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07-0823 (CSCS)N * r P.O. BOX 1504 t 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 • " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: f 07-00000823 Property Address: 79785 HIGHWAY 111 APN: 600-020-034- - - Application description: NEW COMML - STORES & CUSTOMER SERVICE Property Zoning: COMMERCIAL PARK Application valuation: 442038 Applicant: 4R4+1=;rsc Architect or Engineer: 7F. 4. c-,1764 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businesand Cionals Code, and my License is in full force and effect. License Class: B C9 nse No.: 436418 /Dat9 V VContract : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State 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 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): (_) 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. 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 does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason . Date: Owner: CONSTRUCTION LENDING AGENCY ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPEMMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/07 Owner: KOMAR INV 23 CORPORATE PLZ STE 247 NEWPORT BEACH, C e Contractor: SEP 1 �oo� BERGMAN.COMPANIE HE 4300 EDISON AVE E CHINO, CA 91710 ClTYOpLgQU1NTA pl ANCEDEPT. (909)627-3651 Lic. No.: 436418 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate, of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN INTL Policy Number WC5312540 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to beco bject to the workers' compensation laws of California, and agree that, if I should become bjec t orkers' compensation provisions of Section _ 3700 of the Labo e, I hall fo with com ly v, those provisions. 1/bateq' t Q ✓�pplicant: G C_d WARNING: FAILURE TO SECURE WORKERS' COMPETION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION,TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the 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 application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or ces ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th%-1., infor i is correct. I agree to comply with all city and county ordinances and state laws relating t stru on, nd hereby authorize representatives of th`iJ.unty to enterrupon the above-mentioned prp ion p os Date! ^�"" dSignature (Applicant or Agen Application Number . . . . . 07-00000823 ------ Structure Information 9544 SF SHELL BLDG E ----- Other struct info . . . . . CODE EDITION O1BMP04E05EN FIRE SPRINKLERS MIXED-USE OCCUPANCY SHELL OCCUPANT LOAD .00 PATIO SQ FTG 1728.00 1ST FLOOR SQUARE FOOTAGE 9544.00 -------------------------------------------- 2ND FLOOR SQUARE FOOTAGE -------------------------------- .00 Permit BUILDING PERMIT Additionaldesc SHELL BLDG "E" Permit Fee 1840.00 Plan Check Fee 1196.00 Issue Date . . . . Valuation . . . . 442038 Expiration Date 3/10/08 r Qty Unit Charge Per Extension BASE FEE 639.50 343.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1200.50 Permit . . . ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . . 240.44 Plan Check Fee 60.11 Issue Date . . . . Valuation . . . . 0. Expiration Date 3/10/08 f Qty Unit Charge Per Extension BASE FEE 15.00 11272.00 .0200 ------------------ 7 ---------------------------------------------------_----- ELEC GARAGE OR NON-RESIDENTIAL 225.44 Permit . . . MECHANICAL Additional desc . Permit Fee 187.50 Plan Check Fee 46.88 Issue Date Valuation 0 Expiration Date 3/10/08 Qty Unit Charge Per Extension BASE FEE - 15.00 6.00 9•.0000 EA MECH FURNACE <=100K 54.00 6.00 .16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 99.00 3.00 6.5000 ----------------------------------------------------------------------------- EA MECH VENT.FAN 19.50 Permit . . PLUMBING Additional desc . LQPERMIT LQPER11IIT 0 Application Number . . . . . 07-00000823 Permit . . . . . . PLUMBING Permit Fee 117.00 Plan Check Fee 29.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 5.00 6.0000 EA PLB ROOF•DRAIN 30.00 3.00 3.0000 EA PLB WATER INST/ALT/REP 9.00 1.00 9.0000 EA' PLB LAWN SPRINKLER SYSTEM 9.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS ---------------------------------------------------------------------------- 3.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date 3/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 9,544 SF RETAIL SHELL BUILDING "E". TYPE V -N CONSTRUCTION. 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. **PERMIT DOES NOT INCLUDE. TEMPORARY POWER, BLOCK WALLS, TRASH ENCLOSURE, WATER FEATURES, GREASE INTERCEPTORS AND SITE LIGHTING.