Mirage (Plans 1-3) Revision 21ZEFERFiJce LY -Flo alw J;LcA. A
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BinCity of La-.Quinta,:
Building U Safety Division
Permit #GS PA'. Box 1504, 78-495 Calle Tampico
.��p k La Quinta, CA 92253 - (760) 777-7012
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. Building Permit Application and Tracking Sheet
Project Address: Owner's Name: f�
A. P. Number:Address:, �-IT�. V tS
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Legal Description: r, Pma 30-SCity, ST; Zip: �� �. �� � S
Contractor:
{A) ri rz Telephone: D
Address: Project Description:
City, ST, Zip:
221-411a�
Telephone: _ "�. t
I& vY1S rv,.e d cI U
State Lic.
City Lic: #: 1• 1
Arch., Bngr., Designer: n
Address: �03 Ott
City, ST, Zip: G�
Telephone: OkLkA SS 3 Gt 10 o 41Constrgction Type: Occupancy:
State Lic. #: Project.type (circle one): New . Add'n Alter Repair Demo
Name of Contact Person:,
CCa Sq. FG: #Stories: # Units:
Telephone # of Contact Person: Jr13.—GT 0 Q Estimated Value of Project:
APPLICANT::IDO NOT WRITE BELOW THIS LINE
# Submittal 1 Req'd Recd TRACIUNG . PERMIT FEES
Plan Sets Plan Check submitted.. Item' Amount
Structural Calcs. Reviewed, ready for correctionsi 10,wfa,Plan Check Deposit .
Truss Calcs. Called Contact Person Plan Check Balance
Energy Calcs. ,. Plans picked up Construction
Flood plain plan Plans resubmitted
Mechanical
Grading plan 2" Review, ready for corrections/issue jg Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed ` - Plans picked ups S.M.I.
H.O.A. Approval. Plans resubmitted Grading
IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr \ Date of permit issue
School Fees I
Total Permit Fees
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� 7 %E112'Gltb II10
Tamer) 41*414400
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To Whom It May Concern:
Continuous Inspection & Materials Testing
® ® Al A& ® A&
441 Commercial Way, La Habra, CA 90631-6168
(562) 941-2990 • (714) 526-8441
FAX (562) 946-0026
Enclosed you will find copies of Daily Inspection Reports and/or
Compressive Strength Testing Results for the city jurisdiction. We have
enclosed these copies for you records.
If you have received any reports in error please forward them to Southwest
Inspection and Testing.
If you have any questions or comments, please do not hesitate to call.
Thank you,
Southwest Inspection & Testing
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 90631
(562) 941-2990 - (714) 526-8441 - Fax (562) 946-0026.
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
(00"o
Date
6-6''s-09
TYPE OF
INSPECTION
REQUIRED
Id Reinforced Concrete ❑ Strcictural Steel Assembly ❑. Quality Control
❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
❑ Reinforced Masonry ❑ Asphalt
Job Address
[
Wes1 0` City QW4Ly
Job Name
Verde
2
°
Issued By1
Type of Structure
F'
Arc ite t
Material Description (type. grade, source) , e
d0kyucfi
Engineer
Contractor I
t
Inspec XT6Name1 x
r tt r
Subconira r �
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED 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.
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SIGNATURE OF R•GIS RED INSPECTOR
vto 31 jf —149
SPECIALTY -NO. AGENCY
CONTINUED ON NEXT PAGE I—I PAGE OF
1 TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS 1
7700 1 MGM 1 e 1 1 7
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved by
Project Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD. - JOB SITE COPY
I'
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 90631
(562) 941-2990 9 (714) 526-8441 • Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
I Dateb---2-6 —0
TYPE OF ❑ Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing V Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
Job Address City
Job Name .S
Perrpit C
Issued 8y
Type of Structure
Architect
Material Description (type, grade, source)
Engineer
/..� �f �
Inspector(s) Name 51%/
SubcontracJtor //4
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
/
/OTS T &C . C2-o0fl,0
!? J01( /D-",/ i a 2 7 (43 A, f-7rzz
Lf��4.1 V/70
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFYTHAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE AVE FOUND THIS WORK TO CO LY W� H THE APPROVED PLANS,
SPECIFICATIQNS, AND AP CABLES TIONS OF THE GD&NING ILDI AWS.
