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9706-152 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp: Date 3 /7- r i r Date. 2Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the,following reason: ' ( ) .1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for , sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I arr exempt under Section , B&P.C. for this reason Date Signature of Owner 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. : tjl!) 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 & policy no. are: . Carrier Policy No. N" r t'{ti K"d. e�xtli r (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I sliall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become �§ubject to the workers' compensation provisio s of Sectlon,3700 of the Labor Code, kshal fo¢ wj s h comply with t e provisions. a Date: ?11 %1 Applicant d � t Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. ` IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. ' 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. b certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building (Instruction, and hereby authorize resentatives of this City to enter upon the above-mentioned propertyfor inspection purposes. A- Signature (Owner/Agent)'A�i /t-�'t:. Date; BUILDING PERMIT PERMIT#Cy �1_4157L/ DATE �Sf." VALUATIONg#gyp ��¢ LOT 5 TRACT,; JOB SITE ADDRESS J�3i%j}.1��"i� if.�.�r�Y!riT.ii A�t , t i3 ,�bU ` t OWNER - CONTRACTOR/DESIGNER/ENGINEER , 'RANCHO CAP"�"f`iy�.'NQ ;'.t;� l_4111 `}35iti� '1\rr Fi$'i:. )1 i~N"t_3`?'A .i a3 • 7%87 COU1ti`''1'RY CLU9 Di, Sr` 01 &N NTA MAW ,& CA �%rt%q BERMUDA .4;1�. tfNES CA, 92101 fy USE OF PERMIT MID i a.[ a • x �ili1'� iota t�;a oVt t.iJt i .a ):.tal4l ;Fdt,i��' tai POOL. C6J:'', MVI r:;OIN "rEMa ON 2, 31 S, air s, AR,Af3fV :AI:tl OR'i A.UAi),itfa S:t .1+I; T1A':ri,;y`F.1) G`tL:ST 011? C-0N*Y sf RUCTION' ?3;n'tm."1, 14 �"�r�• ' 101000.418-400 Sf;i$)X:r pfi" N. r t•at•cx )stir:, 101-00-4394:318 SIJM,07 iqig.1aA'° S,[T -3750.00 M CHANT AA ''07-E, i 01 LOO X11 t -000 i 4 5.Z`ft.4F t14 :t a i�' 10,11--000-420-900 �0 7 t'1.1'1l;�'sf�ft� 1"0-'�;. i � � �!)t�U•�a 1'�(N3fi �)�.y.i1�� �i F, i -IRGINcr Ni 1' OT4 FEE, RI;" T) 10 t -000-241-000 $30.2,f •— G -RAO t G FEW' 01AND-423-000 820.0 225-000-443,342- S6.( k). t'3f► Gid A.ki' J(T4 PU�3f AC i?1.� �3 - RF.53 13 �t)t?; `�5-t}U i $ l?5. 1 C'7 Q i SUB:j?UEAL CONS -11( -NN &ND P1.•!+N C"HEUK, LES -3 P.&F-PAID FEE 4750.0 T 4 A.IU 'f) 4:41'.411T f!,,.trS,' :i 1JR NQ'0Ar ss.749.81. RECEIPT DATE BY DATE FINALED INSPECTOR i INSPECTION RECORD OPERATION DATE I INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs R11101V17 Underground Ducts Forms & Footings 4 4K Ducts Slab Grade Return Air Steel Combustion Air Roof Deck 11119141 Exhaust Fans 0. K. to Wrap F.A.U. Framing Compressor Insulation q 7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath i0 Final Final - - BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection _X - e Encapsulation Gas Piping Gas Test - ( 7 Appliances Final Final Utility Notice (Gas) -.2 3- _ ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final , Utility Notice (Perm) - COMMENTS: LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Li ense # Lic. Class Exp. Date 597975 B 7f31/98 /Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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. have and will maintain workers' compensation insurance, as required by S ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Cartier Policy No. STATE FUND 229-0003716 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) .I certify that in the performance of the work for which this permit is issued, I s all not employ any person in any manner so as to become subject to the rkers' compensation laws of California, and agree that if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions 'set forth on his 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 appficaton agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of'such permit, or cessation of work for 180 days will subject.permit to cancellation. c rtify that I have read this application and state that the above information is 7c ITect. I agree to comply with all City, and State laws relating to the building onstruction, and hereby authorize representatives of this City to enter upon he above-mentioned property for inspection purposes. rlLG' . BUILDING PERMIT PERMIT9706-152 CDNT5-825 r 8 2 5 DATE W27/97 VALUATION �J1Ifs � a mm LOT S TRACT 25397 y JOB SITE ADDRESS 55-M PEBBLE BEACH APN 769-6204M OWNER CONTRACTOR / DESIGNER / ENGINEER JEFF WHITE RANCHO CAPISIRANO