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9611-065 (RER)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 p p y y Date Signature of Contractor Z �� r 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. Oq 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. (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 shall 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 subject to the workers' compensation provisions of,Sectlon 3700 of the Labor �ode,d shall forrth�with comply with those provisions`. Date:_TZ Applicant - y �' - " eei� Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon tFje above-mentioned property for„inspection purposes Signature (Owner/Agent)' r� �,� Date ✓ r PERMIT # CONTROL # BUILDING ERMIT _rt.,« `. 4763 DATE VALUATION j'„) ' LOT TRACT ,'! JOB SITE ADDRESS APN OWNER CONTRACTOR/DESIGNER/ENGINEER INi")'v_ ave- d. t qtr y a i” t t 8 v F'D , i�S'2 f;z 1`44k'. s .; yc0 A kAT DR. 14�J1$IFA4 41A 0,4 1 i'AgA trYf �A1"'i .i ►,; `�, ��il ItS, �� 4'S t, i� USE OF PERMIT i,i4"ty ,a 41VA, Akl, J IAtoi-`,1 itARA4R, 4N'sVAC i' v {.' 0 L P`r1.NL% F,D "X) f OF i"i t' i� " 'ION 3.22�3�.E;��,) 28;3 � _ ttat-fffatt�rf) Pi DRi i 1101 a 1; t i Fe 2:f, 2 LII' 0 l!'2' 413 a *J110 Z ivl' t 4 Ifi 4 AI. 2 t E Ito t; 40) 5211%9 X00® � (`64, tt'Al, 0-+ tflt (4tk)32!} 00 �)tif 00 `— t i f��Od3�^f,ry t11? ('11i1=41�� 1`f?tj 4y3 i'�?� a-. ,fit j 9 f (T t f iLi 101 UrJ 8A0001 ��• �i��t.,i ��t�tfa,,,�f= 6a1A�i�43 LL lilt ts�x:�i�?k-�ffjif AR'(' )N ilkt}y tt•2'I,F@4°Iasi = t `itt "}j)�-(2ii:f0 ?y.5 -.22(1T$ tj>,?ti! t S� _ C) E,>f '? "rf't't'Af, '`C) `+'t`7;f4 11,1,141',' Ak,1 r kip, -_)',9 t'ifi'f'u1' P t,,'oo Till a"J'?'.�v RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck ,,Q Exhaust Fans O.K to Wrap F.A.U. Framing - Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath - -Q Drywall - Int. Lath 2 7 Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Z 4e,66 Fp5, 6 _ Main Drain Bond Beam z Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final 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 Encapsulation Gas Piping p . Gas Test Appliances 7 Final ,vs _ Final Utility Notice (Gas) 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: Aw-A-/axle/% ,� � d'&S 06- G -lt 4WA Q FTC � C_vr ae> d�- ,tel1;tE7 (jr%_�1 B X / A do Ar. All -+ ar-pe i 7 '9 cT . f'Y6 W,0j rr/z- 4 e � A'T M`3 a Fra _ &qR*Vg Oft. Coachella Valley Unified School District P.O. Box 847, Thermal, CA 92274 (619) 399-5137, Ext. 235 This Buz For District Use Only DEVELOPER FEES PAID AREA: AMOUNT: RCPTA: CX th CAS H: INITIALS: DATE: CERTIFICATE OF COMPLIANCE (Government Code 53080) Project Name: Date: March 5. 1997 Owner's Name: Wells Fargo Bank Phone No. (619) 772-2333 Address: 55-635 Pebble Beach, La Quinta, CA 92253 Project Description: Room Addition AFN: 769-360-010 Tract #: Type of Development: Residential XX Commercial_ Total Square Feet of Building Area: 1804 Lot #: Industrial 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 autorbized-t si on behalf of ie owner/developer. Dated: 3 s- Signature: 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 Project Agreement Existing Not subject to fee 53080/65995 65970 Approval prior to 1/1/87 requirement. Number