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07-0821 (CSCS)1J P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT l ' Application Number: 07-00000821 Owner: Property Address: '79835 HIGHWAY 111 - KOMAR INV APN: 600-020-034- -- - 23 CORPORATE PLZ Application description: NEW COMML - STORES & CUSTOMER SERVICE NEWPORT BEACH, CA Property Zoning: COMMERCIAL PARK Application valuation: 328437 STE 247 92660 Contractor: Applicant: Architect or Engineer: BERGMAN COMPANIES, THE &Alt7W Sjl�i( 4300 EDISON AVENUE { f Gig! ✓�1 C��" CHINO, CA 91710 C-1714 (909) 627-3651 Lic. No.: 436418 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury taamlicd under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B aionals Code, and my License is in full force and effect. License Class: B C9� No.: 436418 ✓Date4 ZVContractor: &$_y - OWN -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).: (_) 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 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 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.). ( 1 I am exempt under Sec. , BAP.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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/07 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 thew k for which this permit is issued, I shall not employ any person in any manner so as to be subject to the workers' compensation laws of California, and agree that, if I should b ome s j ct t workers' compensation provisions of Section 3700 o/fShe Labor e, I hall f w h comply those provisions. Date: - 2•Q 1 Vgpplicant WARNING: FAILURE TO SECURE WORKERS' COMPEATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN 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 essation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the abo a info a 'on is correct. I agree to comply with all city and county ordinances and state laws relating t' ilding onstr doereby authorize representatives o th' unty�tt enter/upon the above-mentioned pr ty f ins tion urp ses DateF �/ �gnature (Applicant or Age MQ Application Number . . . . 07-00000821 ------ Structure Information 7020 SF SHELL BLDG C ----- Other struct info . . . . . CODE EDITION O1EMP04E05EN FIRE SPRINKLERS MIXED-USE OCCUPANCY SHELL OCCUPANT LOAD .00 PATIO SQ FTG 1491.00 1ST FLOOR SQUARE FOOTAGE 7020.00 ----------------------------------------------------------=----------------- 2ND FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT Additional desc . . SHELL BLDG "C" Permit Fee . . . . 1441.00 Plan Check Fee 936.65 Issue Date . . . . Valuation 328437 Expiration Date 3/10/08 Qty Unit Charge Per Extension BASE FEE 639.50., 229.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 801.50 Permit . . . ELEC-NEW COMMERCIAL Additional desc . . Permit Fee . . . . .185.22 Plan Check Fee 49.43 Issue Date Valuation 0 Expiration Date. 3/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 8511.00 .0200 -------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL -------------------- 170.22 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 . LQPE%-,IIT LQPMNIIT Application Number . . . . 07-00000821 Permit . . . . . . PLUMBING Permit Fee . . . . 120.00 Plan Check Fee 30.00 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 .00 12.0000 EA PLB INTERCEPTOR .00 4.00 3.0000 EA PLB WATER INST/ALT/REP 12.00 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 7,020 SF RETAIL SHELL.BUILDING "C"., TYPE V -N CONSTRUCTION. 2001 _ CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES.BLDGS A,B&C CONSIDERED AS ONE BLDG -FIRE SPRINKLER & 2 YARDS FOR ALLOWABLE AREA InTfRFBGF = R nnnRP X 3 X1.5=36,OOOSF. **PERMIT DOES NOT INCLUDE TEMPORARY POWER, BLOCK WALLS, TRASH ENCLOSURE, WATER FEATURES, GRESE INTERCEPRTORS AND SITE LIGHTING.** NOTE:SUSPENDED CEILING, HVAC DUCTS & LIGHTING INSTALLED @ 3 OF 4 SUITES. -----------------------------------------------------------------------'----- Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW 93.67 ART IN PUBLIC PLACES -COM 1668.99 DIF CIVIC CENTER - COMM 2260.44 ENERGY REVIEW FEE 93.67 DIF FIRE PROTECTION -COMM 315.90 STRONG MOTION (SMI) - COM 70.93 DIF STREET MAINT FAC -COMM 744.11 DIF TRANSPORTATION - COMM 21333.77 Fee summary Charged Paid Credited Due LQPMNIIT Application Number . . . . . 07-0000.0821 --------------------------- Permit Fee Total 1948.72 -------------------- .00 .00 ---------- 1948.72 Plan Check Total 1062.96 650.00 .00 412.96 Other Fee Total 26581.48 .00 .00 26581.48 Grand Total 29593.16 650.00 Ob 28943.16 Bin # `JAS` A � Qty of La Quin W •Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 2\ Project Address: 77- 8K 14 W Y I t I Owner's Name: kp MAR INV OTM 5NTS A. P. Number:6 G Q— Q Z O— O 3 4' Address: Z 3 609P09AIr PLAZ..A, -*Z 47 Legal Description: Agc-C . 3 0 ' P M • 3 1 ' 0 .1 City, ST, Zip: N gW pQ)Zr &E;A.C,14 4A 9V" Contractor: G 5 TelePhone: % !g _ i;k;>;t:;•.;,i:<i.'i:::z:�.>�•v4h,,:.;. •?::.;; >..:....: Address: 4 360 6171504 AV EN U6 Project Description: V % (� `� City, ST, Zip: CHINO G�► R171O ._ • F � � c� - - P�� Telephone: IoQ ��i7�3%5I >•.<#::<:>',�'�-'»'�'�'<i �r�'.>%>:'�;%:'::::<: J,?• L{f.A?•: ;,,y.yniii'.i»:•: ;?Cy?::,::: � � • t�/, ' State Lic. # : 421p 8 City Lic. #: ® 3 46 Arch., Engr., Designer: ScPA ,t��14ITF.�Tijlee Q I ADPL Mc ce7 .z Address: ' S 4�j �( %G(. �:1 (,E 5, :-D j7 1t / C9 `► City, ST, Zip: N Pl EevO GA l `10 J / \/E' ;> Telephone: State Lic. #: G 17110+ Name of Contact Person: N 6I L D I xQ N Construction Type: :V� N Occupancy: M ProJect tYPa(circle one): New Add'nAlter Repair Demo Sq. Ft.: 2 #Stories: Units: N . A . Telephone # of Contact Person: (&/ 97-011/ 1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING A PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for correction issue(2 D f) lectrical Subcontactor List Called Contact Person Lftc ilolA Plumbing Grant Deed Plans picked up S.M.I.zz 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 Total Permit Fees i4com?lGtv- aqk ou-c lj iq 107 John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of- Banning f Banning :• Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells Indio Lake Elsinore La Quinta Moreno Valley 4. Palm Desert 4 - Perris Rancho Mirage San Jacinto .g Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 M RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection Las Montanas Rd., Suite 201 • Palm Desert, California 92211 • (760) 863-8886 • Fax (760) 863-7072 November 13,-2007 Neil Dixon 1545 Hotel Circle South #200 San Diego, Ca. 92108 (619) 297-0131 X-333 Re: Building Plan, Review dY1 LAQ-07-BP-042 / Building C , Komar Desert Center 79-82 Hwy 111, La Quinta, Ca.� 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. The following conditions must be met prionto occupancy: 1) Install a complete fire sprinkler system per NFPA 13. The post indicator valve and fire department connection shall be located to the front within 25' to 50' of a hydrant, and a minimum of 25' from the building. System plans must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. (Fire sprinkler nser location should be placed within the building in relation to the approved location of the FDC/P/V.) 2) Commercial and industrial occupancies, speculative use buildings, (Spec Buildings) with potential for high -piled storage (HPS) and/or wherein no specific use has been identified at time of plan review submittals, the fire sprinkler design density shall be a minimum density of .45 GPM/square foot for a 2,000 square foot design area. Fire sprinkler heads shall be 268°F for these building areas. 0 .t 3) 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, 2002 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. 4) 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. 5) Install a monitoring system designed in accordance with NFPA 72, which must include a water flow monitor, control valve tamper and continuous monitoring service. System plans must be submitted to the Fire Department for review, along with a plan checkrnspection fee. 6) Install an alarm monitoring system for fire sprinkler system(s) with 100 or more heads (20 or more in Group I, Division 1.1 and 1.2 occupancies). Valve monitoring, water -flow alarm and trouble signals shall be automatically transmitted to an approved central station, remote station or proprietary monitoring station in accordance with 2001 CBC, Sec. 904.3.1. An approved audible sprinkler flow alarm shall be provided on the exterior in an approved location and also in the interior in a normally occupied location. A C-10 licensed contractor must submit plans, designed' in accordance with. NFPA 72, 2002 Edition,, to the Fire Department for review and approval prior to installation. 7) .Install' a Manual' and Automatic Fire Alarm per NEPA 72, which must include initiation by manual pull, any automatic device and activation of fire sprinkler water flow. System shall include occupant notification by audio/visual devices, and detectors in all unattended' spaces. System plans, must be. submitted to the Fire Department for review, along with a plan checktinspection fee. 8) Install a system to provide interior notification within each unit upon activation of the fire sprinkler system. Plans must be submitted to the Fire Department for review, along with a plan check/inspection fee.. Buildings/facilities 9) 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. 10) 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. 11) If the building/facility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper' monitoring.. 12) 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 requirements: 13) Rolling door in area separation wall must be self-closing. (Fusible link type) 14) Install panic hardware and exit signs as per Chapter 10 of the 2001 CBC. 15) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 16) Install floor level exit signs as per the 2001 CBC. 17) 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. 18) Certain designated areas will be required to be maintained as fire lanes. 19) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 20) If the building is used for high piled/rack storage, the building construction and fire sprinkler system must meet 2002 NFPA 13 and Article 81 of the 2001 CFC. 21) This building has not been reviewed or approved for high pile/rack storage. Prior to such use, building(s) shall be approved for high -piled storage (materials in closely packed piles or on pallets, or in racks where the top of storage exceeds 12 feet in height, 6 feet for Group A plastics and certain other hazardous commodities) or aerosols products. High -piled and aerosol stock shall be approved by the Fire Department prior to materials being stored on site. A licensed Fire Protection Engineer or a Fire Department approved consultant must prepare plans for high -piled storage or aerosol storage in accordance with the 2001 CFC, Articles 81 and NFPA 13, 1999 Edition. Current plan check deposit based fee is $696.00. 22) Shelving, counters, etc., must be in place, however, no merchandise may be placed in the building prior to inspection. 23) Comply with Title 19 of the Califomia Administrative Code. 24) The Fire Alarm System plans submitted with this plan are not a part of this plan review. 25) All fire sprinkler systems, fixed fire suppression systems and alarm plans must be submitted separately for approval prior to construction. Contractors should contact the Planning & Engineering office for submittal requirements. 26) Fire doors shall be activated by the activation of the Fire Alarm system. 27) Submit to the Fire Department for approval an emergency evacuation plan. The plan shall be conspicuously posted, and all employees shall be trained in such procedures. 28) 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.. 