DEVELOPMENT 2968 LORENCITA DR 79687 COUNTRY CLUB DR #201 SANTA MARIA CA 93455 BERMUDA DUNES. CA 92201 (760)34--7755 CBL# 1%9 USE OF PERMIT SFD SFD - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. CUSTOM CONSTRUCTION 3,534.00 SF PORCIOATIO 497.00 SF GARAGWCARPORT 1,030.00 SF ESTIMATED COST OF CONSTRUCTION 302,096.70 PERMIT FEE SUMMARY CONSTRUCTION FEE 1014)00-418-000 $1,350.00. PLAN CHECK FEE 101-000439-318 $1,091.07 FEE DEPOSIT -$750.00 MECHANICAL FEB 101-000-421-000 $85.50 ELECTRICAL FEE 1014000-420-000 $235.79 PLUMBING FEB 101-000-419-000 $182.00 ,STRONG MOTION FEE - RESID 101-000-241-000 $30.21 GRADING FEE 101-000-423-000 $20.00 INFRASTRUCTUREFEE 225400-443-342 $6,000.00 ART IN PUBLIC PLACES - RESIC 701-000-255-000 $305.24 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $9,499.81 LESS PRE -PAID FEES 4750.00 TOTAL PERMIT FEES DUE NOW $8,749.81 RECEIPT DATE I BY DATE FINALED INSPECTOR .x l.:y•' . r Building ) 0 Mailing C j ` Address 65/ b.��/��, irf4 6,�4 City C Fl– Zip JTel. 547P- Contlor Address o 779-16,ll9 ile00A W 6E.ya DA City izip _ Tel. P,Q. BOX 1504 78-495iALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T 'TTD(o -I APPLICATION ONLY BUILDING: TYPE'CONST. / OCC. GRP. A.P. Number - "76-�irQ''��_S Legal Description 401"'.S 774J.17"341 9 ProWL&rJ3tion State Lic. G City & Classif. �% f 7S'' Lia # A 6 5 u 3Cft..' Sq. Ft. No. Size Stories Units No. Dw. Arch., Engr., ,. �-„...::'.rrS:�•,r'a �M1� Designer �3 �„�SCe� 7d.��^ :., < , New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Cityf / ZipS'f tisC:'n e YIG.✓//J✓ - CA71 Lic.# �.��✓��"':.,.: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation o/ Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). l.: I, as oner 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does Such work himself or throu'his own employees, provided that such improvements are not intended or offered R,.,s&Ve 1pb, h waver, the building of improvement is Sold within one year of completion��,(pe•-t5wner-builder I have the, burden of proving that he did not build or improve for the p31 sale.) 111, as owner of the property, am excleslvely contracting with licensed o�tractors to con- struct the project. (Sec. 7094; �aiisiness and Professions Code: The Contractor's License Law does not apply to an owrrel of property who builds or improves thereon, and who contracts for such projects wA"16ontractorls) licensed pursuant to the Contractor's License Law.j I•^�}n exempt under Sec. B. & P.C. for this reason Date Owne,- ' WORKEkS' COMPENSATION DECLARATION I hereby affirm that I have a cedificdle of consent to sell -insure, or a certificate of G worker's Compensation Insurance, or a cert'1,ied copy thereof. (Sec. 380 Labor C.y_dg.1 Policy NoCk'X'13%din Company 'r/v<G C'OhY DLA-./�(� rl Copy is`(iled with the city:. ''•rJ Certified copy is herebyfurnished-'r a CERTIFICATE OF EXEMPTION FROM A WORKERS'.COMPENSATION4NSU RANCE t �(this section need not be competed it the pdinft is for one hundred dollars ($100) valuation or less.)^” I certify that in the perfbreance of the work. for which this permit is issue�,, hall not empley'any person in any manner so as to become subject to the W/orX&iompensation -^"LawsAot,Qalifornia. 'm Date Owner .�• NOTICE TO APPLICANT: If, after making t/11a eufi7iate of Exemption you should become subject to the Workers' Compensation _pro ions o/ the Labor Cotle, you must forthwith comply with such provision/!W-111'shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Estimated Valuation PERMIT AMOUNT Plan Chk. Dep.®'too Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Fear Prop. Line Side Street Setback from Center Line Side Setback from P-operty.Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: L WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISD� ` N CITY OF —QUJI 8�� A/. Coachella Valley Unified School District P.O. Boz 847, Thermal, CA 92274 (619) 399-5137, Ext. 235 This Box For District Use Only DEVELOPER TEES PAID AREA: AMOUNT: RCPT11: CK. q: QUM MrruLY: DATE: CERTIFICATE OF COMPLIANCE (Government Code 53080) Project Name: Date: Aug It _ 14- 1gg7 Owner's Name: Mir.3 CMFsi�:.Lide.ff2Whiiite Phone No. Address: " 55-300 Pebble Beach PGA West„La n„ i nta , CA 92253 Project Description: Single Fami 1 j Dwel l i nq APN: 769-620=005 Tract #: Lot #: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 3,534 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statementement under penalty of perjury and further represents that he/she is autorhized to signn b Mahe owner/developer. Dated: Signature: I tl/kAfkAArtlkltlkltftfetYAAA!lRltoftftRRftR7tAAAARlltlttitRAAAfIRftflAflRAlkRikARAfkltfk7tARiYfkflttAftRRfYrttt`JCftitlttRtt/kAARAAARRil/kAAlt SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING (CIRCLE ONE): Gov. Code Gov. Code ProjectAgreement Existing Not iubject to fee 53080/65995 65970 Approval prior to 1/1/87 requirement. Note: Number of Sq./Ft. Amount per Sq/Ft. $.". 