of Sq./Ft. Amount per Sq/Ft. Amount Collected Note: 1804 $ 1.84 $ 3,319:36 By: Foch "Tut" Pensis. Assistant Superintendent Administrative Services Administrator in Charge Certificate issued by Marcela Valdez Facilities Staff Clark Signature: NURCE: Section 66020 ofthe Govenuhheut Code enacted as Assembly Bid 3081, set forth as Chapter 549, Statutes of the State of Califontia.1996 etrective Jmh. 1, 1997, requires tltat this school district provide a written notice to the project applicant at the time of payment of school fees, n¢tigation payment or otlher exactions. This notice is to advise you that any protest in regard to such amounts or the validity thereofin accordance witlh Section oti020 of tlhe Govenunent Code mid other applicable law, continences with such payment or performance of any other requirement as described'uh Section 66020 of tlhe Govenmhe t Code. Additionatly, Us notice advises that die protest t hereof nnrst occur witlhuh 90 calendar days thereafter. Note: AB 2926 and SB 201 fees are capped at $1.84 per square foot for all residential construction, and at $0.30 per square foot for commercial/industrial projects. Dev. Fees Disk: Misc\Gert-Corn.Sant. (REV. 1/97) 4 • - 1Va7tJJV .�. RECENED FOR RECORD OCK BY 8:00 0�,. ° ORAC� �0 ANV APR 181996 ArmNwsw BThU E PAID Doe. Tiandw To �s P. O. Sox 70Recorder Ca. 941 [F7:I: K. �B� �/San Franci . Co. Repp� f V"^�+ � Faes s Attn : y Flop►e S Space Above This I:me for F.SCaoa► NO.se � 0639 O b7•�� Order No.: R.149753-1 l� TItA !i' � p.P.N.• 76 GRANT DEED 'FIAT DOCLiMENTARY TgpNSM TAX IS: COUNTY 13 0 -a= THE ERSIONED R(s) 5 conveyed, or re g at time of salon value 1 p tie. of liens or �b� ] cour ted area; I I City of LA � ] thin I acknowledged, FOR Receipt 0{..which is hereby acd Wife as Joint Tenants FOR A VALU CONS BF•IGHTOL+ Husband an JAMES R. BET OL and OLORES SIAL TRUSTGO DATED MARCH 14, (BANS. 'TRUS'T'EE OF THE REM hereby G to FAR 1996 j UINTA, Cotmty of Riverside State of California; in a City of LA Q E, STATE OF the fdllo g des�tY p C1TY OF QUINTA COUNTY OF RIVEI�ID OFFTL'E OF T2 CT 0717 , g 153, PAGES SO TOUAS pJR GH 96, IN T LO'>' 18 RLCORDED IN CAI:I�'O O gp,IDl COUNTY- W 500.00 FEET CO ��, HYDROCARBON AND OTHER Mom A�GHTS �gBEI.o �D BY Y � RESER THE ALSO CST """ O AND ' LAND �yTTHOUT THE RiGflT OF ORGANIZED UNDER BENEA SURFA OF SAID A CAL rORNTA LVX[TE� ED L 28,1985 AS INSTRUMENT LA Q O DEED RE LAIw3 F CAf.LFORN�A� IN T� 95614. j 1 r , GT PEED CONTINUED ON NEXT PAGE F>. t OSAME AS AB VE or Address Noted Below Mail Tax Statements to: Z00 [A - SZ99.ZZ9 XV3 90:TT NOIR 96/TZ/OT J Date: TS 0 u < CONMUMION OF GRANT DO"" A 41 BEiGHTOL IL AS jF OF before mr---L— within insuwmnt Waxv mbllfiW to ft h.. mim(s) L, on the n> ac °e° basis Of satwactm vidm=) to be The Pmold(ms).Sud tW by itrftk S*DMrt(S) known to a , mubotiod CaPacky so I e!" do. sm the inswunem I ac I wbidl d1c elecumd 3) or d oanffW RESIA IMBOY �A Poln 'Itis area for Ofrltl WuuW seal dol MAW A. SMASH Cow # 1021636 Nallm PUblc — COM- NvomecouW ,M6V=r20"APR&199S 2Z99 ZZ9 YVA 20:TT NOR 96/TZ/01 JOHN IMANDOUST, P.E. 514 VIA DE LA VALLE Analysis & Design SUITE 306 SOLANA BEACH, CA 92075 TEL: (619) 792-6055 FAX: (619) 755-5669 March 2, 1998 