2772 (3)Daily inspection Report No.: City Of La Q
Contractor. I�IS'L
Supt. on Job r-aa-� Sheet Y't of�
Weather. 't�tJQi�-m - (.Q ot;ulei • Date
Temperature 7`�" °F .Max .46 °F Min' Project � a7 z
Work Hours 70G A,— to 5 3° /° Memos Issued x
Photos
Special Conditions, Delays, Changes -
Accidents Damage
Sampling', Testing -
Visitors to- Site
Work Report (Work done, Personnel/Equipment working) &114-0 6X-
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CONSTRUCTION DEFICIENCY FORM.
This form documents deficient construction and the requirements to bring deficient items of construction into
conformance with the requirements of the City of La Quinta. Copies of this form will be delivered to thee;
project owner, developer, subdivider, or designee. Failure to correct construction deficiencies will prevent' City
acceptance of the work, release of any or all improvement securities, and may require the City to assume
responsibility for completion of all required improvements as authorized by the improvement agreement
governing the work.
The contractor and the developer/owner assume all responsibility and costs associated with the removal and
replacement of improvements not meeting the requirements of the City of La Quinta.
Development Name: %` f.[i ;.;'sr ��i e= f��r V -'./d,D.I.N_.(Tract No.):
Contractor: >. ' Foreman; h/6, t = . Permit No.:
GRADING
❑ ON-SITE STREET IMPROVEMENTS
OFF-SITE STREET IMPROVEMENTS
DEFICIENT WORK
D STORM DRAINAGE IMPROVEMENTS
❑ GENERAL SITE IMPROVEMENTS
❑ OTHER
DESCRIPTION
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GJY ��A /,(� ���f�+l�v. `a'L+:/._ I /_�'. i'i�TJ'��'L. ".t fR',.. Sy.. `i wd( J'•"r7. i.��.r�/".��.��;1
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All construction activity shall cease until deficiencies as noted hereinabove are corrected as directed by the
City of La Quinta. Contractor and developer/owner acknowledge that all work completed after receipt of this
construction deficiency form is considered "at risk" and subject to removal upon demand by the Public Works
Department if found to be unacceptable. Construction deficiencies will not be considered corrected until Page
2 of this form is attached hereto and has received the Inspector's approval and the Public Works Department's
certification.
Contractor:
,Gontr-actat'-s Signature
Public Works Inspector:
Public Works Inspector
All
Date Title(i'.e. Superintendent, foreman, etc.)
4�U
Date
CONSTRUCTION DEFICIENCY FORM C:\WP\FORMS\F044.WP 12/98 REV -0 Page 1 of 2
WHITE COPY - OWNER YELLOW COPY - CONTRACTOR PINK COPY - INSPECTOR GOLD COPY - PERMIT FILE