%exempt therefrom and the basis for the alleged exemption: Any violationof'Section 7031.5 by 37Q0 of th* II forthwith comply with those provisions. any applicant for a permit subjects the applicant to civil penalty of not more than'five.hundred dollars ($500).: D�can� 'r'L%1• I _ j I,. as owner of the property, or my employees with wages as their, sole,compensation, will do the work, and the structure;is not intended or offered.for sale (Sec: 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law dces.not applyto an owner of property who builds or improvesthereon, 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, provided'that the DOLLARS (S100=0). 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-yearof completion, the.owner-builder will have the.burden of provingthat tie: or she did not build or improve for the -purpose, of -sale:): (_ 1 I, -as owner of the property, amexclusively contracting withficensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not.apply to an owner of property who builds or:improves thereon, and who contracts foi the,.projects with a contractors) licensed pursuant to the Contractors' State,Ucense Law:): (_) I am exempt under Sec. , B.&P.C. ,for this,reason Date: Owner:, CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjurythat there is�a construction lending agency for the performance of the work for which this permibis,issued, (Sec; 3097, Civ: C.). Lender's:Name: i I_ - Lender's�Address: Allit .LQPERMTf 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 behalfthisapplication is made, each person_at:whose request and for whose benefit work is performed under or pursuant to any permit issued as aresult of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify. and hold harmless -the City of Laf 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. Anypermit issued as a re suit,oVthis app licationlbecomes null and void if work isnot 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 agreeto comply with all city;and-countyordinances.and state laws relating to build' ruction, and hereby authorize representatives of thi -co ty to n r upon the: above=mention�d�prr for inspe ion purposes: . ` Data:ZXJ §nature (Applicant or Agent): � V Application Number . . . . . 07-00003238 ------ Structure Information 8,823SF [TYPE: C-3'1/V-1HR/RES-1/6-DU ----- Other struct info . . . . . CODE EDITION 2001/2004/2005 #$ BEDROOMS 18.00 FIRE SPRINKLERS FULLY FLOOD ZONE NO GARAGE SQ FTG 99.00 PATIO SQ FTG 1351.00 NUMBER OF UNITS 6.00 18T FLOOR SQUARE FOOTAGE 2439.00 2ND FLOOR SQUARE FOOTAGE 2.467.00 3RD FLOOR SQUARE FOOTAGE 2467.00 Permit BUILDING PERMIT Additional desc .. . Permit.Fee . . . . 2180.50 Plan Check Fee 354.33 Issue Date . . . Valuation . . . . 546754 Expiration Date . . 7/23/08 Qty Unit Charge. Per Extension BASE FEE 203,9.50 47.00 3.0000 THOU BLDG 500.,001-1,000,000 141.00 Permit MECHANICAL Additional,des_c . Permit Fee . . .. 213.00 Plan Check Fee 13.31 Issue Date . . .' . Valuation . . . . 0 Expiration Date 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 4.5000 EA MECH VENT INST/ DUCT ALT 27.00 6.00 9.0000 EA MECH B/C <=3HP/1.00K BTU 54.00 12.00 6..5000 EA MECH VENT FAN 78.00 6.00 6..5000 ---------------------------------------------------------------------------------- EA MECH EXHAUST HOOD 39..00 Permit . . . ELEC-NEW RESIDENTI-AL Additional desc . Permit Fee . . 2.38.17 Plan Check_ Fee 14.88 Issue Date . . . . Valuation . . 0 Expiration Date . . 7/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 7373.00 .0300 ELEC NEW RES - MULTI FAMILY 221.19 LQPERMIT Application'Number . . . . . 07-0000.3238 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty. Unit Charge Per Extension 99.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 1.98 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 525.00 Issue Date Expiration Date 7/23./08 Plan Check Fee . . 32.81 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 54.00 6.0000 EA PLB FIXTURE 324.00 1.00 15.0000 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 7/23/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments 8,8239F [TYPE:C-3]/V-1HR/RES-1/6-UNITS - ALLOWABLE AREA INCREASES: MULTISTORY / FIRESPRINKLERS [3STORIES/42,060SF MAX] THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE LIGHTING, CARPORTS ,OR TRASH ENCLOSURES. 2001 CBC., CPC, CMC,.2004 CEC, 20_05 -ENERGY, CODE. **REDUCED FEE** [BUILDING: 3200 - TYPE: C-3] December 28, 2007 3:32:15 PM AORTEGA ------------------------------------ -1 ---------------- - ---------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 35.43 ART IN PUBLIC PLACES -RES 866.88 DIF COMMUNITY CENTERS -RES 438.00 DIF CIVIC CENTER - RES 1374.00 ENERGY REVIEW FEE 35.43 LQrERMrr Application Number. . . . . . 07-00.003238 Other Fees . . . . . . . . . D.IF 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 54.67 DIF STREET MAINT FAC -RES 234.00 DIF TRANSPORTATION - RES 6762.00 Fee summary Charged Paid Credited Due Permit Fee Total 3171.67 .00 .00 3171.67 Plan Check Total 415.3'3 .00 .00 415.3.3 Other Fee Total 17462.41 .00 .00 17462.41 Grand Total 21049.41 .00 .0.0 21049.41 CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING Factory Additional copies of this form are Loss Prevention Publications - Training Resource Center Mutual I available to insured from: Factory Mutual ESystem ngineering and Research 1151 Boston Providence Turnpike P.O. Box 9102Norwood MA 02062 PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All Cdefects shall be corrected and system left in service before contractor's personnel finally leave the job. r� L 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 authority's requirements or local ordinances. PROPERTY NAME: La Quinta Dune Palms Neighborhood JOB# 07205 DATE: July 21, 2008 PROPERTY ADDRESS: 47795 Dune Palms Road, La Ouinta 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 YO EQUIPMENT USED IS APPROVED (IF NO, STATE DEVIATIONS BELOW) ES X NYES X NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL AND VALVES INSTRUCTIONS THE CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? YES X NO IF NO, EXPLAIN: HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN LEFT ON YES X NO PREMISES? IF NO, EXPLAIN: LOCATION OF SUPPLIES BUILDINGS SYSTEM Building C-3 3200 SPRINKLERS MAKE TYCO MODEL YEAR OF MANUFACTURE ORIFICE SIZE QUANTITY TEMPERATURE RATING Concealed LF-II 2008 1/2" 52 1600 Pendent TY-FRB 2008 1/z" 8 2000 PIPE & FITTINGS PIPE CONFORMS TO NFPA #13 STANDARD YES X NO FITTINGS CONFORM TO NFPA #13 STANDARD IDS X NO ALARM ALARM DEVICE MAXIMUM TIME 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 WATER REACHED OUT. ALARM OPER- ATED PROPERLY MIN. SEC. , PSI PS-1— 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 SUPERVISED? YES NO DELUGE AND DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL? YES NO PREACTION IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? YES 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 PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO PREVENT DAMAGE. ALL ABOVE -GROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION 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 EQUIPMEI�TT OPERATES PROPERLY? YES e 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 EXPLAIN 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 D10.9, 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 D10.9, 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 F PROPE Y OH'NER (Signed) TITLE DATE SIGNATURES % Z p 0-9 F INSTALS TITLE 'DATE 7:� �r ✓V`C?ly, v -Z ADDITIONAL EXPLAI\ ON O E : ' 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 Bc)L; 1-l()rr DP,IVL E IZnncHQ 1�11rnce CALIFURvl.A U 7(1 -7h(1_:�ILU\11 7(.11_;�;_/!Q; FA R5 Xk;WVU ('r1u1�i11 rir,ir,lvr r^naa Ms. Amy Yu, Engineering Assistant II 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, // A/"�' Charles R. Harris, PLS 4989 Director of Survey and Mapping CRH:tt EC: Mike Troth /\�N--------------------- p,L LANp s� CHARLES R. HARRIS ) DD * ` Exp: 12/31 /07 / * Q�A No. 4989 1Q" FCAL 4200 BOB I1()1,L DpwE R.AN('I10 MIP\A(7,F fl CAI IFORiNIA -: 92270 7AO_1-)O-(-)RI I - 7AO-1-)1_7«), F,%\' e-a \u\u\t! MS, Ai Cl\IIIIITIN(JNU Co Nil 5 May 1, 2008 Ms. Amy Yu City of La Quinta 78-495 Calle Tampico La Quinta, CA 92252 RE: Form Certification — CVHC Dune Palms Neighborhood, Parcel 4 of Parcel Map No. 33588, Buildings 3100C and 3200 C Dear Amy: This letter is to verify that the locations and elevations of the building forms for Buildings 3100C and 3200C 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 3100C 60.40 60.43 +0.03 Building 3200C 59.00 59.02 +0.02 If you have any questions, please contact our office. Very truly yours, el10-0,ND So �= CHARLES R.6�a HARRIS 0 Charles R. Harris, PLS 4989 No, 4989 70 Director of Survey and Mapping c1�, Exp. 12/31 /09 CRH:tt T 0 EC: Mike Troth �CF CM-�F/,/ 34200 .Boa Harz. DRIVE m RANC.110 M.11RAGE 0 CALIFORNIA 0 92270 760-320-9811 a 760-323-7893 FAX 93 www.MSACoN'sUl�c'►NCiINC.C'O,14 UGRAYNERENGINEERING 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: 3200 Building Official: September 18, 2008 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, A!�W ,�/11� George H. Grayner, S. E. Grayner Engineering S.� QRpt:ES d � ,LQ`�pQGE H 7 � CO �O yam. 1 � m Exp. 9- s�ql� OF CA��F 41105 Vintage Circle . Temecula, CA 92591 . Telephone (951) 676-2529 . FAX (951) 699-3591 Riverside County Fire Department Fire Protection Planning Section c 63 3 Riverside Office: 2300 Market St., Ste. 150, Riverside. CA 92501 Ph. (951) 955-4777 Fax (951) 955-4886 Palm Desert Office: 77-933 Las Montla asss d.. u 20l Palm DeserRd., Ste A. Murrieta, Ct, CA692211( 451131Ph-676) a 951)60(0760) 863-7072 Fire Department Clearance/Release Date: To: Lu I Fax: Tract/Parcel Map #: 0 6 -M - 0— I i U Permit/Lot #: �j(®�j it )� Job Site Address: _�1 edlr S L "zo-4,111 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 R�verside County Fire Protection Planning office for further assistance. . Form C — Revised 8/27/2009 AL RTrizing Signature For Release Print Name I I xY Ur LA UUIN 1A BU�ILpI ( G & SAFETY DEPARTMENT OF o� (760) 777-7012 �^ PECTION REQUEST LINE 'v (760) 777-7153 Owner IWOM COALITION Contr Cto BR�b4, _ ONSTRUCTION Permi -3 8 I P N CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 47-795 DUNE PALMS ROAD 8,823SF [TYPE:C-3I/V-IHR/RES-1/6-UNITS - 2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE. "REDUCED FEE** BUILDING3200 _ 1 i I � 1 [ -TYPE. C-3] TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING - J FOOTINGS / STEEL .:A CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF 7- 03 C 2° OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION _ p ��•�:f►4•>4�l.Ja:tn►u��Ie�:i•19�.9rNdl��� INTERIOR GYP. BD. (DRYWALL) EXTERIOR LATH . p 4 GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION - Q SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM j POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS ' U/G ELECTRICAL 1 j PRE -PLASTER (ALARMS / BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER`� -Z �i • O ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT �� l COMMUNITY DEVELOPMENT DEPT. 141 i4 FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING i Sl�l� �Fn� N �.� �. g -� • os sue: Ptvr"A 7typ—ov7 •2,3• 08 S.T, 114 S i-a F -OF S7 a 7DAt %.A t(�?- . i it i 1 s Imperial Irrigation District K 4 JCS f `Power Department - Underground/Service Inspection CLIENT: e d {,r�l 1A DATE: /0� CONTRACTOR: X44 04 Itinn PROJECT -NO. NETWORK:NO.:DO 790 INSPECTOR: CSP NO.: CONTRACTOR:. e JOB LOCATION: _. u L6=9 PASS FAIL PASS FAIL TRENCH: PRIMARY VAULT: 0 STANDARD SECONDARY 0 0 SECTOR D SERVICE 0 SWITCH CONDUIT:. PRIMARY GROUNDS: 0 ' PAD 0 SECONDARY 0 -SECTOR 0 SERVICE 0 0 . VAULT MANDREL: 0 PRIMARY 0 SECONDARY PAD: 0 0 0 = SERVICE PULLBOX: OTHER: PHOTO/s AVAILABLE: ❑ YES 0 NO NOTES: t� t - V - Imperial Irrigation District Power Construction Management IID-766 (7-01) Phone (760) 339-9532 Fax (760) 339-9533 SOUTHERN 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: P.O. NO.: MW: 00386 0822004P C PL INC FIX PAGE I OF I FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Q. C. CONCRETE ® ROOFING I WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING F1 PRGJECf TLE: PHASE#: OSA IOSHPD FILE NO.: OSA APP. NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECTAWRESS PERMRNO.: .. 