29) Approved building address shall be placed in such a position as to be plainly visible and legible from the street Said numbers shall contrast with their background. 30) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door. 31) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from the room. 32) 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. 2300 Market Street, Suite 150 • Riverside, Califomia • (951) 955-4777 • Fax (951) 955-4886 39493 Los Alamos Road, Suite A • Murrieta, Califomia 92563 9 (951) 600-6160 • Fax (951) 600-6164 Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. 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, Colleen Estrada Fire Safety Specialist WPEZGENERALTORMS\Building Plan Check.doc 2300 Market Street, Suite 150 • Riverside, California • (951) 9554777 • Fax (951) 9554886 39493 Los Alamos Road, Suite A • Murrieta, California 92563 • (951) 600-6160 • Fax (951) 600-6164 COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL 1LMBER 85"995 Avenue 52 •� � Coachell€�, Cali'92236��- (760) 398-2651 APPLICATION FOR WAS'T'EWATER INTERCEPTOR/sEPARATOR APPROVAL, APPLICANT: Submit this' form with a copy of a SCALED plat plan (]"= 20' to 1"= 40' SCAM) drawn to District specifications. A nonrefundable filing fee is required when the application is submitted. Cbeck must be made payable to the Coachella Valley Water District Approval of this application shall remain valid for a period not to exceed one (1) year from date of payment. Plan Cbeck No. Agent, Coomractor, Contact Person Address e ho>1 �, / City, / /q -S�taate (ziip Ax 1-4 Owner�M �rAP�i Alf aJ�� cityState / `%1 6w'7hone 'l Job Pmperty Address City Zip 71-6'S.5 Y �!/. 5ut76 !b / LA "/;trA Legal Description DBA P J d�+�� PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOT) ESTABLISHMENTS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION is CONwLE-i'E AND THE PLAN CHECK FEE IS PAID. GEv'ER4L CONSTRUCTION: Type of Construction New Food Facility V Remodel of Eating Food Establishment Hours of Uperatio Seating Capacity: Internal_ External Seating withtilisters or Heaters Bar with Food Service Bar Nonfood Service Water f) v Service;VIA l� Multiservice (reusable) Single Service (disposable) OWNER/REPRESENTATI VE DECLARATION: I certify tbat t have read the entire application and state that all ¢t I �n m of fee paid is based on my dadaration of information on this form and that incorrect information is grounds for denial ofalso undcrstaad that 7!bt discarded if not picked up within sixty (60) days of approval or denial and that no inspection of my esutblishmem r wl tier til all appro te,proper tp information requested has received and plans have beer►approved and returned.Signature Date •` ` FOR DIS'T'RICT USE ONLY .. No. of Systems Type of System(s) No. Pwelling UnitsSand/p�1 ❑ [] Grease Interceptor Waived t_IIil'N�+ C] ExistingFixture Unita 0 Lin! e� eptor l�Dld ❑ Replacement ElAddition ❑ Clarifier �/iP� �LLgl7 ❑ Connect to Sewer sem-®o Ga �1 = C REMARKS: = f 3 ; . 3 i This application is: til Approved ❑ Denied ❑ Conditiora l Approval° Fee $ - / / c� �Ay�� / 4 7c51 Cbeek ,to. •S:x Rcmadts Date /,0/1/,07 inldai Sisar•� SEE NOTE 3 INLET ENO VIEW Ei cm t Aq (_m �trnx � V H0: r-]90 A LXXWNOEM f r for —r- 5MMON A — A 1S" -tA1AY CLEM-OUT SUIT TEE OUTLET P -A - ourLET RUNNItIG TPAP EXCAVATION 5PECIFIC I TIONS ALL DIMENSIONS IN INCHES G-1000 0-1200 C-1500 MODEL A 8 C 0 E F 8'-0" H NC(. -750 38 36 SD 74 75 19 3/4 4-1 /2 31 1/2 PC G-1000 - 48 46 60 74 75 24 3/4 4 1/2 41 1/2 PG C-1200 57 55 69 74 75 29 1/4 4 1/2 50 1/2 pG G-1500 60 1/2158 1/2 72 1/2 85 86 30 3/4 5 53 1J2 - 1S" -tA1AY CLEM-OUT SUIT TEE OUTLET P -A - ourLET RUNNItIG TPAP EXCAVATION 5PECIFIC I TIONS MODEL C-750 G-1000 0-1200 C-1500 LENGTH 12'-0' 12'-0" 12'-0' 12'-0" IMDTH 6'-D` 8'-0" 8'-0° 9'-0` BELOW INLET 3'-2" 4'-0" 4'-9•' V-1/2'• TANK HEIGNT 4'-2" 5'.-p" 1 5'-9" YAWAMI TO ORnOE 0! 9" 4IT5 3 t/4'• TrPtCAL WADSWT S � G OUTLET Ewl—m rYOWAL Ssm WAU umr.Aat IN ILNCLPTOR WITH SAMPLE Sox TWO MANHOLES EXTENOEr) TO GRADE DESIGNED FOR THREE FOOT OF EARTH COVER OR 360 POUNDS PER SQ. FOOT LOADING 750 THRU 1500 GALLONS HIGHLAND. B CA a 92346 909 793-7602 800 945-8265 Fax: 909 793-1283 /mac • e Interceptors/Separators: (i.e., grease, oil, sand, and lint) Interceptors/Separators shall be provided when, in the opinion of the General Manager, they are necessary for the proper handling of liquid wastes containing grease in excessive amounts, or any flammable wastes, sand or other harmful ingredients; except that such Interceptor/Separators shall not be required for Dwelling Units. All Interceptors/Separators shall be of a type and capacity approved by the General Manager, and shall be located as to be readily accessible for cleaning and inspection. Interceptors/Separators shall be maintained :in continuously efficient operation at all times by the User and at the User's expense.. Requirements 1) Size and location of Interceptor/Separator to be approved prior to installation. 2) Interceptor/Separator to have: a) Sample Box b) Sanitary Tee on discharge side of sample box. C) Running Trap 'd) Two Way Cleanout prior to sever connection. e) Vent line after Sample Box, vent to be routed to building internal plumbing. f3 Manholes required at inlet, outlet baffle tubes, and over each ....>: ry penin battery opening. 3) Inspection of Interceptor/Separator: a) Interior examination required by District Source Control Inspectors prior to filling Interceptor/Separator with water. b) All external inlet and outlet plumbing to be inspected by Source Control Inspectors prior to backfilling. C) All manholes and sample boxes must be installed a minimum of one (1) inch above finish grade/pavement with a concrete collar a minimum of eighteen (18) inches around the manhole and sample box frames, with a minimum depth of eighteen (18) inches. COACHELLA VAJ LEY WATER DISTRICT, POST OFFICE BOX 1058 COACHELLA, CALIFORNIA 92236 Phone (619) 398-2651 'NT-RCEPTOR/SEPARATOR A: -PLICATION SECTION ,A: GENERAL INFORMATION 3USINESS OWNER NAME: BUSINESS OWNER ADDRESS: PHONE, PROPERTY OWNER NAME PROPERTY OWNER ADDRESS: BUSINESS NAME: PHONE; ADDRESS: PHONE: PERSON TO CONTACT FOR SERVICING PHONE: SECTION B: SERVICE INFORMATION CHECK ONE: EXISTING DISCHARGE [ ) PROPOSED DISCiARGE (Yj IF .PROPOSED DISCHARGE, ANTICIPATED DATE OF DISCHARGE I. CHECK ALL ACTIVITIES WHICH ARE PRESENT AT YOUR FACILITY: I l OFFICE € 7 MANUPACTuRING [ ] RETAIL/WHOLESALETROPE,ATZNG PLi 3 PRINTING/PHOTO FINISHING WAREHOUSE f } L [ ) CHEMICAL BULK STORAGE E � { } AMMABLSS I ) € 3 ASSEMBLY ) CAR WASH f I LAUNDRY { OTHER DQ FOOD PROCESSING t ) OTHER r. J HOSPITAL [ ) REPAIR SHOP/GARAGE [ ) OTHER 2. 3F RESTAURANT NO, OF SEATS 3 TF LAUNDROMAT NO. -OF WASHERS 4. IF GAS STATION NO. OF PUMPS RATER SOURCE: CVWD I) Other IS WATER SUPPLIED BY LANDLORD? [ ) YES ( ) NO WHICH BUSINESS NAME APPEARS ON WATER BILL NOTES EACH INTERCEPTOR/S$PARATOR REQUIRES ITS OWN SEWER LATERAL, OF THE BIIZLi}IHQ' S PL11M8Ib1S$PARATB FROM TSB RESTG, CONNECTED DIRECTLY TO THE DISTRICT'S SEWER SYSTEM. ZZCAPTZON: THE USER OF An INTERCEPTOR/BBPARATOR 14AY CONNECT THEIR DOMESTIC WASTE LISR DOWNSTRE M OF TBR SANPLR S01 ON TER INTERCEPTOR/SEPARATOR LATBRAL. =n:=Sas_=:=acsccxa:za SECTION C: WASTE GENERATION 1, LIST DISCHAAGS FLOWS, IF KNOWN: CONNECTION NO. SEWER SIZETYPE OR AVG. FLOW (GPD) STRENGTH 1 3 %.- ATTACH COPY OF THE PLUMBING PLAT INCLUDING ISOMETRIC DRAWINGS. 1 SECTIOM Da INTERCEPTOR#SEPARATOR WITH SAMPLE BOX 1. TYPE OF INTERCEPTOR/SEPARATOR: GREASE 3 LINT f 1 SAND f l OIL { l OTHER MODEL NO. OF COMPARTMENTS CAPACITY OTHER METHODS OF PRETREATME23`T /V �JN ATTACH DRAWING SHOWING PROPOSED LOCATION OF INTERCEPTOR/SEPARATOR INCLUDING CONNECTION TO DISTRICT SEWER. PROVIDE RIVERSIDE COUNTY ENVIRONMENTAL, HEALTH DEPARTMENT PERMIT. 2. EXISTING FACILITIES: DATE OF INSTALLATION LOCATION: (if not shown on plumbing plans) 3. PROPOSED FACILITIES FOR ALL NEW INSTALLATIONS, APPLICANT IS REQUIRED TO NOTIFY DISTRICT 48 HOURS IN ADVANCE FOR INSPECTION. ESTIMATED DATE OF INS'T'ALLATION SECTION E; CERTIFICATION I HEREBY CERTIFY THAT THE INFORMATION FOUND IN THIS APPLICATION IS FAMILIAR TO ME, IS COMPLETE, AND REPRESENTS AN ACCURATE STATEMENT OF FACT TO THE BEST OF MY I(NOWLEDGE, SIGNATiJRfi TITLE PRINT NAME DATE DISTRICT USE ONLY COM -090 (Rev. 3105.1 Fj BY ACCOUNT NO. RIVERSIDE COUNTY ENVIRONMENTAL HEALTH DEPT. PERMIT RECEIVED. DATE BY WSBFC RECEIVED AMOUNT DATE MCR./INV. NO. BY SCC RECEIVED AMOUNT DATE MCR./INV. NO. BY EDU CALCULATION DATE BY PLUMBINC3 PLANS INCLUDING ISOMETRIC DRAWINGS RECEIVED DATE BY DRAWING SHOWING LOCATION OF INTERCEPTOR RECEIVEED DATE BY BY PLAN REVIEW DA'Y'S INSTALLATION INSPECTED DATE BY SEPARATE LATERAL INSPECTED (OBSERVED) DATE BY MONTHLY INTERCEPTOR SURCHARGE DUE: YES NO DATE BY DATE BY - COMMENTS COM -090 (Rev. 3105.1 Fj 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 Fim n RFPnRT 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 (1r) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/03/2007 PROJECT NO. 2145CO2 1 Building - C 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$21 ' SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-835 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-835 Highway 111 La Quint@, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, 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 WELDER: James Anderson CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301 D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the 3/4" diameter threaded studs to the east and south faces of the tube steel column on line 1/F.1. 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: 7:00 AM SITE TIME FINISH: 8:00 AM s "r LUNCH PERIOD: none TRAVEL TIME: ' VERIFIED BY I 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 BUILDIN ODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/16/2007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPORA 2992 E. La Pal ve., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial Cou• 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Fim n RFPnRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tei: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT: SGPA Arddecture and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 AVAILABLE: SOIL REPORT (Y (N) SPECS. (Y) APPROVED PLANS (1) APPROVED SHOP DRAWINGS [PI) FOR WEEK ENDING 11/03/2007 PROJECT NO. 2145M Building - C ENGINEER: Malek Engineers, Inc. 8380 Minmar Malt Ste. 225 San Diego, CA W121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Comprpes PLAN FILE NO. PERMIT NO. 07$21 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: Law Steel PROJECT NAME: Komar Desert Center 820 South Hathaway Bldg. B Banning. CA 92220 INSPECTION ADDRESS: 79$35 Highway 111 ADDRESS OF PROJECT. 79.835 Highway 111 La Quinta, CA La Quinta, CA REPORTWO REQUIREMENTS: ICSO F'ELD WSPECTtON MANUAL ! MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFFS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFrR-NCY, YOURS OR A PREVIOUS INSPECTORS. IS CORRECTED, SO NOTE ON THE ORC4NAL DEFICIENCY REPORT AND SUBMIT A COPY WRH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Felipe De Jesus Cardenas CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal hist hangers on line E/4 to 5 and E17 to 8 on the roof level. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS.- EETINGS.REWORK REWORKAS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 83 Deg. F TESTS REQUIRED: SITE TIME START: 9:00 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME:. RIFTED BY _ ---.____. ------- _..__._.