1.84 Amount Collected S 6,502.56 By: Foch "Tut" Pensis, Assistant Superintendent Administrative Services Administrator in Charge _ „ ^, Certificate issued by: MarceIa Valdez Signature: N0710E: Section 66010 of the t;oven went Coda enacted as AmErnbly Bi113081, set forth as Chapter 549, Statutes of the State of Califotnia,19%effective late 1, 1907, reqT¢es that this scl d tnct 6Jide a wrtten notice to die project applicant at the tune of payment of school Res, mitigation payment or other exactions. 71tis notice is to advise you that airy protest it regard to such ammmts or tie validity thereof in a anew with Section 60010 of the Govermnen lode and other applicable law, commences with such payment or perfomhance of any other requiraue t as described in Section 66010 of the Cioverruuehr Code. AdditionaUy. this notice advises that the protest thereof must occur within 90 calendar days thereafter. Note: AB 2926 and SB 201 fees are capped at $1.84 per square foot for all residential construction, Lnd at $0.30 per square foot for commercial/industrial projects. Dev. Fees Disk: Ww Cert-Com.Sam. (REV. 1/97) ARCHITECTS August 15, 1997 TO: Rancho Capistrano Development Company RE: White Residence ATTN: Tracey Dale Dear Tracey, BBG Architects authorizes Rancho Capistrano Development Company to make over the counter electrical changes to satisfy the building department requirements. We will change the original vellums to reflect the modification. Any questions please call Sincerely, BB ARCHITECTS aA Marinkovichvich Director Production A BERKUS DESIGN STUDIO 26 CORPORATE PARK / IRVINE CALIFORNIA 92606 / 714/261-1795 / FAX 261-5515 / E-MAIL: BBGARCH@FLASH.NET .. 0820/97 12:07 PALM TO PINES -> RANC CAP OFFICE NO.365 902 PRODUCT DESCRIPTION ALUMINUM FIXED WINDOW FACED PRODUCT NAME WESTWOOD 250 NFRC RESIDENTIAL VALUES .49 LOW E/AIR - .39 LOW EIARGON .(SEE BELA)W COR COMMON GLAZING OPTIONS)' SPECIAL PRODUCT FEATURES ` UP TOl" INSULATED GLASS CUSTOM COLORS WINDOW WALL AVAILABLE INTERIOR GLAZED GLAZING OPTIONS' 1.J! ATER16R V..4ChW SPACE £,19E' oi? A.l RhSULT )TfaJAl, 07FS 1. US ' .764 AIR OS 61 2. DS .764 ARGON Uc .58 3. DS" LOW V .764 AIR. DS .49 .200 LOU' F ARGON 1/4'• .39 .041 1 -OW F.` CONSULTANT NOTES s lay- c�2 'THE OPTIONS LISTED ARE ONLY A SAMdPLE. THE ENTIRE MATRIX IS AVAILABLE BY REQUEST. HEGGE ELECTRIC CO. 6197756970 P.01 tic. A557902 RANCHO CAPISTRANO DEVELOPMENT P.O. BOX 980 LA QUINTA, CA. 92253 6-12-97 RE: WHITE RESIDENCE PEBBLE BEACH, PGA WEST RE: ELECTRICAL LOAD CALCULATION 3,534' 0 3 WATTS PER'= ........................ 10,602 GD.............................................1,500 DW...................................... ......1,500 MICROWAVE...... .............................1,500' SMALL APPLIANCE(2).................. ....••••••3,000 COOKTOP.................... ...................1,500 OVEN* .... o ...... ! ..............................8.000 WASHER .. .......01,500 DRYER........ ........ ..........0............5,000 POOLFUTURE ......................... ...4,500 LANDSCAPE FUTUR_E...............................3,000 TOTAL .. 41P602 1ST 1OKW @ 100%=....• ..................*•••••-10,00C REMAINDER @ 40%=.•••- ......•••s....s...*..•••12,64C A/C LOAD @ 100%= ....... 0 ... ..... 0 ... 00 ........ 191000 TOTAL LOAD ........ ... ..... •• .. to .......41,640 DIVIDE BY 240V=............... •-0.O••-0-.-- — 173.5 AMPS USE MINIMUM 200 AMP SERVICE UL -30-97 WED 17;23 July 30th, 1997. ESI FME INC FAX NO. 7142618506 ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS.. RANCHO CAPISTRANO DEVELOPMENT 79-16387 Country Club Dr. #201 Bermuda Dunes, California 92201 ATTN: Mr. Tracy Dals " RE: Roof Truss Calculations and Layouts on "White Residence for RANCHO CAPISTRANO DEVELOPMENT CO. (ESIIFME 597-8061 ) Dear Tracy: P. 02, Wehave reviewed the calculations and layouts'by BROWN & HONEYCUTT TRUSS SYSTEMS; INC., they appear to comply with the requirements of our calculations and the structural plans. The review of these drawings does not relieve the contractor from compliance with the.drawings and specifications. This check is only for review of general conformance with the design concept of the project. and general compliance with the Information given in the contract documents. The contractor is responsible for confirming