City of La Quinta Building Department - Building Safety 78-495 Calle Tampico La Quinta, CA 92253 Re: Building Permit No.: 9611-065 PGA West Subject: General conformance of "as built' framing As per your request our office has done a limited observation of the structural framing system for the project referenced above. To the best of our knowledge the existing "as built' framing is in general conformance with the approved - structural plans. Sincerely, pffS�Ip�, EAD, INC. 4 n u a No. C36633--4 - John Imandoust, P.E. 07V 0 JI:m' c au�°P� • Sent bj PGR ldES T M .3 "nJ'da.. va8a WE -LI -S FARGO BAN7K pl-v AtP .SPn:M5 ' ?aN �S(Ai9 '•'t 9�rt. ri �r' �C� '950 9SMon :•aj., "z, ? G POy Fu "a 19V 363 <8i9 Mike Walker. Gene( -al h•tanager PGA West P,esidential ;-sscc aeon, inc. P. 0. Box 1080 La Quinta, CA 92253 RE: 55-635 Pebble Baacn, La QuiNa Dear Mr. Walker - The ;3urposq of this latter s :o meMoraliZe Me (onditcn�r ccnr-ac C ' :cr, G. . Lan4fo�s Construction, !nc, wi!f use the pnVperty described i~-- L ; Quinta. for the )r, iteq ur C e:n as o. -cG0 f'ecbie geacn, a p pose of oarXing contractor ar:c; subcontractors vehicles �ur°. constructicn of 55-635 Debbie Besdh. T%tis Dern,issior Ing ihas granted Providing the following are 1. Weils Fargo 6anK as Trustee agrees to reiieve any and all ° emGioyees anC their veni-ves upfizin tu, ^�ntrac:or', 9 _ut G.-55-800 . - Rbb;e BeQc,.. 2 'Neils Fango Bank as T.a stee agrees to reimcur5e :r,e AssO "�.=� •IV@3i Residential Gation, Inc. fc, he r,04, of Hr'�'�idlnG 5CIl :er^rn[ tp L]t it^, jj-n�� The SCI!5 CaR12nt StT�ii be provided within a r82Spnab!a i ;, , GL �p�0t@ Beach. discontinuation use of the Lot by the employees of contract^an d�H, iSubcontractors. ubfollowingrtragi ors. 3. The PGA West Residential Associat'on, Inc. shali ensure re-jair tc an,/ damage that may occur to Lot 10, 55-600 Pebble Beach, as a resultif ilia employees of contractor and.-orsu�bccntractors whom Wells Fargo Bank as Trustee has engaged While -this agreement is in effect. Wells Fargo Sank as Trustee agrees to reirnburse the PGA y,le$t Ra:3identfal Assoc;atlen, Inc. for any costs incurred Under this section, of this agreement. it is further agreed that PGA 'gest, if 116 essarj, Shall be aL!r.GrlZed ;!c deduct i:rom he $51000.00 deposit presentiv n the posseSS!Cn of the Asscciaticr, tc re;,;,burse its costs r. Connection wilt: 1-3 at)ove. Sincerely, .'t�reAC :c 3fpre!?lerr.c::;e;:l �onCitrcns. 1 ~. Wells F ar Ban; as Trusce i Dannv Fibw� Vico PrreSirJenr, , Lct "G Cwnar's Sicna:ure (619) 688-2520 _ � a Cate ! r a11Pr` is :. ..n , •,� ,,... 1�'1 ;;t..;ti !?3s Y'�• V? L'U �,vC Certificate.of Occupancy City.'of La Quinta Building -and Safety Department 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: 55-635 PEBBLE BEACH Use Classification: SINGLE FAMILY DWELLING (REMODEL) Bldg. Permit No.: 9611-065 Occupancy Group: R-3 Type of ConstYuction: VN Land Use Zone: RL Owner of Building: WELLS FARGO BANK Building Official Address: 4365 EXECUTIVE DR., 185Y FLR. ,City-' SAN DIEGO, CA., 92121 By: RICHARD KIRKLAND Date: 2/8/99 POST IN A CONSPICUOUS PLACE EARTH SYSTEMS CONSULTANTS � SOUTHERN CALIFORNIA �' 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name Client Address ROD,, heseA Cc, 9AQL11 Client Phone R'0 e�O Y.