** NOTE: SUSPENDED CEILING, HVAC DUCTS & LIGHTING INSTALLED Q 3 OF 3 SUITES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW 119.60 ART IN PUBLIC PLACES -COM 2190.19 DIF CIVIC CENTER - COMM 3073.16 ENERGY REVIEW FEE 119.60 DIF FIRE PROTECTION -COMM 429.48 i STRONG MOTION (SMI) - COM 92.82 DIF STREET MAINT FAC -COMM 1011.66 DIF TRANSPORTATION - COMM 29004.21 Fee summary Charged' Paid Credited Due Permit Fee Total 2399.94 .00 .00 2399.94 Plan Check Total 1332.24 900.00 .00 432.24 LQPER11IIT 0 Application Number . . 07-00000823 Other Fee Total 36040.72 ..00 .00 36040.72 Grand Total 39772.90 900.00 .00 38872.90 LQPERMIT Corporate: 2992 E. La Palma Ave. Ste. A [7:1Anaheim, CA 92806 1Tel: 714.632.2999 x: 714 www.mtglinc.com is h.632.2974 : 800.491.2990 MTGL Project #: Ra— Permit# 0`7- a Report # PG I OF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT R Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: ' 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME� DATE ® e: fi ear MET ❑ DID NOT MEET ❑ ARCHITECT TIME ARRIVED TIME DEPARTED 0760 �315' ENGINEER ry �� 6k Ci TRAVEL TIME • LUNCH TIME Weather: C1 ea rTemp: CONTRACTOR y V1m SUB CONTRACTOR t INSPECTION -ADDRESS .: �H+-�t 0-4 - ADDRESS OF PROJECT Li . TYPE OF INSPECTION ❑ BA CH PLANTS 3 -MASONRY - — ❑ FIREPROOFING ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ FOUNDATION ❑ SHOTCRETE 9 WELDING ❑ NDE FIELD ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ CEILING WIRE ❑ ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS YIN N ❑ APPROVED SHOP DRAWING Y-2� N ❑ MATERIALS USED BY NT CTOR (INC UDE RESEARCH EPOR NO.O MATE IAL TEST EPORTS): 01: G vlo Verified by: CONTRACTORS EOUIPMENT I MANPOWER USED: AREA,,G ID LINES, PI ES INS ECTED: 4 - ®�r i d �-c �O'A AI a ilk F ' f C�'Otr o'aW WA d y J5q ay6 erecVi o vIL o T xg 15i5 , STRUC URAL NOTES, DETAIL, Oft RFIS U D: ,C �atV6. REMAR , INCLUDING MEETINGS: _ w ` a 14 dr a uj s d e — PS — d i 'e' REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS ❑ WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS❑ WAS NOT❑ N/A❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor , Structural Engineer Building Department •� DSA Regional Office Owner ' School District THE WORK INSPECTED MET ❑ DID NOT MEET ❑ THE requirements of the OSHPD/PROJECT approved documents. Samples taken: ZA Weather: C1 ea rTemp: %05 Signature of Special Inspector Li . Print Name Certification #: Verified by: MTG� Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 138 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A FIELD Branch: TYPE OF WORK 7313 Carroll Road, Suite G AREA, GRID LINES, PIECES OBSERVED: San Diego CA. 92121 Tel: 858.537.3999 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 138 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A FIELD REPORT TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE STRUCTURAL NOTES, DETAILS, OR RFIS USED: APPROVED Y N Y Y Y Y ARCHITECT Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for slab on grade, also monitored placement & consolidation of 138 Cubic yards of 4500 -psi concrete for slab on grade FOR WEEK ENDING Note: slab reinforcement was raised on adobe's and pulled up to mid-section of slab during placement SGPA # 2 from ticket # 5654223, slum 3 ''/2", concrete tem 78°, location @ s.o. ., approximately 800 sq. ft between lines C — D & 3 - 4 10/20/07 PROJECT No. 2145A02 ENGWNER TEST REQUIRED: Slump, temperature, Pc PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-823 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "E" 79-785 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 138 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Laser screed, 39 meter boom pump, concrete tools, mechanical vibrator, i I men AREA, GRID LINES, PIECES OBSERVED: Concrete placement — for 4" slab on grade from lines 1 to 5 & A to F STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for slab on grade, also monitored placement & consolidation of 138 Cubic yards of 4500 -psi concrete for slab on grade Note: Verified slab thickness to be 4" thick throughout pad with laser prior to placement @ 4' square intervals Note: slab reinforcement was raised on adobe's and pulled up to mid-section of slab during placement Samples - # 1, from ticket # 5672273, slum 4", concrete tem 71', locations @ s.o. . approximately 800 sq'. ft between lines A — C & 1 —2 # 2 from ticket # 5654223, slum 3 ''/2", concrete tem 78°, location @ s.o. ., approximately 800 sq. ft between lines C — D & 3 - 4 WEATHER: Partly cloudy SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, Pc SITE TIME START: 6:00 AM SITE TIME FINISH: 11:00 AM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMEND TIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: FRI: 10 / 19 / 2007 ICBG Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: FMITGL Corporate: 2992 E. La P ma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 R r.rvik I t(cyU 1 rc r.1v1cIN 1 a. 11,13v r 1cLv LV Jrcl. l r V IN 1VIA1N Lr UA1V1 I UL J V l L 1V1A1N UAL Kt V Lt W PKh V lUU S Kt FL)K 1 _S ANL) LIS I S. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND STIRMIT A COPY WITH YOI IR WF.FK'S RFPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): FIELD REPORT TYPE OF WORK Concrete tools, mechanical vibrator, 11. men AVAILABLE REPORTS PLANS SPECS SOILS SHOPS AREA GRID LINES, PIECES OBSERVED: REINFORCED CONCRETE APPROVED Y N Y Y Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Verified anchor bolts, holdowns, & reinforcing steel for type, size, grade, splice lap, spacing & clearance for building footing's, also monitored SGPA 10/13/07 1 PROJECT NO. 2145A02 ENGINNER Sample - from ticket # 5653891, slum 4", concrete temperature 72°, locations line C -between 1 to 3 & spread footing D/3 PLAN FILE NO. WEATHER: Partly cloudy MALEK TEMPERATURE: 60's — 70's CONTRACTOR PERMIT NO. THE BERGMAN COMPANY. 07-823 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "E" 79-785 HWY 111 LA QUINTA R r.rvik I t(cyU 1 rc r.1v1cIN 1 a. 11,13v r 1cLv LV Jrcl. l r V IN 1VIA1N Lr UA1V1 I UL J V l L 1V1A1N UAL Kt V Lt W PKh V lUU S Kt FL)K 1 _S ANL) LIS I S. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND STIRMIT A COPY WITH YOI IR WF.FK'S RFPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 70 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Concrete tools, mechanical vibrator, 11. men AREA GRID LINES, PIECES OBSERVED: Concrete placement — for perimeter building footing's, spread / column footing's & trash enclosure footing's from lines 1 to 5 & A to F, line C - 1 to 3 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified anchor bolts, holdowns, & reinforcing steel for type, size, grade, splice lap, spacing & clearance for building footing's, also monitored placement & consolidation of 70 cubic yards of 3000 -psi concrete building perimeter & interior footing's Note: contractor responsible for lay -out / dimensions of anchor bolts & holdowns Sample - from ticket # 5653891, slum 4", concrete temperature 72°, locations line C -between 1 to 3 & spread footing D/3 WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, Pc SITE TIME START: 7:00 AM SITE TIME FINISH: 12:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATIO COMMENDATI NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: FRI: 10 / 12 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: F--IMTGL Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 138 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A AVAILABLE REPORTS PLANS SPECS SOILS SHOPS Laser screed, 39 meter boom pump, concrete tools, mechanical vibrator, 11 men REINFORCED CONCRETE , APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for slab on grade, also monitored placement & consolidation of 138 SGPA Note: Verified slab thickness to be 4" thick throughout pad with laser prior to placement @ 4' square intervals 10/20/07 1 PROJECT NO. 21 0 ENGINNER # 2 from ticket # 5654223, slump P, 3 %", concrete tem 78°, location s.o.., approximately 800 sq. ft between lines C — D & 3 - 4 PLAN FILE NO. SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-823 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "E" 79-785 HWY 111 LA QUINTA KEFORI REQUMEMENTS: 1CB0 FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR.MATERIAL TEST REPORTS): 138 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Laser screed, 39 meter boom pump, concrete tools, mechanical vibrator, 11 men AREA, GRID LINES, PIECES OBSERVED: Concrete placement — for 4" slab on grade from lines 1 to 5 & A to F STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for slab on grade, also monitored placement & consolidation of 138 Cubic yards of 4500 -psi concrete for slab on grade Note: Verified slab thickness to be 4" thick throughout pad with laser prior to placement @ 4' square intervals Note: slab reinforcement was raised on adobe's and pulled up to mid-section of slab during placement Samples - # 1, from ticket # 5672273, slum 4", concrete tem 71°, locations s.o.. approximately 800 sq. ft between lines A — C & 1-2 # 2 from ticket # 5654223, slump P, 3 %", concrete tem 78°, location s.o.., approximately 800 sq. ft between lines C — D & 3 - 4 WEATHER: Partly cloudy SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f SITE TIME START: 6:00 AM SITE TIME FINISH: 11:00 AM LUNCH PREIOD: TRAVEL TIME: VERIFIED BYc