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERALCONTRACTOR: SUBCONTRACTOR: BROWN DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 3200 C-3 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: 12/9/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE REPAIRS FOR THE PUNCH LIST ITEMS ON THE FINISHED ROOF ASSEMBLY. *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 FIXED TILE WITH RAINBUSTER 850 TILE ADHESIVE. **NOTE- PUNCH LIST ITEMS LISTED ON MY REPORT FROM 12/5/2008 WERE CORRECTED AS REQUESTED. AN ADDITIONAL COARSE OF TILE WAS INSTALLED TO PREVENT OVEREXPOSURE OF TILE. ALL NAIL PENETRATIONS WERE SEALED WITH MASTIC AS WELL. THE BROKEN TILE WAS REMOVED AND REPLACED WITH A NEW TILE. **WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER PLANS AND THE 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 / � ICC #5077516-10 accordance with the requirements of the OSHPD approved documents. The work inspected complies with the OSHPD approved documents. Yes:= No:= Inspector Initials: NSA INSPECTORS SIGNATURE I REGISTRATION NO, DSA I hereby certify that 1 have inspected the above reported work in accordance with the 12/9/2008 requirements of DSA approved documents. Sampling and testing were conducted in 'SUPERINTENDENTS SIGNANRE DATE accordance with the requirements of the DSA approved documents. The work inspected Yeles with the DSA approved documents. N/A •sigttatureatdhoriresVia above work : No:= Inspectorinifials: SCS&T 205 REV 2106 SOUTHERN CA FORNIA SqL 8 TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00380 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 I C 1 X I F PL I NC I F FIX SCS&T FILE NO: 0822004P P.O. NO.: PAGE 1 OF____1 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 El PROJECT TITLE PHASE#: DSA/OSHMFILE NO.: MAAPP. NO.: DUNE PALMS BLDG 3200 N/A N/A PROJEC ADDRESS PERMIT NO.: .. 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGIN1a:R: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 3200 C-3 CLASSI I N: FONTANA VULCASEAL #30 ASTM D-226 TYPE H, ICBO ES ER-5434, MCA CLAY ROOF TILE, PACIFIC MASTIC, 5/16" 8D ROOFING NAILS, DATE: 12/5/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE FINISHED TILE ROOF ASSEMBLY FOR BUILDING 3200 C-3. *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 FIXED TILE WITH RAINBUSTER 850 TILE ADHESIVE. A FEW MINOR REPAIRS LISTED BELOW NEED TO BE COMPLETED. **PUNCH LIST** *TILE ARE OVEREXPOSED AT THE RIDGE, ADD AN ADDITIONAL COARSE OF TILE TO COVER FASTENERS AND PREVENT WATER INTRUSION. *REPLACE ONE BROKEN TILE ON SOUTH FACING SLOPE. **WORK OBSERVED APEARS TO BE ACCEPTABLE AS PER PLANS AND THE TRI ROOFING MANUAL OTHER THAN ITEMS LISTED. 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. i 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 ICC #5077516-10 complies with the OSHPD approved documents. Yes:= No:= Inspector Initials: N/A INS0ECTORStIGNATURE REGISTRATION NO, DSA 1 hereby certify that 1 have inspected the above reported work in accordance with the 12/5/2008 requirements of DSA approved documents. Sampling and testing were conducted in *SUPERINTENDENTS SIGNXTURE DATE accordance with the requirements of the DSA approved documents. The work inspected com Iies with the DSA approved documents. �No: O Inspector Initials: N/A 'signah"au#wriresMeabowwork Yes: SCUT 205 REV 7/OS SOUTHERN C/W GRNV soa a �S NC, INC. 1, SOUTHERN CALIFORNIA SOIL & TESTING, INC. 6280 RIVERDALE STREET, SAN DIEGO CA 92120' Phone (619) 280-4321 Fax (619) 280-47I7 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 ' Phone (760) 775-5983 Fax (760) 775-8362 SCSBT FILE NO: 0822004P r � rn� f c frn-1 FIX P.O. NO.: MW: 00375 PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑WELDING ❑FIREPROOFING 0. C. CONCRETE ® ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ❑ PROJECT TITLE: PHASE #: DSA/OSHPD FILE NO.: DSA APP. NO.: N/A DUNE PALMS BLDG 3200 N/A PROJECT ADDRESS 47-795 DUNE PALMS ROAD PERMIT NO.: •• 07-3238 LA QUINTA ARCHITECT: INTERACTIVE DESIGN ENGINEER: GRAYNER GENERAL CONTRACTOR: BROWN SUBCONTRACTOR: DRI ROOFING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 ROOF TILE IN PROGRESS) MATERIAL CLASSIRCATION: FONTANA VULCASEAL #30 ASTM D-226 TYPE 11, ICBO ES ER-5434, MCA CLAY ROOF TILE, PACIFIC MASTIC, 5/16" 8D ROOFING NAILS, WIND CLIPS DATE: 12/4/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF TILE INSTALLATION (IN PROGRESS) FOR BUILDING 3200 C3. *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 AS PER PLANS AND THE TRI ROOFING MANUAL. 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 budding laws. MILES WOODARD / ICC #5077516-10 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 complies with the OSHPD approved documents. N/A Yes: No:O Inspector Initials: INSPECTORS IGNATURE REGISTRATION NO, BSA 1 hereby certify that 1 have inspected the above reported work in accordance with the 12/4/2008 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 les with the DSA approved documents. N/A No: Q Inspector Initials: •signature authorizes the above work scsaT 205 Rev tios Yes: c SOIL 8 TESTING. INC' SOUTHERN CALIFORNIA SOIL & TESTING; INC. 53 2 9 2 O 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 ` 83-740 CITRUS AVENUE, SUITE C\ INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 , r SCS&T FILE NO. P.O. NO.- C PL NC FIX PAGE OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Q. C. CONCRETE ❑ ROOFING / WATERPROFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING F PROJECT TITLE: PHASE #: DSA FILE NO.: � DSA APP. NO.: r PROJECT ADDRESS 4tif PERMIT NO.: G j _ > � PLAN FILE NO.: 7� :�1.�{ S c�.. IA- .ate.. ARCHITECT: ENGINEER v GENERAL CONTRACTOR: SUB CONTRACTOR: T LOCATION OF WORK INSPECTED: MATERIAL CLASSIFICATION: DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: -t `; _)' TIME DEPARTED' `Lt>>r ' s > " C J F,� i 1fG�o[ z ` rr"> f' try5-5 r -- �t _ ... r�11 r11 .I r:V �;!%� 1.� 1'.it,n '•'�!' ;s`t �L. ? ;. it-- ,.� L.. _`•T t t S '` • . _ r t \3 ,ri.t /:,� i' 1 i j..l !' � � : ! t ( � � � �... r t 1. ✓ ii`•• 1 , . 4 - _ E. t f�' _`y _ ..