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BWFE2021-0114BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 04/21/2021 ISSUED DATE: 05/03/2021 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Wall / Fence 81725 MERV GRIFFIN WY BWFE2021-0114 767770064 $5,000.00 Owner:LENNAR HOMES OF CALIFORNIA INC 980 Montecito Dr Ste. 302, Corona, CA 92879 Applicant:LENNAR HOMES OF CALIFORNIA INC 980 Montecito Dr Ste. 302, Corona, CA 92879 Contractor:LENNAR HOMES OF CALIFORNIA INC 980 Montecito Dr Ste. 302, Corona, CA 92879 Declaration / Acknowledgement PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER-BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors’ State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors’ State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors’ State License Law does not apply to an owner of property who, through employees’ or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors’ State License Law. As an Owner-Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner-builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS’ COMPENSATION DECLARATION (1, 2 or 3) WARNING: FAILURE TO SECURE WORKERS’ COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 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. 1) Has and will maintain a certificate of consent to self-insure for workers’ compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers’ compensation laws of California, and agree that, if should become subject to the workers’ compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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 upon the above-mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 10/11/24 11:07 am Page 1 of 3 Permit Type: Permit Number: Property Address: Wall / Fence BWFE2021-0114 81725 MERV GRIFFIN WY BUILDING PERMIT GRIFFIN RANCH /182LF GARDEN WALL AT COURTYARD AND PL *** 112LF OF 6' GARDEN WALL AT WEST COURTYARD W/ GATE AND 70LF OF 6' GARDEN WALL AT NORTHEAST PL AND SIDE YARD [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2019 CALIFORNIA BUILDING CODES. Use of Permit Construction Details 182Total Block Wall LF Valuation Details Type Group Sq Ft Value Financial Information Fee AmountFee Amount PaidInvoice No. PERMIT-BWFE2021-011 4 $1.00 BSAS SB1473 FEE $1.00 $5.00 TECHNOLOGY ENHANCEMENT FEE $5.00 $67.08 WALL/FENCE - FIRST 100LF PC $67.08 $32.20 WALL/FENCE - EA ADDITIONAL 50LF $32.20 $10.00 RECORDS MANAGEMENT FEE $10.00 $53.67 WALL/FENCE - FIRST 100LF $53.67 $168.95 $168.95 Total for Invoice PERMIT-BWFE2021-0114 Grand Total for Permit $168.95 $168.95 Workflow / Inspections Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 04/21/2021 0:00 FINAL** v.1 Inspection FOOTINGS v.4 Inspection FOOTINGS v.3 Inspection FOOTINGS v.2 Inspection FOOTINGS v.1 Inspection Plan Check v.1 Building Review (1 Day) v.1 Receive Submittal Issue Permit v.1 Contractor / Owner-Builder Information v.1 Generic Action Verify & Invoice Fees v.1 Generic Action Issue Public Works Permit v.1 Create Report Wall / Fence Inspections v.1 Bond Beam v.1 Inspection Footing v.1 Inspection Rough Electrical v.1 Inspection Underground Electrical v.1 Inspection Underground Plumbing v.1 Inspection Printed: 10/11/24 11:07 am Page 2 of 3 Permit Type: Permit Number: Property Address: Wall / Fence BWFE2021-0114 