I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THA1'Ws ORK CO S WITH SOILS INVESTIGATION RECOMMENDA NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECT B ING DES, UNO SIGNATURE: FRI: 10 / 19 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 70 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y NY Y Y Y ARCHITECT Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA FOR WEEK ENDING Verified anchor bolts, holdowns, & reinforcing steel for type, size, grade, splice IV, spacing & clearance for building footing's, also monitored placement & consolidation of 70 cubic yards of 3000 -psi concrete building perimeter & interior footing's Note: contractor responsible for lay -out / dimensions of anchor bolts & holdowns SGPA Sample - from ticket # 5653891, slum 4", concrete temperature 72°, locations @ line C — between 1 to 3 & spread footing D/3 10!13/07 PROJECT NO. 21440 ENGINNER TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-823 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "E" 79-785 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUALMITGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS -OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT - MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS No. OR MATERIAL TEST REPORTS): 70 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Concrete tools, mechanical vibrator, I 1 men AREA, GRID LINES, PIECES OBSERVED: Concrete placement — for perimeter building footing's, spread / column footing's & trash enclosure footing's from lines 1 to 5 & A to F, line C - 1 to 3 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified anchor bolts, holdowns, & reinforcing steel for type, size, grade, splice IV, spacing & clearance for building footing's, also monitored placement & consolidation of 70 cubic yards of 3000 -psi concrete building perimeter & interior footing's Note: contractor responsible for lay -out / dimensions of anchor bolts & holdowns Sample - from ticket # 5653891, slum 4", concrete temperature 72°, locations @ line C — between 1 to 3 & spread footing D/3 WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 7:00 AM LUNCH PREIOD: SITE TIME FINISH: 12:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT WO SOILS INVESTIGATION RECOMIv11:NDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTIO BUING CODE UNO SIGNATURE: Ptyt.+/`l1' _.�"- FRI: 10 / 12 / 2007 ICBO Certification Number. 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: CORPORRama San Diego / Imperial Cole 2992 E. La Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.6322999 Tel: 858.537.3999 Fax 714.6322974 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (1) (N) SPECS. (`n APPROVED PLANS (Y) (N) APPROVED -SHOP DRAWINGS (Y) ARCHITECT: SGPA Archrmcwm and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92106 FOR WEEK ENDING 1111712007 PROJECT NO. 2146E02 Building - E ENGINEER: Malek Engineers, Inc. 8380 Mitimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-823 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bktg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-785 Highway 111 La Quinta, CA 92253 ADDRESS OF PROJECT: 79-785 Highway 111 La Quinta, CA 92253 REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS ANG WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND FIRS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDERS: Jason Law CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hanger at line 3/13.2 on the roof level. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 86 Deg. F TESTS REQUIRED: SITE TIME START: 1100 AM SITE TIME FINISH: 12:00 PM LUNCH PERIOD: none TRAVEL TIME: VMFIED BY 100 BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPUES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. r Sire Steve W. Bodnar 11/13/2007 Prir►Ir Name Date Of Report 084926485 ICBG Certification Number City of La Quinta City I County Cerdfrcation Number Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS APPROVED ( Y ) (N) PLANS SPECS SOILS (Y) (Y) (Y) SHOPS . Y ) ARCHITECT SGPA FOR WEEK ENDING 10/20/07 PROJECT NO. 21 0 ENGR MALEK PLAN FILE NO. CONTRACTOR THE BERGMAN COMPANY PERMIT NO. 07-823 SUB -CONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS BLDG "E" ADDRESS OF PROJECT 79 — 785 HWY 111 LA QUINTA cc e rvx I RFQUIREMEhITS. ICBO FIELD INSPECTION MANUAIJMTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 138 cubic yards of 4500psi concrete from Robertson ready mix, design # 62121A A-615 60 grade reinforcing steel CONTRACTOR EQUIPTNIENT / MAN POWER USED: Laser screed, 39 meter boom pump, concrete tools, mechanical vibrator, 11 men AREA, GRID LINES, PIECES OBSERVED: Concrete placement — for 4" slab on grade from lines 1 to 5 & A to F STRUCTURAL NOTES, DETAILS, OR RFIS USED: 1 Concrete & masonry notes & details on sheets Si, S2, S3. SD.1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice 1p, spacing & clearance for slab on grade, also monitored placement & consolidation of 138 Cubicyards of 4500-psi concrete for slab on grade Note: Verified slab thickness to be 4" thick throughout pad with laser prior to placement (4 4' square intervals Note: slab reinforcement was raised on adobe's and pulled up to mid -section of slab during placement Samples - # 1, from ticket # 5672273, slump @ 4", concrete temp @ 71°, locations @ s.o.g. approximately 800 sq. ft between lines A — C & 1-2 # 2 from ticket # 5654223, slump @ 3 1/2", concrete temp @ 78°, location @ s.o.g., approximately 800 sq. ft between lines C — D & 3 - 4 WEATHER: Partly cloudy SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, fc SITE TIME START: 6:00 AM LUNCH PREIOD: SITE TIME FINISH: TRAVEL TIME: 11:00 AM VERIFIED BYE I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT IIS ORK CO i!' r WITH HE SOILS INVESTIGATION RECOMMENDA •NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECT - 'i B u I ING DES, UNO SIGNATURE: PRINT NAME: DONALD SMITH FRI: 10 / 19 / 2007 Date of Report ICBO Certification Number: I037223-84, 88 City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS APPROVED (Y) (N) PLANS SPECS c Y) (Y) SOILS SHOPS (Y.).,..."'" (Y) ARCHITECT SGPA FOR WEEK ENDING/J 10/13/07 PROJECT NO. 2145�1�11y1 ENGINNER MALEK PLAN FILE NO. IIII�� CONTRACTOR THE BERGMAN COMPANY PERMIT NO. 07-823 SUB -CONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS B BLDG "E" ADDRESS OF PROJECT 79 — 785 HWY 111 LA QUINTA R 1'OIt l Rl QU1RI M) N'1'S: 1CBO FIELD INSPECTION MANUAIJMTGI. SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 70 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT / MAN POWER USED: Concrete tools, mechanical vibrator, 11 men AREA. GRID LINES, PIECES OBSERVED: Concrete placement — for perimeter building footing's, spread / column footing's & trash enclosure footing's from lines 1 to 5 & A to F, line C - 1 to 3 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets Si, 52, 53, SD.1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified anchor bolts, holdowns, & reinforcing steel for type, size, grade, splice lap, spacing & clearance for building footing's, also monitored placement & consolidation of 70 cubic yards of 3000-psi concrete @ building perimeter & interior footing's Note: contractor responsible for lay -out / dimensions of anchor bolts & holdowns Sample - from ticket # 5653891, slump @ 4", concrete temperature @ 72°, locations (a; line C — between 1 to 3 & spread footing @ D/3 _ WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c �------ . SITE TIME START: 7:00 AM LUNCH PREIOD: SITE TIME FINISH: TRAVEL TIME: 12:00 PM I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT ORK " i SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECT10 THE BU ING COD UNO SIGNATURE: L� � 3� FRI: 10 / 12 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 2146E02 Building - E ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-823 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-785 Highway 111 La Quints, CA 92253 ADDRESS OF PROJECT: 79-785 Highway 111 La Quints, CA 92253 REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL! MTGL SOIL MANUAL IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO SUBMIT A COPY WITH YOUR WEEKS REPORTS. -REVIEW PREVIOUS REPORTS AND LISTS MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT NOTE ON THE ORIGINAL DEFICIENCY REPORT AND MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDERS: Jason Law CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hanger at line 3/D.2 on the roof level. • STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 86 Deg_ F TESTS REQUIRED: SITE TIME START: 11:00 AM SITE TIME FINISH: 12:00 PM LUNCH PERIOD: none TRAVEL TIME: V IFIED BY 1 DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar 11/13/2007 0849264-85 ICBO Certification Number City of La Quinta Print Name Date Of Report City / County Certification Number At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.42 X 66,039 S.F. or $27,736.38 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Clint Knox Name on the check By Dr. Doris Wilson Superintendent Check No. 417710296 Telephone Funding Commercial LJ v Z. Fee collected /exempted by Shar, n MC $27,736.38 II rey Payment Recd $0.00 � �.e % -,Over/U�der' Signature C r NOTICE: Pursuant to Government Code Section 66020(d)(1), this will se e t notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the wilding or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original- Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting -t • �i 22 �'�N_ ��i � 7 • d; 23 Bin #° -M � .715' 'eity f La Quin to Building 8r Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -� Building Permit Application and Tracking Sheet Permit # 14�roject p t Address: ?9 — 8 � 7 � 8r � %ItJY % l r Owner's Name: KO MAR )NV 0TM Q4T$, :A. P. Number: QQ —' ZQ "+ Q 3 Address: V3 6921WOM-M FLAZ',,A., :#?.