- (7 DATE -1q-`i� JOB NO. PROJECT wit _ n of i v IVt 1 {r : Earth Systei'ns Consultants Southern California d 79-811 B Country Club Drive Bermuda Dunes, *CA 92201 (619)•345-1588 • (800) 924-7015 r DAILY REPORT OF INSPECTION OF CONCRETE SB/R.S CO. GOV. UBC TITLE 21/24 OTHER Puilding Permit No.: n OSA Application No.: _ Project Name: VS �- ��S �^ �_ "T � n� �1 l Project Address: 7--) D 1i 3 S � �Ctj L -n ,N Architect: ��-T�Ut� S Structural Engineer: General Contractor: !I -Q- L& NG l d `t�.S Sub Contractor: TYPE OF INSPECTION: Reinforcing * Placement Other Description of Work Inspected: S� A Unresolved Items: IA _Dat e-6f/Inspection' .. . Job No.: -S7 3 9 IMAVOa�srt . Descriptive Location of Samples: ` �" ° v S14F �� % oZ J Sy tPf-4' 0 Slump: Cone Temp: Time in Mixer: Supplier: Admixture: Water Added: Air Temp: Specified Strength: Mix Design: Truck. #: Air Content, %: Unit Wt.: Sample Time: It 3 # of Samples: Field I.D. Marking: I hereby certify that I have inspected all of the above reported work, unless otherwise noted, and to the best of my bility I have found this work to comply with the approved plans, specifications & applicable building laws. Final re ort issued at project completion. Inspector's Name/No. a SNC Inspector's Signature,,' / Wein Time out Lunch Straight Time O.T. D.T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency '�'�ssr'"��a.t�:..��gjy1i,7k�i*��e� _ ..,��',�"'. �:WJ*'� .-w---•=�:.���'fh:�-`�'hv.r,��..,A:1V�,�C�;V;�3':,'�:i\A�'U+,+�::r=�:"��iF-°"�4�'">11�`-.+.,. Earth Systems Consultants �wv Southern California 79-811 B Country Club Drive • Bermuda Dunes, CA 92201 • (760) 345-1588 4 CLIENT NAME ., CUENTADDRESS :CLIENT PHONE DATEJOB �'- NO. S�� PROJECT�-- � � �i'�i" /tel/..1+.�"�• d LOCATION/ REFERENCE CURVE CONTRACTOR OVNNIER WEATHER TEMP TIME PRESENT AT SITE l TEST PAlvBEA LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs/cu. ft. MAXIMUM DRY DENSITY MAXIMUM DRY DENSITY Ibs/cu. ft.. OPTIMUM MOISTURE CONTENT ^:9/6 l 7.e71120 7 LOA ri REMARKS: • CLTENT REPRESENT'ATIVE'SIGNATURE RT Earth Systems Consultants �jt�% .A)^, Southern California 79-811 B Country Club Drive 40 Bermuda Dunes, CA 92201 • (760) 345-1588 CLIENT NAME CLIENT ADDRESS `CLIENT PHONE DATE JOB NO. o -1 - 7 S PRaJECT L -/ LOCATION CONTRACTOR OVWI E I WEATH TEMP TIME PRESENT AT SITE DRY DENSITY Ibs/cu. it. MAXIMUM DRY DENSITY % TEST NUMBER �_ V lJ� LOT ND. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY Ibs/cu. it. MAXIMUM DRY DENSITY % MAXIMUM DIY DENSITY Ibs/cu. ft. OPTIMUM MOISTURE CONTENT % L4 REMARKS: • Ac-�LIJENT �RtPR TIVE SIGNATURE 4-- 0 Earth Systems Consultants Southern California 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (760) 345-1588 CLIENT NAME. CUENTADDRESS �CLIENT PHONE a� .t• 'y6i.� �+�49ar.�«�ii�nrY.:•a�;�s�`'?.��rti:�:."w.rt�-�i��,-,;.:.-` DATE X6- lZJ11- JOB NO. '�-T 6/-?6/�?-4A/ ECT ELEVATION LOCATION U c 4 CTOR C 76 CV*434 /6 Is WEATHER MAXIMUM DRY DENSITY Ibs/cu. ft. TEMP TIME PRESENT AT SITE 'r ,,TEST NUMBER A , i LOT ND. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY Ibs/cu. it. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibs/cu. ft. OPTIMUM MOISTURE OONTEN.T % 'r 71 tOO,��l r 4 t t" REMARKS: , - / ,� /� r �C C o.� c- � . e: J '::4 C. C- • 6a. 'k .G rte?. SIGNATURE 22600 RT .. g EARTH SYSTEMS CONSULTANTS SOUTHERN CALIFORNIA - 79 -811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 0, Client Name 0 0G' © 1 S Client Client Phone DATE C( - � - c, JOB NO.' �' 7' -, C�3�r - f f PROJECT y],. (� t 1 ,, AW e � % ir'� �Q ;-t c e-�l A4i i lx I'lld LOCATION i.Lt, . to i rn ra.. CONTRACTORt U&\1 !` O i S . OWNER WEATHER S%A V"1 (N \-Q 1 t '1 + TEMP. 0 at AM 0 at PM PRESENT AT SITE 13 110-1 0' M { CR d. THE FOLLOWING WAS NOTED: _Q- O OC�01 + �'n s t� '-mNce� L e 'i. I0-5% 0� IIA .c, •. U a. • V u o;, n. 4 n r QC9 fes. WO e.ACA ' i01 L1 `{GklC2 0.a til ri.J x.41 C 65 VFJ - a A %r7 _ _ FEELD REP019T \ral.• CLIENT REPRESENTATIV SIGNATURE TECHNICIANS SIGNATURE ' Earth Systems Consultants 79.8118 Country Club Drive Bermuda Dunes, CA 92201 (819) 345-1588 • (819) 328.9131 Southem Califomia SB/R.S CO. GOV. TITLE 21/24 OTHER Building Permit No.: OSA Application No.:_ ��' Date of Inspection: q-01 -9 Project Name: 2% Wes �ZQS"Ac l,c,t.- - L0'7 ?,�Job^No.: -U% - � l Project Address: S S - 1,is"W- e ci's Architect: Qt� e�! p tS �i�,e..+ve Structural Engineer: General Contractor: ub Contractor: tln�,c �nsJf"ee\ TYPE OF INSPECTION:ie /Shop eldfn Bolting Other Description of Work Inspected: ( W'ykc 'C'rtt,gc rn't.t,n✓� f t �•C Cod ,lc nrr Li o'.113 Roo C-�� L (t f 1 P'qq,,, .� TT&A N c. C11�'1 �;O Ar( lei" 'y')fr1 :� re 1r)c 0�"0., � pJ � S/ (i X14. 4.I 1�� 1.JAJS AQI Ar�ftt nn�..)4A8 c't l.�t, v f � Unresolved Items: M1'1.Q- Welding Operators & Certification Numbers: I hereby certify that I have inspected all of the above reported work. unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. e r s actoo Rr's Name/Nc: � � , Ix Inspector's Si nature n w_ Time indC30 a , Time out Lunch Straight Time 1-11, 0. T. D.T. All inspections based on a minimum of 4 hours; over 4 hours will be an.8 hour minimum. In addition, any Inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative Copy 1 ESC Lab Copy.2 Project Superintendent ° 4�-1176 H•-xG 7 Copy 3 Governing Agency %)! Earth S stems Consultants Berm Country Club Drive Y Bermuda a Dunes, CA 92201 Southern California (619) 345-1588 • (800) 924-7015 • Building Permit No.: DAILY REPORT OF IN SB/R.S CO. OF CON GOV. C_UBCJ TITLE 21/24 OTHER OSA Application No.: Date of Inspection: " C' Project Name: l2r- A \►.1�� ���, AC Ace. 1-p� �$ Job No.: C-, —1,3It, l P f Project Address: S .� ���5 Pn.�b��� Architect: � V c cSnU . Structural Engineer: C _5,10�xn Tma1n<Q O u'�' General Contractor: �_G t �A h•r S. Sub Contractor: t—a r TYPE OF INSPECTION: Reinforcing <aceme Description of Work Inspected: k I /7 � � .7�f.•cPw�lr,1 n ��sr{:r9C�c e'nn�1'Q e� �n(^ Co�V,nn 11b Q%rr% e Alm ► i 't r o +-► �c� G. �, S o -t s n C• r . c, C-1 A ,i W W Unresolved Items: Descriptive Location of Samples: C 0 14 1 rn n r e) n i •�e Q., - 4 e C, 4 v Slump: o Cone:.oTemp:�Time in Mixer: 9MS�- rAtA . Supplier: nc Admixture: o - o ' Water Added: Air Temp: 9 Specified Strength: n `cr �1t � Mix Design: � Truck #: L4 q 0 Air Content, %: Field I.D. Marking: Unit Wt.: Sample Time: •• S5 # of Samples: I hereby certify that I have inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. T_C_ t� b ector's Name/No�c���- G' !