and correlating all quantities and. dimensions, selecting fabrication process and techniques of construction, coordinating his work with that of other trades, and performing his work In a safe and satisfactory manner. Thank you for your attention to this matter, pleaSer do not hesitate to contact us if we can be of further assistance to you on this project. Sincerely, ES1.1FME,1nc.' 1921 E. CARNEGIE AVE... UNIT 3-J. SANTA ANA, CA 92705 Ph. ( 714) 261 - 1811 / FAX (714") 261-a506 -28-97 10t44A FNIT-Builder Services 909 637 1936, OLD REPUBLIC TITLE CO. 176024 RRZMXG RBQUWW or RECEIVED - 98324-13 FOR AECORD AM ATO:OOOCLOCK-' F 0- a- 1 PAID JEFF wNITE Trust. I MY 20 M7 ,Am, 2%8 Lorencite Dr, Treflator Tax Santa Kgr1a, CA. 93455 FRANK ic Qw—Wp**AW%w& Por CO, Rtvwaei Apr Gmat Deed '71e,4 OZ.0 -07 45 .7m , "a DammammbwY ftm& an 4<—.40 -,) I X) mopwm an hu 'dwi zzy-4—, compmd am W vdw. ka'"M& XMISIV of dw of mWL Lkftwpu" amw I X) C31yar—la-Quints Heft wt aft FOR A vAwAKz comaDmAIVUX mad$ at w%M to hw*Y acbm""P4 LMMn JLMS NARM, A SIN= . MW- AM PAW. VAINU MYCHUL. A SIWW=U M07AS JOUR To W"YWAKM JIM J wRrfs An NAM A VKM. 7mmm OF m im" .J. V"M FAWZLY MW a0miAiriff 01. 195 on powly In City of Ea QwLeta. , at"r'side 00MMIYO fto cc cumbialk ducam LAW 3 dF mcr 20107 AS M MAP IOWA= IM HM218. PAM 20 IMMM 25" 1wc=1V2 OF MAN. IN mm omn OF = CIUM RWMEK (W SAID Oft m mw in asrfsmeait Data 14 M grATZ CMAUY it INW,raij a - an March In 1997 bdbm am a bbwy ftbut In no by add Swk p"Nommay _01 1=gard " gmrwav PAkal loftnard Jameg Harvey Md Marftlwibtc)kpvl pmommy teowa b ase (a pwad b—M --- " un —bmb of Paul Darrell Mitchell 0'k)"WM)1*bWtAp6=*) bj1,dx=Cj)W4p aaee, 14 a -ft.wifte Lammow wd actmW104W to ft qv�701sj, am mm by WWW41tomp"Axe) M t bWWAM 1k VUj*#j or 2W cqdly We baba![ 01 WhU ft 100000 McIK enculed the ImummU wnw= m ad omdd Ica Mim am '"M M grAMMMU M MMM AWVZ Order 00000009999 TOP 0004 RV 1997-476024 Page.- 1 -of 1 r� m W1. .. I" .: C3 P.02 08/06/1997 16:27 6197715125 PGAWEST PAGE 01 PGA WIFST RESIDENTIAL ASSOCIATION; INC. " _ µ August 1, 1997 i Jeff and'Marie White' l 2968 Lorencita Dr. Santa Marie, CA 9345.5 i RE:. 'Architectural variance of your SS -308 Pebble Beach lot. Dear Mr. and Mr's. White: R. Your request for "an architectwal variance'has been approved by Mr. Don Adolph, the Architectural Committee.Chairperson. Specifically, you have the approval.to proceed with the onnstn Won of a ' custom home at your 55-300 Pebble Beach lot. We reserve the right to make a final inspection "of this change to make stun t* it matches the original request. An approval is based only on the aesthetics of your proposed c$ange and should ` riot be taken as any certification as to • the construction worthiness or structural :integrity of the proposed change. We appreciate your cooperation in submitting this request for approval. Should yod "rave ariy ftuther .questions regarding this matter, please feel free to contact me at the HOA offtce,'('J60) 771.1234. Sincerer . - ✓%� Kelly McGalliard Operations Manager cc: Architectural Committee Rancho_ Capistrano Day. Corp. P.O. Box 1060• La"Ouinta, California 92253, Telephone 760--r71`-'1234 FAX *5471-5125 OCT ® 9 RECD JON TANDY • 3UlLDEr\AUl fvu ; . 3580 Condalia Ave. -:CIAL INSPECTION SERVICE 69UValley, CA 92284 (760) 365-5045 , REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF PERFORMED ❑ REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY D ❑ RINSPECTION 0 OST TENSIONED E NFORCED MASONRY RETE ❑ FIRE HALT PROOFINGTHER ` ; ' `4 JOB LQ�Jiil �J ^ O ^� /� u r� REPORT SEOIU/ECN/CGE N0. TYPE F TFj�,LCT'RE Q _ _`, `� ,' 1,DESCRIPTION T� PERMIT N0. - D10 A. DAY OF WEEK MATERIAL ^ V ARCHITECT INSPECTOR� HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR ��O (S �a10 CONTRACTOR . S. 0 0,SSt--V-LA:r f -J e.L!nLL-A-Top C-oo N ec:-\- c o N L AAVE� ks-- - w. 4ES s ©tj w 3k 85- 0 ct - COPY SENT TO CLIE N NTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE'/ I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS.` SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING,LAWS. �S NA iffibo OF�GIST D INSPEC�TO R� DAUE OF IIEPORT REGISTER NUMBER . Oct -06-97 10:.42A Rancho Capistano Dev. 760 345 6684 P.01 FAX Date �� .� • Number of pages including+cover sheet TO: FROM: LINDA JAY RANCHO CAPISTRANO 74 y DEV. CORP. 1" Phone _ Phone (760) 35-7755 Fax Phone Fax Phone 760) 345-6684 REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP Please Comment �✓`� 300 ��,6,d/� ���c� USTOMER' Oct -06-97 10:42A Rancho Capistano Dev. 760 345 6684 P.02 SUPERIOR READY MIX COWCRETE, L.P. '. DELIVERY TICKET 1508 W. MISSION ROAD'ESCONDIDO, CA 92029 • .. .. 