�. �,.,,,",�",,,LL�,r 'n1. VnnuolcU/+DVVrAMU IHAI ItnSWUKKCUMPLIESWITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND [OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS �OTHERWISE NOTED IN THE DEFICIENCY REPORT. <'OT M 0849264-85 Signature /�/) iiv v ICBO Certification Number Steve W. Bodnar � e ,cY�,t 9 City of La Quinta Print Name Date Of Report City / County Certification Number WEIGHMASTER CERTIFICATE �SERVING SOUTHERN CALIFORNIA SI 958 PERIOR READY MIX CONIC"TE' L.P. 925740 THIS IS TO CERTIFY that the following described commodity was n►- weighed, measured, or counted by a weighmaster, whose signa- ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division of the California Business and Professions Code, SHOWN ON REVERSE �� 111 administeredd by the Division of Measurement Standards of the California Department of Food and Agriculture. 11 CY = Cubic Yard , 81 Itu/1uouiliviguiuluivluguing f Utii PY = Per Cubic Yard 00606717 Weighed at: 72270 VARNER ROAD, THOUSAND PALMS, 92276 ( 760) 343-3418 DATE 7- CUSTOMER NO. ORDER NO..._ _ _ _ — CUSTOMER-P.O. NO.— __.__ _ __ _ PLANT NO. _ _ DELIVERY -TICKET NO.. 22 -Oct -07 F (t[I DBE005 90919 073 5911.0 CUSTOMER NAME_ w HIBBEL INK MASONRY CONSTRUCTIf?N - -- - - - v --- - — C STOMER JOB NO. JU8 JOB ADDRESSMAP 79-815 HWY I11 LA QUINTA 79-81.5 HWY 111 PAGE , SPECIAL INSTRUCTIONS. _�_ _ ��_�- _ GROUT - - - WEIGHMASTER. ..- MIKE QUINTANA DESIGN NO. _ — D66P-8 - SLUMP_ _ _ f3. 00 ,TRUCK NO. — @20 DRIVER ME. WGI�i�'A'RD BRIKN. ` ORDERED BY _ .. -_ - - _ CITY DERFOD _ TJ.Fic►0" -- , LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 9.00 'ro 9.:@@ =CY 5 SACK 3/8 PUMP MIX D66P-8 t IJ t3 l - -QTY TO GOrn L` ^7► 5 111!• fa . Y Excessive water is detrimental.to concrete C.O.D. TIG=K6rTIM. —ARRIVE_ 'E.._. 1 performance. t' �f,�( 1!%� ❑Cash 1l/ TOTAL FOR THIS TICKET Gallons to full load /Slump ❑ Check No. START —FINISH Gallons to 3/4 load /Slump ❑ Ceedit TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump Water added on job at Customer's request. • • Authorized By: " "Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable -for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." Received in good condition by: ay �. DELIVERY SRM -145 REV 7/0 7 M `A SUPERIOR I•�DY MIX CONCRETE, L.P. • CORPORATE HEADQUARTERS 1508 W. MISSION RD. • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 • FAX: (760) 740-9557 W W W.SUPERIORRM.COM FOR ALL YOUR CONCRETE AND AGGREGATE NEEDS: N. SAN .DIEGO COUNTY CALL: 760-745-0556 • ESCONDIDO • OCEANSIDE FALLBROOK CALL: 760-728-1128 S. SAN DIEGO COUNTY CALL: 858-695-0666 • CARROLL CANYON • MISSION GORGE • OTAY MESA LAKESIDE CALL: 61.9-443-7510 RIV.ERS.I:D.E COUNTY CALL: 951-277-3553 L4 -CORONA I� • MURRI.ETA ) • AGUANGA Gt HEMET CALL: 951-658-1562 Li COA.CHELLA VALLEY & HIGH :DESERT j( � CALL: 760-343-3418 • 1000 PALMS W • IND.IO S •COACHELLA. • YUCCA_VALLEY- • 29 PALMS RAMONA EL CENTRO CALL: 760-789-1180 CALL: 760-352-4341 TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS Your calls Inay be recorded for quality assurance. purposes. 1. "CAUTION! .Freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water.. In case of contact with eyes, rinse with water immediately and repeatedly and seek medical attention. Keep children away from concrete and other freshly mixed cement products." 2. Customer is responsible to provide an. area or container for the clean out of mixer truck chute. Any discharge to watercourses, street gutters or stormch•ains is a violation of. law. 3. Customer acknowledges that he has instructed Superior's driver to unload materials in a location specified by Customer, and agrees to defend, indemnify and hold Superior harmless from any liabil.ty or claims for damage to property as a result of the movements of Superior's truck from the public street to and about the delivery location. Customer Signature WEIGHMASTER CERTIFICATE SUPERIOR READY MIX CONCRETE L P. 864446 THIS IS TO CERTIFY that the following described commodity was � weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 1958 ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section t 2700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. + r 009=1 Wye➢ghed a,:;)8155 P(QNT,-rJE ZTRERT,,, INDIO. i, S 'k,C7603 343 1115 DATE;, —CUSTOMER NO. �, ` JORDER NO_ CUSTOMER P.O._ NO. PLANT.NO.— DELIVERY.TICKET.NO. 26 Oct •107 41 BBEi� 051 921 17 071 143 97 CUSTOMER NAME CUSTOMER JOB NO. 11IBBELINK )1ASONF.Y CONSTRUCTION JOB JOB ADDRESS MAP PAGE 79-815 HWY 111 , LA QUINTA 79-815 HWY Iii SPECIAL INSTRUCTIONS WEIGHMASTER GROUT ACROSS THE. STREET FFfQM liCiNE DEPOT -- l aER'liRUsD HERNANI)EL DESIGN NO. SLUMP— TRUCK NO. DRIVER NAMEORDERED BY OTY.ORDERED D66P-8 B.O0 180 �:SCOBAR,, ARTURO '32.50 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 3.00 32.50 CY 5 SACK 3/8 PUMP MIX )66P-8 t C` QTY TO GO Excessive water Wdetrimental to concrete C.O.D. TICKET.TIMEARRIVE performance. El Cash 1 0. 0 o ' TOTAL FOR THIS TICKET .it, START FINISH Gallons to full load /Slump ❑ Check No. Gallons to 3/4 load - /Slump ❑ Credit \%-."o TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump Water added on job at Customer's request. Authorized By: "Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are Dlaced." r Received in good condition by: DELIVERY SRM -145 REV 7/06 : - - SUPERIOR READY MIX CONCRETE, L.P. CORPORATE HEADQUARTERS 1508 W. MISSION RD. • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 • FAX: (760) 740-9557 WWW.SUPERIORRM.COM FOR ALL YOUR CONCRETE AND AGGREGATE NEEDS: f N. SAN DIEGO COUNTY CALL: 760-745-0556 • ESCONDIDO • OCEANSIDE FALLBROOK CALL: 760-728-1128 S. SAN DIEGO COUNTY CALL: 858-695-0666 • CARROLL CANYON • MISSION GORGE • OTAY MESA LAKESIDE CALL: 619-443-7510 RAM.ONA CALL: 760-789-1180 I RIVERSIDE COUNTY CALL: 951-277-3553 i -CORONA • M.URRIETA •AGUANGA HEMET CALL: 951-658-1562 COACHELLA VALLEY & HIGH DESERT CALL: 760-343-341.8 • 1000 PALMS • INDIO •COACHELLA • YUCCA VALLEY • 29 PALMS EL CENTRO CALL: 760-352-4341 TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS 1. "CAUTION! Freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. -in case of contact with eyes, rinse with water immediately and repeatedly and seek medical attention. Keep children away from concrete and other freshly mixed cement products." 2. Customer is responsible to provide an area or container for the clean out of mixer truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. 3. Customer acknowledges that he has instructed Superior's driver to unload materials in a location specified by Customer, and agrees to defend, indemnify and hold Superior harmless from any liabilty or claims for damage to property as a result of the movements of Superior's truck from the public streetto and about the delivery location. e Customer Signature WEIGHMASTER CERTIFICATE SUPERIOR READY MIX CONCRETE L.P. 864438 THIS IS TO CERTIFY that the following described commodity was � weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 1958 ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE j administered by the Division of Measurement Standards of the .California Department of Food and Agriculture. 0OW9109 yWeighed at: 383 5`L, MONROP. !PT,REEJ;t_' IND -1E1, '322(01 ` ': ' ' � �1. r (760) 343-34.18 DATE CUSTOMER NO. ORDER NO.CUSTOMER P.O. NO. PLANT, NO. — DELIVERY.TICKET.NO. '?6 -Oct -b7 NIIIIIEtb05 1s137 071 44789 CUSTOMER NAME CUSTOMER JOB NO. NIBBELINK MASONRY CONSTRUCTION JOB JOBADDRESS - MAP PAGE. 79-815 HWY 11.E , LA QUINTA 79-815 iiWY - I I 1 3451-33 SPECIAL INSTRUCTIONS I WEIGHMASTER GROUT ACROSS THE STREET "ROM HOME DEPOT �`5 U ]3ERARDO HERNAN£+EZ DESIGN NO. SLUMP-1TRUCK NO, DRIVER NAME ORDERED BY OTY_ORDERED D156P-8 I 9. 130 371 LOPE -1.7, RICH 30.00 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 9.50 29.50 CY 6 SACK 3/8 PUMP M11K )66P-8 it QTY TO GO 171. 813 Excessive water is detrimental to concrete performance. -. C.O.D. ❑ Cash TICKET.TIME—ARRIVE (68:26 (,h; �, j JJ o TOTAL FOR THIS TICKET Gallons to full load /Slump Gallons to 3/4 load �! /Slump El Check No. ❑ Credit START—,,..,— FINISH 4� � 1 f TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump Water added on job at Customer's request. • Authorized By: Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications, nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of. Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the rnaterials are placed." �r SEE REVERSE SIDE FORTE, WNIS AND CONDI'T'IONS OF SALE / SAFETY PRIsCAU'I'IC Received in good condition by: SRM -145 REV 7/06 DELIVERY SUPERIOR READY MIX CONCRETE, L.P. CORPORATE HEADQUARTERS 1508 W. MISSION RD. • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 • FAX: (760) 740-9557 WWW.SUPERIORRM.COM FOR ALL YOUR CONCRETE AND AGGREGATE NEEDS: N. SAN DIEGO COUNTY RIVERSIDE COUNTY CALL: 760-745-0556 CALL: 951-277-3553 •.ESCONDIDO • CORONA • OCEANSIDE • MURRIETA •AGUANGA FALLBROOK CALL: 760-728-1128 HEMET CALL: 951-658-1562 S. SAN DIEGO COUNTY CALL: 858-695-0666 COACHELLA VALLEY & HIGH DESERT • CARROLL CANYON CALL: 760-343-341.8 • MISSION GORGE • 1000 PALMS r • OTAY MESA • INDIO •COACHELLA LAKESIDE • YUCCA VALLEY CALL: 619-443-7510 - 29 PALMS RAMONA EL CENTRO CALL: 760-789-1180 CALL: 760-352-4341 ' TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS ° 1. "CAUTION! Freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. In case of contact with eyes, rinse with water immediately and repeatedly and seek medical attention. Keep children away from concrete and other freshly mixed cement products." 2.. Customer is responsible to provide an area or container for the clean out of mixer truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law` 3. Customer acknowledges that he has instructed Superior's driver to unload materials in a location specified by Customer, and agrees to defend, indemnify and hold Superior harmless from any liabilty or claims for damage to property as a result of the movements of Superior's truck from the public street to and about the delivery location. Customer Signature WEIGHMASTER CERTIFICATE SUPERIOR READY MIX CONCRETE L.P. 864424 THIS IS TO CERTIFY that the following described commodity was , weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 1958 ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. t - 009Qti M Wei hed. at: �- g ..Y:p,t 38155 M110.r IDE , STRE ' , INDI , . $:,c�201 ,z N ( 760) 34;3-3418 DATE., ` ORDER.NO.. -CUSTOMER.P.O.-NO. P_LANTNO 071 DELIVERY TICKET NO. 41373 5 c1=,—Oct—W7 ;4:£BBF005 . 3 1�3� CUSTOMERNAME -CUSTOMER -JOB NO. � HIBBELIN.K WAt...'ONRY JOB JOB ADDRESS MAP_PAGE,i 79-815 HWY III , LA QUINTA 79--815 H Y 113 319-J3 SPECIAL INSTRUCTIONS _WEIGHMASTER GROUT ACROSS THE STREET FROM HOME PEF T ON JOB 7:00 r. V 3ERARDO HERNANDEZ DESIGN NO. SLUMP .TRUCK NO. -DRIVER NAME — — - - ORDERED -BY QTY -ORDERED S. 00 '. IKLEY, GORDON i35iat�-I3 3513 20.00 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT .0..00 20.00 , $ZY 6 SACK 3/6 PUMP MIX )661:-A .. QTY TO GO Excessive water is detrimental to concrete C.O.D. TICKELTIME:ARRIN,E,em� performance. -w """��/ �"� Gallons to full load /Slump �`. Gallons to 3/4 load /Slump _ ❑ Cash ❑ Check No. ❑ Credit Q►[, ; 1$ , ,d TOTAL FOR THIS TICKET START, FINISH „C,_ tom• "� ., ..+ \� TOTALFOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET Gallons to 1/4 load /Slump PREVIOUS STAND-BY Water added on job at Customer's request. r • • Authorized By: wsiutner acKnowiedges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards -,,applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which,Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any othermaterial to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are Dlaced." Received in good condition by: ' SRM -145 REV 7/06 DELIVERY SUPERIOR READY MIX CONCRETE, L.P. CORPORATE HEADQUARTERS 1508 W. MISSION RD. • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 • FAX: (760) 740-9557 WWW.SUPERIORRM.COM FOR ALL YOUR CONCRETE AND AGGREGATE NEEDS: N. SAN DIEGO COUNTY CALL: 760-745-0556 • ESCONDIDO • OCEANSIDE RIVERSIDE COUNTY CALL: 951-277-3553 *CORONA • M.URRIETA •AGUANGA FALLBROOK CALL: 760-728-1.128 HEMET CALL: 951-658-1562 S. SAN DIEGO COUNTY CALL: 858-695-0666 • CARROLL CANYON • MISSION GORGE • OTAY MESA LAKESIDE CALL: 619-443-7510 RAMONA CALL: 760-789-1180 COACHELLA VALLEY & HIGH DESERT CALL: 760-343-341.8 • ! 