+7 Legal Description: PARGIEL S 4 F 'P M - 3 9C160.1 Contractor:M GoMPAN 1 E5 Address: A' 3400 E!1715014 /AV GN UE City, ST, Zip: pQ)�r �f Telephone: I l g — Project Description: L - City, ST, Zip: G 14 l N o GA C71-1/0 Telephone: 09 &Z7- 31051 E% State Lic. # : 3 �p 8 City Lie. #..,105 ( Arch., Engr., Designer: S;4PA ,4Rr-N irrecroRE LCArrAc ggp Address: 16 45 MSL c IRel.6 $1 Fog logo P05A�4 a City, ST, Zip: N GA g2/08 Telephone: 410 401 State Lic. #:1716 + G ?>>z«::< v>t sm•»:r<•;»<;>:>:>.<°°:`•;<:< Construction Type: � N Occupancy: M Project type (circle one): New Add'nAlter Repair Demo Ft.$- # Stories: I #Units: N . . Name of Contact Person: NEIL iV l)<o NSq. Telephone # of Contact Person: 1 2 / — 0 3 11 Estimated slue o Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for orrectio Plan Check Deposit Truss Cales. Called Contact Person,G,t i Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2d. Review, ready for correctio /issue 7! Electrical Subcontactor List Called Contact PersonAWM Q Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees � n _ Total Permit Fees • c -ti tLllrk-1 �OyVuQ1e� �j�i� a" Lq �06� � ►ZI m *W *W A division of Imperiallnigation Dishict 81-600 Avenue 58 • La Quinta, CA 92253 • www.iid.com IlDPD-DDC May 15, 2007 Komar investments, LLC Attn: Clint Knox 23 Corporate Plaza, Ste. 247 Newport Beach, CA 92660 Subject: Available Short Circuit Current Calculation for Komar Desert Center, for Building E, 79-785 Hwy. 111, La Quinta, CA for a Service Voltage 120/208V, 3 Phase, 1200A Panels. Dear Mr. Knox: The available Short Circuit Current at the secondary terminals of the transformer is 47,255 •Amps.RMS Symmetrical at 208 volts. This is based upon the following information: 1) Transformer size: 750 KVA 2) Transformer impedance: 4 3) Primary -voltage: 7,200/12,470Y volts 4) Secondary voltage: 208 volts 5) High -side KVA available: 185,000 KVA 6) Transformer connection: Wye/Wye 7) No motor contribution to fault current. Please contact me should you have any questions, at (760) 398-5820. Thank You, 'QFIQS �F T. Pot gggpfi CP/ms , 5ECFAULT.Ltr.KamarDcscrtCenterBuildingE&F n % t f. SGPA ARCHITECTURE ■ PLANNING PROPOSAL REQUEST #5 Komar Desert Center Shop Buildings D, E & F La Quinta, California . SGPA Project No.: 20612-D-01 . SAN DIEGO ■ SAN FRANCISCO Novemberl3, 2007 This narrative is an attachment to the corresponding Proposal Request Form (AIA Document G709) with the same date and project reference. The General Contractor is responsible for reviewing this narrative, together with the referenced documents (drawings, specifications, etc.), and distributing the information to each affected subcontractor. Item No. 1 Lease Spaces D2 & D3 Revisions Ref. Sheet A) Add grease waste line to space D2. P2.1 B) Delete grease waste line from space D3. Item No. 2 Lease Space D4 -Starbucks Revisions Ref. Sheets A) Revise size and type of drive -up window and provide stainless A2.1, A2.3, A2.4, A6.1.1, steel shelf at window. A7.3, MO. 2, M2.1, M2.2, B) Provide 2 light fixtures at the drive -up window. P2.1, E0.1, E0.2, E0.4.1, C) Delete the Telephone Backboard and provide conduit and pull E0.4.2, E2.1 & E2.2 string only. (Relocate telephone stub.) D) Revise location of sign J -boxes and add one more sign J -box at side and back. Dimensionally locate the sign J -boxes. E) Specify Honeywell thermostat. F) Revise grease interceptor vent from 2" to 3", with 3" VTR. G) Provide a 3" diameter sheet metal vent in the roof, for tenant toilets. H) Provide 10" diameter sheet metal penetration in roof, for tenant exhaust fan. 1) Re -circuit 400 amp electrical panel for tenant HVAC and provide (1) 200 amp' electrical panel fed from 400 amp electrical panel. J) Relocate Starbuck's "Thank You" Sign. K) Relocate address numerals. Item No. 3 Lease Space E3 Revision Ref. Sheet A) Add grease interceptor to North exterior side of building and stub P3.1 into space E3. B) Revise water line to 1-1/2". 