•\ ✓� Inspector's Sign Opein— eV!) r%. Time out Lunch —'Strai9 ht Time O.T. :=--D. T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative _ Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Lerning Agency Earth S stems Consultants 79-811 B Country Club Drive Y Bermuda Dunes, CA 92201 .�� Southern California —.. (619) 345-1588 • (800) 924-7015 DAILY REPORT OF INSPECTION OF CONCRETE SB/R.S CO. GOV. UBC TITLE 21/24 OTHER Building Permit No.: OSA Application No.: � Date of Inspection: _ct Project Name: R A. V)e s,+ Rec:. o ,r Lc -)7 1!& L Job No.: 9T- InJ l Project Address: SS -G,'�S ������. �s*���,� �� C utnT��._ Architect: ` Structural Engineer: � � � So L. '_Lr \et a A n u ; General Contractor: Ln na 0't}, Can < Sub Contractor: TYPE OF INSPECTION: Reinforcing1"ac'"� e Description of Work 'Inspected: Unresolved Items: Descriptive Location of Samples; (_olull 11,1+11., , le A _1 Slump: Lit AF, lAam Con(Temp:14 ° Time in Mixer: ����'�� • Supplier: ,r Admixture: �- xko� Water Added: IS g� Air Temp: — Specified Strength: Mix Design: D 3s" Truck #: U? Air Content, %: Field I.D. Marking`. Unit Wt.: –' Sample Time. S'a r. w. # of Samples: I hereby certify that I have inspected ell of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. ' �1� TC �1 OrTpector's Name/No �rar C_, '.1� Iin, -4 01��� Inspector's Signature C' e in :2: Time out Lunch Straight Time— O.T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative r Copy 1 ESC Lab Copy 2 Project Superintendent Cop Governing Agency wig 9..'�„n�„�„1•'r'�'`""1 Earth Systems Consultants 79-8118 Country Club Drive Bermuda Dunes. CA 92201 (819) 345.1588 • (819) 328.9131 Southern Caiifomia j• DAILY REPORT OF INSPECTION OF STRUCTURAL STEEL SB/R.S CO. GOV. UBC TITLE 21/24 OTHER Building Permit No.: OSA Application No.: ""` Date of Inspection: 4 -AH -11 Project Name: �? Gr N \,Oe t L. -r 1`16 Job No.: ST_ (01�61 -- Project Address: ` W�,sos- ' P, Architect: tom\ ev c S ' Structural Engineer: _ G ]] :ah rt h 1C10t General Contractor: L c, (711 s Sub Contractor: YWt1C. O TYPE OF INSPECTION:iel Shop Weldor Bolting Other Description of Work Inspected: 10 rn �r c, .,n.c s 1'1 0 '3I SS Fj!�J' , Xh�� � [00,/0. -P:7 r tnr\ vJ t? co rt n if L t 7 r., a, r, A a ". -+ A l t % t r Aii 1,. 1( -(IN � �WyI� i� 3Q %1 n.nrf-rt' fr n Ipn 0LL_ 1- t � l rYny 6 �T'C� , v� X", A \-1.­0 � r , n.\r,G'S. Cnr'lt'1c�lno b¢a.m i'U l)\C`C n�,^a_ !-n'iImn` f T -T ltJ iQSI I, •i \ tA_ , \ .1t r1 - \ , (~, W1 A,], \ 1 �' t•QtU M"\ 1. n Wrvu GX Si0,51e 6-v 040riC.1"fOA1 11 WCegaik?v C-P-4e\C_ Qr.*DncCfv)'1�0ti oDCrli,,c.�b r 1Si,3;15 t�CVe� �n,`�'is1� ea�i�ior,r� auk �-1? berVSl ��, e_Drne�e�L� W P�etS aCDr �`��1 Si a�/'f.nt Cr ,t�t(�C.2�r Unresolved Items: Welding Operators & Certification Numberlss*0 14A\nc ewe C a�1 n)r, � U-C. t-n') (�(r'ic�D ( ;", r5j`\ 1'\ CAI': i � t ^ ice. A``M i�t.'� l\-\ T�``Y1('t �l �'� .3..t,5 Oc��! 1 n,l S T n P 41 11 ��.. r J. � Cc1( •�� h1'\ ca r v n� t/`��' Type of Electrodes: Q�rsi\,N WC'`J\L''(�,'r � A\4 ?k 0C.c n,,6' wkc C. . froS,..a.-7 l_T-�e.�eriito�?� C-`'lC.a rte.\'S P L� i n _.