000 PALMS • INDIO •COA.CHELLA • YUCCA VALLEY • 29 PALMS EL CENTRO CALL: 760-352-4341 TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS n 1. "CAUTION! Freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. In case of contact with eyes, rinse with water immediately and repeatedly and seek medical attention. Keep children away from concrete and other freshly mixed cement products." - 2. Customer is responsible to provide an area or container for the clean out of mixer truck chute. Any discharge to watercourses, street gutters or stormdrains is a -violation of law. 3. Customer acknowledges that he has instructed Superior= WEIGHMASTER CERTIFICATE SUPERIOR READY MIX CONCRETE L.P. 8 C ` 4 21 ;THIS IS TO CERTIFY that the following described commodity was - � weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 1958 ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 00909742 Weighed at: 83 55;r)]C11dF, QED STT?• INDT C' 92201.;. � 4' f ( 760) 34,,3-3418 F DATE CUSTOMER NO. ORDER.NO. CUSTOMER P.O. NO. --- — PLANT, NO. DELIVERY.TICKET,NO. Z6 -Oct -e!7 ,a3'8}3FaQl 71213? 071 4437: CUSTOMER NAME CUSTOMER JOB NO. 111 BBELINK MASOM�Y CONSTkUCTION 10B JOBADDRESS MAPPAGE 79-815 HW;t III . LA @UINTA 79-81.:5 HWY III 349-J3 SPECIAL INSTRUCTIONS I WEIGHMASTER 6ROUT ACROSS THE STREET FROM HOME DEPOT. 13ERARD0_ HERitANDE2 DESIGN NO. SLUMP TRUCK NO. DRIVER NAME ORDERED BY QTY ORDERED F�l~P-t3 8.00 173 �Ai�T, JOE X0.00 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 0.001 10.00 1Y S SACH" 3/8 PUMP MIX ;►66P-8- ,- _0 r,"+ Vis,..• QTY TO GO L0. �h0 Excessive water is detrimental to concrete performance. C.O.D. El TICKETSIME—ARRIVE 05:45 - 7 6.� �(/ TOTAL FOR THIS TICKET Gallons to full load `}"'" /Slump Gallons to 3/4 load /Slum p ❑ Check No. ❑Credit START , ,�` � FINISH ! �...I' TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments' STAND-BY TIME FOR THIS TICKET Gallons to 1/4 load /Slump PREVIOUS STAND-BY' Water added on job at Customer's request. • • Authorized By: :'Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such'review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." Received in good condition by: DELIVERY SRM -145 REV 7/06 SUPERIOR READY MIX CONCRETE, L.P. CORPORATE HEADQUARTERS 1508 W. MISSION RD. • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 • FAX: (760) 740-9557 W WW.SUPERIORRM.COM FOR ALL YOUR CONCRETE AND AGGREGATE NEEDS: N. SAN DIEGO COUNTY RIVERSIDE COUNTY CALL: 760-745-0556 CALL: 951-277-3553 • ESCONDIDO • CORONA l - • OCEANSIDE • • M.URRIETA •AGUANGA FALLBROOK CALL: 760-728-1128 HEMET CALL: 951-658-1562 S. SAN DIEGO COUNTY CALL: 858-695-0666 COACHELLA VALLEY & HIGH DESERT • CARROLL CANYON CALL: 760-343-3418 • MISSION GORGE • 1000 PALMS • OTAY MESA • INDIO •COACHELLA LAKESIDE • YUCCA VALLEY CALL: 619-443-7510 - 29 PALMS RAMONA EL CENTRO CALL: 760-789-1180 CALL: 760-3524341 TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS 1. "CAUTION! Freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. In case of contact with eyes, rinse with water immediately and repeatedly and seek medical attention. Keep children away from concrete and other freshly mixed cement products." 2. Customer is responsible to providean area or container for the clean out of mixer truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. 3. Customer acknowledges that he has instructed Superior's driver to unload materials in a Location specified by Customer, and agrees to defend, indemnify and hold Superior harmless from any liabi.lty or claims for damage to property as a result of the movements of Superior's truck from the public street to and about the delivery location. Customer Signature ti 121Aff, Corporate: '``' San Diego/Imperial Couri" 2992 E. La Palm9AV& Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK JDINSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Yp (N) SPECS (Y) (N) APPROVED PLANS.(,Y.) (N) APPROVED SHOP DRAWING (:Y) (N) ARCHITECT / re. FOR WEEK ENDING q q^ 7 P/RjOJEC�T/NO. `9 ENGINEER REPORT N0. PG -� OF .CONTRACTOR / R,- P4, A Al 6©. PLAN FILE NO. PERMIITT NO. 67-9/9' SUB -CONTRACTOR /,i A,1_ PROJECT NAME Are)/", -)'e IDX.S.r-.P, ie-,lvr, R INSPECTION ADDRESS / - _.1--/.,il V Jf i — Z 1q /1//v i ADDRESS OF PROJECT Fs'lc ZA ' REPOPtNG REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAYS, OR-MISSINC�MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHENA DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE O THE ORIGINAL DEFICIENCY REPORT AND SUB�AITA COPY WITH YOUR WEEK'S REPORTS. CORRECTED, SO LTEST LREF'ORTS): / MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL 1,7k 9,-Jc T yp,--Ytr9RT-1-At''G 41e !' i'- dec Ai -L 'Vnnt P S r % nisi w) -4 P_F's CONTRACTORS EQUIPMENT/ MANPOWER USED: A'n,Vh s -,r- 1:',,M"% PM-)-) P- Vi}RlgTnJ<2 AJ AREA, GRID LINES, PIECES OBSERVED: _o P5- .. �.sliir . L�,P/IU?— 1/i/� �� 1�/i11�/ l z/ r ) //V R lr� *All-)1X1"A";r_1 9�'�?�t� �7fJ �'� i`�s r^%�G � a- TD ,21-x1 STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING NEE77MGS: "-Alwip jP1,0r.0IK.4/7- PlAe- i.r1r, n F ono o PYi 4w7A a u / fni+A.' vis' R/w"'j &6-gl/./tyl o ' AVn PeCa AZAIP" < i�,L,r �..� REWORK AS PERCENT OF ALL WORK TODE —REMENT-PROJECT COMPLETIO 4 K �U /�c PfI'tz tS oG WEATHER:e1'r'q P' P TA�x%KEN:. SAMPLES (SR sdS S - q y 141 C e /. TEMPERATURE:0 TESTS REQUIRED: I SITE TIME START: •r t SITE TIME FINISH: �. LUNCH PERIOD: ..'./ TRAVEL TIME: ,_ VERIFIEDO YY I DO 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 /'? �Slgnature Date of Report ICBO Certificaiion Numher /1111 .C./i .D r,/,c '?' i1 ff1.G n C g City / C0`unWCertAicati0n Numtier r Rev: 7/97 THIS IS NOTAIICMT NO.®R®rk's CONTROL ••'. NUMBER 5658643 OPEN 7 DAYS P.O. BOX 3600, CORONA, CA 92878-3600 LJ•'" Phone 800/8347557 San Diego 800/870-1220 z 1. p 105 658 64 3 z #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. + #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM • 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. •'' #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. •' #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE.#32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS 72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE • • ' #6 HEMETISAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #2D SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 •..' #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD T0: MAP PAGE TICKET NO. PE, 10/2G/07 85122 !TIDWELL. CONCRETE CONSTRUC 788D3 5658643 TX CD DELIVERY ADDRESS & INSTRUCTIONS ! CUSTOMER PO. / JOB OR LOT # 79793 3 H I GMWAY 1 1 ]. i '708085 139836 JEFFERSON f LA QUINTA (760) 342-8300LAST TICS 1165 Jab Phone : (7G0) 275--81.33 BUILDING F 695 ORDER NO. METER READING TIME TYPED, TRUCK UC NO. 497 1700. 00 11 :`c •4 . 7X441.26 ." #DRIVER �) LOAD NO. ri SLUMP TRUCK 7 3.50 21B : 835 JENSEN TOMMY FOUNDATION CN FOOTINGS "a I DRUM I JOB START : 7:00 f REVS: Job -site Cylinder Test: ❑ Yes TO JOB I TIME ON JOB MIN. CHECK # ' ON JOB 1 . Water added on job at STAND BY MIN. ❑ ; CHECK AMOUNT BY Customer's request: :' �..•-•' START POUR ,gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT ev FINISH POUR jI gals to 2/3 Ld. $ PLANT MGR SIG +gals to 1/3 Ld. OVERTIME CHARGE LEAVE Joe i ADJ. Meter4 M N 4 min. per yd. unloading time allowed. ; ARRIVE PLANT Additional water added to thi s concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the'design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a pla�de sgnatdbytheCustomer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and itsmployees from all liabilityorcla msfor damagedone by themresutifromhe movementofRobertson's vehicles upon or about the delivery location.Customeracknowledgesthat the described materialhas been chosen anselected solely by Customer w shout Robertson's hav ng rev awed any plans or specifications relating to the on project whichthe material is to be used. Customer agrees to defend, indemnify, and holRobertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or with the ground so11s or conditions on the land where the material is utilized, to the fullest extent permitted by law. 666111 In event Robertson's retains the sere ces of an attorney to collect payment for the described mater als, the Customer agrees to pay reasonable attorney's tee's incurred by Robertson's. ' Customer agrees to pay a time price differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 6.012) 66.00 66.00 1085A .300OP/PL CY f 1 DEl..,,Y CHARGE ••,...�••.. TAX �•- WEIGHMASTER CERTIFICATE �J THIS IS TO CERTIFY that the following described commodity was weighed,' i measured, or counted by, a weighmaster, whose signature is on this certificate, PREVIOUS 111 t1 who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and „ Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB DSV eROBERTSOIISUt TOTAL 1,; 1 WIEIGHMASTER STAND BY - d CHARGE A RY DEPUTY TOTAL • AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET " z' THIS , NOT A TIC T NO. R® ON9S CONTROL :*58633 OPEN 7 DAYS i�ivll NUMBER16#,j iliiElff Iffl f PO. BOX 3600, CORONA, CA92878-3600 � If III fflflflllll Illlllllllfl I III � I Phone 800/834-7557 San Diego 800/870-1220 *10IC5658633* IIf I Nff f f #1 RIVERSIDE - 6120'201h. ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET#29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVEN AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE•DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET -RD. • #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LNE.OAK LANE " #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HVA' 18 #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. E:6 10/2G/(+7 F35122 TIDWELL CONCRETE C;ONSTRUC 547LnA3 5658633 TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. /JOB OR LOT # 79793 HIGHWAY 111" 7080785 189836 JEFFERSON LA QUI NTA ( 760) 342--830Z00LAST TKS 695 J(3b -Phone : (760)275-8 13 3 BULDING F 685 ORDER NO. �METER READING TIME TYPED TRUCK UC NO. 4'":97 1700.00 1 F[I : 10 NEED LOAD NO. SLUMP TRUCK DRIVER G. 3.50 1165 1907 J'ASSO DAVID FOUNDATION FOOTINGS re DRUM JOB START 7 e IlA0 b REVS: Job -site Cylinder Test: ❑ Yes TO JOB p �^fg` TIME ON JOB MIN. CHECK # ON JOB t I✓ Water added on job at STAND BY MIN. CHECK ❑ /r Customer's request: AMOUNT BY START POUR + ©1 gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR �.gals to 2/3 Ld. gals t0 1/3 Ld. $OVERTIME CHARGE PLANT MGR SIG LEAVE JOB ADJ. Meter4 MIN 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a plagseIa designated by the Customer, the Customer hereby releases and agrees to indemniy and hold harmless Robertson's and 0 its employees from all liability or claims for damage done by them, resultfrom the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen acted slelyby CustomerwithoutRobertsoshav ngrevianyplans orspecfications relatintothe projecton whichthe materialstobe used. Customeragreestodefend, indemnif,nd hoRobertson's harmless from all liability or cla ms for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or vnth the ground soils or conditions on the land where the material is utilized, to the fullest eMant permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of t Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. 07.00 6010. 00 60.00 1085A AGREED TO AND RECEIVED BY CUSTOMER 300OP/ FAL. DEL. CHARGE.: TAX / WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB Da v pROBER' O 1NEHMASTTN'S I_tt IGER TOTAL STAND BY "CHARGE BY DEPUTY TOTAL DELIVERY TICKET CONTROL THIS IS NOT A71CI`U NO. R® ®NVS NUMBERII I I 565862 DAYS' P.O. BOX 3600, CORONA, Phone 800/8347557 San Diego 800/870-1220 *101056586211' #1 RIVERSIDE - 6120 201h. ST # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #,17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMEWSAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21. IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. DLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. 