81725 MERV GRIFFIN WY BUILDING PERMIT Final Inspections v.1 Final Wall / Fence v.1 Inspection Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Inspections A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Certificate of Occupancy A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Service Utilities Printed: 10/11/24 11:07 am Page 3 of 3 PERMIT INSPECTION HISTORY REPORT (BWFE2021-0114) FOR CITY OF LA QUINTA Wall / Fence 04/21/2021Application Date:Permit Type:767770064Parcel Wall / Fence 05/03/2021Work Class:Issue Date:81725 MERV GRIFFIN WY LA QUINTA, CA 92253 Address: Expired 05/04/2022Expiration Date:Status:Description:GRIFFIN RANCH /182LF GARDEN WALL AT COURTYARD AND PL *** 112LF OF 6' GARDEN WALL AT WEST COURTYARD W/ GATE AND 70LF OF 6' GARDEN WALL AT NORTHEAST PL AND SIDE YARD [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2019 CALIFORNIA BUILDING CODES. Owner:Contractor:Applicant:LENNAR HOMES OF CALIFORNIA INC LENNAR HOMES OF CALIFORNIA INC LENNAR HOMES OF CALIFORNIA INC Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 10/14/2021 Footing ECON:2110130304 54040 Partially Approved Allen Morgenroth No Incomplete Comments: eTRAKiT Inspection Request NOTES Created By TEXT Created Date System Administrator 10/13/2021 3:04 PM LENNAR HOMES OF CALIFORNIA INC Contact Name: LENNAR HOMES OF CALIFORNIA INC Site Address: 81725 MERV GRIFFIN WY Phone: 9497891600 e-Mail: carey.adams@lennar.com 10/13/2021 Allen Morgenroth 1. REAR PL WALL OK.10/28/2021 10/28/2021 Footing ECON:2110270321 11072 Approved Kirk Kirkland No Complete Comments: eTRAKiT Inspection Request NOTES Created By TEXT Created Date System Administrator 10/27/2021 3:21 PM LENNAR HOMES OF CALIFORNIA INC Contact Name: LENNAR HOMES OF CALIFORNIA INC Site Address: 81725 MERV GRIFFIN WY Phone: 9497891600 e-Mail: carey.adams@lennar.com 10/27/2021 10/29/2021 Footing AMOR:2110280424 34711 Approved Kirk Kirkland No Complete 78-495 Calle Tampico Page 1 of 2October 11, 2024 PERMIT INSPECTION HISTORY REPORT (BWFE2021-0114) Wall / Fence 04/21/2021Application Date:Permit Type:767770064Parcel Wall / Fence 05/03/2021Work Class:Issue Date:81725 MERV GRIFFIN WY LA QUINTA, CA 92253 Address: Expired 05/04/2022Expiration Date:Status:Description:GRIFFIN RANCH /182LF GARDEN WALL AT COURTYARD AND PL *** 112LF OF 6' GARDEN WALL AT WEST COURTYARD W/ GATE AND 70LF OF 6' GARDEN WALL AT NORTHEAST PL AND SIDE YARD [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2019 CALIFORNIA BUILDING CODES. Owner:Contractor:Applicant:LENNAR HOMES OF CALIFORNIA INC LENNAR HOMES OF CALIFORNIA INC LENNAR HOMES OF CALIFORNIA INC Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 11/05/2021 Footing ECON:2111041040 55262 Approved Kirk Kirkland No Complete Comments: eTRAKiT Inspection Request NOTES Created By TEXT Created Date System Administrator 11/4/2021 10:40 AM LENNAR HOMES OF CALIFORNIA INC Contact Name: LENNAR HOMES OF CALIFORNIA INC Site Address: 81725 MERV GRIFFIN WY Phone: 9497891600 e-Mail: carey.adams@lennar.com 11/04/2021 01/04/2022 Final Building ECON:2201030258 00012 Approved with Exceptions Duane Clayton No Complete Comments: eTRAKiT Inspection Request NOTES Created By TEXT Created Date System Administrator 1/3/2022 2:58 PM LENNAR HOMES OF CALIFORNIA INC Contact Name: LENNAR HOMES OF CALIFORNIA INC Site Address: 