110850.: PHONE: (619) 775-8272 #'(619) 745-0556: ' , .' .. WEIONMASTER CERTIFICATE, ... •.. . THIS 19 wOCERTIFY that the following dasedpedcomm641tyv . - .. -weighed.•neeeured.014:ountedbyawelghmast4or,wh6l6idgnatr Weighed at , ..loon IN11 ¢artllioats. who is o recognized authority. or_treeurecy. 38.155 Monroe Street ,, prescnDe� by.Cheplot 7. (eomtneneing with eftootr,10001 Division I of the. California Business end Professions. CA • Indo, CA 92201 adminl&rs-ed by the Division of Measurement $taridarda dt.t •; .. l.. _ . CellfarMeDepartment of .Food $no Agrlcultura..':..,': •'.:. CUSTOM; .,.. _ R 14^101a fI _n IN 'POA VW[:ST :IIV OFF. POA':' ' DESIGN Ago 1I.. .. OLPUTY dU61C YARDS : ''. TOTAL C!y " • `DE&CtiIPTIdN :..'...' Si?, • r i� I •.lig , <; -? .'. , V . Y, CbC� •' t]NI7 pN?CE i : ', ;'• TA1i 9+,c 9.50 ;:13.50 3500 GSI :CONCRETE (IPICLUDESDF2Er5PN 9.50 F I BE R' MESH FM N 4m DO - fIn the event of delivery beyond curb line, this company will not 0bsume 6abilityfor damage to sidewalk, driveway, utility lines, . TOYAL THIS ORDER meters, septic systems, or any other property. Maletiale hereby gold become properly. of putbheser it point of oflgtn. The TIME THM TICUET y F purchaser shall in no event accept deliveries of materials not In accord, With the agreement of the, parties, but such'lmaterialS'STAND-BY shall be refused by the purchaser and returned to the salter with a Written etat/iment.ot (he reason for the refusal Ihersof. No'.' pie fiaAND BY cancellation accepted after concrete has been loaded in carrier's trucks, at our plant, Customer Is to provide for and assume ' responsibility lot was or container for dean out of concrete truck chute. Any'dischaige, to, watercourses, streetguttsis or . .Is stotrndrains Is a violation of law. Concrete a structural bultding material warranteed only.to meet AS. M- startiiards.' Some. TOTALAMOUNT Imperfections and popouts may occur for which supplier Is rat responsible. PLANT UNU UAL I CIDENT OF NOTE.ON THIS DELIVERY..': '" - £CEWED MAXIMUM ': ' ''' . . N GOOD CONDITION ay.:.., : •'' � SLUMP �.: �:.•:., a WATER A1.CUSTbMER'S. _ I N ^ ' C ST MER SIGNATURE CAUTIO[II Come pow r or freshly mixed concrete, grout or Mortar may esu" skin Ihtdty.'Awold contact with sial Bash REOUflST.• _ pALLONS ON JOB 'VN J .UNLQAQIN exposed skin areas promptly with water. It any cement powder of mixture get& into the _,.tfnse Immediately and repeatedlywith water am et 0 prompt medical slbntron.' " ' s.ESTIMATED SLUMPATUNLOADIW .� Q DEPART, ' START ' Keep children away from cement powder and all freshly mixed cement produ6t&.' ':; •' ': _ -' '-' ' . ANY WATER A00fo TO MIXON THE JOB WILLSE AT THE OURCNASIR•g t"SK `• NOT RISPONEISL! FOR ULTIMATE OUALITY CONCRETE '..'•' INCHES ARRIVAL•, ��o .. FINtSH� OF IFANYINOR�DIRNYS AREADVE ' '. • WAItINO ANf)tOR UNlOA01Nt3.. : ; . " :'•;.' ';:: ,: -�'•;:r,:'. READY : 9iAFTERLEAWNOPLANT.. Stand-by and/or dumping bme In excess of a minutes per yertl.will be thatped:::. >:.:� .' :..::. , ..: , t TIME_'. MOOR TO UNLOAD A_A/-�K + . USTOMER' Oct -06-97 10:43A Rancho Capistano Dev. 760 345 6684 P.03 h" SUPERIOR READY MIX -CONCRETE, L.P.: DELIVERY TICKET..., 1508WIMISSION :ROAD -F-gCOND[bO--',.CA92029.:.-.. PHONE:'(§19) 775-8272.E (616) �45-�0556 'AlElOkMASTEn' CE6.Fl6k�-'l:-;-':i:-� THIS 19 TO CERTIFY thallhefoll6w1hp d1jec"la. ��Ilyw eighed.mestured'ore*untiidbyawelghmeatei:whbsiilg.qiMut -autholl , f this iwifilests. who log isep9mit" ty 0 scour Weighed at To .6 Prescribed by:Chapter.? (eOmMeheinq�01h section 12 ou c Olvtslon Oct 38.155 Monroe Street' _w od 'CA 922oi administs,red: i'thil DIvislon al' Mesi.,Iiment 6 Indio.. b of .M Cslllomlb Department of Food Bnd Agile ut VX Jou=49MER N Z.;; 64::: 7 �klg .- P -OR falmlift'd luvq IN Oct -06-97 10:43A Rancho Capistano Dev. 760 345 6684 P.04 ` SUPERIOR READY MIX CONCRETE, L.P. DELIVERY TICKET 1.508W. 12MISSION ROAD • ESCONDIDO, CA 92029 . PHONE: (619)'77J-8272 a (619) 7-0556.' ; '. WEIG►tMASTI R CEATiFICATE!. . tHr918 r0 CER TIFYfhatmerorfowlrigdssent»dcomniodtlyv . - .. weigh".missured. or counted bra wittehmaste , whose slg6al• Weighed at Is on this Certificate. who Is a recognized authority of abduraey, 39.155 Monroe Street Prbseribedcb"hspter 1 Itomminting with f1eo11127O6I a DlalAlon 5 of the California 9u Piote slbns:Cp t Indio. CA 82201 slnesi and administered oy the Division Of.MetAuremant standards of f�etewmrar�wer :'' Gllfotnla Oapattmenl.Of Food and AgftultOre. r Y/M.a IiT1ee'r _ _ 9. SIB :313, ia0h I - 3500 PSI, CONCRETE :.l INCLUDES : "?: OF265PH : ' 9- J0 I BER • MESN0.1 FM -1'". to the event Of delivery beyond curb line, this company will riot essums O iIii1ty.for damage to sidewalk driveway,uttll .Ones. ty mstefs. llOM systems, or any otha property. Materials' hereby sold become TOTAL THIS ORDER pro Of purclaser shall In no event accept d erles a>i materiels not In noOord wkh.tlte_ Of purchaser at bolrlt Of Origin The SW be refused by Me purdtatter and reltlrrled to the seller v tttt s wfffron elate meM of the of the pot-ftarties, telt eiJdhmtttfr No 0111 Illation accepted after tllereol, No has T TIpfET PREVOASTAmD-ay ANSH18 PREYbug g -AND 9Y concrete been faded In Catrfef a Mocks at om L Customer Is pro efor t t�?tAds tar responsibility iw area or container for dean Oor�rate buck ctule. Any dlsohatps and aeaums to wataccoulla; me et putters Or . stru emrmdralns f e.vtolfttfn c law. Concrete Is a etruch/nl building maferiai.warrant*W only. to merit ASTM etalt{mft,-afu" ImPOrfOMns and pOPOuts may scour for which suppligir is not • AMOUNT PLANT= ' . OUT UN1T,SUAL INCIDENT QF NOTE ON THIS DE LIVER' :=: MAXIMUM "• ECEIYEO r GOO CONDITION 8Y:. '" �/ _ ; SLUMP07 " If I i WATEN ADDED AT CU$TOMER'9. ' I CUSTOMER 91GNATURE %: •' •'• '• CAUTIONI Gm t poerdu or freshly reheard Concrete, grout or mortar may Gauge skin Inluty: Avsld - - REOUIBT" +�— GALLONS _ ' ON 500 UNLOADI contact wllh a red wash exposed skin arse promptly P ptty with water. a any powder nt on-.. i gab Into mF%a rima Immediately and repeatedly with water and gM prompt mW" aKAM10rt:.. ; a E8TIMATEDBLUMPATUNLOADING .. r .DEPART START Keep ohlld4n away from Gement powder and all freshly mixed cement precut". . " .. :. : - .. - . ANY WATER ADDED TO MIX ON THE JOE WILL eI AT THE PUR6NAaEIye RIfIK '; .. - " ��' INCHES RESPONSIaLEFOR ULTIMATE QUAUrYOFCONCRITEIFAMY INORIDIRNTSARE AMID ARRIVA x 0 FINISH a A AFTER LIAYINQ PLANT. • WAITING AND/OR UNLOADING . $IarM-by and/or dumping time In a:care of a minutes per yard will be therbed.. - ' ;' .' ..,- READY ' TIME ' HOUR I TO UNLOAD: CUSTOMER. . Oct -06-97 10:45A Rahcho Capistano Dev. 760 345 6684 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION. ROAD • ESCONDIDO, CA 92029 } PHONE: (619) 775-8272 it (610)'745-0556 • Weighed at, 38-155 Monroe Street Indio. CA 92201 t. P.05 DELIVERY TICKET 110842 weIOHMASTER CERTIFICATE ' THIS IS TO CERTIFY that the following described commodity wag weighed, rnnasursd. or counted by a weighma titer, whose sign sturt is on this cartllleare. who is -a racogniied Bulhorlty cl aceuracy.pt proscribed oy. Chapter 7 (commencing wnh section 12700) o. DNtatori 5 of the California Business and Professions Code adminlatared by the Division of MeasurameM'StanEards of tfu Caliltlinle rsoartment of Food and Agriculture. .. : DATE..., .., ... , c.:r .; •. T .. _ . .. ., ... .. '.` r 10/ y CUSTOMER www«:E^ ^. .r. ION3 _. .T.` >;,.••.;: Zune: I N PGH WEST IN OFF PGA. DESIGN ,.. .. ,... :%'.. .. .. ,.. a.t-%fll`-.�.,.-..£c:�._. EM -.,. .I 8`,... . -WEIGNMAMTER...:::.......;.• . .sb; csf:cr,'.�.;' =t., .,i �..... Y . _, j DEPUTY CUBIC YARDS TOTAL GV' OESCRIPTIOfJ^ `: ' "'=b -= 'fit {�, -" � e" ; -, :a. - 9_1- •UNiY pRIGf.:. ./tM00IM77 3.3Nid PSI CONCRETE' (IiVCLI)DES DF216SRH . . 9.50I BE R MUSH FM— I GAP04 Yo do : d LAO In the event of delivery beyond curb line, this company will not assume liability for damage to 9 Ik, driveway, utlRty lines, TOTAL TMS ORDER meters, septic systems, or any other property.' Materials hereby sold become property o1 purch er at, point o1 origin. The -materials STAND-BY TIMETM TICKET pes, but such rd with the agreement of arti purchaser shall In .no event accept deliveries of materials not In a000l PREYIOUSS'MND•aY sf1a11 De refused by the purchaser and returned to the seller with a written statement of the reasoJor the refusal thereof. No cancellation accepted after concrete hes been loaded In carrier's [Tucks at our plant. Custormile'to provide:for and assume responsibility for area or contalner.for clean out of concrete truck chute. Any discharge to Watercourses, street gutters of stormdraIns Is a violation of law. Concrete Is a structural building material warranteed'oniy to meet ASTM:I,tErlderds- Some imperlections and popouts may occur for which supplier Is not responsible. PLANT OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY. [MAXIMUM RECEIY {N 0000 CONDITION BY: 7 -. ITS. SLUMP' 171 I N / " X I ' ! . �'i d i1/ ��/ ,U•T a WATER ADDED AT CUSTOMER'S 11 • fUNATURE CAYTIOfd Gement powder or freshly mixed concrete. grout or mortar may Cause skin injury. Avoid REG EST �Al ONS ON JOB •/ 5 UNLOADI 4 �Q 41 cents �i/wIIgA tin and wash exppaed skin areae promptly with water. If any cement powder or mixture #net medical attention.' • ESTIMAT DSLUMP AT UNLOADING DEPART START Cawke1(fe eyes. r{nse immediately and repeatedly with water set prompt Keep Children away from cement powder and all freshly mixed cement prod' ANy WATER ADDED TO Mitt ON THE JOB WILL BEAT THE PYRCHAGERD RM ,ucts. INCHES • 5 fa NOT RESPONSIBLE FOR ULTIMATEDUALITY OFCONCRETE IFANY INGREDIENTS ARE ADDED •WAI NOAND/ORUNLOADING ARRIV4 . FINIS . AMR LEAVING PLANT. READY Stand-by and/or dumping time In excess of 4 minutes per yard will be charger!. TIME HOUR TO UNLOAD CUSTOMER 0 Oct -06-97 10:46A Rancho Capistano-Dev. 760 345 6684 P.06. ,..