26, 10/26/07 8512-2 TIDWEL.L. CONCRETE CONSTRUC 5470A3 5656621 TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. / JOB OR LOT # 79793 HIGHWAY 1 1 1 708085 189836 JEFFERSON LA QUI NTA. ( 76,0) 34E'-8:300L_AST TK S 685 ,Juh. Rhone : (760)275-6133 75-61:?3 BUL-DING F 299 DRDER NO. ^� METER READING TIME TYPED TRUCK LIC NO.. 497 1700.00 8:47 7S47220 LOAD NO. SLUMP TRUCK DRIVER 5 50 695 6018 MEJI A DANIEL. *****FOUNDATION FOOTINGS DRUM JOB START 7:00 TO JOB v x /j�#)% REVS: Job -site Cylinder Test: Yes TIME ON JOB MIN. CHECK # ON JOB Water added on job at STAND BY MIN. CHECK ❑ Customer's request: AMOUNT By START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. $PLANT MGR SIG gals to 1/3 Ld. d7E-FMMECHARGE LEAVE JOB ADJ. Meter4 M I N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon ora out rabout the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's hav ng reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnifX, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, Incompatible, improper or inconsistent with plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest eMent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's tee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.02L 50.00 50.00 1085A 3000P'/PL CY DEL. CHARGE TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB D a V iPRoWERTSON'E)1_t t TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOT ATI CONTROL NUMBER 5615 01 RIVERSIDE 6120 201h. ST. 02 MORENO VALLEY - 12890 DAY ST. 93 REDLANDS - 8353 ALABAMA ST. 94,FONTANA - 13792 SLOVER AVE. 65 POMONA - 2470 POMONA BLVD. Leh HEMET/SAN JACINTO - 1675 STATE ST. 07 BEAUMONT - 452 W. LUIS ESTRADA RD. ANT DATE '.F 10/28/07 K CD DELIVERY ADDRESS & I 797.9, H I G JEFFERSON Job PhoTie RDER NO. METER READI 04 171.710. )AD NO. SILUMP 41 3.50 ° DRU O JOB I REVS )N JOB' TART POUR INISH POUR IJOB IKET Na �®I ®N� OPEN 7 DAYS P.O.60X3600, CORONA, CAM78-3600 Phone 800/8347557 San Diego 800/870-1220 # 8 SUN CITY - 27050 WATSON RD. ! #15 VERNON-LOS ANGELES - 3355 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 f #16' ANAHEIM - 201'E. COMMERCIAL ST. #10 SAMA HE SPRIGS - 12311 GREENSTONE AVE. #17r SANTA ANA - 310 N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 -ADELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE r #20 SAN CLEMENTE - 116 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. [ #21 IRVINE - 16081 CONSTRUCTION CIR. WEST CUSTOMER NO: SOLD -TO: 859.`2 TiYDWELL CONCRETE I I NSTRUCTIONS - HWAY 111 ` _ LA QUINTA ('760) 275--•P�1.,�� BUILDING F NG TIME TYPED TRUCK LIC NO. t�l>�1 8:01S 7SA-72.38 TRUCK DRIVER 685 5953 MART I NDALE JEFF M I J08 START 7: Job -site Cylinder Test: ❑ Yes TIME ON Water added on job at CUstp.mer's request: STAND BY RR_IVE PLANT Additional water added to this water added exceeding the de In consideration of Robertson's delivering the described material to iIs employees from all liability or claims for damage done by them, i Customer acknowledges that the described material has been chos the material is to be used. Customer agrees to defend, indemnify, aI inconsistent with plans and specifications, or with the ground soils < In event Robertson's retains the services of an attorney to collect pa Customer agrees to pay a time price differential of 11/2% per month 1 LD CITY CUM CITY ORD CITY PRC I I��lil IMI �II�I fl I�� II I a � I �Il�� ll�� ill�f f fly II I �I II�If III Il�f *10105658614* #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAI 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 'BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE TICKET NO. NSTRUC 5470A3 5858814+ CUSTOMER P.O. / JOB OR LOT # 708085 1898136 (7F,0) 34Fi _'--8u0NLA ST TKS 299 184E E RYFOUNDAT I ON FOOTINGS 00 JOB MIN. CHECK # MIN. CHECK ❑ AMOUNT BY gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY gals to 2/3 Ld. $ PLANT MGR SIG y gals.to 1/3 Ld. OVERTIME CHARGE ADJ. Meter -'9- M I N 4 min. per yd. unloading time allowed. Icrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate 1 water is at the customer's own risk. TERMS AND CONDITIONS OF SALE place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and ulting from the movement of Robertson's vehicles upon or about the delivery location. 'an selected Soley by Customer without Robertson's having reviewed any plans or specifications slating to the project on which hold Robertson's harmless from all liability or claims for damage relating t0 said material being inappropriate, incompatible, improper or ;onditions on the land are the material is utilized, to the fullest extent permitted by law. tent for the described materials,.the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. any amounts owed to Robertson's for more than thirty (30) days. CODE MIX AND COMMODITY ' UOM UNIT PR AMT 511.00 109,5A 3000E>/PL CY . AGREED TO AND RECEIVED BY CUSTOMER DEL. C( -TARGE I W EIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the y 4. California Department of Food and Agriculture. Da V ERokiiii 0NS1 Lt f , WEIGHMASTER J BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE`e c ^Y TOTAL s THIS IS NOT A TICKET NO. ® ®'S CONTROL TAX •�,: ' NUMBER 56,58608 0PEN 7 DAYS THIS IS TO CERTIFY that the following described commodity was weighed, II PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB , Da V f, -ROBERTSON S L(t TOTAL WEIGHMASTER STAND BY P.O. BOX 3600, CORONA, CA92878-36()0 CHARGE BY DEPUTY TOTAL DELIVERY TICKET Phone 800/&44-7557 San Diego 800/8701220 x10IC5658608T #1 RIVERSIDE - 6120 20th. ST. # 8 SUN CITY - 27050 WATSON AD. #15 VERNON-LOS ANGELES J3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE • •• #2 MORENO VALLEY- 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #3 REDLANDS -'8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N.-TOWNSEND ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 COAONA - 1540 SHEABOflN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA- 9661 C AVENUE #4 FONTANA - 13792 SLOVEN AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH SL #19 ADELANTO - 12203 VIOLET RD. #25 GARDENA =' 301 W. AOSECRANS AVE. #32 UPLAND . 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE '• #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #27 MUBRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. _ PLANT DATE CUSTOMER NO: SOLD TO: 'l MAP PAGE TICKET NO. r6 10/2E,/CA7 L45 1 2_2 TIDWELL CONCRETE CONSTRUC 5470A3 5658608 TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. / JOB OR LOT # 79-193 H I GHWAY 1 1,.1 ' : r. 708085 189836 ." JEFFERSON RSON LA QUA :3 4 AST f r 164 Juts Phctn� (760)275--8.13'3 �3U1 ��FC�f1, �--- -�'�'�.. 59E, ORDER NO. METER READING TIME TYPED TRUCK UC NO. '1700.00 497 7 : 25 NErED . LOAD NO. SLUMP 3 3.50 DRUM .TLOB ')' X REVS: TRUCK DRIVER 299 - 5117 REYES RICHARD-. JOB START 7.00 Job -site Cylinder Test: Yes TIME ON JOB FOUNDATION FOOTINGS MIN. CHECK # iXON,,JOB �'-� / Water added on job at ^, r STAND BY MIN. CHECK ❑ Customer's request: AMOUNT BY START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR_ gals to 2/3 Ld. _. $ PLANT MGR SIG gals to 1/3 Ld , OVERnMECWIRGE / LEAVE JOB _t% �iTi , ADJ Meter4 ;_h1., 4 min. per yd. unloading time allowed. ; ARRIVEPLANT l Additionalwateraddedtothisc ncrete willreducelisshengm.Any �" Additional unloading time charged at current hourly.truck rats water added exceeding the design water is at the customer's own risk. t TERMS AND CONDITION $'OF SALE Inconsideration of Robertson's delivering the descr bed material to a place designated by the Customer, the Customer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solety by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability, or claims for damage relating to said material being inappropriate, incompatible, improper inconsistent with plans and specificahons, or with the ground soils or conditions on the land where the material'is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the sery ces of an attorney to collect payment for the described aerials, the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. Customer agrees to pay a time price differential of t Yz%per month on any amounts owed to Robertson's for more than'thirty (30) days. LD QTY CUM .QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT '10. 00 30.00 50. 00 1085A 3000A/PL CY a It AGREED TO AND RECEIVED BY CUSTOMER r CHARGE t TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a-weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB , Da V f, -ROBERTSON S L(t TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET OTHIS IS NOT A TICN.ET NO. BERIS�® ON9S NUMBEOR 586,05 OPEN 7 DAYS P.O. BOX 3600, CORONA, CA92878-3600 Phone 800/8347557 SariDiego800/870-1220 #1 RIVERSIDE - 6120 20th. ST. .# 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #2 MORENO.VALLEY - 12890 DAY ST. S 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #3 REDLANDS • 8353 ALABAMA ST. #10 -SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND.ST. #4 FONTANA • 13792 SLOVER AVE. #11, CRBAZON - 13990 APACHE TRAIL. - . 418 LAKE. FOREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. ' #6 HEMET/SAN JACINTO - 1675 STATE ST #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #7 BEAUMONT - 452 W. UJIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST PLANT DATE CUSTOMER NO: SOLD TO: 26 10/26/07 _85122 TIDWELL CONCRETE TX CD DELIVERY ADDRESS & INSTRUCTIONS 7^•7'33 HIGHWAY 1 1 1 JEFFERSON LA QUI NTA Jab Phone : (760)275--8133 BULD I NG f= ORDER N0. METER READING 497 1700. 00 LOAD NO. ' SLUMP ` 21 3.50 ) DRUM TO JOB --70 / REVS: ON JOB `✓ylt� ? START POUR FINISH POUR TIME TYPED TRUCK UC NO. 6:49 NEED TRUCK DRIVER 164 31 S CHNE I DE R, JOB STA,�t"f Job -site Cylinder Test: � Yes Water added on job at Custom request: gals to Full Ld. gals to 2/3 Ld. gals to 1/3 Ld. MAP PAGE TICKET NO. CONSTRUC 5470A3. 5658605 CUSTOMER P.O. / JOB OR LOT # 708085 18983E (7E,1711),.:r42-8300LAST TKS 536 FRED FOUNDATION - 1110105658605x #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE - #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON. �. #26 THOUSAND PALMS -72460 VARNER ROAD , #33 MIRAMAR- 5692 EASTGATE'OUVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555HWY 18 ' .#28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE TICKET NO. CONSTRUC 5470A3. 5658605 CUSTOMER P.O. / JOB OR LOT # 708085 18983E (7E,1711),.:r42-8300LAST TKS 536 FRED FOUNDATION FOOTINGS 7:00 TIME ON JOB MIN. CHECK # 1 i STAND BY MIN. CHECK ❑ AMOUNT BY. RATE OF X $ PER MIN. CASH ❑ _ AMOUNT BY i $t PLANT MGR SIG OVERTIME CHARGE LEAVE JOB ~^"1111 ADJ. Meter4 NTN 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate i water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all Liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed mater al has been chosen and selected sotey by Customer without Robertson's having reviewed any plans or specifications relating to the project on which, the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the sery ces of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND. COMMODITY UOM UNIT PR AMT i 1.0.00 20.00 50.011771 1085A 300OP/FIL CY r AGREED TO AND RECEIVED BY CUSTOMER DEL. CHANGE tWEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, i measured, or counted by a weighmaster, whose'signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. D a y eROBERTBQI ,!