� r I-_ F`:. . C r y'i/I i .' - r - P.E. REVIEW: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, 1. the work inspected is to the best of my knowledge in compliance with the approved plans, _ ;ifications and applicable sections of the governing building laws. - T" - JeCtOf IrrItIOIS INSPECTORS SIGNATURE ". ' REGISTRATION NO. _f I hereby certify that 1 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&r zos aev zroe Q SOIL B TESTING, iN[- SOUTHERN CALIFORNIA SOIL & TESTING INC. 5 i 92 9 7 O 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.: 0 :3 /� ' �'"'�` P.O. NO.• J - C-" PL NC FIX PAGE 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❑ Grts PROJECT TITLE: PHASE #: DSA FILE NO.: i J DSA APP. NO.:jL ,f .f PROJECT ADDRESS t �+ '} •rf} PERMIT NO.: z '"�`� ,• •'t. 2 J PLAN FILE NO.: � �'Le� �:t% °'°'}I } 1 I 'ter. I `i �.. i'� �.i .•�j (� ++�!". ARCHITECT: ENGINEER: ,n GENERAL CONTRACTOR: _ SUB CONTRACTOR: -� • LOCATION OF WORK INSPECTED: - 1 �• MATERIAL CLASSIFICATION: -- _ DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: J< d.''' TIME DEPARTED: } sp "" / hi i••t Oi-1 J I / > ;i ( ri rtI `% 1 /cc w >'•, L 1- 1 1 !\r� ✓^-• �' % ! t- L i 1 A T ',�f T� L t% �+ t,- t� r•T.T . ! � i ! .-r- t ij .1•� .) I J`'. L: i - P.E. REVIEW: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, rhe work inspected is to the best of my knowledge in compliance with the approved plans, - v 'ifications and applicable sections of the governing building laws. )ector Initials INSPECTORS SIGNATURE-c.,';"_-' -• • ._ - REGISTRATION NO. A I hereby certify that 1 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. • 'signcture authorizes the obove work Yes: No: Inspector Initials: SCS&T 205 REV 2ro6 SOUT ERN CALIFORNIA SOIL 6 TESTING, INC. r� l SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00267 6290 RIVERDALE STREET, SAN DIEGO CA 92120 * Phone (619) 290-4321 Fax (619) 290-4717 83-740 CITRUS AVENUE, SUITE G,INDIO, CA 92201 - Phone (760) 775-5983 Fax (760) 775-8362 SCSBT FILE NO: 0822004P o Loll I T 1 Y] 1 ' L 1 NC I I FIX PAGE OF 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 #: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECT ADDRESS PERMIT NO.: .. 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN DRI ROOFING/ CALIFORNIA PLASTERING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 MATERIAL CLASSIFICATION: FONTANA VULCASEAL #30 ASTM D-226 TYPE II, ICBO ES ER-5434, PACIFIC MASTIC AND 7/8" PLASTIC CAP NAILS GMC 60 MIN BUILDING PAPER X 2 LAYERS, MFM SUBSEAL AT POT SHELVES, PELLA WINDOWS DATE: 9/30/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF UNDERLAYMENT INSTALLATION (IN PROGRESS). ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE LATH INSTALLATION (IN PROGRESS) AS WELL AS THE BALCONY DECK METAL (IN PROGRESS). "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 I ". 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. *GENERAL LATH INSTALLATION IN PROGRESS LOOKS GOOD WITH TWO LAYERS OF 60 MIN GMC BUILDING PAPER WITH 3"-4" HEADLAPS AND 6" SIDELAPS. POT SHELVES HAVE SOLID BACKING WITH MFM SUBSEAL EXTENDED UP THE SIDEWALLS APROX. 6"-8" AND ONTO THE VERTICAL WALL BELOW THE POT SHELVES A MIN. OF 4". RIB LATH BUTTERFLIES WERE PLACED AT THE WINDOW CORNERS FOR REINFORCMENT. BALCONY AND TRELLIS HAVE MFM SUBSEAL OR BUILDING PAPER BEHIND THE LEDGERS. TOOK DIGITAL PHOTOS OF TYPICAL LATH INSTALLATION. *OBSERVED BALCONY DECK METAL (IN PROGRESS), DECK METAL WAS 26 GAUGE WITH 6" VERTICAL FLANGE AND 4" HORIZONTAL FLANGE ONTO THE DECK. SEAMS WERE BACK CAULKED WITH SIKAFLEX POLYURETHANE SEALANT AS WELL AS AN ADDITIONAL BEAD AT THE SEAMS. **WORK OBSERVED APEARS TO BE PER PLAN AND TRI ROOFING MANUAL. CBC 1 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. inspected in with the OSHPD I hereby certify that I have the above reported work accordance requirements of OSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the OSHPD approved documents. The work inspected ✓� �`" d ICC #5077516-] 0 complies with the OSHPD approved documents. N/A Yes:= No:= Inspector Initials: INSPECTORS SIGNATURE REGISTRATION NO, DSA I hereby certify that 1-have inspected the above reported work in accordance with the 9/30/2008 requirements of DSA approved documents. Sampling and testing were conducted in accordance with the requirements of the OSA approved documents. The work inspected 'SUPERINTENDENTS SIGNATURE DATE complies with the DSA approved documents. = Inspector Initials: N/A 'signature authorizes the above work scsaT 205 REV vas Yes:= No: 5 SOIL & TESTING. INC. SOUTHERN CALIFORNIA SOIL & TESTING; INC. 51283 0 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 e Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS AVENUE, SUITE Q INDIO, CA 92201 m Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO. P.O, NO.: C PL FNC FIX PAGE OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING & 11 F1 Q. C. CONCRETE ❑ ROOMG (WATERPROOFING ❑ P.T. CONCRETE/ STRESS El EPDXY ANCHORS ❑ H.S. BOLTING p PROJECT TITLE:.., PHASE #: DSA FILE NO: DSA APP. NO: PROJECT ADDRESS PERMIT NO: PLAN FILE NO.: .�7 •Ellal\IPER: "IA" C,: 7 io A L-,: GENERAL CONTRACTOR: C SUB CONTRACTOR: (7 A LOCATION OF WORK INSPECTED: L. MATERIAL CLASSIFICATION: R -Af DATE DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: TIME DEPARTED: 'S 3; I L 1 c-V ":2 iV i'j L 'Sk L Q ,V AX 44 'V kAj 77PE. REVIEW: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, tbo work inspected is to the best of my knowledge in compliance with the approved plans, laws. .ifications and applicable sections of the governing building I f .opector Initials INSPECTORS SIGNATURE REGISTRATION NO. DSA I hereby certify that I have inspected the above reported work in accordance with the I, / requirements of DSA approved documents. Sampling and testing were conducted in I j'f"' 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 2/06 f� SOUTHERN CALIFORNIA SOIL B TESTING. INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW; 00272 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+ PL NCi FIX PAGE I 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 EARTHBOUND PROJECT TITLE PHASE #: DSA IOSHPD FILE NO.: DSA APP. NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN FILE NU.