�'' p. SUPERIOR READY...IWIX, CONCRETE L Pr : 1508 W. MISSION ROAbSl;ONt51D0,`C ' DELIVERYri. PHONE:. (610).776+8272:1: .,...� .� .. .� WEIOHMASTERCERTIRCATE::.��,-'•-`,. � '(`F{ '�`_!-t ���•�� �. � • � `""V:��i►".�;,•... _ � � ,.._. �;.• ,��,.: .., ••�., � �. 'TFl13�i5 iO.CER?IF,Ytitelthefollowlnpdtiaerlbedctimmodltywar Weighed Nelpned:m•Vured.orcounted byawelghnuMG,whose Signature is :. at • ..;;[ :::. .. :. n.�':.��...:,i'=�'.:.,.. ;.,: '7 i 38-155 Monroe Street 'i� :'' :; 'IttdlD " '�<' �•' :`.::r a�-:• on this antperite, who is q reeognit•d,qu aNly,.bl ibeurse ._M�sedbed-by Chapter r (commend .w1, Y,Ae n I.;eiatldn�t 00 of 't)Wltlon a-o1'the Cetgornl•.8ur�.,�{•,iI�rb4' t;,P/shf•folh CA9 l)t .:a",:.= Co)� 22 yj�..�'•1, r.. ..F... ldminlatated by the DMaion.illUt•fhil�;8! •d'•rdt;dl :1M .3.4':.Vil Aff„' :r.....a i oapamilontaF 11ft�A9Aourti;r• "(5?:_; purchaser shall in no event accept deliveries of materials n6I In accold.witlt,tt►A:9�peernefE 611he parties, but such matertel8 : shall be refused by the purchaser and retuned to the sellec'wfGl:E: wlilten:etatement all ihd toasorl..for the Willow thereof: No,Ot19 cancellation aocepted after concrete has bedn loaded In•eerrleYa`tr icka at bur plant. Gugttintat:hl. to provide: fdr- drid:WIUi ia.,: rosponsiblliry for area or container 110 deen'pul of concrete Wf:k chute:,,Any discharge -to-watercourseii'elraet-Q _ -it ;, stormdralris 9s a violation of law. Concrete 18 q,etrttatural building materl9l. �` �" A ta'' A local: ST1rt.tilertdetde; ': y DAME AN © ti. .IN,.pt3N i . 0 Imperfections and is may ocar I ppm j� 14 y ttr.whtci au not nelbto:' ;. s• LVD': 55650 I BL17 D �' T+'• fit_ '4 <+ r '(.d'. - .. 't' t • UNUSUA NCI ENT OF NOTE,16.DtELIV� Y ECEIVED IN Qq DITIOi'i �Y{' S �' MAX! MUM;: 0Q►: � SP SLUMP= ': +, 'T F i i`.• jy;?'• ;i: �,t•'.%” 1 ni='off?, +��. � _.}.,i}:•: �' .'. h ••fir :;, :;? ;` 'a WATEMADDED ATGUBTDIdiR'lf;+:: CUSTOMER 9tONATURE • .i r`-'i�• CAVrIONI'anent powder or freshly mixed conore)a, grout Of menern4Y.Qtltp �111f�1lgyjy:iAv0Id � •::f;,;: •c.-. P ' ` "'P'�%: REQUEST e .,. p ON4 . s . • .� . ;` :.. .,....; :::. • . �... ,:� ., . :. 1 rFi; �p : �c � � e E9TIMATEOSIUNPATUNIL . 9. 50' 47.50 ;1500. pSt .-:'CpNCRETE'.:� U ?E5' DF, ._.;. ._ , '..: • ; •. 9. 541. :. FIBER ER 'MEQ -,: 4 .1N ES • INd'ANWCR UN O;',., ,..�'' 0.1• `3y,. L.hb, .,y I.,,'e ;a;., .:.,'<�: 'ii^4`+ it In the event of delivery beyond curb line. this company will not aefwmo Rebigty for damage t0 sldewalk,'tlrNiwrey, uNl)tyr Ilnea,' meters, Septic systems. or any other properly. Materials hereby sold' beoptng, Y propAgy:of,putchaser at point m orlg f: The TOTAL THS OFIDEA- 9TAMD BrT16AE1T118YK c , n: purchaser shall in no event accept deliveries of materials n6I In accold.witlt,tt►A:9�peernefE 611he parties, but such matertel8 : shall be refused by the purchaser and retuned to the sellec'wfGl:E: wlilten:etatement all ihd toasorl..for the Willow thereof: No,Ot19 cancellation aocepted after concrete has bedn loaded In•eerrleYa`tr icka at bur plant. Gugttintat:hl. to provide: fdr- drid:WIUi ia.,: rosponsiblliry for area or container 110 deen'pul of concrete Wf:k chute:,,Any discharge -to-watercourseii'elraet-Q _ -it ;, stormdralris 9s a violation of law. Concrete 18 q,etrttatural building materl9l. �` �" A ta'' A local: ST1rt.tilertdetde; ': y + • . 0 Imperfections and is may ocar I ppm j� 14 y ttr.whtci au not nelbto:' ;. �' T+'• fit_ '4 <+ r '(.d'. - .. 't' t • UNUSUA NCI ENT OF NOTE,16.DtELIV� Y ECEIVED IN Qq DITIOi'i �Y{' S �' MAX! MUM;: 0Q►: � SP SLUMP= ': _!',. y; t�•_ :;, :;? ;` 'a WATEMADDED ATGUBTDIdiR'lf;+:: CUSTOMER 9tONATURE • .i r`-'i�• CAVrIONI'anent powder or freshly mixed conore)a, grout Of menern4Y.Qtltp �111f�1lgyjy:iAv0Id � •::f;,;: •c.-. P ' ` "'P'�%: REQUEST e .,. p ON4 ,•� N.Joe : UNLOAD contact with skin and irgh e>Iposed skin areas promptly with water. H snY •eine' f Orml pais Into the eyes, rinse Immediately MO repeatedly with water and gel prompt Rhdlgl.a1tM11 � � e E9TIMATEOSIUNPATUNIL . DEPARTr '' START ..