$1_t t WEIGHMASTER BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL OTHIS Is NOT A n00IFT NO. RORER ONS NUMBEOR 5658603 OPEN,? DAYS P.O. BOX 3600, CORONA, CA92878-3600 Phone 800/8347557 San Diego800/870-1220 )� #1 RIVERSIDE - 6120 20th. ST. #'8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST._ #'9 ARROWHEAD - 29750 HWY 18 ` #3 REDLANDS - 8353 ALABAMA ST. �'#10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #16 ANAHEIM - 201, COMMERCIAL ST. #17 SANTA ANA' -"310N. TOWNSEND ST. ' #1-FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST,,,- 25931 TOWNE CENTRE DR. d5 POMONA - 2470 POMONA BLVD. '• #112 SAN BERNARDINO - 1955 W. 9TH ST. If #19 AOELANTO =1_2203 VIOLET RD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #7 BEAUMONT - 452 W. WIS ESTRADA RD: ' 414 PASADENA - 1420 N.`LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST PLANT DATE CUSTOMER NO: SOLD TO: `E:, 10/26/07 85122 TIDWELL CONCRETE CC TX CD DELIV) ADDRESS & INSTRUCTIONS :. 79 3 xN I GHWAY 1 1 1 Professions Code; administered by the Division of Measurement Standards of the JEFFERSON LA 06NTA Jo,Bi Phone : ('76-0) 275-8133 BULDl`,iC3 F DRDER NO. METER READING 497 170Va. 00 LOAD NO. SLUMP 1 ,3. 50 ff ff��ff�ff�f fffll f l l f i If f �f ff f ffff fff�f f� f � �fffff �f + *10105658603* 1z 1. #22 NO. HOLLYWOOD, 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO 2601-N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA. 301:W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD. MAP PAGE t TICKET NO. NSTRUC 5470A'3 .5658603 ; 3" CUSTOMER PO. / JOB.OR LOT # 708085 189836 ( 760) 34E:--'8300L_AST TK!E TIME TYPED TRUCK UC NO. 8>iLI2 7E16257 1 m TRUCK 96 'RaP B 0RUNE:R MEL I SSA FOUNDATION FOOTINGS DRUM 1.IO0.�YTAR I 7 : V.) V9 TO JOB �,'� REVS: Job -site Cylinder Test: Yes TIME ON JOB MIN. CHECK # ON JOB Nater added On Job at STAND BY MIN. CHECK ❑ Customer's request: t AMOUNT By START POUR (,1 �f — gals to Full Ld4- RATE OF X $ PER MIN. CASH ❑ FINISH POUR gals to 2/3 Ld ., ArnouNr BY F $- PL. NT MGR SIG A :..E}- •�¢'�—.. .,.^. "`'""r"rY'4h• "f"'" gals to l/3 Ld"`'' OVERTIME CHARGE' 7�f�? �,•y LEAVE JOB 7 ADJ. Meter4 M I hl 4 min. per yd.'unloading time allowed. ARRIVE PLANT f'' Additional water added to this concrete will reduce its strength'Any Additional unloading time charged at current hourly truck rate s water added exceeding the design water is at the customer's own`rjsk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications: or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorneyy to collect payment for the described materials; the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. Customer agrees to pay a time price differential of t 1h per month on any amounts owed to Robertson's for more than thirty (30) days. LD CITY CUM CITY ORD CITY, PROD CODE MIX ANDrCOMMODITY UOMUNIT PR AMT «, 10. 0 0 10. 00 50.00 1085A 3,000P PL CY DEL„ CHARGE TAX WEIGHMASTER CERTIFICATE THIS IS TO%CERTIFY that the following described commodity was weighed, measured; or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS (commencing with Section 12700) of Division 5 of the California Business and BALANCE Professions Code; administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB D;z u Lilt TOTALM +f F , weaN HER - pK STAND BY CHARGE BY DEPUTY :h !� TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET z Corporate: ''- San Diego/Imperial CoumlL�` 2992 E. La Palma"'Ave: Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806. San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPEOFWORK p INSPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT•(•y,) (N) SPECS (OY, (N) Z_1% it//' . �ts a /lid 7 S APPROVED PLANS,(Y) (N) APPROVED SHOP DRAWING (Y.) (N) ARCHITECT FOR WEEK ENDING PROJECT NO. i' n. fs fad //Q -2? 9 00 �7 ENGINEER REPORT 0. PG ` OF ,..�, f CONTRACTOR PLAN FILE N0. PERMIT NO. In d Al b 10 rf SUB -CONTRACTOR / i // /1/3Nr . PROJECT NAME h -'q 1� 'c T INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DA O_t.MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR' CORRECTED, SODOTE -, ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. %,�� / / _ j MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL'TEST REPORTS): j R'Qy - 16 en /94 A/C i9,7; 'R/) A4,e 1"S,► A/ Ah" CONTRACTOPS EQUIPMENT/ MANPOWER USED AREA, GRID LINES, PIECES OBSERVED: Al, J el, 4 Q fa Z,rJlrF./ XA/T nec 'z?Ae-)A PS. 'T /'A ev c /n/ Arp einF TF e 6 /-Ij/9,// STRUCTURAL NOTES, DETAIL, OR RFIS USED: S71,?i/r7-zletg I AlnTo c- <� as�'rC- Fes//M�i�if/�Al REMARKS. INCLUDING MEETINGS. .3-I!lmr: S'PF0I MXAl q 29k.4--,A/f�/{97 4,0s/��%' REWORK AS PERCENT OF ALL WORK TODAY:--P'ERQENT-PEf0JEQT COMPI ETIM £ WEATHER: SAMPLES TAKEN.. % O F O NC SPC t 4'1S a TEMPERATURE: Q� TESTS REQUIRED: caa .3111m 7'.< %:z 7- 7" yrs. SITE TIME START: _ /1 .'-'30 SITE TIME FINISH: /I -;m LUNCH PERIOD: TRAVEL TIME: --p-- - VERIFIED BY: I DO CERTIFY THAT LHAVE 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 ` // /'9410 y (} {-__.pSignature A% Date of Report ICBO Certification Number , City / County Certification Number Rev: 7/97 a CONCRETE DESIGN CRITERIA SUBMITTAL REY{IF i Architect's review is to assess general conformance with information included in the.Contract Documents- Contractor Is OMARDE �,+ a issions and errors in the preparation Of +a ir. and any action by the Architect shalt. LA Q[1 Ft�e A�strued as relieving, the Contractor from compliance with Tile o`rbjecl Contract Documents.. No changes to Contract requirements are authorized by this, review. Contractor responsibiHes include: Correlating and confirming dimensions at the job site; Determination of quantities required; Choice of fabrication processes; Means, methods, techniques, sequences and procedures of construction; Coordination of this work with that of other trades,. and Performing the work in a safe and satisfactory manner. No Exceptions Noted ❑ Make Corrections Submit Specified Item ❑ Revise and Resubmit t ❑ Rejected SGPA Arewtecture and Planning 1545 Hotel Circle S, Suite 200, San Diego, CA 92108 (619) 2U '1. 1� S®ZiT°TI� COASZ'®NCI�E (�NSTR�J��1�JNC� ' G GI1�T oc� �ilf� oct�y FUSC®E ENGINEERING, INC SHOP DRAWING REVIEW D /D O By rNo p(CEMONS TAl4EN ® :;0iORRECTntONS NOTED p SUBMrr SPECIFIED ITEM 13 REVISE AND RESUBMIT ® REJECTED Reriiewis ottyf,organerai com*rmaoce wRh the design eontszpl oithe protect and genera! cat ipriance with the information included in the contract Documents. My action shown is su lle �t�thwrrrelating a d confirming dimensions on thequirements of the drawings and e job site. contractor is resPo techniques of construction. coordination o' his work4. with that of other trades and performing the work in a sate and satisfactory maMML 110/08/2007 16:32 16192349534 SGPA SAN DIEGO PAGE 01/05 A ARCHUCTURE AND PLANNING SAN DIEGO -SAN filA?iOMTRANSMITTAL .55. HDTfk caat� s, s iti�� sed atr6c► CA aetRB P.81? 297.913 � f. 819.24a.W �-SEPA.CaM r Peter Bsandow lief Brandow & AssoCiates 20301 S.W. Birch Stye, ft. 102 Newrpmrt Seeach, GaEfo ie 92EM F��sa Wfilce.Ashor COPY To file via Jaz: 949 261.6054 (5 pages) PROJUcg Komr Desert Ureter »Frau Site DevetOpmerd MMD -USE Pg3®.9e0s Ego, $0r>12 A-01 mwiTAurr Re t EDUCATION AbxAed is one copy of tate foilowitt_g SubmKta Sul=mittal Q276c0. .'t t►tled "`Sete Cancmt�s Mix Desps gar Iight.. a curbs, gurs and walks" for your review aM comment Please rWew for waft arkd herdsmPe. Civil vAll review for curb & gutter and SGPA w1H review for light Pole bases. Please fax back comments with submittal stamp, on or before t cWber 18, 2007. F:12612'D812d49�'I�D-011S�Ce�-XrM�C t.� T.nn/ T/1 (1 n' 7C3170 . tWT')f%CC47 M/1R ATFT R 1z4T4S annnTn�a sd r�•rT rnno•cn �'�r. I Oct 05 07 07:35a From: Rdb rlsWs 2SURM-U 0 To: J2tffi • .• Orate. a MWT rrnr_ 624,M Ab ROCK* SAND 'BASE MATERIALS READY W CONCRETE p.3 faax 2 or 2 ?,q L) e, rylen-l-� 4*mrlN6 Daft: 6&7fM7 be yYhtm Cancriew Aft ' � Gc56t+tB3! 7ofal kfioc 1� projea Job # 1516 Kmmw DesM Ceuftr @ 79783 WYllf- La Qrekaia 3qr 1 cmbacbr scam coma to yw Bakh Wt Des=fpbw.l 560 C 3250 Voom S&R„gtf, (rc)- 3250 psi W/C laf 0.57 Slump: 4- Sack Conbat 596 sk Atex Size ofAgg.: 1 - Gattic.: 6.38 plow Types: Boom pts w u a wf.: 14&6 AULdMCREMISAHZED ARM H�f t Alf AOCOMANC.F WM ASM G94 Sand Aq_gn�at8 are SSD.' A,foisttxe in lkcrsf be yYhtm 112' 95 7ofal kfioc 1� GRA12ATICWS V4' 7 i2' 3 3qr 1 1WXDESIGN PROI ORTIOX No 8 0 Bakh Wt %med SpL Gr_ Voom conmenm 46 560 1GO 3-15 285 Cemer►t (ASTM C-150) Ry Asii-Clew F (AS TU C-618) 1 0 0 Z33 0.00 Sand 3!8' 1348 44 2.62 8.25 9 12' x 3/4" 100 0 0 267 0.00 Vx#4 0 1425 46 Z65 862 3rx198 100 310 10 265 1.67 waitr 38.0 gW. 60 316.5 18 5 2 107 EF& ed Air 1-25% 100 109 98 96 0.34 IAIL= 1 45 3959 27 vcE = 27.00 3 1 S+ae 1117 3b 0 2' 10D 112' 95 AGGREGATE 1' 33 GRA12ATICWS V4' 7 i2' 3 3qr 1 Ab 4 0 No 8 0 Na 16 0 Ab 30 0 No 50 0 AID 100 040 200 I 00 1' 46 10tt 10 95 70 38 12 1 0 0 0 0 0 0 3!8' 10 100 100 100 10D 100 96 18 2 1 1 0 D 0 KCS 44 100 100 100 100 100 100 98 80 60 39 18 5 2 1hm -d 100 100 109 98 96 71 59 1 45 35 27 17 8 3 1 Sand Some : Ra6erhma's Cahawn Rack Source : PkoefbanS Cabawn Cement: Pbknd Ctmnml Type HN Fly Ash : CAm F (451) 695-2200 ext 3&0 P.O. 1ki tnsel ASTIW G33 F --d S590-*LL-ZS6 eTTTA eT^110 ess:so 40 co 130 Oct 05 07 07:35a • p.2 ROCKR Oif MIX CONC.REn C�53► bb to ODIC Date: lOIV2W7 °1b 2' ' care*_ Mir 0. 82241 prpjs Job # 116 Komar Dt-wrt Center @ 79783 ii{I Y i t i - La Guilyga Nb 16 Contractor South Coast Const NO 50 i NO f00VO2W Description: 3000 psi PumpiPiacae.kfix 0 '100'.1', (pc): 3000 psi MV/C tatia: 0.65 7 1 slump: lump: 4 e Sack Content: 5.00 Sk Max. Sfze o1 Agg.: 1 At GaUsk.: 7.34 0 Plump Type: Tradter pump or 3' Fine flet. Wt: 146.2 O ALL, (XWCRE7E IS MD(ED AND QED WACCORDAMCE t+l/ HASTUC 94 Wergf9s are SSD; Mlotom b Aggregafes Must be CwmVered Wirers Deearmining Tota/ W Water 160 = .95. MIX DESMGM PROPORTION 38- Cortfe>e 1 8atctt VW. %used . Gr. Volume D 0- 0 Comeig (ASTM Ir, 150) 318' 392 83 3.15 1.919 Fly Astr-CYass F (ASTM C-618) f00• - .78 17 2.33 R54 ggr� 18 ' 1572 50 2.62 S.62 1-1/2°x3/4° 0 O O 2.67 0.00 P"x #4 . 5'0 • 1250 39 2.65 7.50 3/8° x #8 100 350 11 265 212 Water • 36.7 gal. -Be 305.7. 4.90 Ef&appedAir `, 1.25 7 2 0.34 y = 1w 3-948 Vol. = 27.00 ADMDCMRM . 76 65 52 Eucon NW (ASTM G-494) 3.0 ozlc t 1 36 14:1 az 10 Sana Sourae : Robertsons Cabawn n64* Source: RObermowv Caba" CezxW : ftnWW Vwrent Type JW Acclimates meet ASTM/ G33 (951) 695-2200 ext 381 200 S Mann St, Ste 200, Corona Ca. 92882 200 S_ Main St.; Ste. 21DO • Caron, CA 92882 P.O. Box 35M - Corona, CA 92878 -MO (951)885-2M0 • (M) 834-7557 • Fax (951) 493-64M 2-d SS90-bLL-IS6 eIILA ei^TIO ess=60 LO co sot) °1b 2' ' } 1%2" . AGGREGA Ti= UH#WA 1 rUMb Ja 314` -1!2'- 390No4 NO 8. Nb 16 .ttfa30 NO 50 i NO f00VO2W 1. 0 '100'.1', 95 33 • 7 1 3 1 0 .0 0 0 0, 0 O 160 = .95. 70 38- 12 1 0 0 D 0- 0 0 318' -11 1010. -100 f00• - 100 100 •96 18 ' 2 1 1 0 0 0 wCS . 