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB CONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 MATERIAL CLASSIFICATION: EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/2"-I" ALL THREAD, COUPLERS AND SLACKJACKS, BEARING PLATES DATE: 10/02/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE EARTHBOUND SIESMIC HOLD DOWN SYSTEM FOR THE FINISHED ASSEMBLY TO ENSURE ACTIVATION OF THE SYSTEM. *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS. 1/2"-1" 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. *PUNCH LIST ITEMS ON THE EARTHBOUND HOLDOWN SYSTEM FROM PREVIOUS REPORTS WERE CORRECTED AS REQUESTED. THE 3/4" IMP 216 AT LINE B 5.5 WAS INSTALLED IN THE PROPER LOCATION AS WAS THE 7/8" IMP 217 AT A- 15. AS PER RFI #358. *EARTHBOUND SIESMIC HOLDOWN SYSTEM HAS BEEN ACTIVATED AT ALL SLACK JACK DEVICES. 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 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 SIGNATURE REGISTRATION NO, DSA I hereby certify that 1 have inspected the above reported work in accordance with the 10/02/2008 requirements of DSA approved documents. Sampling and testing were conducted In DATE accordance with the requirements of the DSA approved documents. The work inspected SUPEPoNTENDENTS SIGNATURE com lies with the DSA approved documents. = Inspector Initials: N/A 'signature authorizes the above work Yes: No: SCSST205 REV 2106 SOUTHERN CALIFORNIA SOIL & TESTING, INC. SOUTLIERN 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 NC FIX SCS&T FILE NO: P.O. NO.: MW: 00242 0822004P PAGE I OF I FIELD INSPECTION REPORT FOR: REINFORCED CONCRETE REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING O.C.CONCRETE IM ROOFING/WATERPROOFING Q.P.TCONCRETE/STRESS Q EPDXYANCHORS Q H.S.BOUINGFI PROJECTTITLE PHASE#: DSA IOSHPDFILE NO.: DSAAPP.NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECT ADDRESS PERMIT NO.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHnECT: .ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR SUBCONTRACTOR BROWN GUY EVANS/ CALIFORNIA PLASTERING LOCATION OF WORK 114SPECTEO: BUILDING 3200 C MATER 0 . PELLA FIBERGLASS WINDOWS, 12" MOISTOP, PELLA BUTYL TAPE GMC 60 MIN BUILDING PAPER X 2 LAYERS, MFM SUBSEAL, RAINBUSTER 900 POLYURETHANE SEALANT DATE: 9/18/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE WINDOW INSTALLATION (IN PROGRESS). * WINDOWS WERE INSTALLED WITH THE NEW INSTALLATION PROCEDURE AS REQUESTED. 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. CEIC 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 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: NSA IN CTORS SIG NA URE REGISTRATION No, DSA I hereby certify that I have inspected the above reported work in accordance with the 9/18/2008 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. Yes: No: = Inspector Initials: N/A signattire authorizes the above work SCSaTzus REv 2W SOUTHERN CALIFORNIA SOIL S TESTING, INC. l SOUTHERN CALIFORNIA SOIL & TESTING, INC.: 00196 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 c IXI PL NC FIX SCS&T FILE No: 0822004P P.O. NO.: PAGE I OF FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0 C.CONCRETE ❑ ROOFING/WATERPROOFING ❑ PT. CONCRETE/STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING. ®EARTHBOUND PROJECTTITE PHASE#: DSAXWPDFILENO.: DSA APP. NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECT ADDRESS PERMIT NO.: PLAN HLt NO.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 MATERIAL IF ICA ON EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/2"-1" ALL THREAD, COUPLERS AND SLACKJACKS, BEARING PLATES DATE: 8/29/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE EARTHBOUND SIESMIC HOLD DOWN SYSTEM FOR THE THIRD FLOOR FINISHED ASSEMBLY. *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS. 1/2"A" 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. *PUNCH LIST ITEMS ON THE EARTHBOUND HOLDOWN SYSTEM FROM PREVIOUS REPORTS WERE CORRECTED AS REQUESTED. THE 3/4" IMP 21,6 AT LINE B 5.5 WAS INSTALLED IN THE PROPER LOCATION AS WAS THE 7/8" IMP 217 AT A- 15. AS PER RFI #358. 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 �7 requirements of OSHPD approved documents. Sampling and testing were conducted in� accordance with the requirements of the OSHPD approved documents. The work inspected ICC #5077510-10 complies with the OSHPD approved documents. Yes:= No:= Inspector Initials: N/A SPEN SIGNATURE REGISTRATION NO, DSA 1 hereby certify that I have inspected the above reported work in accordance with the 8/29/2008 requirements of DSA approved documents_ Sampling and testing were Conducted in 'SUPEPoNTENDENiS DATE accordance with the requirements of the DSA approved documents. The work inspected SIGNATURE Complies with the DSA approved documents. = Inspector Initials: N/A 'signature arNrorizes the above work Yes: No: scsarzos REv yos S OUTI-IERN CALIFORNIA S OIL & TES TING, INC. 6280 RIVERDALE STREET, SAN DIEGO CA 92120 s Phone (619) 280-4321 Fax (619) 280-4717 MG. 000102 83-740 CITRUS AVENUE, SUITE G, INDIO, CA 92201 - Phone (760) 775 ,5983 Fax (760) 775-8362 SCSST FILE NO. 0822004P �� P.O. NO.: 1 l /L 1 1 rL 1 1 iV� FEW OISPECWN REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑WELDING - ❑ FIREPROOFING O. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE! SIREN ® EPDXY ANCHORS ❑ H.S. BOLTING PRO,ECTTIR<: PHIISEt 1)SItIOSI�DFdEt�.: t>SAAPP.tiO: DUNE PALMS N/A N/A N/A 47795 DUNE PALMS RD. 07-3231, 07-3241, 07-3238 N/A aRclRtEcr: e INTERACTIVE DESIGN GRAYNER GENETMcommAcrok BROWN sueca�acrox SDR L0CA7M 0Fwolat KSPEcn3k BLDG 2400 C3 3100 C & 3200 0 5/8" 3/4" & 7/8" ALL THREAD & HILTI Hy -150 EXP 01-2009 DATE: 08-25-2008 111111EARRNVED: TIME DEPARTED: DESCMPTiON OF WORK INSPECTED: 1100AM 23OPM ONSITE AS REQUESTED TO PROVIDE INSPECTION OF DRILLED EPDXY ALL -THREAD. HOLES WERE DRILLED 1/81r LARGER IN DIAMETER THAN ROD BEING PLACED TO A DEPTH OF 20". HOLES WERE CLEANED USING COMPRESSED AIR AND NYLON BRUSH. RODS WERE PLACED IN A TWISTING FASHION USING HILTI Hy -150. THIS WORK PLACE @ THE FOLLOWING LOCATIONS: BLDG 2400 IMP 217 (7/8") @ 15 & A LINE IMP 216 (3/4") @ 5.5 & B LINE PHD2 (5/8") @ 15.3 & H LINE BLDG 3100 IMP 217 (7/8") @ 15 & A IMP 216 (3/4") @ 5.5 & B BLDG 3200 IMP 217 (7/8") @ 15 & A MIP 216 (3/4") @ 5.5 & B THIS WORK WAS IN GENERAL CONFORMANCE WITH PLANS, RFIS, AND SPECS. END REPORT. CSC 1 hereby certify that 1 have inspected the above reported work unless noted otttt waa, the work inspected is to the best of my knowledge in compliance with the approved plans. NA1E:F*" P.B IWEW. spedfications and applicable sections of the governing building laws. M. GERI IINSKY Inspector Initials: MG 05HPD I hereby certify that I have inspected the above reported work in accordance with the requirements of OSHPD approved doruanents. Sampling and testing were conducted in accordance with the requirernents of the DSHPD approved doctuments. The work inspected 5274303-49 Y.L-with the OSHPD approved doatmterrts. Yes: No:-,J Inspectarinitiats: N/A NPECTORS REGSMMMN4 OSA I hereby certify that I have inspected the above reported work in accordance with the 08-25-2008 requiremms eof DSA approved documents_ Sampf"ng and testing were conducted in accordance with the requirements of the DSA approved documents. The work inspected fS NGNATlRtE WE conmAm with the DSA approved documents. Yes No: = Inspector Initials: N/A 10mium mid odam brie above work 5t:56T2115REV21C6 SOUTHERN 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, SMITE G, INDIO, CA 92201 * Phone (760) 775-5983 Fax (760) 775-8362 SCS&T FILE NO: P.O. NO.: Ml; 00151 0822004P C PL NC FIX PAGE I OF I FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0, C. CONCRETE ❑ ROOFING I WATERPROOFING ❑ P.T. CONCRETE I STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING © SHEAR NAIL PROJECT TITLE: PHASE#: DSA IOSHPO FILE NO.: DSA APP. NO.: DUNE PALMS SEE BELOW N/A N/A 1-"--.:LAQUINTA PROJECT ADDRESS PERMIT NO.: 47-795 DUNE PALMS ROAD SEE BELOW ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDINGS 2100 A2 AND 3200 C3 MATERIAL CLASSIFICATION: EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/2",5/8", 3/4" ALL THREAD, COUPLERS AND SLACKJACKS, BEARING PLATES, 15/32" STR I O.S.B. 8D AND lOD FASTENERS ON SHEAR WALLS, CS16 COIL STRAP DATE: 8/4/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE SHEAR NAILING FOR THE FIRST FLOOR OF BUILDING 3200 (IN PROGRESS). ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE EARTHBOUND SEISMIC HOLDOWN SYSTEM FOR BUILDING 2100 A2 FIRST, SECOND AND THIRD FLOOR. ALSO SECOND FLOOR SHEAR. *GENERAL 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 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 1.5A-2.PUNCH LIST ITEMS ARE LISTED BELOW. *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS OTHER THAN PUNCH LIST ITEMS LISTED BELOW. 1/2", 5/8" AND 3/4" ALL THREAD WERE COUPLED WITH BRIDGE TRIMMERS AND BLOCKING WITH SLACK JACK DEVICE AND BEARING PLATE IN PLACE AS SHOWN ON PLANS. ADDRESS PERMIT *BUILDING 3200 C3 47795 DUNE PALMS ROAD 07-3238 *BUILDING 2100 A2 47795 DUNE PALMS ROAD 07-3224 **PUNCH LIST** *BUILDING 3200 C3- LINE F 15-16 NAIL PANEL PER SHEAR SCHEDULE 5-S1.5C. ONLY ONE SIDE OF DOUBLE SIDED SHEAR WALL INSTALLED AT TIME OF INSPECTION. SHEAR WALLS AT STAIRS WERE NOT INSTALLED. ALL WINDOW OPENINGS NEED CS16 TOP AND BOTTOM. *BUILDING 2100- EARTHBOUND, ADD NAILS AT SHEAR WALLS INTO BRIDGE TRIMMERS AND KING STUDS AS PER SH-1 NAILING SAMPLE AND NOTE #17. THIRD FLOOR NOT COMPLETE, SLACK JACKS NOT INSTALLED AT TIME OF INSPECTION. LINE J-24 SECOND FLOOR, NAIL BRIDGE TRIMMERS. LINE B-18 SECOND FLOOR MISSING SLACK JACK. LINE 7 AND 3-B MISSING SLACK JACKS. *BUILDING 2100 SECOND FLOOR SHEAR- LINE 9 E-F NEED A-34 AT 8" O.C. AS PER 5-S 1.5A. DOUBLE SHEAR WALLS AT GARAGE ONE SIDE NOT INSTALLED AT TIME OF INSPECTION. LINE 1 AND 13 B-C ADD SDS SCREWS AS PER SHEAR SCHEDULE 5-S1.5A AND DETAIL 7-S6.2A. CEiC 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 accordance with the requirements of the OSHPD approved documents. The work inspected j ICC #5077516-10 complies with the OSHPD approved documents. Yes:= NO:= Inspector Initials: NSA INSPECTORS SIGNATURE REGISTRATION NO, DSA I hereby certify that 1 have inspected the above reported work in accordance with the 8/4/2008 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 corn Iles with the DSA approved documents. Yes = Inspector Initials: N/A signature authorizes the above work :No: SCS&T205 REV 206 :3eetKEr„ ewFo«mw /-1, so4 a TESTws. mc_ I C SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW. 00157 6280 RIVERDAL.E 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 R1 P! NC F{— X PAW: 1 r,C FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Ct. C CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING n SHEAR NAIL. PROJMTTRLE PHASEV OSAIOSFVDFTI,ENO.: DSAAPP.NO.: DUNE PALMS BLDG 3100 N/A N/A PROJECT NO.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER OBNERAL CONTRACTOR; SUB CONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 MA EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/2"-1" ALL THREAD COUPLERS AND SLACKJACKS, BEARING PLATES, 15/32" STR 1 O.S.B. 8D AND IOD FASTENERS ON SHEAR WALLS, CS16 COIL STRAP DATE: 8/8/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LRvffrM VISUAL INSPECTION OF THE SHEAR NAILING FOR THE FIRST FLOOR OF BUILDING 3200 C3 (IN PROGRESS). ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE EARTHBOUND SEISMIC HOLDOWN SYSTEM (IN PROGRESS). *GENERAL SHEAR WALL INSTALLATION AS FOLLOWS, 15/32" STR 1 O.S.B NAILED PER S1.5C-5 SCHEDULE. 1 OD AND 8D FASTENERS WERE FLUSH NAILED WITH MINIMAL OVER PENETRATION WITH 1/2" EDGE NAILING DISTANCE AT PANEL EDGES AND ENDS. CS16 COIL STRAP WAS IN PLACE TOP AND BOTTOM OF OPENINGS AS PER DETAIL S 1.5C-2.PUNCH LIST ITEMS ARE LISTED BELOW. *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS OTHER THAN PUNCH LIST ITEMS LISTED BELOW. 