�,;.. Keep ehlldran away from cement powder and all freshly mined eemMi. enl produ, ANY 1VATER ADDED TO MIR ON TME,JO8 WILL OR AT THE PURCNAaIRj : ?, :.•:,' ,S,w^4=:' ... ._ , '..: • ; •. NOTREEPONaIeIEFOSULTIMATEOuALITyorCONCRETEIFANYINOREOIENTBARTAppRp AFTER LEAVING PLANT. >1":5.:... .1N ES • INd'ANWCR UN O;',., : -• .• , e „_ . ;;; ARRIVAL FINISH Stand -b and/or (lumping time In excess of 1 minutes par yard will be cherged. ;: ';..,.: . ;''-.. •.: :. r:•,.rn tr READY' t.. ... ; ;,.: � :- = :::. . TIM � MOUR �{ , TO UNLOA6ip USTO •,, EPR '�' E _' : • . s ��. ,: .—.-,.:.._...y_:��:��_��—.��--_.:_�._�._--•--y-:.�-.._.�:��� •e:ii. Oct -06-97 10:47A Rancho Capistano Dev. 760 345 6684 P.07 !w r:.. SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO; CA 92029 ' PHONE: (619) 775-8272 • (619) 745-0556 Weighed at 38-155 Monroe Street Indio, CA 92201 " DELIVERY TICKET 1.10868. ' .WEIOHMASTER CERTIFICATE THIS IST.00ERTI FY that the following described commodity, weighed, , ftessured, or counted by itwelghtnaster• whose s Ignal In on this certlflcate: who is • recognlied authoiily of accuracy prescribed by, Chapter T lcommbncing with Section 127Oe: Division ! of the California Business and Profession* Cc administe--ad by the Division of Measurement Standards of CaliforniaDepartment of food and Agriculture.' - DATE CUSTOMER NO.., .:a':., is .. .. 'J.:�X'`�:::ii'= P .NT.N ...:..tk :I f. 0.:►::a:.a: 71 71-11714Q2 ka ;,,t ..: ..�. ... ., ..Ti. .i 10 IN POA WEST I.N OFA'. PGA. emsW„ ^,:;asc BLVD. OE ONS. .�.-, . .. 4 . •... �.•11,r • ... '� .. ... .., . ,c:... i.. �A:6ici; "tit... _ . _�_. —._ . TEP:.: ;iJ!Q4MS SACK .. A. rJi:. _.... W_ IGHMASTER .. . ,.: :f,1.f.;<`y<;.>'yr: EbkA•i:'f: ^`'iMrs7nis `4-�,:+iT,"* DRIVER _ .. DEPUTY 2 CUBIC YARDS TOTALC/Y DESCRIPTION.' UNIT pR E tAx . .s'•AM aNi : 00 35Q`10 ' PSI CONCRETE. ' ( INCLUDES D1=265PH In the event of delivery beyond curb line, this company will not assume llabNity for damage to sidewalk, driveway, utility lines, meters. septic systems, Materials hereby TOTAL THIS0ROER or any other property. sold become property of purchaser at-polm of origin. The STAND-BY TME THIS TICKET purchaser shalt in no event accept deuverles of materials not In accord with the agreement of the partles,'Dut such`materlefs shall be refused by the purchaser and returned to the seller with a written' statement of the reason for the refusal thereof. No PREVIOUS 9 -AND -BY cancellation accepted after concrete has been loaded in carfier's trucks at our plant Customer Is to provide for and assume a responsibility for area or container tot clean out of concrete truck chute. Any discharge to weterlxluses, street gutters stormdrains Is a violation of law. Concrete is a structural building material warranteod only to most ASTM standards. Some a Imperfections and popouts may occur for which supplier is not responsible. PLANT. - . OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY ' MAXIMUM RECEIVED N GOOD CONDITION BY:.71 SLUMP' L� a WATER ADDED AT CUSTOMER'S X IN ' NATURE . ' ' CAtntON'l Cement powder o• freshly mixed concrete, grout or mortar may cause ekln-inlury. Avoid �.; REQUEST 9- 0'. GALLONS ON JOB LOADING contact with skin and wash exposed akin areae promptly with water. to any cement powder of mixture a ESTIMATEDSLUMP ATUNLOADINO. DEPART START �� gets Info the eyes, rinse Immediately and repeatedly with water Will get prompt medical attsntlon. , - Keep children sway from Cement powdsf and all freshly mixed cement products. • ' AMY WATER ADDED TO NIXON THE JOB WILL GR AT "M PYRCHABEWR RIRX . - / �` 4A 7 INCHES /^ NOTREBPONEIBI.EFORULTIMATEOUALITYOPCONCRETEWANYINGREDIENT$AMRAgo" ARRIVAL FINISH t-!. •i1vAITINOAND/ORUNLOAOINO AFTER LEAVING PLANT. READY . Sterid -by end/or dumping time In excess of 4 minutes per yard will be charged. TIME HOUR TO UNLOAD . LiV�1 VMCR " Certificate of Occu anc - �- p y a� O G� City of La Quinta, Building and Safety, Department �;MoF-° This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, 'at the time of issuance, this structure was in - compliance with the various ordinances 'of the City regulating building construction or use. For the following: BUILDING ADDRESS: 55-300 PEBBLE BEACH Use Classification: SFD Bldg. Permit No.: 9706'152 Occupancy Group: : R 1 Type of Construction: VN. Land Use Zone: RL Owner of Building: JEFF WHITE Address: 2968 LORENCITA DR. City: SANTA MARIA, CA 93455 By. STEVE TRAXEL y Date: 4-23-98 Building Official x POST IN A CONSPICUOUS PLACE ~'