1545 Hotel Circle South, Studio 200, San Diego, California 92108 David Reinker, AIA . President 619.297.0131 (p) 619.294.9534 (f) www.sgpo.com Y ` Proposal Request #5 Mmar Desert Center November 13, 2007 Page 2of3 Item No. 4 Lease Spaces F1 /F2 — La Salsa Revisions Ref. Sheets A) 'Delete (2) 200 amp electrical panels and provide (1) 400 amp AS1.1, A0.3, A4.1, A4.2, electrical panel. A4.3, A4.4, A4.5, A6.9, B) Delete demising wall between spaces F1 and F2. A7.1, A7.2, M4.1, M4.2, P0.2 C) Delete toilet rooms. P4.1, E0.2, E0.3, E4.1 & E4.2 D) Revise space F2 storefront entrydoor F4, from double doors to single door. Add storefront Type 13. E) Delete suspended ceiling. F) Delete HVAC distribution. G). Delete light fixtures. H) Delete rear door #F9. Provide for future installation. 1) • Revise space F1 water line to 1-1/2". Item No. 5 Lease Spaces F4/F51evisions Ref. Sheets A) Delete demising wall between spaces F4 and F5. AS. 1.1, A0.3, A4.1, A4.2, B) Delete toilet rooms A4.3, A4.4, A4.5, A6.9, C) Delete suspended ceiling. A7.1, A7.2, M4.1, M4.2, P0.2, D) Delete light fixtures. P4.1, E0.2, E4.1 & E4.2 E) Delete drywall. F) Delete electrical outlets. G) Relocate electric panel F5. H) Delete HVAC distribution 1) Delete rear door #F19. Provide for future installation. J) Revise space F4 storefront entry door F2, from double doors to single door. Add storefront Type 13. Item No. 6 Canopy Column Ref. Sheet A) Clarify canopy column construction, per Details 27 & 28. . A8.4 B) Clarify pre -cast concrete cap, per Detail 29. C) Clarify light fixture connection, per Detail 30. D) Clarify base construction, per Detail 20. Item No. 7 Miscellaneous Details Ref. Sheets A) Add angle to Detail 17/A8.3. A8.3, A8.4 & A8.6 B) Clarify number of bolts at Detail 24/A8.4. C) Add Seismic Joint Detail 16/A8.6. Proposal Request #5 • 'f'omar Desert Center "''November 13, 2007 Page 3of3 f Item No. 8 RTU electrical Revisions Ref. Sheets A) Revise circuiting for,electrical outlets and smoke detectors from E2.3 & E4.3 house panel to lease space panel, at all RTU's (all buildings). (Sheets E3.3 & E5.3 not included) Item No. 9 Title — 24 Forms Ref. Sheets A) Added 3 new sheets to update Title 24 information for buildings TS -1, E0.8, E0.9 & E0.10 D, E & F. F:\2006\20612 -1g 111 \D-01 \Ca\Pr's\No5Attch.doc John R. Hawkins Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of - Banning Beaumont 4. Calimesa . Canyon Lake .;. Coachella Desert Hot Springs Indian Wells 4. Indio Lake Elsinore La Quinta 4. Moreno Valley Palm Desert .• Perris 4. Rancho Mirage ev San Jacinto Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, .District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT ' In cooperation with the ` California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 June 5, 2007 Neil Dixon SGPA Planning & Architecture 1545 Hotel Circle Suite 200 San Diego, Ca. 92108 Re: Building Plan Review Komar Desert Center 79-825 Highway 111 Buildings B, C, D. E, F, H Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. J 1) These conditions are for a shell building and will receive a shell final only. No fire and life safety clearance will be issued for a tenant space until the specific occupancy classification has been established and tenant improvement plans have been'reviewed and conditioned by the Riverside County Fire Department. 2) Fire Department approval is based upon the 2001 CBC requirements for Group B occupancies. It is prohibited to use, process or store any materials in the occupancy that would classify it as a Group H occupancy per Sec. 307 of the 2001 CBC. 3) Repair work and/or maintenance using open flame equipment, welding or the use of Class I, II, or III -A liquids are prohibited. 4) A combination of on-site and off-site Super wet barrel fire hydrants (6" x 4" x 21/2" x 21/2'), on a looped system shall be located not less than 25' or more than 165' from any portion of the buildings as measured along approved vehicular travel ways. The required fire flow shall be available from any adjacent hydrants in the system. The following conditions must be met prior to occupant. t 5) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a plan/inspection fee. A licensed C-16 contractor will have to Submit plans for review and approval and modify the fire sprinkler system in accordance with NFPA 13, 1999 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. The approved plans, with Fire Department Job card must be at the job site for all inspections. 6) As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review, along with a plan/inspection fee. The sprinkler system will have to be modified and designed in accordance with NFPA 13, 1999 Edition. A licensed C-16 EMERGENCY SERVICES DIVISION • PLANNING SECTION . INDIO OFFICE 82-675 Highway 111, 2n° FI., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072 contractor shall do all sprinkler work and certification. The approved plans, with Fire Department Job card must be at the job site for all inspections. 