1/2"-1" ALL THREAD WERE COUPLED WITH BRIDGE TRUvIMERS AND BLOCKING WITH SLACK JACK DEVICE AND BEARING PLATE IN PLACE AS SHOWN ON PLANS. **PUNCH LIST** *GRID LINE B- 5.6, 3/4" ALL THREAD DOES NOT LINE UP FROM THE FIRST FLOOR TO THE SECOND FLOOR. THE ALL THREAD ENDS UP INSIDE A DOORWAY AT THE SECOND FLOOR *GRID LINE A- 15, 7/8" ALL THREAD DOES NOT LINE UP FROM THE FIRST FLOOR TO THE SECON FLOOR. CBC 1 hereby certify that I have inspected the above reported work. Unless noted otherwise, DM ) P.E REUIEw: 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 Zil 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_ Ye-= No:O Mspector Initials: N/A INSPECTORS SIGNATURE REGISTRATION N4 OSA 1 hereby certify that 1 have inspected the above reported work In accordance with the 8/8/2008 requirements of DSA approved documents. Sampling end testing were conducted In —31.11PERNIENDENTS SIGNATURE DATE accordance with the requirements of the DSA approved documents. The work inspected com Iles with the DSA approved documents. Yes:M No: a Inspector Initials: N/A elrna eatlroraes Nbe above work sCS&TMsREV SOUTHERN CALIPORNIA saw a �sTnae, "ac. 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 SCSBT FILE NO: P.O. NO.: I c X I rL F� NC FIX Ml; 00175 0822004P PAGE 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 nDIAPHRAM NL PROJECTTITLE PHASE#. DSA IOSHPDFILE NO. DSAAPP.NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECTADDRESS PERMfr NO.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENFJiAI. CONTRACTOR Sue CONTRACTOR: BROWN TONE FRAMING LOCATION OF WORK INSPEMM. BUILDING 3200 C3 oW.. 19/32" STR 1 APA RATED O.S.B. 1 OD FASTENERS(ROOF SHEATHING ,15/32" SIR 1 O.S.B. 8D AND 1 OD FASTENERS, DATE: 8/20/2008 TIME ARRIVED: TIME DEPARTED: [DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LMTED VISUAL INSPECTION OF THE ROOF DIAPHRAGM NAILING FINISHED ASSEMBLY FOR BUILDING 3200 C3. ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE THIRD FLOOR SHEAR NAILING (IN PROGRESS). *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. *GENERAL SHEAR WALL INSTALLATION AS FOLLOWS, 15/32" STR I O.S.B NAILED PER 5-S1.5C SCHEDULE. IOD AND 8D FASTENERS WERE FLUSH NAILED WITH MINIMUM OVER PENETRATION WITH 1/2" EDGE NAB-ING DISTANCE AT PANEL EDGES AND AND ENDS. CS 16 COIL STRAP WAS IN PLACE TOP AND BOTTOM OF OPENINGS AS PER DETAIL 2-S1.5C, SDS SCREWS WERE SPACED PER SCHEDULE. A35 CLIPS WERE IN PLACE AT KING STUDS TOP AND BOTTOM AS PER 2-S1.5C. PUNCH LIST ITEMS LISTED BELOW. **PUNCH LIST** * LINE B AND G NEED MARK 10 TYPE TWO PLATE SPLICE WITH SIX 3/4" BOLTS AT EACH SIDE OF BREAK. * LINE B 5 TO 5.5 MISSING #4 SHEAR WALL. * LINE 12 B TO G INTERIOR #6 SHEAR WALL NOT INSTALLED. * SHEAR WALLS NOT INSTALLED AT STAIRS. * ADD NAILS AT SHEAR WALLS INTO BRIDGE TRD&MERS AND KING STUDS AS PER SH-1 NAILING SAMPLE AND NOTE #17 ON THE EARTHBOUND DRAWINGS. CBC 1 hereby certify that 1 have inspected the above reported work. Unless noted otherwise. MSPWTORS NAME: lPnn1W1 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 "UsIs: 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 complies with the OSHPD approved documents. Y No:= inspedorInitsis: N/A PECTORS SIGNATIAtE REGISTRATION NO, DSA 1 hereby certify that 1 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 'SUPf�MtDBtiS SIGItAIURE DATE com He with the DSA approved documents. N/A Yes: No: Inspectorinitiais: signature aufhaaes the above work scsaT20SREv20 e SOIL 6 TESTING, INC. SOUTHERNIFORNIA SOIL & TEINC. -84089 Z 6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717 83-740 CITRUS VENUE, SUITE G, INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362 `� SCS&T FILE NO.: �_� l!!/��►►►��� G P.O. NO.• C PL NC FIX Ipe�F i� FIELD INSPECTION REPORT FOR: ❑ REINFORCED CONCRETE ❑ REINFORCED MASONRY LDING ❑ FIREPROOFING El Q. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ❑ PR ACT TITLE: g IVw4e d PHASE #: DSA FILE NO.: DSA APP. NO.: PROJECT ADDRESS ,y ,+� PERMIT NO.: ,: - PLAN FILE NO.: AR!CHffECT: - -> b C ENGINEER: l�p �f/ Z--- &/L GENERAL CONTRACTOR:. SUB CONTRACTOR> f l J LOCATION L OF WO INSPECTED: 1 f � �-` 0 J�tey✓ MATERIAL CLASSIFICATION: f DATE y t✓` DESCRIPTION OF WORK INSPECTED: TIME ARRIVED: �� TIME DEPARTED: It /,L�`-r•'CrI fvil��L../-SR��1/ "q f ;� `�C Al r°�I. ` �`� %���g FuIIj3�✓� .S �ff� ,+I�✓ sy .d'fC�f Rl > 37 �,.1(..L_ ✓f( y� f Ykt d�i�'Ti� f y� L i i "„� R S ....1 w�„� •.:,J� `i -s P j7 t ; I �i *4 Al ,'J� f C ,s P.E. REVIEW: UBC I hereby certify that I have inspected the above reported work. Unless noted otherwise, the work inspected Is tolae b%-gt'bfi-r�y knowledge In compliance with the approved plans, fications and ect onsof the governing building laws. dctor Initlals /j .SA 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 complies with the DSA approved documents. Yes: No: Inspector Initials: _ _ - r J � o't 125 ) INSPECTO SIGNATURE _ REGISTRATION NO. �y/ � 10 *SUPERINTENDENTS SIGNATURE DATE 'signature authorizes the above work SCS&T 205 REV 2i06 50UTHERN CA FORNIA eO1L. TESTING, INC. S O LITHE RN C ALIF O RNIA S OIL & TES TING, INC. MG : 000094 6280 RIVERDAL.E STREET, SAN DIEGO CA 92120 *Phone (619) 280-4321 Fax (619) 280-4717 83-740 CIIRUS AVENUE, SUITE G, INDIO, CA 92201 *Phone (760) 775-5983 Fax (760) 775-8362 C PL NC I FIX SCS&T FILE NO: P.O. NO.: 0822004P PAGE I OF FIELD INSPECTION REPORT FOR: ® REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING 0. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE/ STRESS ❑ EPDXY ANCHORS DRYPACK ❑ H.S. BOLTING Gcl PROJECT TITLE: HASE * DSA /OSHPD FILE NO.: DSA APP. NO.: DUNE PALMS 7,13100 & 3200 N/A N/A PROJECT ADDRESS PERMIT NO.: _ 47795 DUNE PALMS RD. 07-3241 & 07-3238 N/A ARCHITECT: ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUBCONTRACTOR BROWN SDR LOCATION OF MW INSPECTED: BASE PLATES TS COLUMNS MATERIAL CLASSIFICATIOR. HUB 10011 & HUB ALL CLEAR RESIN CURE DATE: 08-21-2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: 6AM 3PM ARRIVED ONSITE AS REQUESTED TO PROVIDE CONTINUOUS INSPECTION OF DRY PACK GROUTING. SURFACE WAS BLOWN FREE OF DEBRIS AND FORMED WITH STYRAFOAM. HUB 100 H WAS USED IN A FLUID STATE PER THE MANUFACTURES DIRECTIONS, USING 2 1/2 QUARTS OF WATER. MIX TIME WAS 3 MINUTES AND PLACED IMMEDIATELY INTO FORMS. PLACEMENT WAS FROM ONE DIRECTION, GROUT WAS RODDED TO PUSH ANY ADDITIONAL AIR OUT. HUB ALL CLEAR RESIN CURE WAS PLACED ON EXPOSED GROUT SURFACES PER MANUFACTURES DIRECTIONS. WORK OBSERVED WAS IN GENERAL CONFORMANCE WITH PLANS