�1 � Gl �•.r� 1 nt r e3 1,1.S l r t� t�r Il �t r t � C C.. t Lt (C: — CO m'fEAt we—Ws W ct C. ate I hereby certify that I have Inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans. specilicatlons & applicable building laws. Final report issued at project completion. 1 -`--�- ]� WS �:�?a spector's Name/No. �l a`c� �--' I v�i1�i —Inspector's Signature oJ-1- 0r Time in '1 r�c�rv... Time out "3'©a e Lunch Straight Time, O.T. D.T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any Inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative r �' Copy 1 ESC Lab Copy 2 Project Superintendent Copy 3 Governing Agency EARTH SYSTEMS CONSULTANTS S.C. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 CLIENT NAME CLIENT ADDRESS CLIENT PHONE DATE JOB NO. PROJECT /-x/ '0&5'T LOCATION FIELD TESTING CONTRACTOR OWNER WEATHER TEMP, TIME PRESENT AT SITE �• r FIT CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS S4GNATURE ...�.P1,.�vl a.ya�.a�.�.«s.:,h,5.:. �C�d'i.w.�,YnlwtMg.Y.c... T;t r:l:l ,.. bit Y`..Pi�n, u+,r:,,AY:ta". �u..,er,..�'f.i.3,kr�,,. y..�,•t .::, .IArB.v�.:: _.. .a..a `.... xi.. r�, 4'��?:,�t7 ,�,i+;N.. TEST NLWBFR • Crc r t w LOT ND. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY lbs/cu. ft. MAXIMUM . DRY DENSITY % MAXIMUM DRY DENSITY lbs/cu. ft. OPTWIUM MOISTURE CONTENT % 13 � � �u I o'7•�j 1 t IQ IL<. REMARKS: 41eA • 4. �• r FIT CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS S4GNATURE ...�.P1,.�vl a.ya�.a�.�.«s.:,h,5.:. �C�d'i.w.�,YnlwtMg.Y.c... T;t r:l:l ,.. bit Y`..Pi�n, u+,r:,,AY:ta". �u..,er,..�'f.i.3,kr�,,. y..�,•t .::, .IArB.v�.:: _.. .a..a `.... xi.. r�, 4'��?:,�t7 ,�,i+;N.. aEarth Systems Consultants 50.717, Southern California DAILY REPORT OF IN SQ SB/R.S CO. GOV. UBC Building Permit No.: OSA Application No.: 79-811 B Country Club Drive Bermuda Dunes, CA 92201 (619) 345-1588 • (800) 924-7015 OF CONCRETE TITLE 21/24 OTHER Date of Inspection: 3"d0'1�'z Project Name: PG -pt ".s -k- 9n %JOV\co.. 4 ! g Job No. Project Address: �� �-� a �- �-�% t- ��• Architect: )re J .e c_e. 01rS50c- • Structural Engineer: A �` d r S ,rtG�ou General Contractor: LQp` ,ots Sub Contractor: nc� te,' TYPE OF INSPECTION: Reinforcing (I� a ement Other n•a��t �e, Description of Work Inspected: M `-I -\ V1 i\ C tt O O v1 rn o m o. 1 V r e -i v» o_.. f..4 vaneqo.,_k y r d (M'� ..�4 -ems o C V�AA1r � 1OC. DAA& k �1�nS p �A O CGitY t. O�Q[ o%S� \ p \ ` •4 \ M`ho' c Ga n(��� 4 X11 b rd \'�'o e.�d �"'t"� 2. C tyO.�r1[ C,ay�. e ` !'e n't^A r C_mn� Wa`s ZYS Oer c_.S�i 1m �.► l iT�1 O� L 0 U;. \P- -LnSdo �*tn f'�Q \ I G Unresolved Items: l n mo, a Descriptive Location of Samples: Slump: 3 • AS n Cone Temp: %o r Time in Mixer: %0 nit ^ . Supplier • ec ,-Admixture'C 0 Water Added: Air Temp: Specified Strength• 0s'r Mix Design: W S_41Z Truck #: p Air Content, %: Unit Wt.: "" Sample Time: C1 : -AS a1„-- # of Samples: Oor Field I.D. Marking: I hereby certify that I have inspected all of the above reported work, unless otherwise noted, and to the best of my ability I have found this wqrk to comply with the approved plans, specifications & applicable building laws. Final report issued at project completion. rpector's Name/NC C • N'6 ATX0" Inspector's Signature _ C--- e in '� �a rte• Time out Lunch " Straight Time t'" 0. T. D. T. All inspections based on a minimum of 4 hours; over 4 hours will be an 8 hour minimum. In addition, any inspection extending past 12 pm will be an 8 hour minimum. Contractor's Representative C Copy 1 ESC Lab Copy 2 Project Superintendent Cop Governing Agency .