81725 MERV GRIFFIN WY Phone: 9497891600 e-Mail: carey.adams@lennar.com 01/03/2022 Duane Clayton - TORQUE REPORT REQUIRED.01/04/2022 78-495 Calle Tampico Page 2 of 2October 11, 2024 LEGEND - s- PROPERTY LINE — — — — — PUBLIC UTILITY EASEMENT — — — RIGHT-OF-WAY (R/W) - WATER MAIN SEWER MAIN - ) S. w FIRE HYDRANT ® WATER METER $ SEWER LATERAL MERV GR FFIN WAY TW 486.00 FG 479.6 TW 486.00 TF 478.67 FG 479.3 I YOFLAQUINTA BUILDING DIVISION, REVIEWED FOR00 CODE LO COMPLIANCE DX 3 2 0 21 BY Block Wall S1.1, 1.2 Length 181.44 LF Height 6' S w wn_ 00 32' -5 LOT 75 0 PLAN 5A E FF 480.27 22' PE 479.6 112LF OF 6' GARDEN WALL AT WEST COURTYARD W/ GATE AND 70LF OF 6' GARDEN WALL AT NORTHEAST PL AND SIDE YARD [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN o TW 486.00 THE BACK OF CURB AND ANY FENCING SHALL BE N FG 479.6 LANDSCAPED, HAVE A SUITABLE PERMANENT TF 478.00 IRRIGATION SYSTEM, AND BE CONTINUOUSLY TSE MAINTAINED BY THE PROPERTY OWNER. 2019 CALIFORNIA BUILDING CODES. I6.00 8.67 86 w 78.67 TTF 478. w NOTE: DIMENSIONS SHOWN ARE TO NOTE: PLOT PLANS MAY NOT SHOW CURRENT RECORD INFORMATION. REFER TO THE TITLE REPORT BUILDING FACE AND NOT FOR DIMENSIONS, EASEMENTS, AND OTHER INFORMATION OF RECORD. DRY UTILITIES ARE NOT ARCHITECTURAL POP -OUTS SHOWN ON THIS PLAN. MSA CONSULTING, INC, LENNAR / GRIFFIN RANCH JULY 2020 > PLANNING > CIVIL ENGINELAND SURVEYING TRACT N O. 32879 34200 Bob Hope Drive, Rancho Mirage,ge, CA CA 92270 760.320.9811 msaconsultinginc.com LOT AREA WALL PLAN - LOT 75 23,121 SF LENNAR 980 MONTECITO DRIVE 81-275 MERV GRIFFIN WAY CORONA, CA 92879 SCALE 1'=30' (951) 817-3663 LA QUINTA, RIVERSIDE COUNTY, CALIFORNIA gill � Ali INCH DEPTH AT TOP OF 2:1 SLOPE EfBACK - FACE ADDED DEPTH TO FTG TO TOP OF BOT OF CONT SLOPE TRENCH FTG I' 0" MIN 0'-011 0'-3" MIN 0'-1.0" MAX WALL MIN FTG PT ROD HEIGHT 8" CMU DEPTH SPACING 2'-2" 6'-0" O.C. 2'4' 4'-8" O.C. 2 MIN �1 KEYNOTES 1. POST TENSION ROD. REFER TO SCHEDULE FOR SPACING 2. HORIZONTAL JOINT REINFORCING PER GSN. PLACE IN FIRST TWO JOINTS BELOW PLATE WASHER AND 2' 0" O.C. THEREAFTER UNTIL THE TOP OF FOOTING IS REACHED 3. #4 CONT RFINF 4. TOP OF LEVEL NATURAL GRADE OR COMPACTED SUBGRADE 5. 3" MORTAR COVER AROUND COUPLER AND/OR POST TENSIONED ROD AT FIRST COURSE 6, AT 6'-8" FENCE WALL: 1) 4 VERT AT 48" O.C. W S D OOK iN CENTER OF TRENCH FTC. ROTATE RFINF TO MAINTAIN 3" CLR ALL AROUND NOTES A. REFER TO GSN AND TYP0L DETAILS FOR ADDITIONAL RFQ0RFMENTS AND ITFMS SHOWN BUT NOT NOTED B. WALL SHALL NOT BE USED AS A FLOOD WALL OR OTHERWISE SURCHARGED, UNO �r C. PLACE FIRST BLOCK INTO WET CONC TO RECESS 1/2" MIN, MIN 3/4" MAX 8" MIN CANT TO DAYLIGHT D. SPECIAL INSPFCTION AS 1 REQUIRED 8Y JURISDICTION FTC t.i TYPICAL 6'-0" & 6'-8" PROTO-II 6" CMU FENCE W F=t_, I-10- l NG & SAFETY DEPT. 4� FOR C0fq&-VRUGTI0i'lJ Ifl DATE' Hy CONT TRENCH FTG PROJECT: PROTO II STANDARD PLANS WIND EXPOSURE C AT i 10 MPH LA QUINTA, CA TITLF, TYPICAL DETAILS tJ DESCRIPTION DATE r PROTO-IITM WALL SYSTEMS DATE:85-29-18 R I M R O C K E N G i N F E R! N G 9080 W. CHEYENNE AVE., STE 120 3612 CALIFORNIA AVE ATTN: MARIO SALAZ.AR PROJ No.: STD LONG BEACH. CA 90807 H# (5 2) 8 29 SHEET: LAS VEGAS, NV 89129 ot7ot S1.1 PK 702-838-5311 U.S. PATENTED 5.794,921. & 8,431.797, & 7,188.453, & 0,632,048, 7.454,870, & 7.461,487 PROTO-11 WALL SYSTEMS MAY ONLY