AND SPECS, EXCEPT FOR THE FOLLOWING PUNCHLIST ITEM: ** PUNCHLIST ** @ BLDG 3200 GRIDLINE J.5 AND 15 TS COLUMN COULD NOT BE GROUT DUE TO A MISSING BOLT AND LEVELING NUT UNDER COLUMN, PRIOR TO GROUTING COLUMN MUST BE SET TO HEIGHT AND LEVEL. END REPORT. CBC I hereby certify that 1 have inspected the above reported work. Unless noted otherwise, INSPECTORS NAME: (PdfdmQ 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. M. GERIIVffNSKY Inspector Initials: MG OSHPD I hereby certify that I have inspected the above reported work in accordance with the e requirements of OSHPD approved documents. Sampling and testing were conducted in accordance with the requirements of the OSHPD approved documents. The work inspected 5274303-49 complies with thel'OSHPD approved documents. N/A INSPECTORS SIGNATURE REGISTRATION NO, Yes:= No:= Inspector Initials: DSA I hereby certify that 1 have inspected the above reported work in accordance with the 08-21-2008 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 complies with the DSA approved documents. Inspector Initials: N/A 'siynafureauthorizes the abowwork Yes:=No:= SCS&T2115REV1A5 �d SOUTHERN CA IFORNIA SOIL & TESTING, INC. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW. 00168 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 PI. NC FI� X T� SCS&T FILE NO: 0822004P P.O. NO.: PArr I nc I FIELD INSPECTION REPORT FOR: []REINFORCED CONCRETE ❑ REINFORCED MASONRY ❑ WELDING ❑ FIREPROOFING Ct. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS SHEAR NAIL ❑ H.S. BOLTING I1 PROIECTTITLE: PHASE IP DSA /OSHPD FILE NO.: DSA APP. NO.: BLDG 3200 N/A N/A PROTECT ADDRESS PERMIT NO.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT: ENGINEER INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB CONTRACTOR.BROWN TONE FRAMING LOCATION OF WORK INSPECTED: BUILDING 3200 C3 MATERIN-CLASSIFICATION: EARTHBOUND SEISMIC HOLDOWN SYSTEM ICBO#5378, 1/211-111 ALL THREAD, COUPLERS AND SLACKJACKS, BEARING PLATES DATE: $II4/ZOOS TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE EARTHBOUND SEESMIC HOLD DOWN SYSTEM IN PROGRESS FOR THE SECOND FLOOR (IN PROGRESS). *GENERAL EARTHBOUND INSTALLATION APEARS TO BE IN ACCORDANCE WITH THE EARTHBOUND DRAWINGS OTHER THAN PUNCH LIST ITEMS LISTED BELOW. 1/2"-1" ALL THREAD WERE COUPLED WITH BRIDGE TRIMMERS AND BLOCKING WITH SLACK JACK DEVICE AND BEARING PLATE IN PLACE AS SHOWN ON PLANS. **PUNCH LIST** *GRID LINE B- 5.6, 3/4" ALL THREAD DOES NOT LINE UP FROM THE FIRST FLOOR TO THE SECOND FLOOR. THE ALL THREAD ENDS UP INSIDE A DOORWAY AT THE SECOND FLOOR. *GRID LINE A- 15, 7/8" ALL THREAD DOES NOT LINE UP FROM THE FIRST FLOOR TO THE SECOND FLOOR. CBC I hereby certify that 1 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 I hereby certify that I have inspected the above reported work in accordance with the requirements OSHPD approved documents. Sampling and testing were conducted iaccordance accordance with the requirements of the OSHPD approved documents. The work inspected /�`//, �-'L--�J � ICC #5077516-I 0 complies with the OSHPD approved documents. Yes:= No:= Inspector Initials: N/A INSPECTORS SIGNATURE I 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 8/14/2008 accordance with the requirements of the DSA approved documents. The work inspected 'SUPERINTENDENTS SIGNATURE DATE Cam Iles with the DSA approved documents. Yes: No:O Inspectorinitials: N/A athithe k signature authorizes e above work scssrzosREvv06 SOUTHERN CALIFORNU SOIL a TESTING, INc. SOUTHERN CALIFORNIA SOIL & TESTING, INC. MW: 00175 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: 0822004P P.O. NO.: c I X I PL NC I I FIX PAGE 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 © DIAPHRAM NL -T PROJECT TITLE: PHASE#: DSAIOSHPDFILE NO.: DSA A". NO.: DUNE PALMS BLDG 3200 N/A N/A PROJECT ADDRESS PERNAT NO.:FLAN HLt Nu.: 47-795 DUNE PALMS ROAD 07-3238 LA QUINTA ARCHITECT, ENGINEER: INTERACTIVE DESIGN GRAYNER GENERAL CONTRACTOR: SUB CONTRACTOR: BROWN TONE FRAMING -LOCATION OF WORK INSPECTED: BUILDING 3200 C3 IA.- CLASSIFICATION: 19/32" STR I APA RATED O.S.B. IOD FASTENERS(ROOF. SHEATHING), 15/32" STR I O.S.B. 8D AND IOD FASTENERS, DATE: 8/20/2008 TIME ARRIVED: TIME DEPARTED: DESCRIPTION OF WORK INSPECTED: *ON SITE FOR THE LIMITED VISUAL INSPECTION OF THE ROOF DIAPHRAGM NAILING FINISHED ASSEMBLY FOR BUILDING 3200 C3. ALSO PROVIDED LIMITED VISUAL INSPECTION OF THE THIRD FLOOR SHEAR NAILING (IN PROGRESS). *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. *GENERAL SHEAR WALL INSTALLATION AS FOLLOWS, 15/32" STR 1 O.S.B NAILED PER 5-S1.5C SCHEDULE. IOD AND 8D FASTENERS WERE FLUSH NAILED WITH MINIMUM OVER PENETRATION WITH 1/2" EDGE NAILING DISTANCE AT PANEL EDGES AND AND ENDS. CS16 COIL STRAP WAS IN PLACE TOP AND BOTTOM OF OPENINGS AS PER DETAIL 2-S1.5C, SDS SCREWS WERE SPACED PER SCHEDULE. A35 CLIPS WERE IN PLACE AT KING STUDS TOP AND BOTTOM AS PER 2-S1.5C. PUNCH LIST ITEMS LISTED BELOW. **PUNCH LIST** * LINE B AND G NEED MARK 10 TYPE TWO PLATE SPLICE WITH SIX 3/4" BOLTS AT EACH SIDE OF BREAK- * LINE B 5 TO 5.5 MISSING #4 SHEAR WALL. * LINE 12 B TO G INTERIOR #6 SHEAR WALL NOT INSTALLED. * SHEAR WALLS NOT INSTALLED AT STAIRS. * ADD NAILS AT SHEAR WALLS INTO BRIDGE TRIMMERS AND KING STUDS AS PER SH-1 NAILING SAMPLE AND NOTE #17 ON THE EARTHBOUND DRAWINGS. 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 j ��/C� 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 I PECTORS SIGNATURE REGISTRATION NO, DSA I hereby certify that 1 have inspected the above reported work in accordance with the 8/20/2008 requirements of DSA approved documents. Sampling and testing were conducted in 'SUPERINTENDEMS DATE accordance with the requirements of the DSA approved documents. The work Inspected SIGNATURE com ices with the DSA approved documents. = initials: N/A 'signature authorizes the above work Yes. No: Inspector SCS&T 205 REV 2/0S. Certificate of Occupancy T-Vf 4 4a" 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 # 3200) Use classification: APARTMENTS Building Permit No.: 07-3238 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 Building Official Date: November 24, 2009 POST IN A CONSPICUOUS PLACE