€ii.` ��'�C"�y'4�'c. �'�y °r.�.se �. ,w�+.r•,r,N,aen, � "��ii`'ri�'i��.Rw+R.'i.. J ' EARTH SYSTEMS CONSULTANTS S.C. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 CLIENT NAME CLIENT ADDRESS CLIENT PHONE DATE J013 NO. PRQIECT &/': /: ,�dl. c • -1v, i�'�/U S LOCATION ze REFERENCECURVE CONTRACTOR OWNER WEATHER TEMP TIME PRESENT-ATSITE . ; TEST NLM6FA _..- ��TTtJ1ti l) GSA-- 1'AIG C. LOT ND. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY Lbs/cu. ft. MAXIM0.JM DRY DENSITY % MAXIMUM DRY DENSITY Ibs/cu. ft. OPTIMUM MOISTURE CONTENT % 3 107Z lei REMARKS: ��1� �e�C: s . Etas P d� 'e4l CLIENT REPRESENTATIVE SIGNATURE FOLD REPORT TECHNICIANS ,-- TUR _ I EARTH SYSTEMS CONSULTANTS S.C. �4D�k 79-811B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 i CLIENT NAME CLIENT ADDRESS •. CLIENT PHONE DATE JOB NO. PROJECT L or { � iV L;;OCCATION,, II DRY DENSITY Ibs/cu. ft. MAXIMUM DRY DENSITY % CONTRACTOR OWNER 11 WEATHER TEMP TIME PRESENT AT SITE . 115 I 13 I2 TEST NLI BER LOT ND. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY Ibs/cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY Ibs/cu. ft. OPTIMUM MOISTURE CONTENT % 11 t 12 , P� / S' 97.- 115 I 13 I2 (3 n fi �Sl 1-z .9 ]161 Iz.� /oft 3 41 ��y✓` �Z , 4- 1nJ �� REMAWS: 1/1 Jam' a�,P)� ' T+S°f/ mak✓ t � r CLIENT REPRESENTATIVE SIGNATURE , FIELD- REPORT TECHNICIVSIGNATURE EARTH SYSTEMS CONSULTANTS S.C. 79-811 B'Country Club Drive A Bermuda Dunes, CA 92201 - (619) 345-1588 4"61Z, 4S CLIENT NAME CUENTADDRESS I ;" "I . . CLIENT PHONE DATE JW NO. PROJECT /,or /"o- &-Ae"V LOCATION 17&A 4lezr ZA 4?w A Ir, v CONTRACTOR CVWER WEATHER TEMP TIME PRESENT,ATSI.TIE'_.,, TEST NUMBER -tier ND. ELEVATION FIELD TESTING REFERENCIECURVE MOISTURE CONTENT % DRY DENSITY- lbs/cu. It. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs?du. ft. OPTIMUM MOISTURE CONTENT % V, Z5 .0 REMARKS: -?d1;bTM cb TT"'z !4otvAwjjV9A' -Dook �bVL6K .4 'Z'd V bR. Skj— "ov IV ON tLeXA� --f Aoup,�, otni 6AAkt WLA -111 4 �k -Ko- OF FIELD REPORT CLIENT REPRESENTATIVE SIGNATURE r TECHNICIANS SIGNATURE - '20544 Nk. 'r �.,N.a!+o+n`S'1+r+�c`!""�n!"�;.+r4..r*r-r+re+w..�i7i.sn++..r�"�` 3••�..,�.,Fi:n+xai'�+,Mit+.e!brr .. .:. i ry,�:,�w �'�'r— EARTH SYSTEMS .CONSULTANTS S.C. 79-811B Country Club Drive lot! Bermuda Dunes, CA 92201 • (619) 345-1588 1AUe,L./l1S CLIENT NAME CUENTADDRESS CLIENT PHONE DATE JOB NO. PROJECT 5S^ .3S / / L3�c�c�N �mr/�i� /`��i/✓ LOCATION REFERENCECURVE CONTRACTOR OWNER WEATHER TEMP TIME PRESENTATSITE . , r�fi I pj° �js t 11.� i�SN- TEST NUMBER L( LOT NO. ELEVATION FIELD TESTING REFERENCECURVE MOISTURE CONTENT % DRY DENSITY lbs/cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DW DENSITY Ibs/cu. ft. OPTIMUM MOISTURE CONTENT % i r�fi I pj° �js t 11.� i�SN- -ci ci »x' (ri't•!1• �it�' i � r `-CD__J .- REMARKS: . Z Z cJ Lt r ©-A414—r4 { 07 CLIENT REPRESENTATIVE SIGNATURE FEELD REPORT L r -o TECHNICIANS SIGNATURE '