BE INSTALLED BY APPROVED AND CERTIFIED INSTALLERS SEAL: IlF F2 � � Z m * l=XR 6/30/20 up C! V 11. \TF OF CAI-\F 05-29-18 mpxlpA� DIP FTG DEPTH AT TOP OF 2:1 SLOPE SETBACK - FACE OF FTG TO TOP OF SLOPE MIN DIP FTG DEPTH l'-0" MIN 2'-4" 0'-3" TO 0'-11" S-I" MAX WALL MAX DIP PT ROD HEIGHT FOOTING SPACING SPRING 6" CMU 1 6'-0" 10'-0" O.C. 6'-0" O.C. 6'-8" 1 8'-0" O.C. 4'-8" O.C. SETBACK EQ % . EO ,I 5 I ' i �l� 6 2 MIN n W 0 z 5-0" MIN TO DAYLIGHT m POST TENSION ROD. REFER TO SCHEDULE FOR SPACING 2. HORIZONTAL JOINT REINFORCING PER GSN. PLACE IN FIRST TWO JOINTS BELOW PLATE WASHER AND 2'-0" Q.C. THEREAFTER UNTIL THE TOP OF FOOTING IS REACHED MA I SECTION AT ON I OTING 6'-0" & 6'-8" PROTO-II 6" CMU FENCE W Pf-;UlNG & Sy,{~FETY DEEPT. PROJECT: PROTO II STANDARD PLANS WIND EXPOSURE C AT 110 MPH LA QUINTA, CA TITLE: TYPICAL DETAILS PROTO-1 ITMWALL SYSTEMS IDATE- 05-29.18 3612 CALIFORNIA AVE ATTN: MARIO SALAZAR [:::S1.2 J No.: STD LONG BEACH, CA 90807 PH# (562 477-8529 SHEET: www.proto2mom msalazar@protoii.com U.S. PATENTED 5.794.921. 5 6,431,797. 6 7,166,453. S 6.632.048, 7,454.870, & 1.461,401 PROTO-II WALL SYSTEMS MAY ONLY BE INSTALLED BY APPROVED AND CERTIFIED INSTALLERS KEYNOTES (tiONTI 4. TOP OF LEVEL NATURAL GRADE OR COMPACTED SUBGRADE 5. CONT. CONCRETE SETTING PAD 6. THICKEN CONCRETE SETTING PAD TO PROVIDE 3" MIN COVER AROUND PT ROD AND NUT, AS REQ'D, WHERE PT ROD DOES NOT ALIGN W/ DIP FOOTING 7. LINE OF DIP FTC BEYOND 8. TRENCH MAY BE OVER EXCAVATED AS SHOWN. FILL W/ COMPACTED FILL PER GSN OR CONCRETE 9. VERTICAL REINF W/ STD HOOK AT DIP FOOTINGS FOR WALLS OVER 6'-0" HIGH. USE (1) #4 IN CENTER OF DIP 10. 3" MORTAR COVER AROUND COUPLER AND OR POST TENSIONED R00 AT FIRS COURSE hm A. REFER TO GSN AND TYPICAL DETAILS FOR ADDITIONAL REQUIREMENTS AND ITEMS SHOWN BUT NOT NOTED S. WALL SHALL NOT BE USED AS A FLOOD WALL OR OTHERWISE SURCHARGED, LINO C. PLACE FIRST BLOCK INTO WET CONC TO RECESS 1/2" MIN, 3/4" MAX D. SPECIAL INSPECTION AS REQUIRED BY JURISDICTION E. NO COLD JOINTS ALLOWED IN DIP FOOTING F. POST TENSION ROD SPACING DOES NOT NEED TO LINE UP W/ DIP SEAL: ! ' o y z m * EXP. 6/30/20 cl v 1\- F OF' CAUL 05-29-18 FISHER INSPECTION SERVICES CONSTRUCTION INSPECTION AND TESTING 19360 RINALDI STREET, #350 - NORTHRIDGE, CA 91326 Office: 818-349-1806 - Fax: 818-349-2340 I REGISTERED INSPECTOR'S DAILY REPORT Dept. of . & ty City J�� Job No. p TYPE OF INSPECTION REQUIRED ElReinforced Concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other ❑ Reinforced Masonry Job Address Job Name Permit No. Issued By Type of Structure & Size Architect Material Description (type, grade, source) v Engineer Contractor Inspector(s) a ? Subcontractor WELDER LICENSE # WELDER LICENSE # 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. l / ca CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY TOHA NS O THE BEST OF MY KNOWLEDGE ALL OF TH OVEOj0fRNIN SS OTHERWISE NOTEDi HAVE FgUND THI W RK THROVEDPLANS, SPECIFICATIONS. AND ArjPLIC L SEG BUILDING LAWS NO. Fisher Form Vl/l/2010 CONTINUED ON NEXT PAGE L] PAGE OF TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I TEST S. I All Inspections based on a minimum of 4 hours and over 4 hours — B hour minimum. In addition, any Inspection extending past noon hour vellf be an B hour minimum. Approved By Project Superintendent