7) Whenever sprinkler overhead mains of 4" size or larger are provided, the Riverside County Fire Department requires documentation from a structural engineer that the roof structural members will be capable of supporting the weight of the water filled mains and attached lines. Provide appropriate detailed documentation, with a wet stamp and signature, by the project structural engineer. I Buildings/facilities 8) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. Special forms are available from this office for the ordering of the Knox Box. This form must be authorized and signed by this office for the correctly coded system to be purchased. 9) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. 10) If the building/facility is protected with a fire alarm_ system or burglar alarm system, the lock boxes will require "tamper" monitoring. 11) If the facility requires Hazardous Materials Reporting (Material Safety Data sheets) the Knox Haz Mat Data and Key Storage Cabinet, Model 1220 or 1300 with tamper switches shall be used. If the building/facility is protected with a fire alarm system or burglar alarm system, the lock box will require "tamper" monitoring. Other reouirements: 12) Directory display boards will be required adjacent to each roadway access to the development. These shall be an illuminated diagrammatic representation of the actual layout that shows the name of complex, all streets, building designators, unit numbers and fire hydrant locations within the complex. These directories shall be a minimum of 4' x 4' in dimension. Addressing of buildings and units shall conform to the Riverside County Addressing Policy. Additional information and details may be obtained by contacting the Fire Department Planning staff. 13) Install panic hardware and exit signs as per Chapter 10 of the 2001 CBC. 14) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware and as noted on Sht. of the building plans. ' I 15) Prior to final inspection of any building, the applicant shall prepare and submit to the Fire Department for approval, a site plan designating required fire lanes with appropriate lane painting and/or signs. 16) Certain designated areas will be required to be maintained as fire lanes. 17) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 18) If the building is used for high piled/rack storage, the building construction and fire sprinkler system must meet 1999 NFPA 13 and Article 81 of the 2001 CFC. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 19) Shelving, counters, etc:, must be in place, however, no merchandise may be placed in the building prior to inspection. 20) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. Building address numbers shall be a minimum of 12" for building(s) up to 25' in height, and 24" in height for building(s) exceeding 25' in height. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. , - 21) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door. 22) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from the room. 23) A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit doors. The sign shall be in letters not less than one inch high on a contrasting background. I ' Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. i Applicant/installer shall be responsible to contact the Fire Department to schedule inspections Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the' meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, i Tracy Hobday Chief Fire Department Planner By- i /Bb Sonia Cooley rich Fire Safety Specialist ; ms Inspector 4 EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 1 82-675 Highway 111, 2nd A., Indio, CA 92201 9 (760) 863-8886 • Fax (760) 863-7072 30mDA Y TEMPORARY Certificate of Occupancy EXPIRES JUNE 09, 2008 Taf ^FlwR" Building & Safety Department This Temporary Certificate, issued pursuant to the requirements of Section 109 of the California Building Code, and with the concurrence of the Public Works Department and Community Development Department, certifies that the SHELL BUILDING, at the time of issuance, 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: 79-785 HIGHWAY III (BUILDING "El Use classification: COMMERICAL Occupancy Group: B & M Owner of Building: KOMAR INV 'tit �� Building Official Type of Construction: TYPE V-N POST IN A CONSPICUOUS Building Permit No.: 07-823 Land Use Zone: CR Address: 23 CORPORATE PLZ STE 247 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: STEVE TRAXEL Date: MAY 09, 2008