5'0 • 100 1010 100 100 100 1010 99 -Be 72 53 20 7 2 100 1w 100 96 88 76 65 52 44 1 36 27 10 4IM 1 Sana Sourae : Robertsons Cabawn n64* Source: RObermowv Caba" CezxW : ftnWW Vwrent Type JW Acclimates meet ASTM/ G33 (951) 695-2200 ext 381 200 S Mann St, Ste 200, Corona Ca. 92882 200 S_ Main St.; Ste. 21DO • Caron, CA 92882 P.O. Box 35M - Corona, CA 92878 -MO (951)885-2M0 • (M) 834-7557 • Fax (951) 493-64M 2-d SS90-bLL-IS6 eIILA ei^TIO ess=60 LO co sot) Oct 05 07 07:366 • • p.4 B min ch eristics: Footings and Grade Read I. i jwdmum Aggregate Size: 1-112 inch 2. C=pvwive Strength: As shomam an structurMl dnwinge 1 3. Stump: 3.5 inch maximum 4.. Wain - Cernerd-Ratio: 0.60. C. Affix Characteristics: Saabs.on-Grade: Concmte Roors 1. Matm am Aggregate Size: 314 inch, low Shrinkage 2. Compressive SVengltr 4,000 psi rnlydrrrrmr - sWersedes structural rairemnt; for purposes of achieving dense concrete with lows water vapor erniakris per resent flooring manufacturers and tenard, criteria. ,3. Slump': -3.5 iroch maitimum 4. Water -Cement nt Ratio: 0.45 D. Mix Chwacteds+li= Exposed Waw, Colmms, and Exposed Golwnn Base Components 1. Mmdmum Aggregate Size: 1 inch maximurrL Provide aggregate size as necessary ..to comply with ACI Standards for reirrlordnq spacings tar size, and form (2. Oomptessi m Strength: As shcwn on dravaings, mininuir t 3,000 psi 3. ' Slump- 3:5 inch maximum 4. .Water Cement Natio: '0.60 maximum 2.17 OTHER PRODUCTS A. Provide 99 other products necessary foreomplete installation and operation Such products shall be subject to the rebiew of the Architect. PART 3 - EXECUTION 3.1 SURFACE 00NDMONS A. Inspection 1. Prior to irk tion of concrete, tare%lly inspect the installed work o` ail other trades and verify that all such work is complete 10 the prism where this installation may property commence. KOMAR DESERT CENTER — SITEWORK & BUILDINGS A -P 8 H 20612-A/D/1-I-01 CASTAN-PLACE CONCREM BID ISSUE DATE: klay 16, 2807 03300-9 i tp-d exAti0 e0ozol La £D ;00 Oct 05'07 07:36 ' • • p.5 Marg 22,2W6 -16- File No.: 07762-02 06-03-821 The CBC seismic coefficients axe based on scienf& knowledge, engineering judgment and, vomptasaise. If finthror Edon an seisatic design is needed, a c pvababilistic seismic aaaiyskshould be eoadw t The intent of the CBC laterfarce regairements is to provide a structural des9gi d= will resist collapse to provide remonable life safety from a major earthquake, but may experience some snicuavl and no al damage. A Omdsmental tenet of seismic design is that inelastic yielding is allowed to adapt to the seismic dexond an the structum In other words, dwaW is allowed. The CBC lateral force tequaemexrts dmnid be considered a r unhnam design. 71= owner and the designer should evaluate the level of risk and peafomtance that is ac=Fftbk. lPerforrnance based criterin could be set in the design. The design engineer should exercise special care so rhes all components of the design are fully met with attention. to providing a continuous load path.. An adequate quality assurance and control program is urged dining project construcdon. to verify that the design plans and good constr t=on practices are follo%vd. This is especially huportant for sites lying close to the xnTor seismic sources. 59 PaversenU Since no haffic loading was provided by the design engineer or owner, we have assumed traffic loading 6or campaxative evaluation. The desW engineer or owner should decide *&e appropriate traffic condiiti ms for the pavements. Maintenance of proper drainage is necessary to prolong tate service rife of the pavements. Grater should rot goad an or t►eaa paved areas. The following. table provides our recommendations for pavemeew sections. RECDNIlJENn PEI AVER CTIONS 1- Value Suberade Soils - 50 fas uned? �-tigm Method—CAL3RANS 1995 1Vatas: i.Asph3 tie cm - -' shoard be Cah=rzi Type B,12rn.ar 314 -in. gang aad'oon pasted to a m®amnm of95,b of&e 754dow Marshall deasity (ASTM D 1559)or equivalent 2. Ago tgate bm Should be Cftm Cbm 2 (314 he. It Wmum) and mmpscted to a micimm2t of 95% of ASTM D1557 « aximaem dry density Drat its codwi n maistum 3. A8 pavaneM sizauld be placed an 12 laches ofmchftte-con Boned to a adnbnaa: of 90% ofAStM D 1557 mmdmvm dry density near its 4.P artlsad opt aoncrctc should have a etioianrm OF(Gicwhook) pn ave stag& @ 28 days. s.ivgttivalettt lard Spewt aCnas fenFvb$c W may be used h�dcfCaltrmms sp ditedom for asphaltic aoacrete andaggmgate base. EARM SYSTEM SOLTf1i5t M S -d 9990 -*LL- TS6 eTTTA ei^'tt0 eGO:OE LO ED 1-00 Flexible Pavements Rifid Pavements Aspbattic Aloe Portlamd Aggregate Traffic Concrete Base Cement Base Index Pavement Use Third n= Conc zw Thickness (Assumed) clues cher cbes 4.0 Auto Parking3tails 2.5 4.0 4.0 4.0 5.0 Drive Lanes - 3.0 4.0 5.0 4.0 7.0 Semi Truck Drive Lanes 4.0 4.5 6.0 6.0 N/A Traslx.Tcuck Areas NIA NfA 8.0 4A 1Vatas: i.Asph3 tie cm - -' shoard be Cah=rzi Type B,12rn.ar 314 -in. gang aad'oon pasted to a m®amnm of95,b of&e 754dow Marshall deasity (ASTM D 1559)or equivalent 2. Ago tgate bm Should be Cftm Cbm 2 (314 he. It Wmum) and mmpscted to a micimm2t of 95% of ASTM D1557 « aximaem dry density Drat its codwi n maistum 3. A8 pavaneM sizauld be placed an 12 laches ofmchftte-con Boned to a adnbnaa: of 90% ofAStM D 1557 mmdmvm dry density near its 4.P artlsad opt aoncrctc should have a etioianrm OF(Gicwhook) pn ave stag& @ 28 days. s.ivgttivalettt lard Spewt aCnas fenFvb$c W may be used h�dcfCaltrmms sp ditedom for asphaltic aoacrete andaggmgate base. EARM SYSTEM SOLTf1i5t M S -d 9990 -*LL- TS6 eTTTA ei^'tt0 eGO:OE LO ED 1-00 Oct 05 07 07:37a CAR 5TO. 6AW. STrm (AM MILLED GGATs yEa.mI QAIWT) �_L,GFE (,dl4G.BASE t GtViL 09 00W �,GONc: �oTIN6 • • ,m® JL L- SCME. 3/4=1'-0' AUESSOM RAW a�G voigsuft L 18 I-V+T Pa -E S ATTAfiFiP4W 1. C04C fTE FOR POLE FoonN65 SHALL M NORMAL M16HT, KTH 5am ELEG'T. VMS. 3-e TIES CgyFAr_K t#ZXR : i&+Tpoi m Pi AlE —P��7 9 i�►t�G 3. 1'2�PlF�JR!.If36 51 :3 SHALT =YMM TO ASTM MIS FIN151i EXPOS D PORrIOR 5MOM 5RA:7P 40. feDEVROWS BAR SITS *4 MV LAR61t SHALL O' D" TO EDGE —C=. 9MV — 64LV. AN-eM DOLTS t LEVRAS- Tie 5T FARIMS BIR P. + 1 311T�a mulsw w FaE m - { I i FINISH TO y4ATGH �SI5Tt�46 5. MVIVE SOi ZMW UMM TO rL MIRATE TG.E SPPJA L ;.EFTS, T1"r'. t II I L16K POLL BASES I i t 03 TT5 0 8° O.C. 1 g 'ir T l 1 Li ' S I I E I I �T}NG1U1 AGS PAMMS + 4 a - � ism occ4R .S) rpm i — r _ ELECT. VMS. FOR COX= '4o `r- 1 * VDZT. EM SPACM t T - ,m® JL L- SCME. 3/4=1'-0' AUESSOM RAW a�G voigsuft L 18 NOTES: 1. C04C fTE FOR POLE FoonN65 SHALL M NORMAL M16HT, KTH A6GW:6ATM GJPrrOWN& TO A -M CM AND Tf W UZQ49kllf,— AMP MAYE A t-tiPilF4 H GONE 5TRE"TR f -3Da0E AT 28 OR 15 —P��7 9 i�►t�G 3. 1'2�PlF�JR!.If36 51 :3 SHALT =YMM TO ASTM MIS Dbr�x 5RA:7P 40. feDEVROWS BAR SITS *4 MV LAR61t SHALL O' caf�C M TO ASTM 850 6RADE 60' —C=. 9MV S. LOCATE ALL SM FOL.ETOP Fl.CrLgO B 50 TMT TF$Y LINE UP }i Tie 5T FARIMS BIR P. ALGI=SME RAf4r' 4. ? 6f1 -E IN �14TiAl. llt�lSTU�.�D 501E APIdOYED �- OGU�9 C:0WAGTF]7 FELL. �2 / 5. MVIVE SOi ZMW UMM TO rL MIRATE TG.E SPPJA L ;.EFTS, T1"r'. oellIA ett%zlo M. sin uio4T6clruoFsk- w oso Sm oin.,CA 921W 6 9-Mot3l �7 $ CorfRIGKSGPA 2W MorEcr l.o. 20612-A.ot DATE MUSD oln 1IW1 00 SET 031141W BIDG. DEPT. 05nolcv RESuBNOTAL 1 i i eTo=OT LO i O 130 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Type Of Work X INSPECTOR TECHNICIAN. .. SSW ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 2DD San Diego, CA 92108 ENGINEER: Malek Engineers. Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 INSPECTION ADDRESS: 79$35 Highway 111 La Quinta, CA Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 AVAILABLE: • SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS [NJ FOR WEEK ENDING 1110312007 PR0145= JECT NCO - CT Build ing REPORT NO. 1 PG 1 OF 1 PLAN FILE NO. IPERMIT NO. 07$21 PROJECT NAME: Komar Desert Center ADDRESS OF PROJECT: 79-835 Highway 111 La Quinta. CA REPORTING REQUIREMENTS: tCBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS• 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 WELDER: Felipe De Jesus Cardenas CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hangers on line E/4 to 5 and E/7 to 8 on the roof level. STRUCTURAL NOTES, DETAIL, OR RF1S USED: REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: HOT TEMPERATURE: 83 Deq, F (PER APPROVED PLANS) SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: 9:00 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: PERCENT PROJECT COMPLETION: 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. j (U-6 Signature /lfJ� �Z ,o '� 0849264-85 ICBO Certification Number Steve W. Bodnar -,^ --- City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORATE 2992 E. La Palma Ave., Suite A F . > 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 Type Of Work X INSPECTOR TECHNICIAN. .. SSW ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 2DD San Diego, CA 92108 ENGINEER: Malek Engineers. Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 INSPECTION ADDRESS: 79$35 Highway 111 La Quinta, CA Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 AVAILABLE: • SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS [NJ FOR WEEK ENDING 1110312007 PR0145= JECT NCO - CT Build ing REPORT NO. 1 PG 1 OF 1 PLAN FILE NO. IPERMIT NO. 07$21 PROJECT NAME: Komar Desert Center ADDRESS OF PROJECT: 79-835 Highway 111 La Quinta. CA REPORTING REQUIREMENTS: tCBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS• 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 WELDER: Felipe De Jesus Cardenas CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hangers on line E/4 to 5 and E/7 to 8 on the roof level. STRUCTURAL NOTES, DETAIL, OR RF1S USED: REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: HOT TEMPERATURE: 83 Deq, F (PER APPROVED PLANS) SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: 9:00 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: PERCENT PROJECT COMPLETION: 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. j (U-6 Signature /lfJ� �Z ,o '� 0849264-85 ICBO Certification Number Steve W. Bodnar -,^ --- City Of La Quinta Print Name Date Of Report City / County Certification Number CORPORAT San Diego /Imperial Count Inland Empire. 2992 E. La Pal ve., Suite A 7313 Carroll Road, Suite G . 14467 Meridian Bldg. 2A Anaheim, CA 92808 San Diego, CA 92121 Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax 858.537.3990 Fax 951.653.4665 mm n REPORT Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT. SGPA Ardriilechue and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 AVAILABLE- SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) FOR WEEK ENDING 11/0312007 PROJECT NO. 2145CO2 Building = C ENGINEER: Malek EoghIMS, 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. PERMrf NO_ OT$21 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 82220 PROJECT NAME Komar Desert Center INSPECTION ADDRESS: 79-835 Highway 111 La Quanta, CA ADDRESS OF PROJECT- 79-835 Highway 111 La Quanta, CA REPORTING REQUIRMENTS: ICBO FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING VMS. AND RFIS, 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 WELDER James Anderson CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINE: Miller 301D I AREA, GRIDLINES, PIECES OBSERVED: , Completed welding of the 3/4" diameter threaded studs to the east and south faces of the tube steel column on line 1/F.1. STRUCTURAL NOTES, DETAIL, OR RFS 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: 7:00 AM SITE TIME FINISH: 8:00 AM LUNCH PERIOD: none TRAVEL TIME:. /` RIFTED BY I 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 I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING ODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 7 Signature Steve W. Bodnar 11/16/2007 Print Name Date Of Report 0849264-85 ICBO Certification Number City of La Quinta 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 REINFORCED CONCRETE AVAILABLE REPORTS APPROVED ( Y) (N) PLANS SPECS SOIL SHOPS (Y) (Y) (Y (Y) II HAN-4U 11;!'. 1 SGPA FOR VTDEK. ENDING 1 10/06/07 I PROJECT NO. 2145 ENGINNER MALEK PLAN FILE NO. CONTRACTOR THE BERGMAN COMPANY PERMIT NO. BLDG "B" 07- 820 & BLDG "C" 07-821 SUB -CONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS BLDG'S `B" & "C" ADDRESS OF PROJECT 79 — 825 & 79 — 835 HWY 111 LA QUINTA 1it':1'CJ It i- Krt�ustz�:ivsi-:N-3.5: 1L1 O r11;LD INSPEC 1'1ON MANIiA1.JMTGI. 