OF REGIMREDdWECTOR
r%
SPECIALIf NO. AGENCY < b
CONTINUED ON NEXT PAGE M PAGE OF
TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
Letter of Transmittal
To: City of La Quinta Today's Date:
Your Files
.0
Your Review
78-495 Calle Tampico City Due Date
Checking
its
❑
La Quinta, Ca 92253 Project Address:
Attn: Plan Check #:
0% 0(02
Submittal: 1'st
❑
4th.
2nd
❑
5th
❑ 3`d
❑
Other:
We are forwarding: By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes:
# Of
Descriptions:
Copies:
Copies:
Structural Plans
j
Revised Structural Plans
Structural Calcs
Revised Structural Calcs
❑ Truss Calcs—
Revised Truss Calcs
❑ Soils Report
❑
Revised Soils Report
Correction List-
Approved Structural Plans
Redlined Structural Plans
�_
Approved Structural Calcs
❑ Redlined Structural Calcs
Approved Truss Calcs
❑ Redlined Truss Calcs
❑
T
Approved Soils Report
❑ Redlined Soils Reports.
❑
Other:
Thank you!
This Material Sent for:
❑
Your Files
' ❑
Your Review
❑
Checking
Other:
❑
Per Your Request
Approval
❑ At the request of:
Palm Desert Office: ❑# (760) 360-5770�
Washington Office: ❑ # (760)404-9556
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: January 08, 2008
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From: Les Johnson, Director -Planning. Due Date: January 15, 2008
Permit #: 08-62 Status: 1St Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project: -
Description: Revisions (3) Models
Address or General Location: 80-550 Avenue 58
Applicant Contact: Rosie Lara (760)218-8258
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by Planning Department.
Y 9 p
❑ :..these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
`_ AIA, `t?A& MA
Les Johnson,' Director -Planning
Date
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 90631
(562) 941-2990 e (714) 526-8441 9 Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
Date
TYPE OF ❑ Reinforced Concrete ❑ Strcictural Steel Assembly 6luality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
Job Address ["9 _LI- S �1 "i If— VJeL --0f- '�'I � f CID C�� bi
7l(� T 1�
41-M IZZ 74 k4w
Job Name
P e
Per rb' c7; 67 - 2, 1 47
y
Issued By
Type of Structure
'9 EVMaterial
Ar ct , cid- .. %% C21� -y (,6 o n ec
Des ription (type, grade source)
Engineer � p r 4
Contractor
Insper(s) N ff II
Subcontractor
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
I -serye l4t26,IIPA 110 Cj 4.,
Hgs
U W -
a --Il vo g
l I
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED 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 GOV RNING BUILDING LAWS.
%'
//SIGNKTURfOF REGISTERED INSPECTOR
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE L PAGE OF
TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS
J2;�0 i3�na
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved by
Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
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4x119.f�b6C,`4f�? •-. Yi�kJ3R Sf+ � di i$ �1�<'ii i"L3 ., w�uv.u�f�Yt4Ci15tL�i 'TPA*~ 1i
Mark Goldsmith Special Inspection
ICC #1064666
INFUSION Design, Inc.
951.314.7931
markgoldsmith@charter.net
PO,Box 2433, Blue Jay, CA 92317
PROTO II- WALL SYSTEMS
SPECIAL DEPUTY INSPECTION FORM
Direct Tension Indicator (DTI,'compressible washer) Method of Inspection .
and/or Torque Method of Inspection
Date of Deputy.Inspection: h
As an accredited and certified Special Deputy Inspector of Proto II- Wall Systems, I Mark Goldsmith hereby witnessed and certified the
torquing of the post -tension rods to 6000 lbs. via visual inspection of the DTI verifying collapse of the tabs (no light leaks between DTI tabs
and bottom of 1/2" nut) OR by witnessing and certifying the torquing of the rods to 6000 lbs. (via a calibrated torque wrench set to 55 ft/lbs).
A. Installer .rte �t C [1.0 ,) .P Builder/Owner Sil�aiart-,o wYt.�-ice
r -
B. Project information (name and tract): � -1,,� Jt: -Y -1 7 -L.-7 9
Sl n C-" \,.t )m L. 5 V 'j A 27 - LID
C. Wall system description (block/product used and height): 6
D: Visual inspection of mortar integrity. Acceptable: YES NO
E. Mortar,is solid'and continuous:
E Length of wall �hx__ L.F. Rods@ 7 7� O.C.
G. Rod spacing and location are correct per the PDS. for this project:
H. Threads are lubricated and plates are bearing on 3 block surfaces:
Wall Approved by Special Deputy Inspector: 11�
YES
NO
iK
❑
YES
NO .
.YESNO
T
❑
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