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): 180 cubic yards of 4500 psi concrete from Robertson ready mix, design # 62121A A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT / MAN POWER USED: 39 meter boom pump, laser screed, mechanical vibrator, 20 men AREA, GRID LINES, PIECES OBSERVED: Concrete placement A between grid lines 1 & 2 to 8, A to F, except (a, space C 1 between lines 1 to 4 & D to F STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, 83, SD.1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for monitored placement & consolidation of 180 total cubic yards of 4500-psi concrete @ areas noted above Note: # 1, slab reinforcement was raised on adobe's and pulled up to mid -section of slab during placement # 1 from load # 2, ticket # 5653458, slump @ 3 '/", concrete temperature @ 79°, locations�)a s.o.g. line A — between 3 to 6 # 2 from load # 13, ticket # 5653477, slump RA", concrete temperature 181°, location [a s.o.i/. line 7.5 — between F to D WEATHER: Partly cloudy, windy SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, t c I �l SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: TRAVEL TIME: 12:30 PM I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT TE# ' WORK COMPLIES WITH '.I SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODE ' UNO SIGNATURE: pt PRINT P1A. TlNTT A T T1 11 ATTTT M ([, : 11V1V 111 ,L Jlvu 1 ri FRI: 10 / 05 / 2007 Date of Report ICBO Certification Number: 1037223-84, 88 City / rn.mty 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 REINFORCED CONCRETE AVAILABLE REPORTS APPROVED ( Y ) (N) PLANS SPECS SOILS SHOPS (Y) (Y) (Y (Y ) ARCHITECT SGPA FOR WEEK ENDING 10/06/07 PROJECT NO. 2145 07 ENGINNER MALEK PLAN FILE NO. CONTRACTOR THE BERGMAN COMPANY PERMIT NO. BLDG "B" 07- 820 & BLDG "C" 07-821 SUBCONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS BLDG'S `B" & "C" ADDRESS OF PROJECT 79 — 825 & 79 — 835 HWY 111 LA QUINTA n r.rvici cccl1uitca1Vm1V In: 1Li J f'LCLL llVJYbL11VN N1 .NUALJM1-tiL BULL 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): A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT / MAN POWER USED: AREA, GRID LINES, PIECES OBSERVED: .STIIaI URAL NOTES, DETAILS, OR R.FiS USED: REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for slab on grade To the best of my knowledge, verified sand sub -grade to 4" below finish floor with laser [u, 4 square foot intervals WEATHER: Clear SAMPLES TAKEN: TT`h RilT`n 'TTmf. n,_ nn,_ inivirnicrtiunn. oV S-7V S SITE TIME START: 2:30 PM SITE TIME FINISH: LUNCH PREIOD: TRAVEL TIME: T Tl/l C E D TTT V TTT A T T T T A x m nT m Tr`c,T OT:l1T Tm T.T. tcu1 nc�uu�cu. 3:00 PM VERIF SONALL Y OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT MPLI TII TH SOILS INVESTIGATION RECOMMENDATIOl AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF HE BUILDING CODE UNO SIGNATURE: PRINT NAME: DONALD SMITH THURS: 10 / 04 / 2007 Date of Report ICBO Certification Number: 1037223-84, 88 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 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 30=DA Y TEMPORARY Certificate of Occupancy EXPIRES JUNE 09, 2008 T--dy 4 4 Qakz 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: 79-835 HIGHWAY 111 (BUILDING"C") Use classification: COMMERICAL Occupancy Group: B & M Owner of Building: KOMAR INV Building Official Type of Construction: TYPE V-N Building Permit No.: 07-821 Land Use Zone: CR Address: 23 CORPORATE PLZ STE 247 City, ST, ZIP: NEWPORT BEACH, CA92660 By: STEVE TRAXEL Date: MAY 09, 2008 TYPE OF WORK ARCHITECT 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. 92I2I Tel: 858.537.3999 Fax 858.537.3990 REINFORCED CONCRETE SGPA ENGINNER CONTRACTOR SUB -CONTRACTOR MALEK THE BERGMAN COMPANY TIDWELL INSPECTION ADDRESS BLDG'S "B" & "C" AVAILABLE REPORTS APPROVED (Y)(N) FOR WEEK ENDING PLAN FILE NO. PERMIT NO. PROJECT NAME REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANt7AVA4TGL SOIL MANUAL THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT.,, FILL UVIEW T AND ATIOUS TACH A DRTS EFICLIENCY 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): _ 110 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A 9/29/07 PLANS SPECS SOIL. SHOPS (Y) f Y} (Y) f (Y) PROJECT NO. 2145 0 BLDG `B" 07- 820 & BLDG "C" 07-821 KOMAR DESERT CENTER _ A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT 1 MAN POWER USED: Mechanical vibrator, 10 men AREA, GRID LINES, PIECES OBSERVED: ADDRESS OF PROJECT 79 — 825 & 79 — 835 HWY 111 LA QUiNTA Reinforcement inspection, anchor boll, hd's & concrete placement — perimeter building footing C grid lines 1 & 2 - A to F, line A - 2 to 6, line 6 - AtoD, line D-2to8,1ine8—DtoF,line F-1to8 STRUCTURAL. NOTES, DETAILS, OR RF1S USED: Concrete & masonry notes & details on sheets S I, 52, S3, SD.1, SD.2, 8113, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice Tap, spacing & clearance for perimeter building footing and interior spread footings, also monitored placement & consolidation of 110 total cubic yards of 3000-psi concrete @ areas noted above Note: # 1, verified ufer ground cable in footing g line D - 7 to 8 [Note: it 2, cotitraci r res`15 asi' ie for all dimerisioi , atichor bolt & noidown ray -unit `Note # 3, Toad # 7 reiected due to temperature over 90° & time over 90 minutes # 1 from load # 2, ticket # 5643889, slump (u 3 W', concrete temperature f 79G, locations A perimeter 1tg's lines 1 & 2 — between C to E # 2 from load # 8, ticket # 5643938, slump ( 3"_ concrete temperature (ris 84°, location . grid line 6 — between F to D WEATHER: Clear TEMPERATURE: 60's — 70's SAMPLES TAKEN: 2 sets of 4 concrete TEST REQUIRED: Slump, temperature, f'c SITE TIME START: 6:30 AM LUNCH PREIOII I DO CERTIFY THAT I HAVE PERSON INVESTIGATION RECOMMENDATIO SIGNATURE: PRINT NAME: DONALD SMITH ti SITE TIME FINISH: 3:30 PM LY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS OM AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES,LS III0 THURS: 9 / 27 / 2007 Date of Report ICBO Certification Number 1037223-84, 88 City / county Certification number: Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 TYPE OF WQRK '71 INSPECTOR ARCHIT�1j1`-C1C]rr/' ENGINEER , r l n CONTRACTG SUB-CONTRAC OR tI INSPECTION ADDRESS Ytts b San Giego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT ❑TECHNICIAN 79-Bl�i ' l�— -AVAILABLE: SOIL REPORT(Y)(N) APPROVED PLANS *N) FOR WEEK ENDING REPORT NO PLAN FILE N0. PROJECT NAME ADDRESS OF PROJECT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 SPECS APPROVED SHOP DRAWING (Y) (N) PROJECT. NO. PG OF PERMIT NO. f(tc.,_--3 ,rj ta(x+r►g , icen txt T 5 c C REPORTING REQUIREMENTS: ICBO FIELD 1NSPELYi4V MANUAL/MTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE 1S NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., 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 REPORTS. MATE'USED BY CON CTOR (INCLU Psi , E RESEARCLf REPORT NO. OR MATERIAL TEST REPORTS: CONTRACTORS EQUIPMENT/ MANPOWER USED: g 2-4 i C' C-'- - s . gOc)o AREA. GRID LINES, PIECES OBSERVED: ^ (IL �r QVj [ LJ Nt Ilts UJCA \C. L&j (1. S STRUCTURAL NOTES. DETAIL R RFIS USED: LAII 1z • z Que4-:, k L �� a e L<7 ca-.4co n S -r 7G 4 ) 2,3 - aii-S REMARKS, INCLUDING MEETINGS: se,bse-f-vf[a.C.4 ei --5- L Ganr- hi)pro t cf. 4,4 9aee- fl C ' _C-1- k I REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: ` SAMPLES TAKEN:0) 5�j / 0.( ( WEATHER: @Wectr-- TEMPERATURE: ge:)-90 TESTS REQUIRED: iv- TS sit n e SITE TIME START 81 LUNCH PERIOD: SITE TIME FINISH. TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSON OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVE' ' V N PECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT igna 1[� Prins Nam ((/ re 6'7 5251° s/- 4'7 Date of Report ICBO Certification Number City / County Certification Number Rev: 7/97 Type Of Work SSW 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 X INSPECTOR TECHNICIAN ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego. CA 92108 ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg- B Banning. CA 92220 INSPECTION ADDRESS: 79-825 Highway 111 La Quinta, CA AVAILABLE: APPROVED PLANS (y) FOR WEEK ENDING 11/0312007 REPORT NO. 1 PLAN FILE NO. SOIL REPORT (Y) (N) SPECS. (Y) APPROVED SHOP DRAWINGS (N) 1 PROJECT NO. 2145B02 Building - B PG 1 OF PROJECT NAME: Komar Desert Center ADDRESS OF PROJECT: 'PERMIT NO. 07-820 79-825 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: !CEO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY. OR MISSING MTRS, AND RFIS, 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 WELDER: Felipe De Jesus Cardenas CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hanger on line 4/B to C on the roof level. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE 83 Deg. F TESTS REQUIRED: SITE TIME START: 11:00 AM LUNCH PERIOD: none SITE TIME FINISH: 12:00 PM TRAVEL TIME: PERCENT PROJECT COMPLETION: I 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 , r - r) Signature Steve W. Bodnar Print Name 0849264-85 ICBO Certification Number City of La Quinta Date Of Report City / County Certification Number Type Of Work SSW CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego f 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 X INSPECTOR TECHNICIAN ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego. CA 92121 CONTRACTOR: The Bergman Complies 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning. CA 92220 INSPECTION ADDRESS: 79-835 Highway 111 La Quinta, CA AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS [N] FOR WEEK ENDING 11/03/2007 REPORT NO. 1 PG 1 1 PROJECT NO. 2145CO2 Building - C PLAN FILE NO. PERMIT NO. 07-821 PROJECT NAME: Komar Desert Center ADDRESS OF PROJECT: 79-835 Highway 111 La QunLa CA OF 1 REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL 1 MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND USTS IF THERE IL; NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING PAIRS, AND RFIS, 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 WELDER: Felipe De Jesus Cardenas CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller 301D AREA, GRIDLINES, PIECES OBSERVED: Completed welding of the metal joist hangers on line E/4 to 5 and E/7 to 8 on the roof level. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEE77NGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 83 Deg_ F TESTS REQUIRED: SITE TIME START: 9:00 AM PERCENT PROJECT COMPLETION: LUNCH PERIOD: none SITE TIME FINISH: 11:00 AM TRAVEL TIME: ,VERIFIED BY I 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 1 OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Steve W. Bodnar Print Name � �// c'67 Date Of Report 0849264-85 ICBO Certification Number City of La Quinta City / County Certification Number Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 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 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK _ kfNSPECTOR El TECHNICIAN ~ r AVAILABLE: SOIL REPORT (Y) (N) SPECS {1 .4';] APPROVED PLANS (tN) APPROVED SHOP DRAWING (Y) (N) ARCHIT T �j (,� i„C FOR WEEK ENDING PROJECT. N0. z,ci f4�c -2, ENGINEER fAltitk.? REPORT NO. PG OF GONTRACTOn PLAN FILE NO. ' PERMIT NO. SUB-C ACTOR/ PROJECT NAME t. INSPECTION AO RESS AODRE OF PROJECT }"' REPORTING REQUIREMENTS: ICBO FIELD I.NSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, 1S CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALA. ED BY CONTRACTOR (INCLUDE RESEARCH REPORT N . OR MATERIAL TEST REPORTS): t - f : F. ,i'f' -ki r 7 •.. ' r �rVti ----- j C•2-I ,,`�r�� i� ( 1 IS, f ' `1:n i f - .ka CONTRACTORS EQUIPMEF, TMSAN USED: 7►`� A i41;/". �Ij IC 1 La L - ree[ j , AREA, GRID LINES, PIECES OBSERVED: . e (� � I.0 k: - 0 • 67 % V -? Iz ` 1 STRUCTURAL NOTES, DETAIL OR RFIS USED: REMARKS, INCLUDING MEETINGS: ` r cos k S.17 rU c L etc r? M C rr1- OF" -ik' f n r, INN L 1 l- J350cc.— t�41 C7 A -O/C - Q- LdCa.4-eaS Cat mi cA✓C . d��f«r �ri1 .M 5C C (fir o►C•tr! Or C 5 G�-e4 g I e-iaAy , 4 /( G./ a P ( r if c4(5 ,� �e Co y+�(r►+�ti o� d p ra trc� ,/i (orl S c/J WOR REA5 PE OF ALL WORK TODAY. PERCENT PROJECT COMPLETION: WEATHER: ( (e , C SAMPLES TAKEN: (2 \ C ,% e 01 E ( 1 ( p 2_ c, `,' { TEMPERATURE: %.- y �l TESTS REQUIRED: `ref J 7 ll 'a / l3 l V SITE TIME START: L&.. SITE TIME FINISH ( 2 '• 00 LUNCH PERIOD: 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 SOIL INVESTIGATION RECOMMENDATIONS AND / OR THE ' P'' OV• PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report el ICBO Certification Number Print Name City / County Certification Number Rev: 7/97